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 Area | Px Code | Procedure Description | Default Rev Code | CPT(R)/HCPCS Code | Default Mod | Fee Schedule Name | Unit Price |
|---|---|---|---|---|---|---|---|
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 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 Area | Px Code | Generic Name | CPT(R)/HCPCS Code | NDC | Unit Price | Override Bill Code | Override Price |
|---|---|---|---|---|---|---|---|
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 2.500.000.200 | 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 | 47.781.042.647 | 51,67 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | fentaNYL 75 mcg/hr transdermal patch | 60.505.700.802 | 47,97 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | fentaNYL 100 mcg/hr transdermal patch | 60.505.700.902 | 67,40 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | chlorhexidine gluconate 4 % topical liquid | 32.551.093.835 | 5,65 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | lidocaine 5 % topical patch | 591.352.511 | 29,49 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | lidocaine 5 % topical patch | 603.188.010 | 29,49 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | linezolid 600 mg tablet | 59.762.130.701 | 29,22 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | salmeteroL 50 mcg/dose blister powder for inhalation | 173.052.000 | 33,92 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | insulin glargine (U-100) 100 unit/mL subcutaneous solution | 88.222.033 | 683,56 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | HYDROcodone 10 mg-acetaminophen 325 mg tablet | 43.386.035.801 | 5,85 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | HYDROcodone 10 mg-acetaminophen 325 mg tablet | 60.687.041.801 | 6,52 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | insulin aspart U-100 100 unit/mL subcutaneous solution | 169.750.111 | 151,44 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule | 64.380.073.706 | 5,98 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | NIFEdipine ER 30 mg tablet,extended release 24 hr | 68.682.010.810 | 6,69 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | atorvastatin 80 mg tablet | 93.505.798 | 5,64 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | glyBURIDE 5 mg-metformin 500 mg tablet | 65.862.008.201 | 5,71 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | budesonide 0.5 mg/2 mL suspension for nebulization | 93.681.673 | 37,26 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | budesonide 0.5 mg/2 mL suspension for nebulization | 781.751.614 | 37,26 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | budesonide 0.5 mg/2 mL suspension for nebulization | 487.970.101 | 37,70 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | hydrocortisone 2.5 % topical cream with perineal applicator | 64.980.032.430 | 6,28 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | erythromycin 5 mg/gram (0.5 %) eye ointment | 24.208.091.055 | 54,20 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | metFORMIN ER 500 mg tablet,extended release 24 hr | 62.756.014.201 | 5,71 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | alendronate 70 mg tablet | 69.097.022.416 | 5,68 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | QUEtiapine 300 mg tablet | 47.335.090.688 | 5,88 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | dilTIAZem ER 120 mg capsule,24 hr,extended release | 68.682.036.790 | 6,24 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | clotrimazole-betamethasone 1 %-0.05 % topical cream | 168.025.815 | 6,74 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | tolterodine ER 2 mg capsule,extended release 24 hr | 378.340.293 | 28,42 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | tolterodine ER 4 mg capsule,extended release 24 hr | 93.716.498 | 15,21 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 | sodium chloride 0.65 % nasal spray aerosol | 904.386.575 | 5,64 | |||
| WESTON COUNTY HEALTH SERVICES SERVICE AREA | 6.370.000.100 |