307-746-4491 dpisciotti@wchs-wy.org

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 December 30, 2020

Standard Charges Hospital Procedures

Service AreaPx CodeProcedure DescriptionDefault Rev CodeCPT(R)/HCPCS CodeDefault ModFee Schedule NameUnit Price
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.444.501 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 REF VITAMIN E LABORATORY-CHEMISTRY [0301] 84446 WCH HB LAB FEE SCHEDULE 139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.446.601 REF TRANSFERRIN LABORATORY-CHEMISTRY [0301] 84466 WCH HB LAB FEE SCHEDULE 155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.447.803 TRIGLYCERIDES LABORATORY-CHEMISTRY [0301] 84478 WCH HB LAB FEE SCHEDULE 51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.448.001 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 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 REF VITAMIN K1 LABORATORY-CHEMISTRY [0301] 84597 WCH HB LAB FEE SCHEDULE 255,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.463.001 REF ZINC SERUM LABORATORY-CHEMISTRY [0301] 84630 WCH HB LAB FEE SCHEDULE 176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.468.101 REF C PEPTIDE LABORATORY-CHEMISTRY [0301] 84681 WCH HB LAB FEE SCHEDULE 207,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.470.201 REF BHCG CSF LABORATORY-CHEMISTRY [0301] 84702 WCH HB LAB FEE SCHEDULE 143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.239.000 REF CERULOPLASMIN LABORATORY-CHEMISTRY [0301] 82390 WCH HB LAB FEE SCHEDULE 135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.614.703 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 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 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 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 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 COMPLEMENT 4 ANTIGEN LABORATORY-IMMUNOLOGY [0302] 86160 WCH HB LAB FEE SCHEDULE 168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.616.101 REF C1Q COMPLEMENT FUNCTIONAL LABORATORY-IMMUNOLOGY [0302] 86161 WCH HB LAB FEE SCHEDULE 168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.621.501 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 EXTRACTABLE NUCLEAR AG EACH AB LABORATORY-IMMUNOLOGY [0302] 86235 WCH HB LAB FEE SCHEDULE 160,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.625.502 REF INFLAMMATORY BOWEL DIS PANEL LABORATORY-IMMUNOLOGY [0302] 86255 WCH HB LAB FEE SCHEDULE 130,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.239.700 REF PTH RELATED PEPTIDE LABORATORY-CHEMISTRY [0301] 82397 WCH HB LAB FEE SCHEDULE 190,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.625.503 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 REF CA 27.29 LABORATORY-IMMUNOLOGY [0302] 86300 WCH HB LAB FEE SCHEDULE 218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.631.701 REF RABIES ANTIBODY ELISA LABORATORY-IMMUNOLOGY [0302] 86317 WCH HB LAB FEE SCHEDULE 106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.631.702 REF S PNEUMONIAE IGG EA SEROTYPE LABORATORY-IMMUNOLOGY [0302] 86317 WCH HB LAB FEE SCHEDULE 49,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.633.401 REF MONOCLONAL PROTEIN STUDY IF LABORATORY-IMMUNOLOGY [0302] 86334 WCH HB LAB FEE SCHEDULE 214,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.634.102 REF GAD65 AB ASSAY LABORATORY-IMMUNOLOGY [0302] 86341 WCH HB LAB FEE SCHEDULE 215,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.637.601 REF LIVER KIDNEY MICROSOMAL ANTIBO LABORATORY-IMMUNOLOGY [0302] 86376 WCH HB LAB FEE SCHEDULE 165,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.661.801 REF LYME DISEASE SEROLOGY LABORATORY-IMMUNOLOGY [0302] 86618 WCH HB LAB FEE SCHEDULE 187,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.663.501 REF COCCIDIODES IGG IGM CF OR ID LABORATORY-IMMUNOLOGY [0302] 86635 WCH HB LAB FEE SCHEDULE 90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.664.404 REF CYTOMEGALOVIRUS QUAL LABORATORY-IMMUNOLOGY [0302] 86644 WCH HB LAB FEE SCHEDULE 129,40
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.243.500 CHLORIDE, SERUM LABORATORY-CHEMISTRY [0301] 82435 WCH HB LAB FEE SCHEDULE 53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.664.501 REF CYTOMEGALOVIRUS AB IGM LABORATORY-IMMUNOLOGY [0302] 86645 WCH HB LAB FEE SCHEDULE 139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.666.401 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 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 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 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 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 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 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 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 REF PARVOVIRUS B19 AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86747 WCH HB LAB FEE SCHEDULE 178,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.675.701 REF TYPHUS ANTIBODY IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86757 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.243.600 CHLORIDE URINE LABORATORY-CHEMISTRY [0301] 82436 WCH HB LAB FEE SCHEDULE 51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.676.501 REF RUBEOLA MEASLES AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86765 WCH WELLNESS WEDNESDAY FSC 16,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.677.701 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 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 REF WEST NILE VIRUS IGM LABORATORY-IMMUNOLOGY [0302] 86788 WCH HB LAB FEE SCHEDULE 162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.679.003 REF HANTAVIRUS AB IGG LABORATORY-IMMUNOLOGY [0302] 86790 WCH HB LAB FEE SCHEDULE 180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.680.001 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 THYROGLOBULIN ANTIBODY SCRN LABORATORY-IMMUNOLOGY [0302] 86800 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.530.001 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 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 REF PROTEIN C FUNCTIONAL LABORATORY-HEMATOLOGY [0305] 85303 WCH HB LAB FEE SCHEDULE 257,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.243.800 CHLORIDE CSF BODY FLUID URINE LABORATORY-CHEMISTRY [0301] 82438 WCH HB LAB FEE SCHEDULE 79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.530.302 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 3.058.530.601 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 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 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 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 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 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 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 3.058.557.601 PLAT FUNC LABORATORY-HEMATOLOGY [0305] 85576 WCH HB LAB FEE SCHEDULE 144,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.561.001 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 3.018.246.500 CHOLESTEROL LABORATORY-CHEMISTRY [0301] 82465 WCH HB LAB FEE SCHEDULE 53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.561.003 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 PROTIME LABORATORY-HEMATOLOGY [0305] 85610 WCH HB DEFAULT FEE SCHEDULE 74,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.561.301 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 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 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 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 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 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 3.058.614.601 REF BETA 2 GP1 IGG IGM OR IGA LABORATORY-IMMUNOLOGY [0302] 86146 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.733.801 REF STL FOR H PYLORI LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87338 WCH HB LAB FEE SCHEDULE 235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.250.700 REF CITRATE EXCRETION (SAT 24) LABORATORY-CHEMISTRY [0301] 82507 WCH HB LAB FEE SCHEDULE 295,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.744.904 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 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 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 3.068.752.201 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 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 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 REF EPSTEIN BARR VIRUS DNA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87799 WCH HB LAB FEE SCHEDULE 223,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.790.201 REF HCV GENOTYPE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87902 WCH HB LAB FEE SCHEDULE 770,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.100.301 URINE AUTO WO MICRO LABORATORY-UROLOGY [0307] 81003 WCH HB LAB FEE SCHEDULE 30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.098.688.002 DIRECT COOMBS GAMMA LABORATORY-OTHER LABORATORY [0309] 86880 WCH HB LAB FEE SCHEDULE 48,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.252.300 REF NTX TELOPEPTIDE U LABORATORY-CHEMISTRY [0301] 82523 WCH HB LAB FEE SCHEDULE 182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.098.688.501 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 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 ABO TYPE SEROLOGIC LABORATORY-OTHER LABORATORY [0309] 86900 WCH WELLNESS WEDNESDAY FSC 12,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.098.690.101 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 RH BLOOD TYPING LABORATORY-OTHER LABORATORY [0309] 86901 WCH WELLNESS WEDNESDAY FSC 12,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.098.715.001 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 REF BCR ABL1 MAJOR BRKPT QUAL QUAN LABORATORY PATHOLOGY-GENERAL [0310] 81206 WCH HB LAB FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.124.001 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 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 REF CDCOMP 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 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 REF CHROMHEM INTERP & REPORT LABORATORY PATHOLOGY-CYTOLOGY [0311] 88291 WCH HB LAB FEE SCHEDULE 179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.252.500 REF COPPER URINE LABORATORY-CHEMISTRY [0301] 82525 WCH HB LAB FEE SCHEDULE 135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.118.829.106 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 REF INFLIXIMAB LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.030.700 REF HYPOGLYCEMIC AGENT SCRN LABORATORY-CHEMISTRY [0301] 80307 WCH HB LAB FEE SCHEDULE 212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.239.702 REF INFLIXIMAB AB LABORATORY-CHEMISTRY [0301] 82397 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.249.716.100 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 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 4.249.716.300 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 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 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 OT EVAL MODERATE COMPLEXITY OCCUPATIONAL THERAPY-EVALUATION OR REEVALUATION [0434] 97166 WCH HB DEFAULT FEE SCHEDULE 239,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.253.000 CORTISOL, FREE, URINE LABORATORY-CHEMISTRY [0301] 82530 WCH HB LAB FEE SCHEDULE 210,00
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 4.349.716.700 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 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 PRO CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 25565 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.921.700 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 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 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 9.839.922.000 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 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 PRO OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99236 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.928.100 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 3.018.253.300 CORTISOL SINGLE LABORATORY-CHEMISTRY [0301] 82533 WCH HB LAB FEE SCHEDULE 180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.928.200 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 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 PRO EMERGENCY DEPARTMENT VISIT LEVEL 4 HIGH/URGENT SEVERITY PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 99284 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.928.500 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 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.929.200 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 URINE DRUG SCREEN LABORATORY-CHEMISTRY [0301] 80306 WCH HB LAB FEE SCHEDULE 248,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.709.915.200 MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS ANESTHESIA-GENERAL [0370] 99152 WCH HB DEFAULT FEE SCHEDULE 163,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.027.670.600 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 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 REF EBV EA LABORATORY-GENERAL [0300] 86663 WCH HB LAB FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.254.200 REF CORTISOL URINE LC-MS/MS LABORATORY-CHEMISTRY [0301] 82542 WCH HB LAB FEE SCHEDULE 167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.019.400 REF QUINIDINE LABORATORY-CHEMISTRY [0301] 80194 WCH HB LAB FEE SCHEDULE 145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.907 REF METHOTREXATE LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.911 REF FELBAMATE LEVEL LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.202.401 REF ACTH LABORATORY-CHEMISTRY [0301] 82024 WCH HB LAB FEE SCHEDULE 272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.217.500 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 REF HOMOCYSTEINE TOTAL SERUM LABORATORY-CHEMISTRY [0301] 83090 WCH HB LAB FEE SCHEDULE 216,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.370.001 REF LP(A) CHOLESTEROL SERUM LABORATORY-CHEMISTRY [0301] 83700 WCH HB LAB FEE SCHEDULE 212,40
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.601 REF PROTEIN, TOTAL, URINE MONOCLONAL LABORATORY-CHEMISTRY [0301] 84156 WCH HB LAB FEE SCHEDULE 50,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.440.202 REF TESTOSTERONE FREE FOR MAYO TOTAL, BIO, FREE LABORATORY-CHEMISTRY [0301] 84402 WCH HB LAB FEE SCHEDULE 176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.447.900 T3 UPTAKE LABORATORY-CHEMISTRY [0301] 84479 WCH HB LAB FEE SCHEDULE 79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.255.000 CPK TOTAL LABORATORY-CHEMISTRY [0301] 82550 WCH HB LAB FEE SCHEDULE 177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.451.000 REF TYROSINE, P (MAYO) LABORATORY-CHEMISTRY [0301] 84510 WCH HB LAB FEE SCHEDULE 182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.633.404 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 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 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 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 REF PLASMINOGEN ACTIVITY LABORATORY-HEMATOLOGY [0305] 85420 WCH HB LAB FEE SCHEDULE 179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.707.701 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 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 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 REF AEROBIC SUSCEPTIBILITY PER ORG LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87186 WCH HB LAB FEE SCHEDULE 118,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.255.300 MB FRACTION LABORATORY-CHEMISTRY [0301] 82553 WCH HB LAB FEE SCHEDULE 87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.734.001 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 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 HCG URINE LABORATORY-UROLOGY [0307] 81025 WCH HB LAB FEE SCHEDULE 88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.118.818.404 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 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 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 CARDIOPULMONARY RESUSCITATION 1-10 MINUTES CARDIOLOGY-GENERAL [0480] 92950 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.925 REF ADALIMUMAB AND AB LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.265.701 REF TPMT ACTIVITY, RBC LABORATORY-CHEMISTRY [0301] 82657 WCH HB LAB FEE SCHEDULE 453,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.399.301 REF CALPROTECTIN, F LABORATORY-CHEMISTRY [0301] 83993 WCH HB LAB FEE SCHEDULE 250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.256.500 CREATININE SERUM LABORATORY-CHEMISTRY [0301] 82565 WCH HB LAB FEE SCHEDULE 85,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.414.500 PROCALCITONIN LABORATORY-CHEMISTRY [0301] 84145 WCH HB LAB FEE SCHEDULE 259,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.620.002 CCP ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86200 WCH HB LAB FEE SCHEDULE 177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.670.104 HIV1 AB LABORATORY-IMMUNOLOGY [0302] 86701 WCH HB LAB FEE SCHEDULE 123,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.670.202 HIV2 AB LABORATORY-IMMUNOLOGY [0302] 86702 WCH HB LAB FEE SCHEDULE 188,30
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.209.711.600 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 TRAUMA RESP W ACTIVATION SPRH TRAUMA RESPONSE-LEVEL IV [0684] G0390 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.332.500 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 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 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.923.800 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 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 3.018.257.000 CREATININE BODY FLUID LABORATORY-CHEMISTRY [0301] 82570 WCH HB LAB FEE SCHEDULE 92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.923.400 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 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 REF DRVVT MIX LABORATORY-HEMATOLOGY [0305] 85613 WCH HB LAB FEE SCHEDULE 154,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.561.306 REF DRVVT CONFIRMATION LABORATORY-HEMATOLOGY [0305] 85613 WCH HB LAB FEE SCHEDULE 161,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.539.002 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 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 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 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 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 REF CALCUIM IONIZED SERUM LABORATORY-CHEMISTRY [0301] 82330 WCH HB LAB FEE SCHEDULE 139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.257.500 CREAT CLEARANCE LABORATORY-CHEMISTRY [0301] 82575 WCH HB LAB FEE SCHEDULE 120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.018.501 REF PHENYTOIN TOTAL LABORATORY-CHEMISTRY [0301] 80185 WCH HB LAB FEE SCHEDULE 117,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.536.600 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 REF LACOSAMIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.253.005 REF CORTISOL, FREE LABORATORY-CHEMISTRY [0301] 82530 WCH HB LAB FEE SCHEDULE 195,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.254.217 REF PYRIDOXIC ACID LABORATORY-CHEMISTRY [0301] 82542 WCH HB LAB FEE SCHEDULE 167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.927 REF ADALIMUMAB QUANTITATION WITH REFLEX TO ANTIBODY LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.218.000 REF VITAMIN C LABORATORY-CHEMISTRY [0301] 82180 WCH HB LAB FEE SCHEDULE 276,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.401.800 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 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 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 3.018.258.500 REF CRYOG CRYOFIBRENGOGEN LABORATORY-CHEMISTRY [0301] 82585 WCH HB LAB FEE SCHEDULE 86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.247.104.600 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 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 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 4.309.776.300 ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97763 WCH HB DEFAULT FEE SCHEDULE 138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.630.002 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 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 3.100.034.000 REF TPMT AND NUDT15 GENOTYPE LABORATORY PATHOLOGY-GENERAL [0310] 0034U WCH HB LAB FEE SCHEDULE 593,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.602 REF PROTEIN, TOTAL, URINE LABORATORY-CHEMISTRY [0301] 84156 WCH HB LAB FEE SCHEDULE 72,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.259.500 REF CRYO PANEL, SERUM AND PLASMA(MAYO) LABORATORY-CHEMISTRY [0301] 82595 WCH HB LAB FEE SCHEDULE 79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.416.602 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 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 3.028.635.901 REF T CELLS TOTAL COUNT FOR CD4-CD3 PROFILE LABORATORY-IMMUNOLOGY [0302] 86359 WCH HB LAB FEE SCHEDULE 188,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.625.512 REF PARANEOPLASTIC ANTI-NEURONAL NUCLEAR, TYPE 1 LABORATORY-IMMUNOLOGY [0302] 86255 WCH HB LAB FEE SCHEDULE 516,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.635.500 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 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 3.018.302.002 REF HEMOGLOBIN ELP B - THALASSEMIA & HEMO EVAL LABORATORY-CHEMISTRY [0301] 83020 WCH HB LAB FEE SCHEDULE 750,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.302.102 REF HEMOGLOBIN A2 & F - THALASSEMIA & HEMO EVAL LABORATORY-CHEMISTRY [0301] 83021 WCH HB LAB FEE SCHEDULE 379,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.536.602 REF SOLUBLE FIBRIN MONOMER (MAYO) LABORATORY-HEMATOLOGY [0305] 85366 WCH HB LAB FEE SCHEDULE 312,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.537.904 REF D-DIMER, P-APROL LABORATORY-HEMATOLOGY [0305] 85379 WCH HB LAB FEE SCHEDULE 147,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.260.700 VIT B12 SERUM LABORATORY-CHEMISTRY [0301] 82607 WCH HB LAB FEE SCHEDULE 162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.260.700 VIT B12 SERUM LABORATORY-CHEMISTRY [0301] 82607 WCH WELLNESS WEDNESDAY FSC 25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 1.210.000.100 ROOM SEMI PRIVATE W TELE ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-MEDICAL/SURGICAL/GYN [0121] WCH HB DEFAULT FEE SCHEDULE 3.214,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.009.900.001 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 REF MERCURY, 24 HOUR, URINE LABORATORY-CHEMISTRY [0301] 83825 WCH HB LAB FEE SCHEDULE 179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.679.005 REF HUMAN T-CELL LYMPHOTROPIC VIRUS TYPES I AND II (HTLV-II) ANTIBODY SCREEN WITH CONFIRM LABORATORY-IMMUNOLOGY [0302] 86790 WCH HB LAB FEE SCHEDULE 226,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.030.602 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 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 WORKPLACE BREATH ALCOHOL TEST (BAT) LABORATORY-UROLOGY [0307] 82075 WCH HB LAB FEE SCHEDULE 58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.137.602 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 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 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 3.018.262.600 REF DHEA LABORATORY-CHEMISTRY [0301] 82626 WCH HB LAB FEE SCHEDULE 272,00
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 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 3.018.262.700 REF DHEA SULFATE LABORATORY-CHEMISTRY [0301] 82627 WCH HB LAB FEE SCHEDULE 240,00
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 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 3.018.265.200 REF VIT D1 25 DIHYDROXY W FRAC LABORATORY-CHEMISTRY [0301] 82652 WCH HB LAB FEE SCHEDULE 338,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.705.000.022 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 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 3.018.266.800 REF ERYTHROPOIETIN LABORATORY-CHEMISTRY [0301] 82668 WCH HB LAB FEE SCHEDULE 260,00
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 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 3.018.267.000 ESTRADIOL LABORATORY-CHEMISTRY [0301] 82670 WCH HB LAB FEE SCHEDULE 187,00
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 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 3.018.267.900 REF ASSAY OF ESTRONE LABORATORY-CHEMISTRY [0301] 82679 WCH HB LAB FEE SCHEDULE 240,00
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 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 3.018.032.003 REF ETHYLENE GLYCOL LABORATORY-CHEMISTRY [0301] 82693 WCH HB LAB FEE SCHEDULE 193,00
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 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 3.018.271.000 REF FECAL FAT QUANT LABORATORY-CHEMISTRY [0301] 82710 WCH HB LAB FEE SCHEDULE 195,00
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 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 3.018.272.800 FERRITIN LABORATORY-CHEMISTRY [0301] 82728 WCH HB LAB FEE SCHEDULE 149,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.272.800 FERRITIN LABORATORY-CHEMISTRY [0301] 82728 WCH WELLNESS WEDNESDAY FSC 8,50
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 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 3.018.274.600 FOLATE SERUM LABORATORY-CHEMISTRY [0301] 82746 WCH HB LAB FEE SCHEDULE 164,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 1.210.000.200 ROOM SEMI PRIVATE ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-MEDICAL/SURGICAL/GYN [0121] WCH HB DEFAULT FEE SCHEDULE 2.714,00
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 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 3.018.277.600 REF GALACTOSEMIA SCREEN LABORATORY-CHEMISTRY [0301] 82776 WCH HB LAB FEE SCHEDULE 29,00
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 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 3.018.278.400 REF CELIAC DIS SERLGY CASCADE IGA LABORATORY-CHEMISTRY [0301] 82784 WCH HB LAB FEE SCHEDULE 111,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.705.000.112 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 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 3.018.278.500 REF IMMUGLOBULIN E LABORATORY-CHEMISTRY [0301] 82785 WCH HB LAB FEE SCHEDULE 112,00
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 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 3.018.278.700 REF IGG SUBCLASSES EACH LABORATORY-CHEMISTRY [0301] 82787 WCH HB LAB FEE SCHEDULE 300,00
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 100,00
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 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 3.018.280.300 BL GAS W O2 SAT CALCULATED LAB LABORATORY-CHEMISTRY [0301] 82803 WCH HB LAB FEE SCHEDULE 233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.705.000.142 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 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 3.018.280.500 BL GAS W 02 SAT MEASURE RT LABORATORY-CHEMISTRY [0301] 82805 WCH HB LAB FEE SCHEDULE 233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.705.000.152 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 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 3.018.294.100 REF GASTRIN LABORATORY-CHEMISTRY [0301] 82941 WCH HB LAB FEE SCHEDULE 160,00
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 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 3.018.294.500 GLUCOSE CSF OR BODY FLUID LABORATORY-CHEMISTRY [0301] 82945 WCH HB LAB FEE SCHEDULE 147,00
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 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 3.018.294.700 GLUCOSE LABORATORY-CHEMISTRY [0301] 82947 WCH HB LAB FEE SCHEDULE 77,00
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 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 3.018.295.000 GLUCOSE TOLERANCE OB LABORATORY-CHEMISTRY [0301] 82950 WCH HB LAB FEE SCHEDULE 58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.020.000.100 ROOM ICU MEDICAL INTENSIVE CARE-MEDICAL [0202] WCH HB DEFAULT FEE SCHEDULE 3,00
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 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 3.018.295.100 GTT 3 3HR GLUCOSE TOLERANCE LABORATORY-CHEMISTRY [0301] 82951 WCH HB LAB FEE SCHEDULE 128,00
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 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 3.018.295.200 GLUC TOLERANCE ADDL >3 SPEC LABORATORY-CHEMISTRY [0301] 82952 WCH HB LAB FEE SCHEDULE 53,00
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 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 3.018.295.500 REF G 6 PD QN RC LABORATORY-CHEMISTRY [0301] 82955 WCH HB LAB FEE SCHEDULE 131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.725.000.003 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 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 3.018.297.700 GAMMA GT (GTT) LABORATORY-CHEMISTRY [0301] 82977 WCH HB LAB FEE SCHEDULE 102,50
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 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 3.018.298.500 REF FRUCTOSAMINE LABORATORY-CHEMISTRY [0301] 82985 WCH HB LAB FEE SCHEDULE 68,00
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 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 3.018.300.100 FSH LABORATORY-CHEMISTRY [0301] 83001 WCH HB LAB FEE SCHEDULE 166,00
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 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 3.018.300.200 REF LUTEINZINE HORMONE (LH) LABORATORY-CHEMISTRY [0301] 83002 WCH HB LAB FEE SCHEDULE 171,00
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 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 3.018.300.300 REF GROWTH HORMONE LABORATORY-CHEMISTRY [0301] 83003 WCH HB LAB FEE SCHEDULE 163,00
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 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 3.018.301.000 REF HAPTOGLOBIN LABORATORY-CHEMISTRY [0301] 83010 WCH HB LAB FEE SCHEDULE 131,00
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 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 3.018.217.501 REF ARSENIC, 24 HOUR, URINE LABORATORY-CHEMISTRY [0301] 82175 WCH HB LAB FEE SCHEDULE 153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.636.000 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 2.725.000.073 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 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 3.018.302.000 REF HEMOGLOBIN ELECTROPHORESIS (HGB E) LABORATORY-CHEMISTRY [0301] 83020 WCH HB LAB FEE SCHEDULE 132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.725.000.083 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 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 3.018.303.600 HEMOGLOBIN A1C LABORATORY-CHEMISTRY [0301] 83036 WCH HB LAB FEE SCHEDULE 96,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.303.600 HEMOGLOBIN A1C LABORATORY-CHEMISTRY [0301] 83036 WCH WELLNESS WEDNESDAY FSC 25,00
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 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 3.018.307.000 REF HEMOSIDERIN U LABORATORY-CHEMISTRY [0301] 83070 WCH HB LAB FEE SCHEDULE 51,00
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 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 3.018.309.000 HC ASSAY, HOMOCYSTINE LABORATORY-CHEMISTRY [0301] 83090 WCH HB LAB FEE SCHEDULE 216,00
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 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 3.018.349.700 REF QUANT 5HIAA LABORATORY-CHEMISTRY [0301] 83497 WCH HB LAB FEE SCHEDULE 177,00
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 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 3.018.349.800 REF 18 HYDROXYPROGESTERONE LABORATORY-CHEMISTRY [0301] 83498 WCH HB LAB FEE SCHEDULE 243,00
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 3.068.750.200 INFLUENZA A/B, MOLECULAR DETECTION LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87502 WCH HB LAB FEE SCHEDULE 280,00
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 3.018.030.707 REF BUPRENORPHINE SCREEN AND CONFIRMATION, URINE LABORATORY-CHEMISTRY [0301] 80307 WCH HB LAB FEE SCHEDULE 445,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.763.400 RSV, MOLECULAR DETECTION LABORATORY-CHEMISTRY [0301] 87634 WCH HB LAB FEE SCHEDULE 151,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.100.027.000 REF JAK2 EXON 12 AND OTHER NON-V617F MUTATION DETECTION, BLOOD LABORATORY PATHOLOGY-GENERAL [0310] 0027U WCH HB LAB FEE SCHEDULE 508,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.600 REF GLIADIN AB OR IGG OR IGM LABORATORY-CHEMISTRY [0301] 83516 WCH HB LAB FEE SCHEDULE 135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.009.900.002 LEGAL BLOOD DRAW LABORATORY-GENERAL [0300] 99000 WCH HB DEFAULT FEE SCHEDULE 25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.003.044.000 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 MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0% LABORATORY-GENERAL [0300] 3046F WCH HB LAB FEE SCHEDULE 0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.900 REF PARANEOPLASTIC (V-G) K+ CHNL LABORATORY-CHEMISTRY [0301] 83519 WCH HB LAB FEE SCHEDULE 202,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.352.000 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 REF INSULIN LABORATORY-CHEMISTRY [0301] 83525 WCH HB LAB FEE SCHEDULE 171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.636.100 IV INFUSION HYDRATION EACH ADDITIONAL HOUR IV THERAPY-GENERAL [0260] 96361 WCH HB DEFAULT FEE SCHEDULE 124,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.354.000 IRON SERUM LABORATORY-CHEMISTRY [0301] 83540 WCH HB LAB FEE SCHEDULE 59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.354.000 IRON SERUM LABORATORY-CHEMISTRY [0301] 83540 WCH WELLNESS WEDNESDAY FSC 7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.355.000 IRON BIND SERUM LABORATORY-CHEMISTRY [0301] 83550 WCH HB LAB FEE SCHEDULE 76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.355.000 IRON BIND SERUM LABORATORY-CHEMISTRY [0301] 83550 WCH WELLNESS WEDNESDAY FSC 7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.360.500 LACTIC ACID LABORATORY-CHEMISTRY [0301] 83605 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.361.500 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 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 LIPASE LABORATORY-CHEMISTRY [0301] 83690 WCH HB LAB FEE SCHEDULE 101,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.371.800 HDL HIGH DENS LIPOPROTEIN LABORATORY-CHEMISTRY [0301] 83718 WCH HB LAB FEE SCHEDULE 86,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.372.100 DIRECT LDL CHOLESTEROL LABORATORY-CHEMISTRY [0301] 83721 WCH HB LAB FEE SCHEDULE 89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.373.500 MAGNESIUM LABORATORY-CHEMISTRY [0301] 83735 WCH HB LAB FEE SCHEDULE 70,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.636.500 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 3.018.383.500 REF METANEPRINES LABORATORY-CHEMISTRY [0301] 83835 WCH HB LAB FEE SCHEDULE 271,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.387.400 MYOGLOBIN LABORATORY-CHEMISTRY [0301] 83874 WCH HB LAB FEE SCHEDULE 158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.388.000 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 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 OSMOLARITY SERUM LABORATORY-CHEMISTRY [0301] 83930 WCH HB LAB FEE SCHEDULE 69,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.393.500 OSMOLARITY URINE LABORATORY-CHEMISTRY [0301] 83935 WCH HB LAB FEE SCHEDULE 90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.394.500 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 ASSAY, PARATHORMONE LABORATORY-CHEMISTRY [0301] 83970 WCH HB LAB FEE SCHEDULE 330,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.398.600 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 ALK PHOSPHOTASE LABORATORY-CHEMISTRY [0301] 84075 WCH HB LAB FEE SCHEDULE 44,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.636.600 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 3.018.408.000 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 PHOSPHORUS LABORATORY-CHEMISTRY [0301] 84100 WCH HB LAB FEE SCHEDULE 52,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.410.000 PHOSPHORUS LABORATORY-CHEMISTRY [0301] 84100 WCH WELLNESS WEDNESDAY FSC 7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.410.500 PHOS URINE LABORATORY-CHEMISTRY [0301] 84105 WCH HB LAB FEE SCHEDULE 58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.411.000 ASSAY OF PORPHOBLINOGEN LABORATORY-CHEMISTRY [0301] 84110 WCH HB LAB FEE SCHEDULE 106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.413.200 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 POTASSIUM URINE LABORATORY-CHEMISTRY [0301] 84133 WCH HB LAB FEE SCHEDULE 53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.413.400 PREALBUMIN LABORATORY-CHEMISTRY [0301] 84134 WCH HB LAB FEE SCHEDULE 129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.414.000 REF PREGNENOLONE LABORATORY-CHEMISTRY [0301] 84140 WCH HB LAB FEE SCHEDULE 155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.414.400 PROGESTERONE LABORATORY-CHEMISTRY [0301] 84144 WCH HB LAB FEE SCHEDULE 227,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.414.600 PROLACTIN LABORATORY-CHEMISTRY [0301] 84146 WCH HB LAB FEE SCHEDULE 182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.636.700 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 3.018.415.300 PSA DIAGNOSTIC LABORATORY-CHEMISTRY [0301] 84153 WCH HB DEFAULT FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.300 PSA DIAGNOSTIC LABORATORY-CHEMISTRY [0301] 84153 WCH HB LAB FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.400 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 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 PROTEIN-QUANT URINE LABORATORY-CHEMISTRY [0301] 84156 WCH HB LAB FEE SCHEDULE 72,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.700 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 E-PHORESIS-PROTEIN LABORATORY-CHEMISTRY [0301] 84165 WCH HB LAB FEE SCHEDULE 131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.416.600 ELP-UA LABORATORY-CHEMISTRY [0301] 84166 WCH HB LAB FEE SCHEDULE 138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.420.700 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 REF RENIN ACTIVITY LABORATORY-CHEMISTRY [0301] 84244 WCH HB LAB FEE SCHEDULE 250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.425.500 REF SELENIUM LABORATORY-CHEMISTRY [0301] 84255 WCH HB LAB FEE SCHEDULE 177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.636.800 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 3.028.678.704 Hc Wch Varicella Zoster Igg LABORATORY-IMMUNOLOGY [0302] 86787 WCH HB LAB FEE SCHEDULE 58,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.427.000 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 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 SODIUM URINE LABORATORY-CHEMISTRY [0301] 84300 WCH HB LAB FEE SCHEDULE 52,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.430.200 SODIUM OTHER SOURCE LABORATORY-CHEMISTRY [0301] 84302 WCH HB LAB FEE SCHEDULE 53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.430.500 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 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 TESTOSTERONE TOTAL LABORATORY-CHEMISTRY [0301] 84403 WCH HB LAB FEE SCHEDULE 195,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.442.500 REF THIAMINE LABORATORY-CHEMISTRY [0301] 84425 WCH HB LAB FEE SCHEDULE 222,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.443.200 REF THYROGLOBULIN TUMOR MARKER LABORATORY-CHEMISTRY [0301] 84432 WCH HB LAB FEE SCHEDULE 200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.443.600 ASSAY, TRUE THYROXINE LABORATORY-CHEMISTRY [0301] 84436 WCH HB LAB FEE SCHEDULE 70,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.637.200 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM IV THERAPY-GENERAL [0260] 96372 WCH HB DEFAULT FEE SCHEDULE 80,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.443.900 FREE T 4 LABORATORY-CHEMISTRY [0301] 84439 WCH HB LAB FEE SCHEDULE 122,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.443.900 FREE T 4 LABORATORY-CHEMISTRY [0301] 84439 WCH WELLNESS WEDNESDAY FSC 30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.444.300 TSH LABORATORY-CHEMISTRY [0301] 84443 WCH HB DEFAULT FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.444.300 TSH LABORATORY-CHEMISTRY [0301] 84443 WCH WELLNESS WEDNESDAY FSC 17,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.444.500 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 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 SGOT AST LABORATORY-CHEMISTRY [0301] 84450 WCH HB LAB FEE SCHEDULE 67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.446.000 SGPT ALT LABORATORY-CHEMISTRY [0301] 84460 WCH HB LAB FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.446.600 REF TRANSFERRIN LABORATORY-CHEMISTRY [0301] 84466 WCH HB LAB FEE SCHEDULE 165,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.447.800 VAP CHOLESTEROL TRIGLYCERIDES LABORATORY-CHEMISTRY [0301] 84478 WCH HB DEFAULT FEE SCHEDULE 51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.447.800 VAP CHOLESTEROL TRIGLYCERIDES LABORATORY-CHEMISTRY [0301] 84478 WCH HB LAB FEE SCHEDULE 51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.448.000 REF T-3 TRIIODOTHYRONINE TOTAL LABORATORY-CHEMISTRY [0301] 84480 WCH HB LAB FEE SCHEDULE 216,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.448.100 T3 TRIIODOTHYRONINE FREE LABORATORY-CHEMISTRY [0301] 84481 WCH HB LAB FEE SCHEDULE 230,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.637.400 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 3.018.448.200 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 TROPONIN I LABORATORY-CHEMISTRY [0301] 84484 WCH HB LAB FEE SCHEDULE 112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.452.000 BUN LABORATORY-CHEMISTRY [0301] 84520 WCH HB LAB FEE SCHEDULE 74,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.454.000 UREA N URINE LABORATORY-CHEMISTRY [0301] 84540 WCH HB LAB FEE SCHEDULE 76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.455.000 URIC ACID BLOOD LABORATORY-CHEMISTRY [0301] 84550 WCH HB LAB FEE SCHEDULE 81,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.455.000 URIC ACID BLOOD LABORATORY-CHEMISTRY [0301] 84550 WCH WELLNESS WEDNESDAY FSC 9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.456.000 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 REF VANILLYMANDELIC AC LABORATORY-CHEMISTRY [0301] 84585 WCH HB LAB FEE SCHEDULE 208,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.458.800 REF ARGININE VASOPRESSIN LABORATORY-CHEMISTRY [0301] 84588 WCH HB LAB FEE SCHEDULE 386,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.459.000 REF VITAMIN A SERUM LABORATORY-CHEMISTRY [0301] 84590 WCH HB LAB FEE SCHEDULE 208,00
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 2.609.637.500 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 3.018.468.100 REF C PEPTIDE LABORATORY-CHEMISTRY [0301] 84681 WCH HB LAB FEE SCHEDULE 262,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.470.200 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 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 REF OSMOLALITY STOOL LABORATORY-CHEMISTRY [0301] 84999 WCH HB LAB FEE SCHEDULE 41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.600.300 REF FOOD PANEL LABORATORY-IMMUNOLOGY [0302] 86003 WCH HB LAB FEE SCHEDULE 43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.603.800 ANTI NUCLEAR AB LABORATORY-IMMUNOLOGY [0302] 86038 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.603.900 FANA TITER LABORATORY-IMMUNOLOGY [0302] 86039 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.606.000 STREPZT LABORATORY-IMMUNOLOGY [0302] 86060 WCH HB LAB FEE SCHEDULE 92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.606.300 ANTISTREPTOLYSIN O SCREEN LABORATORY-IMMUNOLOGY [0302] 86063 WCH HB LAB FEE SCHEDULE 87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.614.100 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 CRPQ C REATIVE PROTEIN LABORATORY-IMMUNOLOGY [0302] 86141 WCH WELLNESS WEDNESDAY FSC 22,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.609.637.600 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 3.028.615.700 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 COMPLEMENT 3 ANTIGEN LABORATORY-IMMUNOLOGY [0302] 86160 WCH HB LAB FEE SCHEDULE 171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.616.200 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 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 REF DEOXYRIBONUCLEASE ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86215 WCH HB LAB FEE SCHEDULE 182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.622.500 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 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 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 REF FLORESCENT ANTIBODY TITER; EACH LABORATORY-IMMUNOLOGY [0302] 86256 WCH HB LAB FEE SCHEDULE 138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.630.000 IMMUNOASSAY, TUMOR, CA 15-4 LABORATORY-IMMUNOLOGY [0302] 86300 WCH HB LAB FEE SCHEDULE 218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.009.900.100 HANDLING OR CONVEYANCE SPEC LABORATORY-GENERAL [0300] 99001 WCH HB LAB FEE SCHEDULE 53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.630.100 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 CANCER ANTIGEN 125 LABORATORY-IMMUNOLOGY [0302] 86304 WCH HB LAB FEE SCHEDULE 218,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.630.800 MONO HETEROPHILE SCR LABORATORY-IMMUNOLOGY [0302] 86308 WCH HB LAB FEE SCHEDULE 79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.631.600 REF CHROMOGRANIN A LABORATORY-IMMUNOLOGY [0302] 86316 WCH HB LAB FEE SCHEDULE 276,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.633.400 REF IMMUNOFIXATION ELECTROPHORESIS LABORATORY-IMMUNOLOGY [0302] 86334 WCH HB LAB FEE SCHEDULE 238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.633.500 REF IMMUNOFIXATION, URINE LABORATORY-IMMUNOLOGY [0302] 86335 WCH HB LAB FEE SCHEDULE 238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.633.700 REF INSULIN ANTIBODIES LABORATORY-IMMUNOLOGY [0302] 86337 WCH HB LAB FEE SCHEDULE 277,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.634.000 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 REF ISLET CELL ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86341 WCH HB LAB FEE SCHEDULE 132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.637.600 THYROID ANTIBODIES LABORATORY-IMMUNOLOGY [0302] 86376 WCH HB LAB FEE SCHEDULE 153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.004.800 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 BMP W TOTAL CALCIUM PANEL LABORATORY-CHEMISTRY [0301] 80048 WCH HB LAB FEE SCHEDULE 138,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.643.000 RA QUAL LABORATORY-IMMUNOLOGY [0302] 86430 WCH HB LAB FEE SCHEDULE 73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.643.100 RA QUAN LABORATORY-IMMUNOLOGY [0302] 86431 WCH HB LAB FEE SCHEDULE 76,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.648.000 TB GOLD LABORATORY-IMMUNOLOGY [0302] 86480 WCH HB LAB FEE SCHEDULE 243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.659.200 RPR LABORATORY-IMMUNOLOGY [0302] 86592 WCH HB LAB FEE SCHEDULE 54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.661.800 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 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 CHLAMYDIA ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86631 WCH HB LAB FEE SCHEDULE 117,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.663.200 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 REF COCCIDIOIDES AB LABORATORY-IMMUNOLOGY [0302] 86635 WCH HB LAB FEE SCHEDULE 168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.663.800 REF Q FEVER AB IGG OR IGM LABORATORY-IMMUNOLOGY [0302] 86638 WCH HB LAB FEE SCHEDULE 171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.005.100 ELECTROLYTE PANEL LABORATORY-CHEMISTRY [0301] 80051 WCH HB LAB FEE SCHEDULE 87,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.664.400 REF CYTOMEGALOVIRUS (CMV) LABORATORY-IMMUNOLOGY [0302] 86644 WCH HB LAB FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.664.500 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 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 HELIOBACTER PYLORI AB LABORATORY-IMMUNOLOGY [0302] 86677 WCH HB LAB FEE SCHEDULE 194,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.669.500 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 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 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 REF HIV 2 ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86702 WCH HB LAB FEE SCHEDULE 174,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.670.300 HIV I & II LABORATORY-IMMUNOLOGY [0302] 86703 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.005.300 CMP COMPREHENSIVE METABOLIC LABORATORY-CHEMISTRY [0301] 80053 WCH HB LAB FEE SCHEDULE 164,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.005.300 CMP COMPREHENSIVE METABOLIC LABORATORY-CHEMISTRY [0301] 80053 WCH WELLNESS WEDNESDAY FSC 9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.670.400 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 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 HBS AB LABORATORY-IMMUNOLOGY [0302] 86706 WCH HB LAB FEE SCHEDULE 117,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.670.700 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 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 HAV IGM LABORATORY-IMMUNOLOGY [0302] 86709 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.671.300 REF LEGIONELLA TITER LABORATORY-IMMUNOLOGY [0302] 86713 WCH HB LAB FEE SCHEDULE 182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.672.000 REF LEPTOSPIRA ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86720 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.673.500 MUMPS LABORATORY-IMMUNOLOGY [0302] 86735 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.673.500 MUMPS LABORATORY-IMMUNOLOGY [0302] 86735 WCH WELLNESS WEDNESDAY FSC 16,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.676.200 RUBELLA LABORATORY-IMMUNOLOGY [0302] 86762 WCH HB LAB FEE SCHEDULE 90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.676.200 RUBELLA LABORATORY-IMMUNOLOGY [0302] 86762 WCH WELLNESS WEDNESDAY FSC 17,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.005.500 OB PANEL LABORATORY-CHEMISTRY [0301] 80055 WCH HB LAB FEE SCHEDULE 345,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.676.500 RUBEOLA LABORATORY-IMMUNOLOGY [0302] 86765 WCH HB LAB FEE SCHEDULE 180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.677.700 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 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 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 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 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 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 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 HCV AB LABORATORY-IMMUNOLOGY [0302] 86803 WCH HB LAB FEE SCHEDULE 185,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.680.300 HCV AB LABORATORY-IMMUNOLOGY [0302] 86803 WCH WELLNESS WEDNESDAY FSC 40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.681.200 REF HLA B27 RL LABORATORY-IMMUNOLOGY [0302] 86812 WCH HB LAB FEE SCHEDULE 209,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.006.100 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 LIPID PANEL CHOL TGL LDL HDL LABORATORY-CHEMISTRY [0301] 80061 WCH WELLNESS WEDNESDAY FSC 20,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.704.501 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 3.058.500.400 AUTOMATED DIFFERENTIAL WBC CNT LABORATORY-HEMATOLOGY [0305] 85004 WCH HB LAB FEE SCHEDULE 25,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.500.700 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 HEMATOCRIT LABORATORY-HEMATOLOGY [0305] 85014 WCH HB LAB FEE SCHEDULE 41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.501.800 HEMOGLOBIN LABORATORY-HEMATOLOGY [0305] 85018 WCH HB LAB FEE SCHEDULE 41,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.502.500 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 COMPLETE BL COUNT W DIFF AUTO LABORATORY-HEMATOLOGY [0305] 85025 WCH WELLNESS WEDNESDAY FSC 20,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.502.700 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 RETICULOCYTE COUNT LABORATORY-HEMATOLOGY [0305] 85045 WCH HB LAB FEE SCHEDULE 55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.504.800 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 PLATELET CT LABORATORY-HEMATOLOGY [0305] 85049 WCH HB LAB FEE SCHEDULE 43,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.524.000 REF CLOTTING: FACTOR VIII (AHG) ONE STAG LABORATORY-HEMATOLOGY [0305] 85240 WCH HB LAB FEE SCHEDULE 240,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.006.900 RENAL FUNCTION PANEL LABORATORY-CHEMISTRY [0301] 80069 WCH HB LAB FEE SCHEDULE 131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.526.000 REF COAG FACTOR X ASSAY, P (MAYO) LABORATORY-HEMATOLOGY [0305] 85260 WCH HB LAB FEE SCHEDULE 257,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.530.000 REF ANTITHROMBIN III LABORATORY-HEMATOLOGY [0305] 85300 WCH HB LAB FEE SCHEDULE 210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.530.300 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 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 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 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 D DIMER LABORATORY-HEMATOLOGY [0305] 85379 WCH HB LAB FEE SCHEDULE 178,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.538.400 FIBRINOGEN LABORATORY-HEMATOLOGY [0305] 85384 WCH HB LAB FEE SCHEDULE 112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.546.100 FETAL SCREEN LABORATORY-HEMATOLOGY [0305] 85461 WCH HB LAB FEE SCHEDULE 96,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.552.000 HEPARIN ANTI XA LABORATORY-HEMATOLOGY [0305] 85520 WCH HB LAB FEE SCHEDULE 183,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.007.400 HEPATITIS ACUTE PANEL LABORATORY-CHEMISTRY [0301] 80074 WCH HB LAB FEE SCHEDULE 388,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.561.000 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 3.058.561.300 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 WESTERGREN ESR LABORATORY-HEMATOLOGY [0305] 85652 WCH HB LAB FEE SCHEDULE 59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.566.000 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 THROMBIN TIME, PLASMA LABORATORY-HEMATOLOGY [0305] 85670 WCH HB LAB FEE SCHEDULE 84,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.573.000 PTT LABORATORY-HEMATOLOGY [0305] 85730 WCH HB LAB FEE SCHEDULE 85,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.701.500 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 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 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 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 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 CAMPYLOBACTER LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87046 WCH HB LAB FEE SCHEDULE 89,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.007.600 HEPATIC FUNCTION PANEL LABORATORY-CHEMISTRY [0301] 80076 WCH HB LAB FEE SCHEDULE 121,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.707.500 CULTURE ANAEROBIC ANY SOURCE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87075 WCH HB LAB FEE SCHEDULE 143,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.707.600 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 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 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 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 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 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 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 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 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 SEROTYPE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87147 WCH HB LAB FEE SCHEDULE 59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.015.600 CARBAMAZEPINE LABORATORY-CHEMISTRY [0301] 80156 WCH HB LAB FEE SCHEDULE 132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.716.900 MACRO WORM MACROSCOPIC PARASIT LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87169 WCH HB LAB FEE SCHEDULE 59,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.717.200 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 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 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 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 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 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 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 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 VIRAL CULTURE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87252 WCH HB LAB FEE SCHEDULE 198,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.015.800 CYCLOSPORINE LABORATORY-CHEMISTRY [0301] 80158 WCH HB LAB FEE SCHEDULE 146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.726.000 ADENOVIRUS DFA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87260 WCH HB LAB FEE SCHEDULE 91,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.727.500 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 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 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 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 C DIFFICILE TOXIN LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87324 WCH HB LAB FEE SCHEDULE 132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.732.800 CRYPTOSPORIDIUM CRSP EIA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87328 WCH HB LAB FEE SCHEDULE 70,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.732.900 GIARDIA EIA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87329 WCH HB LAB FEE SCHEDULE 144,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.733.800 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 REF HBS AG LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87340 WCH HB LAB FEE SCHEDULE 73,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.016.200 DIGOXIN TOTAL LABORATORY-CHEMISTRY [0301] 80162 WCH HB LAB FEE SCHEDULE 133,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.738.500 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 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 RSV RESP SYNCTIAL VIRUS LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87420 WCH HB LAB FEE SCHEDULE 119,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.742.500 ROTAVIR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87425 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.744.900 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 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 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 C DIFF AMPLIFIED PROBE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87493 WCH HB LAB FEE SCHEDULE 183,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.749.700 REF CYTOMEG, DNA, QUANT LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87497 WCH HB LAB FEE SCHEDULE 473,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.749.800 ENTEROVIRUS PCR CSF LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87498 WCH HB LAB FEE SCHEDULE 425,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.016.400 VALPROIC ACID TOTAL LABORATORY-CHEMISTRY [0301] 80164 WCH HB LAB FEE SCHEDULE 158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.750.700 GI PCR PANEL 12-25 TARGETS LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87507 WCH HB LAB FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.751.700 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 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 3.068.753.600 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 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 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 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 3.068.764.100 MRSA PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87641 WCH HB LAB FEE SCHEDULE 150,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.779.800 B PERTUSSIS BY PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87798 WCH HB LAB FEE SCHEDULE 344,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.016.800 REF ETHOSUXIMIDE LABORATORY-CHEMISTRY [0301] 80168 WCH HB LAB FEE SCHEDULE 155,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.779.900 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 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 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 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 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 3.068.790.200 REF HCV GENOTYPE LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87902 WCH HB LAB FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.100.100 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 URINE DIP POC LABORATORY-UROLOGY [0307] 81002 WCH HB LAB FEE SCHEDULE 30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.100.300 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 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 URINE MICROSCOPIC ONLY LABORATORY-UROLOGY [0307] 81015 WCH HB LAB FEE SCHEDULE 30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.017.000 GENTAMICIN LABORATORY-CHEMISTRY [0301] 80170 WCH HB LAB FEE SCHEDULE 156,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.102.500 HCG URINE WAIVED LABORATORY-UROLOGY [0307] 81025 WCH HB DEFAULT FEE SCHEDULE 88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.102.500 HCG URINE WAIVED LABORATORY-UROLOGY [0307] 81025 WCH HB LAB FEE SCHEDULE 88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.109.900 DRUG SCREEN COLLECTION ONLY LABORATORY-UROLOGY [0307] 81099 WCH HB LAB FEE SCHEDULE 46,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.121.900 REF MPN, CALR GENE MUTATION LABORATORY PATHOLOGY-GENERAL [0310] 81219 WCH HB LAB FEE SCHEDULE 729,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.137.600 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 REF MOLECULAR PATH PROC LEVEL 4 LABORATORY PATHOLOGY-GENERAL [0310] 81403 WCH HB LAB FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.147.900 REF SEVERE COMBINE IMMUNODEF LABORATORY PATHOLOGY-GENERAL [0310] 81479 WCH HB LAB FEE SCHEDULE 682,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.118.818.400 FIRST MARKER LABORATORY PATHOLOGY-CYTOLOGY [0311] 88184 WCH HB LAB FEE SCHEDULE 361,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.118.818.500 ADDITIONAL MARKER LABORATORY PATHOLOGY-CYTOLOGY [0311] 88185 WCH HB LAB FEE SCHEDULE 273,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.118.826.200 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 RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70100 WCH HB DEFAULT FEE SCHEDULE 151,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.017.100 REF DRUG SCREEN QUANTITATIVE GABOP LABORATORY-CHEMISTRY [0301] 80171 WCH HB LAB FEE SCHEDULE 191,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.704.602 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 3.207.011.000 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 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 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 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 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 RADEX SINUSES PARANASAL <3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 70210 WCH HB DEFAULT FEE SCHEDULE 166,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.022.000 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 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 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 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 3.018.017.500 LAMOTRIGINE LAMICTAL LABORATORY-CHEMISTRY [0301] 80175 WCH HB LAB FEE SCHEDULE 160,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.036.000 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 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 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 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 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 RADEX STERNUM MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 71120 WCH HB DEFAULT FEE SCHEDULE 205,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.113.000 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 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 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 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 3.018.017.700 LEVETIRACETAM KEPPRA LABORATORY-CHEMISTRY [0301] 80177 WCH HB LAB FEE SCHEDULE 171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.205.200 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 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 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 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 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 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 3.207.210.000 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 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 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 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 3.018.017.800 LITHIUM LABORATORY-CHEMISTRY [0301] 80178 WCH HB LAB FEE SCHEDULE 112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.220.200 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 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 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 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 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 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73030 WCH HB DEFAULT FEE SCHEDULE 393,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.305.000 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 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 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 RADEX ELBOW COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73080 WCH HB DEFAULT FEE SCHEDULE 179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.018.300 REF OXCARBAZEPINE METABOLITE (MHC) LABORATORY-CHEMISTRY [0301] 80183 WCH HB LAB FEE SCHEDULE 164,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.309.000 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 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 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 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 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 RADEX HAND MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73130 WCH HB DEFAULT FEE SCHEDULE 167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.314.000 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 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 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 3.207.352.100 RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73521 WCH HB DEFAULT FEE SCHEDULE 210,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.018.400 PHENOBARB LABORATORY-CHEMISTRY [0301] 80184 WCH HB LAB FEE SCHEDULE 79,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.355.100 RADIOLOGIC EXAMINATION FEMUR 1 VIEW RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73551 WCH HB DEFAULT FEE SCHEDULE 170,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.355.200 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 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 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 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 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 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 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 3.207.360.000 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 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 73610 WCH HB DEFAULT FEE SCHEDULE 341,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.018.500 PHENYTOIN LABORATORY-CHEMISTRY [0301] 80185 WCH HB LAB FEE SCHEDULE 128,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.362.000 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 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 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 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 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 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 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 URETHROCYSTOGRAPHY VOIDING RS&I RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 74455 WCH HB DEFAULT FEE SCHEDULE 737,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.601.000 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 BONE LENGTH STUDIES RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 77073 WCH HB DEFAULT FEE SCHEDULE 233,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.018.600 REF PHENYTOIN DILANTIN FREE LABORATORY-CHEMISTRY [0301] 80186 WCH HB LAB FEE SCHEDULE 135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.707.400 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 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 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 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 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 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 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 PULMONARY PERFUSION IMAGING PARTICULATE NUCLEAR MEDICINE-DIAGNOSTIC [0341] 78580 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.507.638.000 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 CT HEAD/BRAIN W/O CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70450 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.018.800 REF ASSAY OF PRIMIDONE LABORATORY-CHEMISTRY [0301] 80188 WCH HB LAB FEE SCHEDULE 158,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.046.000 CT HEAD/BRAIN W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70460 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.047.000 CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70470 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.048.000 CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL CT SCAN-HEAD SCAN [0351] 70480 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.048.100 CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL CT SCAN-HEAD SCAN [0351] 70481 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.048.200 CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR CT SCAN-HEAD SCAN [0351] 70482 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.048.600 CT MAXILLOFACIAL W/O CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70486 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.048.700 CT MAXILLOFACIAL W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70487 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.048.800 CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70488 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.049.000 CT SOFT TISSUE NECK W/O CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70490 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.049.100 CT SOFT TISSUE NECK W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70491 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.019.500 REF SIROLIMUS RAPAMUNE LABORATORY-CHEMISTRY [0301] 80195 WCH HB LAB FEE SCHEDULE 153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.049.200 CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL CT SCAN-HEAD SCAN [0351] 70492 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.049.600 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST CT SCAN-HEAD SCAN [0351] 70496 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.517.049.800 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST CT SCAN-HEAD SCAN [0351] 70498 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.520.029.700 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 DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST CT SCAN-BODY SCAN [0352] 71250 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.126.000 DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST CT SCAN-BODY SCAN [0352] 71260 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.127.000 DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ CT SCAN-BODY SCAN [0352] 71270 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.127.500 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST CT SCAN-BODY SCAN [0352] 71275 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.212.500 CT CERVICAL SPINE W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72125 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.212.600 CT CERVICAL SPINE W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72126 WCH HB DEFAULT FEE SCHEDULE 1,00
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 3.068.732.401 C DIFFICILE TOXIN A/B LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87324 WCH HB LAB FEE SCHEDULE 146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.212.700 CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72127 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.212.800 CT THORACIC SPINE W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72128 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.212.900 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 CT LUMBAR SPINE W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72131 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.213.200 CT LUMBAR SPINE W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72132 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.219.200 CT PELVIS W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72192 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.219.300 CT PELVIS W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72193 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.219.400 CT PELVIS W/O & W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 72194 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.320.000 CT UPPER EXTREMITY W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73200 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.320.100 CT UPPER EXTREMITY W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73201 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.019.800 THEOPHYLLINE LABORATORY-CHEMISTRY [0301] 80198 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.320.600 CT ANGIOGRAPHY UPPER EXTREMITY CT SCAN-BODY SCAN [0352] 73206 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.370.000 CT LOWER EXTREMITY W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73700 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.370.100 CT LOWER EXTREMITY W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 73701 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.370.600 CT ANGIOGRAPHY LOWER EXTREMITY CT SCAN-BODY SCAN [0352] 73706 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.415.000 CT ABDOMEN W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74150 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.416.000 CT ABDOMEN W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74160 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.417.000 CT ABDOMEN W/O & W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74170 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.417.400 CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG CT SCAN-BODY SCAN [0352] 74174 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.417.500 CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST CT SCAN-BODY SCAN [0352] 74175 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.417.600 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74176 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.020.000 TOBRAMYCIN LABORATORY-CHEMISTRY [0301] 80200 WCH HB LAB FEE SCHEDULE 142,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.417.700 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL CT SCAN-BODY SCAN [0352] 74177 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.527.417.800 CT ABDOMEN & PELVIS W/O CONTRST FOLLOWED BY W CONTRST 1/> BODY RE CT SCAN-BODY SCAN [0352] 74178 WCH HB DEFAULT FEE SCHEDULE 4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.601.006.000 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 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 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 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 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 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 3.601.200.400 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 3.601.200.700 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM OPERATING ROOM SERVICES-GENERAL [0360] 12007 WCH HB DEFAULT FEE SCHEDULE 1,00
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 3.601.201.100 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 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 3.601.203.100 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< OPERATING ROOM SERVICES-GENERAL [0360] 12031 WCH HB DEFAULT FEE SCHEDULE 562,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.601.203.200 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 3.601.203.400 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM OPERATING ROOM SERVICES-GENERAL [0360] 12034 WCH HB DEFAULT FEE SCHEDULE 894,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.601.203.500 REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM OPERATING ROOM SERVICES-GENERAL [0360] 12035 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.601.204.200 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM OPERATING ROOM SERVICES-GENERAL [0360] 12042 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.601.205.100 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/< OPERATING ROOM SERVICES-GENERAL [0360] 12051 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.060.500 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 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 3.018.020.200 VANCOMYCIN LABORATORY-CHEMISTRY [0301] 80202 WCH HB LAB FEE SCHEDULE 128,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.148.000 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 3.602.365.000 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES OPERATING ROOM SERVICES-GENERAL [0360] 23650 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.556.500 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ OPERATING ROOM SERVICES-GENERAL [0360] 25565 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.560.500 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF OPERATING ROOM SERVICES-GENERAL [0360] 25605 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.674.200 CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ OPERATING ROOM SERVICES-GENERAL [0360] 26742 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.677.000 CLTX IPHAL JT DISLC W/MANJ W/O ANES OPERATING ROOM SERVICES-GENERAL [0360] 26770 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.755.000 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA OPERATING ROOM SERVICES-GENERAL [0360] 27550 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.784.000 CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA OPERATING ROOM SERVICES-GENERAL [0360] 27840 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.910.500 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 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 3.018.020.300 REF ZONISAMIDE LABORATORY-CHEMISTRY [0301] 80203 WCH HB LAB FEE SCHEDULE 75,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.940.500 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 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES OPERATING ROOM SERVICES-GENERAL [0360] 29505 WCH HB DEFAULT FEE SCHEDULE 406,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.951.500 APPLICATION SHORT LEG SPLINT CALF FOOT OPERATING ROOM SERVICES-GENERAL [0360] 29515 WCH HB DEFAULT FEE SCHEDULE 238,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.602.958.000 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 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 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 TUBE THORACOSTOMY INCLUDES WATER SEAL OPERATING ROOM SERVICES-GENERAL [0360] 32551 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.603.659.200 COLLECT BLOOD FROM CATHETER VENOUS NOS OPERATING ROOM SERVICES-GENERAL [0360] 36592 WCH HB DEFAULT FEE SCHEDULE 120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.603.660.000 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 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 PLACEMENT NEEDLE INTRAOSSEOUS INFUSION OPERATING ROOM SERVICES-GENERAL [0360] 36680 WCH HB DEFAULT FEE SCHEDULE 746,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.900 REF FLECAINIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB DEFAULT FEE SCHEDULE 167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.900 REF FLECAINIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.604.908.200 ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE OPERATING ROOM SERVICES-GENERAL [0360] 49082 WCH HB DEFAULT FEE SCHEDULE 769,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.604.908.300 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE OPERATING ROOM SERVICES-GENERAL [0360] 49083 WCH HB DEFAULT FEE SCHEDULE 700,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.605.170.100 INSJ NON-NDWELLG 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 INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE OPERATING ROOM SERVICES-GENERAL [0360] 51702 WCH HB DEFAULT FEE SCHEDULE 590,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.605.170.500 CHANGE 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 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 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 FRESH FROZEN PLASMA ONE DONOR 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 FRESH FROZEN PLASMA 24 HRS 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 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 3.018.032.000 ALCOHOL LABORATORY-CHEMISTRY [0301] 80320 WCH HB LAB FEE SCHEDULE 153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.027.653.600 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 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 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 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 4.027.677.000 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 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 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 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 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 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 3.018.032.300 REF NICOTINE AND METABOLITES LABORATORY-CHEMISTRY [0301] 80323 WCH HB LAB FEE SCHEDULE 223,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.027.681.600 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 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 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 US TRANSVAGINAL OTHER IMAGING SERVICES-ULTRASOUND [0402] 76830 WCH HB DEFAULT FEE SCHEDULE 708,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.027.685.600 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 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 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 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 US GUIDANCE NEEDLE PLACEMENT IMG S&I OTHER IMAGING SERVICES-ULTRASOUND [0402] 76942 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.100.023.900 OTHER RESP PROC TO IMPROVE FUNCTION OR STRENGTH, GROUP RESPIRATORY SERVICES-GENERAL [0410] G0239 WCH HB DEFAULT FEE SCHEDULE 30,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.032.900 SALICYLATES LABORATORY-CHEMISTRY [0301] 80329 WCH HB LAB FEE SCHEDULE 212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.103.150.000 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 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 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 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 CPAP VENTILATION CPAP INITIATION&MGMT RESPIRATORY SERVICES-GENERAL [0410] 94660 WCH HB DEFAULT FEE SCHEDULE 266,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.109.466.400 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 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 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 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 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 APPL MODALITY 1/> AREAS PARAFFIN BATH PHYSICAL THERAPY-GENERAL [0420] 97018 WCH HB DEFAULT FEE SCHEDULE 54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.033.800 REF ANTIDPRESSNT NOT SPEC PM URINE LABORATORY-CHEMISTRY [0301] 80338 WCH HB LAB FEE SCHEDULE 110,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.116.200 REF BRCA1/BRCA2 FULL GENE ANALYSIS LABORATORY PATHOLOGY-GENERAL [0310] 81162 WCH HB LAB FEE SCHEDULE 4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.209.702.600 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 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 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 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 4.209.712.400 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 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 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 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 WHEELCHAIR MGMT EA 15 MIN PHYSICAL THERAPY-GENERAL [0420] 97542 WCH HB DEFAULT FEE SCHEDULE 55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.209.775.000 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 3.018.034.600 REF BENZODIAZEPINE CONF URINE LABORATORY-CHEMISTRY [0301] 80346 WCH HB LAB FEE SCHEDULE 309,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.209.776.000 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 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 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 APPL MODALITY 1/> AREAS PARAFFIN BATH OCCUPATIONAL THERAPY-GENERAL [0430] 97018 WCH HB DEFAULT FEE SCHEDULE 54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.309.703.200 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 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 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 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 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 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 3.018.034.900 REF CANNABINOIDS NATURAL CONF LABORATORY-CHEMISTRY [0301] 80349 WCH HB LAB FEE SCHEDULE 168,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.309.753.300 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 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 WHEELCHAIR MGMT EA 15 MIN OCCUPATIONAL THERAPY-GENERAL [0430] 97542 WCH HB DEFAULT FEE SCHEDULE 55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.309.776.000 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 4.309.776.100 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 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 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 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 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 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 3.018.035.600 REF HEROINE METABOLITE CONF LABORATORY-CHEMISTRY [0301] 80356 WCH HB LAB FEE SCHEDULE 112,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.449.252.100 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 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 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 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 4.449.261.000 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 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 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 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 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 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 3.018.036.100 REF OPIATES 1 OR MORE LABORATORY-CHEMISTRY [0301] 80361 WCH HB LAB FEE SCHEDULE 144,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.509.928.400 EMERGENCY DEPARTMENT VISIT LEVEL 4 HIGH/URGENT SEVERITY EMERGENCY ROOM-GENERAL [0450] 99284 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.509.928.500 EMERGENCY DEPT VISIT LEVEL 5 HIGH SEVERITY&THREAT FUNCJ EMERGENCY ROOM-GENERAL [0450] 99285 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.509.929.100 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN EMERGENCY ROOM-GENERAL [0450] 99291 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.609.401.000 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 4.609.476.200 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 CARDIOPULMONARY RESUSCITATION CARDIOLOGY-GENERAL [0480] 92950 WCH HB DEFAULT FEE SCHEDULE 286,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.829.301.700 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 ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D CARDIOLOGY-ECHOCARDIOLOGY [0483] 93306 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.839.330.800 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 DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY CARDIOLOGY-ECHOCARDIOLOGY [0483] 93320 WCH HB DEFAULT FEE SCHEDULE 584,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.036.500 REF OXYCODONE CONF LABORATORY-CHEMISTRY [0301] 80365 WCH HB LAB FEE SCHEDULE 83,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.839.332.100 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 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 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 5.109.921.200 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 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 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 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 MRI CHEST W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 71550 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.155.200 MRI CHEST W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 71552 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.322.000 MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73220 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.037.700 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 6.107.322.100 MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73221 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.371.800 MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73718 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.372.000 MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73720 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.372.100 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73721 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.372.300 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 73723 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.418.100 MRI ABDOMEN W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 74181 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.418.200 MRI ABDOMEN W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 74182 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.107.418.300 MRI ABDOMEN W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-GENERAL [0610] 74183 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.117.055.100 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70551 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.117.055.200 MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70552 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.201.000 KETONE LABORATORY-CHEMISTRY [0301] 82010 WCH HB LAB FEE SCHEDULE 110,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.117.055.300 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70553 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.214.100 MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72141 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.214.200 MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72142 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.214.600 MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72146 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.214.700 MRI SPINAL CANAL THORACIC W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72147 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.214.800 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72148 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.214.900 MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72149 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.215.600 MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72156 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.215.700 MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72157 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.127.215.800 MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-SPINAL CORD/SPINE [0612] 72158 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.202.400 ACTH LABORATORY-CHEMISTRY [0301] 82024 WCH HB LAB FEE SCHEDULE 272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.147.219.500 MRI PELVIS W/O CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614] 72195 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.147.219.700 MRI PELVIS W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614] 72197 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.157.054.400 MRA HEAD W/O CONTRST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70544 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.157.054.700 MRA NECK W/O CONTRST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70547 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.157.054.800 MRA NECK W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70548 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.157.054.900 MRA NECK W/O &W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70549 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.167.372.500 MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-LOWER EXTREMITIES [0616] 73725 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.187.155.500 MRA CHEST W/ CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618] 71555 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.187.219.800 MRA PELVIS W/ CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618] 72198 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.187.418.500 MRA ABDOMEN W CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-OTHER [0618] 74185 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.204.000 ALBUMIN SERUM PLASMA WH BLOOD LABORATORY-CHEMISTRY [0301] 82040 WCH HB LAB FEE SCHEDULE 42,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.205.902.500 FETAL NONSTRESS TEST LABOR ROOM/DELIVERY-GENERAL [0720] 59025 WCH HB DEFAULT FEE SCHEDULE 295,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.309.300.500 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 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 7.319.322.600 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 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 SSO PER HOUR SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 113,10
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.620.000.200 SSO INCREASED ACUITY PER HOUR SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 133,92
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.620.000.300 SSO CARVE OUT SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 113,10
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.620.000.400 SSO INCREASED ACUITY CARVE OUT SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0378 WCH HB DEFAULT FEE SCHEDULE 133,92
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.620.000.500 SSO DIRECT ADMIT SPECIALTY SERVICES-OBSERVATION HOURS [0762] G0379 WCH HB DEFAULT FEE SCHEDULE 420,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.204.200 ALBUMIN BODY FLUID LABORATORY-CHEMISTRY [0301] 82042 WCH HB LAB FEE SCHEDULE 51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.648.100 TB GOLD LABORATORY-IMMUNOLOGY [0302] 86481 WCH HB LAB FEE SCHEDULE 139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.719.047.100 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 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 MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG OTHER DIAGNOSTIC SERVICES-GENERAL [0920] 95805 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.209.581.000 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND OTHER DIAGNOSTIC SERVICES-GENERAL [0920] 95810 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.209.581.100 POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND OTHER DIAGNOSTIC SERVICES-GENERAL [0920] 95811 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.388.000 DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93880 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.392.200 NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93922 WCH HB DEFAULT FEE SCHEDULE 300,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.392.500 DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93925 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.392.600 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 DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93930 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.204.300 URINE MICROALBUMIN QUANTITATIV LABORATORY-CHEMISTRY [0301] 82043 WCH HB LAB FEE SCHEDULE 108,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.393.100 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 DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93970 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.397.100 DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93971 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.397.600 DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93976 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.219.397.800 DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93978 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.409.652.300 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 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 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 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 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 3.018.204.400 MICROALBUMIN QUAL LABORATORY-CHEMISTRY [0301] 82044 WCH HB LAB FEE SCHEDULE 35,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.605.170.000 BLDR IRRIGATION SMPL LAVAGE &/INSTLJ OPERATING ROOM SERVICES-GENERAL [0360] 51700 WCH HB DEFAULT FEE SCHEDULE 248,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.605.642.000 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 REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL OPERATING ROOM SERVICES-GENERAL [0360] 65205 WCH HB DEFAULT FEE SCHEDULE 214,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.606.522.000 RMVL FB XTRNL EYE CORNEAL W/O 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 RMVL FB XTRNL AUDITORY CANAL W/O ANES OPERATING ROOM SERVICES-GENERAL [0360] 69200 WCH HB DEFAULT FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.352.200 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 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 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 REF HFE GENE ANALYSIS COMMON VRNTS LABORATORY PATHOLOGY-GENERAL [0310] 81256 WCH HB LAB FEE SCHEDULE 535,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.127.000 REF JAK2 GENE ANAL P.VAL617PHE VRN LABORATORY PATHOLOGY-GENERAL [0310] 81270 WCH HB LAB FEE SCHEDULE 767,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.208.500 REF ALDOLASE LABORATORY-CHEMISTRY [0301] 82085 WCH HB LAB FEE SCHEDULE 90,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.133.200 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 GLYCOPROTEIN ANTIBODY LABORATORY-IMMUNOLOGY [0302] 86146 WCH HB LAB FEE SCHEDULE 272,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.098.687.000 ANTIBODY ID LABORATORY-OTHER LABORATORY [0309] 86870 WCH HB LAB FEE SCHEDULE 179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.098.688.000 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 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 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 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 CAGP LABORATORY-OTHER LABORATORY [0309] 86905 WCH HB LAB FEE SCHEDULE 199,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.098.690.600 REF REF RBC ANTIGEN TYPING, RH LABORATORY-OTHER LABORATORY [0309] 86906 WCH HB LAB FEE SCHEDULE 108,00
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 3.098.692.000 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 X MATCH AHG LABORATORY-OTHER LABORATORY [0309] 86922 WCH HB LAB FEE SCHEDULE 146,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.617 REF ANTI GLOMERULAR BASEMENT MEMBR(MAYO) LABORATORY-CHEMISTRY [0301] 83516 WCH HB LAB FEE SCHEDULE 150,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.267.100 REF ESTROGENS, FRACTIONATED LABORATORY-CHEMISTRY [0301] 82671 WCH HB LAB FEE SCHEDULE 258,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.530.703 REF ACTIVATED PROTEIN RESISTANCE V, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85307 WCH HB LAB FEE SCHEDULE 174,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.530.605 REF PROTEIN S AG, FREE, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85306 WCH HB LAB FEE SCHEDULE 259,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.124.002 REF PROTHROMBIN G20210A MUTATION,B AATHR PANEL LABORATORY PATHOLOGY-GENERAL [0310] 81240 WCH HB LAB FEE SCHEDULE 292,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.573.006 REF ACTIVATED PARTIAL THROMBOPLA TIME, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85730 WCH HB LAB FEE SCHEDULE 63,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.567.005 REF THROMBIN TIME, PLASMA (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85670 WCH HB LAB FEE SCHEDULE 88,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.538.404 REF FIBRINOGEN,P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85384 WCH HB LAB FEE SCHEDULE 94,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.210.300 REF ALPHA 1 ANTITRYPSIN LABORATORY-CHEMISTRY [0301] 82103 WCH HB LAB FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.539.005 REF FIBRINOLYSINS,OR COAGULOPATHY SCREEN,INTERP AND REPORT (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85390 WCH HB LAB FEE SCHEDULE 104,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.561.309 REF DILUTE RUSSELLS VIPER VENOM TIME, P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85613 WCH HB LAB FEE SCHEDULE 130,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.530.304 REF PROTEIN C ACTIVITY,P (MAYO) AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85303 WCH HB LAB FEE SCHEDULE 235,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.058.561.008 REF PROTHROMBIN TIME (PT),P MAYO AATHR PANEL LABORATORY-HEMATOLOGY [0305] 85610 WCH HB LAB FEE SCHEDULE 45,00
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 3.602.056.100 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 3.018.023.500 REF LACOSAMIDE(MAYO) LABORATORY-CHEMISTRY [0301] 80235 WCH HB LAB FEE SCHEDULE 162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 5.109.759.800 DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM OPERATING ROOM SERVICES-GENERAL [0360] 97598 WCH HB DEFAULT FEE SCHEDULE 295,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 5.109.760.200 RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS OPERATING ROOM SERVICES-GENERAL [0360] 97602 WCH HB DEFAULT FEE SCHEDULE 153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 5.109.760.500 NEGATIVE PRESSURE WOUND THERAPY DME CLINIC-GENERAL CLASSIFICATION [0510] 97605 WCH HB DEFAULT FEE SCHEDULE 161,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.210.400 REF A1AT PHENOTYPE LABORATORY-CHEMISTRY [0301] 82104 WCH HB LAB FEE SCHEDULE 177,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 5.109.760.600 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 5.109.920.100 LEVEL 1 OFFICE OUTPATIENT NEW 10 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99201 WCH HB DEFAULT FEE SCHEDULE 104,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 5.109.920.200 LEVEL 2 OFFICE OUTPATIENT NEW 20 MINUTES CLINIC-GENERAL CLASSIFICATION [0510] 99202 WCH HB DEFAULT FEE SCHEDULE 182,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.403.000 REF PHENYLALANINE, P (MAYO) LABORATORY-CHEMISTRY [0301] 84030 WCH HB LAB FEE SCHEDULE 51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.159.600 FIBROTEST-ACTITEST, S(MAYO) LABORATORY PATHOLOGY-GENERAL [0310] 81596 WCH HB LAB FEE SCHEDULE 427,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.060.000.100 REF NOVEL CORONAVIRUS REAL TIME RT-PCR DIAGNOSTIC TEST PANEL LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] U0001 WCH HB LAB FEE SCHEDULE 0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.763.500 REF CORONAVIRUS WITH COV-2 RNA, QUALITATIVE REAL-TIME RT-PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87635 WCH HB LAB FEE SCHEDULE 185,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 1.200.000.200 ROOM SEMI PRIVATE SWINGBED SKILLED ROOM & BOARD-SEMIPRIVATE (TWO-BEDS)-GENERAL [0120] WCH HB DEFAULT FEE SCHEDULE 1.667,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.905.100 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 FECAL LEUKOCYTE ASSESSMENT LABORATORY-GENERAL [0300] 89055 WCH HB DEFAULT FEE SCHEDULE 67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.905.500 FECAL LEUKOCYTE ASSESSMENT LABORATORY-GENERAL [0300] 89055 WCH HB LAB FEE SCHEDULE 67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.210.500 REF ALPHA-FETOPROTEIN: SERUM LABORATORY-CHEMISTRY [0301] 82105 WCH HB LAB FEE SCHEDULE 136,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.906.000 CRYSTAL STUDY TECHNICAL LABORATORY-CHEMISTRY [0301] 89060 WCH HB LAB FEE SCHEDULE 85,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.912.500 FAT STAIN FECES URINE RESP LABORATORY-GENERAL [0300] 89125 WCH HB LAB FEE SCHEDULE 81,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.932.100 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 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 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 HEPATITIS BE AG, EIA LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87350 WCH HB LAB FEE SCHEDULE 77,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.108.140.100 TPMT GENOTYPE LABORATORY PATHOLOGY-GENERAL [0310] 81401 WCH HB LAB FEE SCHEDULE 700,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.128.832.100 CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE LABORATORY PATHOLOGY-HISTOLOGY [0312] 88321 WCH HB LAB FEE SCHEDULE 504,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.237.563.500 CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP RADIOLOGY-DIAGNOSTIC-ARTERIOGRAPHY [0323] 75635 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 1.500.000.100 ROOM WARD 5 OR MORE PER ROOM ROOM & BOARD-WARD (FIVE OR MORE-BEDS)-GENERAL [0150] WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.666.800 REF F. TULARENSIS AB, IGM/IGG ELISA, S(MAYO) LABORATORY-IMMUNOLOGY [0302] 86668 WCH HB LAB FEE SCHEDULE 100,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.213.500 REF AMINOLEVULINIC ACID ALA U LABORATORY-CHEMISTRY [0301] 82135 WCH HB LAB FEE SCHEDULE 132,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.763.501 COVID-19 PCR, HIGH THROUGHPUT TECHNOLOGIES LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87635 WCH HB LAB FEE SCHEDULE 185,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.676.900 REF SARS CORONAVIRUS 2 IGG AB, S (MAYO) LABORATORY-IMMUNOLOGY [0302] 86769 WCH HB LAB FEE SCHEDULE 100,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.763.502 COVID-19 PCR LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87635 WCH HB LAB FEE SCHEDULE 185,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.000.980.300 HOSPITAL OUTPATIENT CLINIC VISIT SPECIMEN COLLECTION FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 SARS-COV-2 CORONAVIRUS DISEASE COVID-19, ANY SPECIMEN SOURCE) LABORATORY-GENERAL [0300] C9803 WCH HB DEFAULT FEE SCHEDULE 50,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.705.000.242 Hc/hh Wch Supp Coban 2 Layer Lite MEDICAL/SURGICAL SUPPLIES AND DEVICES-GENERAL [0270] A6442 WCH HB SUPPLY FEE SCHEDULE 42,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.676.901 ANTIBODY: SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SAR-COV-2) COVID-19 LABORATORY-IMMUNOLOGY [0302] 86769 WCH HB LAB FEE SCHEDULE 100,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.219.711.000 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 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 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 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 3.018.214.000 AMMONIA LABORATORY-CHEMISTRY [0301] 82140 WCH HB LAB FEE SCHEDULE 106,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.239.715.000 THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS PHYSICAL THERAPY-GROUP RATE [0423] 97150 WCH HB DEFAULT FEE SCHEDULE 105,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.309.775.000 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 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 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 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 MRI ORBIT FACE &/NECK W/O CONTRAST MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70540 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.117.054.300 MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL MAGNETIC RESONANCE TECHNOLOGY-MRI-BRAIN/BRAIN STEM [0611] 70543 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.147.219.600 MRI PELVIS W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRI-OTHER [0614] 72196 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.157.054.500 MRA HEAD W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70545 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.157.054.600 MRA HEAD W/O & W/CONTRAST MATERIAL MAGNETIC RESONANCE TECHNOLOGY-MRA-HEAD AND NECK [0615] 70546 WCH HB DEFAULT FEE SCHEDULE 3,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.215.000 AMYLASE SERUM LABORATORY-CHEMISTRY [0301] 82150 WCH HB LAB FEE SCHEDULE 100,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.068.739.000 HIV-1 P24 ANTIGEN LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87390 WCH HB LAB FEE SCHEDULE 212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 7.504.450.000 INTRODUCTION OF LONG GASTROINTESTINAL TUBE GASTROINTESTINAL (GI) SERVICES-GENERAL [0750] 44500 WCH HB DEFAULT FEE SCHEDULE 237,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.009.900.000 HANDLING OF SPECIMEN LABORATORY-GENERAL [0300] 99000 WCH HB LAB FEE SCHEDULE 66,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.207.500 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 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 QUANTITATIVE SCREEN, METALS LABORATORY-CHEMISTRY [0301] 83018 WCH HB LAB FEE SCHEDULE 206,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.399.300 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 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 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 C-RACTIVE PROTEIN QUANT LABORATORY-IMMUNOLOGY [0302] 86140 WCH WELLNESS WEDNESDAY FSC 22,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.028.635.900 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 MURAMIDASE LABORATORY-HEMATOLOGY [0305] 85549 WCH HB LAB FEE SCHEDULE 179,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.215.700 REF ANDROSTENEDIONE S LABORATORY-CHEMISTRY [0301] 82157 WCH HB LAB FEE SCHEDULE 189,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.078.100.000 URINE DIP W MICRO08012012 LABORATORY-UROLOGY [0307] 81000 WCH HB LAB FEE SCHEDULE 67,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.013.000 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 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 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 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 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 3.207.212.000 RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS RADIOLOGY-DIAGNOSTIC-GENERAL [0320] 72120 WCH HB DEFAULT FEE SCHEDULE 260,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.207.707.200 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 CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST CT SCAN-BODY SCAN [0352] 72191 WCH HB DEFAULT FEE SCHEDULE 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.027.681.800 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 3.018.216.400 REF ANGIOTENSIN I-CONVERTING ENZYME CSF LABORATORY-CHEMISTRY [0301] 82164 WCH HB LAB FEE SCHEDULE 153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.027.688.100 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 NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER PULMONARY FUNCTION-GENERAL [0460] 94760 WCH HB DEFAULT FEE SCHEDULE 55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 5.109.420.000 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 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 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 DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM OTHER DIAGNOSTIC SERVICES-PERIPHERAL VASCULAR LAB [0921] 93975 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.831.200.100 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 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 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 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 3.018.217.200 REF APOLIPOPROTEIN A1 LABORATORY-CHEMISTRY [0301] 82172 WCH HB LAB FEE SCHEDULE 100,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.831.203.100 PRO REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12031 WCH HB DEFAULT FEE SCHEDULE 562,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.831.203.200 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 3.068.742.600 RAPID DETECTION OF SARS-COV-2 LABORATORY-BACTERIOLOGY AND MICROBIOLOGY [0306] 87426 WCH HB LAB FEE SCHEDULE 0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.831.204.200 PRO REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 12042 WCH HB DEFAULT FEE SCHEDULE 741,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.831.312.100 PRO REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 13121 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.832.060.000 PRO ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 20600 WCH HB DEFAULT FEE SCHEDULE 165,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.832.061.000 PRO ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 20610 WCH HB DEFAULT FEE SCHEDULE 255,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.832.365.000 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 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.832.560.000 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 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.832.677.000 PRO CLTX IPHAL JT DISLC W/MANJ W/O ANES PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 26770 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.223.200 REF BETA 2 MICROGLOBULIN URINE LABORATORY-CHEMISTRY [0301] 82232 WCH HB LAB FEE SCHEDULE 205,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.832.910.500 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 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 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 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 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 PRO TUBE THORACOSTOMY INCLUDES WATER SEAL PROFESSIONAL FEES (EXTENSION OF 096X AND 097X)-CLINIC [0983] 32551 WCH HB DEFAULT FEE SCHEDULE 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.833.600.000 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 3.118.818.900 REF FLOWCYTOMETRY/READ, 16 & > MARKERS LABORATORY PATHOLOGY-CYTOLOGY [0311] 88189 WCH HB LAB FEE SCHEDULE 437,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.836.920.000 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 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 BILIRUBIN TOTAL LABORATORY-CHEMISTRY [0301] 82247 WCH HB LAB FEE SCHEDULE 55,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.301.000 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 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 2.600.023.900 IV INFUSION, BAMLANIVIMAB-XXXX, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING IV THERAPY-GENERAL [0260] M0239 WCH HB DEFAULT FEE SCHEDULE 370,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 9.839.905.000 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 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 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 ROOM PRIVATE SWINGBED INTERMEDIATE ROOM & BOARD-PRIVATE (ONE BED)-GENERAL [0110] WCH HB DEFAULT FEE SCHEDULE 268,28
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 3.018.224.800 CONJUGATED BILIRUBIN LABORATORY-CHEMISTRY [0301] 82248 WCH HB LAB FEE SCHEDULE 42,00
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 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 3.018.226.100 REF BIOTINIDASE DEFICIENCY SCREEN LABORATORY-CHEMISTRY [0301] 82261 WCH HB LAB FEE SCHEDULE 29,00
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 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 3.018.227.000 FECAL OCCULT BLOOD NONMEDICARE LABORATORY-CHEMISTRY [0301] 82270 WCH HB LAB FEE SCHEDULE 33,00
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 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 3.018.227.200 OCCULT BLOOD FECES WAIVED LABORATORY-CHEMISTRY [0301] 82272 WCH HB LAB FEE SCHEDULE 58,00
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 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 3.018.227.400 FECAL OCC BL TEST IFOB DIAG LABORATORY-CHEMISTRY [0301] 82274 WCH HB LAB FEE SCHEDULE 107,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.257.003 REF CREATINE (RPTU) URINE LABORATORY-CHEMISTRY [0301] 82570 WCH HB LAB FEE SCHEDULE 70,00
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 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 3.018.230.000 REF HEAVY METALS SCRN UR CADMIUM LABORATORY-CHEMISTRY [0301] 82300 WCH HB LAB FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 4.400.917.100 HC VOICE CURRENT STATUS SPEECH THERAPY-LANGUAGE PATHOLOGY-GENERAL [0440] G9171 WCH HB DEFAULT FEE SCHEDULE 0,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA 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 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 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 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 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 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 3.018.018.601 REF PHENYTOIN FREE LABORATORY-CHEMISTRY [0301] 80186 WCH HB LAB FEE SCHEDULE 130,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.019.701 REF TACROLIMUS FK506 LABORATORY-CHEMISTRY [0301] 80197 WCH HB LAB FEE SCHEDULE 176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.230.600 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 VIT D 25 HYDROXY W FRACTIONS LABORATORY-CHEMISTRY [0301] 82306 WCH WELLNESS WEDNESDAY FSC 40,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.020.101 REF TOPIRAMATE LABORATORY-CHEMISTRY [0301] 80201 WCH HB LAB FEE SCHEDULE 120,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.901 REF AMIODARONE P S LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.902 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 REF MEXILETINE LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.904 REF WARFARIN COUMADIN LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.029.905 REF FLECAINIDE LABORATORY-CHEMISTRY [0301] 80299 WCH HB LAB FEE SCHEDULE 462,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.032.901 ACETAMINOPHEN LABORATORY-CHEMISTRY [0301] 80329 WCH HB LAB FEE SCHEDULE 212,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.208.501 REF ALDOLASE LABORATORY-CHEMISTRY [0301] 82085 WCH HB LAB FEE SCHEDULE 84,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.208.801 REF ALDOSTERONE URINE LABORATORY-CHEMISTRY [0301] 82088 WCH HB LAB FEE SCHEDULE 200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.208.802 REF ALDOSTERONE SERUM LABORATORY-CHEMISTRY [0301] 82088 WCH HB LAB FEE SCHEDULE 306,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.230.800 REF CALCITONIN LABORATORY-CHEMISTRY [0301] 82308 WCH HB LAB FEE SCHEDULE 289,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.210.502 AFP TUMOR MARKER LABORATORY-CHEMISTRY [0301] 82105 WCH HB LAB FEE SCHEDULE 136,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.216.401 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 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 FECAL OCCULT BL TEST IFOB SCRN LABORATORY-CHEMISTRY [0301] 82274 WCH HB LAB FEE SCHEDULE 110,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.230.001 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 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 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 CARBOXYHEMOGLOBIN QUANT LABORATORY-CHEMISTRY [0301] 82375 WCH HB LAB FEE SCHEDULE 129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.238.402 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 REF CITRATE EXCRETION LABORATORY-CHEMISTRY [0301] 82507 WCH HB LAB FEE SCHEDULE 303,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.231.000 CALCIUM TOTAL SERUM LABORATORY-CHEMISTRY [0301] 82310 WCH HB LAB FEE SCHEDULE 61,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.252.301 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 REF NTX SERUM LABORATORY-CHEMISTRY [0301] 82523 WCH HB LAB FEE SCHEDULE 229,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.252.501 REF COPPER SERUM LABORATORY-CHEMISTRY [0301] 82525 WCH HB LAB FEE SCHEDULE 135,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.253.301 REF CORTISOL SALIVA LABORATORY-CHEMISTRY [0301] 82533 WCH HB LAB FEE SCHEDULE 162,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.253.002 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 REF CREATININE OTHER SOURCE LABORATORY-CHEMISTRY [0301] 82570 WCH HB LAB FEE SCHEDULE 92,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.262.601 REF DHEA LABORATORY-CHEMISTRY [0301] 82626 WCH HB LAB FEE SCHEDULE 255,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.265.201 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 REF PANCREATIC ELASTASE FECAL LABORATORY-CHEMISTRY [0301] 82656 WCH HB LAB FEE SCHEDULE 340,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.272.801 REF FERRITIN SERUM LABORATORY-CHEMISTRY [0301] 82728 WCH HB LAB FEE SCHEDULE 285,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.233.000 CALCIUM IONIZED ASSAY LABORATORY-CHEMISTRY [0301] 82330 WCH HB LAB FEE SCHEDULE 139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.278.402 REF GAMMAGLOB IMMUNGLOB IGG TOTAL LABORATORY-CHEMISTRY [0301] 82784 WCH HB LAB FEE SCHEDULE 73,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.278.404 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 GAMMAGLOB IMMUNOGLOBULIN EACH LABORATORY-CHEMISTRY [0301] 82784 WCH HB LAB FEE SCHEDULE 111,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.300.201 LUTEINIZING HORMONE LABORATORY-CHEMISTRY [0301] 83002 WCH HB LAB FEE SCHEDULE 171,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.302.001 REF HEMOGLOBIN ELP B LABORATORY-CHEMISTRY [0301] 83020 WCH HB LAB FEE SCHEDULE 750,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.302.101 REF HEMOGLOBIN A2 & F LABORATORY-CHEMISTRY [0301] 83021 WCH HB LAB FEE SCHEDULE 173,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.349.801 REF 17 HYDROXYPROGESTERONE LABORATORY-CHEMISTRY [0301] 83498 WCH HB LAB FEE SCHEDULE 243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.349.802 REF CAH LABORATORY-CHEMISTRY [0301] 83498 WCH HB LAB FEE SCHEDULE 243,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.601 REF CYSTIC FIBROSIS LABORATORY-CHEMISTRY [0301] 83516 WCH HB LAB FEE SCHEDULE 139,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.602 REF PR3 LABORATORY-CHEMISTRY [0301] 83516 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.234.000 REF 24 HR URINE CALCIUM LABORATORY-CHEMISTRY [0301] 82340 WCH HB LAB FEE SCHEDULE 68,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.603 REF MPO LABORATORY-CHEMISTRY [0301] 83516 WCH HB LAB FEE SCHEDULE 134,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.604 REF GLIADIN DEAMINATED IGG OR IGA LABORATORY-CHEMISTRY [0301] 83516 WCH HB LAB FEE SCHEDULE 163,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.605 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 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 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 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 REF DIGITOXIN SERUM PLASMA LABORATORY-CHEMISTRY [0301] 80375 WCH HB LAB FEE SCHEDULE 167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.909 REF PARANEOPLASTIC ACH GANGLIONIC LABORATORY-CHEMISTRY [0301] 83519 WCH HB LAB FEE SCHEDULE 317,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.351.914 REF MUSK AUTOANITBODY LABORATORY-CHEMISTRY [0301] 83519 WCH HB LAB FEE SCHEDULE 858,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.352.003 REF IBD SACCHAROMYCES IGG OR IGA LABORATORY-CHEMISTRY [0301] 83520 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.237.400 CARBON DIOXIDE BICARB LABORATORY-CHEMISTRY [0301] 82374 WCH HB LAB FEE SCHEDULE 51,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.352.009 REF TRYPTASE LABORATORY-CHEMISTRY [0301] 83520 WCH HB LAB FEE SCHEDULE 167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.352.010 REF ANTIMULLERIAN HORMONE SERUM LABORATORY-CHEMISTRY [0301] 83520 WCH HB LAB FEE SCHEDULE 178,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.352.011 REF THYROTROPIN RECEPTOR AB LABORATORY-CHEMISTRY [0301] 83520 WCH HB LAB FEE SCHEDULE 167,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.352.013 PARANEOPLASTIC STRIATIONAL AB LABORATORY-CHEMISTRY [0301] 83520 WCH HB LAB FEE SCHEDULE 152,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.361.501 REF LDH TOTAL LABORATORY-CHEMISTRY [0301] 83615 WCH HB LAB FEE SCHEDULE 53,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.362.501 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 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 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 REF METANEPHRINES LABORATORY-CHEMISTRY [0301] 83835 WCH HB LAB FEE SCHEDULE 292,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.383.502 REF METANEPHRINES FRACTION 24 HR LABORATORY-CHEMISTRY [0301] 83835 WCH HB LAB FEE SCHEDULE 271,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.237.800 CARCINOEMBRYONIC ANTIGEN LABORATORY-CHEMISTRY [0301] 82378 WCH HB LAB FEE SCHEDULE 215,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.388.301 REF IMMUNOGLOBULIN LIGHT CH LABORATORY-CHEMISTRY [0301] 83883 WCH HB LAB FEE SCHEDULE 153,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.388.302 REF IGG TOTAL LIGHT CHAINS U LABORATORY-CHEMISTRY [0301] 83883 WCH HB LAB FEE SCHEDULE 176,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.394.501 REF OXALATE URINE LABORATORY-CHEMISTRY [0301] 83945 WCH HB LAB FEE SCHEDULE 125,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.407.501 REF ALK PTASE TOTAL LABORATORY-CHEMISTRY [0301] 84075 WCH HB LAB FEE SCHEDULE 50,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.412.001 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 REF PSA TOTAL LABORATORY-CHEMISTRY [0301] 84153 WCH HB LAB FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.303 PSA SCREENING LABORATORY-CHEMISTRY [0301] 84153 WCH HB LAB FEE SCHEDULE 175,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.303 PSA SCREENING LABORATORY-CHEMISTRY [0301] 84153 WCH WELLNESS WEDNESDAY FSC 27,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.401 REF PSA FREE LABORATORY-CHEMISTRY [0301] 84154 WCH HB LAB FEE SCHEDULE 145,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.501 REF MONOCLONAL PROTEIN STUDY TP LABORATORY-CHEMISTRY [0301] 84155 WCH HB LAB FEE SCHEDULE 27,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.502 REF PROTEIN STUDY, SERUM TP MAYO LABORATORY-CHEMISTRY [0301] 84155 WCH HB LAB FEE SCHEDULE 129,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.237.900 REF CARNITINE P S LABORATORY-CHEMISTRY [0301] 82379 WCH HB LAB FEE SCHEDULE 94,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.416.501 REF MONOCLONAL PROTEIN STUDY ELP LABORATORY-CHEMISTRY [0301] 84165 WCH HB LAB FEE SCHEDULE 84,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.416.502 REF PROTEIN STUDY, SERUM ELP MAYO LABORATORY-CHEMISTRY [0301] 84165 WCH HB LAB FEE SCHEDULE 131,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.416.601 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 REF RENIN ACTIVITY LABORATORY-CHEMISTRY [0301] 84244 WCH HB LAB FEE SCHEDULE 250,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.441.000 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 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 3.018.440.302 REF TESTOSTERONE, TOTAL FOR MAYO TOTAL, BIO, AND FREE LABORATORY-CHEMISTRY [0301] 84403 WCH HB LAB FEE SCHEDULE 187,58
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.442.501 REF THIAMINE LABORATORY-CHEMISTRY [0301] 84425 WCH HB LAB FEE SCHEDULE 222,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.443.201 REF THYROGLOBULIN TUMOR MARKER LABORATORY-CHEMISTRY [0301] 84432 WCH HB LAB FEE SCHEDULE 200,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.444.301 REF TSH LABORATORY-CHEMISTRY [0301] 84443 WCH HB LAB FEE SCHEDULE 180,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.238.400 ASSAY, THREE CATECHOLAMINES LABORATORY-CHEMISTRY [0301] 82384 WCH HB LAB FEE SCHEDULE 289,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 3.018.415.603 REF PROTEIN (RPTU) URINE LABORATORY-CHEMISTRY [0301] 84156 WCH HB LAB FEE SCHEDULE 54,00


Medical Charges

Service AreaPx CodeGeneric NameCPT(R)/HCPCS CodeNDCUnit PriceOverride Bill CodeOverride Price
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 lidocaine 1 %-epinephrine 1:100,000 injection solution 63.323.048.226 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 bupivacaine (PF) 0.5 % (5 mg/mL) injection solution 409.116.219 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 sodium chloride 0.9 % irrigation solution 264.220.100 61,30
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 sodium chloride 0.9 % irrigation solution 338.004.802 83,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 tranexamic acid 1,000 mg/10 mL (100 mg/mL) intravenous solution 23.155.052.431 59,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 water for injection, sterile injection solution 409.488.750 60,55
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 water for injection, sterile injection solution 409.488.723 59,54
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 zidovudine 100 mg capsule 65.862.010.701 7,14
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 lidocaine HCL 2 % mucosal solution 50.383.077.515 6,52
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 lidocaine HCL 2 % mucosal solution 50.383.077.504 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 dexmedeTOMIDine 100 mcg/mL intravenous solution J1555 44.567.060.104 544,95
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 norepinephrine bitartrate 1 mg/mL intravenous solution 409.337.504 108,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 norepinephrine bitartrate 1 mg/mL intravenous solution 703.115.303 106,52
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 lidocaine 2 % mucosal jelly in applicator 76.329.301.305 61,51
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 sodium hypochlorite 0.25 % solution 39.328.006.325 5,65
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 remdesivir 100 mg intravenous powder for solution 61.958.290.101 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 sodium nitroprusside 25 mg/mL intravenous solution 187.430.202 775,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 sodium nitroprusside 25 mg/mL intravenous solution 67.457.083.902 392,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 benzocaine 20 % mucosal aerosol spray 283.067.902 111,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 diphenhydrAMINE 25 mg capsule,diphenhydrAMINE 25 mg tablet 904.555.159 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 9.999.999.021 15,59
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 9.999.999.027 14,94
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 sodium chloride 0.9 % injection solution 63.323.018.620 59,76
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 ketamine 10 mg/mL injection solution 42.023.011.310 108,28
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 ketamine 10 mg/mL injection solution 67.457.018.100 107,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 ketamine 50 mg/mL injection solution 143.950.801 70,33
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 lidocaine HCL 10 mg/mL (1 %) injection solution 63.323.048.526 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 phenylephrine 2.5 % eye drops 17.478.020.115 321,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 prochlorperazine maleate 5 mg tablet 378.510.501 5,94
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 promethazine 25 mg tablet 65.162.052.110 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 sodium chloride 0.9 % (flush) injection syringe 63.807.010.001 5,70
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 water for irrigation, sterile solution 338.000.402 71,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 water for irrigation, sterile solution 338.000.404 59,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 verapamiL 2.5 mg/mL intravenous solution 409.114.401 59,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 verapamiL 2.5 mg/mL intravenous solution 409.401.101 68,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 verapamiL 2.5 mg/mL intravenous solution 409.114.402 72,84
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 rocuronium 10 mg/mL intravenous solution 409.955.810 71,59
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 dronabinoL 2.5 mg capsule 49.884.086.702 23,41
WESTON COUNTY HEALTH SERVICES SERVICE AREA 2.500.000.200 dronabinoL 2.5 mg capsule 67.877.056.860 7,31
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 heparin (porcine) 1,000 unit/mL injection solution J1644 25.021.040.067 7,40
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 heparin (porcine) 10,000 unit/mL injection solution J1644 67.457.060.202 69,10
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 heparin (porcine) 10,000 unit/mL injection solution J1644 71.288.040.402 68,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 labetaloL 5 mg/mL intravenous solution J3490 17.478.042.020 147,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 labetaloL 5 mg/mL intravenous solution J3490 409.226.754 71,94
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 labetaloL 5 mg/mL intravenous solution J3490 409.226.720 61,70
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 lidocaine (PF) 10 mg/mL (1 %) injection solution J2001 409.471.302 7,15
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 lidocaine (PF) 20 mg/mL (2 %) injection solution J2001 63.323.049.507 15,12
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 lidocaine (PF) 20 mg/mL (2 %) injection solution J2001 409.206.610 8,07
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 6.468.100 342,25
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 denosumab 60 mg/mL subcutaneous syringe J0897 55.513.071.001 2,00
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 enoxaparin 30 mg/0.3 mL subcutaneous syringe J1650 955.100.310 70,91
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 enoxaparin 40 mg/0.4 mL subcutaneous syringe J1650 955.100.410 73,04
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 enoxaparin 40 mg/0.4 mL subcutaneous syringe J1650 75.801.410 170,08
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 enoxaparin 60 mg/0.6 mL subcutaneous syringe J1650 955.100.610 82,82
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 enoxaparin 60 mg/0.6 mL subcutaneous syringe J1650 75.062.160 231,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 enoxaparin 100 mg/mL subcutaneous syringe J1650 955.101.010 109,87
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 diazePAM 5 mg/mL injection syringe J3360 409.127.332 149,85
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ondansetron HCl (PF) 4 mg/2 mL injection solution J2405 23.155.054.842 60,80
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ondansetron HCL 2 mg/mL intravenous solution J2405 23.155.055.031 58,55
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 immune glob G 20 gram/200 mL(10%)-gly-IgA ave 46 mcg/mL injection soln J1561 13.533.080.025 4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution J0131 43.825.010.201 229,40
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 filgrastim 480 mcg/1.6 mL injection solution J1442 55.513.054.601 1,00
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 phytonadione (vitamin K1) 10 mg/mL injection solution J3430 409.915.801 74,15
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ibandronate 3 mg/3 mL intravenous syringe J1740 60.505.609.700 640,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection solution 90732 6.494.301 372,45
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 propofoL 10 mg/mL intravenous emulsion J2704 25.021.060.850 84,60
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 82,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 terbutaline 1 mg/mL subcutaneous solution J3105 143.974.610 68,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vecuronium bromide 10 mg intravenous solution J3490 67.457.043.810 80,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vecuronium bromide 10 mg intravenous solution J3490 55.150.023.501 68,90
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vecuronium bromide 20 mg intravenous solution J3490 67.457.047.520 80,00
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 hydrocortisone sodium succinate 100 mg solution for injection J1720 9.082.501 80,87
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ferric carboxymaltose 50 mg iron/mL intravenous solution J1439 517.065.002 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 acetylcysteine 200 mg/mL (20 %) solution J7608 63.323.069.030 6,30
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 adenosine 3 mg/mL intravenous syringe J0153 25.021.030.167 104,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 pneumococcal 23 polyvalent vaccine 25 mcg/0.5 mL injection syringe 90732 6.483.701 364,11
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 EPINEPHrine 0.1 mg/mL injection syringe J0171 409.492.120 69,49
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vedolizumab 300 mg intravenous solution J3380 64.764.030.020 10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 testosterone cypionate 200 mg/mL intramuscular oil J1071 9.052.001 69,50
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vasopressin 20 unit/mL intravenous solution J3490 42.023.016.401 547,56
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
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
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
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 dimethyl sulfoxide 50 % intravesical solution J1212 67.457.017.750 1,00
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
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
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 filgrastim-sndz 480 mcg/0.8 mL injection syringe Q5101 61.314.031.210 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 pegfilgrastim 6 mg/0.6 mL subcutaneous syringe J2505 55.513.019.001 9,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 chlorproMAZINE 25 mg/mL injection solution J3230 641.139.835 170,10
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 J0881
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 calcium chloride 100 mg/mL (10 %) intravenous syringe J3490 409.163.110 71,29
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 leuprolide 7.5 mg intramuscular syringe kit J9217 74.364.203 4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 zoledronic acid 4 mg/100 mL in mannitoL 5 %-water intravenous piggybck J3489 70.860.021.051 229,50
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
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 2,00
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 4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 morphine 8 mg/mL intravenous syringe J2270 409.189.210 60,52
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 sugammadex 100 mg/mL intravenous solution J3490 6.542.312 366,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 mepolizumab 100 mg subcutaneous solution J2182 173.088.101 5,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ceFAZolin 1 gram solution for injection J0690 44.567.070.725 59,95
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ceFAZolin 1 gram solution for injection J0690 25.021.010.167 59,22
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ceFAZolin 1 gram solution for injection J0690 60.505.614.205 59,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 epoetin alfa 20,000 unit/mL injection solution Q4081 55.513.047.810 806,60 J0885
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
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
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 85,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 morphine (PF) 1 mg/mL injection solution J2274 641.601.910 151,46
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefepime 1 gram solution for injection J0692 25.021.012.166 61,44
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefepime 2 gram solution for injection J0692 25.021.012.267 70,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ocrelizumab 30 mg/mL intravenous solution J2350 50.242.015.001 24,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 tenecteplase 50 mg intravenous solution J3101 50.242.012.047 6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 meropenem 1 gram intravenous solution J2185 63.323.050.825 82,00
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 pegfilgrastim-cbqv 6 mg/0.6 mL subcutaneous syringe Q5111 70.114.010.101 6,00
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 4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 flu vaccine qs 2020-21(6mos up)(PF) 60 mcg(15 mcgx4)/0.5 mL IM syringe 90686 19.515.081.652 105,05
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 piperacillin-tazobactam 4.5 gram intravenous solution J2543 63.323.032.056 72,10
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 piperacillin-tazobactam 4.5 gram intravenous solution J2543 64.679.001.201 84,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 piperacillin-tazobactam 3.375 gram intravenous solution J2543 63.323.030.036 70,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 piperacillin-tazobactam 3.375 gram intravenous solution J2543 64.679.005.601 81,53
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 piperacillin-tazobactam 3.375 gram intravenous solution J2543 63.323.098.353 70,20
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cyanocobalamin (vit B-12) 1,000 mcg/mL injection solution J3420 63.323.004.400 58,99
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 etomidate 2 mg/mL intravenous solution J3490 409.669.502 70,90
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 etomidate 2 mg/mL intravenous solution J3490 55.150.022.220 70,86
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 leuprolide 22.5 mg (3 month) intramuscular syringe kit J9217 74.334.603 7,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 azithromycin 500 mg intravenous solution J0456 63.323.039.814 71,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 amphotericin B liposome 50 mg intravenous suspension J0289 469.305.130 659,50
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 eptifibatide 0.75 mg/mL intravenous solution J1327 70.121.100.301 775,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 eptifibatide 0.75 mg/mL intravenous solution J1327 85.113.601 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 dexAMETHasone 4 mg tablet J8540 54.418.425 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 inFLIXimab 100 mg intravenous solution J1745 57.894.003.001 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 diazePAM 5 mg/mL injection solution J3360 409.321.312 176,91
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 diphenhydrAMINE 50 mg/mL injection solution J1200 63.323.066.416 59,12
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 diphenhydrAMINE 50 mg/mL injection solution J1200 63.323.066.401 61,05
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 pantoprazole 40 mg intravenous solution C9113 8.400.101 69,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 droperidoL 2.5 mg/mL injection solution J1790 517.970.201 60,17
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 morphine 10 mg/mL intravenous solution J2270 641.612.725 60,62
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 crotalidae polyval immune fab solution for injection J0840 50.633.011.012 10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 propranoloL 1 mg/mL intravenous solution J1800 143.987.201 72,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 alteplase 2 mg intra-catheter solution J2997 50.242.004.164 503,06
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ertapenem 1 gram solution for injection J1335 6.384.371 390,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ertapenem 1 gram solution for injection J1335 42.023.022.110 379,07
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 folic acid 5 mg/mL injection solution J3490 63.323.018.410 59,20
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 furosemide 10 mg/mL injection solution J1940 63.323.028.026 61,54
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ziprasidone 20 mg/mL (final concentration) intramuscular solution J3486 49.392.020 148,56
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 leuprolide 22.5 mg (3 month) subcutaneous syringe J9217 62.935.022.305 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 gentamicin 40 mg/mL injection solution J1580 63.323.001.094 59,14
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 haloperidol lactate 5 mg/mL injection solution J1630 143.950.101 58,94
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 haloperidol lactate 5 mg/mL injection solution J1630 143.950.125 58,94
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 haloperidol lactate 5 mg/mL injection solution J1630 63.323.047.401 60,70
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 82,50
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 hydrALAZINE 20 mg/mL injection solution J0360 63.323.061.401 334,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 DAPTOmycin 500 mg intravenous solution J0878 67.919.001.202 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 hydrOXYzine HCL 50 mg/mL intramuscular solution J3410 517.560.125 109,86
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cinacalcet 60 mg tablet J0604 55.513.007.430 109,39
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 acetylcysteine 200 mg/mL (20 %) intravenous solution J0132 55.150.025.930 107,25
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 flumazeniL 0.1 mg/mL intravenous solution J3490 63.323.042.405 71,28
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 natalizumab 300 mg/15 mL intravenous solution J2323 64.406.000.801 10,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 aminophylline 250 mg/10 mL intravenous solution J0280 409.592.101 82,44
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
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 59,37
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
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
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 amiodarone 50 mg/mL intravenous solution,amiodarone 150 mg/3 mL intravenous syringe J0282 63.323.061.609 68,88
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefTRIAXone 1 gram solution for injection J0696 409.733.201 106,00
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
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
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 60,57
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 J7512 9.999.999.026 15,85
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 J7510 9.999.999.025 16,48
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 lidocaine (PF) 40 mg/mL (4 %) injection solution J2001 409.428.325 68,83
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ampicillin 2 gram solution for injection J0290 781.927.395 83,40
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 mannitoL 20 % intravenous solution J2150 338.035.703 61,74
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 methylPREDNISolone 4 mg tablet J7509 59.746.000.106 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 metoclopramide 5 mg/mL injection solution J2765 23.155.024.041 59,40
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 metoclopramide 5 mg/mL injection solution J2765 703.450.281 58,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 nalbuphine 10 mg/mL injection solution J2300 409.146.301 61,92
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 nalbuphine 10 mg/mL injection solution J2300 409.146.401 172,13
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 naloxone 1 mg/mL injection syringe J2310 76.329.346.901 170,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 orphenadrine citrate 30 mg/mL injection solution J2360 17.478.053.802 85,86
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 oxytocin 10 unit/mL injection solution J2590 42.023.011.625 59,38
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 phenylephrine 10 mg/mL injection solution J2370 641.614.225 70,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 phenylephrine 10 mg/mL injection solution J2370 76.014.000.433 203,25
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 phenytoin sodium 50 mg/mL intravenous solution J1165 641.255.545 60,12
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 potassium chloride 2 mEq/mL intravenous solution J3480 409.665.305 69,02
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 predniSONE 1 mg tablet J7512 603.533.521 5,82
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 predniSONE 10 mg tablet J7512 143.973.901 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 predniSONE 20 mg tablet J7512 54.001.825 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 predniSONE 5 mg tablet J7512 54.472.825 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 promethazine 25 mg/mL injection solution J2550 641.092.825 60,15
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 promethazine 50 mg/mL injection solution J2550 641.149.631 60,89
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 protamine 10 mg/mL intravenous solution J2720 63.323.022.930 173,85
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 atropine 0.1 mg/mL injection syringe J0461 409.163.010 70,02
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 succinylcholine chloride 20 mg/mL injection solution J0330 409.662.902 107,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 succinylcholine chloride 20 mg/mL injection solution J0330 70.710.137.702 107,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 levETIRAcetam 500 mg/5 mL intravenous solution J1953 143.967.310 80,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 levETIRAcetam 500 mg/5 mL intravenous solution J1953 63.323.040.005 72,39
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
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
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
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 2,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck J3489 55.111.068.852 775,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 zoledronic acid 5 mg/100 mL in mannitoL 5 %-water intravenous piggybck J3489 70.860.080.282 370,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 clindamycin 150 mg/mL injection solution J3490 9.030.225 69,40 S0077
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 clindamycin 150 mg/mL injection solution J3490 67.457.081.402 68,73 S0077
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 clindamycin 150 mg/mL injection solution J3490 72.611.063.425 69,42 S0077
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vancomycin 1,000 mg intravenous injection J3370 67.457.034.001 71,44
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vancomycin 1,000 mg intravenous injection J3370 63.323.028.426 71,44
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 vancomycin 1,000 mg intravenous injection J3370 63.323.028.441 68,62
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 fosphenytoin 100 mg PE/2 mL injection solution Q2009 67.457.051.625 85,00
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 alteplase 100 mg intravenous solution J2997 50.242.008.525 14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 alteplase 100 mg intravenous solution J2997 50.242.008.527 14,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ampicillin-sulbactam 1.5 gram solution for injection J0295 49.001.381 72,10
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ampicillin-sulbactam 3 gram solution for injection J0295 67.457.034.903 62,26
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ampicillin-sulbactam 3 gram solution for injection J0295 67.457.034.910 62,26
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ampicillin-sulbactam 3 gram solution for injection J0295 71.288.000.630 72,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 ketorolac 60 mg/2 mL intramuscular solution J1885 63.323.016.202 70,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 azaTHIOprine 50 mg tablet J7500 378.100.501 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 bumetanide 0.25 mg/mL injection solution J3490 641.600.810 61,05 S0171
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 romiPLOStim 250 mcg subcutaneous solution J2796 55.513.022.101 4,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 romiPLOStim 500 mcg subcutaneous solution J2796 55.513.022.201 6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefOXitin 1 gram intravenous solution J0694 25.021.010.910 81,23
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefOXitin 1 gram intravenous solution J0694 63.323.034.125 81,23
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefTAZidime 1 gram solution for injection J0713 409.508.216 68,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefTAZidime 1 gram solution for injection J0713 25.021.012.720 69,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefTAZidime 2 gram solution for injection J0713 25.021.012.867 108,47
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefTRIAXone 2 gram solution for injection J0696 409.733.503 153,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 cefTRIAXone 1 gram/50 mL in dextrose (iso-osmot) intravenous piggyback J0696 264.315.311 105,53
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 imipenem-cilastatin 500 mg intravenous solution J0743 63.323.032.294 82,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 dilTIAZem 5 mg/mL intravenous solution J3490 17.478.093.710 61,22
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 dilTIAZem 5 mg/mL intravenous solution J3490 17.478.081.705 61,11
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 dilTIAZem 5 mg/mL intravenous solution J3490 17.478.081.725 80,93
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 dilTIAZem 5 mg/mL intravenous solution J3490 17.478.093.726 80,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 EPINEPHrine 1 mg/mL injection solution J0171 42.023.016.801 650,56
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 enalaprilat 1.25 mg/mL intravenous solution J3490 143.978.610 72,35
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 epoetin alfa 4,000 unit/mL injection solution Q4081 55.513.014.801 328,32 J0885
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.360.000.200 epoetin alfa 4,000 unit/mL injection solution Q4081 55.513.014.810 328,32 J0885
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 famotidine 20 mg tablet 172.572.860 5,69
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 finasteride 5 mg tablet 16.729.009.015 5,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 finasteride 5 mg tablet 50.268.031.415 6,79
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 flavoxATE 100 mg tablet 51.224.015.450 6,42
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fluconazole 200 mg tablet 67.405.060.403 5,95
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fludrocortisone 0.1 mg tablet 115.703.301 5,92
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 diclofenac 1 % topical gel 65.162.083.366 190,40
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 diclofenac 1 % topical gel 76.282.066.339 15,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 FLUoxetine 10 mg capsule 50.111.064.701 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 FLUoxetine 20 mg capsule 50.111.064.801 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 estradioL 10 mcg vaginal tablet 65.162.022.623 67,40
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 glipiZIDE 5 mg tablet 781.145.201 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 glycopyrrolate 1 mg tablet 23.155.060.601 6,05
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 hydrocortisone 5 mg tablet 59.762.007.301 5,79
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 hydrOXYchloroQUINE 200 mg tablet 781.140.797 15,27
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 hydrOXYchloroQUINE 200 mg tablet 781.599.401 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 insulin human U-100 NPH-regulr 70-30 mix 100 unit/mL subcutaneous susp 2.871.517 204,61
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 hydrocortisone 1 %-iodoquinoL 1 % topical cream 58.980.081.110 15,02
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ketoconazole 2 % topical cream 51.672.129.802 6,89
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ketoconazole 2 % topical cream 51.672.129.803 6,57
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ketorolac 10 mg tablet 93.031.401 6,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 labetaloL 100 mg tablet 185.001.001 6,03
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 labetaloL 100 mg tablet 68.382.079.801 5,91
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ammonium lactate 12 % lotion 45.802.052.526 54,60
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tamsulosin 0.4 mg capsule 781.207.601 6,12
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tamsulosin 0.4 mg capsule 65.862.059.801 5,90
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 levothyroxine 88 mcg tablet 527.134.401 5,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 levothyroxine 112 mcg tablet 781.518.592 5,74
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 levothyroxine 175 mcg tablet 74.707.090 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 methyl salicylate-menthol topical ointment 54.162.055.501 6,99
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lisinopriL 10 mg tablet 68.180.098.001 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lisinopriL 40 mg tablet 68.180.051.701 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lisinopriL 5 mg tablet 68.180.051.303 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
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 bethanechol chloride 50 mg tablet 51.293.064.801 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 loratadine 10 mg tablet 45.802.065.078 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 metFORMIN 500 mg tablet 23.155.010.201 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 methIMAzole 5 mg tablet 23.155.007.001 5,90
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 metOLazone 2.5 mg tablet 378.617.201 7,42
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 metroNIDAZOLE 0.75 % vaginal gel 781.707.787 7,37
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 midodrine 5 mg tablet 245.021.211 5,99
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 midodrine 5 mg tablet 60.505.132.101 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 miSOPROStoL 200 mcg tablet 43.386.016.106 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 6,85
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dabigatran etexilate 75 mg capsule 597.035.556 33,14
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 mupirocin 2 % topical ointment 51.672.131.200 6,53
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 mupirocin 2 % topical ointment 45.802.011.222 37,40
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 NIFEdipine ER 60 mg tablet,extended release 591.319.401 6,43
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 nitrofurantoin monohydrate/macrocrystals 100 mg capsule 378.342.201 8,18
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 nitrofurantoin monohydrate/macrocrystals 100 mg capsule 185.012.201 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 electrolytes-dextrose oral solution 70.074.080.365 6,22
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 oxyCODONE 5 mg tablet 10.702.001.801 5,71
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 oxyCODONE 5 mg tablet 42.858.000.101 5,69
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 oxyCODONE 5 mg tablet 42.806.000.501 5,80
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 PARoxetine 20 mg tablet 60.505.008.302 5,69
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 PARoxetine 20 mg tablet 904.567.761 5,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 PARoxetine 30 mg tablet 378.700.393 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 linaGLIPtin 5 mg tablet 597.014.030 54,41
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 rivaroxaban 10 mg tablet 50.458.058.030 63,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 calcium polycarbophiL 625 mg tablet 536.430.605 5,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 oseltamivir 6 mg/mL oral suspension 4.082.205 33,94
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pravastatin 10 mg tablet 68.462.019.590 5,98
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pravastatin 20 mg tablet 68.462.019.690 5,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pravastatin 20 mg tablet 68.382.007.116 5,87
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pravastatin 40 mg tablet 60.505.017.009 5,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pravastatin 40 mg tablet 68.462.019.790 5,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pravastatin 40 mg tablet 42.291.066.890 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 primidone 50 mg tablet 603.537.121 5,85
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 prochlorperazine 25 mg rectal suppository 713.013.512 37,11
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 promethazine 12.5 mg rectal suppository 713.053.612 38,15
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 promethazine 25 mg rectal suppository 713.052.612 23,57
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 quinapriL 20 mg tablet 69.097.084.205 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ramipriL 1.25 mg capsule 54.010.625 5,81
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ramipriL 10 mg capsule 65.862.047.701 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ramipriL 2.5 mg capsule 65.862.047.501 5,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 rivaroxaban 15 mg tablet 50.458.057.830 38,84
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 rivaroxaban 20 mg tablet 50.458.057.990 33,33
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 acetaZOLAMIDE 250 mg tablet 23.155.028.801 7,93
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sertraline 100 mg tablet 68.180.035.302 5,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sertraline 50 mg tablet 68.180.035.202 5,71
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 simvastatin 10 mg tablet 16.729.000.415 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 simvastatin 20 mg tablet 68.180.047.902 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 simvastatin 40 mg tablet 16.729.000.615 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sotaloL 80 mg tablet 60.505.008.000 5,90
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 spironolactone 50 mg tablet 60.687.047.601 5,85
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sucralfate 1 gram tablet 93.221.005 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tamoxifen 20 mg tablet 378.027.493 6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 timoloL maleate 0.25 % eye drops 64.980.051.301 52,96
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sulfamethoxazole 800 mg-trimethoprim 160 mg tablet 53.746.027.201 5,82
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 vancomycin 125 mg capsule 68.180.016.613 23,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 vancomycin 125 mg capsule 68.180.016.611 23,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 warfarin 1 mg tablet 832.121.101 5,99
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 warfarin 1 mg tablet 93.171.201 5,84
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 warfarin 1 mg tablet 56.016.975 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 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 mirabegron ER 25 mg tablet,extended release 24 hr 469.260.190 52,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 zolpidem 5 mg tablet 378.530.501 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 morphine ER 30 mg tablet,extended release 904.655.861 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 apixaban 2.5 mg tablet 3.089.321 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 morphine ER 15 mg tablet,extended release 228.427.011 6,29
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 morphine ER 15 mg tablet,extended release 904.655.761 6,76
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 morphine ER 60 mg tablet,extended release 42.858.080.301 6,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 morphine ER 100 mg tablet,extended release 42.858.080.401 6,15
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 apixaban 5 mg tablet 3.089.421 18,82
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 meclizine 12.5 mg tablet 536.101.701 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
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 46,48
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 canagliflozin 100 mg tablet 50.458.014.030 65,28
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 magnesium hydroxide 400 mg/5 mL oral suspension 121.043.130 7,57
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 venlafaxine 100 mg tablet 57.664.039.688 5,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 venlafaxine 75 mg tablet 52.817.013.310 5,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 venlafaxine 37.5 mg tablet 57.664.039.388 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
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fluocinonide-emollient 0.05 % topical cream 93.026.330 8,19
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 activated charcoal-sorbitoL 25 gram/120 mL oral suspension 574.012.074 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
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 insulin lispro (U-100) 100 unit/mL subcutaneous pen 2.879.959 125,00
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 estradioL 0.5 mg tablet 555.089.902 5,89
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sodium chloride-aloe vera nasal gel 225.052.547 5,80
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ipratropium bromide 0.02 % solution for inhalation 487.980.101 5,83
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ipratropium bromide 0.02 % solution for inhalation 487.980.160 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
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
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 6,29
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 terbinafine HCL 250 mg tablet 51.991.052.633 5,69
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tiotropium bromide 2.5 mcg/actuation mist for inhalation 597.010.061 1,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tiotropium bromide 2.5 mcg/actuation mist for inhalation 597.010.031 625,57
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tiotropium bromide 2.5 mcg/actuation mist for inhalation 597.010.051 306,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 umeclidinium 62.5 mcg/actuation blister powder for inhalation 173.087.310 6,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 naloxegoL 25 mg tablet 310.197.030 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 white petrolatum-mineral oiL 83 %-15 % eye ointment 536.108.691 6,41
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 scopolamine 1 mg over 3 days transdermal patch 66.758.020.854 66,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pentosan polysulfate sodium 100 mg capsule 50.458.009.801 37,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 thyroid (pork) 30 mg tablet 456.045.801 6,02
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 thyroid (pork) 180 mg tablet 456.046.201 6,83
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sacubitriL 97 mg-valsartan 103 mg tablet 78.069.620 37,48
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 calcium carbonate 500 mg calcium (1,250 mg) tablet 904.188.372 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 verapamiL ER (SR) 240 mg tablet,extended release 68.462.026.001 5,78
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lisinopriL 2.5 mg tablet 68.180.051.201 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 methylnaltrexone 12 mg/0.6 mL subcutaneous syringe 65.649.055.107 386,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 valACYclovir 1 gram tablet 378.427.693 6,27
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 valACYclovir 500 mg tablet 51.079.009.301 15,05
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 naproxen sodium 220 mg tablet 10.939.063.544 5,74
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 naproxen sodium 220 mg tablet 536.109.401 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 honey 100 % topical paste 9.958.003.361 53,43
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 honey 100 % topical paste 9.958.003.360 53,43
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 methyl salicylate 15 %-menthol 1 % topical cream 178.032.005 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 SUMAtriptan 100 mg tablet 55.111.029.309 6,06
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 patiromer calcium sorbitex 8.4 gram oral powder packet 53.436.008.401 112,43
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 acidophilus 25 million cell-pectin, citrus 100 mg tablet 536.718.001 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carBAMazepine 100 mg chewable tablet 51.672.404.101 6,02
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carBAMazepine 200 mg tablet 13.668.026.801 6,90
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fluconazole 150 mg tablet 57.237.000.511 6,55
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 potassium chloride ER 10 mEq capsule,extended release 53.746.054.205 6,37
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 potassium chloride ER 10 mEq capsule,extended release 66.758.020.505 6,37
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 bacitracin zinc 500 unit/gram topical ointment 472.110.556 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carisoprodoL 350 mg tablet 64.980.017.401 5,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carisoprodoL 350 mg tablet 603.258.221 5,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lamoTRIgine 25 mg tablet 51.672.413.001 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lamoTRIgine 100 mg tablet 51.672.413.101 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 acetaminophen 300 mg-codeine 30 mg tablet 406.048.401 5,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 acetaminophen 300 mg-codeine 30 mg tablet 93.015.001 5,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dilTIAZem ER 60 mg capsule,extended release 12 hr 378.606.001 8,16
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ketoconazole 2 % shampoo 10.147.075.004 5,81
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 terazosin 1 mg capsule 59.746.038.306 5,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 terazosin 2 mg capsule 59.746.038.406 5,71
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 terazosin 5 mg capsule 59.746.038.506 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 traMADoL 50 mg tablet 63.739.067.110 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 traMADoL 50 mg tablet 57.664.037.718 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 metFORMIN 850 mg tablet 23.155.010.301 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tiZANidine 2 mg tablet 57.664.050.289 5,89
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tiZANidine 4 mg tablet 904.641.861 5,88
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 losartan 25 mg tablet 65.862.020.190 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 losartan 50 mg tablet 65.862.020.290 5,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fosfomycin tromethamine 3 gram oral packet 456.430.001 322,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 SUMAtriptan 50 mg tablet 55.111.029.236 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 calcitonin (salmon) 200 unit/actuation nasal spray 49.884.016.111 14,89
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carvediloL 6.25 mg tablet 68.382.009.301 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carvediloL 25 mg tablet 68.382.009.501 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carvediloL 25 mg tablet 68.462.016.501 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carvediloL 12.5 mg tablet 68.382.009.401 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 azithromycin 200 mg/5 mL oral suspension 93.202.623 108,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 azithromycin 200 mg/5 mL oral suspension 93.202.631 108,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 azithromycin 200 mg/5 mL oral suspension 42.806.014.932 52,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 azithromycin 200 mg/5 mL oral suspension 70.710.145.802 82,56
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ipratropium bromide 0.03 % nasal spray 54.004.544 118,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 chlordiazePOXIDE 10 mg capsule 555.003.302 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 chlordiazePOXIDE 25 mg capsule 555.015.902 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 chlordiazePOXIDE 5 mg capsule 51.079.037.401 6,26
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 glimepiride 1 mg tablet 16.729.000.101 5,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 glimepiride 2 mg tablet 68.084.032.611 6,16
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 glimepiride 4 mg tablet 16.729.000.301 5,76
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 chlorthalidone 25 mg tablet 60.687.031.725 6,58
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 chlorthalidone 25 mg tablet 51.079.005.801 6,58
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 PARoxetine 10 mg tablet 378.700.193 5,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 PARoxetine 40 mg tablet 378.700.493 5,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lidocaine 4 % topical patch 41.167.005.840 6,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lidocaine 4 % topical patch 45.611.000.938 7,44
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lidocaine 4 % topical patch 46.581.083.006 52,74
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 magnesium 70 mg (magnesium chloride) tablet,delayed release 904.791.152 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 melatonin 3 mg tablet 904.518.252 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 clindamycin HCL 150 mg capsule 63.304.069.201 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 melatonin 5 mg tablet 30.768.015.745 5,67
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 melatonin 5 mg tablet 96.295.012.828 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pimavanserin 34 mg capsule 63.090.034.030 352,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 busPIRone 15 mg tablet 68.382.018.201 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 mirtazapine 30 mg tablet 93.720.756 5,71
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 mirtazapine 15 mg tablet 93.720.656 5,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 balsam peru-castor oiL topical ointment 58.980.078.021 6,12
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cloNIDine HCL 0.1 mg tablet 228.212.710 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cloNIDine HCL 0.1 mg tablet 29.300.013.501 5,69
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 clotrimazole 1 % topical cream 904.782.231 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 albuterol sulfate HFA 90 mcg/actuation aerosol inhaler 173.068.224 83,56
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 albuterol sulfate HFA 90 mcg/actuation aerosol inhaler 59.310.057.922 246,88
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 brimonidine 0.2 % eye drops 24.208.041.110 109,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 brimonidine 0.2 % eye drops 61.314.014.310 110,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 OLANZapine 5 mg tablet 43.598.016.430 5,85
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 OLANZapine 10 mg tablet 43.598.016.630 5,79
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 colchicine 0.6 mg tablet 64.764.011.907 29,19
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 peg-electrolyte solution 420 gram oral solution 52.268.040.001 110,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 bisoprolol 10 mg-hydrochlorothiazide 6.25 mg tablet 29.300.018.913 6,23
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 gabapentin 400 mg capsule 67.877.022.405 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 gabapentin 300 mg capsule 67.877.022.305 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 gabapentin 100 mg capsule 67.877.022.201 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 gabapentin 100 mg capsule 67.877.022.205 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 risperiDONE 1 mg tablet 50.458.059.260 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carvediloL 3.125 mg tablet 378.363.101 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 carvediloL 3.125 mg tablet 68.462.016.201 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 latanoprost 0.005 % eye drops 61.314.054.701 5,83
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 donepeziL 10 mg tablet 43.547.027.609 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 levoFLOXacin 500 mg tablet 55.111.028.050 5,81
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 topiramate 25 mg tablet 68.382.013.814 5,69
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 hydroCHLOROthiazide 12.5 mg capsule 29.300.013.001 5,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 hydroCHLOROthiazide 12.5 mg capsule 591.034.701 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 atorvastatin 10 mg tablet 378.395.077 5,83
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 atorvastatin 40 mg tablet 378.395.277 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 atorvastatin 20 mg tablet 93.505.998 5,71
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 warfarin 3 mg tablet 93.171.501 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 warfarin 3 mg tablet 56.018.875 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 clindamycin 1 % lotion 168.020.360 7,54
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 metroNIDAZOLE 0.75 % topical gel 115.147.446 34,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ofloxacin 0.3 % eye drops 64.980.051.505 54,00
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sertraline 25 mg tablet 68.180.035.109 5,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cyanocobalamin (vit B-12) 100 mcg tablet 536.354.201 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cyanocobalamin (vit B-12) 500 mcg tablet 904.320.713 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cyclopentolate 1 % eye drops 17.478.010.002 47,42
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cyclopentolate 1 % eye drops 24.208.073.501 47,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 meloxicam 7.5 mg tablet 68.180.050.101 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 imiquimod 5 % topical cream packet 45.802.036.862 7,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 azithromycin 250 mg tablet 50.111.078.751 8,12
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 azithromycin 250 mg tablet 68.180.016.011 7,03
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 OLANZapine 2.5 mg tablet 55.111.016.330 5,82
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 citalopram 20 mg tablet 378.623.201 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pramipexole 0.125 mg tablet 68.462.033.090 5,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pramipexole 0.25 mg tablet 68.382.019.716 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dapsone 100 mg tablet 49.938.010.130 6,32
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 warfarin 4 mg tablet 56.016.875 6,18
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 warfarin 4 mg tablet 51.672.403.101 5,70
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 letrozole 2.5 mg tablet 51.991.075.933 5,92
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 rOPINIRole 0.25 mg tablet 54.011.625 5,92
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 rOPINIRole 1 mg tablet 43.547.027.010 5,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 rOPINIRole 0.5 mg tablet 43.547.026.910 5,87
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 QUEtiapine 25 mg tablet 67.877.024.201 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 QUEtiapine 200 mg tablet 67.877.024.601 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 clopidogreL 75 mg tablet 16.729.021.816 5,71
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cefdinir 300 mg capsule 781.217.660 6,45
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 montelukast 10 mg tablet 54.025.922 5,83
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 sulfamethoxazole 200 mg-trimethoprim 40 mg/5 mL oral suspension 65.862.049.647 143,04
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 losartan 100 mg tablet 65.862.020.390 5,66
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 losartan 100 mg tablet 43.547.036.209 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ursodioL 250 mg tablet 49.884.041.201 7,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 tolterodine 2 mg tablet 93.001.806 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 simvastatin 80 mg tablet 16.729.000.715 5,63
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lidocaine 5 % topical cream 496.089.230 6,39
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 citalopram 40 mg tablet 378.623.301 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cranberry extract 425 mg capsule 43.292.055.812 5,65
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 diazePAM 5 mg tablet 172.392.660 5,64
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dicloxacillin 250 mg capsule 93.312.301 6,25
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dicloxacillin 500 mg capsule 93.312.501 6,25
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dicyclomine 20 mg tablet 378.162.001 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 5,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 digoxin 125 mcg (0.125 mg) tablet 143.124.001 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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cilostazoL 50 mg tablet 60.505.252.101 5,99
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 cilostazoL 100 mg tablet 93.206.406 5,80
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 celecoxib 100 mg capsule 59.762.151.601 6,22
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 celecoxib 200 mg capsule 69.097.042.107 5,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 isosorbide mononitrate ER 30 mg tablet,extended release 24 hr 62.175.012.837 5,83
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 coenzyme Q10 100 mg capsule 96.295.011.765 5,90
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lisinopril 10 mg-hydrochlorothiazide 12.5 mg tablet 68.180.051.801 5,72
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dilTIAZem 120 mg tablet 93.032.101 5,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dilTIAZem 30 mg tablet 93.031.801 5,77
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dilTIAZem 60 mg tablet 51.079.074.601 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 dimenhyDRINATE 50 mg tablet 904.205.159 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
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
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ciprofloxacin 500 mg tablet 143.992.801 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 verapamiL ER 120 mg 24 hr capsule,extended release 378.632.001 7,08
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 amoxicillin 400 mg/5 mL oral suspension 143.988.701 28,50
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 glucosamine-chondroitin 500 mg-400 mg tablet 43.292.056.003 5,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 polyethylene glycol 3350 17 gram oral powder packet 904.642.286 7,01
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fexofenadine 180 mg tablet 904.621.446 5,69
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 risperiDONE 0.25 mg tablet 68.382.011.214 5,73
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 risperiDONE 0.25 mg tablet 904.635.761 5,79
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 risperiDONE 0.5 mg tablet 50.458.059.110 6,54
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 risperiDONE 0.5 mg tablet 68.382.011.314 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pioglitazone 15 mg tablet 16.729.002.010 5,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pioglitazone 15 mg tablet 33.342.005.410 5,75
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pioglitazone 45 mg tablet 16.729.002.215 5,68
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 gabapentin 600 mg tablet 68.462.012.601 5,82
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 doxepin 10 mg capsule 378.104.901 6,09
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 pantoprazole 40 mg tablet,delayed release 65.862.056.090 5,79
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 doxycycline hyclate 100 mg capsule 143.314.250 6,22
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 oseltamivir 75 mg capsule 4.080.085 28,08
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 oseltamivir 75 mg capsule 70.710.101.002 15,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 levETIRAcetam 500 mg tablet 31.722.053.712 5,78
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ciclopirox 8 % topical solution 51.672.530.200 34,00
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 nitroglycerin 0.1 mg/hr transdermal 24 hour patch 378.910.216 6,23
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 nitroglycerin 0.4 mg/hr transdermal 24 hour patch 904.549.646 6,13
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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 divalproex 125 mg capsule,delayed release sprinkle 68.382.010.601 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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lansoprazole 15 mg capsule,delayed release 781.214.731 7,62
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 lansoprazole 30 mg capsule,delayed release 378.803.093 7,62
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 omeprazole 20 mg capsule,delayed release 60.505.006.501 5,79
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 omeprazole 40 mg capsule,delayed release 781.223.401 5,76
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 omeprazole 40 mg capsule,delayed release 60.505.014.602 5,76
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 ondansetron 4 mg disintegrating tablet 68.462.015.740 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
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
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fentaNYL 25 mcg/hr transdermal patch 60.505.700.600 19,47
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fentaNYL 50 mcg/hr transdermal patch 60.505.700.702 38,20
WESTON COUNTY HEALTH SERVICES SERVICE AREA 6.370.000.100 fentaNYL 50 mcg/hr transdermal patch