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/3 <br /> 0?ANGE -AMILY MEDICAL GROUP PA <br /> 6/15/93 PROCEDURE FEES <br /> DROCED''RE .ESCRIPTION ALT. DESC. DEPT T,O.S. STD. FEE <br /> --------------------------------------------------------------------------------------------------------------------------------- <br /> 32565A CREATiNiNE RL RL 99 28.50 <br /> 98155 PAP M/ MATURATION INDEX MATURATION RL 0 36.00 <br /> 38:72 BREAST CYTOLOGY RL 1 .00 <br /> 85615 ESR RL 1 26.00 <br /> 36650 F'A BLOOD WORK RL 0 .00 <br /> RPR RPR RL 1 23.00 <br /> 34:65 IMMUNOGLCBULIN ELECTROPHORESIS BLOOD WORK RL 1 .00 <br /> 31365 STONE ANALYSIS RL 57.00 <br /> 33`15 IRON BINDING CAPACITY BLOOD WORK RL 1 .00 <br /> 37208 STOOL 0 AND P RL 0 62.00 <br /> 37211 WET PREP RL 5 12.00 <br /> 22660 DRUG SCREEN BLOOD WORK RL 1 50.00 <br /> :r103 BETA STREP CULTURE RL 0 65.50 <br /> 31J 1-GP JRINE DIPSTICK RL 1 8.00 <br /> 3201:19 SERUM KETONES BLOOD WORK RL 1 .00 <br /> 37081 THROAT CULTURE BLOOD WORK RL 1 14.00 <br /> :4 1A LiPID PROFILE RL RL 99 31.61 <br /> 31117 AF8 CULTURE & SMEAR RL 5 65.00 <br /> 93713A 'OLESTEROL, HDL RL RL 99 38.00 <br /> 37101 SPUTUM FUNGAL CULTURE RL 0 .00 <br /> ;47 RHEUM PANEL 8 RL RL 99 39.00 <br /> 30072 RHEUM PANEL 8 BLOOD WORK RL 0 37.71 <br /> 34520A BUN (URIC NITROGEN) URIC RL 99 27.75 <br /> 3'955 66PD BLOODWORK RL 99 60.75 <br /> :2310 CALCIUM 82310 RL 0 33.00 <br /> 31524 INSULIN TESTING BLOODWORK RL 99 .00 <br /> 311-8 NA PROBE BLOOD WORK RL 0 38.45 <br /> 3243 )IGOXIN LEVEL BLOOD WORK RL 0 58.00 <br /> 5 MUMPS TITER BLOOD WORK RL 0 58.50 <br /> VALPORIC ACID RL 0 68.50 <br /> 4i _:VER PANEL RL RL 99 16.00 <br /> ;1145 SOD,UM RL 99 .00 <br /> RL 1 .00 <br /> =;:18 WBC BLOOD WORK RL 5 .00 <br /> C. )EF,CILE TOXIN RL 1 .00 <br /> ?3_ '3 'Y70LOGY SPUTUM RL 0 .00 <br /> PROFILE BLOOD WORK RL 0 40.00 <br /> '�AFETOPROTEIN BLOODWORK RL 1 .00 <br /> =o.r� :iOLES'EROL, TOTAL RL RL 99 28.00 <br /> :._. �EPAT`T:S PANEL BLOOD WORK RL 0 .00 <br /> ^4 -R. .,RINE PROTEIN RL 0 .00 <br /> -_nRIA BLOOD WORK RL 1 .00 <br /> ":CK RL 0 8.00 <br /> _=a� S`_R M F�UCTOSAMINE BLOOD WORK RL 1 36.25 <br /> MULTICIEM PANEL 80019 RL 99 29.00 <br /> :--10 VARICELLA ZOSTER CULTURE BLOOD WORK RL 1 .00 <br /> -c')Y _:VER PROFILE BLOOD WORK RL 0 25.18 <br /> 3; 30 PTT BLOOD WORK RL 1 37.00 <br /> 3.'251 3ILI '&) BLOODWORK RL 99 .00 <br /> ;7032 ANTIBODY SCREEN BLOOD WORK RL 0 36.00 <br /> 33020 HEMOG:.)8114 ELECT. BLOOD WORK RL 1 .00 <br /> 30082 BLOOD TYPING BLOOD WORK RL 1 .00 <br /> 34045 DILANTIN LEVEL BLOOD WORK RL 0 60.00 <br />