ST JOSEPH'S CHIPPEWA FALLS - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hospital_gross_Charge , Self_Pay_Chg , Minimum_Negotiated_Chg , Maximum_Negotiated_Chg , AETNA HSHS , AETNA MEDICARE , AMISH COMMUNITY DISCOUNT , ANTEHM MEDICAID , ANTHEM , ANTHEM BC MEDICAID , ANTHEM BLUE PRIORITY , ANTHEM WISCONSIN INDEMNITY , CENPATICO , CHOICE CARE , CIGNA , CONTINUUS MEDICAID MANAGED , FAMILY HEALTH CENTER , FIRST HEALTH NETWORK , GOVERNMENT EMPLOYEE HEALTH ASSOCIATION , GROUP HEALTH COOP , GROUP HEALTH MEDICAID , GROUP HEALTH MEDICAID HMO , GUNDERSON HEALTH PLAN MEDICAID , HEALTH CARE ALLIANCE , HEALTH PARTNERS MEDICARE , HEALTHEOS ," HEALTHPARTNERS, INC. ", HEALTHSMART , HUMANA , HUMANA MEDICARE ADVANTAGE , IMMERGRUN INC , INTERPLAN HEALTH GROUP , MANAGED MEDICARE NO SEQUESTRATION , MEDICA , MEDICA MEDICARE ADVANTAGE , MULTIPLAN , NAPHCARE , NCHA , NETWORK HEALTH MEDICAID , PREFERRED ONE , PREFERRED ONE ST CROIX , PREVEA 360 EMPLOYEES , PREVEA 360 HSHS EMPLOYEES , PREVEA HEALTH NETWORK ," PRIVATE HEALTHCARE SYSTEMS, INC ", QUARTZ , SECURITY HEALTH PLAN , SECURITY HEALTH PLAN NARROW NETWORK , SECURITY HEALTH PLAN OF WISCONSIN , SECURITY HEATLH MEDICAID , SELECT CARE ," UCARE WISCONSIN, INC ", UHC MEDICAID , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , UNITED HEALTHCARE BEHAVIORAL HEALTH , VESTICA , WEA INSURANCE CORPORATION , WEA INSURANCE CORPORATION 1 , WEA INSURANCE CORPORATION 2 , WEA NORTHWEST , WEA NORTHWEST CHIP , WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION , WPS PREFERRED ADV PLUS STATE WIDE , WPS PREFERRED HEALTH PLAN , WPS_INDEMNITY ST. JOSEPH'S - CHIPPEWA FALLS,10020001,N/A,HC DAILY BEHAVIORAL HLTH RESIDENTIAL CDP,100,1 ,$287.50 ,$215.63 ,$158.13 ,$287.50 ,$185.15 , Inpt Medicare ,$201.25 , Inpt Medicaid ,"$20,271.00 ", Inpt Medicaid +3% ,"$16,218.00 ",$273.13 , Inpt Medicaid ,$230.00 ,$261.63 , Inpt Medicaid , N/A ,$273.13 ,$258.75 ,$244.38 , Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,$209.88 , Inpt Medicare ,$255.88 ,$258.75 ,$258.75 ,$230.00 , Inpt Medicare +3% ,$158.13 ,$258.75 , Inpt Medicare ,$258.75 , Inpt Medicare ,$273.13 , Inpt Medicare +100% ,$264.50 , Inpt Medicaid +6% ,$261.63 , Inpt Medicare ,"$13,265.10 ",$185.15 ,"$13,265.10 ",$258.75 ,$258.75 ,"$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,$258.75 , Inpt Medicare +5% , Inpt Medicaid ,$250.13 , Inpt Medicare ,$258.75 , Inpt Medicare ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 ST. JOSEPH'S - CHIPPEWA FALLS,12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,"$1,061.00 ",$795.75 ,$583.55 ,"$1,061.00 ",$683.28 , Inpt Medicare ,$742.70 , Inpt Medicaid ,"$20,271.00 ", Inpt Medicaid +3% ,"$16,218.00 ","$1,007.95 ", Inpt Medicaid ,$848.80 ,$965.51 , Inpt Medicaid , N/A ,"$1,007.95 ",$954.90 ,$901.85 , Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,$774.53 , Inpt Medicare ,$944.29 ,$954.90 ,$954.90 ,$848.80 , Inpt Medicare +3% ,$583.55 ,$954.90 , Inpt Medicare ,$954.90 , Inpt Medicare ,"$1,007.95 ", Inpt Medicare +100% ,$976.12 , Inpt Medicaid +6% ,$965.51 , Inpt Medicare ,"$13,265.10 ",$683.28 ,"$13,265.10 ",$954.90 ,$954.90 ,"$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,$954.90 , Inpt Medicare +5% , Inpt Medicaid ,$923.07 , Inpt Medicare ,$954.90 , Inpt Medicare ,$954.90 ,$954.90 ,$954.90 ,"$1,029.17 ",$859.41 ,$954.90 ,$954.90 ,$954.90 ,$954.90 ST. JOSEPH'S - CHIPPEWA FALLS,12200001,N/A,HC DAILY SERVICE OBSTETRICS,122,1 ,"$1,061.00 ",$795.75 ,$583.55 ,"$1,061.00 ",$683.28 , Inpt Medicare ,$742.70 , Inpt Medicaid ,"$20,271.00 ", Inpt Medicaid +3% ,"$16,218.00 ","$1,007.95 ", Inpt Medicaid ,$848.80 ,$965.51 , Inpt Medicaid , N/A ,"$1,007.95 ",$954.90 ,$901.85 , Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,$774.53 , Inpt Medicare ,$944.29 ,$954.90 ,$954.90 ,$848.80 , Inpt Medicare +3% ,$583.55 ,$954.90 , Inpt Medicare ,$954.90 , Inpt Medicare ,"$1,007.95 ", Inpt Medicare +100% ,$976.12 , Inpt Medicaid +6% ,$965.51 , Inpt Medicare ,"$13,265.10 ",$683.28 ,"$13,265.10 ",$954.90 ,$954.90 ,"$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,$954.90 , Inpt Medicare +5% , Inpt Medicaid ,$923.07 , Inpt Medicare ,$954.90 , Inpt Medicare ,$954.90 ,$954.90 ,$954.90 ,"$1,029.17 ",$859.41 ,$954.90 ,$954.90 ,$954.90 ,$954.90 ST. JOSEPH'S - CHIPPEWA FALLS,12400002,N/A,HC DAILY SERVICE PSYCH ADULT,124,1 ,"$1,347.00 ","$1,010.25 ",$740.85 ,"$1,347.00 ",$867.47 , Inpt Medicare ,$942.90 , Inpt Medicaid ,"$2,122.00 ", Inpt Medicaid +3% ,"$1,698.00 ","$1,279.65 ", Inpt Medicaid ,"$1,077.60 ","$1,225.77 ", Inpt Medicaid , N/A ,"$1,279.65 ","$1,212.30 ","$1,144.95 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,$983.31 , Inpt Medicare ,"$1,198.83 ","$1,212.30 ","$1,212.30 ","$1,077.60 ", Inpt Medicare +3% ,$740.85 ,"$1,212.30 ", Inpt Medicare ,"$1,212.30 ", Inpt Medicare ,"$1,279.65 ", Inpt Medicare +100% ,"$1,239.24 ", Inpt Medicaid +6% ,"$1,225.77 ", Inpt Medicare ,"$13,265.10 ",$867.47 ,"$13,265.10 ","$1,212.30 ","$1,212.30 ","$16,368.09 ","$2,006.41 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$1,212.30 ", Inpt Medicare +5% , Inpt Medicaid ,"$1,171.89 ", Inpt Medicare ,"$1,212.30 ", Inpt Medicare ,"$1,212.30 ","$1,212.30 ","$1,212.30 ","$1,306.59 ","$1,091.07 ","$1,212.30 ","$1,212.30 ","$1,212.30 ","$1,212.30 " ST. JOSEPH'S - CHIPPEWA FALLS,12400003,N/A,HC DAILY SERVICE PSYCH ADOLESCENT,124,1 ,"$1,645.00 ","$1,233.75 ",$904.75 ,"$1,645.00 ","$1,059.38 ", Inpt Medicare ,"$1,151.50 ", Inpt Medicaid ,"$2,122.00 ", Inpt Medicaid +3% ,"$1,698.00 ","$1,562.75 ", Inpt Medicaid ,"$1,316.00 ","$1,496.95 ", Inpt Medicaid , N/A ,"$1,562.75 ","$1,480.50 ","$1,398.25 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,"$1,200.85 ", Inpt Medicare ,"$1,464.05 ","$1,480.50 ","$1,480.50 ","$1,316.00 ", Inpt Medicare +3% ,$904.75 ,"$1,480.50 ", Inpt Medicare ,"$1,480.50 ", Inpt Medicare ,"$1,562.75 ", Inpt Medicare +100% ,"$1,513.40 ", Inpt Medicaid +6% ,"$1,496.95 ", Inpt Medicare ,"$13,265.10 ","$1,059.38 ","$13,265.10 ","$1,480.50 ","$1,480.50 ","$16,368.09 ","$2,006.41 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$1,480.50 ", Inpt Medicare +5% , Inpt Medicaid ,"$1,431.15 ", Inpt Medicare ,"$1,480.50 ", Inpt Medicare ,"$1,480.50 ","$1,480.50 ","$1,480.50 ","$1,595.65 ","$1,332.45 ","$1,480.50 ","$1,480.50 ","$1,480.50 ","$1,480.50 " ST. JOSEPH'S - CHIPPEWA FALLS,12600001,N/A,HC DAILY SERVICE DETOXIFICATION,126,1 ,"$1,671.00 ","$1,253.25 ",$919.05 ,"$1,671.00 ","$1,076.12 ", Inpt Medicare ,"$1,169.70 ", Inpt Medicaid ,"$1,698.00 ", Inpt Medicaid +3% ,"$1,358.00 ","$1,587.45 ", Inpt Medicaid ,"$1,336.80 ","$1,520.61 ", Inpt Medicaid , N/A ,"$1,587.45 ","$1,503.90 ","$1,420.35 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,"$1,219.83 ", Inpt Medicare ,"$1,487.19 ","$1,503.90 ","$1,503.90 ","$1,336.80 ", Inpt Medicare +3% ,$919.05 ,"$1,503.90 ", Inpt Medicare ,"$1,503.90 ", Inpt Medicare ,"$1,587.45 ", Inpt Medicare +100% ,"$1,537.32 ", Inpt Medicaid +6% ,"$1,520.61 ", Inpt Medicare ,"$13,265.10 ","$1,076.12 ","$13,265.10 ","$1,503.90 ","$1,503.90 ","$16,368.09 ","$1,655.82 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$1,503.90 ", Inpt Medicare +5% , Inpt Medicaid ,"$1,453.77 ", Inpt Medicare ,"$1,503.90 ", Inpt Medicare ,"$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,620.87 ","$1,353.51 ","$1,503.90 ","$1,503.90 ","$1,503.90 ","$1,503.90 " ST. JOSEPH'S - CHIPPEWA FALLS,12800001,N/A,HC DAILY REHAB SERVICE,128,1 ,"$1,520.00 ","$1,140.00 ",$836.00 ,"$1,520.00 ",$978.88 , Inpt Medicare ,"$1,064.00 ", Inpt Medicaid ,"$2,813.00 ", Inpt Medicaid +3% ,"$2,250.00 ","$1,444.00 ", Inpt Medicaid ,"$1,216.00 ","$1,383.20 ", Inpt Medicaid , N/A ,"$1,444.00 ","$1,368.00 ","$1,292.00 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,"$1,109.60 ", Inpt Medicare ,"$1,352.80 ","$1,368.00 ","$1,368.00 ","$1,216.00 ", Inpt Medicare +3% ,$836.00 ,"$1,368.00 ", Inpt Medicare ,"$1,368.00 ", Inpt Medicare ,"$1,444.00 ", Inpt Medicare +100% ,"$1,398.40 ", Inpt Medicaid +6% ,"$1,383.20 ", Inpt Medicare ,"$13,265.10 ",$978.88 ,"$13,265.10 ","$1,368.00 ","$1,368.00 ","$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$1,368.00 ", Inpt Medicare +5% , Inpt Medicaid ,"$1,322.40 ", Inpt Medicare ,"$1,368.00 ", Inpt Medicare ,"$1,368.00 ","$1,368.00 ","$1,368.00 ","$1,474.40 ","$1,231.20 ","$1,368.00 ","$1,368.00 ","$1,368.00 ","$1,368.00 " ST. JOSEPH'S - CHIPPEWA FALLS,12800003,N/A,HC DAILY BEHAVIORAL HLTH MEDICAL MGMT,128,1 ,"$1,298.00 ",$973.50 ,$713.90 ,"$1,298.00 ",$835.91 , Inpt Medicare ,$908.60 , Inpt Medicaid ,"$2,813.00 ", Inpt Medicaid +3% ,"$2,250.00 ","$1,233.10 ", Inpt Medicaid ,"$1,038.40 ","$1,181.18 ", Inpt Medicaid , N/A ,"$1,233.10 ","$1,168.20 ","$1,103.30 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,$947.54 , Inpt Medicare ,"$1,155.22 ","$1,168.20 ","$1,168.20 ","$1,038.40 ", Inpt Medicare +3% ,$713.90 ,"$1,168.20 ", Inpt Medicare ,"$1,168.20 ", Inpt Medicare ,"$1,233.10 ", Inpt Medicare +100% ,"$1,194.16 ", Inpt Medicaid +6% ,"$1,181.18 ", Inpt Medicare ,"$13,265.10 ",$835.91 ,"$13,265.10 ","$1,168.20 ","$1,168.20 ","$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$1,168.20 ", Inpt Medicare +5% , Inpt Medicaid ,"$1,129.26 ", Inpt Medicare ,"$1,168.20 ", Inpt Medicare ,"$1,168.20 ","$1,168.20 ","$1,168.20 ","$1,259.06 ","$1,051.38 ","$1,168.20 ","$1,168.20 ","$1,168.20 ","$1,168.20 " ST. JOSEPH'S - CHIPPEWA FALLS,20000001,N/A,HC DAILY SERVICE ICU,200,1 ,"$2,869.00 ","$2,151.75 ","$1,577.95 ","$2,869.00 ","$1,847.64 ", Inpt Medicare ,"$2,008.30 ", Inpt Medicaid ,"$20,271.00 ", Inpt Medicaid +3% ,"$16,218.00 ","$2,725.55 ", Inpt Medicaid ,"$2,295.20 ","$2,610.79 ", Inpt Medicaid , N/A ,"$2,725.55 ","$2,582.10 ","$2,438.65 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,"$2,094.37 ", Inpt Medicare ,"$2,553.41 ","$2,582.10 ","$2,582.10 ","$2,295.20 ", Inpt Medicare +3% ,"$1,577.95 ","$2,582.10 ", Inpt Medicare ,"$2,582.10 ", Inpt Medicare ,"$2,725.55 ", Inpt Medicare +100% ,"$2,639.48 ", Inpt Medicaid +6% ,"$2,610.79 ", Inpt Medicare ,"$13,265.10 ","$1,847.64 ","$13,265.10 ","$2,582.10 ","$2,582.10 ","$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$2,582.10 ", Inpt Medicare +5% , Inpt Medicaid ,"$2,496.03 ", Inpt Medicare ,"$2,582.10 ", Inpt Medicare ,"$2,582.10 ","$2,582.10 ","$2,582.10 ","$2,782.93 ","$2,323.89 ","$2,582.10 ","$2,582.10 ","$2,582.10 ","$2,582.10 " ST. JOSEPH'S - CHIPPEWA FALLS,20600002,N/A,HC DAILY SERVICE IMCU,206,1 ,"$2,337.00 ","$1,752.75 ","$1,285.35 ","$2,337.00 ","$1,505.03 ", Inpt Medicare ,"$1,635.90 ", Inpt Medicaid ,"$20,271.00 ", Inpt Medicaid +3% ,"$16,218.00 ","$2,220.15 ", Inpt Medicaid ,"$1,869.60 ","$2,126.67 ", Inpt Medicaid , N/A ,"$2,220.15 ","$2,103.30 ","$1,986.45 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,"$1,706.01 ", Inpt Medicare ,"$2,079.93 ","$2,103.30 ","$2,103.30 ","$1,869.60 ", Inpt Medicare +3% ,"$1,285.35 ","$2,103.30 ", Inpt Medicare ,"$2,103.30 ", Inpt Medicare ,"$2,220.15 ", Inpt Medicare +100% ,"$2,150.04 ", Inpt Medicaid +6% ,"$2,126.67 ", Inpt Medicare ,"$13,265.10 ","$1,505.03 ","$13,265.10 ","$2,103.30 ","$2,103.30 ","$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$2,103.30 ", Inpt Medicare +5% , Inpt Medicaid ,"$2,033.19 ", Inpt Medicare ,"$2,103.30 ", Inpt Medicare ,"$2,103.30 ","$2,103.30 ","$2,103.30 ","$2,266.89 ","$1,892.97 ","$2,103.30 ","$2,103.30 ","$2,103.30 ","$2,103.30 " ST. JOSEPH'S - CHIPPEWA FALLS,21000001,N/A,HC DAILY SERVICE W/TELEMETRY,210,1 ,"$1,817.00 ","$1,362.75 ",$999.35 ,"$1,817.00 ","$1,170.15 ", Inpt Medicare ,"$1,271.90 ", Inpt Medicaid ,"$20,271.00 ", Inpt Medicaid +3% ,"$16,218.00 ","$1,726.15 ", Inpt Medicaid ,"$1,453.60 ","$1,653.47 ", Inpt Medicaid , N/A ,"$1,726.15 ","$1,635.30 ","$1,544.45 ", Inpt Medicaid , Inpt Medicaid , Inpt Medicaid ,"$1,326.41 ", Inpt Medicare ,"$1,617.13 ","$1,635.30 ","$1,635.30 ","$1,453.60 ", Inpt Medicare +3% ,$999.35 ,"$1,635.30 ", Inpt Medicare ,"$1,635.30 ", Inpt Medicare ,"$1,726.15 ", Inpt Medicare +100% ,"$1,671.64 ", Inpt Medicaid +6% ,"$1,653.47 ", Inpt Medicare ,"$13,265.10 ","$1,170.15 ","$13,265.10 ","$1,635.30 ","$1,635.30 ","$16,368.09 ","$15,576.09 ", Inpt Medicare +1% , Inpt Medicaid +5% ,"$1,635.30 ", Inpt Medicare +5% , Inpt Medicaid ,"$1,580.79 ", Inpt Medicare ,"$1,635.30 ", Inpt Medicare ,"$1,635.30 ","$1,635.30 ","$1,635.30 ","$1,762.49 ","$1,471.77 ","$1,635.30 ","$1,635.30 ","$1,635.30 ","$1,635.30 " ST. JOSEPH'S - CHIPPEWA FALLS,23100002,N/A,HC CARDIAC/RESP MONITOR,231,1 ,$330.46 ,$247.85 ,$181.75 ,$330.46 ,$212.82 , N/A ,$231.32 , N/A ,$274.28 , Inpt Medicaid +3% ,$218.10 ,$313.94 , N/A ,$264.37 ,$300.72 , N/A ,$310.63 ,$313.94 ,$297.41 ,$280.89 , N/A , N/A , N/A ,$241.24 , N/A ,$294.11 ,$297.41 ,$297.41 ,$264.37 , N/A ,$181.75 ,$297.41 , N/A ,$297.41 , N/A ,$313.94 , N/A ,$304.02 , N/A ,$300.72 , N/A ,$203.37 ,$212.82 ,$203.37 ,$297.41 ,$297.41 ,"$16,368.09 ",$231.32 , N/A , N/A ,$308.98 , N/A , N/A ,$287.50 , N/A ,$297.41 , N/A ,$297.41 ,$297.41 ,$297.41 ,$320.55 ,$267.67 ,$297.41 ,$297.41 ,$297.41 ,$297.41 ST. JOSEPH'S - CHIPPEWA FALLS,26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$464.87 ,$348.65 ,$100.19 ,$464.87 ,$299.38 ,$197.09 ,$325.41 ,$100.19 ,$385.84 , Inpt Medicaid +3% ,$306.81 ,$441.63 , N/A ,$371.90 ,$423.03 ,$100.19 ,$436.98 ,$441.63 ,$418.38 ,$395.14 ,$100.19 ,$100.19 ,$100.19 ,$339.36 ,$197.09 ,$413.73 ,$418.38 ,$418.38 ,$371.90 ,$203.00 ,$255.68 ,$418.38 ,$197.09 ,$418.38 ,$197.09 ,$441.63 ,$443.45 ,$427.68 ,$106.20 ,$423.03 ,$197.09 ,$286.08 ,$299.38 ,$286.08 ,$418.38 ,$418.38 ,"$16,368.09 ",$325.41 ,$199.06 ,$105.20 ,$434.65 ,$206.94 ,$100.19 ,$404.44 ,$197.09 ,$418.38 ,$197.09 ,$418.38 ,$418.38 ,$418.38 ,$450.92 ,$376.54 ,$418.38 ,$418.38 ,$418.38 ,$418.38 ST. JOSEPH'S - CHIPPEWA FALLS,26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$229.98 ,$172.49 ,$38.74 ,$229.98 ,$148.11 ,$38.74 ,$160.99 ,$145.88 ,$190.88 , Inpt Medicaid +3% ,$151.79 ,$218.48 , N/A ,$183.98 ,$209.28 ,$145.88 ,$216.18 ,$218.48 ,$206.98 ,$195.48 ,$145.88 ,$145.88 ,$145.88 ,$167.89 ,$38.74 ,$204.68 ,$206.98 ,$206.98 ,$183.98 ,$39.90 ,$126.49 ,$206.98 ,$38.74 ,$206.98 ,$38.74 ,$218.48 ,$87.17 ,$211.58 ,$154.63 ,$209.28 ,$38.74 ,$141.53 ,$148.11 ,$141.53 ,$206.98 ,$206.98 ,"$16,368.09 ",$160.99 ,$39.13 ,$153.17 ,$215.03 ,$40.68 ,$145.88 ,$200.08 ,$38.74 ,$206.98 ,$38.74 ,$206.98 ,$206.98 ,$206.98 ,$223.08 ,$186.28 ,$206.98 ,$206.98 ,$206.98 ,$206.98 ST. JOSEPH'S - CHIPPEWA FALLS,26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$475.02 ,$356.27 ,$100.19 ,$475.02 ,$305.91 ,$197.09 ,$332.51 ,$100.19 ,$394.27 , Inpt Medicaid +3% ,$313.51 ,$451.27 , N/A ,$380.02 ,$432.27 ,$100.19 ,$446.52 ,$451.27 ,$427.52 ,$403.77 ,$100.19 ,$100.19 ,$100.19 ,$346.76 ,$197.09 ,$422.77 ,$427.52 ,$427.52 ,$380.02 ,$203.00 ,$261.26 ,$427.52 ,$197.09 ,$427.52 ,$197.09 ,$451.27 ,$443.45 ,$437.02 ,$106.20 ,$432.27 ,$197.09 ,$292.33 ,$305.91 ,$292.33 ,$427.52 ,$427.52 ,"$16,368.09 ",$332.51 ,$199.06 ,$105.20 ,$444.14 ,$206.94 ,$100.19 ,$413.27 ,$197.09 ,$427.52 ,$197.09 ,$427.52 ,$427.52 ,$427.52 ,$460.77 ,$384.77 ,$427.52 ,$427.52 ,$427.52 ,$427.52 ST. JOSEPH'S - CHIPPEWA FALLS,26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$232.24 ,$174.18 ,$38.74 ,$232.24 ,$149.56 ,$38.74 ,$162.57 ,$145.88 ,$192.76 , Inpt Medicaid +3% ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$145.88 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$145.88 ,$145.88 ,$145.88 ,$169.54 ,$38.74 ,$206.69 ,$209.02 ,$209.02 ,$185.79 ,$39.90 ,$127.73 ,$209.02 ,$38.74 ,$209.02 ,$38.74 ,$220.63 ,$87.17 ,$213.66 ,$154.63 ,$211.34 ,$38.74 ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,"$16,368.09 ",$162.57 ,$39.13 ,$153.17 ,$217.14 ,$40.68 ,$145.88 ,$202.05 ,$38.74 ,$209.02 ,$38.74 ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 ST. JOSEPH'S - CHIPPEWA FALLS,26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$232.24 ,$174.18 ,$60.02 ,$232.24 ,$149.56 ,$60.02 ,$162.57 ,$100.19 ,$192.76 , Inpt Medicaid +3% ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$100.19 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$100.19 ,$100.19 ,$100.19 ,$169.54 ,$60.02 ,$206.69 ,$209.02 ,$209.02 ,$185.79 ,$61.82 ,$127.73 ,$209.02 ,$60.02 ,$209.02 ,$60.02 ,$220.63 ,$135.04 ,$213.66 ,$106.20 ,$211.34 ,$60.02 ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,"$16,368.09 ",$162.57 ,$60.62 ,$105.20 ,$217.14 ,$63.02 ,$100.19 ,$202.05 ,$60.02 ,$209.02 ,$60.02 ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 ST. JOSEPH'S - CHIPPEWA FALLS,26000005,96368,HC INFUS CONCURRENT,260,1 ,$232.24 ,$174.18 ,$100.19 ,$232.24 ,$149.56 , N/A ,$162.57 ,$100.19 ,$192.76 , Inpt Medicaid +3% ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$100.19 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$100.19 ,$100.19 ,$100.19 ,$169.54 , N/A ,$206.69 ,$209.02 ,$209.02 ,$185.79 , N/A ,$127.73 ,$209.02 , N/A ,$209.02 , N/A ,$220.63 , N/A ,$213.66 ,$106.20 ,$211.34 , N/A ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,"$16,368.09 ",$162.57 , N/A ,$105.20 ,$217.14 , N/A ,$100.19 ,$202.05 , N/A ,$209.02 , N/A ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 ST. JOSEPH'S - CHIPPEWA FALLS,26000006,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$464.87 ,$348.65 ,$100.19 ,$464.87 ,$299.38 ,$197.09 ,$325.41 ,$100.19 ,$385.84 , Inpt Medicaid +3% ,$306.81 ,$441.63 , N/A ,$371.90 ,$423.03 ,$100.19 ,$436.98 ,$441.63 ,$418.38 ,$395.14 ,$100.19 ,$100.19 ,$100.19 ,$339.36 ,$197.09 ,$413.73 ,$418.38 ,$418.38 ,$371.90 ,$203.00 ,$255.68 ,$418.38 ,$197.09 ,$418.38 ,$197.09 ,$441.63 ,$443.45 ,$427.68 ,$106.20 ,$423.03 ,$197.09 ,$286.08 ,$299.38 ,$286.08 ,$418.38 ,$418.38 ,$348.65 ,$325.41 ,$199.06 ,$105.20 ,$434.65 ,$206.94 ,$100.19 ,$404.44 ,$197.09 ,$418.38 ,$197.09 ,$418.38 ,$418.38 ,$418.38 ,$450.92 ,$376.54 ,$418.38 ,$418.38 ,$418.38 ,$418.38 ST. JOSEPH'S - CHIPPEWA FALLS,26000007,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$475.02 ,$356.27 ,$100.19 ,$475.02 ,$305.91 ,$197.09 ,$332.51 ,$100.19 ,$394.27 , Inpt Medicaid +3% ,$313.51 ,$451.27 , N/A ,$380.02 ,$432.27 ,$100.19 ,$446.52 ,$451.27 ,$427.52 ,$403.77 ,$100.19 ,$100.19 ,$100.19 ,$346.76 ,$197.09 ,$422.77 ,$427.52 ,$427.52 ,$380.02 ,$203.00 ,$261.26 ,$427.52 ,$197.09 ,$427.52 ,$197.09 ,$451.27 ,$443.45 ,$437.02 ,$106.20 ,$432.27 ,$197.09 ,$292.33 ,$305.91 ,$292.33 ,$427.52 ,$427.52 ,$356.27 ,$332.51 ,$199.06 ,$105.20 ,$444.14 ,$206.94 ,$100.19 ,$413.27 ,$197.09 ,$427.52 ,$197.09 ,$427.52 ,$427.52 ,$427.52 ,$460.77 ,$384.77 ,$427.52 ,$427.52 ,$427.52 ,$427.52 ST. JOSEPH'S - CHIPPEWA FALLS,26000008,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$201.78 ,$151.34 ,$14.00 ,$201.78 ,$129.95 ,$38.74 ,$141.25 ,$14.00 ,$167.48 ,$14.42 ,$133.17 ,$191.69 , N/A ,$161.42 ,$183.62 ,$14.00 ,$189.67 ,$191.69 ,$181.60 ,$171.51 ,$14.00 ,$14.00 ,$14.00 ,$147.30 ,$38.74 ,$179.58 ,$181.60 ,$181.60 ,$161.42 ,$39.90 ,$110.98 ,$181.60 ,$38.74 ,$181.60 ,$38.74 ,$191.69 ,$87.17 ,$185.64 ,$14.84 ,$183.62 ,$38.74 ,$124.18 ,$129.95 ,$124.18 ,$181.60 ,$181.60 ,$151.34 ,$141.25 ,$39.13 ,$14.70 ,$188.66 ,$40.68 ,$14.00 ,$175.55 ,$38.74 ,$181.60 ,$38.74 ,$181.60 ,$181.60 ,$181.60 ,$195.73 ,$163.44 ,$181.60 ,$181.60 ,$181.60 ,$181.60 ST. JOSEPH'S - CHIPPEWA FALLS,26000009,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$163.20 ,$122.40 ,$14.00 ,$163.20 ,$105.10 , N/A ,$114.24 ,$14.00 ,$135.46 ,$14.42 ,$107.71 ,$155.04 , N/A ,$130.56 ,$148.51 ,$14.00 ,$153.41 ,$155.04 ,$146.88 ,$138.72 ,$14.00 ,$14.00 ,$14.00 ,$119.14 , N/A ,$145.25 ,$146.88 ,$146.88 ,$130.56 , N/A ,$89.76 ,$146.88 , N/A ,$146.88 , N/A ,$155.04 , N/A ,$150.14 ,$14.84 ,$148.51 , N/A ,$100.43 ,$105.10 ,$100.43 ,$146.88 ,$146.88 ,$122.40 ,$114.24 , N/A ,$14.70 ,$152.59 , N/A ,$14.00 ,$141.98 , N/A ,$146.88 , N/A ,$146.88 ,$146.88 ,$146.88 ,$158.30 ,$132.19 ,$146.88 ,$146.88 ,$146.88 ,$146.88 ST. JOSEPH'S - CHIPPEWA FALLS,27000001,N/A,HC HELMET PROTECTIVE,270,1 ,$423.39 ,$317.54 ,$232.86 ,$423.39 ,$272.66 , N/A ,$296.37 , N/A ,$351.41 , N/A ,$279.44 ,$402.22 , N/A ,$338.71 ,$385.28 , N/A ,$397.99 ,$402.22 ,$381.05 ,$359.88 , N/A , N/A , N/A ,$309.07 , N/A ,$376.82 ,$381.05 ,$381.05 ,$338.71 , N/A ,$232.86 ,$381.05 , N/A ,$381.05 , N/A ,$402.22 , N/A ,$389.52 , N/A ,$385.28 , N/A ,$260.55 ,$272.66 ,$260.55 ,$381.05 ,$381.05 ,$317.54 ,$296.37 , N/A , N/A ,$395.87 , N/A , N/A ,$368.35 , N/A ,$381.05 , N/A ,$381.05 ,$381.05 ,$381.05 ,$410.69 ,$342.95 ,$381.05 ,$381.05 ,$381.05 ,$381.05 ST. JOSEPH'S - CHIPPEWA FALLS,27000003,N/A,HC KIT SET-UP COOL GUARD,270,1 ,"$1,020.10 ",$765.08 ,$561.06 ,"$1,020.10 ",$656.94 , N/A ,$714.07 , N/A ,$846.68 , N/A ,$673.27 ,$969.10 , N/A ,$816.08 ,$928.29 , N/A ,$958.89 ,$969.10 ,$918.09 ,$867.09 , N/A , N/A , N/A ,$744.67 , N/A ,$907.89 ,$918.09 ,$918.09 ,$816.08 , N/A ,$561.06 ,$918.09 , N/A ,$918.09 , N/A ,$969.10 , N/A ,$938.49 , N/A ,$928.29 , N/A ,$627.77 ,$656.94 ,$627.77 ,$918.09 ,$918.09 ,$765.08 ,$714.07 , N/A , N/A ,$953.79 , N/A , N/A ,$887.49 , N/A ,$918.09 , N/A ,$918.09 ,$918.09 ,$918.09 ,$989.50 ,$826.28 ,$918.09 ,$918.09 ,$918.09 ,$918.09 ST. JOSEPH'S - CHIPPEWA FALLS,27000004,N/A,HC KIT PACEMAKER/ICD,270,1 ,$541.46 ,$406.10 ,$297.80 ,$541.46 ,$348.70 , N/A ,$379.02 , N/A ,$449.41 , N/A ,$357.36 ,$514.39 , N/A ,$433.17 ,$492.73 , N/A ,$508.97 ,$514.39 ,$487.31 ,$460.24 , N/A , N/A , N/A ,$395.27 , N/A ,$481.90 ,$487.31 ,$487.31 ,$433.17 , N/A ,$297.80 ,$487.31 , N/A ,$487.31 , N/A ,$514.39 , N/A ,$498.14 , N/A ,$492.73 , N/A ,$333.21 ,$348.70 ,$333.21 ,$487.31 ,$487.31 ,$406.10 ,$379.02 , N/A , N/A ,$506.27 , N/A , N/A ,$471.07 , N/A ,$487.31 , N/A ,$487.31 ,$487.31 ,$487.31 ,$525.22 ,$438.58 ,$487.31 ,$487.31 ,$487.31 ,$487.31 ST. JOSEPH'S - CHIPPEWA FALLS,27000006,N/A,HC FEMOSTOP COMPRESSION DEVICE,270,1 ,$358.25 ,$268.69 ,$197.04 ,$358.25 ,$230.71 , N/A ,$250.78 , N/A ,$297.35 , N/A ,$236.45 ,$340.34 , N/A ,$286.60 ,$326.01 , N/A ,$336.76 ,$340.34 ,$322.43 ,$304.51 , N/A , N/A , N/A ,$261.52 , N/A ,$318.84 ,$322.43 ,$322.43 ,$286.60 , N/A ,$197.04 ,$322.43 , N/A ,$322.43 , N/A ,$340.34 , N/A ,$329.59 , N/A ,$326.01 , N/A ,$220.47 ,$230.71 ,$220.47 ,$322.43 ,$322.43 ,$268.69 ,$250.78 , N/A , N/A ,$334.96 , N/A , N/A ,$311.68 , N/A ,$322.43 , N/A ,$322.43 ,$322.43 ,$322.43 ,$347.50 ,$290.18 ,$322.43 ,$322.43 ,$322.43 ,$322.43 ST. JOSEPH'S - CHIPPEWA FALLS,27000013,N/A,HC PUMP BREAST,270,1 ,$28.00 ,$21.00 ,$15.40 ,$28.00 ,$18.03 , N/A ,$19.60 , N/A ,$23.24 , N/A ,$18.48 ,$26.60 , N/A ,$22.40 ,$25.48 , N/A ,$26.32 ,$26.60 ,$25.20 ,$23.80 , N/A , N/A , N/A ,$20.44 , N/A ,$24.92 ,$25.20 ,$25.20 ,$22.40 , N/A ,$15.40 ,$25.20 , N/A ,$25.20 , N/A ,$26.60 , N/A ,$25.76 , N/A ,$25.48 , N/A ,$17.23 ,$18.03 ,$17.23 ,$25.20 ,$25.20 ,$21.00 ,$19.60 , N/A , N/A ,$26.18 , N/A , N/A ,$24.36 , N/A ,$25.20 , N/A ,$25.20 ,$25.20 ,$25.20 ,$27.16 ,$22.68 ,$25.20 ,$25.20 ,$25.20 ,$25.20 ST. JOSEPH'S - CHIPPEWA FALLS,27000021,N/A,HC TRAY ARTHROGRAM,270,1 ,$61.41 ,$46.06 ,$33.78 ,$61.41 ,$39.55 , N/A ,$42.99 , N/A ,$50.97 , N/A ,$40.53 ,$58.34 , N/A ,$49.13 ,$55.88 , N/A ,$57.73 ,$58.34 ,$55.27 ,$52.20 , N/A , N/A , N/A ,$44.83 , N/A ,$54.65 ,$55.27 ,$55.27 ,$49.13 , N/A ,$33.78 ,$55.27 , N/A ,$55.27 , N/A ,$58.34 , N/A ,$56.50 , N/A ,$55.88 , N/A ,$37.79 ,$39.55 ,$37.79 ,$55.27 ,$55.27 ,$46.06 ,$42.99 , N/A , N/A ,$57.42 , N/A , N/A ,$53.43 , N/A ,$55.27 , N/A ,$55.27 ,$55.27 ,$55.27 ,$59.57 ,$49.74 ,$55.27 ,$55.27 ,$55.27 ,$55.27 ST. JOSEPH'S - CHIPPEWA FALLS,27000022,N/A,HC TRAY BIOPSY,270,1 ,$50.60 ,$37.95 ,$27.83 ,$50.60 ,$32.59 , N/A ,$35.42 , N/A ,$42.00 , N/A ,$33.40 ,$48.07 , N/A ,$40.48 ,$46.05 , N/A ,$47.56 ,$48.07 ,$45.54 ,$43.01 , N/A , N/A , N/A ,$36.94 , N/A ,$45.03 ,$45.54 ,$45.54 ,$40.48 , N/A ,$27.83 ,$45.54 , N/A ,$45.54 , N/A ,$48.07 , N/A ,$46.55 , N/A ,$46.05 , N/A ,$31.14 ,$32.59 ,$31.14 ,$45.54 ,$45.54 ,$37.95 ,$35.42 , N/A , N/A ,$47.31 , N/A , N/A ,$44.02 , N/A ,$45.54 , N/A ,$45.54 ,$45.54 ,$45.54 ,$49.08 ,$40.99 ,$45.54 ,$45.54 ,$45.54 ,$45.54 ST. JOSEPH'S - CHIPPEWA FALLS,27000028,N/A,HC ELECTRODE TIER 1,270,1 ,"$1,867.59 ","$1,400.69 ","$1,027.17 ","$1,867.59 ","$1,202.73 ", N/A ,"$1,307.31 ", N/A ,"$1,550.10 ", N/A ,"$1,232.61 ","$1,774.21 ", N/A ,"$1,494.07 ","$1,699.51 ", N/A ,"$1,755.53 ","$1,774.21 ","$1,680.83 ","$1,587.45 ", N/A , N/A , N/A ,"$1,363.34 ", N/A ,"$1,662.16 ","$1,680.83 ","$1,680.83 ","$1,494.07 ", N/A ,"$1,027.17 ","$1,680.83 ", N/A ,"$1,680.83 ", N/A ,"$1,774.21 ", N/A ,"$1,718.18 ", N/A ,"$1,699.51 ", N/A ,"$1,149.31 ","$1,202.73 ","$1,149.31 ","$1,680.83 ","$1,680.83 ","$1,400.69 ","$1,307.31 ", N/A , N/A ,"$1,746.20 ", N/A , N/A ,"$1,624.80 ", N/A ,"$1,680.83 ", N/A ,"$1,680.83 ","$1,680.83 ","$1,680.83 ","$1,811.56 ","$1,512.75 ","$1,680.83 ","$1,680.83 ","$1,680.83 ","$1,680.83 " ST. JOSEPH'S - CHIPPEWA FALLS,27000029,N/A,HC SET ACCESS INTRODUCER,270,1 ,$312.60 ,$234.45 ,$171.93 ,$312.60 ,$201.31 , N/A ,$218.82 , N/A ,$259.46 , N/A ,$206.32 ,$296.97 , N/A ,$250.08 ,$284.47 , N/A ,$293.84 ,$296.97 ,$281.34 ,$265.71 , N/A , N/A , N/A ,$228.20 , N/A ,$278.21 ,$281.34 ,$281.34 ,$250.08 , N/A ,$171.93 ,$281.34 , N/A ,$281.34 , N/A ,$296.97 , N/A ,$287.59 , N/A ,$284.47 , N/A ,$192.37 ,$201.31 ,$192.37 ,$281.34 ,$281.34 ,$234.45 ,$218.82 , N/A , N/A ,$292.28 , N/A , N/A ,$271.96 , N/A ,$281.34 , N/A ,$281.34 ,$281.34 ,$281.34 ,$303.22 ,$253.21 ,$281.34 ,$281.34 ,$281.34 ,$281.34 ST. JOSEPH'S - CHIPPEWA FALLS,27000030,N/A,HC ELECTRODE RFA TIER 1,270,1 ,"$2,437.84 ","$1,828.38 ","$1,340.81 ","$2,437.84 ","$1,569.97 ", N/A ,"$1,706.49 ", N/A ,"$2,023.41 ", N/A ,"$1,608.97 ","$2,315.95 ", N/A ,"$1,950.27 ","$2,218.43 ", N/A ,"$2,291.57 ","$2,315.95 ","$2,194.06 ","$2,072.16 ", N/A , N/A , N/A ,"$1,779.62 ", N/A ,"$2,169.68 ","$2,194.06 ","$2,194.06 ","$1,950.27 ", N/A ,"$1,340.81 ","$2,194.06 ", N/A ,"$2,194.06 ", N/A ,"$2,315.95 ", N/A ,"$2,242.81 ", N/A ,"$2,218.43 ", N/A ,"$1,500.25 ","$1,569.97 ","$1,500.25 ","$2,194.06 ","$2,194.06 ","$1,828.38 ","$1,706.49 ", N/A , N/A ,"$2,279.38 ", N/A , N/A ,"$2,120.92 ", N/A ,"$2,194.06 ", N/A ,"$2,194.06 ","$2,194.06 ","$2,194.06 ","$2,364.70 ","$1,974.65 ","$2,194.06 ","$2,194.06 ","$2,194.06 ","$2,194.06 " ST. JOSEPH'S - CHIPPEWA FALLS,27000031,N/A,HC ELECTRODE RFA TIER 2,270,1 ,"$3,400.27 ","$2,550.20 ","$1,870.15 ","$3,400.27 ","$2,189.77 ", N/A ,"$2,380.19 ", N/A ,"$2,822.22 ", N/A ,"$2,244.18 ","$3,230.26 ", N/A ,"$2,720.22 ","$3,094.25 ", N/A ,"$3,196.25 ","$3,230.26 ","$3,060.24 ","$2,890.23 ", N/A , N/A , N/A ,"$2,482.20 ", N/A ,"$3,026.24 ","$3,060.24 ","$3,060.24 ","$2,720.22 ", N/A ,"$1,870.15 ","$3,060.24 ", N/A ,"$3,060.24 ", N/A ,"$3,230.26 ", N/A ,"$3,128.25 ", N/A ,"$3,094.25 ", N/A ,"$2,092.53 ","$2,189.77 ","$2,092.53 ","$3,060.24 ","$3,060.24 ","$2,550.20 ","$2,380.19 ", N/A , N/A ,"$3,179.25 ", N/A , N/A ,"$2,958.23 ", N/A ,"$3,060.24 ", N/A ,"$3,060.24 ","$3,060.24 ","$3,060.24 ","$3,298.26 ","$2,754.22 ","$3,060.24 ","$3,060.24 ","$3,060.24 ","$3,060.24 " ST. JOSEPH'S - CHIPPEWA FALLS,27000032,N/A,HC ELECTRODE TIER 2,270,1 ,"$1,582.27 ","$1,186.70 ",$870.25 ,"$1,582.27 ","$1,018.98 ", N/A ,"$1,107.59 ", N/A ,"$1,313.28 ", N/A ,"$1,044.30 ","$1,503.16 ", N/A ,"$1,265.82 ","$1,439.87 ", N/A ,"$1,487.33 ","$1,503.16 ","$1,424.04 ","$1,344.93 ", N/A , N/A , N/A ,"$1,155.06 ", N/A ,"$1,408.22 ","$1,424.04 ","$1,424.04 ","$1,265.82 ", N/A ,$870.25 ,"$1,424.04 ", N/A ,"$1,424.04 ", N/A ,"$1,503.16 ", N/A ,"$1,455.69 ", N/A ,"$1,439.87 ", N/A ,$973.73 ,"$1,018.98 ",$973.73 ,"$1,424.04 ","$1,424.04 ","$1,186.70 ","$1,107.59 ", N/A , N/A ,"$1,479.42 ", N/A , N/A ,"$1,376.57 ", N/A ,"$1,424.04 ", N/A ,"$1,424.04 ","$1,424.04 ","$1,424.04 ","$1,534.80 ","$1,281.64 ","$1,424.04 ","$1,424.04 ","$1,424.04 ","$1,424.04 " ST. JOSEPH'S - CHIPPEWA FALLS,27000033,N/A,HC ELECTRODE TIER 3,270,1 ,"$2,461.57 ","$1,846.18 ","$1,353.86 ","$2,461.57 ","$1,585.25 ", N/A ,"$1,723.10 ", N/A ,"$2,043.10 ", N/A ,"$1,624.64 ","$2,338.49 ", N/A ,"$1,969.26 ","$2,240.03 ", N/A ,"$2,313.88 ","$2,338.49 ","$2,215.41 ","$2,092.33 ", N/A , N/A , N/A ,"$1,796.95 ", N/A ,"$2,190.80 ","$2,215.41 ","$2,215.41 ","$1,969.26 ", N/A ,"$1,353.86 ","$2,215.41 ", N/A ,"$2,215.41 ", N/A ,"$2,338.49 ", N/A ,"$2,264.64 ", N/A ,"$2,240.03 ", N/A ,"$1,514.85 ","$1,585.25 ","$1,514.85 ","$2,215.41 ","$2,215.41 ","$1,846.18 ","$1,723.10 ", N/A , N/A ,"$2,301.57 ", N/A , N/A ,"$2,141.57 ", N/A ,"$2,215.41 ", N/A ,"$2,215.41 ","$2,215.41 ","$2,215.41 ","$2,387.72 ","$1,993.87 ","$2,215.41 ","$2,215.41 ","$2,215.41 ","$2,215.41 " ST. JOSEPH'S - CHIPPEWA FALLS,27000034,N/A,HC ELECTRODE SOLOIST,270,1 ,"$1,549.95 ","$1,162.46 ",$852.47 ,"$1,549.95 ",$998.17 , N/A ,"$1,084.97 ", N/A ,"$1,286.46 ", N/A ,"$1,022.97 ","$1,472.45 ", N/A ,"$1,239.96 ","$1,410.45 ", N/A ,"$1,456.95 ","$1,472.45 ","$1,394.96 ","$1,317.46 ", N/A , N/A , N/A ,"$1,131.46 ", N/A ,"$1,379.46 ","$1,394.96 ","$1,394.96 ","$1,239.96 ", N/A ,$852.47 ,"$1,394.96 ", N/A ,"$1,394.96 ", N/A ,"$1,472.45 ", N/A ,"$1,425.95 ", N/A ,"$1,410.45 ", N/A ,$953.84 ,$998.17 ,$953.84 ,"$1,394.96 ","$1,394.96 ","$1,162.46 ","$1,084.97 ", N/A , N/A ,"$1,449.20 ", N/A , N/A ,"$1,348.46 ", N/A ,"$1,394.96 ", N/A ,"$1,394.96 ","$1,394.96 ","$1,394.96 ","$1,503.45 ","$1,255.46 ","$1,394.96 ","$1,394.96 ","$1,394.96 ","$1,394.96 " ST. JOSEPH'S - CHIPPEWA FALLS,27000035,N/A,HC MEPILEX TRANSFER SKIN CARE,270,1 ,$262.40 ,$196.80 ,$144.32 ,$262.40 ,$168.99 , N/A ,$183.68 , N/A ,$217.79 , N/A ,$173.18 ,$249.28 , N/A ,$209.92 ,$238.78 , N/A ,$246.66 ,$249.28 ,$236.16 ,$223.04 , N/A , N/A , N/A ,$191.55 , N/A ,$233.54 ,$236.16 ,$236.16 ,$209.92 , N/A ,$144.32 ,$236.16 , N/A ,$236.16 , N/A ,$249.28 , N/A ,$241.41 , N/A ,$238.78 , N/A ,$161.48 ,$168.99 ,$161.48 ,$236.16 ,$236.16 ,$196.80 ,$183.68 , N/A , N/A ,$245.34 , N/A , N/A ,$228.29 , N/A ,$236.16 , N/A ,$236.16 ,$236.16 ,$236.16 ,$254.53 ,$212.54 ,$236.16 ,$236.16 ,$236.16 ,$236.16 ST. JOSEPH'S - CHIPPEWA FALLS,27000036,N/A,HC TIP BALL PROBE STIMULATING,270,1 ,$188.57 ,$141.43 ,$103.71 ,$188.57 ,$121.44 , N/A ,$132.00 , N/A ,$156.51 , N/A ,$124.46 ,$179.14 , N/A ,$150.86 ,$171.60 , N/A ,$177.26 ,$179.14 ,$169.71 ,$160.28 , N/A , N/A , N/A ,$137.66 , N/A ,$167.83 ,$169.71 ,$169.71 ,$150.86 , N/A ,$103.71 ,$169.71 , N/A ,$169.71 , N/A ,$179.14 , N/A ,$173.48 , N/A ,$171.60 , N/A ,$116.05 ,$121.44 ,$116.05 ,$169.71 ,$169.71 ,$141.43 ,$132.00 , N/A , N/A ,$176.31 , N/A , N/A ,$164.06 , N/A ,$169.71 , N/A ,$169.71 ,$169.71 ,$169.71 ,$182.91 ,$152.74 ,$169.71 ,$169.71 ,$169.71 ,$169.71 ST. JOSEPH'S - CHIPPEWA FALLS,27000037,N/A,HC DEVICE RADIAL COMPRESSION,270,1 ,$158.27 ,$118.70 ,$87.05 ,$158.27 ,$101.93 , N/A ,$110.79 , N/A ,$131.36 , N/A ,$104.46 ,$150.36 , N/A ,$126.62 ,$144.03 , N/A ,$148.77 ,$150.36 ,$142.44 ,$134.53 , N/A , N/A , N/A ,$115.54 , N/A ,$140.86 ,$142.44 ,$142.44 ,$126.62 , N/A ,$87.05 ,$142.44 , N/A ,$142.44 , N/A ,$150.36 , N/A ,$145.61 , N/A ,$144.03 , N/A ,$97.40 ,$101.93 ,$97.40 ,$142.44 ,$142.44 ,$118.70 ,$110.79 , N/A , N/A ,$147.98 , N/A , N/A ,$137.69 , N/A ,$142.44 , N/A ,$142.44 ,$142.44 ,$142.44 ,$153.52 ,$128.20 ,$142.44 ,$142.44 ,$142.44 ,$142.44 ST. JOSEPH'S - CHIPPEWA FALLS,27000038,N/A,HC LUBRICANT ROTAGLIDE,272,1 ,$201.00 ,$150.75 ,$110.55 ,$201.00 ,$129.44 , N/A ,$140.70 , N/A ,$166.83 , N/A ,$132.66 ,$190.95 , N/A ,$160.80 ,$182.91 , N/A ,$188.94 ,$190.95 ,$180.90 ,$170.85 , N/A , N/A , N/A ,$146.73 , N/A ,$178.89 ,$180.90 ,$180.90 ,$160.80 , N/A ,$110.55 ,$180.90 , N/A ,$180.90 , N/A ,$190.95 , N/A ,$184.92 , N/A ,$182.91 , N/A ,$123.70 ,$129.44 ,$123.70 ,$180.90 ,$180.90 ,$150.75 ,$140.70 , N/A , N/A ,$187.94 , N/A , N/A ,$174.87 , N/A ,$180.90 , N/A ,$180.90 ,$180.90 ,$180.90 ,$194.97 ,$162.81 ,$180.90 ,$180.90 ,$180.90 ,$180.90 ST. JOSEPH'S - CHIPPEWA FALLS,27000039,N/A,HC COVER CAP,270,1 ,$75.95 ,$56.96 ,$41.77 ,$75.95 ,$48.91 , N/A ,$53.17 , N/A ,$63.04 , N/A ,$50.13 ,$72.15 , N/A ,$60.76 ,$69.11 , N/A ,$71.39 ,$72.15 ,$68.36 ,$64.56 , N/A , N/A , N/A ,$55.44 , N/A ,$67.60 ,$68.36 ,$68.36 ,$60.76 , N/A ,$41.77 ,$68.36 , N/A ,$68.36 , N/A ,$72.15 , N/A ,$69.87 , N/A ,$69.11 , N/A ,$46.74 ,$48.91 ,$46.74 ,$68.36 ,$68.36 ,$56.96 ,$53.17 , N/A , N/A ,$71.01 , N/A , N/A ,$66.08 , N/A ,$68.36 , N/A ,$68.36 ,$68.36 ,$68.36 ,$73.67 ,$61.52 ,$68.36 ,$68.36 ,$68.36 ,$68.36 ST. JOSEPH'S - CHIPPEWA FALLS,27000040,N/A,HC SYSTEM CLOSED FLUSH BLOOD DRAW,270,1 ,$92.01 ,$69.01 ,$50.61 ,$92.01 ,$59.25 , N/A ,$64.41 , N/A ,$76.37 , N/A ,$60.73 ,$87.41 , N/A ,$73.61 ,$83.73 , N/A ,$86.49 ,$87.41 ,$82.81 ,$78.21 , N/A , N/A , N/A ,$67.17 , N/A ,$81.89 ,$82.81 ,$82.81 ,$73.61 , N/A ,$50.61 ,$82.81 , N/A ,$82.81 , N/A ,$87.41 , N/A ,$84.65 , N/A ,$83.73 , N/A ,$56.62 ,$59.25 ,$56.62 ,$82.81 ,$82.81 ,$69.01 ,$64.41 , N/A , N/A ,$86.03 , N/A , N/A ,$80.05 , N/A ,$82.81 , N/A ,$82.81 ,$82.81 ,$82.81 ,$89.25 ,$74.53 ,$82.81 ,$82.81 ,$82.81 ,$82.81 ST. JOSEPH'S - CHIPPEWA FALLS,27000051,N/A,HC DIALYSATE BAG 5 LITERS,270,1 ,$128.56 ,$96.42 ,$70.71 ,$128.56 ,$82.79 , N/A ,$89.99 , N/A ,$106.70 , N/A ,$84.85 ,$122.13 , N/A ,$102.85 ,$116.99 , N/A ,$120.85 ,$122.13 ,$115.70 ,$109.28 , N/A , N/A , N/A ,$93.85 , N/A ,$114.42 ,$115.70 ,$115.70 ,$102.85 , N/A ,$70.71 ,$115.70 , N/A ,$115.70 , N/A ,$122.13 , N/A ,$118.28 , N/A ,$116.99 , N/A ,$79.12 ,$82.79 ,$79.12 ,$115.70 ,$115.70 ,$96.42 ,$89.99 , N/A , N/A ,$120.20 , N/A , N/A ,$111.85 , N/A ,$115.70 , N/A ,$115.70 ,$115.70 ,$115.70 ,$124.70 ,$104.13 ,$115.70 ,$115.70 ,$115.70 ,$115.70 ST. JOSEPH'S - CHIPPEWA FALLS,27100053,N/A,HC FLUID WARMER,271,1 ,$60.39 ,$45.29 ,$33.21 ,$60.39 ,$38.89 , N/A ,$42.27 , N/A ,$50.12 , N/A ,$39.86 ,$57.37 , N/A ,$48.31 ,$54.95 , N/A ,$56.77 ,$57.37 ,$54.35 ,$51.33 , N/A , N/A , N/A ,$44.08 , N/A ,$53.75 ,$54.35 ,$54.35 ,$48.31 , N/A ,$33.21 ,$54.35 , N/A ,$54.35 , N/A ,$57.37 , N/A ,$55.56 , N/A ,$54.95 , N/A ,$37.16 ,$38.89 ,$37.16 ,$54.35 ,$54.35 ,$45.29 ,$42.27 , N/A , N/A ,$56.46 , N/A , N/A ,$52.54 , N/A ,$54.35 , N/A ,$54.35 ,$54.35 ,$54.35 ,$58.58 ,$48.92 ,$54.35 ,$54.35 ,$54.35 ,$54.35 ST. JOSEPH'S - CHIPPEWA FALLS,27100060,N/A,HC HEEL PROTECTOR WEDGE,271,1 ,$120.00 ,$90.00 ,$66.00 ,$120.00 ,$77.28 , N/A ,$84.00 , N/A ,$99.60 , N/A ,$79.20 ,$114.00 , N/A ,$96.00 ,$109.20 , N/A ,$112.80 ,$114.00 ,$108.00 ,$102.00 , N/A , N/A , N/A ,$87.60 , N/A ,$106.80 ,$108.00 ,$108.00 ,$96.00 , N/A ,$66.00 ,$108.00 , N/A ,$108.00 , N/A ,$114.00 , N/A ,$110.40 , N/A ,$109.20 , N/A ,$73.85 ,$77.28 ,$73.85 ,$108.00 ,$108.00 ,$90.00 ,$84.00 , N/A , N/A ,$112.20 , N/A , N/A ,$104.40 , N/A ,$108.00 , N/A ,$108.00 ,$108.00 ,$108.00 ,$116.40 ,$97.20 ,$108.00 ,$108.00 ,$108.00 ,$108.00 ST. JOSEPH'S - CHIPPEWA FALLS,27100106,N/A,HC OXYGEN DAILY,271,1 ,$151.51 ,$113.63 ,$83.33 ,$151.51 ,$97.57 , N/A ,$106.06 , N/A ,$125.75 , N/A ,$100.00 ,$143.93 , N/A ,$121.21 ,$137.87 , N/A ,$142.42 ,$143.93 ,$136.36 ,$128.78 , N/A , N/A , N/A ,$110.60 , N/A ,$134.84 ,$136.36 ,$136.36 ,$121.21 , N/A ,$83.33 ,$136.36 , N/A ,$136.36 , N/A ,$143.93 , N/A ,$139.39 , N/A ,$137.87 , N/A ,$93.24 ,$97.57 ,$93.24 ,$136.36 ,$136.36 ,$113.63 ,$106.06 , N/A , N/A ,$141.66 , N/A , N/A ,$131.81 , N/A ,$136.36 , N/A ,$136.36 ,$136.36 ,$136.36 ,$146.96 ,$122.72 ,$136.36 ,$136.36 ,$136.36 ,$136.36 ST. JOSEPH'S - CHIPPEWA FALLS,27100114,N/A,HC PEAK FLOWMETER,271,1 ,$73.63 ,$55.22 ,$40.50 ,$73.63 ,$47.42 , N/A ,$51.54 , N/A ,$61.11 , N/A ,$48.60 ,$69.95 , N/A ,$58.90 ,$67.00 , N/A ,$69.21 ,$69.95 ,$66.27 ,$62.59 , N/A , N/A , N/A ,$53.75 , N/A ,$65.53 ,$66.27 ,$66.27 ,$58.90 , N/A ,$40.50 ,$66.27 , N/A ,$66.27 , N/A ,$69.95 , N/A ,$67.74 , N/A ,$67.00 , N/A ,$45.31 ,$47.42 ,$45.31 ,$66.27 ,$66.27 ,$55.22 ,$51.54 , N/A , N/A ,$68.84 , N/A , N/A ,$64.06 , N/A ,$66.27 , N/A ,$66.27 ,$66.27 ,$66.27 ,$71.42 ,$59.64 ,$66.27 ,$66.27 ,$66.27 ,$66.27 ST. JOSEPH'S - CHIPPEWA FALLS,27100184,N/A,HC HELIOX DAILY,271,1 ,$133.12 ,$99.84 ,$73.22 ,$133.12 ,$85.73 , N/A ,$93.18 , N/A ,$110.49 , N/A ,$87.86 ,$126.46 , N/A ,$106.50 ,$121.14 , N/A ,$125.13 ,$126.46 ,$119.81 ,$113.15 , N/A , N/A , N/A ,$97.18 , N/A ,$118.48 ,$119.81 ,$119.81 ,$106.50 , N/A ,$73.22 ,$119.81 , N/A ,$119.81 , N/A ,$126.46 , N/A ,$122.47 , N/A ,$121.14 , N/A ,$81.92 ,$85.73 ,$81.92 ,$119.81 ,$119.81 ,$99.84 ,$93.18 , N/A , N/A ,$124.47 , N/A , N/A ,$115.81 , N/A ,$119.81 , N/A ,$119.81 ,$119.81 ,$119.81 ,$129.13 ,$107.83 ,$119.81 ,$119.81 ,$119.81 ,$119.81 ST. JOSEPH'S - CHIPPEWA FALLS,27100185,N/A,HC CANNULA NASAL OXIMIZER,271,1 ,$102.41 ,$76.81 ,$56.33 ,$102.41 ,$65.95 , N/A ,$71.69 , N/A ,$85.00 , N/A ,$67.59 ,$97.29 , N/A ,$81.93 ,$93.19 , N/A ,$96.27 ,$97.29 ,$92.17 ,$87.05 , N/A , N/A , N/A ,$74.76 , N/A ,$91.14 ,$92.17 ,$92.17 ,$81.93 , N/A ,$56.33 ,$92.17 , N/A ,$92.17 , N/A ,$97.29 , N/A ,$94.22 , N/A ,$93.19 , N/A ,$63.02 ,$65.95 ,$63.02 ,$92.17 ,$92.17 ,$76.81 ,$71.69 , N/A , N/A ,$95.75 , N/A , N/A ,$89.10 , N/A ,$92.17 , N/A ,$92.17 ,$92.17 ,$92.17 ,$99.34 ,$82.95 ,$92.17 ,$92.17 ,$92.17 ,$92.17 ST. JOSEPH'S - CHIPPEWA FALLS,27100186,L3260,HC BOOT/SHOE SURGICAL,274,1 ,$231.80 ,$173.85 ,$127.49 ,$231.80 ,$149.28 , N/A ,$162.26 , N/A ,$192.39 , N/A ,$152.99 ,$220.21 , N/A ,$185.44 ,$210.94 , N/A ,$217.89 ,$220.21 ,$208.62 ,$197.03 , N/A , N/A , N/A ,$169.21 , N/A ,$206.30 ,$208.62 ,$208.62 ,$185.44 , N/A ,$127.49 ,$208.62 , N/A ,$208.62 , N/A ,$220.21 , N/A ,$213.26 , N/A ,$210.94 , N/A ,$142.65 ,$149.28 ,$142.65 ,$208.62 ,$208.62 ,$173.85 , N/A , N/A , N/A ,$216.73 , N/A , N/A ,$201.67 , N/A ,$208.62 , N/A ,$208.62 ,$208.62 ,$208.62 ,$224.85 ,$187.76 ,$208.62 ,$208.62 ,$208.62 ,$208.62 ST. JOSEPH'S - CHIPPEWA FALLS,27100187,N/A,HC BAG DRAINAGE,271,1 ,$105.14 ,$78.86 ,$57.83 ,$105.14 ,$67.71 , N/A ,$73.60 , N/A ,$87.27 , N/A ,$69.39 ,$99.88 , N/A ,$84.11 ,$95.68 , N/A ,$98.83 ,$99.88 ,$94.63 ,$89.37 , N/A , N/A , N/A ,$76.75 , N/A ,$93.57 ,$94.63 ,$94.63 ,$84.11 , N/A ,$57.83 ,$94.63 , N/A ,$94.63 , N/A ,$99.88 , N/A ,$96.73 , N/A ,$95.68 , N/A ,$64.70 ,$67.71 ,$64.70 ,$94.63 ,$94.63 ,$78.86 ,$73.60 , N/A , N/A ,$98.31 , N/A , N/A ,$91.47 , N/A ,$94.63 , N/A ,$94.63 ,$94.63 ,$94.63 ,$101.99 ,$85.16 ,$94.63 ,$94.63 ,$94.63 ,$94.63 ST. JOSEPH'S - CHIPPEWA FALLS,27100196,N/A,HC SENSOR BIS,271,1 ,$67.47 ,$50.60 ,$37.11 ,$67.47 ,$43.45 , N/A ,$47.23 , N/A ,$56.00 , N/A ,$44.53 ,$64.10 , N/A ,$53.98 ,$61.40 , N/A ,$63.42 ,$64.10 ,$60.72 ,$57.35 , N/A , N/A , N/A ,$49.25 , N/A ,$60.05 ,$60.72 ,$60.72 ,$53.98 , N/A ,$37.11 ,$60.72 , N/A ,$60.72 , N/A ,$64.10 , N/A ,$62.07 , N/A ,$61.40 , N/A ,$41.52 ,$43.45 ,$41.52 ,$60.72 ,$60.72 ,$50.60 ,$47.23 , N/A , N/A ,$63.08 , N/A , N/A ,$58.70 , N/A ,$60.72 , N/A ,$60.72 ,$60.72 ,$60.72 ,$65.45 ,$54.65 ,$60.72 ,$60.72 ,$60.72 ,$60.72 ST. JOSEPH'S - CHIPPEWA FALLS,27100240,N/A,HC CAUTERY GROUNDING PAD,271,1 ,$23.94 ,$17.96 ,$13.17 ,$23.94 ,$15.42 , N/A ,$16.76 , N/A ,$19.87 , N/A ,$15.80 ,$22.74 , N/A ,$19.15 ,$21.79 , N/A ,$22.50 ,$22.74 ,$21.55 ,$20.35 , N/A , N/A , N/A ,$17.48 , N/A ,$21.31 ,$21.55 ,$21.55 ,$19.15 , N/A ,$13.17 ,$21.55 , N/A ,$21.55 , N/A ,$22.74 , N/A ,$22.02 , N/A ,$21.79 , N/A ,$14.73 ,$15.42 ,$14.73 ,$21.55 ,$21.55 ,$17.96 ,$16.76 , N/A , N/A ,$22.38 , N/A , N/A ,$20.83 , N/A ,$21.55 , N/A ,$21.55 ,$21.55 ,$21.55 ,$23.22 ,$19.39 ,$21.55 ,$21.55 ,$21.55 ,$21.55 ST. JOSEPH'S - CHIPPEWA FALLS,27200006,C1715,HC BRACHYTHERAPY NEEDLE,272,1 ,$16.46 ,$12.35 ,$9.05 ,$16.46 ,$10.60 , N/A ,$11.52 , N/A ,$13.66 , N/A ,$10.86 ,$15.64 , N/A ,$13.17 ,$14.98 , N/A ,$15.47 ,$15.64 ,$14.81 ,$13.99 , N/A , N/A , N/A ,$12.02 , N/A ,$14.65 ,$14.81 ,$14.81 ,$13.17 , N/A ,$9.05 ,$14.81 , N/A ,$14.81 , N/A ,$15.64 , N/A ,$15.14 , N/A ,$14.98 , N/A ,$10.13 ,$10.60 ,$10.13 ,$14.81 ,$14.81 ,$12.35 ,$11.52 , N/A , N/A ,$15.39 , N/A , N/A ,$14.32 , N/A ,$14.81 , N/A ,$14.81 ,$14.81 ,$14.81 ,$15.97 ,$13.33 ,$14.81 ,$14.81 ,$14.81 ,$14.81 ST. JOSEPH'S - CHIPPEWA FALLS,27200009,C1724,HC ROTABLATOR BURR,272,1 ,"$1,599.30 ","$1,199.48 ",$879.62 ,"$1,599.30 ","$1,029.95 ", N/A ,"$1,119.51 ", N/A ,"$1,327.42 ", N/A ,"$1,055.54 ","$1,519.34 ", N/A ,"$1,279.44 ","$1,455.36 ", N/A ,"$1,503.34 ","$1,519.34 ","$1,439.37 ","$1,359.41 ", N/A , N/A , N/A ,"$1,167.49 ", N/A ,"$1,423.38 ","$1,439.37 ","$1,439.37 ","$1,279.44 ", N/A ,$879.62 ,"$1,439.37 ", N/A ,"$1,439.37 ", N/A ,"$1,519.34 ", N/A ,"$1,471.36 ", N/A ,"$1,455.36 ", N/A ,$984.21 ,"$1,029.95 ",$984.21 ,"$1,439.37 ","$1,439.37 ","$1,199.48 ","$1,119.51 ", N/A , N/A ,"$1,495.35 ", N/A , N/A ,"$1,391.39 ", N/A ,"$1,439.37 ", N/A ,"$1,439.37 ","$1,439.37 ","$1,439.37 ","$1,551.32 ","$1,295.43 ","$1,439.37 ","$1,439.37 ","$1,439.37 ","$1,439.37 " ST. JOSEPH'S - CHIPPEWA FALLS,27200034,C1729,HC CATHETER DRAINAGE,272,1 ,$534.90 ,$401.18 ,$294.20 ,$534.90 ,$344.48 , N/A ,$374.43 , N/A ,$443.97 , N/A ,$353.03 ,$508.16 , N/A ,$427.92 ,$486.76 , N/A ,$502.81 ,$508.16 ,$481.41 ,$454.67 , N/A , N/A , N/A ,$390.48 , N/A ,$476.06 ,$481.41 ,$481.41 ,$427.92 , N/A ,$294.20 ,$481.41 , N/A ,$481.41 , N/A ,$508.16 , N/A ,$492.11 , N/A ,$486.76 , N/A ,$329.18 ,$344.48 ,$329.18 ,$481.41 ,$481.41 ,$401.18 ,$374.43 , N/A , N/A ,$500.13 , N/A , N/A ,$465.36 , N/A ,$481.41 , N/A ,$481.41 ,$481.41 ,$481.41 ,$518.85 ,$433.27 ,$481.41 ,$481.41 ,$481.41 ,$481.41 ST. JOSEPH'S - CHIPPEWA FALLS,27200056,C1757,HC ANGIOJET CATHETER,272,1 ,"$3,240.69 ","$2,430.52 ","$1,782.38 ","$3,240.69 ","$2,087.00 ", N/A ,"$2,268.48 ", N/A ,"$2,689.77 ", N/A ,"$2,138.86 ","$3,078.66 ", N/A ,"$2,592.55 ","$2,949.03 ", N/A ,"$3,046.25 ","$3,078.66 ","$2,916.62 ","$2,754.59 ", N/A , N/A , N/A ,"$2,365.70 ", N/A ,"$2,884.21 ","$2,916.62 ","$2,916.62 ","$2,592.55 ", N/A ,"$1,782.38 ","$2,916.62 ", N/A ,"$2,916.62 ", N/A ,"$3,078.66 ", N/A ,"$2,981.43 ", N/A ,"$2,949.03 ", N/A ,"$1,994.32 ","$2,087.00 ","$1,994.32 ","$2,916.62 ","$2,916.62 ","$2,430.52 ","$2,268.48 ", N/A , N/A ,"$3,030.05 ", N/A , N/A ,"$2,819.40 ", N/A ,"$2,916.62 ", N/A ,"$2,916.62 ","$2,916.62 ","$2,916.62 ","$3,143.47 ","$2,624.96 ","$2,916.62 ","$2,916.62 ","$2,916.62 ","$2,916.62 " ST. JOSEPH'S - CHIPPEWA FALLS,27200059,C1757,HC ANGIOJET ZELANTE CATHETER,272,1 ,"$4,264.73 ","$3,198.55 ","$2,345.60 ","$4,264.73 ","$2,746.49 ", N/A ,"$2,985.31 ", N/A ,"$3,539.73 ", N/A ,"$2,814.72 ","$4,051.49 ", N/A ,"$3,411.78 ","$3,880.90 ", N/A ,"$4,008.85 ","$4,051.49 ","$3,838.26 ","$3,625.02 ", N/A , N/A , N/A ,"$3,113.25 ", N/A ,"$3,795.61 ","$3,838.26 ","$3,838.26 ","$3,411.78 ", N/A ,"$2,345.60 ","$3,838.26 ", N/A ,"$3,838.26 ", N/A ,"$4,051.49 ", N/A ,"$3,923.55 ", N/A ,"$3,880.90 ", N/A ,"$2,624.51 ","$2,746.49 ","$2,624.51 ","$3,838.26 ","$3,838.26 ","$3,198.55 ","$2,985.31 ", N/A , N/A ,"$3,987.52 ", N/A , N/A ,"$3,710.32 ", N/A ,"$3,838.26 ", N/A ,"$3,838.26 ","$3,838.26 ","$3,838.26 ","$4,136.79 ","$3,454.43 ","$3,838.26 ","$3,838.26 ","$3,838.26 ","$3,838.26 " ST. JOSEPH'S - CHIPPEWA FALLS,27200070,C1757,HC CATH THROMBECTOMY,272,1 ,"$1,293.31 ",$969.98 ,$711.32 ,"$1,293.31 ",$832.89 , N/A ,$905.32 , N/A ,"$1,073.45 ", N/A ,$853.58 ,"$1,228.64 ", N/A ,"$1,034.65 ","$1,176.91 ", N/A ,"$1,215.71 ","$1,228.64 ","$1,163.98 ","$1,099.31 ", N/A , N/A , N/A ,$944.12 , N/A ,"$1,151.05 ","$1,163.98 ","$1,163.98 ","$1,034.65 ", N/A ,$711.32 ,"$1,163.98 ", N/A ,"$1,163.98 ", N/A ,"$1,228.64 ", N/A ,"$1,189.85 ", N/A ,"$1,176.91 ", N/A ,$795.90 ,$832.89 ,$795.90 ,"$1,163.98 ","$1,163.98 ",$969.98 ,$905.32 , N/A , N/A ,"$1,209.24 ", N/A , N/A ,"$1,125.18 ", N/A ,"$1,163.98 ", N/A ,"$1,163.98 ","$1,163.98 ","$1,163.98 ","$1,254.51 ","$1,047.58 ","$1,163.98 ","$1,163.98 ","$1,163.98 ","$1,163.98 " ST. JOSEPH'S - CHIPPEWA FALLS,27200077,C1764,HC REVEAL LOOP RECORDER,272,1 ,"$7,340.18 ","$5,505.14 ","$4,037.10 ","$7,340.18 ","$4,727.08 ", N/A ,"$5,138.13 ", N/A ,"$6,092.35 ", N/A ,"$4,844.52 ","$6,973.17 ", N/A ,"$5,872.14 ","$6,679.56 ", N/A ,"$6,899.77 ","$6,973.17 ","$6,606.16 ","$6,239.15 ", N/A , N/A , N/A ,"$5,358.33 ", N/A ,"$6,532.76 ","$6,606.16 ","$6,606.16 ","$5,872.14 ", N/A ,"$4,037.10 ","$6,606.16 ", N/A ,"$6,606.16 ", N/A ,"$6,973.17 ", N/A ,"$6,752.97 ", N/A ,"$6,679.56 ", N/A ,"$4,517.15 ","$4,727.08 ","$4,517.15 ","$6,606.16 ","$6,606.16 ","$5,505.14 ","$5,138.13 ", N/A , N/A ,"$6,863.07 ", N/A , N/A ,"$6,385.96 ", N/A ,"$6,606.16 ", N/A ,"$6,606.16 ","$6,606.16 ","$6,606.16 ","$7,119.97 ","$5,945.55 ","$6,606.16 ","$6,606.16 ","$6,606.16 ","$6,606.16 " ST. JOSEPH'S - CHIPPEWA FALLS,27200138,C1773,HC SNARE RETRIEVAL DEVICE,272,1 ,"$6,547.63 ","$4,910.72 ","$3,601.20 ","$6,547.63 ","$4,216.67 ", N/A ,"$4,583.34 ", N/A ,"$5,434.53 ", N/A ,"$4,321.44 ","$6,220.25 ", N/A ,"$5,238.10 ","$5,958.34 ", N/A ,"$6,154.77 ","$6,220.25 ","$5,892.87 ","$5,565.49 ", N/A , N/A , N/A ,"$4,779.77 ", N/A ,"$5,827.39 ","$5,892.87 ","$5,892.87 ","$5,238.10 ", N/A ,"$3,601.20 ","$5,892.87 ", N/A ,"$5,892.87 ", N/A ,"$6,220.25 ", N/A ,"$6,023.82 ", N/A ,"$5,958.34 ", N/A ,"$4,029.41 ","$4,216.67 ","$4,029.41 ","$5,892.87 ","$5,892.87 ","$4,910.72 ","$4,583.34 ", N/A , N/A ,"$6,122.03 ", N/A , N/A ,"$5,696.44 ", N/A ,"$5,892.87 ", N/A ,"$5,892.87 ","$5,892.87 ","$5,892.87 ","$6,351.20 ","$5,303.58 ","$5,892.87 ","$5,892.87 ","$5,892.87 ","$5,892.87 " ST. JOSEPH'S - CHIPPEWA FALLS,27200176,C2618,HC CRYO ABLATION SYSTEM,272,1 ,"$2,722.76 ","$2,042.07 ","$1,497.52 ","$2,722.76 ","$1,753.46 ", N/A ,"$1,905.93 ", N/A ,"$2,259.89 ", N/A ,"$1,797.02 ","$2,586.62 ", N/A ,"$2,178.21 ","$2,477.71 ", N/A ,"$2,559.39 ","$2,586.62 ","$2,450.48 ","$2,314.35 ", N/A , N/A , N/A ,"$1,987.61 ", N/A ,"$2,423.26 ","$2,450.48 ","$2,450.48 ","$2,178.21 ", N/A ,"$1,497.52 ","$2,450.48 ", N/A ,"$2,450.48 ", N/A ,"$2,586.62 ", N/A ,"$2,504.94 ", N/A ,"$2,477.71 ", N/A ,"$1,675.59 ","$1,753.46 ","$1,675.59 ","$2,450.48 ","$2,450.48 ","$2,042.07 ","$1,905.93 ", N/A , N/A ,"$2,545.78 ", N/A , N/A ,"$2,368.80 ", N/A ,"$2,450.48 ", N/A ,"$2,450.48 ","$2,450.48 ","$2,450.48 ","$2,641.08 ","$2,205.44 ","$2,450.48 ","$2,450.48 ","$2,450.48 ","$2,450.48 " ST. JOSEPH'S - CHIPPEWA FALLS,27200247,N/A,HC ANGIOJET PUMPSET,272,1 ,"$1,285.02 ",$963.77 ,$706.76 ,"$1,285.02 ",$827.55 , N/A ,$899.51 , N/A ,"$1,066.57 ", N/A ,$848.11 ,"$1,220.77 ", N/A ,"$1,028.02 ","$1,169.37 ", N/A ,"$1,207.92 ","$1,220.77 ","$1,156.52 ","$1,092.27 ", N/A , N/A , N/A ,$938.06 , N/A ,"$1,143.67 ","$1,156.52 ","$1,156.52 ","$1,028.02 ", N/A ,$706.76 ,"$1,156.52 ", N/A ,"$1,156.52 ", N/A ,"$1,220.77 ", N/A ,"$1,182.22 ", N/A ,"$1,169.37 ", N/A ,$790.80 ,$827.55 ,$790.80 ,"$1,156.52 ","$1,156.52 ",$963.77 ,$899.51 , N/A , N/A ,"$1,201.49 ", N/A , N/A ,"$1,117.97 ", N/A ,"$1,156.52 ", N/A ,"$1,156.52 ","$1,156.52 ","$1,156.52 ","$1,246.47 ","$1,040.87 ","$1,156.52 ","$1,156.52 ","$1,156.52 ","$1,156.52 " ST. JOSEPH'S - CHIPPEWA FALLS,27200338,N/A,HC BIOPSY DEVICE NEEDLE CORE,272,1 ,$106.05 ,$79.54 ,$58.33 ,$106.05 ,$68.30 , N/A ,$74.24 , N/A ,$88.02 , N/A ,$69.99 ,$100.75 , N/A ,$84.84 ,$96.51 , N/A ,$99.69 ,$100.75 ,$95.45 ,$90.14 , N/A , N/A , N/A ,$77.42 , N/A ,$94.38 ,$95.45 ,$95.45 ,$84.84 , N/A ,$58.33 ,$95.45 , N/A ,$95.45 , N/A ,$100.75 , N/A ,$97.57 , N/A ,$96.51 , N/A ,$65.26 ,$68.30 ,$65.26 ,$95.45 ,$95.45 ,$79.54 ,$74.24 , N/A , N/A ,$99.16 , N/A , N/A ,$92.26 , N/A ,$95.45 , N/A ,$95.45 ,$95.45 ,$95.45 ,$102.87 ,$85.90 ,$95.45 ,$95.45 ,$95.45 ,$95.45 ST. JOSEPH'S - CHIPPEWA FALLS,27200507,N/A,HC BLADE STERNUM,272,1 ,$81.22 ,$60.92 ,$44.67 ,$81.22 ,$52.31 , N/A ,$56.85 , N/A ,$67.41 , N/A ,$53.61 ,$77.16 , N/A ,$64.98 ,$73.91 , N/A ,$76.35 ,$77.16 ,$73.10 ,$69.04 , N/A , N/A , N/A ,$59.29 , N/A ,$72.29 ,$73.10 ,$73.10 ,$64.98 , N/A ,$44.67 ,$73.10 , N/A ,$73.10 , N/A ,$77.16 , N/A ,$74.72 , N/A ,$73.91 , N/A ,$49.98 ,$52.31 ,$49.98 ,$73.10 ,$73.10 ,$60.92 ,$56.85 , N/A , N/A ,$75.94 , N/A , N/A ,$70.66 , N/A ,$73.10 , N/A ,$73.10 ,$73.10 ,$73.10 ,$78.78 ,$65.79 ,$73.10 ,$73.10 ,$73.10 ,$73.10 ST. JOSEPH'S - CHIPPEWA FALLS,27200744,N/A,HC CATH ANGIOGRAPHIC SLIP,272,1 ,$109.08 ,$81.81 ,$59.99 ,$109.08 ,$70.25 , N/A ,$76.36 , N/A ,$90.54 , N/A ,$71.99 ,$103.63 , N/A ,$87.26 ,$99.26 , N/A ,$102.54 ,$103.63 ,$98.17 ,$92.72 , N/A , N/A , N/A ,$79.63 , N/A ,$97.08 ,$98.17 ,$98.17 ,$87.26 , N/A ,$59.99 ,$98.17 , N/A ,$98.17 , N/A ,$103.63 , N/A ,$100.35 , N/A ,$99.26 , N/A ,$67.13 ,$70.25 ,$67.13 ,$98.17 ,$98.17 ,$81.81 ,$76.36 , N/A , N/A ,$101.99 , N/A , N/A ,$94.90 , N/A ,$98.17 , N/A ,$98.17 ,$98.17 ,$98.17 ,$105.81 ,$88.35 ,$98.17 ,$98.17 ,$98.17 ,$98.17 ST. JOSEPH'S - CHIPPEWA FALLS,27200801,N/A,HC CATH LEG BAG (ALL SIZES),272,1 ,$32.91 ,$24.68 ,$18.10 ,$32.91 ,$21.19 , N/A ,$23.04 , N/A ,$27.32 , N/A ,$21.72 ,$31.26 , N/A ,$26.33 ,$29.95 , N/A ,$30.94 ,$31.26 ,$29.62 ,$27.97 , N/A , N/A , N/A ,$24.02 , N/A ,$29.29 ,$29.62 ,$29.62 ,$26.33 , N/A ,$18.10 ,$29.62 , N/A ,$29.62 , N/A ,$31.26 , N/A ,$30.28 , N/A ,$29.95 , N/A ,$20.25 ,$21.19 ,$20.25 ,$29.62 ,$29.62 ,$24.68 ,$23.04 , N/A , N/A ,$30.77 , N/A , N/A ,$28.63 , N/A ,$29.62 , N/A ,$29.62 ,$29.62 ,$29.62 ,$31.92 ,$26.66 ,$29.62 ,$29.62 ,$29.62 ,$29.62 ST. JOSEPH'S - CHIPPEWA FALLS,27200846,N/A,HC CATHETER,272,1 ,$237.76 ,$178.32 ,$130.77 ,$237.76 ,$153.12 , N/A ,$166.43 , N/A ,$197.34 , N/A ,$156.92 ,$225.87 , N/A ,$190.21 ,$216.36 , N/A ,$223.49 ,$225.87 ,$213.98 ,$202.10 , N/A , N/A , N/A ,$173.56 , N/A ,$211.61 ,$213.98 ,$213.98 ,$190.21 , N/A ,$130.77 ,$213.98 , N/A ,$213.98 , N/A ,$225.87 , N/A ,$218.74 , N/A ,$216.36 , N/A ,$146.32 ,$153.12 ,$146.32 ,$213.98 ,$213.98 ,$178.32 ,$166.43 , N/A , N/A ,$222.31 , N/A , N/A ,$206.85 , N/A ,$213.98 , N/A ,$213.98 ,$213.98 ,$213.98 ,$230.63 ,$192.59 ,$213.98 ,$213.98 ,$213.98 ,$213.98 ST. JOSEPH'S - CHIPPEWA FALLS,27201247,N/A,HC ENDOTRACH TUBE HOLDER,272,1 ,$66.16 ,$49.62 ,$36.39 ,$66.16 ,$42.61 , N/A ,$46.31 , N/A ,$54.91 , N/A ,$43.67 ,$62.85 , N/A ,$52.93 ,$60.21 , N/A ,$62.19 ,$62.85 ,$59.54 ,$56.24 , N/A , N/A , N/A ,$48.30 , N/A ,$58.88 ,$59.54 ,$59.54 ,$52.93 , N/A ,$36.39 ,$59.54 , N/A ,$59.54 , N/A ,$62.85 , N/A ,$60.87 , N/A ,$60.21 , N/A ,$40.71 ,$42.61 ,$40.71 ,$59.54 ,$59.54 ,$49.62 ,$46.31 , N/A , N/A ,$61.86 , N/A , N/A ,$57.56 , N/A ,$59.54 , N/A ,$59.54 ,$59.54 ,$59.54 ,$64.18 ,$53.59 ,$59.54 ,$59.54 ,$59.54 ,$59.54 ST. JOSEPH'S - CHIPPEWA FALLS,27201319,N/A,HC FOLEY CATH W/URINE METER,272,1 ,$44.85 ,$33.64 ,$24.67 ,$44.85 ,$28.88 , N/A ,$31.40 , N/A ,$37.23 , N/A ,$29.60 ,$42.61 , N/A ,$35.88 ,$40.81 , N/A ,$42.16 ,$42.61 ,$40.37 ,$38.12 , N/A , N/A , N/A ,$32.74 , N/A ,$39.92 ,$40.37 ,$40.37 ,$35.88 , N/A ,$24.67 ,$40.37 , N/A ,$40.37 , N/A ,$42.61 , N/A ,$41.26 , N/A ,$40.81 , N/A ,$27.60 ,$28.88 ,$27.60 ,$40.37 ,$40.37 ,$33.64 ,$31.40 , N/A , N/A ,$41.93 , N/A , N/A ,$39.02 , N/A ,$40.37 , N/A ,$40.37 ,$40.37 ,$40.37 ,$43.50 ,$36.33 ,$40.37 ,$40.37 ,$40.37 ,$40.37 ST. JOSEPH'S - CHIPPEWA FALLS,27201327,N/A,HC FRONTRUNNER XP CTO CATHETER,272,1 ,"$1,533.18 ","$1,149.89 ",$843.25 ,"$1,533.18 ",$987.37 , N/A ,"$1,073.23 ", N/A ,"$1,272.54 ", N/A ,"$1,011.90 ","$1,456.52 ", N/A ,"$1,226.54 ","$1,395.19 ", N/A ,"$1,441.19 ","$1,456.52 ","$1,379.86 ","$1,303.20 ", N/A , N/A , N/A ,"$1,119.22 ", N/A ,"$1,364.53 ","$1,379.86 ","$1,379.86 ","$1,226.54 ", N/A ,$843.25 ,"$1,379.86 ", N/A ,"$1,379.86 ", N/A ,"$1,456.52 ", N/A ,"$1,410.53 ", N/A ,"$1,395.19 ", N/A ,$943.52 ,$987.37 ,$943.52 ,"$1,379.86 ","$1,379.86 ","$1,149.89 ","$1,073.23 ", N/A , N/A ,"$1,433.52 ", N/A , N/A ,"$1,333.87 ", N/A ,"$1,379.86 ", N/A ,"$1,379.86 ","$1,379.86 ","$1,379.86 ","$1,487.18 ","$1,241.88 ","$1,379.86 ","$1,379.86 ","$1,379.86 ","$1,379.86 " ST. JOSEPH'S - CHIPPEWA FALLS,27201417,N/A,HC HOLMIUM LASER FIBER,272,1 ,$202.00 ,$151.50 ,$111.10 ,$202.00 ,$130.09 , N/A ,$141.40 , N/A ,$167.66 , N/A ,$133.32 ,$191.90 , N/A ,$161.60 ,$183.82 , N/A ,$189.88 ,$191.90 ,$181.80 ,$171.70 , N/A , N/A , N/A ,$147.46 , N/A ,$179.78 ,$181.80 ,$181.80 ,$161.60 , N/A ,$111.10 ,$181.80 , N/A ,$181.80 , N/A ,$191.90 , N/A ,$185.84 , N/A ,$183.82 , N/A ,$124.31 ,$130.09 ,$124.31 ,$181.80 ,$181.80 ,$151.50 ,$141.40 , N/A , N/A ,$188.87 , N/A , N/A ,$175.74 , N/A ,$181.80 , N/A ,$181.80 ,$181.80 ,$181.80 ,$195.94 ,$163.62 ,$181.80 ,$181.80 ,$181.80 ,$181.80 ST. JOSEPH'S - CHIPPEWA FALLS,27201423,N/A,HC HYSTEROSALPINGEOGRAM CATH,272,1 ,$90.70 ,$68.03 ,$49.89 ,$90.70 ,$58.41 , N/A ,$63.49 , N/A ,$75.28 , N/A ,$59.86 ,$86.17 , N/A ,$72.56 ,$82.54 , N/A ,$85.26 ,$86.17 ,$81.63 ,$77.10 , N/A , N/A , N/A ,$66.21 , N/A ,$80.72 ,$81.63 ,$81.63 ,$72.56 , N/A ,$49.89 ,$81.63 , N/A ,$81.63 , N/A ,$86.17 , N/A ,$83.44 , N/A ,$82.54 , N/A ,$55.82 ,$58.41 ,$55.82 ,$81.63 ,$81.63 ,$68.03 ,$63.49 , N/A , N/A ,$84.80 , N/A , N/A ,$78.91 , N/A ,$81.63 , N/A ,$81.63 ,$81.63 ,$81.63 ,$87.98 ,$73.47 ,$81.63 ,$81.63 ,$81.63 ,$81.63 ST. JOSEPH'S - CHIPPEWA FALLS,27201424,N/A,HC IABP BALLOON,272,1 ,"$2,457.63 ","$1,843.22 ","$1,351.70 ","$2,457.63 ","$1,582.71 ", N/A ,"$1,720.34 ", N/A ,"$2,039.83 ", N/A ,"$1,622.04 ","$2,334.75 ", N/A ,"$1,966.10 ","$2,236.44 ", N/A ,"$2,310.17 ","$2,334.75 ","$2,211.87 ","$2,088.99 ", N/A , N/A , N/A ,"$1,794.07 ", N/A ,"$2,187.29 ","$2,211.87 ","$2,211.87 ","$1,966.10 ", N/A ,"$1,351.70 ","$2,211.87 ", N/A ,"$2,211.87 ", N/A ,"$2,334.75 ", N/A ,"$2,261.02 ", N/A ,"$2,236.44 ", N/A ,"$1,512.43 ","$1,582.71 ","$1,512.43 ","$2,211.87 ","$2,211.87 ","$1,843.22 ","$1,720.34 ", N/A , N/A ,"$2,297.88 ", N/A , N/A ,"$2,138.14 ", N/A ,"$2,211.87 ", N/A ,"$2,211.87 ","$2,211.87 ","$2,211.87 ","$2,383.90 ","$1,990.68 ","$2,211.87 ","$2,211.87 ","$2,211.87 ","$2,211.87 " ST. JOSEPH'S - CHIPPEWA FALLS,27201427,N/A,HC ICY CATH KIT,272,1 ,"$1,789.22 ","$1,341.92 ",$984.07 ,"$1,789.22 ","$1,152.26 ", N/A ,"$1,252.45 ", N/A ,"$1,485.05 ", N/A ,"$1,180.89 ","$1,699.76 ", N/A ,"$1,431.38 ","$1,628.19 ", N/A ,"$1,681.87 ","$1,699.76 ","$1,610.30 ","$1,520.84 ", N/A , N/A , N/A ,"$1,306.13 ", N/A ,"$1,592.41 ","$1,610.30 ","$1,610.30 ","$1,431.38 ", N/A ,$984.07 ,"$1,610.30 ", N/A ,"$1,610.30 ", N/A ,"$1,699.76 ", N/A ,"$1,646.08 ", N/A ,"$1,628.19 ", N/A ,"$1,101.09 ","$1,152.26 ","$1,101.09 ","$1,610.30 ","$1,610.30 ","$1,341.92 ","$1,252.45 ", N/A , N/A ,"$1,672.92 ", N/A , N/A ,"$1,556.62 ", N/A ,"$1,610.30 ", N/A ,"$1,610.30 ","$1,610.30 ","$1,610.30 ","$1,735.54 ","$1,449.27 ","$1,610.30 ","$1,610.30 ","$1,610.30 ","$1,610.30 " ST. JOSEPH'S - CHIPPEWA FALLS,27201431,N/A,HC INFLATION DEVICE,272,1 ,$419.05 ,$314.29 ,$230.48 ,$419.05 ,$269.87 , N/A ,$293.34 , N/A ,$347.81 , N/A ,$276.57 ,$398.10 , N/A ,$335.24 ,$381.34 , N/A ,$393.91 ,$398.10 ,$377.15 ,$356.19 , N/A , N/A , N/A ,$305.91 , N/A ,$372.95 ,$377.15 ,$377.15 ,$335.24 , N/A ,$230.48 ,$377.15 , N/A ,$377.15 , N/A ,$398.10 , N/A ,$385.53 , N/A ,$381.34 , N/A ,$257.88 ,$269.87 ,$257.88 ,$377.15 ,$377.15 ,$314.29 ,$293.34 , N/A , N/A ,$391.81 , N/A , N/A ,$364.57 , N/A ,$377.15 , N/A ,$377.15 ,$377.15 ,$377.15 ,$406.48 ,$339.43 ,$377.15 ,$377.15 ,$377.15 ,$377.15 ST. JOSEPH'S - CHIPPEWA FALLS,27201487,N/A,HC KIT ARROW 9 MAC TWO LUMEN,272,1 ,$431.00 ,$323.25 ,$237.05 ,$431.00 ,$277.56 , N/A ,$301.70 , N/A ,$357.73 , N/A ,$284.46 ,$409.45 , N/A ,$344.80 ,$392.21 , N/A ,$405.14 ,$409.45 ,$387.90 ,$366.35 , N/A , N/A , N/A ,$314.63 , N/A ,$383.59 ,$387.90 ,$387.90 ,$344.80 , N/A ,$237.05 ,$387.90 , N/A ,$387.90 , N/A ,$409.45 , N/A ,$396.52 , N/A ,$392.21 , N/A ,$265.24 ,$277.56 ,$265.24 ,$387.90 ,$387.90 ,$323.25 ,$301.70 , N/A , N/A ,$402.99 , N/A , N/A ,$374.97 , N/A ,$387.90 , N/A ,$387.90 ,$387.90 ,$387.90 ,$418.07 ,$349.11 ,$387.90 ,$387.90 ,$387.90 ,$387.90 ST. JOSEPH'S - CHIPPEWA FALLS,27201521,N/A,HC KIT INTRODUCER,272,1 ,$210.52 ,$157.89 ,$115.79 ,$210.52 ,$135.57 , N/A ,$147.36 , N/A ,$174.73 , N/A ,$138.94 ,$199.99 , N/A ,$168.42 ,$191.57 , N/A ,$197.89 ,$199.99 ,$189.47 ,$178.94 , N/A , N/A , N/A ,$153.68 , N/A ,$187.36 ,$189.47 ,$189.47 ,$168.42 , N/A ,$115.79 ,$189.47 , N/A ,$189.47 , N/A ,$199.99 , N/A ,$193.68 , N/A ,$191.57 , N/A ,$129.55 ,$135.57 ,$129.55 ,$189.47 ,$189.47 ,$157.89 ,$147.36 , N/A , N/A ,$196.84 , N/A , N/A ,$183.15 , N/A ,$189.47 , N/A ,$189.47 ,$189.47 ,$189.47 ,$204.20 ,$170.52 ,$189.47 ,$189.47 ,$189.47 ,$189.47 ST. JOSEPH'S - CHIPPEWA FALLS,27201637,N/A,HC MAMMOTOME PROBE,272,1 ,$610.44 ,$457.83 ,$335.74 ,$610.44 ,$393.12 , N/A ,$427.31 , N/A ,$506.67 , N/A ,$402.89 ,$579.92 , N/A ,$488.35 ,$555.50 , N/A ,$573.81 ,$579.92 ,$549.40 ,$518.87 , N/A , N/A , N/A ,$445.62 , N/A ,$543.29 ,$549.40 ,$549.40 ,$488.35 , N/A ,$335.74 ,$549.40 , N/A ,$549.40 , N/A ,$579.92 , N/A ,$561.60 , N/A ,$555.50 , N/A ,$375.66 ,$393.12 ,$375.66 ,$549.40 ,$549.40 ,$457.83 ,$427.31 , N/A , N/A ,$570.76 , N/A , N/A ,$531.08 , N/A ,$549.40 , N/A ,$549.40 ,$549.40 ,$549.40 ,$592.13 ,$494.46 ,$549.40 ,$549.40 ,$549.40 ,$549.40 ST. JOSEPH'S - CHIPPEWA FALLS,27201713,N/A,HC NEEDLE SPINAL,272,1 ,$38.08 ,$28.56 ,$20.94 ,$38.08 ,$24.52 , N/A ,$26.66 , N/A ,$31.61 , N/A ,$25.13 ,$36.18 , N/A ,$30.46 ,$34.65 , N/A ,$35.80 ,$36.18 ,$34.27 ,$32.37 , N/A , N/A , N/A ,$27.80 , N/A ,$33.89 ,$34.27 ,$34.27 ,$30.46 , N/A ,$20.94 ,$34.27 , N/A ,$34.27 , N/A ,$36.18 , N/A ,$35.03 , N/A ,$34.65 , N/A ,$23.43 ,$24.52 ,$23.43 ,$34.27 ,$34.27 ,$28.56 ,$26.66 , N/A , N/A ,$35.60 , N/A , N/A ,$33.13 , N/A ,$34.27 , N/A ,$34.27 ,$34.27 ,$34.27 ,$36.94 ,$30.84 ,$34.27 ,$34.27 ,$34.27 ,$34.27 ST. JOSEPH'S - CHIPPEWA FALLS,27201768,N/A,HC OUTBACK LTD CATHETER,272,1 ,"$2,964.10 ","$2,223.08 ","$1,630.26 ","$2,964.10 ","$1,908.88 ", N/A ,"$2,074.87 ", N/A ,"$2,460.20 ", N/A ,"$1,956.31 ","$2,815.90 ", N/A ,"$2,371.28 ","$2,697.33 ", N/A ,"$2,786.25 ","$2,815.90 ","$2,667.69 ","$2,519.49 ", N/A , N/A , N/A ,"$2,163.79 ", N/A ,"$2,638.05 ","$2,667.69 ","$2,667.69 ","$2,371.28 ", N/A ,"$1,630.26 ","$2,667.69 ", N/A ,"$2,667.69 ", N/A ,"$2,815.90 ", N/A ,"$2,726.97 ", N/A ,"$2,697.33 ", N/A ,"$1,824.11 ","$1,908.88 ","$1,824.11 ","$2,667.69 ","$2,667.69 ","$2,223.08 ","$2,074.87 ", N/A , N/A ,"$2,771.43 ", N/A , N/A ,"$2,578.77 ", N/A ,"$2,667.69 ", N/A ,"$2,667.69 ","$2,667.69 ","$2,667.69 ","$2,875.18 ","$2,400.92 ","$2,667.69 ","$2,667.69 ","$2,667.69 ","$2,667.69 " ST. JOSEPH'S - CHIPPEWA FALLS,27201911,N/A,HC PROBE LASER FIBER,272,1 ,"$1,328.15 ",$996.11 ,$730.48 ,"$1,328.15 ",$855.33 , N/A ,$929.71 , N/A ,"$1,102.36 ", N/A ,$876.58 ,"$1,261.74 ", N/A ,"$1,062.52 ","$1,208.62 ", N/A ,"$1,248.46 ","$1,261.74 ","$1,195.34 ","$1,128.93 ", N/A , N/A , N/A ,$969.55 , N/A ,"$1,182.05 ","$1,195.34 ","$1,195.34 ","$1,062.52 ", N/A ,$730.48 ,"$1,195.34 ", N/A ,"$1,195.34 ", N/A ,"$1,261.74 ", N/A ,"$1,221.90 ", N/A ,"$1,208.62 ", N/A ,$817.34 ,$855.33 ,$817.34 ,"$1,195.34 ","$1,195.34 ",$996.11 ,$929.71 , N/A , N/A ,"$1,241.82 ", N/A , N/A ,"$1,155.49 ", N/A ,"$1,195.34 ", N/A ,"$1,195.34 ","$1,195.34 ","$1,195.34 ","$1,288.31 ","$1,075.80 ","$1,195.34 ","$1,195.34 ","$1,195.34 ","$1,195.34 " ST. JOSEPH'S - CHIPPEWA FALLS,27201970,N/A,HC RESOLUTION CLIP,272,1 ,$597.00 ,$447.75 ,$328.35 ,$597.00 ,$384.47 , N/A ,$417.90 , N/A ,$495.51 , N/A ,$394.02 ,$567.15 , N/A ,$477.60 ,$543.27 , N/A ,$561.18 ,$567.15 ,$537.30 ,$507.45 , N/A , N/A , N/A ,$435.81 , N/A ,$531.33 ,$537.30 ,$537.30 ,$477.60 , N/A ,$328.35 ,$537.30 , N/A ,$537.30 , N/A ,$567.15 , N/A ,$549.24 , N/A ,$543.27 , N/A ,$367.39 ,$384.47 ,$367.39 ,$537.30 ,$537.30 ,$447.75 ,$417.90 , N/A , N/A ,$558.20 , N/A , N/A ,$519.39 , N/A ,$537.30 , N/A ,$537.30 ,$537.30 ,$537.30 ,$579.09 ,$483.57 ,$537.30 ,$537.30 ,$537.30 ,$537.30 ST. JOSEPH'S - CHIPPEWA FALLS,27202167,N/A,HC STYLET VNUS RFS 6F 12CM,272,1 ,"$1,663.00 ","$1,247.25 ",$914.65 ,"$1,663.00 ","$1,070.97 ", N/A ,"$1,164.10 ", N/A ,"$1,380.29 ", N/A ,"$1,097.58 ","$1,579.85 ", N/A ,"$1,330.40 ","$1,513.33 ", N/A ,"$1,563.22 ","$1,579.85 ","$1,496.70 ","$1,413.55 ", N/A , N/A , N/A ,"$1,213.99 ", N/A ,"$1,480.07 ","$1,496.70 ","$1,496.70 ","$1,330.40 ", N/A ,$914.65 ,"$1,496.70 ", N/A ,"$1,496.70 ", N/A ,"$1,579.85 ", N/A ,"$1,529.96 ", N/A ,"$1,513.33 ", N/A ,"$1,023.41 ","$1,070.97 ","$1,023.41 ","$1,496.70 ","$1,496.70 ","$1,247.25 ","$1,164.10 ", N/A , N/A ,"$1,554.91 ", N/A , N/A ,"$1,446.81 ", N/A ,"$1,496.70 ", N/A ,"$1,496.70 ","$1,496.70 ","$1,496.70 ","$1,613.11 ","$1,347.03 ","$1,496.70 ","$1,496.70 ","$1,496.70 ","$1,496.70 " ST. JOSEPH'S - CHIPPEWA FALLS,27202658,N/A,HC TEMP PACEMAKER,272,1 ,$322.29 ,$241.72 ,$177.26 ,$322.29 ,$207.55 , N/A ,$225.60 , N/A ,$267.50 , N/A ,$212.71 ,$306.18 , N/A ,$257.83 ,$293.28 , N/A ,$302.95 ,$306.18 ,$290.06 ,$273.95 , N/A , N/A , N/A ,$235.27 , N/A ,$286.84 ,$290.06 ,$290.06 ,$257.83 , N/A ,$177.26 ,$290.06 , N/A ,$290.06 , N/A ,$306.18 , N/A ,$296.51 , N/A ,$293.28 , N/A ,$198.34 ,$207.55 ,$198.34 ,$290.06 ,$290.06 ,$241.72 ,$225.60 , N/A , N/A ,$301.34 , N/A , N/A ,$280.39 , N/A ,$290.06 , N/A ,$290.06 ,$290.06 ,$290.06 ,$312.62 ,$261.05 ,$290.06 ,$290.06 ,$290.06 ,$290.06 ST. JOSEPH'S - CHIPPEWA FALLS,27202693,N/A,HC TIP STRYKER IRRIGATION F/INTERPULSE,272,1 ,$83.49 ,$62.62 ,$45.92 ,$83.49 ,$53.77 , N/A ,$58.44 , N/A ,$69.30 , N/A ,$55.10 ,$79.32 , N/A ,$66.79 ,$75.98 , N/A ,$78.48 ,$79.32 ,$75.14 ,$70.97 , N/A , N/A , N/A ,$60.95 , N/A ,$74.31 ,$75.14 ,$75.14 ,$66.79 , N/A ,$45.92 ,$75.14 , N/A ,$75.14 , N/A ,$79.32 , N/A ,$76.81 , N/A ,$75.98 , N/A ,$51.38 ,$53.77 ,$51.38 ,$75.14 ,$75.14 ,$62.62 ,$58.44 , N/A , N/A ,$78.06 , N/A , N/A ,$72.64 , N/A ,$75.14 , N/A ,$75.14 ,$75.14 ,$75.14 ,$80.99 ,$67.63 ,$75.14 ,$75.14 ,$75.14 ,$75.14 ST. JOSEPH'S - CHIPPEWA FALLS,27202720,N/A,HC TRACHEOSTOMY TUBE,272,1 ,$755.88 ,$566.91 ,$415.73 ,$755.88 ,$486.79 , N/A ,$529.12 , N/A ,$627.38 , N/A ,$498.88 ,$718.09 , N/A ,$604.70 ,$687.85 , N/A ,$710.53 ,$718.09 ,$680.29 ,$642.50 , N/A , N/A , N/A ,$551.79 , N/A ,$672.73 ,$680.29 ,$680.29 ,$604.70 , N/A ,$415.73 ,$680.29 , N/A ,$680.29 , N/A ,$718.09 , N/A ,$695.41 , N/A ,$687.85 , N/A ,$465.17 ,$486.79 ,$465.17 ,$680.29 ,$680.29 ,$566.91 ,$529.12 , N/A , N/A ,$706.75 , N/A , N/A ,$657.62 , N/A ,$680.29 , N/A ,$680.29 ,$680.29 ,$680.29 ,$733.20 ,$612.26 ,$680.29 ,$680.29 ,$680.29 ,$680.29 ST. JOSEPH'S - CHIPPEWA FALLS,27202836,N/A,HC TRAY URETHRAL CATHETER,272,1 ,$42.02 ,$31.52 ,$23.11 ,$42.02 ,$27.06 , N/A ,$29.41 , N/A ,$34.88 , N/A ,$27.73 ,$39.92 , N/A ,$33.62 ,$38.24 , N/A ,$39.50 ,$39.92 ,$37.82 ,$35.72 , N/A , N/A , N/A ,$30.67 , N/A ,$37.40 ,$37.82 ,$37.82 ,$33.62 , N/A ,$23.11 ,$37.82 , N/A ,$37.82 , N/A ,$39.92 , N/A ,$38.66 , N/A ,$38.24 , N/A ,$25.86 ,$27.06 ,$25.86 ,$37.82 ,$37.82 ,$31.52 ,$29.41 , N/A , N/A ,$39.29 , N/A , N/A ,$36.56 , N/A ,$37.82 , N/A ,$37.82 ,$37.82 ,$37.82 ,$40.76 ,$34.04 ,$37.82 ,$37.82 ,$37.82 ,$37.82 ST. JOSEPH'S - CHIPPEWA FALLS,27202901,N/A,HC TUBES TRACH,278,1 ,$342.90 ,$257.18 ,$188.60 ,$342.90 ,$220.83 , N/A ,$240.03 , N/A ,$284.61 , N/A ,$226.31 ,$325.76 , N/A ,$274.32 ,$312.04 , N/A ,$322.33 ,$325.76 ,$308.61 ,$291.47 , N/A , N/A , N/A ,$250.32 , N/A ,$305.18 ,$308.61 ,$308.61 ,$274.32 , N/A ,$188.60 ,$308.61 , N/A ,$308.61 , N/A ,$325.76 , N/A ,$315.47 , N/A ,$312.04 , N/A ,$211.02 ,$220.83 ,$211.02 ,$308.61 ,$308.61 ,$257.18 , N/A , N/A , N/A ,$320.61 , N/A , N/A ,$298.32 , N/A ,$308.61 , N/A ,$308.61 ,$308.61 ,$308.61 ,$332.61 ,$277.75 ,$308.61 ,$308.61 ,$308.61 ,$308.61 ST. JOSEPH'S - CHIPPEWA FALLS,27203002,N/A,HC WIRE GUIDE LUNDERQUIST,272,1 ,$336.94 ,$252.71 ,$185.32 ,$336.94 ,$216.99 , N/A ,$235.86 , N/A ,$279.66 , N/A ,$222.38 ,$320.09 , N/A ,$269.55 ,$306.62 , N/A ,$316.72 ,$320.09 ,$303.25 ,$286.40 , N/A , N/A , N/A ,$245.97 , N/A ,$299.88 ,$303.25 ,$303.25 ,$269.55 , N/A ,$185.32 ,$303.25 , N/A ,$303.25 , N/A ,$320.09 , N/A ,$309.98 , N/A ,$306.62 , N/A ,$207.35 ,$216.99 ,$207.35 ,$303.25 ,$303.25 ,$252.71 ,$235.86 , N/A , N/A ,$315.04 , N/A , N/A ,$293.14 , N/A ,$303.25 , N/A ,$303.25 ,$303.25 ,$303.25 ,$326.83 ,$272.92 ,$303.25 ,$303.25 ,$303.25 ,$303.25 ST. JOSEPH'S - CHIPPEWA FALLS,27203025,N/A,HC EMBOLIZATION COIL,272,1 ,$367.03 ,$275.27 ,$201.87 ,$367.03 ,$236.37 , N/A ,$256.92 , N/A ,$304.63 , N/A ,$242.24 ,$348.68 , N/A ,$293.62 ,$334.00 , N/A ,$345.01 ,$348.68 ,$330.33 ,$311.98 , N/A , N/A , N/A ,$267.93 , N/A ,$326.66 ,$330.33 ,$330.33 ,$293.62 , N/A ,$201.87 ,$330.33 , N/A ,$330.33 , N/A ,$348.68 , N/A ,$337.67 , N/A ,$334.00 , N/A ,$225.87 ,$236.37 ,$225.87 ,$330.33 ,$330.33 ,$275.27 ,$256.92 , N/A , N/A ,$343.17 , N/A , N/A ,$319.32 , N/A ,$330.33 , N/A ,$330.33 ,$330.33 ,$330.33 ,$356.02 ,$297.29 ,$330.33 ,$330.33 ,$330.33 ,$330.33 ST. JOSEPH'S - CHIPPEWA FALLS,27203066,N/A,HC SINGLE TRANDUCER,272,1 ,$69.45 ,$52.09 ,$38.20 ,$69.45 ,$44.73 , N/A ,$48.62 , N/A ,$57.64 , N/A ,$45.84 ,$65.98 , N/A ,$55.56 ,$63.20 , N/A ,$65.28 ,$65.98 ,$62.51 ,$59.03 , N/A , N/A , N/A ,$50.70 , N/A ,$61.81 ,$62.51 ,$62.51 ,$55.56 , N/A ,$38.20 ,$62.51 , N/A ,$62.51 , N/A ,$65.98 , N/A ,$63.89 , N/A ,$63.20 , N/A ,$42.74 ,$44.73 ,$42.74 ,$62.51 ,$62.51 ,$52.09 ,$48.62 , N/A , N/A ,$64.94 , N/A , N/A ,$60.42 , N/A ,$62.51 , N/A ,$62.51 ,$62.51 ,$62.51 ,$67.37 ,$56.25 ,$62.51 ,$62.51 ,$62.51 ,$62.51 ST. JOSEPH'S - CHIPPEWA FALLS,27203119,C1894,HC SHEATH RAABE/ANSEL/SHUTTLE/DESTINATION,272,1 ,$145.44 ,$109.08 ,$79.99 ,$145.44 ,$93.66 , N/A ,$101.81 , N/A ,$120.72 , N/A ,$95.99 ,$138.17 , N/A ,$116.35 ,$132.35 , N/A ,$136.71 ,$138.17 ,$130.90 ,$123.62 , N/A , N/A , N/A ,$106.17 , N/A ,$129.44 ,$130.90 ,$130.90 ,$116.35 , N/A ,$79.99 ,$130.90 , N/A ,$130.90 , N/A ,$138.17 , N/A ,$133.80 , N/A ,$132.35 , N/A ,$89.50 ,$93.66 ,$89.50 ,$130.90 ,$130.90 ,$109.08 ,$101.81 , N/A , N/A ,$135.99 , N/A , N/A ,$126.53 , N/A ,$130.90 , N/A ,$130.90 ,$130.90 ,$130.90 ,$141.08 ,$117.81 ,$130.90 ,$130.90 ,$130.90 ,$130.90 ST. JOSEPH'S - CHIPPEWA FALLS,27203224,N/A,HC SNARE GOOSENECK,272,1 ,$848.40 ,$636.30 ,$466.62 ,$848.40 ,$546.37 , N/A ,$593.88 , N/A ,$704.17 , N/A ,$559.94 ,$805.98 , N/A ,$678.72 ,$772.04 , N/A ,$797.50 ,$805.98 ,$763.56 ,$721.14 , N/A , N/A , N/A ,$619.33 , N/A ,$755.08 ,$763.56 ,$763.56 ,$678.72 , N/A ,$466.62 ,$763.56 , N/A ,$763.56 , N/A ,$805.98 , N/A ,$780.53 , N/A ,$772.04 , N/A ,$522.11 ,$546.37 ,$522.11 ,$763.56 ,$763.56 ,$636.30 ,$593.88 , N/A , N/A ,$793.25 , N/A , N/A ,$738.11 , N/A ,$763.56 , N/A ,$763.56 ,$763.56 ,$763.56 ,$822.95 ,$687.20 ,$763.56 ,$763.56 ,$763.56 ,$763.56 ST. JOSEPH'S - CHIPPEWA FALLS,27203227,N/A,HC CATH PIGTAIL 14FR X 25CM,272,1 ,$220.92 ,$165.69 ,$121.51 ,$220.92 ,$142.27 , N/A ,$154.64 , N/A ,$183.36 , N/A ,$145.81 ,$209.87 , N/A ,$176.74 ,$201.04 , N/A ,$207.66 ,$209.87 ,$198.83 ,$187.78 , N/A , N/A , N/A ,$161.27 , N/A ,$196.62 ,$198.83 ,$198.83 ,$176.74 , N/A ,$121.51 ,$198.83 , N/A ,$198.83 , N/A ,$209.87 , N/A ,$203.25 , N/A ,$201.04 , N/A ,$135.95 ,$142.27 ,$135.95 ,$198.83 ,$198.83 ,$165.69 ,$154.64 , N/A , N/A ,$206.56 , N/A , N/A ,$192.20 , N/A ,$198.83 , N/A ,$198.83 ,$198.83 ,$198.83 ,$214.29 ,$178.95 ,$198.83 ,$198.83 ,$198.83 ,$198.83 ST. JOSEPH'S - CHIPPEWA FALLS,27203400,C1725,HC BALLOON TIER 1,272,1 ,$216.00 ,$162.00 ,$118.80 ,$216.00 ,$139.10 , N/A ,$151.20 , N/A ,$179.28 , N/A ,$142.56 ,$205.20 , N/A ,$172.80 ,$196.56 , N/A ,$203.04 ,$205.20 ,$194.40 ,$183.60 , N/A , N/A , N/A ,$157.68 , N/A ,$192.24 ,$194.40 ,$194.40 ,$172.80 , N/A ,$118.80 ,$194.40 , N/A ,$194.40 , N/A ,$205.20 , N/A ,$198.72 , N/A ,$196.56 , N/A ,$132.93 ,$139.10 ,$132.93 ,$194.40 ,$194.40 ,$162.00 ,$151.20 , N/A , N/A ,$201.96 , N/A , N/A ,$187.92 , N/A ,$194.40 , N/A ,$194.40 ,$194.40 ,$194.40 ,$209.52 ,$174.96 ,$194.40 ,$194.40 ,$194.40 ,$194.40 ST. JOSEPH'S - CHIPPEWA FALLS,27203410,C1894,HC DIAGNOSTIC SHEATH TIER 1,272,1 ,$118.80 ,$89.10 ,$65.34 ,$118.80 ,$76.51 , N/A ,$83.16 , N/A ,$98.60 , N/A ,$78.41 ,$112.86 , N/A ,$95.04 ,$108.11 , N/A ,$111.67 ,$112.86 ,$106.92 ,$100.98 , N/A , N/A , N/A ,$86.72 , N/A ,$105.73 ,$106.92 ,$106.92 ,$95.04 , N/A ,$65.34 ,$106.92 , N/A ,$106.92 , N/A ,$112.86 , N/A ,$109.30 , N/A ,$108.11 , N/A ,$73.11 ,$76.51 ,$73.11 ,$106.92 ,$106.92 ,$89.10 ,$83.16 , N/A , N/A ,$111.08 , N/A , N/A ,$103.36 , N/A ,$106.92 , N/A ,$106.92 ,$106.92 ,$106.92 ,$115.24 ,$96.23 ,$106.92 ,$106.92 ,$106.92 ,$106.92 ST. JOSEPH'S - CHIPPEWA FALLS,27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$143.62 ,$107.72 ,$78.99 ,$143.62 ,$92.49 , N/A ,$100.53 , N/A ,$119.20 , N/A ,$94.79 ,$136.44 , N/A ,$114.90 ,$130.69 , N/A ,$135.00 ,$136.44 ,$129.26 ,$122.08 , N/A , N/A , N/A ,$104.84 , N/A ,$127.82 ,$129.26 ,$129.26 ,$114.90 , N/A ,$78.99 ,$129.26 , N/A ,$129.26 , N/A ,$136.44 , N/A ,$132.13 , N/A ,$130.69 , N/A ,$88.38 ,$92.49 ,$88.38 ,$129.26 ,$129.26 ,$107.72 ,$100.53 , N/A , N/A ,$134.28 , N/A , N/A ,$124.95 , N/A ,$129.26 , N/A ,$129.26 ,$129.26 ,$129.26 ,$139.31 ,$116.33 ,$129.26 ,$129.26 ,$129.26 ,$129.26 ST. JOSEPH'S - CHIPPEWA FALLS,27203531,C1751,HC CATHETER CV TRIPLE-LUMEN,272,1 ,"$1,446.93 ","$1,085.20 ",$795.81 ,"$1,446.93 ",$931.82 , N/A ,"$1,012.85 ", N/A ,"$1,200.95 ", N/A ,$954.97 ,"$1,374.58 ", N/A ,"$1,157.54 ","$1,316.71 ", N/A ,"$1,360.11 ","$1,374.58 ","$1,302.24 ","$1,229.89 ", N/A , N/A , N/A ,"$1,056.26 ", N/A ,"$1,287.77 ","$1,302.24 ","$1,302.24 ","$1,157.54 ", N/A ,$795.81 ,"$1,302.24 ", N/A ,"$1,302.24 ", N/A ,"$1,374.58 ", N/A ,"$1,331.18 ", N/A ,"$1,316.71 ", N/A ,$890.44 ,$931.82 ,$890.44 ,"$1,302.24 ","$1,302.24 ","$1,085.20 ","$1,012.85 ", N/A , N/A ,"$1,352.88 ", N/A , N/A ,"$1,258.83 ", N/A ,"$1,302.24 ", N/A ,"$1,302.24 ","$1,302.24 ","$1,302.24 ","$1,403.52 ","$1,172.01 ","$1,302.24 ","$1,302.24 ","$1,302.24 ","$1,302.24 " ST. JOSEPH'S - CHIPPEWA FALLS,27203532,C1751,HC CATHETER CV DUAL-LUMEN,272,1 ,$66.18 ,$49.64 ,$36.40 ,$66.18 ,$42.62 , N/A ,$46.33 , N/A ,$54.93 , N/A ,$43.68 ,$62.87 , N/A ,$52.94 ,$60.22 , N/A ,$62.21 ,$62.87 ,$59.56 ,$56.25 , N/A , N/A , N/A ,$48.31 , N/A ,$58.90 ,$59.56 ,$59.56 ,$52.94 , N/A ,$36.40 ,$59.56 , N/A ,$59.56 , N/A ,$62.87 , N/A ,$60.89 , N/A ,$60.22 , N/A ,$40.73 ,$42.62 ,$40.73 ,$59.56 ,$59.56 ,$49.64 ,$46.33 , N/A , N/A ,$61.88 , N/A , N/A ,$57.58 , N/A ,$59.56 , N/A ,$59.56 ,$59.56 ,$59.56 ,$64.19 ,$53.61 ,$59.56 ,$59.56 ,$59.56 ,$59.56 ST. JOSEPH'S - CHIPPEWA FALLS,27203535,N/A,HC TRAY LUMBAR PUNCTURE,272,1 ,$31.31 ,$23.48 ,$17.22 ,$31.31 ,$20.16 , N/A ,$21.92 , N/A ,$25.99 , N/A ,$20.66 ,$29.74 , N/A ,$25.05 ,$28.49 , N/A ,$29.43 ,$29.74 ,$28.18 ,$26.61 , N/A , N/A , N/A ,$22.86 , N/A ,$27.87 ,$28.18 ,$28.18 ,$25.05 , N/A ,$17.22 ,$28.18 , N/A ,$28.18 , N/A ,$29.74 , N/A ,$28.81 , N/A ,$28.49 , N/A ,$19.27 ,$20.16 ,$19.27 ,$28.18 ,$28.18 ,$23.48 ,$21.92 , N/A , N/A ,$29.27 , N/A , N/A ,$27.24 , N/A ,$28.18 , N/A ,$28.18 ,$28.18 ,$28.18 ,$30.37 ,$25.36 ,$28.18 ,$28.18 ,$28.18 ,$28.18 ST. JOSEPH'S - CHIPPEWA FALLS,27203536,N/A,HC KIT LUMBAR DRAIN,272,1 ,$29.39 ,$22.04 ,$16.16 ,$29.39 ,$18.93 , N/A ,$20.57 , N/A ,$24.39 , N/A ,$19.40 ,$27.92 , N/A ,$23.51 ,$26.74 , N/A ,$27.63 ,$27.92 ,$26.45 ,$24.98 , N/A , N/A , N/A ,$21.45 , N/A ,$26.16 ,$26.45 ,$26.45 ,$23.51 , N/A ,$16.16 ,$26.45 , N/A ,$26.45 , N/A ,$27.92 , N/A ,$27.04 , N/A ,$26.74 , N/A ,$18.09 ,$18.93 ,$18.09 ,$26.45 ,$26.45 ,$22.04 ,$20.57 , N/A , N/A ,$27.48 , N/A , N/A ,$25.57 , N/A ,$26.45 , N/A ,$26.45 ,$26.45 ,$26.45 ,$28.51 ,$23.81 ,$26.45 ,$26.45 ,$26.45 ,$26.45 ST. JOSEPH'S - CHIPPEWA FALLS,27203537,N/A,HC CATHETER RADIAL ARTERY,272,1 ,$44.04 ,$33.03 ,$24.22 ,$44.04 ,$28.36 , N/A ,$30.83 , N/A ,$36.55 , N/A ,$29.07 ,$41.84 , N/A ,$35.23 ,$40.08 , N/A ,$41.40 ,$41.84 ,$39.64 ,$37.43 , N/A , N/A , N/A ,$32.15 , N/A ,$39.20 ,$39.64 ,$39.64 ,$35.23 , N/A ,$24.22 ,$39.64 , N/A ,$39.64 , N/A ,$41.84 , N/A ,$40.52 , N/A ,$40.08 , N/A ,$27.10 ,$28.36 ,$27.10 ,$39.64 ,$39.64 ,$33.03 ,$30.83 , N/A , N/A ,$41.18 , N/A , N/A ,$38.31 , N/A ,$39.64 , N/A ,$39.64 ,$39.64 ,$39.64 ,$42.72 ,$35.67 ,$39.64 ,$39.64 ,$39.64 ,$39.64 ST. JOSEPH'S - CHIPPEWA FALLS,27203538,N/A,HC KIT ARTERIAL LINE,272,1 ,$51.21 ,$38.41 ,$28.17 ,$51.21 ,$32.98 , N/A ,$35.85 , N/A ,$42.50 , N/A ,$33.80 ,$48.65 , N/A ,$40.97 ,$46.60 , N/A ,$48.14 ,$48.65 ,$46.09 ,$43.53 , N/A , N/A , N/A ,$37.38 , N/A ,$45.58 ,$46.09 ,$46.09 ,$40.97 , N/A ,$28.17 ,$46.09 , N/A ,$46.09 , N/A ,$48.65 , N/A ,$47.11 , N/A ,$46.60 , N/A ,$31.51 ,$32.98 ,$31.51 ,$46.09 ,$46.09 ,$38.41 ,$35.85 , N/A , N/A ,$47.88 , N/A , N/A ,$44.55 , N/A ,$46.09 , N/A ,$46.09 ,$46.09 ,$46.09 ,$49.67 ,$41.48 ,$46.09 ,$46.09 ,$46.09 ,$46.09 ST. JOSEPH'S - CHIPPEWA FALLS,27203539,N/A,HC TRANSDUCER,272,1 ,$119.58 ,$89.69 ,$65.77 ,$119.58 ,$77.01 , N/A ,$83.71 , N/A ,$99.25 , N/A ,$78.92 ,$113.60 , N/A ,$95.66 ,$108.82 , N/A ,$112.41 ,$113.60 ,$107.62 ,$101.64 , N/A , N/A , N/A ,$87.29 , N/A ,$106.43 ,$107.62 ,$107.62 ,$95.66 , N/A ,$65.77 ,$107.62 , N/A ,$107.62 , N/A ,$113.60 , N/A ,$110.01 , N/A ,$108.82 , N/A ,$73.59 ,$77.01 ,$73.59 ,$107.62 ,$107.62 ,$89.69 ,$83.71 , N/A , N/A ,$111.81 , N/A , N/A ,$104.03 , N/A ,$107.62 , N/A ,$107.62 ,$107.62 ,$107.62 ,$115.99 ,$96.86 ,$107.62 ,$107.62 ,$107.62 ,$107.62 ST. JOSEPH'S - CHIPPEWA FALLS,27203540,N/A,HC CATHETER FEMOSTOP,272,1 ,$338.96 ,$254.22 ,$186.43 ,$338.96 ,$218.29 , N/A ,$237.27 , N/A ,$281.34 , N/A ,$223.71 ,$322.01 , N/A ,$271.17 ,$308.45 , N/A ,$318.62 ,$322.01 ,$305.06 ,$288.12 , N/A , N/A , N/A ,$247.44 , N/A ,$301.67 ,$305.06 ,$305.06 ,$271.17 , N/A ,$186.43 ,$305.06 , N/A ,$305.06 , N/A ,$322.01 , N/A ,$311.84 , N/A ,$308.45 , N/A ,$208.60 ,$218.29 ,$208.60 ,$305.06 ,$305.06 ,$254.22 ,$237.27 , N/A , N/A ,$316.93 , N/A , N/A ,$294.90 , N/A ,$305.06 , N/A ,$305.06 ,$305.06 ,$305.06 ,$328.79 ,$274.56 ,$305.06 ,$305.06 ,$305.06 ,$305.06 ST. JOSEPH'S - CHIPPEWA FALLS,27203541,N/A,HC KIT PERCUTANEOUS SHEATH,272,1 ,$245.53 ,$184.15 ,$135.04 ,$245.53 ,$158.12 , N/A ,$171.87 , N/A ,$203.79 , N/A ,$162.05 ,$233.25 , N/A ,$196.42 ,$223.43 , N/A ,$230.80 ,$233.25 ,$220.98 ,$208.70 , N/A , N/A , N/A ,$179.24 , N/A ,$218.52 ,$220.98 ,$220.98 ,$196.42 , N/A ,$135.04 ,$220.98 , N/A ,$220.98 , N/A ,$233.25 , N/A ,$225.89 , N/A ,$223.43 , N/A ,$151.10 ,$158.12 ,$151.10 ,$220.98 ,$220.98 ,$184.15 ,$171.87 , N/A , N/A ,$229.57 , N/A , N/A ,$213.61 , N/A ,$220.98 , N/A ,$220.98 ,$220.98 ,$220.98 ,$238.16 ,$198.88 ,$220.98 ,$220.98 ,$220.98 ,$220.98 ST. JOSEPH'S - CHIPPEWA FALLS,27203542,N/A,HC D-STAT DRY PAD,272,1 ,$263.00 ,$197.25 ,$144.65 ,$263.00 ,$169.37 , N/A ,$184.10 , N/A ,$218.29 , N/A ,$173.58 ,$249.85 , N/A ,$210.40 ,$239.33 , N/A ,$247.22 ,$249.85 ,$236.70 ,$223.55 , N/A , N/A , N/A ,$191.99 , N/A ,$234.07 ,$236.70 ,$236.70 ,$210.40 , N/A ,$144.65 ,$236.70 , N/A ,$236.70 , N/A ,$249.85 , N/A ,$241.96 , N/A ,$239.33 , N/A ,$161.85 ,$169.37 ,$161.85 ,$236.70 ,$236.70 ,$197.25 ,$184.10 , N/A , N/A ,$245.91 , N/A , N/A ,$228.81 , N/A ,$236.70 , N/A ,$236.70 ,$236.70 ,$236.70 ,$255.11 ,$213.03 ,$236.70 ,$236.70 ,$236.70 ,$236.70 ST. JOSEPH'S - CHIPPEWA FALLS,27203543,N/A,HC CATHETER THERMODILUTION,272,1 ,$184.83 ,$138.62 ,$101.66 ,$184.83 ,$119.03 , N/A ,$129.38 , N/A ,$153.41 , N/A ,$121.99 ,$175.59 , N/A ,$147.86 ,$168.20 , N/A ,$173.74 ,$175.59 ,$166.35 ,$157.11 , N/A , N/A , N/A ,$134.93 , N/A ,$164.50 ,$166.35 ,$166.35 ,$147.86 , N/A ,$101.66 ,$166.35 , N/A ,$166.35 , N/A ,$175.59 , N/A ,$170.04 , N/A ,$168.20 , N/A ,$113.74 ,$119.03 ,$113.74 ,$166.35 ,$166.35 ,$138.62 ,$129.38 , N/A , N/A ,$172.82 , N/A , N/A ,$160.80 , N/A ,$166.35 , N/A ,$166.35 ,$166.35 ,$166.35 ,$179.29 ,$149.71 ,$166.35 ,$166.35 ,$166.35 ,$166.35 ST. JOSEPH'S - CHIPPEWA FALLS,27203544,N/A,HC CATHETER FEMORAL ARTERY,272,1 ,$51.61 ,$38.71 ,$28.39 ,$51.61 ,$33.24 , N/A ,$36.13 , N/A ,$42.84 , N/A ,$34.06 ,$49.03 , N/A ,$41.29 ,$46.97 , N/A ,$48.51 ,$49.03 ,$46.45 ,$43.87 , N/A , N/A , N/A ,$37.68 , N/A ,$45.93 ,$46.45 ,$46.45 ,$41.29 , N/A ,$28.39 ,$46.45 , N/A ,$46.45 , N/A ,$49.03 , N/A ,$47.48 , N/A ,$46.97 , N/A ,$31.76 ,$33.24 ,$31.76 ,$46.45 ,$46.45 ,$38.71 ,$36.13 , N/A , N/A ,$48.26 , N/A , N/A ,$44.90 , N/A ,$46.45 , N/A ,$46.45 ,$46.45 ,$46.45 ,$50.06 ,$41.80 ,$46.45 ,$46.45 ,$46.45 ,$46.45 ST. JOSEPH'S - CHIPPEWA FALLS,27203545,N/A,HC TRAY HEMODIALYSIS CATHETER,272,1 ,$337.64 ,$253.23 ,$185.70 ,$337.64 ,$217.44 , N/A ,$236.35 , N/A ,$280.24 , N/A ,$222.84 ,$320.76 , N/A ,$270.11 ,$307.25 , N/A ,$317.38 ,$320.76 ,$303.88 ,$286.99 , N/A , N/A , N/A ,$246.48 , N/A ,$300.50 ,$303.88 ,$303.88 ,$270.11 , N/A ,$185.70 ,$303.88 , N/A ,$303.88 , N/A ,$320.76 , N/A ,$310.63 , N/A ,$307.25 , N/A ,$207.78 ,$217.44 ,$207.78 ,$303.88 ,$303.88 ,$253.23 ,$236.35 , N/A , N/A ,$315.69 , N/A , N/A ,$293.75 , N/A ,$303.88 , N/A ,$303.88 ,$303.88 ,$303.88 ,$327.51 ,$273.49 ,$303.88 ,$303.88 ,$303.88 ,$303.88 ST. JOSEPH'S - CHIPPEWA FALLS,27203546,N/A,HC KIT CATHETER COOL LINE,272,1 ,"$1,391.48 ","$1,043.61 ",$765.31 ,"$1,391.48 ",$896.11 , N/A ,$974.04 , N/A ,"$1,154.93 ", N/A ,$918.38 ,"$1,321.91 ", N/A ,"$1,113.18 ","$1,266.25 ", N/A ,"$1,307.99 ","$1,321.91 ","$1,252.33 ","$1,182.76 ", N/A , N/A , N/A ,"$1,015.78 ", N/A ,"$1,238.42 ","$1,252.33 ","$1,252.33 ","$1,113.18 ", N/A ,$765.31 ,"$1,252.33 ", N/A ,"$1,252.33 ", N/A ,"$1,321.91 ", N/A ,"$1,280.16 ", N/A ,"$1,266.25 ", N/A ,$856.32 ,$896.11 ,$856.32 ,"$1,252.33 ","$1,252.33 ","$1,043.61 ",$974.04 , N/A , N/A ,"$1,301.03 ", N/A , N/A ,"$1,210.59 ", N/A ,"$1,252.33 ", N/A ,"$1,252.33 ","$1,252.33 ","$1,252.33 ","$1,349.74 ","$1,127.10 ","$1,252.33 ","$1,252.33 ","$1,252.33 ","$1,252.33 " ST. JOSEPH'S - CHIPPEWA FALLS,27203547,N/A,HC VENOUS/ARTERIAL MANAGEMENT SYSTEM,272,1 ,$178.27 ,$133.70 ,$98.05 ,$178.27 ,$114.81 , N/A ,$124.79 , N/A ,$147.96 , N/A ,$117.66 ,$169.36 , N/A ,$142.62 ,$162.23 , N/A ,$167.57 ,$169.36 ,$160.44 ,$151.53 , N/A , N/A , N/A ,$130.14 , N/A ,$158.66 ,$160.44 ,$160.44 ,$142.62 , N/A ,$98.05 ,$160.44 , N/A ,$160.44 , N/A ,$169.36 , N/A ,$164.01 , N/A ,$162.23 , N/A ,$109.71 ,$114.81 ,$109.71 ,$160.44 ,$160.44 ,$133.70 ,$124.79 , N/A , N/A ,$166.68 , N/A , N/A ,$155.09 , N/A ,$160.44 , N/A ,$160.44 ,$160.44 ,$160.44 ,$172.92 ,$144.40 ,$160.44 ,$160.44 ,$160.44 ,$160.44 ST. JOSEPH'S - CHIPPEWA FALLS,27203548,N/A,HC PERCUTANEOUS CATH INTRODUCER,272,1 ,$98.27 ,$73.70 ,$54.05 ,$98.27 ,$63.29 , N/A ,$68.79 , N/A ,$81.56 , N/A ,$64.86 ,$93.36 , N/A ,$78.62 ,$89.43 , N/A ,$92.37 ,$93.36 ,$88.44 ,$83.53 , N/A , N/A , N/A ,$71.74 , N/A ,$87.46 ,$88.44 ,$88.44 ,$78.62 , N/A ,$54.05 ,$88.44 , N/A ,$88.44 , N/A ,$93.36 , N/A ,$90.41 , N/A ,$89.43 , N/A ,$60.48 ,$63.29 ,$60.48 ,$88.44 ,$88.44 ,$73.70 ,$68.79 , N/A , N/A ,$91.88 , N/A , N/A ,$85.49 , N/A ,$88.44 , N/A ,$88.44 ,$88.44 ,$88.44 ,$95.32 ,$79.60 ,$88.44 ,$88.44 ,$88.44 ,$88.44 ST. JOSEPH'S - CHIPPEWA FALLS,27203549,N/A,HC TRANSDUCER TUBING,272,1 ,$982.12 ,$736.59 ,$540.17 ,$982.12 ,$632.49 , N/A ,$687.48 , N/A ,$815.16 , N/A ,$648.20 ,$933.01 , N/A ,$785.70 ,$893.73 , N/A ,$923.19 ,$933.01 ,$883.91 ,$834.80 , N/A , N/A , N/A ,$716.95 , N/A ,$874.09 ,$883.91 ,$883.91 ,$785.70 , N/A ,$540.17 ,$883.91 , N/A ,$883.91 , N/A ,$933.01 , N/A ,$903.55 , N/A ,$893.73 , N/A ,$604.40 ,$632.49 ,$604.40 ,$883.91 ,$883.91 ,$736.59 ,$687.48 , N/A , N/A ,$918.28 , N/A , N/A ,$854.44 , N/A ,$883.91 , N/A ,$883.91 ,$883.91 ,$883.91 ,$952.66 ,$795.52 ,$883.91 ,$883.91 ,$883.91 ,$883.91 ST. JOSEPH'S - CHIPPEWA FALLS,27203550,N/A,HC CATHETER VENOUS,272,1 ,"$1,383.60 ","$1,037.70 ",$760.98 ,"$1,383.60 ",$891.04 , N/A ,$968.52 , N/A ,"$1,148.39 ", N/A ,$913.18 ,"$1,314.42 ", N/A ,"$1,106.88 ","$1,259.08 ", N/A ,"$1,300.58 ","$1,314.42 ","$1,245.24 ","$1,176.06 ", N/A , N/A , N/A ,"$1,010.03 ", N/A ,"$1,231.40 ","$1,245.24 ","$1,245.24 ","$1,106.88 ", N/A ,$760.98 ,"$1,245.24 ", N/A ,"$1,245.24 ", N/A ,"$1,314.42 ", N/A ,"$1,272.91 ", N/A ,"$1,259.08 ", N/A ,$851.47 ,$891.04 ,$851.47 ,"$1,245.24 ","$1,245.24 ","$1,037.70 ",$968.52 , N/A , N/A ,"$1,293.67 ", N/A , N/A ,"$1,203.73 ", N/A ,"$1,245.24 ", N/A ,"$1,245.24 ","$1,245.24 ","$1,245.24 ","$1,342.09 ","$1,120.72 ","$1,245.24 ","$1,245.24 ","$1,245.24 ","$1,245.24 " ST. JOSEPH'S - CHIPPEWA FALLS,27203551,N/A,HC TRIPLE LUMEN CENTRAL LINE,272,1 ,"$1,374.11 ","$1,030.58 ",$755.76 ,"$1,374.11 ",$884.93 , N/A ,$961.88 , N/A ,"$1,140.51 ", N/A ,$906.91 ,"$1,305.40 ", N/A ,"$1,099.29 ","$1,250.44 ", N/A ,"$1,291.66 ","$1,305.40 ","$1,236.70 ","$1,167.99 ", N/A , N/A , N/A ,"$1,003.10 ", N/A ,"$1,222.96 ","$1,236.70 ","$1,236.70 ","$1,099.29 ", N/A ,$755.76 ,"$1,236.70 ", N/A ,"$1,236.70 ", N/A ,"$1,305.40 ", N/A ,"$1,264.18 ", N/A ,"$1,250.44 ", N/A ,$845.63 ,$884.93 ,$845.63 ,"$1,236.70 ","$1,236.70 ","$1,030.58 ",$961.88 , N/A , N/A ,"$1,284.79 ", N/A , N/A ,"$1,195.48 ", N/A ,"$1,236.70 ", N/A ,"$1,236.70 ","$1,236.70 ","$1,236.70 ","$1,332.89 ","$1,113.03 ","$1,236.70 ","$1,236.70 ","$1,236.70 ","$1,236.70 " ST. JOSEPH'S - CHIPPEWA FALLS,27203552,N/A,HC PACEMAKER WIRE,272,1 ,$252.70 ,$189.53 ,$138.99 ,$252.70 ,$162.74 , N/A ,$176.89 , N/A ,$209.74 , N/A ,$166.78 ,$240.07 , N/A ,$202.16 ,$229.96 , N/A ,$237.54 ,$240.07 ,$227.43 ,$214.80 , N/A , N/A , N/A ,$184.47 , N/A ,$224.90 ,$227.43 ,$227.43 ,$202.16 , N/A ,$138.99 ,$227.43 , N/A ,$227.43 , N/A ,$240.07 , N/A ,$232.48 , N/A ,$229.96 , N/A ,$155.51 ,$162.74 ,$155.51 ,$227.43 ,$227.43 ,$189.53 ,$176.89 , N/A , N/A ,$236.27 , N/A , N/A ,$219.85 , N/A ,$227.43 , N/A ,$227.43 ,$227.43 ,$227.43 ,$245.12 ,$204.69 ,$227.43 ,$227.43 ,$227.43 ,$227.43 ST. JOSEPH'S - CHIPPEWA FALLS,27203553,N/A,HC TRANSDUCER DISPOSABLE,272,1 ,$119.99 ,$89.99 ,$65.99 ,$119.99 ,$77.27 , N/A ,$83.99 , N/A ,$99.59 , N/A ,$79.19 ,$113.99 , N/A ,$95.99 ,$109.19 , N/A ,$112.79 ,$113.99 ,$107.99 ,$101.99 , N/A , N/A , N/A ,$87.59 , N/A ,$106.79 ,$107.99 ,$107.99 ,$95.99 , N/A ,$65.99 ,$107.99 , N/A ,$107.99 , N/A ,$113.99 , N/A ,$110.39 , N/A ,$109.19 , N/A ,$73.84 ,$77.27 ,$73.84 ,$107.99 ,$107.99 ,$89.99 ,$83.99 , N/A , N/A ,$112.19 , N/A , N/A ,$104.39 , N/A ,$107.99 , N/A ,$107.99 ,$107.99 ,$107.99 ,$116.39 ,$97.19 ,$107.99 ,$107.99 ,$107.99 ,$107.99 ST. JOSEPH'S - CHIPPEWA FALLS,27203554,N/A,HC KIT ICP PRESSURE MONITOR,272,1 ,$865.37 ,$649.03 ,$475.95 ,$865.37 ,$557.30 , N/A ,$605.76 , N/A ,$718.26 , N/A ,$571.14 ,$822.10 , N/A ,$692.30 ,$787.49 , N/A ,$813.45 ,$822.10 ,$778.83 ,$735.56 , N/A , N/A , N/A ,$631.72 , N/A ,$770.18 ,$778.83 ,$778.83 ,$692.30 , N/A ,$475.95 ,$778.83 , N/A ,$778.83 , N/A ,$822.10 , N/A ,$796.14 , N/A ,$787.49 , N/A ,$532.55 ,$557.30 ,$532.55 ,$778.83 ,$778.83 ,$649.03 ,$605.76 , N/A , N/A ,$809.12 , N/A , N/A ,$752.87 , N/A ,$778.83 , N/A ,$778.83 ,$778.83 ,$778.83 ,$839.41 ,$700.95 ,$778.83 ,$778.83 ,$778.83 ,$778.83 ST. JOSEPH'S - CHIPPEWA FALLS,27203593,N/A,HC TRAY PERICARDIOCENTESIS DISP,272,1 ,$446.62 ,$334.97 ,$245.64 ,$446.62 ,$287.62 , N/A ,$312.63 , N/A ,$370.69 , N/A ,$294.77 ,$424.29 , N/A ,$357.30 ,$406.42 , N/A ,$419.82 ,$424.29 ,$401.96 ,$379.63 , N/A , N/A , N/A ,$326.03 , N/A ,$397.49 ,$401.96 ,$401.96 ,$357.30 , N/A ,$245.64 ,$401.96 , N/A ,$401.96 , N/A ,$424.29 , N/A ,$410.89 , N/A ,$406.42 , N/A ,$274.85 ,$287.62 ,$274.85 ,$401.96 ,$401.96 ,$334.97 ,$312.63 , N/A , N/A ,$417.59 , N/A , N/A ,$388.56 , N/A ,$401.96 , N/A ,$401.96 ,$401.96 ,$401.96 ,$433.22 ,$361.76 ,$401.96 ,$401.96 ,$401.96 ,$401.96 ST. JOSEPH'S - CHIPPEWA FALLS,27203599,N/A,HC TUBE TRACH PEDIATRIC,272,1 ,$146.70 ,$110.03 ,$80.69 ,$146.70 ,$94.47 , N/A ,$102.69 , N/A ,$121.76 , N/A ,$96.82 ,$139.37 , N/A ,$117.36 ,$133.50 , N/A ,$137.90 ,$139.37 ,$132.03 ,$124.70 , N/A , N/A , N/A ,$107.09 , N/A ,$130.56 ,$132.03 ,$132.03 ,$117.36 , N/A ,$80.69 ,$132.03 , N/A ,$132.03 , N/A ,$139.37 , N/A ,$134.96 , N/A ,$133.50 , N/A ,$90.28 ,$94.47 ,$90.28 ,$132.03 ,$132.03 ,$110.03 ,$102.69 , N/A , N/A ,$137.16 , N/A , N/A ,$127.63 , N/A ,$132.03 , N/A ,$132.03 ,$132.03 ,$132.03 ,$142.30 ,$118.83 ,$132.03 ,$132.03 ,$132.03 ,$132.03 ST. JOSEPH'S - CHIPPEWA FALLS,27203600,N/A,HC SUCTION WET PACK TRACH CARE,272,1 ,$7.27 ,$5.45 ,$4.00 ,$7.27 ,$4.68 , N/A ,$5.09 , N/A ,$6.03 , N/A ,$4.80 ,$6.91 , N/A ,$5.82 ,$6.62 , N/A ,$6.83 ,$6.91 ,$6.54 ,$6.18 , N/A , N/A , N/A ,$5.31 , N/A ,$6.47 ,$6.54 ,$6.54 ,$5.82 , N/A ,$4.00 ,$6.54 , N/A ,$6.54 , N/A ,$6.91 , N/A ,$6.69 , N/A ,$6.62 , N/A ,$4.47 ,$4.68 ,$4.47 ,$6.54 ,$6.54 ,$5.45 ,$5.09 , N/A , N/A ,$6.80 , N/A , N/A ,$6.32 , N/A ,$6.54 , N/A ,$6.54 ,$6.54 ,$6.54 ,$7.05 ,$5.89 ,$6.54 ,$6.54 ,$6.54 ,$6.54 ST. JOSEPH'S - CHIPPEWA FALLS,27203614,N/A,HC NEEDLE LOCALIZATION,272,1 ,$131.52 ,$98.64 ,$72.34 ,$131.52 ,$84.70 , N/A ,$92.06 , N/A ,$109.16 , N/A ,$86.80 ,$124.94 , N/A ,$105.22 ,$119.68 , N/A ,$123.63 ,$124.94 ,$118.37 ,$111.79 , N/A , N/A , N/A ,$96.01 , N/A ,$117.05 ,$118.37 ,$118.37 ,$105.22 , N/A ,$72.34 ,$118.37 , N/A ,$118.37 , N/A ,$124.94 , N/A ,$121.00 , N/A ,$119.68 , N/A ,$80.94 ,$84.70 ,$80.94 ,$118.37 ,$118.37 ,$98.64 ,$92.06 , N/A , N/A ,$122.97 , N/A , N/A ,$114.42 , N/A ,$118.37 , N/A ,$118.37 ,$118.37 ,$118.37 ,$127.57 ,$106.53 ,$118.37 ,$118.37 ,$118.37 ,$118.37 ST. JOSEPH'S - CHIPPEWA FALLS,27203634,N/A,HC CATHETER SIALOGRAM,272,1 ,$96.76 ,$72.57 ,$53.22 ,$96.76 ,$62.31 , N/A ,$67.73 , N/A ,$80.31 , N/A ,$63.86 ,$91.92 , N/A ,$77.41 ,$88.05 , N/A ,$90.95 ,$91.92 ,$87.08 ,$82.25 , N/A , N/A , N/A ,$70.63 , N/A ,$86.12 ,$87.08 ,$87.08 ,$77.41 , N/A ,$53.22 ,$87.08 , N/A ,$87.08 , N/A ,$91.92 , N/A ,$89.02 , N/A ,$88.05 , N/A ,$59.55 ,$62.31 ,$59.55 ,$87.08 ,$87.08 ,$72.57 ,$67.73 , N/A , N/A ,$90.47 , N/A , N/A ,$84.18 , N/A ,$87.08 , N/A ,$87.08 ,$87.08 ,$87.08 ,$93.86 ,$78.38 ,$87.08 ,$87.08 ,$87.08 ,$87.08 ST. JOSEPH'S - CHIPPEWA FALLS,27203636,N/A,HC TRAY MYELOGRAM,272,1 ,$212.61 ,$159.46 ,$116.94 ,$212.61 ,$136.92 , N/A ,$148.83 , N/A ,$176.47 , N/A ,$140.32 ,$201.98 , N/A ,$170.09 ,$193.48 , N/A ,$199.85 ,$201.98 ,$191.35 ,$180.72 , N/A , N/A , N/A ,$155.21 , N/A ,$189.22 ,$191.35 ,$191.35 ,$170.09 , N/A ,$116.94 ,$191.35 , N/A ,$191.35 , N/A ,$201.98 , N/A ,$195.60 , N/A ,$193.48 , N/A ,$130.84 ,$136.92 ,$130.84 ,$191.35 ,$191.35 ,$159.46 ,$148.83 , N/A , N/A ,$198.79 , N/A , N/A ,$184.97 , N/A ,$191.35 , N/A ,$191.35 ,$191.35 ,$191.35 ,$206.23 ,$172.21 ,$191.35 ,$191.35 ,$191.35 ,$191.35 ST. JOSEPH'S - CHIPPEWA FALLS,27203638,N/A,HC TUBE ENTEROCLYSIS,272,1 ,$806.59 ,$604.94 ,$443.62 ,$806.59 ,$519.44 , N/A ,$564.61 , N/A ,$669.47 , N/A ,$532.35 ,$766.26 , N/A ,$645.27 ,$734.00 , N/A ,$758.19 ,$766.26 ,$725.93 ,$685.60 , N/A , N/A , N/A ,$588.81 , N/A ,$717.87 ,$725.93 ,$725.93 ,$645.27 , N/A ,$443.62 ,$725.93 , N/A ,$725.93 , N/A ,$766.26 , N/A ,$742.06 , N/A ,$734.00 , N/A ,$496.38 ,$519.44 ,$496.38 ,$725.93 ,$725.93 ,$604.94 ,$564.61 , N/A , N/A ,$754.16 , N/A , N/A ,$701.73 , N/A ,$725.93 , N/A ,$725.93 ,$725.93 ,$725.93 ,$782.39 ,$653.34 ,$725.93 ,$725.93 ,$725.93 ,$725.93 ST. JOSEPH'S - CHIPPEWA FALLS,27203641,N/A,HC NEEDLE BIOPSY,272,1 ,$99.39 ,$74.54 ,$54.66 ,$99.39 ,$64.01 , N/A ,$69.57 , N/A ,$82.49 , N/A ,$65.60 ,$94.42 , N/A ,$79.51 ,$90.44 , N/A ,$93.43 ,$94.42 ,$89.45 ,$84.48 , N/A , N/A , N/A ,$72.55 , N/A ,$88.46 ,$89.45 ,$89.45 ,$79.51 , N/A ,$54.66 ,$89.45 , N/A ,$89.45 , N/A ,$94.42 , N/A ,$91.44 , N/A ,$90.44 , N/A ,$61.16 ,$64.01 ,$61.16 ,$89.45 ,$89.45 ,$74.54 ,$69.57 , N/A , N/A ,$92.93 , N/A , N/A ,$86.47 , N/A ,$89.45 , N/A ,$89.45 ,$89.45 ,$89.45 ,$96.41 ,$80.51 ,$89.45 ,$89.45 ,$89.45 ,$89.45 ST. JOSEPH'S - CHIPPEWA FALLS,27203642,N/A,HC PROBE RADIOFREQUENCY,272,1 ,"$2,150.90 ","$1,613.18 ","$1,183.00 ","$2,150.90 ","$1,385.18 ", N/A ,"$1,505.63 ", N/A ,"$1,785.25 ", N/A ,"$1,419.59 ","$2,043.36 ", N/A ,"$1,720.72 ","$1,957.32 ", N/A ,"$2,021.85 ","$2,043.36 ","$1,935.81 ","$1,828.27 ", N/A , N/A , N/A ,"$1,570.16 ", N/A ,"$1,914.30 ","$1,935.81 ","$1,935.81 ","$1,720.72 ", N/A ,"$1,183.00 ","$1,935.81 ", N/A ,"$1,935.81 ", N/A ,"$2,043.36 ", N/A ,"$1,978.83 ", N/A ,"$1,957.32 ", N/A ,"$1,323.66 ","$1,385.18 ","$1,323.66 ","$1,935.81 ","$1,935.81 ","$1,613.18 ","$1,505.63 ", N/A , N/A ,"$2,011.09 ", N/A , N/A ,"$1,871.28 ", N/A ,"$1,935.81 ", N/A ,"$1,935.81 ","$1,935.81 ","$1,935.81 ","$2,086.37 ","$1,742.23 ","$1,935.81 ","$1,935.81 ","$1,935.81 ","$1,935.81 " ST. JOSEPH'S - CHIPPEWA FALLS,27203643,N/A,HC ELECTRODE ENDO,272,1 ,$216.75 ,$162.56 ,$119.21 ,$216.75 ,$139.59 , N/A ,$151.73 , N/A ,$179.90 , N/A ,$143.06 ,$205.91 , N/A ,$173.40 ,$197.24 , N/A ,$203.75 ,$205.91 ,$195.08 ,$184.24 , N/A , N/A , N/A ,$158.23 , N/A ,$192.91 ,$195.08 ,$195.08 ,$173.40 , N/A ,$119.21 ,$195.08 , N/A ,$195.08 , N/A ,$205.91 , N/A ,$199.41 , N/A ,$197.24 , N/A ,$133.39 ,$139.59 ,$133.39 ,$195.08 ,$195.08 ,$162.56 ,$151.73 , N/A , N/A ,$202.66 , N/A , N/A ,$188.57 , N/A ,$195.08 , N/A ,$195.08 ,$195.08 ,$195.08 ,$210.25 ,$175.57 ,$195.08 ,$195.08 ,$195.08 ,$195.08 ST. JOSEPH'S - CHIPPEWA FALLS,27203644,N/A,HC PROBE STIMULATOR PRASS,272,1 ,$463.09 ,$347.32 ,$254.70 ,$463.09 ,$298.23 , N/A ,$324.16 , N/A ,$384.36 , N/A ,$305.64 ,$439.94 , N/A ,$370.47 ,$421.41 , N/A ,$435.30 ,$439.94 ,$416.78 ,$393.63 , N/A , N/A , N/A ,$338.06 , N/A ,$412.15 ,$416.78 ,$416.78 ,$370.47 , N/A ,$254.70 ,$416.78 , N/A ,$416.78 , N/A ,$439.94 , N/A ,$426.04 , N/A ,$421.41 , N/A ,$284.99 ,$298.23 ,$284.99 ,$416.78 ,$416.78 ,$347.32 ,$324.16 , N/A , N/A ,$432.99 , N/A , N/A ,$402.89 , N/A ,$416.78 , N/A ,$416.78 ,$416.78 ,$416.78 ,$449.20 ,$375.10 ,$416.78 ,$416.78 ,$416.78 ,$416.78 ST. JOSEPH'S - CHIPPEWA FALLS,27203646,C1769,HC GUIDEWIRE FRACTIONAL FLOW RESERVE (FFR),272,1 ,"$3,189.38 ","$2,392.04 ","$1,754.16 ","$3,189.38 ","$2,053.96 ", N/A ,"$2,232.57 ", N/A ,"$2,647.19 ", N/A ,"$2,104.99 ","$3,029.91 ", N/A ,"$2,551.50 ","$2,902.34 ", N/A ,"$2,998.02 ","$3,029.91 ","$2,870.44 ","$2,710.97 ", N/A , N/A , N/A ,"$2,328.25 ", N/A ,"$2,838.55 ","$2,870.44 ","$2,870.44 ","$2,551.50 ", N/A ,"$1,754.16 ","$2,870.44 ", N/A ,"$2,870.44 ", N/A ,"$3,029.91 ", N/A ,"$2,934.23 ", N/A ,"$2,902.34 ", N/A ,"$1,962.74 ","$2,053.96 ","$1,962.74 ","$2,870.44 ","$2,870.44 ","$2,392.04 ","$2,232.57 ", N/A , N/A ,"$2,982.07 ", N/A , N/A ,"$2,774.76 ", N/A ,"$2,870.44 ", N/A ,"$2,870.44 ","$2,870.44 ","$2,870.44 ","$3,093.70 ","$2,583.40 ","$2,870.44 ","$2,870.44 ","$2,870.44 ","$2,870.44 " ST. JOSEPH'S - CHIPPEWA FALLS,27203647,N/A,HC CATHETER AORTIC BALLOON PUMP,272,1 ,"$2,457.63 ","$1,843.22 ","$1,351.70 ","$2,457.63 ","$1,582.71 ", N/A ,"$1,720.34 ", N/A ,"$2,039.83 ", N/A ,"$1,622.04 ","$2,334.75 ", N/A ,"$1,966.10 ","$2,236.44 ", N/A ,"$2,310.17 ","$2,334.75 ","$2,211.87 ","$2,088.99 ", N/A , N/A , N/A ,"$1,794.07 ", N/A ,"$2,187.29 ","$2,211.87 ","$2,211.87 ","$1,966.10 ", N/A ,"$1,351.70 ","$2,211.87 ", N/A ,"$2,211.87 ", N/A ,"$2,334.75 ", N/A ,"$2,261.02 ", N/A ,"$2,236.44 ", N/A ,"$1,512.43 ","$1,582.71 ","$1,512.43 ","$2,211.87 ","$2,211.87 ","$1,843.22 ","$1,720.34 ", N/A , N/A ,"$2,297.88 ", N/A , N/A ,"$2,138.14 ", N/A ,"$2,211.87 ", N/A ,"$2,211.87 ","$2,211.87 ","$2,211.87 ","$2,383.90 ","$1,990.68 ","$2,211.87 ","$2,211.87 ","$2,211.87 ","$2,211.87 " ST. JOSEPH'S - CHIPPEWA FALLS,27203648,N/A,HC CATHETER DIAGNOSTIC,272,1 ,$111.50 ,$83.63 ,$61.33 ,$111.50 ,$71.81 , N/A ,$78.05 , N/A ,$92.55 , N/A ,$73.59 ,$105.93 , N/A ,$89.20 ,$101.47 , N/A ,$104.81 ,$105.93 ,$100.35 ,$94.78 , N/A , N/A , N/A ,$81.40 , N/A ,$99.24 ,$100.35 ,$100.35 ,$89.20 , N/A ,$61.33 ,$100.35 , N/A ,$100.35 , N/A ,$105.93 , N/A ,$102.58 , N/A ,$101.47 , N/A ,$68.62 ,$71.81 ,$68.62 ,$100.35 ,$100.35 ,$83.63 ,$78.05 , N/A , N/A ,$104.25 , N/A , N/A ,$97.01 , N/A ,$100.35 , N/A ,$100.35 ,$100.35 ,$100.35 ,$108.16 ,$90.32 ,$100.35 ,$100.35 ,$100.35 ,$100.35 ST. JOSEPH'S - CHIPPEWA FALLS,27203649,C1725,HC BALLOON CATHETER,272,1 ,"$1,619.43 ","$1,214.57 ",$890.69 ,"$1,619.43 ","$1,042.91 ", N/A ,"$1,133.60 ", N/A ,"$1,344.13 ", N/A ,"$1,068.82 ","$1,538.46 ", N/A ,"$1,295.54 ","$1,473.68 ", N/A ,"$1,522.26 ","$1,538.46 ","$1,457.49 ","$1,376.52 ", N/A , N/A , N/A ,"$1,182.18 ", N/A ,"$1,441.29 ","$1,457.49 ","$1,457.49 ","$1,295.54 ", N/A ,$890.69 ,"$1,457.49 ", N/A ,"$1,457.49 ", N/A ,"$1,538.46 ", N/A ,"$1,489.88 ", N/A ,"$1,473.68 ", N/A ,$996.60 ,"$1,042.91 ",$996.60 ,"$1,457.49 ","$1,457.49 ","$1,214.57 ","$1,133.60 ", N/A , N/A ,"$1,514.17 ", N/A , N/A ,"$1,408.90 ", N/A ,"$1,457.49 ", N/A ,"$1,457.49 ","$1,457.49 ","$1,457.49 ","$1,570.85 ","$1,311.74 ","$1,457.49 ","$1,457.49 ","$1,457.49 ","$1,457.49 " ST. JOSEPH'S - CHIPPEWA FALLS,27203650,N/A,HC CATHETER ASPIRATION EXPORT,272,1 ,"$2,433.70 ","$1,825.28 ","$1,338.54 ","$2,433.70 ","$1,567.30 ", N/A ,"$1,703.59 ", N/A ,"$2,019.97 ", N/A ,"$1,606.24 ","$2,312.02 ", N/A ,"$1,946.96 ","$2,214.67 ", N/A ,"$2,287.68 ","$2,312.02 ","$2,190.33 ","$2,068.65 ", N/A , N/A , N/A ,"$1,776.60 ", N/A ,"$2,165.99 ","$2,190.33 ","$2,190.33 ","$1,946.96 ", N/A ,"$1,338.54 ","$2,190.33 ", N/A ,"$2,190.33 ", N/A ,"$2,312.02 ", N/A ,"$2,239.00 ", N/A ,"$2,214.67 ", N/A ,"$1,497.70 ","$1,567.30 ","$1,497.70 ","$2,190.33 ","$2,190.33 ","$1,825.28 ","$1,703.59 ", N/A , N/A ,"$2,275.51 ", N/A , N/A ,"$2,117.32 ", N/A ,"$2,190.33 ", N/A ,"$2,190.33 ","$2,190.33 ","$2,190.33 ","$2,360.69 ","$1,971.30 ","$2,190.33 ","$2,190.33 ","$2,190.33 ","$2,190.33 " ST. JOSEPH'S - CHIPPEWA FALLS,27203651,N/A,HC FEMOSTOP COMPRESSION DEVICE,272,1 ,$338.96 ,$254.22 ,$186.43 ,$338.96 ,$218.29 , N/A ,$237.27 , N/A ,$281.34 , N/A ,$223.71 ,$322.01 , N/A ,$271.17 ,$308.45 , N/A ,$318.62 ,$322.01 ,$305.06 ,$288.12 , N/A , N/A , N/A ,$247.44 , N/A ,$301.67 ,$305.06 ,$305.06 ,$271.17 , N/A ,$186.43 ,$305.06 , N/A ,$305.06 , N/A ,$322.01 , N/A ,$311.84 , N/A ,$308.45 , N/A ,$208.60 ,$218.29 ,$208.60 ,$305.06 ,$305.06 ,$254.22 ,$237.27 , N/A , N/A ,$316.93 , N/A , N/A ,$294.90 , N/A ,$305.06 , N/A ,$305.06 ,$305.06 ,$305.06 ,$328.79 ,$274.56 ,$305.06 ,$305.06 ,$305.06 ,$305.06 ST. JOSEPH'S - CHIPPEWA FALLS,27203652,C1887,HC CATHETER CARDIAC CATH-GUIDE,272,1 ,$330.88 ,$248.16 ,$181.98 ,$330.88 ,$213.09 , N/A ,$231.62 , N/A ,$274.63 , N/A ,$218.38 ,$314.34 , N/A ,$264.70 ,$301.10 , N/A ,$311.03 ,$314.34 ,$297.79 ,$281.25 , N/A , N/A , N/A ,$241.54 , N/A ,$294.48 ,$297.79 ,$297.79 ,$264.70 , N/A ,$181.98 ,$297.79 , N/A ,$297.79 , N/A ,$314.34 , N/A ,$304.41 , N/A ,$301.10 , N/A ,$203.62 ,$213.09 ,$203.62 ,$297.79 ,$297.79 ,$248.16 ,$231.62 , N/A , N/A ,$309.37 , N/A , N/A ,$287.87 , N/A ,$297.79 , N/A ,$297.79 ,$297.79 ,$297.79 ,$320.95 ,$268.01 ,$297.79 ,$297.79 ,$297.79 ,$297.79 ST. JOSEPH'S - CHIPPEWA FALLS,27203653,N/A,HC CATHETER PIGTAIL DUAL LUMEN,272,1 ,$523.69 ,$392.77 ,$288.03 ,$523.69 ,$337.26 , N/A ,$366.58 , N/A ,$434.66 , N/A ,$345.64 ,$497.51 , N/A ,$418.95 ,$476.56 , N/A ,$492.27 ,$497.51 ,$471.32 ,$445.14 , N/A , N/A , N/A ,$382.29 , N/A ,$466.08 ,$471.32 ,$471.32 ,$418.95 , N/A ,$288.03 ,$471.32 , N/A ,$471.32 , N/A ,$497.51 , N/A ,$481.79 , N/A ,$476.56 , N/A ,$322.28 ,$337.26 ,$322.28 ,$471.32 ,$471.32 ,$392.77 ,$366.58 , N/A , N/A ,$489.65 , N/A , N/A ,$455.61 , N/A ,$471.32 , N/A ,$471.32 ,$471.32 ,$471.32 ,$507.98 ,$424.19 ,$471.32 ,$471.32 ,$471.32 ,$471.32 ST. JOSEPH'S - CHIPPEWA FALLS,27203654,N/A,HC CATHETER SWAN GANZ,272,1 ,$433.59 ,$325.19 ,$238.47 ,$433.59 ,$279.23 , N/A ,$303.51 , N/A ,$359.88 , N/A ,$286.17 ,$411.91 , N/A ,$346.87 ,$394.57 , N/A ,$407.57 ,$411.91 ,$390.23 ,$368.55 , N/A , N/A , N/A ,$316.52 , N/A ,$385.90 ,$390.23 ,$390.23 ,$346.87 , N/A ,$238.47 ,$390.23 , N/A ,$390.23 , N/A ,$411.91 , N/A ,$398.90 , N/A ,$394.57 , N/A ,$266.83 ,$279.23 ,$266.83 ,$390.23 ,$390.23 ,$325.19 ,$303.51 , N/A , N/A ,$405.41 , N/A , N/A ,$377.22 , N/A ,$390.23 , N/A ,$390.23 ,$390.23 ,$390.23 ,$420.58 ,$351.21 ,$390.23 ,$390.23 ,$390.23 ,$390.23 ST. JOSEPH'S - CHIPPEWA FALLS,27203655,N/A,HC CATHETER SWAN GANZ THERMODIULTION,272,1 ,$189.98 ,$142.49 ,$104.49 ,$189.98 ,$122.35 , N/A ,$132.99 , N/A ,$157.68 , N/A ,$125.39 ,$180.48 , N/A ,$151.98 ,$172.88 , N/A ,$178.58 ,$180.48 ,$170.98 ,$161.48 , N/A , N/A , N/A ,$138.69 , N/A ,$169.08 ,$170.98 ,$170.98 ,$151.98 , N/A ,$104.49 ,$170.98 , N/A ,$170.98 , N/A ,$180.48 , N/A ,$174.78 , N/A ,$172.88 , N/A ,$116.91 ,$122.35 ,$116.91 ,$170.98 ,$170.98 ,$142.49 ,$132.99 , N/A , N/A ,$177.63 , N/A , N/A ,$165.28 , N/A ,$170.98 , N/A ,$170.98 ,$170.98 ,$170.98 ,$184.28 ,$153.88 ,$170.98 ,$170.98 ,$170.98 ,$170.98 ST. JOSEPH'S - CHIPPEWA FALLS,27203656,C1725,HC BALLOON CUTTING DEVICE,272,1 ,"$1,867.09 ","$1,400.32 ","$1,026.90 ","$1,867.09 ","$1,202.41 ", N/A ,"$1,306.96 ", N/A ,"$1,549.68 ", N/A ,"$1,232.28 ","$1,773.74 ", N/A ,"$1,493.67 ","$1,699.05 ", N/A ,"$1,755.06 ","$1,773.74 ","$1,680.38 ","$1,587.03 ", N/A , N/A , N/A ,"$1,362.98 ", N/A ,"$1,661.71 ","$1,680.38 ","$1,680.38 ","$1,493.67 ", N/A ,"$1,026.90 ","$1,680.38 ", N/A ,"$1,680.38 ", N/A ,"$1,773.74 ", N/A ,"$1,717.72 ", N/A ,"$1,699.05 ", N/A ,"$1,149.01 ","$1,202.41 ","$1,149.01 ","$1,680.38 ","$1,680.38 ","$1,400.32 ","$1,306.96 ", N/A , N/A ,"$1,745.73 ", N/A , N/A ,"$1,624.37 ", N/A ,"$1,680.38 ", N/A ,"$1,680.38 ","$1,680.38 ","$1,680.38 ","$1,811.08 ","$1,512.34 ","$1,680.38 ","$1,680.38 ","$1,680.38 ","$1,680.38 " ST. JOSEPH'S - CHIPPEWA FALLS,27203657,C1769,HC GUIDEWIRE,272,1 ,$60.60 ,$45.45 ,$33.33 ,$60.60 ,$39.03 , N/A ,$42.42 , N/A ,$50.30 , N/A ,$40.00 ,$57.57 , N/A ,$48.48 ,$55.15 , N/A ,$56.96 ,$57.57 ,$54.54 ,$51.51 , N/A , N/A , N/A ,$44.24 , N/A ,$53.93 ,$54.54 ,$54.54 ,$48.48 , N/A ,$33.33 ,$54.54 , N/A ,$54.54 , N/A ,$57.57 , N/A ,$55.75 , N/A ,$55.15 , N/A ,$37.29 ,$39.03 ,$37.29 ,$54.54 ,$54.54 ,$45.45 ,$42.42 , N/A , N/A ,$56.66 , N/A , N/A ,$52.72 , N/A ,$54.54 , N/A ,$54.54 ,$54.54 ,$54.54 ,$58.78 ,$49.09 ,$54.54 ,$54.54 ,$54.54 ,$54.54 ST. JOSEPH'S - CHIPPEWA FALLS,27203658,C1769,HC GUIDEWIRE GLIDEWIRE,272,1 ,$135.90 ,$101.93 ,$74.75 ,$135.90 ,$87.52 , N/A ,$95.13 , N/A ,$112.80 , N/A ,$89.69 ,$129.11 , N/A ,$108.72 ,$123.67 , N/A ,$127.75 ,$129.11 ,$122.31 ,$115.52 , N/A , N/A , N/A ,$99.21 , N/A ,$120.95 ,$122.31 ,$122.31 ,$108.72 , N/A ,$74.75 ,$122.31 , N/A ,$122.31 , N/A ,$129.11 , N/A ,$125.03 , N/A ,$123.67 , N/A ,$83.63 ,$87.52 ,$83.63 ,$122.31 ,$122.31 ,$101.93 ,$95.13 , N/A , N/A ,$127.07 , N/A , N/A ,$118.23 , N/A ,$122.31 , N/A ,$122.31 ,$122.31 ,$122.31 ,$131.82 ,$110.08 ,$122.31 ,$122.31 ,$122.31 ,$122.31 ST. JOSEPH'S - CHIPPEWA FALLS,27203660,C1894,HC INTRODUCER SHEATH PACEMAKER,272,1 ,$285.63 ,$214.22 ,$157.10 ,$285.63 ,$183.95 , N/A ,$199.94 , N/A ,$237.07 , N/A ,$188.52 ,$271.35 , N/A ,$228.50 ,$259.92 , N/A ,$268.49 ,$271.35 ,$257.07 ,$242.79 , N/A , N/A , N/A ,$208.51 , N/A ,$254.21 ,$257.07 ,$257.07 ,$228.50 , N/A ,$157.10 ,$257.07 , N/A ,$257.07 , N/A ,$271.35 , N/A ,$262.78 , N/A ,$259.92 , N/A ,$175.78 ,$183.95 ,$175.78 ,$257.07 ,$257.07 ,$214.22 ,$199.94 , N/A , N/A ,$267.06 , N/A , N/A ,$248.50 , N/A ,$257.07 , N/A ,$257.07 ,$257.07 ,$257.07 ,$277.06 ,$231.36 ,$257.07 ,$257.07 ,$257.07 ,$257.07 ST. JOSEPH'S - CHIPPEWA FALLS,27203661,N/A,HC SUTURE,272,1 ,$89.39 ,$67.04 ,$49.16 ,$89.39 ,$57.57 , N/A ,$62.57 , N/A ,$74.19 , N/A ,$59.00 ,$84.92 , N/A ,$71.51 ,$81.34 , N/A ,$84.03 ,$84.92 ,$80.45 ,$75.98 , N/A , N/A , N/A ,$65.25 , N/A ,$79.56 ,$80.45 ,$80.45 ,$71.51 , N/A ,$49.16 ,$80.45 , N/A ,$80.45 , N/A ,$84.92 , N/A ,$82.24 , N/A ,$81.34 , N/A ,$55.01 ,$57.57 ,$55.01 ,$80.45 ,$80.45 ,$67.04 ,$62.57 , N/A , N/A ,$83.58 , N/A , N/A ,$77.77 , N/A ,$80.45 , N/A ,$80.45 ,$80.45 ,$80.45 ,$86.71 ,$72.41 ,$80.45 ,$80.45 ,$80.45 ,$80.45 ST. JOSEPH'S - CHIPPEWA FALLS,27203662,N/A,HC SUTURE MULTIPACK,272,1 ,$262.20 ,$196.65 ,$144.21 ,$262.20 ,$168.86 , N/A ,$183.54 , N/A ,$217.63 , N/A ,$173.05 ,$249.09 , N/A ,$209.76 ,$238.60 , N/A ,$246.47 ,$249.09 ,$235.98 ,$222.87 , N/A , N/A , N/A ,$191.41 , N/A ,$233.36 ,$235.98 ,$235.98 ,$209.76 , N/A ,$144.21 ,$235.98 , N/A ,$235.98 , N/A ,$249.09 , N/A ,$241.22 , N/A ,$238.60 , N/A ,$161.36 ,$168.86 ,$161.36 ,$235.98 ,$235.98 ,$196.65 ,$183.54 , N/A , N/A ,$245.16 , N/A , N/A ,$228.11 , N/A ,$235.98 , N/A ,$235.98 ,$235.98 ,$235.98 ,$254.33 ,$212.38 ,$235.98 ,$235.98 ,$235.98 ,$235.98 ST. JOSEPH'S - CHIPPEWA FALLS,27203663,C1884,HC FILTER WIRE,272,1 ,"$2,856.89 ","$2,142.67 ","$1,571.29 ","$2,856.89 ","$1,839.84 ", N/A ,"$1,999.82 ", N/A ,"$2,371.22 ", N/A ,"$1,885.55 ","$2,714.05 ", N/A ,"$2,285.51 ","$2,599.77 ", N/A ,"$2,685.48 ","$2,714.05 ","$2,571.20 ","$2,428.36 ", N/A , N/A , N/A ,"$2,085.53 ", N/A ,"$2,542.63 ","$2,571.20 ","$2,571.20 ","$2,285.51 ", N/A ,"$1,571.29 ","$2,571.20 ", N/A ,"$2,571.20 ", N/A ,"$2,714.05 ", N/A ,"$2,628.34 ", N/A ,"$2,599.77 ", N/A ,"$1,758.13 ","$1,839.84 ","$1,758.13 ","$2,571.20 ","$2,571.20 ","$2,142.67 ","$1,999.82 ", N/A , N/A ,"$2,671.19 ", N/A , N/A ,"$2,485.49 ", N/A ,"$2,571.20 ", N/A ,"$2,571.20 ","$2,571.20 ","$2,571.20 ","$2,771.18 ","$2,314.08 ","$2,571.20 ","$2,571.20 ","$2,571.20 ","$2,571.20 " ST. JOSEPH'S - CHIPPEWA FALLS,27203664,N/A,HC WIRE PACEMAKER,272,1 ,$270.18 ,$202.64 ,$148.60 ,$270.18 ,$174.00 , N/A ,$189.13 , N/A ,$224.25 , N/A ,$178.32 ,$256.67 , N/A ,$216.14 ,$245.86 , N/A ,$253.97 ,$256.67 ,$243.16 ,$229.65 , N/A , N/A , N/A ,$197.23 , N/A ,$240.46 ,$243.16 ,$243.16 ,$216.14 , N/A ,$148.60 ,$243.16 , N/A ,$243.16 , N/A ,$256.67 , N/A ,$248.57 , N/A ,$245.86 , N/A ,$166.27 ,$174.00 ,$166.27 ,$243.16 ,$243.16 ,$202.64 ,$189.13 , N/A , N/A ,$252.62 , N/A , N/A ,$235.06 , N/A ,$243.16 , N/A ,$243.16 ,$243.16 ,$243.16 ,$262.07 ,$218.85 ,$243.16 ,$243.16 ,$243.16 ,$243.16 ST. JOSEPH'S - CHIPPEWA FALLS,27203665,C1724,HC ROTATIONAL ADVANCER ATHERECTOMY,272,1 ,"$1,857.90 ","$1,393.43 ","$1,021.85 ","$1,857.90 ","$1,196.49 ", N/A ,"$1,300.53 ", N/A ,"$1,542.06 ", N/A ,"$1,226.21 ","$1,765.01 ", N/A ,"$1,486.32 ","$1,690.69 ", N/A ,"$1,746.43 ","$1,765.01 ","$1,672.11 ","$1,579.22 ", N/A , N/A , N/A ,"$1,356.27 ", N/A ,"$1,653.53 ","$1,672.11 ","$1,672.11 ","$1,486.32 ", N/A ,"$1,021.85 ","$1,672.11 ", N/A ,"$1,672.11 ", N/A ,"$1,765.01 ", N/A ,"$1,709.27 ", N/A ,"$1,690.69 ", N/A ,"$1,143.35 ","$1,196.49 ","$1,143.35 ","$1,672.11 ","$1,672.11 ","$1,393.43 ","$1,300.53 ", N/A , N/A ,"$1,737.14 ", N/A , N/A ,"$1,616.37 ", N/A ,"$1,672.11 ", N/A ,"$1,672.11 ","$1,672.11 ","$1,672.11 ","$1,802.16 ","$1,504.90 ","$1,672.11 ","$1,672.11 ","$1,672.11 ","$1,672.11 " ST. JOSEPH'S - CHIPPEWA FALLS,27203666,C1753,HC CATHETER IVUS,272,1 ,"$2,048.79 ","$1,536.59 ","$1,126.83 ","$2,048.79 ","$1,319.42 ", N/A ,"$1,434.15 ", N/A ,"$1,700.50 ", N/A ,"$1,352.20 ","$1,946.35 ", N/A ,"$1,639.03 ","$1,864.40 ", N/A ,"$1,925.86 ","$1,946.35 ","$1,843.91 ","$1,741.47 ", N/A , N/A , N/A ,"$1,495.62 ", N/A ,"$1,823.42 ","$1,843.91 ","$1,843.91 ","$1,639.03 ", N/A ,"$1,126.83 ","$1,843.91 ", N/A ,"$1,843.91 ", N/A ,"$1,946.35 ", N/A ,"$1,884.89 ", N/A ,"$1,864.40 ", N/A ,"$1,260.83 ","$1,319.42 ","$1,260.83 ","$1,843.91 ","$1,843.91 ","$1,536.59 ","$1,434.15 ", N/A , N/A ,"$1,915.62 ", N/A , N/A ,"$1,782.45 ", N/A ,"$1,843.91 ", N/A ,"$1,843.91 ","$1,843.91 ","$1,843.91 ","$1,987.33 ","$1,659.52 ","$1,843.91 ","$1,843.91 ","$1,843.91 ","$1,843.91 " ST. JOSEPH'S - CHIPPEWA FALLS,27203667,C1725,HC CATHETER BALLOON CORONARY,272,1 ,"$1,354.81 ","$1,016.11 ",$745.15 ,"$1,354.81 ",$872.50 , N/A ,$948.37 , N/A ,"$1,124.49 ", N/A ,$894.17 ,"$1,287.07 ", N/A ,"$1,083.85 ","$1,232.88 ", N/A ,"$1,273.52 ","$1,287.07 ","$1,219.33 ","$1,151.59 ", N/A , N/A , N/A ,$989.01 , N/A ,"$1,205.78 ","$1,219.33 ","$1,219.33 ","$1,083.85 ", N/A ,$745.15 ,"$1,219.33 ", N/A ,"$1,219.33 ", N/A ,"$1,287.07 ", N/A ,"$1,246.43 ", N/A ,"$1,232.88 ", N/A ,$833.75 ,$872.50 ,$833.75 ,"$1,219.33 ","$1,219.33 ","$1,016.11 ",$948.37 , N/A , N/A ,"$1,266.75 ", N/A , N/A ,"$1,178.68 ", N/A ,"$1,219.33 ", N/A ,"$1,219.33 ","$1,219.33 ","$1,219.33 ","$1,314.17 ","$1,097.40 ","$1,219.33 ","$1,219.33 ","$1,219.33 ","$1,219.33 " ST. JOSEPH'S - CHIPPEWA FALLS,27203668,C1725,HC CATHETER BALLOON PERIPHERAL,272,1 ,$937.18 ,$702.89 ,$515.45 ,$937.18 ,$603.54 , N/A ,$656.03 , N/A ,$777.86 , N/A ,$618.54 ,$890.32 , N/A ,$749.74 ,$852.83 , N/A ,$880.95 ,$890.32 ,$843.46 ,$796.60 , N/A , N/A , N/A ,$684.14 , N/A ,$834.09 ,$843.46 ,$843.46 ,$749.74 , N/A ,$515.45 ,$843.46 , N/A ,$843.46 , N/A ,$890.32 , N/A ,$862.21 , N/A ,$852.83 , N/A ,$576.74 ,$603.54 ,$576.74 ,$843.46 ,$843.46 ,$702.89 ,$656.03 , N/A , N/A ,$876.26 , N/A , N/A ,$815.35 , N/A ,$843.46 , N/A ,$843.46 ,$843.46 ,$843.46 ,$909.06 ,$759.12 ,$843.46 ,$843.46 ,$843.46 ,$843.46 ST. JOSEPH'S - CHIPPEWA FALLS,27203669,N/A,HC BALLOON CUTTING PERIPHERAL,272,1 ,"$1,862.84 ","$1,397.13 ","$1,024.56 ","$1,862.84 ","$1,199.67 ", N/A ,"$1,303.99 ", N/A ,"$1,546.16 ", N/A ,"$1,229.47 ","$1,769.70 ", N/A ,"$1,490.27 ","$1,695.18 ", N/A ,"$1,751.07 ","$1,769.70 ","$1,676.56 ","$1,583.41 ", N/A , N/A , N/A ,"$1,359.87 ", N/A ,"$1,657.93 ","$1,676.56 ","$1,676.56 ","$1,490.27 ", N/A ,"$1,024.56 ","$1,676.56 ", N/A ,"$1,676.56 ", N/A ,"$1,769.70 ", N/A ,"$1,713.81 ", N/A ,"$1,695.18 ", N/A ,"$1,146.39 ","$1,199.67 ","$1,146.39 ","$1,676.56 ","$1,676.56 ","$1,397.13 ","$1,303.99 ", N/A , N/A ,"$1,741.76 ", N/A , N/A ,"$1,620.67 ", N/A ,"$1,676.56 ", N/A ,"$1,676.56 ","$1,676.56 ","$1,676.56 ","$1,806.95 ","$1,508.90 ","$1,676.56 ","$1,676.56 ","$1,676.56 ","$1,676.56 " ST. JOSEPH'S - CHIPPEWA FALLS,27203670,N/A,HC GUIDEWIRE ROTATIONAL ATHERECTOMY,272,1 ,$509.04 ,$381.78 ,$279.97 ,$509.04 ,$327.82 , N/A ,$356.33 , N/A ,$422.50 , N/A ,$335.97 ,$483.59 , N/A ,$407.23 ,$463.23 , N/A ,$478.50 ,$483.59 ,$458.14 ,$432.68 , N/A , N/A , N/A ,$371.60 , N/A ,$453.05 ,$458.14 ,$458.14 ,$407.23 , N/A ,$279.97 ,$458.14 , N/A ,$458.14 , N/A ,$483.59 , N/A ,$468.32 , N/A ,$463.23 , N/A ,$313.26 ,$327.82 ,$313.26 ,$458.14 ,$458.14 ,$381.78 ,$356.33 , N/A , N/A ,$475.95 , N/A , N/A ,$442.86 , N/A ,$458.14 , N/A ,$458.14 ,$458.14 ,$458.14 ,$493.77 ,$412.32 ,$458.14 ,$458.14 ,$458.14 ,$458.14 ST. JOSEPH'S - CHIPPEWA FALLS,27203671,N/A,HC LEAD CRT,272,1 ,"$3,629.94 ","$2,722.46 ","$1,996.47 ","$3,629.94 ","$2,337.68 ", N/A ,"$2,540.96 ", N/A ,"$3,012.85 ", N/A ,"$2,395.76 ","$3,448.44 ", N/A ,"$2,903.95 ","$3,303.25 ", N/A ,"$3,412.14 ","$3,448.44 ","$3,266.95 ","$3,085.45 ", N/A , N/A , N/A ,"$2,649.86 ", N/A ,"$3,230.65 ","$3,266.95 ","$3,266.95 ","$2,903.95 ", N/A ,"$1,996.47 ","$3,266.95 ", N/A ,"$3,266.95 ", N/A ,"$3,448.44 ", N/A ,"$3,339.54 ", N/A ,"$3,303.25 ", N/A ,"$2,233.87 ","$2,337.68 ","$2,233.87 ","$3,266.95 ","$3,266.95 ","$2,722.46 ","$2,540.96 ", N/A , N/A ,"$3,393.99 ", N/A , N/A ,"$3,158.05 ", N/A ,"$3,266.95 ", N/A ,"$3,266.95 ","$3,266.95 ","$3,266.95 ","$3,521.04 ","$2,940.25 ","$3,266.95 ","$3,266.95 ","$3,266.95 ","$3,266.95 " ST. JOSEPH'S - CHIPPEWA FALLS,27203672,N/A,HC ARTHERECTOMY DEVICE PERIPHERAL,272,1 ,"$6,467.54 ","$4,850.66 ","$3,557.15 ","$6,467.54 ","$4,165.10 ", N/A ,"$4,527.28 ", N/A ,"$5,368.06 ", N/A ,"$4,268.58 ","$6,144.16 ", N/A ,"$5,174.03 ","$5,885.46 ", N/A ,"$6,079.49 ","$6,144.16 ","$5,820.79 ","$5,497.41 ", N/A , N/A , N/A ,"$4,721.30 ", N/A ,"$5,756.11 ","$5,820.79 ","$5,820.79 ","$5,174.03 ", N/A ,"$3,557.15 ","$5,820.79 ", N/A ,"$5,820.79 ", N/A ,"$6,144.16 ", N/A ,"$5,950.14 ", N/A ,"$5,885.46 ", N/A ,"$3,980.12 ","$4,165.10 ","$3,980.12 ","$5,820.79 ","$5,820.79 ","$4,850.66 ","$4,527.28 ", N/A , N/A ,"$6,047.15 ", N/A , N/A ,"$5,626.76 ", N/A ,"$5,820.79 ", N/A ,"$5,820.79 ","$5,820.79 ","$5,820.79 ","$6,273.51 ","$5,238.71 ","$5,820.79 ","$5,820.79 ","$5,820.79 ","$5,820.79 " ST. JOSEPH'S - CHIPPEWA FALLS,27203673,C1887,HC CATHETER GUIDELINER,272,1 ,"$1,337.85 ","$1,003.39 ",$735.82 ,"$1,337.85 ",$861.58 , N/A ,$936.50 , N/A ,"$1,110.42 ", N/A ,$882.98 ,"$1,270.96 ", N/A ,"$1,070.28 ","$1,217.44 ", N/A ,"$1,257.58 ","$1,270.96 ","$1,204.07 ","$1,137.17 ", N/A , N/A , N/A ,$976.63 , N/A ,"$1,190.69 ","$1,204.07 ","$1,204.07 ","$1,070.28 ", N/A ,$735.82 ,"$1,204.07 ", N/A ,"$1,204.07 ", N/A ,"$1,270.96 ", N/A ,"$1,230.82 ", N/A ,"$1,217.44 ", N/A ,$823.31 ,$861.58 ,$823.31 ,"$1,204.07 ","$1,204.07 ","$1,003.39 ",$936.50 , N/A , N/A ,"$1,250.89 ", N/A , N/A ,"$1,163.93 ", N/A ,"$1,204.07 ", N/A ,"$1,204.07 ","$1,204.07 ","$1,204.07 ","$1,297.71 ","$1,083.66 ","$1,204.07 ","$1,204.07 ","$1,204.07 ","$1,204.07 " ST. JOSEPH'S - CHIPPEWA FALLS,27203674,N/A,HC GUIDEWIRE-EXCHANGE WIRE,272,1 ,$151.05 ,$113.29 ,$83.08 ,$151.05 ,$97.28 , N/A ,$105.74 , N/A ,$125.37 , N/A ,$99.69 ,$143.50 , N/A ,$120.84 ,$137.46 , N/A ,$141.99 ,$143.50 ,$135.95 ,$128.39 , N/A , N/A , N/A ,$110.27 , N/A ,$134.43 ,$135.95 ,$135.95 ,$120.84 , N/A ,$83.08 ,$135.95 , N/A ,$135.95 , N/A ,$143.50 , N/A ,$138.97 , N/A ,$137.46 , N/A ,$92.96 ,$97.28 ,$92.96 ,$135.95 ,$135.95 ,$113.29 ,$105.74 , N/A , N/A ,$141.23 , N/A , N/A ,$131.41 , N/A ,$135.95 , N/A ,$135.95 ,$135.95 ,$135.95 ,$146.52 ,$122.35 ,$135.95 ,$135.95 ,$135.95 ,$135.95 ST. JOSEPH'S - CHIPPEWA FALLS,27203679,C1751,HC CATHETER INFUSION,272,1 ,$555.00 ,$416.25 ,$305.25 ,$555.00 ,$357.42 , N/A ,$388.50 , N/A ,$460.65 , N/A ,$366.30 ,$527.25 , N/A ,$444.00 ,$505.05 , N/A ,$521.70 ,$527.25 ,$499.50 ,$471.75 , N/A , N/A , N/A ,$405.15 , N/A ,$493.95 ,$499.50 ,$499.50 ,$444.00 , N/A ,$305.25 ,$499.50 , N/A ,$499.50 , N/A ,$527.25 , N/A ,$510.60 , N/A ,$505.05 , N/A ,$341.55 ,$357.42 ,$341.55 ,$499.50 ,$499.50 ,$416.25 ,$388.50 , N/A , N/A ,$518.93 , N/A , N/A ,$482.85 , N/A ,$499.50 , N/A ,$499.50 ,$499.50 ,$499.50 ,$538.35 ,$449.55 ,$499.50 ,$499.50 ,$499.50 ,$499.50 ST. JOSEPH'S - CHIPPEWA FALLS,27203680,N/A,HC SET NEEDLE ACCESS,272,1 ,$744.57 ,$558.43 ,$409.51 ,$744.57 ,$479.50 , N/A ,$521.20 , N/A ,$617.99 , N/A ,$491.42 ,$707.34 , N/A ,$595.66 ,$677.56 , N/A ,$699.90 ,$707.34 ,$670.11 ,$632.88 , N/A , N/A , N/A ,$543.54 , N/A ,$662.67 ,$670.11 ,$670.11 ,$595.66 , N/A ,$409.51 ,$670.11 , N/A ,$670.11 , N/A ,$707.34 , N/A ,$685.00 , N/A ,$677.56 , N/A ,$458.21 ,$479.50 ,$458.21 ,$670.11 ,$670.11 ,$558.43 ,$521.20 , N/A , N/A ,$696.17 , N/A , N/A ,$647.78 , N/A ,$670.11 , N/A ,$670.11 ,$670.11 ,$670.11 ,$722.23 ,$603.10 ,$670.11 ,$670.11 ,$670.11 ,$670.11 ST. JOSEPH'S - CHIPPEWA FALLS,27203681,N/A,HC NEEDLE BIOPSY COAXIAL BONE,272,1 ,$389.86 ,$292.40 ,$214.42 ,$389.86 ,$251.07 , N/A ,$272.90 , N/A ,$323.58 , N/A ,$257.31 ,$370.37 , N/A ,$311.89 ,$354.77 , N/A ,$366.47 ,$370.37 ,$350.87 ,$331.38 , N/A , N/A , N/A ,$284.60 , N/A ,$346.98 ,$350.87 ,$350.87 ,$311.89 , N/A ,$214.42 ,$350.87 , N/A ,$350.87 , N/A ,$370.37 , N/A ,$358.67 , N/A ,$354.77 , N/A ,$239.92 ,$251.07 ,$239.92 ,$350.87 ,$350.87 ,$292.40 ,$272.90 , N/A , N/A ,$364.52 , N/A , N/A ,$339.18 , N/A ,$350.87 , N/A ,$350.87 ,$350.87 ,$350.87 ,$378.16 ,$315.79 ,$350.87 ,$350.87 ,$350.87 ,$350.87 ST. JOSEPH'S - CHIPPEWA FALLS,27203682,N/A,HC CATHETER REPERFUSION MAX,272,1 ,"$2,535.00 ","$1,901.25 ","$1,394.25 ","$2,535.00 ","$1,632.54 ", N/A ,"$1,774.50 ", N/A ,"$2,104.05 ", N/A ,"$1,673.10 ","$2,408.25 ", N/A ,"$2,028.00 ","$2,306.85 ", N/A ,"$2,382.90 ","$2,408.25 ","$2,281.50 ","$2,154.75 ", N/A , N/A , N/A ,"$1,850.55 ", N/A ,"$2,256.15 ","$2,281.50 ","$2,281.50 ","$2,028.00 ", N/A ,"$1,394.25 ","$2,281.50 ", N/A ,"$2,281.50 ", N/A ,"$2,408.25 ", N/A ,"$2,332.20 ", N/A ,"$2,306.85 ", N/A ,"$1,560.04 ","$1,632.54 ","$1,560.04 ","$2,281.50 ","$2,281.50 ","$1,901.25 ","$1,774.50 ", N/A , N/A ,"$2,370.23 ", N/A , N/A ,"$2,205.45 ", N/A ,"$2,281.50 ", N/A ,"$2,281.50 ","$2,281.50 ","$2,281.50 ","$2,458.95 ","$2,053.35 ","$2,281.50 ","$2,281.50 ","$2,281.50 ","$2,281.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27203683,N/A,HC CATHETER REPERFUSION ACE,272,1 ,"$3,772.35 ","$2,829.26 ","$2,074.79 ","$3,772.35 ","$2,429.39 ", N/A ,"$2,640.65 ", N/A ,"$3,131.05 ", N/A ,"$2,489.75 ","$3,583.73 ", N/A ,"$3,017.88 ","$3,432.84 ", N/A ,"$3,546.01 ","$3,583.73 ","$3,395.12 ","$3,206.50 ", N/A , N/A , N/A ,"$2,753.82 ", N/A ,"$3,357.39 ","$3,395.12 ","$3,395.12 ","$3,017.88 ", N/A ,"$2,074.79 ","$3,395.12 ", N/A ,"$3,395.12 ", N/A ,"$3,583.73 ", N/A ,"$3,470.56 ", N/A ,"$3,432.84 ", N/A ,"$2,321.50 ","$2,429.39 ","$2,321.50 ","$3,395.12 ","$3,395.12 ","$2,829.26 ","$2,640.65 ", N/A , N/A ,"$3,527.15 ", N/A , N/A ,"$3,281.94 ", N/A ,"$3,395.12 ", N/A ,"$3,395.12 ","$3,395.12 ","$3,395.12 ","$3,659.18 ","$3,055.60 ","$3,395.12 ","$3,395.12 ","$3,395.12 ","$3,395.12 " ST. JOSEPH'S - CHIPPEWA FALLS,27203685,C1725,HC CATHETER BALLOON ANGIO,272,1 ,"$1,772.65 ","$1,329.49 ",$974.96 ,"$1,772.65 ","$1,141.59 ", N/A ,"$1,240.86 ", N/A ,"$1,471.30 ", N/A ,"$1,169.95 ","$1,684.02 ", N/A ,"$1,418.12 ","$1,613.11 ", N/A ,"$1,666.29 ","$1,684.02 ","$1,595.39 ","$1,506.75 ", N/A , N/A , N/A ,"$1,294.03 ", N/A ,"$1,577.66 ","$1,595.39 ","$1,595.39 ","$1,418.12 ", N/A ,$974.96 ,"$1,595.39 ", N/A ,"$1,595.39 ", N/A ,"$1,684.02 ", N/A ,"$1,630.84 ", N/A ,"$1,613.11 ", N/A ,"$1,090.89 ","$1,141.59 ","$1,090.89 ","$1,595.39 ","$1,595.39 ","$1,329.49 ","$1,240.86 ", N/A , N/A ,"$1,657.43 ", N/A , N/A ,"$1,542.21 ", N/A ,"$1,595.39 ", N/A ,"$1,595.39 ","$1,595.39 ","$1,595.39 ","$1,719.47 ","$1,435.85 ","$1,595.39 ","$1,595.39 ","$1,595.39 ","$1,595.39 " ST. JOSEPH'S - CHIPPEWA FALLS,27203686,N/A,HC CATHETER GLIDECATH,272,1 ,$317.85 ,$238.39 ,$174.82 ,$317.85 ,$204.70 , N/A ,$222.50 , N/A ,$263.82 , N/A ,$209.78 ,$301.96 , N/A ,$254.28 ,$289.24 , N/A ,$298.78 ,$301.96 ,$286.07 ,$270.17 , N/A , N/A , N/A ,$232.03 , N/A ,$282.89 ,$286.07 ,$286.07 ,$254.28 , N/A ,$174.82 ,$286.07 , N/A ,$286.07 , N/A ,$301.96 , N/A ,$292.42 , N/A ,$289.24 , N/A ,$195.60 ,$204.70 ,$195.60 ,$286.07 ,$286.07 ,$238.39 ,$222.50 , N/A , N/A ,$297.19 , N/A , N/A ,$276.53 , N/A ,$286.07 , N/A ,$286.07 ,$286.07 ,$286.07 ,$308.31 ,$257.46 ,$286.07 ,$286.07 ,$286.07 ,$286.07 ST. JOSEPH'S - CHIPPEWA FALLS,27203687,N/A,HC CATHETER BILIARY,272,1 ,$662.96 ,$497.22 ,$364.63 ,$662.96 ,$426.95 , N/A ,$464.07 , N/A ,$550.26 , N/A ,$437.55 ,$629.81 , N/A ,$530.37 ,$603.29 , N/A ,$623.18 ,$629.81 ,$596.66 ,$563.52 , N/A , N/A , N/A ,$483.96 , N/A ,$590.03 ,$596.66 ,$596.66 ,$530.37 , N/A ,$364.63 ,$596.66 , N/A ,$596.66 , N/A ,$629.81 , N/A ,$609.92 , N/A ,$603.29 , N/A ,$407.99 ,$426.95 ,$407.99 ,$596.66 ,$596.66 ,$497.22 ,$464.07 , N/A , N/A ,$619.87 , N/A , N/A ,$576.78 , N/A ,$596.66 , N/A ,$596.66 ,$596.66 ,$596.66 ,$643.07 ,$537.00 ,$596.66 ,$596.66 ,$596.66 ,$596.66 ST. JOSEPH'S - CHIPPEWA FALLS,27203688,N/A,HC COIL PUSHER,272,1 ,"$1,127.67 ",$845.75 ,$620.22 ,"$1,127.67 ",$726.22 , N/A ,$789.37 , N/A ,$935.97 , N/A ,$744.26 ,"$1,071.29 ", N/A ,$902.14 ,"$1,026.18 ", N/A ,"$1,060.01 ","$1,071.29 ","$1,014.90 ",$958.52 , N/A , N/A , N/A ,$823.20 , N/A ,"$1,003.63 ","$1,014.90 ","$1,014.90 ",$902.14 , N/A ,$620.22 ,"$1,014.90 ", N/A ,"$1,014.90 ", N/A ,"$1,071.29 ", N/A ,"$1,037.46 ", N/A ,"$1,026.18 ", N/A ,$693.97 ,$726.22 ,$693.97 ,"$1,014.90 ","$1,014.90 ",$845.75 ,$789.37 , N/A , N/A ,"$1,054.37 ", N/A , N/A ,$981.07 , N/A ,"$1,014.90 ", N/A ,"$1,014.90 ","$1,014.90 ","$1,014.90 ","$1,093.84 ",$913.41 ,"$1,014.90 ","$1,014.90 ","$1,014.90 ","$1,014.90 " ST. JOSEPH'S - CHIPPEWA FALLS,27203689,N/A,HC COVER PROBE,272,1 ,$75.95 ,$56.96 ,$41.77 ,$75.95 ,$48.91 , N/A ,$53.17 , N/A ,$63.04 , N/A ,$50.13 ,$72.15 , N/A ,$60.76 ,$69.11 , N/A ,$71.39 ,$72.15 ,$68.36 ,$64.56 , N/A , N/A , N/A ,$55.44 , N/A ,$67.60 ,$68.36 ,$68.36 ,$60.76 , N/A ,$41.77 ,$68.36 , N/A ,$68.36 , N/A ,$72.15 , N/A ,$69.87 , N/A ,$69.11 , N/A ,$46.74 ,$48.91 ,$46.74 ,$68.36 ,$68.36 ,$56.96 ,$53.17 , N/A , N/A ,$71.01 , N/A , N/A ,$66.08 , N/A ,$68.36 , N/A ,$68.36 ,$68.36 ,$68.36 ,$73.67 ,$61.52 ,$68.36 ,$68.36 ,$68.36 ,$68.36 ST. JOSEPH'S - CHIPPEWA FALLS,27203691,N/A,HC TUBE GASTROSTOMY,272,1 ,$199.27 ,$149.45 ,$109.60 ,$199.27 ,$128.33 , N/A ,$139.49 , N/A ,$165.39 , N/A ,$131.52 ,$189.31 , N/A ,$159.42 ,$181.34 , N/A ,$187.31 ,$189.31 ,$179.34 ,$169.38 , N/A , N/A , N/A ,$145.47 , N/A ,$177.35 ,$179.34 ,$179.34 ,$159.42 , N/A ,$109.60 ,$179.34 , N/A ,$179.34 , N/A ,$189.31 , N/A ,$183.33 , N/A ,$181.34 , N/A ,$122.63 ,$128.33 ,$122.63 ,$179.34 ,$179.34 ,$149.45 ,$139.49 , N/A , N/A ,$186.32 , N/A , N/A ,$173.36 , N/A ,$179.34 , N/A ,$179.34 ,$179.34 ,$179.34 ,$193.29 ,$161.41 ,$179.34 ,$179.34 ,$179.34 ,$179.34 ST. JOSEPH'S - CHIPPEWA FALLS,27203695,C1887,HC MICROCATHETER PROGREAT,272,1 ,"$1,054.35 ",$790.76 ,$579.89 ,"$1,054.35 ",$679.00 , N/A ,$738.05 , N/A ,$875.11 , N/A ,$695.87 ,"$1,001.63 ", N/A ,$843.48 ,$959.46 , N/A ,$991.09 ,"$1,001.63 ",$948.92 ,$896.20 , N/A , N/A , N/A ,$769.68 , N/A ,$938.37 ,$948.92 ,$948.92 ,$843.48 , N/A ,$579.89 ,$948.92 , N/A ,$948.92 , N/A ,"$1,001.63 ", N/A ,$970.00 , N/A ,$959.46 , N/A ,$648.85 ,$679.00 ,$648.85 ,$948.92 ,$948.92 ,$790.76 ,$738.05 , N/A , N/A ,$985.82 , N/A , N/A ,$917.28 , N/A ,$948.92 , N/A ,$948.92 ,$948.92 ,$948.92 ,"$1,022.72 ",$854.02 ,$948.92 ,$948.92 ,$948.92 ,$948.92 ST. JOSEPH'S - CHIPPEWA FALLS,27203696,N/A,HC TRAY ANGIOGRAPHY,272,1 ,$540.55 ,$405.41 ,$297.30 ,$540.55 ,$348.11 , N/A ,$378.39 , N/A ,$448.66 , N/A ,$356.76 ,$513.52 , N/A ,$432.44 ,$491.90 , N/A ,$508.12 ,$513.52 ,$486.50 ,$459.47 , N/A , N/A , N/A ,$394.60 , N/A ,$481.09 ,$486.50 ,$486.50 ,$432.44 , N/A ,$297.30 ,$486.50 , N/A ,$486.50 , N/A ,$513.52 , N/A ,$497.31 , N/A ,$491.90 , N/A ,$332.65 ,$348.11 ,$332.65 ,$486.50 ,$486.50 ,$405.41 ,$378.39 , N/A , N/A ,$505.41 , N/A , N/A ,$470.28 , N/A ,$486.50 , N/A ,$486.50 ,$486.50 ,$486.50 ,$524.33 ,$437.85 ,$486.50 ,$486.50 ,$486.50 ,$486.50 ST. JOSEPH'S - CHIPPEWA FALLS,27203697,C1887,HC CATHETER FAS TRACKER W/TIP,272,1 ,"$1,677.21 ","$1,257.91 ",$922.47 ,"$1,677.21 ","$1,080.12 ", N/A ,"$1,174.05 ", N/A ,"$1,392.08 ", N/A ,"$1,106.96 ","$1,593.35 ", N/A ,"$1,341.77 ","$1,526.26 ", N/A ,"$1,576.58 ","$1,593.35 ","$1,509.49 ","$1,425.63 ", N/A , N/A , N/A ,"$1,224.36 ", N/A ,"$1,492.72 ","$1,509.49 ","$1,509.49 ","$1,341.77 ", N/A ,$922.47 ,"$1,509.49 ", N/A ,"$1,509.49 ", N/A ,"$1,593.35 ", N/A ,"$1,543.03 ", N/A ,"$1,526.26 ", N/A ,"$1,032.16 ","$1,080.12 ","$1,032.16 ","$1,509.49 ","$1,509.49 ","$1,257.91 ","$1,174.05 ", N/A , N/A ,"$1,568.19 ", N/A , N/A ,"$1,459.17 ", N/A ,"$1,509.49 ", N/A ,"$1,509.49 ","$1,509.49 ","$1,509.49 ","$1,626.89 ","$1,358.54 ","$1,509.49 ","$1,509.49 ","$1,509.49 ","$1,509.49 " ST. JOSEPH'S - CHIPPEWA FALLS,27203698,C1769,HC GUIDEWIRE STEERABLE FATHOM,272,1 ,$730.23 ,$547.67 ,$401.63 ,$730.23 ,$470.27 , N/A ,$511.16 , N/A ,$606.09 , N/A ,$481.95 ,$693.72 , N/A ,$584.18 ,$664.51 , N/A ,$686.42 ,$693.72 ,$657.21 ,$620.70 , N/A , N/A , N/A ,$533.07 , N/A ,$649.90 ,$657.21 ,$657.21 ,$584.18 , N/A ,$401.63 ,$657.21 , N/A ,$657.21 , N/A ,$693.72 , N/A ,$671.81 , N/A ,$664.51 , N/A ,$449.38 ,$470.27 ,$449.38 ,$657.21 ,$657.21 ,$547.67 ,$511.16 , N/A , N/A ,$682.77 , N/A , N/A ,$635.30 , N/A ,$657.21 , N/A ,$657.21 ,$657.21 ,$657.21 ,$708.32 ,$591.49 ,$657.21 ,$657.21 ,$657.21 ,$657.21 ST. JOSEPH'S - CHIPPEWA FALLS,27203699,C1769,HC GUIDEWIRE STIFF LUNDERQUIST,272,1 ,$396.00 ,$297.00 ,$217.80 ,$396.00 ,$255.02 , N/A ,$277.20 , N/A ,$328.68 , N/A ,$261.36 ,$376.20 , N/A ,$316.80 ,$360.36 , N/A ,$372.24 ,$376.20 ,$356.40 ,$336.60 , N/A , N/A , N/A ,$289.08 , N/A ,$352.44 ,$356.40 ,$356.40 ,$316.80 , N/A ,$217.80 ,$356.40 , N/A ,$356.40 , N/A ,$376.20 , N/A ,$364.32 , N/A ,$360.36 , N/A ,$243.70 ,$255.02 ,$243.70 ,$356.40 ,$356.40 ,$297.00 ,$277.20 , N/A , N/A ,$370.26 , N/A , N/A ,$344.52 , N/A ,$356.40 , N/A ,$356.40 ,$356.40 ,$356.40 ,$384.12 ,$320.76 ,$356.40 ,$356.40 ,$356.40 ,$356.40 ST. JOSEPH'S - CHIPPEWA FALLS,27203701,C1729,HC CATHETER NEPHROSTOMY,272,1 ,$524.39 ,$393.29 ,$288.41 ,$524.39 ,$337.71 , N/A ,$367.07 , N/A ,$435.24 , N/A ,$346.10 ,$498.17 , N/A ,$419.51 ,$477.19 , N/A ,$492.93 ,$498.17 ,$471.95 ,$445.73 , N/A , N/A , N/A ,$382.80 , N/A ,$466.71 ,$471.95 ,$471.95 ,$419.51 , N/A ,$288.41 ,$471.95 , N/A ,$471.95 , N/A ,$498.17 , N/A ,$482.44 , N/A ,$477.19 , N/A ,$322.71 ,$337.71 ,$322.71 ,$471.95 ,$471.95 ,$393.29 ,$367.07 , N/A , N/A ,$490.30 , N/A , N/A ,$456.22 , N/A ,$471.95 , N/A ,$471.95 ,$471.95 ,$471.95 ,$508.66 ,$424.76 ,$471.95 ,$471.95 ,$471.95 ,$471.95 ST. JOSEPH'S - CHIPPEWA FALLS,27203702,N/A,HC TRAY CATHETER PICC,272,1 ,$169.28 ,$126.96 ,$93.10 ,$169.28 ,$109.02 , N/A ,$118.50 , N/A ,$140.50 , N/A ,$111.72 ,$160.82 , N/A ,$135.42 ,$154.04 , N/A ,$159.12 ,$160.82 ,$152.35 ,$143.89 , N/A , N/A , N/A ,$123.57 , N/A ,$150.66 ,$152.35 ,$152.35 ,$135.42 , N/A ,$93.10 ,$152.35 , N/A ,$152.35 , N/A ,$160.82 , N/A ,$155.74 , N/A ,$154.04 , N/A ,$104.17 ,$109.02 ,$104.17 ,$152.35 ,$152.35 ,$126.96 ,$118.50 , N/A , N/A ,$158.28 , N/A , N/A ,$147.27 , N/A ,$152.35 , N/A ,$152.35 ,$152.35 ,$152.35 ,$164.20 ,$137.12 ,$152.35 ,$152.35 ,$152.35 ,$152.35 ST. JOSEPH'S - CHIPPEWA FALLS,27203703,C1751,HC CATHETER PICC,272,1 ,$620.14 ,$465.11 ,$341.08 ,$620.14 ,$399.37 , N/A ,$434.10 , N/A ,$514.72 , N/A ,$409.29 ,$589.13 , N/A ,$496.11 ,$564.33 , N/A ,$582.93 ,$589.13 ,$558.13 ,$527.12 , N/A , N/A , N/A ,$452.70 , N/A ,$551.92 ,$558.13 ,$558.13 ,$496.11 , N/A ,$341.08 ,$558.13 , N/A ,$558.13 , N/A ,$589.13 , N/A ,$570.53 , N/A ,$564.33 , N/A ,$381.63 ,$399.37 ,$381.63 ,$558.13 ,$558.13 ,$465.11 ,$434.10 , N/A , N/A ,$579.83 , N/A , N/A ,$539.52 , N/A ,$558.13 , N/A ,$558.13 ,$558.13 ,$558.13 ,$601.54 ,$502.31 ,$558.13 ,$558.13 ,$558.13 ,$558.13 ST. JOSEPH'S - CHIPPEWA FALLS,27203705,C1751,HC CATHETER PULSE SPRAY,272,1 ,$490.66 ,$368.00 ,$269.86 ,$490.66 ,$315.99 , N/A ,$343.46 , N/A ,$407.25 , N/A ,$323.84 ,$466.13 , N/A ,$392.53 ,$446.50 , N/A ,$461.22 ,$466.13 ,$441.59 ,$417.06 , N/A , N/A , N/A ,$358.18 , N/A ,$436.69 ,$441.59 ,$441.59 ,$392.53 , N/A ,$269.86 ,$441.59 , N/A ,$441.59 , N/A ,$466.13 , N/A ,$451.41 , N/A ,$446.50 , N/A ,$301.95 ,$315.99 ,$301.95 ,$441.59 ,$441.59 ,$368.00 ,$343.46 , N/A , N/A ,$458.77 , N/A , N/A ,$426.87 , N/A ,$441.59 , N/A ,$441.59 ,$441.59 ,$441.59 ,$475.94 ,$397.43 ,$441.59 ,$441.59 ,$441.59 ,$441.59 ST. JOSEPH'S - CHIPPEWA FALLS,27203708,C1894,HC SHEATH PINNACLE,272,1 ,$358.25 ,$268.69 ,$197.04 ,$358.25 ,$230.71 , N/A ,$250.78 , N/A ,$297.35 , N/A ,$236.45 ,$340.34 , N/A ,$286.60 ,$326.01 , N/A ,$336.76 ,$340.34 ,$322.43 ,$304.51 , N/A , N/A , N/A ,$261.52 , N/A ,$318.84 ,$322.43 ,$322.43 ,$286.60 , N/A ,$197.04 ,$322.43 , N/A ,$322.43 , N/A ,$340.34 , N/A ,$329.59 , N/A ,$326.01 , N/A ,$220.47 ,$230.71 ,$220.47 ,$322.43 ,$322.43 ,$268.69 ,$250.78 , N/A , N/A ,$334.96 , N/A , N/A ,$311.68 , N/A ,$322.43 , N/A ,$322.43 ,$322.43 ,$322.43 ,$347.50 ,$290.18 ,$322.43 ,$322.43 ,$322.43 ,$322.43 ST. JOSEPH'S - CHIPPEWA FALLS,27203709,C1894,HC SHEATH/INTRODUCER BRITE TIP,272,1 ,$228.87 ,$171.65 ,$125.88 ,$228.87 ,$147.39 , N/A ,$160.21 , N/A ,$189.96 , N/A ,$151.05 ,$217.43 , N/A ,$183.10 ,$208.27 , N/A ,$215.14 ,$217.43 ,$205.98 ,$194.54 , N/A , N/A , N/A ,$167.08 , N/A ,$203.69 ,$205.98 ,$205.98 ,$183.10 , N/A ,$125.88 ,$205.98 , N/A ,$205.98 , N/A ,$217.43 , N/A ,$210.56 , N/A ,$208.27 , N/A ,$140.85 ,$147.39 ,$140.85 ,$205.98 ,$205.98 ,$171.65 ,$160.21 , N/A , N/A ,$213.99 , N/A , N/A ,$199.12 , N/A ,$205.98 , N/A ,$205.98 ,$205.98 ,$205.98 ,$222.00 ,$185.38 ,$205.98 ,$205.98 ,$205.98 ,$205.98 ST. JOSEPH'S - CHIPPEWA FALLS,27203710,C1894,HC SHEATH INTRODUCER 11,272,1 ,$114.64 ,$85.98 ,$63.05 ,$114.64 ,$73.83 , N/A ,$80.25 , N/A ,$95.15 , N/A ,$75.66 ,$108.91 , N/A ,$91.71 ,$104.32 , N/A ,$107.76 ,$108.91 ,$103.18 ,$97.44 , N/A , N/A , N/A ,$83.69 , N/A ,$102.03 ,$103.18 ,$103.18 ,$91.71 , N/A ,$63.05 ,$103.18 , N/A ,$103.18 , N/A ,$108.91 , N/A ,$105.47 , N/A ,$104.32 , N/A ,$70.55 ,$73.83 ,$70.55 ,$103.18 ,$103.18 ,$85.98 ,$80.25 , N/A , N/A ,$107.19 , N/A , N/A ,$99.74 , N/A ,$103.18 , N/A ,$103.18 ,$103.18 ,$103.18 ,$111.20 ,$92.86 ,$103.18 ,$103.18 ,$103.18 ,$103.18 ST. JOSEPH'S - CHIPPEWA FALLS,27203712,C1894,HC SHEATH GUIDING DIAL EASE,272,1 ,$53.03 ,$39.77 ,$29.17 ,$53.03 ,$34.15 , N/A ,$37.12 , N/A ,$44.01 , N/A ,$35.00 ,$50.38 , N/A ,$42.42 ,$48.26 , N/A ,$49.85 ,$50.38 ,$47.73 ,$45.08 , N/A , N/A , N/A ,$38.71 , N/A ,$47.20 ,$47.73 ,$47.73 ,$42.42 , N/A ,$29.17 ,$47.73 , N/A ,$47.73 , N/A ,$50.38 , N/A ,$48.79 , N/A ,$48.26 , N/A ,$32.63 ,$34.15 ,$32.63 ,$47.73 ,$47.73 ,$39.77 ,$37.12 , N/A , N/A ,$49.58 , N/A , N/A ,$46.14 , N/A ,$47.73 , N/A ,$47.73 ,$47.73 ,$47.73 ,$51.44 ,$42.95 ,$47.73 ,$47.73 ,$47.73 ,$47.73 ST. JOSEPH'S - CHIPPEWA FALLS,27203713,C1893,HC SHEATH PEEL AWAY,272,1 ,$235.63 ,$176.72 ,$129.60 ,$235.63 ,$151.75 , N/A ,$164.94 , N/A ,$195.57 , N/A ,$155.52 ,$223.85 , N/A ,$188.50 ,$214.42 , N/A ,$221.49 ,$223.85 ,$212.07 ,$200.29 , N/A , N/A , N/A ,$172.01 , N/A ,$209.71 ,$212.07 ,$212.07 ,$188.50 , N/A ,$129.60 ,$212.07 , N/A ,$212.07 , N/A ,$223.85 , N/A ,$216.78 , N/A ,$214.42 , N/A ,$145.01 ,$151.75 ,$145.01 ,$212.07 ,$212.07 ,$176.72 ,$164.94 , N/A , N/A ,$220.31 , N/A , N/A ,$205.00 , N/A ,$212.07 , N/A ,$212.07 ,$212.07 ,$212.07 ,$228.56 ,$190.86 ,$212.07 ,$212.07 ,$212.07 ,$212.07 ST. JOSEPH'S - CHIPPEWA FALLS,27203714,N/A,HC SYSTEM DELIVERY VERTEBROPLASTY,272,1 ,"$2,445.31 ","$1,833.98 ","$1,344.92 ","$2,445.31 ","$1,574.78 ", N/A ,"$1,711.72 ", N/A ,"$2,029.61 ", N/A ,"$1,613.90 ","$2,323.04 ", N/A ,"$1,956.25 ","$2,225.23 ", N/A ,"$2,298.59 ","$2,323.04 ","$2,200.78 ","$2,078.51 ", N/A , N/A , N/A ,"$1,785.08 ", N/A ,"$2,176.33 ","$2,200.78 ","$2,200.78 ","$1,956.25 ", N/A ,"$1,344.92 ","$2,200.78 ", N/A ,"$2,200.78 ", N/A ,"$2,323.04 ", N/A ,"$2,249.69 ", N/A ,"$2,225.23 ", N/A ,"$1,504.84 ","$1,574.78 ","$1,504.84 ","$2,200.78 ","$2,200.78 ","$1,833.98 ","$1,711.72 ", N/A , N/A ,"$2,286.36 ", N/A , N/A ,"$2,127.42 ", N/A ,"$2,200.78 ", N/A ,"$2,200.78 ","$2,200.78 ","$2,200.78 ","$2,371.95 ","$1,980.70 ","$2,200.78 ","$2,200.78 ","$2,200.78 ","$2,200.78 " ST. JOSEPH'S - CHIPPEWA FALLS,27203715,N/A,HC DILATOR NYLON,272,1 ,$94.44 ,$70.83 ,$51.94 ,$94.44 ,$60.82 , N/A ,$66.11 , N/A ,$78.39 , N/A ,$62.33 ,$89.72 , N/A ,$75.55 ,$85.94 , N/A ,$88.77 ,$89.72 ,$85.00 ,$80.27 , N/A , N/A , N/A ,$68.94 , N/A ,$84.05 ,$85.00 ,$85.00 ,$75.55 , N/A ,$51.94 ,$85.00 , N/A ,$85.00 , N/A ,$89.72 , N/A ,$86.88 , N/A ,$85.94 , N/A ,$58.12 ,$60.82 ,$58.12 ,$85.00 ,$85.00 ,$70.83 ,$66.11 , N/A , N/A ,$88.30 , N/A , N/A ,$82.16 , N/A ,$85.00 , N/A ,$85.00 ,$85.00 ,$85.00 ,$91.61 ,$76.50 ,$85.00 ,$85.00 ,$85.00 ,$85.00 ST. JOSEPH'S - CHIPPEWA FALLS,27203716,N/A,HC SET BLOOD COMPONENT,272,1 ,$36.46 ,$27.35 ,$20.05 ,$36.46 ,$23.48 , N/A ,$25.52 , N/A ,$30.26 , N/A ,$24.06 ,$34.64 , N/A ,$29.17 ,$33.18 , N/A ,$34.27 ,$34.64 ,$32.81 ,$30.99 , N/A , N/A , N/A ,$26.62 , N/A ,$32.45 ,$32.81 ,$32.81 ,$29.17 , N/A ,$20.05 ,$32.81 , N/A ,$32.81 , N/A ,$34.64 , N/A ,$33.54 , N/A ,$33.18 , N/A ,$22.44 ,$23.48 ,$22.44 ,$32.81 ,$32.81 ,$27.35 ,$25.52 , N/A , N/A ,$34.09 , N/A , N/A ,$31.72 , N/A ,$32.81 , N/A ,$32.81 ,$32.81 ,$32.81 ,$35.37 ,$29.53 ,$32.81 ,$32.81 ,$32.81 ,$32.81 ST. JOSEPH'S - CHIPPEWA FALLS,27203717,N/A,HC KIT COOL GUARD DAILY,272,1 ,$326.23 ,$244.67 ,$179.43 ,$326.23 ,$210.09 , N/A ,$228.36 , N/A ,$270.77 , N/A ,$215.31 ,$309.92 , N/A ,$260.98 ,$296.87 , N/A ,$306.66 ,$309.92 ,$293.61 ,$277.30 , N/A , N/A , N/A ,$238.15 , N/A ,$290.34 ,$293.61 ,$293.61 ,$260.98 , N/A ,$179.43 ,$293.61 , N/A ,$293.61 , N/A ,$309.92 , N/A ,$300.13 , N/A ,$296.87 , N/A ,$200.76 ,$210.09 ,$200.76 ,$293.61 ,$293.61 ,$244.67 ,$228.36 , N/A , N/A ,$305.03 , N/A , N/A ,$283.82 , N/A ,$293.61 , N/A ,$293.61 ,$293.61 ,$293.61 ,$316.44 ,$264.25 ,$293.61 ,$293.61 ,$293.61 ,$293.61 ST. JOSEPH'S - CHIPPEWA FALLS,27203718,N/A,HC TRAY CENTESIS PROCEDURE,272,1 ,$76.76 ,$57.57 ,$42.22 ,$76.76 ,$49.43 , N/A ,$53.73 , N/A ,$63.71 , N/A ,$50.66 ,$72.92 , N/A ,$61.41 ,$69.85 , N/A ,$72.15 ,$72.92 ,$69.08 ,$65.25 , N/A , N/A , N/A ,$56.03 , N/A ,$68.32 ,$69.08 ,$69.08 ,$61.41 , N/A ,$42.22 ,$69.08 , N/A ,$69.08 , N/A ,$72.92 , N/A ,$70.62 , N/A ,$69.85 , N/A ,$47.24 ,$49.43 ,$47.24 ,$69.08 ,$69.08 ,$57.57 ,$53.73 , N/A , N/A ,$71.77 , N/A , N/A ,$66.78 , N/A ,$69.08 , N/A ,$69.08 ,$69.08 ,$69.08 ,$74.46 ,$62.18 ,$69.08 ,$69.08 ,$69.08 ,$69.08 ST. JOSEPH'S - CHIPPEWA FALLS,27203719,C1729,HC CATHETER CENTESIS ONE STEP,272,1 ,$59.09 ,$44.32 ,$32.50 ,$59.09 ,$38.05 , N/A ,$41.36 , N/A ,$49.04 , N/A ,$39.00 ,$56.14 , N/A ,$47.27 ,$53.77 , N/A ,$55.54 ,$56.14 ,$53.18 ,$50.23 , N/A , N/A , N/A ,$43.14 , N/A ,$52.59 ,$53.18 ,$53.18 ,$47.27 , N/A ,$32.50 ,$53.18 , N/A ,$53.18 , N/A ,$56.14 , N/A ,$54.36 , N/A ,$53.77 , N/A ,$36.36 ,$38.05 ,$36.36 ,$53.18 ,$53.18 ,$44.32 ,$41.36 , N/A , N/A ,$55.25 , N/A , N/A ,$51.41 , N/A ,$53.18 , N/A ,$53.18 ,$53.18 ,$53.18 ,$57.32 ,$47.86 ,$53.18 ,$53.18 ,$53.18 ,$53.18 ST. JOSEPH'S - CHIPPEWA FALLS,27203720,N/A,HC MARKER BREAST CORE MARK,272,1 ,$189.98 ,$142.49 ,$104.49 ,$189.98 ,$122.35 , N/A ,$132.99 , N/A ,$157.68 , N/A ,$125.39 ,$180.48 , N/A ,$151.98 ,$172.88 , N/A ,$178.58 ,$180.48 ,$170.98 ,$161.48 , N/A , N/A , N/A ,$138.69 , N/A ,$169.08 ,$170.98 ,$170.98 ,$151.98 , N/A ,$104.49 ,$170.98 , N/A ,$170.98 , N/A ,$180.48 , N/A ,$174.78 , N/A ,$172.88 , N/A ,$116.91 ,$122.35 ,$116.91 ,$170.98 ,$170.98 ,$142.49 ,$132.99 , N/A , N/A ,$177.63 , N/A , N/A ,$165.28 , N/A ,$170.98 , N/A ,$170.98 ,$170.98 ,$170.98 ,$184.28 ,$153.88 ,$170.98 ,$170.98 ,$170.98 ,$170.98 ST. JOSEPH'S - CHIPPEWA FALLS,27203722,N/A,HC CONTAINER TRANSPORT NEEDLE SPECIMEN,272,1 ,$65.65 ,$49.24 ,$36.11 ,$65.65 ,$42.28 , N/A ,$45.96 , N/A ,$54.49 , N/A ,$43.33 ,$62.37 , N/A ,$52.52 ,$59.74 , N/A ,$61.71 ,$62.37 ,$59.09 ,$55.80 , N/A , N/A , N/A ,$47.92 , N/A ,$58.43 ,$59.09 ,$59.09 ,$52.52 , N/A ,$36.11 ,$59.09 , N/A ,$59.09 , N/A ,$62.37 , N/A ,$60.40 , N/A ,$59.74 , N/A ,$40.40 ,$42.28 ,$40.40 ,$59.09 ,$59.09 ,$49.24 ,$45.96 , N/A , N/A ,$61.38 , N/A , N/A ,$57.12 , N/A ,$59.09 , N/A ,$59.09 ,$59.09 ,$59.09 ,$63.68 ,$53.18 ,$59.09 ,$59.09 ,$59.09 ,$59.09 ST. JOSEPH'S - CHIPPEWA FALLS,27203723,N/A,HC CUP BIOPSY ADDITIONAL,272,1 ,$162.00 ,$121.50 ,$89.10 ,$162.00 ,$104.33 , N/A ,$113.40 , N/A ,$134.46 , N/A ,$106.92 ,$153.90 , N/A ,$129.60 ,$147.42 , N/A ,$152.28 ,$153.90 ,$145.80 ,$137.70 , N/A , N/A , N/A ,$118.26 , N/A ,$144.18 ,$145.80 ,$145.80 ,$129.60 , N/A ,$89.10 ,$145.80 , N/A ,$145.80 , N/A ,$153.90 , N/A ,$149.04 , N/A ,$147.42 , N/A ,$99.69 ,$104.33 ,$99.69 ,$145.80 ,$145.80 ,$121.50 ,$113.40 , N/A , N/A ,$151.47 , N/A , N/A ,$140.94 , N/A ,$145.80 , N/A ,$145.80 ,$145.80 ,$145.80 ,$157.14 ,$131.22 ,$145.80 ,$145.80 ,$145.80 ,$145.80 ST. JOSEPH'S - CHIPPEWA FALLS,27203724,N/A,HC NEEDLE ELECTRODE COACCESS,272,1 ,"$2,431.58 ","$1,823.69 ","$1,337.37 ","$2,431.58 ","$1,565.94 ", N/A ,"$1,702.11 ", N/A ,"$2,018.21 ", N/A ,"$1,604.84 ","$2,310.00 ", N/A ,"$1,945.26 ","$2,212.74 ", N/A ,"$2,285.69 ","$2,310.00 ","$2,188.42 ","$2,066.84 ", N/A , N/A , N/A ,"$1,775.05 ", N/A ,"$2,164.11 ","$2,188.42 ","$2,188.42 ","$1,945.26 ", N/A ,"$1,337.37 ","$2,188.42 ", N/A ,"$2,188.42 ", N/A ,"$2,310.00 ", N/A ,"$2,237.05 ", N/A ,"$2,212.74 ", N/A ,"$1,496.39 ","$1,565.94 ","$1,496.39 ","$2,188.42 ","$2,188.42 ","$1,823.69 ","$1,702.11 ", N/A , N/A ,"$2,273.53 ", N/A , N/A ,"$2,115.47 ", N/A ,"$2,188.42 ", N/A ,"$2,188.42 ","$2,188.42 ","$2,188.42 ","$2,358.63 ","$1,969.58 ","$2,188.42 ","$2,188.42 ","$2,188.42 ","$2,188.42 " ST. JOSEPH'S - CHIPPEWA FALLS,27203725,N/A,HC NEEDLE ELECTRODE NON COACCESS,272,1 ,"$1,412.24 ","$1,059.18 ",$776.73 ,"$1,412.24 ",$909.48 , N/A ,$988.57 , N/A ,"$1,172.16 ", N/A ,$932.08 ,"$1,341.63 ", N/A ,"$1,129.79 ","$1,285.14 ", N/A ,"$1,327.51 ","$1,341.63 ","$1,271.02 ","$1,200.40 ", N/A , N/A , N/A ,"$1,030.94 ", N/A ,"$1,256.89 ","$1,271.02 ","$1,271.02 ","$1,129.79 ", N/A ,$776.73 ,"$1,271.02 ", N/A ,"$1,271.02 ", N/A ,"$1,341.63 ", N/A ,"$1,299.26 ", N/A ,"$1,285.14 ", N/A ,$869.09 ,$909.48 ,$869.09 ,"$1,271.02 ","$1,271.02 ","$1,059.18 ",$988.57 , N/A , N/A ,"$1,320.44 ", N/A , N/A ,"$1,228.65 ", N/A ,"$1,271.02 ", N/A ,"$1,271.02 ","$1,271.02 ","$1,271.02 ","$1,369.87 ","$1,143.91 ","$1,271.02 ","$1,271.02 ","$1,271.02 ","$1,271.02 " ST. JOSEPH'S - CHIPPEWA FALLS,27203726,N/A,HC CATHETER SUPPORT,272,1 ,$499.95 ,$374.96 ,$274.97 ,$499.95 ,$321.97 , N/A ,$349.97 , N/A ,$414.96 , N/A ,$329.97 ,$474.95 , N/A ,$399.96 ,$454.95 , N/A ,$469.95 ,$474.95 ,$449.96 ,$424.96 , N/A , N/A , N/A ,$364.96 , N/A ,$444.96 ,$449.96 ,$449.96 ,$399.96 , N/A ,$274.97 ,$449.96 , N/A ,$449.96 , N/A ,$474.95 , N/A ,$459.95 , N/A ,$454.95 , N/A ,$307.67 ,$321.97 ,$307.67 ,$449.96 ,$449.96 ,$374.96 ,$349.97 , N/A , N/A ,$467.45 , N/A , N/A ,$434.96 , N/A ,$449.96 , N/A ,$449.96 ,$449.96 ,$449.96 ,$484.95 ,$404.96 ,$449.96 ,$449.96 ,$449.96 ,$449.96 ST. JOSEPH'S - CHIPPEWA FALLS,27203727,N/A,HC GUIDEWIRE MAKNV,272,1 ,$87.87 ,$65.90 ,$48.33 ,$87.87 ,$56.59 , N/A ,$61.51 , N/A ,$72.93 , N/A ,$57.99 ,$83.48 , N/A ,$70.30 ,$79.96 , N/A ,$82.60 ,$83.48 ,$79.08 ,$74.69 , N/A , N/A , N/A ,$64.15 , N/A ,$78.20 ,$79.08 ,$79.08 ,$70.30 , N/A ,$48.33 ,$79.08 , N/A ,$79.08 , N/A ,$83.48 , N/A ,$80.84 , N/A ,$79.96 , N/A ,$54.08 ,$56.59 ,$54.08 ,$79.08 ,$79.08 ,$65.90 ,$61.51 , N/A , N/A ,$82.16 , N/A , N/A ,$76.45 , N/A ,$79.08 , N/A ,$79.08 ,$79.08 ,$79.08 ,$85.23 ,$71.17 ,$79.08 ,$79.08 ,$79.08 ,$79.08 ST. JOSEPH'S - CHIPPEWA FALLS,27203728,N/A,HC FRONTRUNNER GUIDE CATHETER,272,1 ,$757.50 ,$568.13 ,$416.63 ,$757.50 ,$487.83 , N/A ,$530.25 , N/A ,$628.73 , N/A ,$499.95 ,$719.63 , N/A ,$606.00 ,$689.33 , N/A ,$712.05 ,$719.63 ,$681.75 ,$643.88 , N/A , N/A , N/A ,$552.98 , N/A ,$674.18 ,$681.75 ,$681.75 ,$606.00 , N/A ,$416.63 ,$681.75 , N/A ,$681.75 , N/A ,$719.63 , N/A ,$696.90 , N/A ,$689.33 , N/A ,$466.17 ,$487.83 ,$466.17 ,$681.75 ,$681.75 ,$568.13 ,$530.25 , N/A , N/A ,$708.26 , N/A , N/A ,$659.03 , N/A ,$681.75 , N/A ,$681.75 ,$681.75 ,$681.75 ,$734.78 ,$613.58 ,$681.75 ,$681.75 ,$681.75 ,$681.75 ST. JOSEPH'S - CHIPPEWA FALLS,27203729,N/A,HC SNARE MICRO,272,1 ,"$1,502.38 ","$1,126.79 ",$826.31 ,"$1,502.38 ",$967.53 , N/A ,"$1,051.67 ", N/A ,"$1,246.98 ", N/A ,$991.57 ,"$1,427.26 ", N/A ,"$1,201.90 ","$1,367.17 ", N/A ,"$1,412.24 ","$1,427.26 ","$1,352.14 ","$1,277.02 ", N/A , N/A , N/A ,"$1,096.74 ", N/A ,"$1,337.12 ","$1,352.14 ","$1,352.14 ","$1,201.90 ", N/A ,$826.31 ,"$1,352.14 ", N/A ,"$1,352.14 ", N/A ,"$1,427.26 ", N/A ,"$1,382.19 ", N/A ,"$1,367.17 ", N/A ,$924.56 ,$967.53 ,$924.56 ,"$1,352.14 ","$1,352.14 ","$1,126.79 ","$1,051.67 ", N/A , N/A ,"$1,404.73 ", N/A , N/A ,"$1,307.07 ", N/A ,"$1,352.14 ", N/A ,"$1,352.14 ","$1,352.14 ","$1,352.14 ","$1,457.31 ","$1,216.93 ","$1,352.14 ","$1,352.14 ","$1,352.14 ","$1,352.14 " ST. JOSEPH'S - CHIPPEWA FALLS,27203730,N/A,HC KIT POWER PULSE SPRAY,272,1 ,$103.02 ,$77.27 ,$56.66 ,$103.02 ,$66.34 , N/A ,$72.11 , N/A ,$85.51 , N/A ,$67.99 ,$97.87 , N/A ,$82.42 ,$93.75 , N/A ,$96.84 ,$97.87 ,$92.72 ,$87.57 , N/A , N/A , N/A ,$75.20 , N/A ,$91.69 ,$92.72 ,$92.72 ,$82.42 , N/A ,$56.66 ,$92.72 , N/A ,$92.72 , N/A ,$97.87 , N/A ,$94.78 , N/A ,$93.75 , N/A ,$63.40 ,$66.34 ,$63.40 ,$92.72 ,$92.72 ,$77.27 ,$72.11 , N/A , N/A ,$96.32 , N/A , N/A ,$89.63 , N/A ,$92.72 , N/A ,$92.72 ,$92.72 ,$92.72 ,$99.93 ,$83.45 ,$92.72 ,$92.72 ,$92.72 ,$92.72 ST. JOSEPH'S - CHIPPEWA FALLS,27203731,N/A,HC SYRINGE UTERINE EMBOSPHERE,272,1 ,$757.50 ,$568.13 ,$416.63 ,$757.50 ,$487.83 , N/A ,$530.25 , N/A ,$628.73 , N/A ,$499.95 ,$719.63 , N/A ,$606.00 ,$689.33 , N/A ,$712.05 ,$719.63 ,$681.75 ,$643.88 , N/A , N/A , N/A ,$552.98 , N/A ,$674.18 ,$681.75 ,$681.75 ,$606.00 , N/A ,$416.63 ,$681.75 , N/A ,$681.75 , N/A ,$719.63 , N/A ,$696.90 , N/A ,$689.33 , N/A ,$466.17 ,$487.83 ,$466.17 ,$681.75 ,$681.75 ,$568.13 ,$530.25 , N/A , N/A ,$708.26 , N/A , N/A ,$659.03 , N/A ,$681.75 , N/A ,$681.75 ,$681.75 ,$681.75 ,$734.78 ,$613.58 ,$681.75 ,$681.75 ,$681.75 ,$681.75 ST. JOSEPH'S - CHIPPEWA FALLS,27203732,C1757,HC CATHETER INFUSION UNI-FUS,272,1 ,$499.95 ,$374.96 ,$274.97 ,$499.95 ,$321.97 , N/A ,$349.97 , N/A ,$414.96 , N/A ,$329.97 ,$474.95 , N/A ,$399.96 ,$454.95 , N/A ,$469.95 ,$474.95 ,$449.96 ,$424.96 , N/A , N/A , N/A ,$364.96 , N/A ,$444.96 ,$449.96 ,$449.96 ,$399.96 , N/A ,$274.97 ,$449.96 , N/A ,$449.96 , N/A ,$474.95 , N/A ,$459.95 , N/A ,$454.95 , N/A ,$307.67 ,$321.97 ,$307.67 ,$449.96 ,$449.96 ,$374.96 ,$349.97 , N/A , N/A ,$467.45 , N/A , N/A ,$434.96 , N/A ,$449.96 , N/A ,$449.96 ,$449.96 ,$449.96 ,$484.95 ,$404.96 ,$449.96 ,$449.96 ,$449.96 ,$449.96 ST. JOSEPH'S - CHIPPEWA FALLS,27203733,C1757,HC ANGIOJET AVX CATHETER,272,1 ,"$1,262.50 ",$946.88 ,$694.38 ,"$1,262.50 ",$813.05 , N/A ,$883.75 , N/A ,"$1,047.88 ", N/A ,$833.25 ,"$1,199.38 ", N/A ,"$1,010.00 ","$1,148.88 ", N/A ,"$1,186.75 ","$1,199.38 ","$1,136.25 ","$1,073.13 ", N/A , N/A , N/A ,$921.63 , N/A ,"$1,123.63 ","$1,136.25 ","$1,136.25 ","$1,010.00 ", N/A ,$694.38 ,"$1,136.25 ", N/A ,"$1,136.25 ", N/A ,"$1,199.38 ", N/A ,"$1,161.50 ", N/A ,"$1,148.88 ", N/A ,$776.94 ,$813.05 ,$776.94 ,"$1,136.25 ","$1,136.25 ",$946.88 ,$883.75 , N/A , N/A ,"$1,180.44 ", N/A , N/A ,"$1,098.38 ", N/A ,"$1,136.25 ", N/A ,"$1,136.25 ","$1,136.25 ","$1,136.25 ","$1,224.63 ","$1,022.63 ","$1,136.25 ","$1,136.25 ","$1,136.25 ","$1,136.25 " ST. JOSEPH'S - CHIPPEWA FALLS,27203734,C1757,HC CATHETER ANGIOJET SOLENT,272,1 ,"$2,916.38 ","$2,187.29 ","$1,604.01 ","$2,916.38 ","$1,878.15 ", N/A ,"$2,041.47 ", N/A ,"$2,420.60 ", N/A ,"$1,924.81 ","$2,770.56 ", N/A ,"$2,333.10 ","$2,653.91 ", N/A ,"$2,741.40 ","$2,770.56 ","$2,624.74 ","$2,478.92 ", N/A , N/A , N/A ,"$2,128.96 ", N/A ,"$2,595.58 ","$2,624.74 ","$2,624.74 ","$2,333.10 ", N/A ,"$1,604.01 ","$2,624.74 ", N/A ,"$2,624.74 ", N/A ,"$2,770.56 ", N/A ,"$2,683.07 ", N/A ,"$2,653.91 ", N/A ,"$1,794.74 ","$1,878.15 ","$1,794.74 ","$2,624.74 ","$2,624.74 ","$2,187.29 ","$2,041.47 ", N/A , N/A ,"$2,726.82 ", N/A , N/A ,"$2,537.25 ", N/A ,"$2,624.74 ", N/A ,"$2,624.74 ","$2,624.74 ","$2,624.74 ","$2,828.89 ","$2,362.27 ","$2,624.74 ","$2,624.74 ","$2,624.74 ","$2,624.74 " ST. JOSEPH'S - CHIPPEWA FALLS,27203735,N/A,HC SYSTEM ENDOVASCULAR SNARE,272,1 ,$848.40 ,$636.30 ,$466.62 ,$848.40 ,$546.37 , N/A ,$593.88 , N/A ,$704.17 , N/A ,$559.94 ,$805.98 , N/A ,$678.72 ,$772.04 , N/A ,$797.50 ,$805.98 ,$763.56 ,$721.14 , N/A , N/A , N/A ,$619.33 , N/A ,$755.08 ,$763.56 ,$763.56 ,$678.72 , N/A ,$466.62 ,$763.56 , N/A ,$763.56 , N/A ,$805.98 , N/A ,$780.53 , N/A ,$772.04 , N/A ,$522.11 ,$546.37 ,$522.11 ,$763.56 ,$763.56 ,$636.30 ,$593.88 , N/A , N/A ,$793.25 , N/A , N/A ,$738.11 , N/A ,$763.56 , N/A ,$763.56 ,$763.56 ,$763.56 ,$822.95 ,$687.20 ,$763.56 ,$763.56 ,$763.56 ,$763.56 ST. JOSEPH'S - CHIPPEWA FALLS,27203736,N/A,HC CATHETER BALLOON RELIANT,272,1 ,"$1,123.63 ",$842.72 ,$618.00 ,"$1,123.63 ",$723.62 , N/A ,$786.54 , N/A ,$932.61 , N/A ,$741.60 ,"$1,067.45 ", N/A ,$898.90 ,"$1,022.50 ", N/A ,"$1,056.21 ","$1,067.45 ","$1,011.27 ",$955.09 , N/A , N/A , N/A ,$820.25 , N/A ,"$1,000.03 ","$1,011.27 ","$1,011.27 ",$898.90 , N/A ,$618.00 ,"$1,011.27 ", N/A ,"$1,011.27 ", N/A ,"$1,067.45 ", N/A ,"$1,033.74 ", N/A ,"$1,022.50 ", N/A ,$691.48 ,$723.62 ,$691.48 ,"$1,011.27 ","$1,011.27 ",$842.72 ,$786.54 , N/A , N/A ,"$1,050.59 ", N/A , N/A ,$977.56 , N/A ,"$1,011.27 ", N/A ,"$1,011.27 ","$1,011.27 ","$1,011.27 ","$1,089.92 ",$910.14 ,"$1,011.27 ","$1,011.27 ","$1,011.27 ","$1,011.27 " ST. JOSEPH'S - CHIPPEWA FALLS,27203737,N/A,HC TUBE GASTROSTOMY/JEJUNOSTOMY,272,1 ,$663.27 ,$497.45 ,$364.80 ,$663.27 ,$427.15 , N/A ,$464.29 , N/A ,$550.51 , N/A ,$437.76 ,$630.11 , N/A ,$530.62 ,$603.58 , N/A ,$623.47 ,$630.11 ,$596.94 ,$563.78 , N/A , N/A , N/A ,$484.19 , N/A ,$590.31 ,$596.94 ,$596.94 ,$530.62 , N/A ,$364.80 ,$596.94 , N/A ,$596.94 , N/A ,$630.11 , N/A ,$610.21 , N/A ,$603.58 , N/A ,$408.18 ,$427.15 ,$408.18 ,$596.94 ,$596.94 ,$497.45 ,$464.29 , N/A , N/A ,$620.16 , N/A , N/A ,$577.04 , N/A ,$596.94 , N/A ,$596.94 ,$596.94 ,$596.94 ,$643.37 ,$537.25 ,$596.94 ,$596.94 ,$596.94 ,$596.94 ST. JOSEPH'S - CHIPPEWA FALLS,27203738,N/A,HC TUBE JEJUNOSTOMY,272,1 ,$506.01 ,$379.51 ,$278.31 ,$506.01 ,$325.87 , N/A ,$354.21 , N/A ,$419.99 , N/A ,$333.97 ,$480.71 , N/A ,$404.81 ,$460.47 , N/A ,$475.65 ,$480.71 ,$455.41 ,$430.11 , N/A , N/A , N/A ,$369.39 , N/A ,$450.35 ,$455.41 ,$455.41 ,$404.81 , N/A ,$278.31 ,$455.41 , N/A ,$455.41 , N/A ,$480.71 , N/A ,$465.53 , N/A ,$460.47 , N/A ,$311.40 ,$325.87 ,$311.40 ,$455.41 ,$455.41 ,$379.51 ,$354.21 , N/A , N/A ,$473.12 , N/A , N/A ,$440.23 , N/A ,$455.41 , N/A ,$455.41 ,$455.41 ,$455.41 ,$490.83 ,$409.87 ,$455.41 ,$455.41 ,$455.41 ,$455.41 ST. JOSEPH'S - CHIPPEWA FALLS,27203739,N/A,HC GLIDEWIRE,272,1 ,$119.38 ,$89.54 ,$65.66 ,$119.38 ,$76.88 , N/A ,$83.57 , N/A ,$99.09 , N/A ,$78.79 ,$113.41 , N/A ,$95.50 ,$108.64 , N/A ,$112.22 ,$113.41 ,$107.44 ,$101.47 , N/A , N/A , N/A ,$87.15 , N/A ,$106.25 ,$107.44 ,$107.44 ,$95.50 , N/A ,$65.66 ,$107.44 , N/A ,$107.44 , N/A ,$113.41 , N/A ,$109.83 , N/A ,$108.64 , N/A ,$73.47 ,$76.88 ,$73.47 ,$107.44 ,$107.44 ,$89.54 ,$83.57 , N/A , N/A ,$111.62 , N/A , N/A ,$103.86 , N/A ,$107.44 , N/A ,$107.44 ,$107.44 ,$107.44 ,$115.80 ,$96.70 ,$107.44 ,$107.44 ,$107.44 ,$107.44 ST. JOSEPH'S - CHIPPEWA FALLS,27203740,N/A,HC NEEDLE VERTEBROPLASTY BIOPSY,272,1 ,$168.65 ,$126.49 ,$92.76 ,$168.65 ,$108.61 , N/A ,$118.06 , N/A ,$139.98 , N/A ,$111.31 ,$160.22 , N/A ,$134.92 ,$153.47 , N/A ,$158.53 ,$160.22 ,$151.79 ,$143.35 , N/A , N/A , N/A ,$123.11 , N/A ,$150.10 ,$151.79 ,$151.79 ,$134.92 , N/A ,$92.76 ,$151.79 , N/A ,$151.79 , N/A ,$160.22 , N/A ,$155.16 , N/A ,$153.47 , N/A ,$103.79 ,$108.61 ,$103.79 ,$151.79 ,$151.79 ,$126.49 ,$118.06 , N/A , N/A ,$157.69 , N/A , N/A ,$146.73 , N/A ,$151.79 , N/A ,$151.79 ,$151.79 ,$151.79 ,$163.59 ,$136.61 ,$151.79 ,$151.79 ,$151.79 ,$151.79 ST. JOSEPH'S - CHIPPEWA FALLS,27203741,N/A,HC CATHETER BALLOON PERIPHERAL VIATRAC,272,1 ,$727.20 ,$545.40 ,$399.96 ,$727.20 ,$468.32 , N/A ,$509.04 , N/A ,$603.58 , N/A ,$479.95 ,$690.84 , N/A ,$581.76 ,$661.75 , N/A ,$683.57 ,$690.84 ,$654.48 ,$618.12 , N/A , N/A , N/A ,$530.86 , N/A ,$647.21 ,$654.48 ,$654.48 ,$581.76 , N/A ,$399.96 ,$654.48 , N/A ,$654.48 , N/A ,$690.84 , N/A ,$669.02 , N/A ,$661.75 , N/A ,$447.52 ,$468.32 ,$447.52 ,$654.48 ,$654.48 ,$545.40 ,$509.04 , N/A , N/A ,$679.93 , N/A , N/A ,$632.66 , N/A ,$654.48 , N/A ,$654.48 ,$654.48 ,$654.48 ,$705.38 ,$589.03 ,$654.48 ,$654.48 ,$654.48 ,$654.48 ST. JOSEPH'S - CHIPPEWA FALLS,27203742,N/A,HC STENT XACT STENT EXCHANGE,272,1 ,"$3,257.25 ","$2,442.94 ","$1,791.49 ","$3,257.25 ","$2,097.67 ", N/A ,"$2,280.08 ", N/A ,"$2,703.52 ", N/A ,"$2,149.79 ","$3,094.39 ", N/A ,"$2,605.80 ","$2,964.10 ", N/A ,"$3,061.82 ","$3,094.39 ","$2,931.53 ","$2,768.66 ", N/A , N/A , N/A ,"$2,377.79 ", N/A ,"$2,898.95 ","$2,931.53 ","$2,931.53 ","$2,605.80 ", N/A ,"$1,791.49 ","$2,931.53 ", N/A ,"$2,931.53 ", N/A ,"$3,094.39 ", N/A ,"$2,996.67 ", N/A ,"$2,964.10 ", N/A ,"$2,004.51 ","$2,097.67 ","$2,004.51 ","$2,931.53 ","$2,931.53 ","$2,442.94 ","$2,280.08 ", N/A , N/A ,"$3,045.53 ", N/A , N/A ,"$2,833.81 ", N/A ,"$2,931.53 ", N/A ,"$2,931.53 ","$2,931.53 ","$2,931.53 ","$3,159.53 ","$2,638.37 ","$2,931.53 ","$2,931.53 ","$2,931.53 ","$2,931.53 " ST. JOSEPH'S - CHIPPEWA FALLS,27203743,N/A,HC CATHETER REPERFUSION PENUMBRA,272,1 ,"$2,560.35 ","$1,920.26 ","$1,408.19 ","$2,560.35 ","$1,648.87 ", N/A ,"$1,792.25 ", N/A ,"$2,125.09 ", N/A ,"$1,689.83 ","$2,432.33 ", N/A ,"$2,048.28 ","$2,329.92 ", N/A ,"$2,406.73 ","$2,432.33 ","$2,304.32 ","$2,176.30 ", N/A , N/A , N/A ,"$1,869.06 ", N/A ,"$2,278.71 ","$2,304.32 ","$2,304.32 ","$2,048.28 ", N/A ,"$1,408.19 ","$2,304.32 ", N/A ,"$2,304.32 ", N/A ,"$2,432.33 ", N/A ,"$2,355.52 ", N/A ,"$2,329.92 ", N/A ,"$1,575.64 ","$1,648.87 ","$1,575.64 ","$2,304.32 ","$2,304.32 ","$1,920.26 ","$1,792.25 ", N/A , N/A ,"$2,393.93 ", N/A , N/A ,"$2,227.50 ", N/A ,"$2,304.32 ", N/A ,"$2,304.32 ","$2,304.32 ","$2,304.32 ","$2,483.54 ","$2,073.88 ","$2,304.32 ","$2,304.32 ","$2,304.32 ","$2,304.32 " ST. JOSEPH'S - CHIPPEWA FALLS,27203744,N/A,HC SEPARATOR PENUMBRA,272,1 ,"$4,529.85 ","$3,397.39 ","$2,491.42 ","$4,529.85 ","$2,917.22 ", N/A ,"$3,170.90 ", N/A ,"$3,759.78 ", N/A ,"$2,989.70 ","$4,303.36 ", N/A ,"$3,623.88 ","$4,122.16 ", N/A ,"$4,258.06 ","$4,303.36 ","$4,076.87 ","$3,850.37 ", N/A , N/A , N/A ,"$3,306.79 ", N/A ,"$4,031.57 ","$4,076.87 ","$4,076.87 ","$3,623.88 ", N/A ,"$2,491.42 ","$4,076.87 ", N/A ,"$4,076.87 ", N/A ,"$4,303.36 ", N/A ,"$4,167.46 ", N/A ,"$4,122.16 ", N/A ,"$2,787.67 ","$2,917.22 ","$2,787.67 ","$4,076.87 ","$4,076.87 ","$3,397.39 ","$3,170.90 ", N/A , N/A ,"$4,235.41 ", N/A , N/A ,"$3,940.97 ", N/A ,"$4,076.87 ", N/A ,"$4,076.87 ","$4,076.87 ","$4,076.87 ","$4,393.95 ","$3,669.18 ","$4,076.87 ","$4,076.87 ","$4,076.87 ","$4,076.87 " ST. JOSEPH'S - CHIPPEWA FALLS,27203745,N/A,HC TUBING ASPIRATION,272,1 ,"$1,121.10 ",$840.83 ,$616.61 ,"$1,121.10 ",$721.99 , N/A ,$784.77 , N/A ,$930.51 , N/A ,$739.93 ,"$1,065.05 ", N/A ,$896.88 ,"$1,020.20 ", N/A ,"$1,053.83 ","$1,065.05 ","$1,008.99 ",$952.94 , N/A , N/A , N/A ,$818.40 , N/A ,$997.78 ,"$1,008.99 ","$1,008.99 ",$896.88 , N/A ,$616.61 ,"$1,008.99 ", N/A ,"$1,008.99 ", N/A ,"$1,065.05 ", N/A ,"$1,031.41 ", N/A ,"$1,020.20 ", N/A ,$689.92 ,$721.99 ,$689.92 ,"$1,008.99 ","$1,008.99 ",$840.83 ,$784.77 , N/A , N/A ,"$1,048.23 ", N/A , N/A ,$975.36 , N/A ,"$1,008.99 ", N/A ,"$1,008.99 ","$1,008.99 ","$1,008.99 ","$1,087.47 ",$908.09 ,"$1,008.99 ","$1,008.99 ","$1,008.99 ","$1,008.99 " ST. JOSEPH'S - CHIPPEWA FALLS,27203746,N/A,HC CATHETER BALLOON SLEEK,272,1 ,$866.58 ,$649.94 ,$476.62 ,$866.58 ,$558.08 , N/A ,$606.61 , N/A ,$719.26 , N/A ,$571.94 ,$823.25 , N/A ,$693.26 ,$788.59 , N/A ,$814.59 ,$823.25 ,$779.92 ,$736.59 , N/A , N/A , N/A ,$632.60 , N/A ,$771.26 ,$779.92 ,$779.92 ,$693.26 , N/A ,$476.62 ,$779.92 , N/A ,$779.92 , N/A ,$823.25 , N/A ,$797.25 , N/A ,$788.59 , N/A ,$533.29 ,$558.08 ,$533.29 ,$779.92 ,$779.92 ,$649.94 ,$606.61 , N/A , N/A ,$810.25 , N/A , N/A ,$753.92 , N/A ,$779.92 , N/A ,$779.92 ,$779.92 ,$779.92 ,$840.58 ,$701.93 ,$779.92 ,$779.92 ,$779.92 ,$779.92 ST. JOSEPH'S - CHIPPEWA FALLS,27203747,N/A,HC CATHETER BALLOON POWERFLEX,272,1 ,$409.05 ,$306.79 ,$224.98 ,$409.05 ,$263.43 , N/A ,$286.34 , N/A ,$339.51 , N/A ,$269.97 ,$388.60 , N/A ,$327.24 ,$372.24 , N/A ,$384.51 ,$388.60 ,$368.15 ,$347.69 , N/A , N/A , N/A ,$298.61 , N/A ,$364.05 ,$368.15 ,$368.15 ,$327.24 , N/A ,$224.98 ,$368.15 , N/A ,$368.15 , N/A ,$388.60 , N/A ,$376.33 , N/A ,$372.24 , N/A ,$251.73 ,$263.43 ,$251.73 ,$368.15 ,$368.15 ,$306.79 ,$286.34 , N/A , N/A ,$382.46 , N/A , N/A ,$355.87 , N/A ,$368.15 , N/A ,$368.15 ,$368.15 ,$368.15 ,$396.78 ,$331.33 ,$368.15 ,$368.15 ,$368.15 ,$368.15 ST. JOSEPH'S - CHIPPEWA FALLS,27203748,N/A,HC CATHETER BALLOON SABER,272,1 ,$893.85 ,$670.39 ,$491.62 ,$893.85 ,$575.64 , N/A ,$625.70 , N/A ,$741.90 , N/A ,$589.94 ,$849.16 , N/A ,$715.08 ,$813.40 , N/A ,$840.22 ,$849.16 ,$804.47 ,$759.77 , N/A , N/A , N/A ,$652.51 , N/A ,$795.53 ,$804.47 ,$804.47 ,$715.08 , N/A ,$491.62 ,$804.47 , N/A ,$804.47 , N/A ,$849.16 , N/A ,$822.34 , N/A ,$813.40 , N/A ,$550.08 ,$575.64 ,$550.08 ,$804.47 ,$804.47 ,$670.39 ,$625.70 , N/A , N/A ,$835.75 , N/A , N/A ,$777.65 , N/A ,$804.47 , N/A ,$804.47 ,$804.47 ,$804.47 ,$867.03 ,$724.02 ,$804.47 ,$804.47 ,$804.47 ,$804.47 ST. JOSEPH'S - CHIPPEWA FALLS,27203749,C1725,HC CATHETER BALLOON PERIPHERAL CONQUEST,272,1 ,$621.15 ,$465.86 ,$341.63 ,$621.15 ,$400.02 , N/A ,$434.81 , N/A ,$515.55 , N/A ,$409.96 ,$590.09 , N/A ,$496.92 ,$565.25 , N/A ,$583.88 ,$590.09 ,$559.04 ,$527.98 , N/A , N/A , N/A ,$453.44 , N/A ,$552.82 ,$559.04 ,$559.04 ,$496.92 , N/A ,$341.63 ,$559.04 , N/A ,$559.04 , N/A ,$590.09 , N/A ,$571.46 , N/A ,$565.25 , N/A ,$382.26 ,$400.02 ,$382.26 ,$559.04 ,$559.04 ,$465.86 ,$434.81 , N/A , N/A ,$580.78 , N/A , N/A ,$540.40 , N/A ,$559.04 , N/A ,$559.04 ,$559.04 ,$559.04 ,$602.52 ,$503.13 ,$559.04 ,$559.04 ,$559.04 ,$559.04 ST. JOSEPH'S - CHIPPEWA FALLS,27203750,C2628,HC CATHETER BALLOON OCCLUSION,272,1 ,$690.39 ,$517.79 ,$379.71 ,$690.39 ,$444.61 , N/A ,$483.27 , N/A ,$573.02 , N/A ,$455.66 ,$655.87 , N/A ,$552.31 ,$628.25 , N/A ,$648.97 ,$655.87 ,$621.35 ,$586.83 , N/A , N/A , N/A ,$503.98 , N/A ,$614.45 ,$621.35 ,$621.35 ,$552.31 , N/A ,$379.71 ,$621.35 , N/A ,$621.35 , N/A ,$655.87 , N/A ,$635.16 , N/A ,$628.25 , N/A ,$424.87 ,$444.61 ,$424.87 ,$621.35 ,$621.35 ,$517.79 ,$483.27 , N/A , N/A ,$645.51 , N/A , N/A ,$600.64 , N/A ,$621.35 , N/A ,$621.35 ,$621.35 ,$621.35 ,$669.68 ,$559.22 ,$621.35 ,$621.35 ,$621.35 ,$621.35 ST. JOSEPH'S - CHIPPEWA FALLS,27203751,N/A,HC CATHETER BALLOON INPACT,272,1 ,"$2,136.15 ","$1,602.11 ","$1,174.88 ","$2,136.15 ","$1,375.68 ", N/A ,"$1,495.31 ", N/A ,"$1,773.00 ", N/A ,"$1,409.86 ","$2,029.34 ", N/A ,"$1,708.92 ","$1,943.90 ", N/A ,"$2,007.98 ","$2,029.34 ","$1,922.54 ","$1,815.73 ", N/A , N/A , N/A ,"$1,559.39 ", N/A ,"$1,901.17 ","$1,922.54 ","$1,922.54 ","$1,708.92 ", N/A ,"$1,174.88 ","$1,922.54 ", N/A ,"$1,922.54 ", N/A ,"$2,029.34 ", N/A ,"$1,965.26 ", N/A ,"$1,943.90 ", N/A ,"$1,314.59 ","$1,375.68 ","$1,314.59 ","$1,922.54 ","$1,922.54 ","$1,602.11 ","$1,495.31 ", N/A , N/A ,"$1,997.30 ", N/A , N/A ,"$1,858.45 ", N/A ,"$1,922.54 ", N/A ,"$1,922.54 ","$1,922.54 ","$1,922.54 ","$2,072.07 ","$1,730.28 ","$1,922.54 ","$1,922.54 ","$1,922.54 ","$1,922.54 " ST. JOSEPH'S - CHIPPEWA FALLS,27203752,N/A,HC CATHETER BALLOON CHOCOLATE,272,1 ,"$1,378.65 ","$1,033.99 ",$758.26 ,"$1,378.65 ",$887.85 , N/A ,$965.06 , N/A ,"$1,144.28 ", N/A ,$909.91 ,"$1,309.72 ", N/A ,"$1,102.92 ","$1,254.57 ", N/A ,"$1,295.93 ","$1,309.72 ","$1,240.79 ","$1,171.85 ", N/A , N/A , N/A ,"$1,006.41 ", N/A ,"$1,227.00 ","$1,240.79 ","$1,240.79 ","$1,102.92 ", N/A ,$758.26 ,"$1,240.79 ", N/A ,"$1,240.79 ", N/A ,"$1,309.72 ", N/A ,"$1,268.36 ", N/A ,"$1,254.57 ", N/A ,$848.42 ,$887.85 ,$848.42 ,"$1,240.79 ","$1,240.79 ","$1,033.99 ",$965.06 , N/A , N/A ,"$1,289.04 ", N/A , N/A ,"$1,199.43 ", N/A ,"$1,240.79 ", N/A ,"$1,240.79 ","$1,240.79 ","$1,240.79 ","$1,337.29 ","$1,116.71 ","$1,240.79 ","$1,240.79 ","$1,240.79 ","$1,240.79 " ST. JOSEPH'S - CHIPPEWA FALLS,27203753,N/A,HC CATHETER BALLOON MAXI,272,1 ,$890.82 ,$668.12 ,$489.95 ,$890.82 ,$573.69 , N/A ,$623.57 , N/A ,$739.38 , N/A ,$587.94 ,$846.28 , N/A ,$712.66 ,$810.65 , N/A ,$837.37 ,$846.28 ,$801.74 ,$757.20 , N/A , N/A , N/A ,$650.30 , N/A ,$792.83 ,$801.74 ,$801.74 ,$712.66 , N/A ,$489.95 ,$801.74 , N/A ,$801.74 , N/A ,$846.28 , N/A ,$819.55 , N/A ,$810.65 , N/A ,$548.21 ,$573.69 ,$548.21 ,$801.74 ,$801.74 ,$668.12 ,$623.57 , N/A , N/A ,$832.92 , N/A , N/A ,$775.01 , N/A ,$801.74 , N/A ,$801.74 ,$801.74 ,$801.74 ,$864.10 ,$721.56 ,$801.74 ,$801.74 ,$801.74 ,$801.74 ST. JOSEPH'S - CHIPPEWA FALLS,27203754,N/A,HC STENT GENESIS,272,1 ,"$1,363.50 ","$1,022.63 ",$749.93 ,"$1,363.50 ",$878.09 , N/A ,$954.45 , N/A ,"$1,131.71 ", N/A ,$899.91 ,"$1,295.33 ", N/A ,"$1,090.80 ","$1,240.79 ", N/A ,"$1,281.69 ","$1,295.33 ","$1,227.15 ","$1,158.98 ", N/A , N/A , N/A ,$995.36 , N/A ,"$1,213.52 ","$1,227.15 ","$1,227.15 ","$1,090.80 ", N/A ,$749.93 ,"$1,227.15 ", N/A ,"$1,227.15 ", N/A ,"$1,295.33 ", N/A ,"$1,254.42 ", N/A ,"$1,240.79 ", N/A ,$839.10 ,$878.09 ,$839.10 ,"$1,227.15 ","$1,227.15 ","$1,022.63 ",$954.45 , N/A , N/A ,"$1,274.87 ", N/A , N/A ,"$1,186.25 ", N/A ,"$1,227.15 ", N/A ,"$1,227.15 ","$1,227.15 ","$1,227.15 ","$1,322.60 ","$1,104.44 ","$1,227.15 ","$1,227.15 ","$1,227.15 ","$1,227.15 " ST. JOSEPH'S - CHIPPEWA FALLS,27203755,N/A,HC STENT VASCULAR,272,1 ,"$1,310.48 ",$982.86 ,$720.76 ,"$1,310.48 ",$843.95 , N/A ,$917.34 , N/A ,"$1,087.70 ", N/A ,$864.92 ,"$1,244.96 ", N/A ,"$1,048.38 ","$1,192.54 ", N/A ,"$1,231.85 ","$1,244.96 ","$1,179.43 ","$1,113.91 ", N/A , N/A , N/A ,$956.65 , N/A ,"$1,166.33 ","$1,179.43 ","$1,179.43 ","$1,048.38 ", N/A ,$720.76 ,"$1,179.43 ", N/A ,"$1,179.43 ", N/A ,"$1,244.96 ", N/A ,"$1,205.64 ", N/A ,"$1,192.54 ", N/A ,$806.47 ,$843.95 ,$806.47 ,"$1,179.43 ","$1,179.43 ",$982.86 ,$917.34 , N/A , N/A ,"$1,225.30 ", N/A , N/A ,"$1,140.12 ", N/A ,"$1,179.43 ", N/A ,"$1,179.43 ","$1,179.43 ","$1,179.43 ","$1,271.17 ","$1,061.49 ","$1,179.43 ","$1,179.43 ","$1,179.43 ","$1,179.43 " ST. JOSEPH'S - CHIPPEWA FALLS,27203756,C1877,HC STENT PALMAZ,272,1 ,"$1,772.55 ","$1,329.41 ",$974.90 ,"$1,772.55 ","$1,141.52 ", N/A ,"$1,240.79 ", N/A ,"$1,471.22 ", N/A ,"$1,169.88 ","$1,683.92 ", N/A ,"$1,418.04 ","$1,613.02 ", N/A ,"$1,666.20 ","$1,683.92 ","$1,595.30 ","$1,506.67 ", N/A , N/A , N/A ,"$1,293.96 ", N/A ,"$1,577.57 ","$1,595.30 ","$1,595.30 ","$1,418.04 ", N/A ,$974.90 ,"$1,595.30 ", N/A ,"$1,595.30 ", N/A ,"$1,683.92 ", N/A ,"$1,630.75 ", N/A ,"$1,613.02 ", N/A ,"$1,090.83 ","$1,141.52 ","$1,090.83 ","$1,595.30 ","$1,595.30 ","$1,329.41 ","$1,240.79 ", N/A , N/A ,"$1,657.33 ", N/A , N/A ,"$1,542.12 ", N/A ,"$1,595.30 ", N/A ,"$1,595.30 ","$1,595.30 ","$1,595.30 ","$1,719.37 ","$1,435.77 ","$1,595.30 ","$1,595.30 ","$1,595.30 ","$1,595.30 " ST. JOSEPH'S - CHIPPEWA FALLS,27203757,N/A,HC KIT ASPIRATION ACE 68,272,1 ,"$4,332.90 ","$3,249.68 ","$2,383.10 ","$4,332.90 ","$2,790.39 ", N/A ,"$3,033.03 ", N/A ,"$3,596.31 ", N/A ,"$2,859.71 ","$4,116.26 ", N/A ,"$3,466.32 ","$3,942.94 ", N/A ,"$4,072.93 ","$4,116.26 ","$3,899.61 ","$3,682.97 ", N/A , N/A , N/A ,"$3,163.02 ", N/A ,"$3,856.28 ","$3,899.61 ","$3,899.61 ","$3,466.32 ", N/A ,"$2,383.10 ","$3,899.61 ", N/A ,"$3,899.61 ", N/A ,"$4,116.26 ", N/A ,"$3,986.27 ", N/A ,"$3,942.94 ", N/A ,"$2,666.47 ","$2,790.39 ","$2,666.47 ","$3,899.61 ","$3,899.61 ","$3,249.68 ","$3,033.03 ", N/A , N/A ,"$4,051.26 ", N/A , N/A ,"$3,769.62 ", N/A ,"$3,899.61 ", N/A ,"$3,899.61 ","$3,899.61 ","$3,899.61 ","$4,202.91 ","$3,509.65 ","$3,899.61 ","$3,899.61 ","$3,899.61 ","$3,899.61 " ST. JOSEPH'S - CHIPPEWA FALLS,27203758,N/A,HC SHEATH NEURON,272,1 ,"$1,249.88 ",$937.41 ,$687.43 ,"$1,249.88 ",$804.92 , N/A ,$874.92 , N/A ,"$1,037.40 ", N/A ,$824.92 ,"$1,187.39 ", N/A ,$999.90 ,"$1,137.39 ", N/A ,"$1,174.89 ","$1,187.39 ","$1,124.89 ","$1,062.40 ", N/A , N/A , N/A ,$912.41 , N/A ,"$1,112.39 ","$1,124.89 ","$1,124.89 ",$999.90 , N/A ,$687.43 ,"$1,124.89 ", N/A ,"$1,124.89 ", N/A ,"$1,187.39 ", N/A ,"$1,149.89 ", N/A ,"$1,137.39 ", N/A ,$769.18 ,$804.92 ,$769.18 ,"$1,124.89 ","$1,124.89 ",$937.41 ,$874.92 , N/A , N/A ,"$1,168.64 ", N/A , N/A ,"$1,087.40 ", N/A ,"$1,124.89 ", N/A ,"$1,124.89 ","$1,124.89 ","$1,124.89 ","$1,212.38 ","$1,012.40 ","$1,124.89 ","$1,124.89 ","$1,124.89 ","$1,124.89 " ST. JOSEPH'S - CHIPPEWA FALLS,27203759,N/A,HC CANISTER PERIPHERAL,272,1 ,"$1,121.10 ",$840.83 ,$616.61 ,"$1,121.10 ",$721.99 , N/A ,$784.77 , N/A ,$930.51 , N/A ,$739.93 ,"$1,065.05 ", N/A ,$896.88 ,"$1,020.20 ", N/A ,"$1,053.83 ","$1,065.05 ","$1,008.99 ",$952.94 , N/A , N/A , N/A ,$818.40 , N/A ,$997.78 ,"$1,008.99 ","$1,008.99 ",$896.88 , N/A ,$616.61 ,"$1,008.99 ", N/A ,"$1,008.99 ", N/A ,"$1,065.05 ", N/A ,"$1,031.41 ", N/A ,"$1,020.20 ", N/A ,$689.92 ,$721.99 ,$689.92 ,"$1,008.99 ","$1,008.99 ",$840.83 ,$784.77 , N/A , N/A ,"$1,048.23 ", N/A , N/A ,$975.36 , N/A ,"$1,008.99 ", N/A ,"$1,008.99 ","$1,008.99 ","$1,008.99 ","$1,087.47 ",$908.09 ,"$1,008.99 ","$1,008.99 ","$1,008.99 ","$1,008.99 " ST. JOSEPH'S - CHIPPEWA FALLS,27203760,N/A,HC CATHETER SEPARATOR INDIGO 3,272,1 ,"$1,749.83 ","$1,312.37 ",$962.41 ,"$1,749.83 ","$1,126.89 ", N/A ,"$1,224.88 ", N/A ,"$1,452.36 ", N/A ,"$1,154.89 ","$1,662.34 ", N/A ,"$1,399.86 ","$1,592.35 ", N/A ,"$1,644.84 ","$1,662.34 ","$1,574.85 ","$1,487.36 ", N/A , N/A , N/A ,"$1,277.38 ", N/A ,"$1,557.35 ","$1,574.85 ","$1,574.85 ","$1,399.86 ", N/A ,$962.41 ,"$1,574.85 ", N/A ,"$1,574.85 ", N/A ,"$1,662.34 ", N/A ,"$1,609.84 ", N/A ,"$1,592.35 ", N/A ,"$1,076.85 ","$1,126.89 ","$1,076.85 ","$1,574.85 ","$1,574.85 ","$1,312.37 ","$1,224.88 ", N/A , N/A ,"$1,636.09 ", N/A , N/A ,"$1,522.35 ", N/A ,"$1,574.85 ", N/A ,"$1,574.85 ","$1,574.85 ","$1,574.85 ","$1,697.34 ","$1,417.36 ","$1,574.85 ","$1,574.85 ","$1,574.85 ","$1,574.85 " ST. JOSEPH'S - CHIPPEWA FALLS,27203761,N/A,HC CATHETER SEPARATOR INDIGO 6,272,1 ,"$1,749.83 ","$1,312.37 ",$962.41 ,"$1,749.83 ","$1,126.89 ", N/A ,"$1,224.88 ", N/A ,"$1,452.36 ", N/A ,"$1,154.89 ","$1,662.34 ", N/A ,"$1,399.86 ","$1,592.35 ", N/A ,"$1,644.84 ","$1,662.34 ","$1,574.85 ","$1,487.36 ", N/A , N/A , N/A ,"$1,277.38 ", N/A ,"$1,557.35 ","$1,574.85 ","$1,574.85 ","$1,399.86 ", N/A ,$962.41 ,"$1,574.85 ", N/A ,"$1,574.85 ", N/A ,"$1,662.34 ", N/A ,"$1,609.84 ", N/A ,"$1,592.35 ", N/A ,"$1,076.85 ","$1,126.89 ","$1,076.85 ","$1,574.85 ","$1,574.85 ","$1,312.37 ","$1,224.88 ", N/A , N/A ,"$1,636.09 ", N/A , N/A ,"$1,522.35 ", N/A ,"$1,574.85 ", N/A ,"$1,574.85 ","$1,574.85 ","$1,574.85 ","$1,697.34 ","$1,417.36 ","$1,574.85 ","$1,574.85 ","$1,574.85 ","$1,574.85 " ST. JOSEPH'S - CHIPPEWA FALLS,27203762,N/A,HC CATHETER SEPARATOR INDIGO 8,272,1 ,"$2,961.83 ","$2,221.37 ","$1,629.01 ","$2,961.83 ","$1,907.42 ", N/A ,"$2,073.28 ", N/A ,"$2,458.32 ", N/A ,"$1,954.81 ","$2,813.74 ", N/A ,"$2,369.46 ","$2,695.27 ", N/A ,"$2,784.12 ","$2,813.74 ","$2,665.65 ","$2,517.56 ", N/A , N/A , N/A ,"$2,162.14 ", N/A ,"$2,636.03 ","$2,665.65 ","$2,665.65 ","$2,369.46 ", N/A ,"$1,629.01 ","$2,665.65 ", N/A ,"$2,665.65 ", N/A ,"$2,813.74 ", N/A ,"$2,724.88 ", N/A ,"$2,695.27 ", N/A ,"$1,822.71 ","$1,907.42 ","$1,822.71 ","$2,665.65 ","$2,665.65 ","$2,221.37 ","$2,073.28 ", N/A , N/A ,"$2,769.31 ", N/A , N/A ,"$2,576.79 ", N/A ,"$2,665.65 ", N/A ,"$2,665.65 ","$2,665.65 ","$2,665.65 ","$2,872.98 ","$2,399.08 ","$2,665.65 ","$2,665.65 ","$2,665.65 ","$2,665.65 " ST. JOSEPH'S - CHIPPEWA FALLS,27203763,N/A,HC CATHETER ASPIRATION INDIGO 3,272,1 ,"$1,886.18 ","$1,414.64 ","$1,037.40 ","$1,886.18 ","$1,214.70 ", N/A ,"$1,320.33 ", N/A ,"$1,565.53 ", N/A ,"$1,244.88 ","$1,791.87 ", N/A ,"$1,508.94 ","$1,716.42 ", N/A ,"$1,773.01 ","$1,791.87 ","$1,697.56 ","$1,603.25 ", N/A , N/A , N/A ,"$1,376.91 ", N/A ,"$1,678.70 ","$1,697.56 ","$1,697.56 ","$1,508.94 ", N/A ,"$1,037.40 ","$1,697.56 ", N/A ,"$1,697.56 ", N/A ,"$1,791.87 ", N/A ,"$1,735.29 ", N/A ,"$1,716.42 ", N/A ,"$1,160.76 ","$1,214.70 ","$1,160.76 ","$1,697.56 ","$1,697.56 ","$1,414.64 ","$1,320.33 ", N/A , N/A ,"$1,763.58 ", N/A , N/A ,"$1,640.98 ", N/A ,"$1,697.56 ", N/A ,"$1,697.56 ","$1,697.56 ","$1,697.56 ","$1,829.59 ","$1,527.81 ","$1,697.56 ","$1,697.56 ","$1,697.56 ","$1,697.56 " ST. JOSEPH'S - CHIPPEWA FALLS,27203764,N/A,HC CATHETER ASPIRATION INDIGO 6,272,1 ,"$2,954.25 ","$2,215.69 ","$1,624.84 ","$2,954.25 ","$1,902.54 ", N/A ,"$2,067.98 ", N/A ,"$2,452.03 ", N/A ,"$1,949.81 ","$2,806.54 ", N/A ,"$2,363.40 ","$2,688.37 ", N/A ,"$2,777.00 ","$2,806.54 ","$2,658.83 ","$2,511.11 ", N/A , N/A , N/A ,"$2,156.60 ", N/A ,"$2,629.28 ","$2,658.83 ","$2,658.83 ","$2,363.40 ", N/A ,"$1,624.84 ","$2,658.83 ", N/A ,"$2,658.83 ", N/A ,"$2,806.54 ", N/A ,"$2,717.91 ", N/A ,"$2,688.37 ", N/A ,"$1,818.05 ","$1,902.54 ","$1,818.05 ","$2,658.83 ","$2,658.83 ","$2,215.69 ","$2,067.98 ", N/A , N/A ,"$2,762.22 ", N/A , N/A ,"$2,570.20 ", N/A ,"$2,658.83 ", N/A ,"$2,658.83 ","$2,658.83 ","$2,658.83 ","$2,865.62 ","$2,392.94 ","$2,658.83 ","$2,658.83 ","$2,658.83 ","$2,658.83 " ST. JOSEPH'S - CHIPPEWA FALLS,27203765,N/A,HC CATHETER ASPIRATION INDIGO 8,272,1 ,"$4,469.25 ","$3,351.94 ","$2,458.09 ","$4,469.25 ","$2,878.20 ", N/A ,"$3,128.48 ", N/A ,"$3,709.48 ", N/A ,"$2,949.71 ","$4,245.79 ", N/A ,"$3,575.40 ","$4,067.02 ", N/A ,"$4,201.10 ","$4,245.79 ","$4,022.33 ","$3,798.86 ", N/A , N/A , N/A ,"$3,262.55 ", N/A ,"$3,977.63 ","$4,022.33 ","$4,022.33 ","$3,575.40 ", N/A ,"$2,458.09 ","$4,022.33 ", N/A ,"$4,022.33 ", N/A ,"$4,245.79 ", N/A ,"$4,111.71 ", N/A ,"$4,067.02 ", N/A ,"$2,750.38 ","$2,878.20 ","$2,750.38 ","$4,022.33 ","$4,022.33 ","$3,351.94 ","$3,128.48 ", N/A , N/A ,"$4,178.75 ", N/A , N/A ,"$3,888.25 ", N/A ,"$4,022.33 ", N/A ,"$4,022.33 ","$4,022.33 ","$4,022.33 ","$4,335.17 ","$3,620.09 ","$4,022.33 ","$4,022.33 ","$4,022.33 ","$4,022.33 " ST. JOSEPH'S - CHIPPEWA FALLS,27203766,N/A,HC CATHETER SELECT,272,1 ,$378.75 ,$284.06 ,$208.31 ,$378.75 ,$243.92 , N/A ,$265.13 , N/A ,$314.36 , N/A ,$249.98 ,$359.81 , N/A ,$303.00 ,$344.66 , N/A ,$356.03 ,$359.81 ,$340.88 ,$321.94 , N/A , N/A , N/A ,$276.49 , N/A ,$337.09 ,$340.88 ,$340.88 ,$303.00 , N/A ,$208.31 ,$340.88 , N/A ,$340.88 , N/A ,$359.81 , N/A ,$348.45 , N/A ,$344.66 , N/A ,$233.08 ,$243.92 ,$233.08 ,$340.88 ,$340.88 ,$284.06 ,$265.13 , N/A , N/A ,$354.13 , N/A , N/A ,$329.51 , N/A ,$340.88 , N/A ,$340.88 ,$340.88 ,$340.88 ,$367.39 ,$306.79 ,$340.88 ,$340.88 ,$340.88 ,$340.88 ST. JOSEPH'S - CHIPPEWA FALLS,27203767,N/A,HC CATHETER GLIDE,272,1 ,$155.74 ,$116.81 ,$85.66 ,$155.74 ,$100.30 , N/A ,$109.02 , N/A ,$129.26 , N/A ,$102.79 ,$147.95 , N/A ,$124.59 ,$141.72 , N/A ,$146.40 ,$147.95 ,$140.17 ,$132.38 , N/A , N/A , N/A ,$113.69 , N/A ,$138.61 ,$140.17 ,$140.17 ,$124.59 , N/A ,$85.66 ,$140.17 , N/A ,$140.17 , N/A ,$147.95 , N/A ,$143.28 , N/A ,$141.72 , N/A ,$95.84 ,$100.30 ,$95.84 ,$140.17 ,$140.17 ,$116.81 ,$109.02 , N/A , N/A ,$145.62 , N/A , N/A ,$135.49 , N/A ,$140.17 , N/A ,$140.17 ,$140.17 ,$140.17 ,$151.07 ,$126.15 ,$140.17 ,$140.17 ,$140.17 ,$140.17 ST. JOSEPH'S - CHIPPEWA FALLS,27203768,N/A,HC KIT ANCHOR SUTURE,272,1 ,$326.97 ,$245.23 ,$179.83 ,$326.97 ,$210.57 , N/A ,$228.88 , N/A ,$271.39 , N/A ,$215.80 ,$310.62 , N/A ,$261.58 ,$297.54 , N/A ,$307.35 ,$310.62 ,$294.27 ,$277.92 , N/A , N/A , N/A ,$238.69 , N/A ,$291.00 ,$294.27 ,$294.27 ,$261.58 , N/A ,$179.83 ,$294.27 , N/A ,$294.27 , N/A ,$310.62 , N/A ,$300.81 , N/A ,$297.54 , N/A ,$201.22 ,$210.57 ,$201.22 ,$294.27 ,$294.27 ,$245.23 ,$228.88 , N/A , N/A ,$305.72 , N/A , N/A ,$284.46 , N/A ,$294.27 , N/A ,$294.27 ,$294.27 ,$294.27 ,$317.16 ,$264.85 ,$294.27 ,$294.27 ,$294.27 ,$294.27 ST. JOSEPH'S - CHIPPEWA FALLS,27203770,N/A,HC STENT NEPHROURETERAL,272,1 ,$350.60 ,$262.95 ,$192.83 ,$350.60 ,$225.79 , N/A ,$245.42 , N/A ,$291.00 , N/A ,$231.40 ,$333.07 , N/A ,$280.48 ,$319.05 , N/A ,$329.56 ,$333.07 ,$315.54 ,$298.01 , N/A , N/A , N/A ,$255.94 , N/A ,$312.03 ,$315.54 ,$315.54 ,$280.48 , N/A ,$192.83 ,$315.54 , N/A ,$315.54 , N/A ,$333.07 , N/A ,$322.55 , N/A ,$319.05 , N/A ,$215.76 ,$225.79 ,$215.76 ,$315.54 ,$315.54 ,$262.95 ,$245.42 , N/A , N/A ,$327.81 , N/A , N/A ,$305.02 , N/A ,$315.54 , N/A ,$315.54 ,$315.54 ,$315.54 ,$340.08 ,$283.99 ,$315.54 ,$315.54 ,$315.54 ,$315.54 ST. JOSEPH'S - CHIPPEWA FALLS,27203771,N/A,HC KIT PARACENTESIS,272,1 ,"$1,253.36 ",$940.02 ,$689.35 ,"$1,253.36 ",$807.16 , N/A ,$877.35 , N/A ,"$1,040.29 ", N/A ,$827.22 ,"$1,190.69 ", N/A ,"$1,002.69 ","$1,140.56 ", N/A ,"$1,178.16 ","$1,190.69 ","$1,128.02 ","$1,065.36 ", N/A , N/A , N/A ,$914.95 , N/A ,"$1,115.49 ","$1,128.02 ","$1,128.02 ","$1,002.69 ", N/A ,$689.35 ,"$1,128.02 ", N/A ,"$1,128.02 ", N/A ,"$1,190.69 ", N/A ,"$1,153.09 ", N/A ,"$1,140.56 ", N/A ,$771.32 ,$807.16 ,$771.32 ,"$1,128.02 ","$1,128.02 ",$940.02 ,$877.35 , N/A , N/A ,"$1,171.89 ", N/A , N/A ,"$1,090.42 ", N/A ,"$1,128.02 ", N/A ,"$1,128.02 ","$1,128.02 ","$1,128.02 ","$1,215.76 ","$1,015.22 ","$1,128.02 ","$1,128.02 ","$1,128.02 ","$1,128.02 " ST. JOSEPH'S - CHIPPEWA FALLS,27203772,C1769,HC GUIDEWIRE TAD,272,1 ,$418.14 ,$313.61 ,$229.98 ,$418.14 ,$269.28 , N/A ,$292.70 , N/A ,$347.06 , N/A ,$275.97 ,$397.23 , N/A ,$334.51 ,$380.51 , N/A ,$393.05 ,$397.23 ,$376.33 ,$355.42 , N/A , N/A , N/A ,$305.24 , N/A ,$372.14 ,$376.33 ,$376.33 ,$334.51 , N/A ,$229.98 ,$376.33 , N/A ,$376.33 , N/A ,$397.23 , N/A ,$384.69 , N/A ,$380.51 , N/A ,$257.32 ,$269.28 ,$257.32 ,$376.33 ,$376.33 ,$313.61 ,$292.70 , N/A , N/A ,$390.96 , N/A , N/A ,$363.78 , N/A ,$376.33 , N/A ,$376.33 ,$376.33 ,$376.33 ,$405.60 ,$338.69 ,$376.33 ,$376.33 ,$376.33 ,$376.33 ST. JOSEPH'S - CHIPPEWA FALLS,27203773,C1769,HC GUIDEWIRE ANGIOPLASTY,272,1 ,$379.05 ,$284.29 ,$208.48 ,$379.05 ,$244.11 , N/A ,$265.34 , N/A ,$314.61 , N/A ,$250.17 ,$360.10 , N/A ,$303.24 ,$344.94 , N/A ,$356.31 ,$360.10 ,$341.15 ,$322.19 , N/A , N/A , N/A ,$276.71 , N/A ,$337.35 ,$341.15 ,$341.15 ,$303.24 , N/A ,$208.48 ,$341.15 , N/A ,$341.15 , N/A ,$360.10 , N/A ,$348.73 , N/A ,$344.94 , N/A ,$233.27 ,$244.11 ,$233.27 ,$341.15 ,$341.15 ,$284.29 ,$265.34 , N/A , N/A ,$354.41 , N/A , N/A ,$329.77 , N/A ,$341.15 , N/A ,$341.15 ,$341.15 ,$341.15 ,$367.68 ,$307.03 ,$341.15 ,$341.15 ,$341.15 ,$341.15 ST. JOSEPH'S - CHIPPEWA FALLS,27203774,N/A,HC MARKER PIGTAIL,272,1 ,$581.26 ,$435.95 ,$319.69 ,$581.26 ,$374.33 , N/A ,$406.88 , N/A ,$482.45 , N/A ,$383.63 ,$552.20 , N/A ,$465.01 ,$528.95 , N/A ,$546.38 ,$552.20 ,$523.13 ,$494.07 , N/A , N/A , N/A ,$424.32 , N/A ,$517.32 ,$523.13 ,$523.13 ,$465.01 , N/A ,$319.69 ,$523.13 , N/A ,$523.13 , N/A ,$552.20 , N/A ,$534.76 , N/A ,$528.95 , N/A ,$357.71 ,$374.33 ,$357.71 ,$523.13 ,$523.13 ,$435.95 ,$406.88 , N/A , N/A ,$543.48 , N/A , N/A ,$505.70 , N/A ,$523.13 , N/A ,$523.13 ,$523.13 ,$523.13 ,$563.82 ,$470.82 ,$523.13 ,$523.13 ,$523.13 ,$523.13 ST. JOSEPH'S - CHIPPEWA FALLS,27203775,N/A,HC STENT VASCULAR CONTROL 40-100MM LENGTH,272,1 ,"$1,373.60 ","$1,030.20 ",$755.48 ,"$1,373.60 ",$884.60 , N/A ,$961.52 , N/A ,"$1,140.09 ", N/A ,$906.58 ,"$1,304.92 ", N/A ,"$1,098.88 ","$1,249.98 ", N/A ,"$1,291.18 ","$1,304.92 ","$1,236.24 ","$1,167.56 ", N/A , N/A , N/A ,"$1,002.73 ", N/A ,"$1,222.50 ","$1,236.24 ","$1,236.24 ","$1,098.88 ", N/A ,$755.48 ,"$1,236.24 ", N/A ,"$1,236.24 ", N/A ,"$1,304.92 ", N/A ,"$1,263.71 ", N/A ,"$1,249.98 ", N/A ,$845.31 ,$884.60 ,$845.31 ,"$1,236.24 ","$1,236.24 ","$1,030.20 ",$961.52 , N/A , N/A ,"$1,284.32 ", N/A , N/A ,"$1,195.03 ", N/A ,"$1,236.24 ", N/A ,"$1,236.24 ","$1,236.24 ","$1,236.24 ","$1,332.39 ","$1,112.62 ","$1,236.24 ","$1,236.24 ","$1,236.24 ","$1,236.24 " ST. JOSEPH'S - CHIPPEWA FALLS,27203776,N/A,HC STENT VASCULAR CONTROL 120-150MM LENGTH,272,1 ,"$1,749.83 ","$1,312.37 ",$962.41 ,"$1,749.83 ","$1,126.89 ", N/A ,"$1,224.88 ", N/A ,"$1,452.36 ", N/A ,"$1,154.89 ","$1,662.34 ", N/A ,"$1,399.86 ","$1,592.35 ", N/A ,"$1,644.84 ","$1,662.34 ","$1,574.85 ","$1,487.36 ", N/A , N/A , N/A ,"$1,277.38 ", N/A ,"$1,557.35 ","$1,574.85 ","$1,574.85 ","$1,399.86 ", N/A ,$962.41 ,"$1,574.85 ", N/A ,"$1,574.85 ", N/A ,"$1,662.34 ", N/A ,"$1,609.84 ", N/A ,"$1,592.35 ", N/A ,"$1,076.85 ","$1,126.89 ","$1,076.85 ","$1,574.85 ","$1,574.85 ","$1,312.37 ","$1,224.88 ", N/A , N/A ,"$1,636.09 ", N/A , N/A ,"$1,522.35 ", N/A ,"$1,574.85 ", N/A ,"$1,574.85 ","$1,574.85 ","$1,574.85 ","$1,697.34 ","$1,417.36 ","$1,574.85 ","$1,574.85 ","$1,574.85 ","$1,574.85 " ST. JOSEPH'S - CHIPPEWA FALLS,27203777,N/A,HC STENT VASCULAR CONTROL 12-14MM,272,1 ,"$1,310.48 ",$982.86 ,$720.76 ,"$1,310.48 ",$843.95 , N/A ,$917.34 , N/A ,"$1,087.70 ", N/A ,$864.92 ,"$1,244.96 ", N/A ,"$1,048.38 ","$1,192.54 ", N/A ,"$1,231.85 ","$1,244.96 ","$1,179.43 ","$1,113.91 ", N/A , N/A , N/A ,$956.65 , N/A ,"$1,166.33 ","$1,179.43 ","$1,179.43 ","$1,048.38 ", N/A ,$720.76 ,"$1,179.43 ", N/A ,"$1,179.43 ", N/A ,"$1,244.96 ", N/A ,"$1,205.64 ", N/A ,"$1,192.54 ", N/A ,$806.47 ,$843.95 ,$806.47 ,"$1,179.43 ","$1,179.43 ",$982.86 ,$917.34 , N/A , N/A ,"$1,225.30 ", N/A , N/A ,"$1,140.12 ", N/A ,"$1,179.43 ", N/A ,"$1,179.43 ","$1,179.43 ","$1,179.43 ","$1,271.17 ","$1,061.49 ","$1,179.43 ","$1,179.43 ","$1,179.43 ","$1,179.43 " ST. JOSEPH'S - CHIPPEWA FALLS,27203790,N/A,HC BLADE CAUTERY PEAK PLASMA,272,1 ,$785.20 ,$588.90 ,$431.86 ,$785.20 ,$505.67 , N/A ,$549.64 , N/A ,$651.72 , N/A ,$518.23 ,$745.94 , N/A ,$628.16 ,$714.53 , N/A ,$738.09 ,$745.94 ,$706.68 ,$667.42 , N/A , N/A , N/A ,$573.20 , N/A ,$698.83 ,$706.68 ,$706.68 ,$628.16 , N/A ,$431.86 ,$706.68 , N/A ,$706.68 , N/A ,$745.94 , N/A ,$722.38 , N/A ,$714.53 , N/A ,$483.21 ,$505.67 ,$483.21 ,$706.68 ,$706.68 ,$588.90 ,$549.64 , N/A , N/A ,$734.16 , N/A , N/A ,$683.12 , N/A ,$706.68 , N/A ,$706.68 ,$706.68 ,$706.68 ,$761.64 ,$636.01 ,$706.68 ,$706.68 ,$706.68 ,$706.68 ST. JOSEPH'S - CHIPPEWA FALLS,27203825,C1769,HC GUIDEWIRE VIPER WIRE,272,1 ,$585.00 ,$438.75 ,$321.75 ,$585.00 ,$376.74 , N/A ,$409.50 , N/A ,$485.55 , N/A ,$386.10 ,$555.75 , N/A ,$468.00 ,$532.35 , N/A ,$549.90 ,$555.75 ,$526.50 ,$497.25 , N/A , N/A , N/A ,$427.05 , N/A ,$520.65 ,$526.50 ,$526.50 ,$468.00 , N/A ,$321.75 ,$526.50 , N/A ,$526.50 , N/A ,$555.75 , N/A ,$538.20 , N/A ,$532.35 , N/A ,$360.01 ,$376.74 ,$360.01 ,$526.50 ,$526.50 ,$438.75 ,$409.50 , N/A , N/A ,$546.98 , N/A , N/A ,$508.95 , N/A ,$526.50 , N/A ,$526.50 ,$526.50 ,$526.50 ,$567.45 ,$473.85 ,$526.50 ,$526.50 ,$526.50 ,$526.50 ST. JOSEPH'S - CHIPPEWA FALLS,27203911,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T1,272,1 ,"$5,692.50 ","$4,269.38 ","$3,130.88 ","$5,692.50 ","$3,665.97 ", N/A ,"$3,984.75 ", N/A ,"$4,724.78 ", N/A ,"$3,757.05 ","$5,407.88 ", N/A ,"$4,554.00 ","$5,180.18 ", N/A ,"$5,350.95 ","$5,407.88 ","$5,123.25 ","$4,838.63 ", N/A , N/A , N/A ,"$4,155.53 ", N/A ,"$5,066.33 ","$5,123.25 ","$5,123.25 ","$4,554.00 ", N/A ,"$3,130.88 ","$5,123.25 ", N/A ,"$5,123.25 ", N/A ,"$5,407.88 ", N/A ,"$5,237.10 ", N/A ,"$5,180.18 ", N/A ,"$3,503.16 ","$3,665.97 ","$3,503.16 ","$5,123.25 ","$5,123.25 ","$4,269.38 ","$3,984.75 ", N/A , N/A ,"$5,322.49 ", N/A , N/A ,"$4,952.48 ", N/A ,"$5,123.25 ", N/A ,"$5,123.25 ","$5,123.25 ","$5,123.25 ","$5,521.73 ","$4,610.93 ","$5,123.25 ","$5,123.25 ","$5,123.25 ","$5,123.25 " ST. JOSEPH'S - CHIPPEWA FALLS,27203948,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T6,272,1 ,$240.00 ,$180.00 ,$132.00 ,$240.00 ,$154.56 , N/A ,$168.00 , N/A ,$199.20 , N/A ,$158.40 ,$228.00 , N/A ,$192.00 ,$218.40 , N/A ,$225.60 ,$228.00 ,$216.00 ,$204.00 , N/A , N/A , N/A ,$175.20 , N/A ,$213.60 ,$216.00 ,$216.00 ,$192.00 , N/A ,$132.00 ,$216.00 , N/A ,$216.00 , N/A ,$228.00 , N/A ,$220.80 , N/A ,$218.40 , N/A ,$147.70 ,$154.56 ,$147.70 ,$216.00 ,$216.00 ,$180.00 ,$168.00 , N/A , N/A ,$224.40 , N/A , N/A ,$208.80 , N/A ,$216.00 , N/A ,$216.00 ,$216.00 ,$216.00 ,$232.80 ,$194.40 ,$216.00 ,$216.00 ,$216.00 ,$216.00 ST. JOSEPH'S - CHIPPEWA FALLS,27204073,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T1,272,1 ,$442.50 ,$331.88 ,$243.38 ,$442.50 ,$284.97 , N/A ,$309.75 , N/A ,$367.28 , N/A ,$292.05 ,$420.38 , N/A ,$354.00 ,$402.68 , N/A ,$415.95 ,$420.38 ,$398.25 ,$376.13 , N/A , N/A , N/A ,$323.03 , N/A ,$393.83 ,$398.25 ,$398.25 ,$354.00 , N/A ,$243.38 ,$398.25 , N/A ,$398.25 , N/A ,$420.38 , N/A ,$407.10 , N/A ,$402.68 , N/A ,$272.31 ,$284.97 ,$272.31 ,$398.25 ,$398.25 ,$331.88 ,$309.75 , N/A , N/A ,$413.74 , N/A , N/A ,$384.98 , N/A ,$398.25 , N/A ,$398.25 ,$398.25 ,$398.25 ,$429.23 ,$358.43 ,$398.25 ,$398.25 ,$398.25 ,$398.25 ST. JOSEPH'S - CHIPPEWA FALLS,27204128,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T28,272,1 ,"$8,385.00 ","$6,288.75 ","$4,611.75 ","$8,385.00 ","$5,399.94 ", N/A ,"$5,869.50 ", N/A ,"$6,959.55 ", N/A ,"$5,534.10 ","$7,965.75 ", N/A ,"$6,708.00 ","$7,630.35 ", N/A ,"$7,881.90 ","$7,965.75 ","$7,546.50 ","$7,127.25 ", N/A , N/A , N/A ,"$6,121.05 ", N/A ,"$7,462.65 ","$7,546.50 ","$7,546.50 ","$6,708.00 ", N/A ,"$4,611.75 ","$7,546.50 ", N/A ,"$7,546.50 ", N/A ,"$7,965.75 ", N/A ,"$7,714.20 ", N/A ,"$7,630.35 ", N/A ,"$5,160.13 ","$5,399.94 ","$5,160.13 ","$7,546.50 ","$7,546.50 ","$6,288.75 ","$5,869.50 ", N/A , N/A ,"$7,839.98 ", N/A , N/A ,"$7,294.95 ", N/A ,"$7,546.50 ", N/A ,"$7,546.50 ","$7,546.50 ","$7,546.50 ","$8,133.45 ","$6,791.85 ","$7,546.50 ","$7,546.50 ","$7,546.50 ","$7,546.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27204334,C1887,HC CATHETER GUIDING T10,272,1 ,$525.00 ,$393.75 ,$288.75 ,$525.00 ,$338.10 , N/A ,$367.50 , N/A ,$435.75 , N/A ,$346.50 ,$498.75 , N/A ,$420.00 ,$477.75 , N/A ,$493.50 ,$498.75 ,$472.50 ,$446.25 , N/A , N/A , N/A ,$383.25 , N/A ,$467.25 ,$472.50 ,$472.50 ,$420.00 , N/A ,$288.75 ,$472.50 , N/A ,$472.50 , N/A ,$498.75 , N/A ,$483.00 , N/A ,$477.75 , N/A ,$323.09 ,$338.10 ,$323.09 ,$472.50 ,$472.50 ,$393.75 ,$367.50 , N/A , N/A ,$490.88 , N/A , N/A ,$456.75 , N/A ,$472.50 , N/A ,$472.50 ,$472.50 ,$472.50 ,$509.25 ,$425.25 ,$472.50 ,$472.50 ,$472.50 ,$472.50 ST. JOSEPH'S - CHIPPEWA FALLS,27204630,N/A,HC HANDLE DETACHMENT RUBY,272,1 ,$675.00 ,$506.25 ,$371.25 ,$675.00 ,$434.70 , N/A ,$472.50 , N/A ,$560.25 , N/A ,$445.50 ,$641.25 , N/A ,$540.00 ,$614.25 , N/A ,$634.50 ,$641.25 ,$607.50 ,$573.75 , N/A , N/A , N/A ,$492.75 , N/A ,$600.75 ,$607.50 ,$607.50 ,$540.00 , N/A ,$371.25 ,$607.50 , N/A ,$607.50 , N/A ,$641.25 , N/A ,$621.00 , N/A ,$614.25 , N/A ,$415.40 ,$434.70 ,$415.40 ,$607.50 ,$607.50 ,$506.25 ,$472.50 , N/A , N/A ,$631.13 , N/A , N/A ,$587.25 , N/A ,$607.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$654.75 ,$546.75 ,$607.50 ,$607.50 ,$607.50 ,$607.50 ST. JOSEPH'S - CHIPPEWA FALLS,27204631,N/A,HC SEPARATOR 3D,272,1 ,"$8,385.00 ","$6,288.75 ","$4,611.75 ","$8,385.00 ","$5,399.94 ", N/A ,"$5,869.50 ", N/A ,"$6,959.55 ", N/A ,"$5,534.10 ","$7,965.75 ", N/A ,"$6,708.00 ","$7,630.35 ", N/A ,"$7,881.90 ","$7,965.75 ","$7,546.50 ","$7,127.25 ", N/A , N/A , N/A ,"$6,121.05 ", N/A ,"$7,462.65 ","$7,546.50 ","$7,546.50 ","$6,708.00 ", N/A ,"$4,611.75 ","$7,546.50 ", N/A ,"$7,546.50 ", N/A ,"$7,965.75 ", N/A ,"$7,714.20 ", N/A ,"$7,630.35 ", N/A ,"$5,160.13 ","$5,399.94 ","$5,160.13 ","$7,546.50 ","$7,546.50 ","$6,288.75 ","$5,869.50 ", N/A , N/A ,"$7,839.98 ", N/A , N/A ,"$7,294.95 ", N/A ,"$7,546.50 ", N/A ,"$7,546.50 ","$7,546.50 ","$7,546.50 ","$8,133.45 ","$6,791.85 ","$7,546.50 ","$7,546.50 ","$7,546.50 ","$7,546.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27204632,N/A,HC MICROCATHETER PX SLIM,272,1 ,"$1,305.00 ",$978.75 ,$717.75 ,"$1,305.00 ",$840.42 , N/A ,$913.50 , N/A ,"$1,083.15 ", N/A ,$861.30 ,"$1,239.75 ", N/A ,"$1,044.00 ","$1,187.55 ", N/A ,"$1,226.70 ","$1,239.75 ","$1,174.50 ","$1,109.25 ", N/A , N/A , N/A ,$952.65 , N/A ,"$1,161.45 ","$1,174.50 ","$1,174.50 ","$1,044.00 ", N/A ,$717.75 ,"$1,174.50 ", N/A ,"$1,174.50 ", N/A ,"$1,239.75 ", N/A ,"$1,200.60 ", N/A ,"$1,187.55 ", N/A ,$803.10 ,$840.42 ,$803.10 ,"$1,174.50 ","$1,174.50 ",$978.75 ,$913.50 , N/A , N/A ,"$1,220.18 ", N/A , N/A ,"$1,135.35 ", N/A ,"$1,174.50 ", N/A ,"$1,174.50 ","$1,174.50 ","$1,174.50 ","$1,265.85 ","$1,057.05 ","$1,174.50 ","$1,174.50 ","$1,174.50 ","$1,174.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27204633,N/A,HC QUICK CLOT HEMOSTATIS,272,1 ,$99.00 ,$74.25 ,$54.45 ,$99.00 ,$63.76 , N/A ,$69.30 , N/A ,$82.17 , N/A ,$65.34 ,$94.05 , N/A ,$79.20 ,$90.09 , N/A ,$93.06 ,$94.05 ,$89.10 ,$84.15 , N/A , N/A , N/A ,$72.27 , N/A ,$88.11 ,$89.10 ,$89.10 ,$79.20 , N/A ,$54.45 ,$89.10 , N/A ,$89.10 , N/A ,$94.05 , N/A ,$91.08 , N/A ,$90.09 , N/A ,$60.92 ,$63.76 ,$60.92 ,$89.10 ,$89.10 ,$74.25 ,$69.30 , N/A , N/A ,$92.57 , N/A , N/A ,$86.13 , N/A ,$89.10 , N/A ,$89.10 ,$89.10 ,$89.10 ,$96.03 ,$80.19 ,$89.10 ,$89.10 ,$89.10 ,$89.10 ST. JOSEPH'S - CHIPPEWA FALLS,27204634,C1757,HC ASPIRATION CATHETER CATD,272,1 ,"$4,185.00 ","$3,138.75 ","$2,301.75 ","$4,185.00 ","$2,695.14 ", N/A ,"$2,929.50 ", N/A ,"$3,473.55 ", N/A ,"$2,762.10 ","$3,975.75 ", N/A ,"$3,348.00 ","$3,808.35 ", N/A ,"$3,933.90 ","$3,975.75 ","$3,766.50 ","$3,557.25 ", N/A , N/A , N/A ,"$3,055.05 ", N/A ,"$3,724.65 ","$3,766.50 ","$3,766.50 ","$3,348.00 ", N/A ,"$2,301.75 ","$3,766.50 ", N/A ,"$3,766.50 ", N/A ,"$3,975.75 ", N/A ,"$3,850.20 ", N/A ,"$3,808.35 ", N/A ,"$2,575.45 ","$2,695.14 ","$2,575.45 ","$3,766.50 ","$3,766.50 ","$3,138.75 ","$2,929.50 ", N/A , N/A ,"$3,912.98 ", N/A , N/A ,"$3,640.95 ", N/A ,"$3,766.50 ", N/A ,"$3,766.50 ","$3,766.50 ","$3,766.50 ","$4,059.45 ","$3,389.85 ","$3,766.50 ","$3,766.50 ","$3,766.50 ","$3,766.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27204635,N/A,HC SEPARATOR CATD,272,1 ,"$2,692.50 ","$2,019.38 ","$1,480.88 ","$2,692.50 ","$1,733.97 ", N/A ,"$1,884.75 ", N/A ,"$2,234.78 ", N/A ,"$1,777.05 ","$2,557.88 ", N/A ,"$2,154.00 ","$2,450.18 ", N/A ,"$2,530.95 ","$2,557.88 ","$2,423.25 ","$2,288.63 ", N/A , N/A , N/A ,"$1,965.53 ", N/A ,"$2,396.33 ","$2,423.25 ","$2,423.25 ","$2,154.00 ", N/A ,"$1,480.88 ","$2,423.25 ", N/A ,"$2,423.25 ", N/A ,"$2,557.88 ", N/A ,"$2,477.10 ", N/A ,"$2,450.18 ", N/A ,"$1,656.96 ","$1,733.97 ","$1,656.96 ","$2,423.25 ","$2,423.25 ","$2,019.38 ","$1,884.75 ", N/A , N/A ,"$2,517.49 ", N/A , N/A ,"$2,342.48 ", N/A ,"$2,423.25 ", N/A ,"$2,423.25 ","$2,423.25 ","$2,423.25 ","$2,611.73 ","$2,180.93 ","$2,423.25 ","$2,423.25 ","$2,423.25 ","$2,423.25 " ST. JOSEPH'S - CHIPPEWA FALLS,27204636,N/A,HC GLIDEWIRE ADVANTAGE,272,1 ,$510.00 ,$382.50 ,$280.50 ,$510.00 ,$328.44 , N/A ,$357.00 , N/A ,$423.30 , N/A ,$336.60 ,$484.50 , N/A ,$408.00 ,$464.10 , N/A ,$479.40 ,$484.50 ,$459.00 ,$433.50 , N/A , N/A , N/A ,$372.30 , N/A ,$453.90 ,$459.00 ,$459.00 ,$408.00 , N/A ,$280.50 ,$459.00 , N/A ,$459.00 , N/A ,$484.50 , N/A ,$469.20 , N/A ,$464.10 , N/A ,$313.85 ,$328.44 ,$313.85 ,$459.00 ,$459.00 ,$382.50 ,$357.00 , N/A , N/A ,$476.85 , N/A , N/A ,$443.70 , N/A ,$459.00 , N/A ,$459.00 ,$459.00 ,$459.00 ,$494.70 ,$413.10 ,$459.00 ,$459.00 ,$459.00 ,$459.00 ST. JOSEPH'S - CHIPPEWA FALLS,27204637,N/A,HC GLIDEWIRE GOLD TIP,272,1 ,$870.00 ,$652.50 ,$478.50 ,$870.00 ,$560.28 , N/A ,$609.00 , N/A ,$722.10 , N/A ,$574.20 ,$826.50 , N/A ,$696.00 ,$791.70 , N/A ,$817.80 ,$826.50 ,$783.00 ,$739.50 , N/A , N/A , N/A ,$635.10 , N/A ,$774.30 ,$783.00 ,$783.00 ,$696.00 , N/A ,$478.50 ,$783.00 , N/A ,$783.00 , N/A ,$826.50 , N/A ,$800.40 , N/A ,$791.70 , N/A ,$535.40 ,$560.28 ,$535.40 ,$783.00 ,$783.00 ,$652.50 ,$609.00 , N/A , N/A ,$813.45 , N/A , N/A ,$756.90 , N/A ,$783.00 , N/A ,$783.00 ,$783.00 ,$783.00 ,$843.90 ,$704.70 ,$783.00 ,$783.00 ,$783.00 ,$783.00 ST. JOSEPH'S - CHIPPEWA FALLS,27205022,N/A,HC SITZ MARKER,272,1 ,$200.10 ,$150.08 ,$110.06 ,$200.10 ,$128.86 , N/A ,$140.07 , N/A ,$166.08 , N/A ,$132.07 ,$190.10 , N/A ,$160.08 ,$182.09 , N/A ,$188.09 ,$190.10 ,$180.09 ,$170.09 , N/A , N/A , N/A ,$146.07 , N/A ,$178.09 ,$180.09 ,$180.09 ,$160.08 , N/A ,$110.06 ,$180.09 , N/A ,$180.09 , N/A ,$190.10 , N/A ,$184.09 , N/A ,$182.09 , N/A ,$123.14 ,$128.86 ,$123.14 ,$180.09 ,$180.09 ,$150.08 ,$140.07 , N/A , N/A ,$187.09 , N/A , N/A ,$174.09 , N/A ,$180.09 , N/A ,$180.09 ,$180.09 ,$180.09 ,$194.10 ,$162.08 ,$180.09 ,$180.09 ,$180.09 ,$180.09 ST. JOSEPH'S - CHIPPEWA FALLS,27205345,N/A,HC DRESSING GAUZE STRETCH,272,1 ,$21.07 ,$15.80 ,$11.59 ,$21.07 ,$13.57 , N/A ,$14.75 , N/A ,$17.49 , N/A ,$13.91 ,$20.02 , N/A ,$16.86 ,$19.17 , N/A ,$19.81 ,$20.02 ,$18.96 ,$17.91 , N/A , N/A , N/A ,$15.38 , N/A ,$18.75 ,$18.96 ,$18.96 ,$16.86 , N/A ,$11.59 ,$18.96 , N/A ,$18.96 , N/A ,$20.02 , N/A ,$19.38 , N/A ,$19.17 , N/A ,$12.97 ,$13.57 ,$12.97 ,$18.96 ,$18.96 ,$15.80 ,$14.75 , N/A , N/A ,$19.70 , N/A , N/A ,$18.33 , N/A ,$18.96 , N/A ,$18.96 ,$18.96 ,$18.96 ,$20.44 ,$17.07 ,$18.96 ,$18.96 ,$18.96 ,$18.96 ST. JOSEPH'S - CHIPPEWA FALLS,27205348,N/A,HC CATHETER ANGIOGRAPHIC TIP,272,1 ,$75.00 ,$56.25 ,$41.25 ,$75.00 ,$48.30 , N/A ,$52.50 , N/A ,$62.25 , N/A ,$49.50 ,$71.25 , N/A ,$60.00 ,$68.25 , N/A ,$70.50 ,$71.25 ,$67.50 ,$63.75 , N/A , N/A , N/A ,$54.75 , N/A ,$66.75 ,$67.50 ,$67.50 ,$60.00 , N/A ,$41.25 ,$67.50 , N/A ,$67.50 , N/A ,$71.25 , N/A ,$69.00 , N/A ,$68.25 , N/A ,$46.16 ,$48.30 ,$46.16 ,$67.50 ,$67.50 ,$56.25 ,$52.50 , N/A , N/A ,$70.13 , N/A , N/A ,$65.25 , N/A ,$67.50 , N/A ,$67.50 ,$67.50 ,$67.50 ,$72.75 ,$60.75 ,$67.50 ,$67.50 ,$67.50 ,$67.50 ST. JOSEPH'S - CHIPPEWA FALLS,27205366,N/A,HC SENSOR NASAL PULSE OX ALAR,272,1 ,$57.00 ,$42.75 ,$31.35 ,$57.00 ,$36.71 , N/A ,$39.90 , N/A ,$47.31 , N/A ,$37.62 ,$54.15 , N/A ,$45.60 ,$51.87 , N/A ,$53.58 ,$54.15 ,$51.30 ,$48.45 , N/A , N/A , N/A ,$41.61 , N/A ,$50.73 ,$51.30 ,$51.30 ,$45.60 , N/A ,$31.35 ,$51.30 , N/A ,$51.30 , N/A ,$54.15 , N/A ,$52.44 , N/A ,$51.87 , N/A ,$35.08 ,$36.71 ,$35.08 ,$51.30 ,$51.30 ,$42.75 ,$39.90 , N/A , N/A ,$53.30 , N/A , N/A ,$49.59 , N/A ,$51.30 , N/A ,$51.30 ,$51.30 ,$51.30 ,$55.29 ,$46.17 ,$51.30 ,$51.30 ,$51.30 ,$51.30 ST. JOSEPH'S - CHIPPEWA FALLS,27205412,C1769,HC WIRE TAVR SAFARI 2,272,1 ,$597.00 ,$447.75 ,$328.35 ,$597.00 ,$384.47 , N/A ,$417.90 , N/A ,$495.51 , N/A ,$394.02 ,$567.15 , N/A ,$477.60 ,$543.27 , N/A ,$561.18 ,$567.15 ,$537.30 ,$507.45 , N/A , N/A , N/A ,$435.81 , N/A ,$531.33 ,$537.30 ,$537.30 ,$477.60 , N/A ,$328.35 ,$537.30 , N/A ,$537.30 , N/A ,$567.15 , N/A ,$549.24 , N/A ,$543.27 , N/A ,$367.39 ,$384.47 ,$367.39 ,$537.30 ,$537.30 ,$447.75 ,$417.90 , N/A , N/A ,$558.20 , N/A , N/A ,$519.39 , N/A ,$537.30 , N/A ,$537.30 ,$537.30 ,$537.30 ,$579.09 ,$483.57 ,$537.30 ,$537.30 ,$537.30 ,$537.30 ST. JOSEPH'S - CHIPPEWA FALLS,27205413,C1894,HC INTRODUCER/SHEATH LEADLESS PACEMKR,272,1 ,"$1,500.00 ","$1,125.00 ",$825.00 ,"$1,500.00 ",$966.00 , N/A ,"$1,050.00 ", N/A ,"$1,245.00 ", N/A ,$990.00 ,"$1,425.00 ", N/A ,"$1,200.00 ","$1,365.00 ", N/A ,"$1,410.00 ","$1,425.00 ","$1,350.00 ","$1,275.00 ", N/A , N/A , N/A ,"$1,095.00 ", N/A ,"$1,335.00 ","$1,350.00 ","$1,350.00 ","$1,200.00 ", N/A ,$825.00 ,"$1,350.00 ", N/A ,"$1,350.00 ", N/A ,"$1,425.00 ", N/A ,"$1,380.00 ", N/A ,"$1,365.00 ", N/A ,$923.10 ,$966.00 ,$923.10 ,"$1,350.00 ","$1,350.00 ","$1,125.00 ","$1,050.00 ", N/A , N/A ,"$1,402.50 ", N/A , N/A ,"$1,305.00 ", N/A ,"$1,350.00 ", N/A ,"$1,350.00 ","$1,350.00 ","$1,350.00 ","$1,455.00 ","$1,215.00 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$1,350.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27205415,N/A,HC PACK TAVR,272,1 ,$308.75 ,$231.56 ,$169.81 ,$308.75 ,$198.84 , N/A ,$216.13 , N/A ,$256.26 , N/A ,$203.78 ,$293.31 , N/A ,$247.00 ,$280.96 , N/A ,$290.23 ,$293.31 ,$277.88 ,$262.44 , N/A , N/A , N/A ,$225.39 , N/A ,$274.79 ,$277.88 ,$277.88 ,$247.00 , N/A ,$169.81 ,$277.88 , N/A ,$277.88 , N/A ,$293.31 , N/A ,$284.05 , N/A ,$280.96 , N/A ,$190.00 ,$198.84 ,$190.00 ,$277.88 ,$277.88 ,$231.56 ,$216.13 , N/A , N/A ,$288.68 , N/A , N/A ,$268.61 , N/A ,$277.88 , N/A ,$277.88 ,$277.88 ,$277.88 ,$299.49 ,$250.09 ,$277.88 ,$277.88 ,$277.88 ,$277.88 ST. JOSEPH'S - CHIPPEWA FALLS,27205416,N/A,HC TRAY ACCESS ARTERIAL,272,1 ,$98.37 ,$73.78 ,$54.10 ,$98.37 ,$63.35 , N/A ,$68.86 , N/A ,$81.65 , N/A ,$64.92 ,$93.45 , N/A ,$78.70 ,$89.52 , N/A ,$92.47 ,$93.45 ,$88.53 ,$83.61 , N/A , N/A , N/A ,$71.81 , N/A ,$87.55 ,$88.53 ,$88.53 ,$78.70 , N/A ,$54.10 ,$88.53 , N/A ,$88.53 , N/A ,$93.45 , N/A ,$90.50 , N/A ,$89.52 , N/A ,$60.54 ,$63.35 ,$60.54 ,$88.53 ,$88.53 ,$73.78 ,$68.86 , N/A , N/A ,$91.98 , N/A , N/A ,$85.58 , N/A ,$88.53 , N/A ,$88.53 ,$88.53 ,$88.53 ,$95.42 ,$79.68 ,$88.53 ,$88.53 ,$88.53 ,$88.53 ST. JOSEPH'S - CHIPPEWA FALLS,27205447,C1725,HC CATHETER BALLOON DIL,272,1 ,"$2,325.00 ","$1,743.75 ","$1,278.75 ","$2,325.00 ","$1,497.30 ", N/A ,"$1,627.50 ", N/A ,"$1,929.75 ", N/A ,"$1,534.50 ","$2,208.75 ", N/A ,"$1,860.00 ","$2,115.75 ", N/A ,"$2,185.50 ","$2,208.75 ","$2,092.50 ","$1,976.25 ", N/A , N/A , N/A ,"$1,697.25 ", N/A ,"$2,069.25 ","$2,092.50 ","$2,092.50 ","$1,860.00 ", N/A ,"$1,278.75 ","$2,092.50 ", N/A ,"$2,092.50 ", N/A ,"$2,208.75 ", N/A ,"$2,139.00 ", N/A ,"$2,115.75 ", N/A ,"$1,430.81 ","$1,497.30 ","$1,430.81 ","$2,092.50 ","$2,092.50 ","$1,743.75 ","$1,627.50 ", N/A , N/A ,"$2,173.88 ", N/A , N/A ,"$2,022.75 ", N/A ,"$2,092.50 ", N/A ,"$2,092.50 ","$2,092.50 ","$2,092.50 ","$2,255.25 ","$1,883.25 ","$2,092.50 ","$2,092.50 ","$2,092.50 ","$2,092.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27205457,N/A,HC CATH GI FOOD IMPACTION,272,1 ,$750.00 ,$562.50 ,$412.50 ,$750.00 ,$483.00 , N/A ,$525.00 , N/A ,$622.50 , N/A ,$495.00 ,$712.50 , N/A ,$600.00 ,$682.50 , N/A ,$705.00 ,$712.50 ,$675.00 ,$637.50 , N/A , N/A , N/A ,$547.50 , N/A ,$667.50 ,$675.00 ,$675.00 ,$600.00 , N/A ,$412.50 ,$675.00 , N/A ,$675.00 , N/A ,$712.50 , N/A ,$690.00 , N/A ,$682.50 , N/A ,$461.55 ,$483.00 ,$461.55 ,$675.00 ,$675.00 ,$562.50 ,$525.00 , N/A , N/A ,$701.25 , N/A , N/A ,$652.50 , N/A ,$675.00 , N/A ,$675.00 ,$675.00 ,$675.00 ,$727.50 ,$607.50 ,$675.00 ,$675.00 ,$675.00 ,$675.00 ST. JOSEPH'S - CHIPPEWA FALLS,27205458,N/A,HC SNARE XL RND LOOP STIFF,272,1 ,$45.00 ,$33.75 ,$24.75 ,$45.00 ,$28.98 , N/A ,$31.50 , N/A ,$37.35 , N/A ,$29.70 ,$42.75 , N/A ,$36.00 ,$40.95 , N/A ,$42.30 ,$42.75 ,$40.50 ,$38.25 , N/A , N/A , N/A ,$32.85 , N/A ,$40.05 ,$40.50 ,$40.50 ,$36.00 , N/A ,$24.75 ,$40.50 , N/A ,$40.50 , N/A ,$42.75 , N/A ,$41.40 , N/A ,$40.95 , N/A ,$27.69 ,$28.98 ,$27.69 ,$40.50 ,$40.50 ,$33.75 ,$31.50 , N/A , N/A ,$42.08 , N/A , N/A ,$39.15 , N/A ,$40.50 , N/A ,$40.50 ,$40.50 ,$40.50 ,$43.65 ,$36.45 ,$40.50 ,$40.50 ,$40.50 ,$40.50 ST. JOSEPH'S - CHIPPEWA FALLS,27271752,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT-TERM,272,1 ,$222.71 ,$167.03 ,$122.49 ,$222.71 ,$143.43 , N/A ,$155.90 , N/A ,$184.85 , N/A ,$146.99 ,$211.57 , N/A ,$178.17 ,$202.67 , N/A ,$209.35 ,$211.57 ,$200.44 ,$189.30 , N/A , N/A , N/A ,$162.58 , N/A ,$198.21 ,$200.44 ,$200.44 ,$178.17 , N/A ,$122.49 ,$200.44 , N/A ,$200.44 , N/A ,$211.57 , N/A ,$204.89 , N/A ,$202.67 , N/A ,$137.06 ,$143.43 ,$137.06 ,$200.44 ,$200.44 ,$167.03 ,$155.90 , N/A , N/A ,$208.23 , N/A , N/A ,$193.76 , N/A ,$200.44 , N/A ,$200.44 ,$200.44 ,$200.44 ,$216.03 ,$180.40 ,$200.44 ,$200.44 ,$200.44 ,$200.44 ST. JOSEPH'S - CHIPPEWA FALLS,27282046,N/A,HC PROBE STRGHT 2.3MM 220CM,272,1 ,$592.65 ,$444.49 ,$325.96 ,$592.65 ,$381.67 , N/A ,$414.86 , N/A ,$491.90 , N/A ,$391.15 ,$563.02 , N/A ,$474.12 ,$539.31 , N/A ,$557.09 ,$563.02 ,$533.39 ,$503.75 , N/A , N/A , N/A ,$432.63 , N/A ,$527.46 ,$533.39 ,$533.39 ,$474.12 , N/A ,$325.96 ,$533.39 , N/A ,$533.39 , N/A ,$563.02 , N/A ,$545.24 , N/A ,$539.31 , N/A ,$364.72 ,$381.67 ,$364.72 ,$533.39 ,$533.39 ,$444.49 ,$414.86 , N/A , N/A ,$554.13 , N/A , N/A ,$515.61 , N/A ,$533.39 , N/A ,$533.39 ,$533.39 ,$533.39 ,$574.87 ,$480.05 ,$533.39 ,$533.39 ,$533.39 ,$533.39 ST. JOSEPH'S - CHIPPEWA FALLS,27282047,N/A,HC ARG PROBE CONNECTOR,272,1 ,$47.85 ,$35.89 ,$26.32 ,$47.85 ,$30.82 , N/A ,$33.50 , N/A ,$39.72 , N/A ,$31.58 ,$45.46 , N/A ,$38.28 ,$43.54 , N/A ,$44.98 ,$45.46 ,$43.07 ,$40.67 , N/A , N/A , N/A ,$34.93 , N/A ,$42.59 ,$43.07 ,$43.07 ,$38.28 , N/A ,$26.32 ,$43.07 , N/A ,$43.07 , N/A ,$45.46 , N/A ,$44.02 , N/A ,$43.54 , N/A ,$29.45 ,$30.82 ,$29.45 ,$43.07 ,$43.07 ,$35.89 ,$33.50 , N/A , N/A ,$44.74 , N/A , N/A ,$41.63 , N/A ,$43.07 , N/A ,$43.07 ,$43.07 ,$43.07 ,$46.41 ,$38.76 ,$43.07 ,$43.07 ,$43.07 ,$43.07 ST. JOSEPH'S - CHIPPEWA FALLS,27282051,N/A,HC FETAL PILLOW,272,1 ,"$1,800.00 ","$1,350.00 ",$990.00 ,"$1,800.00 ","$1,159.20 ", N/A ,"$1,260.00 ", N/A ,"$1,494.00 ", N/A ,"$1,188.00 ","$1,710.00 ", N/A ,"$1,440.00 ","$1,638.00 ", N/A ,"$1,692.00 ","$1,710.00 ","$1,620.00 ","$1,530.00 ", N/A , N/A , N/A ,"$1,314.00 ", N/A ,"$1,602.00 ","$1,620.00 ","$1,620.00 ","$1,440.00 ", N/A ,$990.00 ,"$1,620.00 ", N/A ,"$1,620.00 ", N/A ,"$1,710.00 ", N/A ,"$1,656.00 ", N/A ,"$1,638.00 ", N/A ,"$1,107.72 ","$1,159.20 ","$1,107.72 ","$1,620.00 ","$1,620.00 ","$1,350.00 ","$1,260.00 ", N/A , N/A ,"$1,683.00 ", N/A , N/A ,"$1,566.00 ", N/A ,"$1,620.00 ", N/A ,"$1,620.00 ","$1,620.00 ","$1,620.00 ","$1,746.00 ","$1,458.00 ","$1,620.00 ","$1,620.00 ","$1,620.00 ","$1,620.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27400012,L0450,HC HEART HUGGER SUPPORT HARNESS,274,1 ,$255.00 ,$191.25 ,$140.25 ,$345.35 ,$164.22 ,$153.49 ,$178.50 , N/A ,$211.65 , N/A ,$168.30 ,$242.25 , N/A ,$204.00 ,$232.05 , N/A ,$239.70 ,$242.25 ,$229.50 ,$216.75 , N/A , N/A , N/A ,$186.15 ,$153.49 ,$226.95 ,$229.50 ,$229.50 ,$204.00 ,$158.09 ,$140.25 ,$229.50 ,$153.49 ,$229.50 ,$153.49 ,$242.25 ,$345.35 ,$234.60 , N/A ,$232.05 ,$153.49 ,$156.93 ,$164.22 ,$156.93 ,$229.50 ,$229.50 ,$191.25 , N/A ,$155.02 , N/A ,$238.43 ,$161.16 , N/A ,$221.85 ,$153.49 ,$229.50 ,$153.49 ,$229.50 ,$229.50 ,$229.50 ,$247.35 ,$206.55 ,$229.50 ,$229.50 ,$229.50 ,$229.50 ST. JOSEPH'S - CHIPPEWA FALLS,27400018,L1830,HC KNEE BRACE - HINGED,274,1 ,$101.88 ,$76.41 ,$56.03 ,$173.72 ,$65.61 ,$77.21 ,$71.32 , N/A ,$84.56 , N/A ,$67.24 ,$96.79 , N/A ,$81.50 ,$92.71 , N/A ,$95.77 ,$96.79 ,$91.69 ,$86.60 , N/A , N/A , N/A ,$74.37 ,$77.21 ,$90.67 ,$91.69 ,$91.69 ,$81.50 ,$79.52 ,$56.03 ,$91.69 ,$77.21 ,$91.69 ,$77.21 ,$96.79 ,$173.72 ,$93.73 , N/A ,$92.71 ,$77.21 ,$62.70 ,$65.61 ,$62.70 ,$91.69 ,$91.69 ,$76.41 , N/A ,$77.98 , N/A ,$95.26 ,$81.07 , N/A ,$88.64 ,$77.21 ,$91.69 ,$77.21 ,$91.69 ,$91.69 ,$91.69 ,$98.82 ,$82.52 ,$91.69 ,$91.69 ,$91.69 ,$91.69 ST. JOSEPH'S - CHIPPEWA FALLS,27400077,L8509,HC VOICE PROST KIT REPLC LEVEL 1,274,1 ,$747.00 ,$560.25 ,$237.28 ,$747.00 ,$481.07 ,$237.28 ,$522.90 , N/A ,$620.01 , N/A ,$493.02 ,$709.65 , N/A ,$597.60 ,$679.77 , N/A ,$702.18 ,$709.65 ,$672.30 ,$634.95 , N/A , N/A , N/A ,$545.31 ,$237.28 ,$664.83 ,$672.30 ,$672.30 ,$597.60 ,$244.40 ,$410.85 ,$672.30 ,$237.28 ,$672.30 ,$237.28 ,$709.65 ,$533.88 ,$687.24 , N/A ,$679.77 ,$237.28 ,$459.70 ,$481.07 ,$459.70 ,$672.30 ,$672.30 ,$560.25 , N/A ,$239.65 , N/A ,$698.45 ,$249.14 , N/A ,$649.89 ,$237.28 ,$672.30 ,$237.28 ,$672.30 ,$672.30 ,$672.30 ,$724.59 ,$605.07 ,$672.30 ,$672.30 ,$672.30 ,$672.30 ST. JOSEPH'S - CHIPPEWA FALLS,27400093,L8501,HC VALVE TRACH,274,1 ,$278.46 ,$208.85 ,$152.33 ,$342.75 ,$179.33 ,$152.33 ,$194.92 , N/A ,$231.12 , N/A ,$183.78 ,$264.54 , N/A ,$222.77 ,$253.40 , N/A ,$261.75 ,$264.54 ,$250.61 ,$236.69 , N/A , N/A , N/A ,$203.28 ,$152.33 ,$247.83 ,$250.61 ,$250.61 ,$222.77 ,$156.90 ,$153.15 ,$250.61 ,$152.33 ,$250.61 ,$152.33 ,$264.54 ,$342.75 ,$256.18 , N/A ,$253.40 ,$152.33 ,$171.36 ,$179.33 ,$171.36 ,$250.61 ,$250.61 ,$208.85 , N/A ,$153.86 , N/A ,$260.36 ,$159.95 , N/A ,$242.26 ,$152.33 ,$250.61 ,$152.33 ,$250.61 ,$250.61 ,$250.61 ,$270.11 ,$225.55 ,$250.61 ,$250.61 ,$250.61 ,$250.61 ST. JOSEPH'S - CHIPPEWA FALLS,27400094,L0172,HC COLLAR CERVICAL FOAM PREFAB,274,1 ,$412.59 ,$309.44 ,$196.25 ,$441.57 ,$265.71 ,$196.25 ,$288.81 , N/A ,$342.45 , N/A ,$272.31 ,$391.96 , N/A ,$330.07 ,$375.46 , N/A ,$387.83 ,$391.96 ,$371.33 ,$350.70 , N/A , N/A , N/A ,$301.19 ,$196.25 ,$367.21 ,$371.33 ,$371.33 ,$330.07 ,$202.14 ,$226.92 ,$371.33 ,$196.25 ,$371.33 ,$196.25 ,$391.96 ,$441.57 ,$379.58 , N/A ,$375.46 ,$196.25 ,$253.91 ,$265.71 ,$253.91 ,$371.33 ,$371.33 ,$309.44 , N/A ,$198.22 , N/A ,$385.77 ,$206.06 , N/A ,$358.95 ,$196.25 ,$371.33 ,$196.25 ,$371.33 ,$371.33 ,$371.33 ,$400.21 ,$334.20 ,$371.33 ,$371.33 ,$371.33 ,$371.33 ST. JOSEPH'S - CHIPPEWA FALLS,27400095,L0472,HC BRACE BACK JEWITT,274,1 ,"$1,197.66 ",$898.25 ,$564.66 ,"$1,270.49 ",$771.29 ,$564.66 ,$838.36 , N/A ,$994.06 , N/A ,$790.46 ,"$1,137.78 ", N/A ,$958.13 ,"$1,089.87 ", N/A ,"$1,125.80 ","$1,137.78 ","$1,077.89 ","$1,018.01 ", N/A , N/A , N/A ,$874.29 ,$564.66 ,"$1,065.92 ","$1,077.89 ","$1,077.89 ",$958.13 ,$581.60 ,$658.71 ,"$1,077.89 ",$564.66 ,"$1,077.89 ",$564.66 ,"$1,137.78 ","$1,270.49 ","$1,101.85 ", N/A ,"$1,089.87 ",$564.66 ,$737.04 ,$771.29 ,$737.04 ,"$1,077.89 ","$1,077.89 ",$898.25 , N/A ,$570.31 , N/A ,"$1,119.81 ",$592.89 , N/A ,"$1,041.96 ",$564.66 ,"$1,077.89 ",$564.66 ,"$1,077.89 ","$1,077.89 ","$1,077.89 ","$1,161.73 ",$970.10 ,"$1,077.89 ","$1,077.89 ","$1,077.89 ","$1,077.89 " ST. JOSEPH'S - CHIPPEWA FALLS,27400096,L0484,HC TLSO TRIPLANAR CONTROL CUSTOM,274,1 ,"$2,741.44 ","$2,056.08 ","$1,507.79 ","$4,525.96 ","$1,765.49 ","$2,011.54 ","$1,919.01 ", N/A ,"$2,275.40 ", N/A ,"$1,809.35 ","$2,604.37 ", N/A ,"$2,193.15 ","$2,494.71 ", N/A ,"$2,576.95 ","$2,604.37 ","$2,467.30 ","$2,330.22 ", N/A , N/A , N/A ,"$2,001.25 ","$2,011.54 ","$2,439.88 ","$2,467.30 ","$2,467.30 ","$2,193.15 ","$2,071.88 ","$1,507.79 ","$2,467.30 ","$2,011.54 ","$2,467.30 ","$2,011.54 ","$2,604.37 ","$4,525.96 ","$2,522.12 ", N/A ,"$2,494.71 ","$2,011.54 ","$1,687.08 ","$1,765.49 ","$1,687.08 ","$2,467.30 ","$2,467.30 ","$2,056.08 ", N/A ,"$2,031.65 ", N/A ,"$2,563.25 ","$2,112.12 ", N/A ,"$2,385.05 ","$2,011.54 ","$2,467.30 ","$2,011.54 ","$2,467.30 ","$2,467.30 ","$2,467.30 ","$2,659.20 ","$2,220.57 ","$2,467.30 ","$2,467.30 ","$2,467.30 ","$2,467.30 " ST. JOSEPH'S - CHIPPEWA FALLS,27400097,L0627,HC ORTHOSIS LUMBAR SAGITTAL PREFAB,274,1 ,"$1,215.84 ",$911.88 ,$573.24 ,"$1,289.79 ",$783.00 ,$573.24 ,$851.09 , N/A ,"$1,009.15 ", N/A ,$802.45 ,"$1,155.05 ", N/A ,$972.67 ,"$1,106.41 ", N/A ,"$1,142.89 ","$1,155.05 ","$1,094.26 ","$1,033.46 ", N/A , N/A , N/A ,$887.56 ,$573.24 ,"$1,082.10 ","$1,094.26 ","$1,094.26 ",$972.67 ,$590.44 ,$668.71 ,"$1,094.26 ",$573.24 ,"$1,094.26 ",$573.24 ,"$1,155.05 ","$1,289.79 ","$1,118.57 ", N/A ,"$1,106.41 ",$573.24 ,$748.23 ,$783.00 ,$748.23 ,"$1,094.26 ","$1,094.26 ",$911.88 , N/A ,$578.97 , N/A ,"$1,136.81 ",$601.90 , N/A ,"$1,057.78 ",$573.24 ,"$1,094.26 ",$573.24 ,"$1,094.26 ","$1,094.26 ","$1,094.26 ","$1,179.36 ",$984.83 ,"$1,094.26 ","$1,094.26 ","$1,094.26 ","$1,094.26 " ST. JOSEPH'S - CHIPPEWA FALLS,27400098,L0637,HC ORTHOSIS L/S CUSTOM,274,1 ,"$1,916.17 ","$1,437.13 ","$1,053.89 ","$3,203.12 ","$1,234.01 ","$1,423.61 ","$1,341.32 ", N/A ,"$1,590.42 ", N/A ,"$1,264.67 ","$1,820.36 ", N/A ,"$1,532.94 ","$1,743.71 ", N/A ,"$1,801.20 ","$1,820.36 ","$1,724.55 ","$1,628.74 ", N/A , N/A , N/A ,"$1,398.80 ","$1,423.61 ","$1,705.39 ","$1,724.55 ","$1,724.55 ","$1,532.94 ","$1,466.32 ","$1,053.89 ","$1,724.55 ","$1,423.61 ","$1,724.55 ","$1,423.61 ","$1,820.36 ","$3,203.12 ","$1,762.88 ", N/A ,"$1,743.71 ","$1,423.61 ","$1,179.21 ","$1,234.01 ","$1,179.21 ","$1,724.55 ","$1,724.55 ","$1,437.13 ", N/A ,"$1,437.85 ", N/A ,"$1,791.62 ","$1,494.79 ", N/A ,"$1,667.07 ","$1,423.61 ","$1,724.55 ","$1,423.61 ","$1,724.55 ","$1,724.55 ","$1,724.55 ","$1,858.68 ","$1,552.10 ","$1,724.55 ","$1,724.55 ","$1,724.55 ","$1,724.55 " ST. JOSEPH'S - CHIPPEWA FALLS,27400099,L0650,HC ORTHOSIS L/S PREFAB,274,1 ,"$1,916.17 ","$1,437.13 ","$1,053.89 ","$2,447.16 ","$1,234.01 ","$1,087.63 ","$1,341.32 ", N/A ,"$1,590.42 ", N/A ,"$1,264.67 ","$1,820.36 ", N/A ,"$1,532.94 ","$1,743.71 ", N/A ,"$1,801.20 ","$1,820.36 ","$1,724.55 ","$1,628.74 ", N/A , N/A , N/A ,"$1,398.80 ","$1,087.63 ","$1,705.39 ","$1,724.55 ","$1,724.55 ","$1,532.94 ","$1,120.25 ","$1,053.89 ","$1,724.55 ","$1,087.63 ","$1,724.55 ","$1,087.63 ","$1,820.36 ","$2,447.16 ","$1,762.88 ", N/A ,"$1,743.71 ","$1,087.63 ","$1,179.21 ","$1,234.01 ","$1,179.21 ","$1,724.55 ","$1,724.55 ","$1,437.13 ", N/A ,"$1,098.50 ", N/A ,"$1,791.62 ","$1,142.01 ", N/A ,"$1,667.07 ","$1,087.63 ","$1,724.55 ","$1,087.63 ","$1,724.55 ","$1,724.55 ","$1,724.55 ","$1,858.68 ","$1,552.10 ","$1,724.55 ","$1,724.55 ","$1,724.55 ","$1,724.55 " ST. JOSEPH'S - CHIPPEWA FALLS,27400100,L0810,HC HALO VEST,274,1 ,"$3,895.07 ","$2,921.30 ","$2,142.29 ","$6,582.43 ","$2,508.43 ","$2,925.53 ","$2,726.55 ", N/A ,"$3,232.91 ", N/A ,"$2,570.75 ","$3,700.32 ", N/A ,"$3,116.06 ","$3,544.51 ", N/A ,"$3,661.37 ","$3,700.32 ","$3,505.56 ","$3,310.81 ", N/A , N/A , N/A ,"$2,843.40 ","$2,925.53 ","$3,466.61 ","$3,505.56 ","$3,505.56 ","$3,116.06 ","$3,013.29 ","$2,142.29 ","$3,505.56 ","$2,925.53 ","$3,505.56 ","$2,925.53 ","$3,700.32 ","$6,582.43 ","$3,583.46 ", N/A ,"$3,544.51 ","$2,925.53 ","$2,397.03 ","$2,508.43 ","$2,397.03 ","$3,505.56 ","$3,505.56 ","$2,921.30 ", N/A ,"$2,954.78 ", N/A ,"$3,641.89 ","$3,071.81 ", N/A ,"$3,388.71 ","$2,925.53 ","$3,505.56 ","$2,925.53 ","$3,505.56 ","$3,505.56 ","$3,505.56 ","$3,778.22 ","$3,155.01 ","$3,505.56 ","$3,505.56 ","$3,505.56 ","$3,505.56 " ST. JOSEPH'S - CHIPPEWA FALLS,27400101,L0859,HC HALO MRI COMPATIBLE SYSTEM,274,1 ,"$1,659.94 ","$1,244.96 ",$912.97 ,"$2,805.18 ","$1,069.00 ","$1,246.75 ","$1,161.96 ", N/A ,"$1,377.75 ", N/A ,"$1,095.56 ","$1,576.94 ", N/A ,"$1,327.95 ","$1,510.55 ", N/A ,"$1,560.34 ","$1,576.94 ","$1,493.95 ","$1,410.95 ", N/A , N/A , N/A ,"$1,211.76 ","$1,246.75 ","$1,477.35 ","$1,493.95 ","$1,493.95 ","$1,327.95 ","$1,284.15 ",$912.97 ,"$1,493.95 ","$1,246.75 ","$1,493.95 ","$1,246.75 ","$1,576.94 ","$2,805.18 ","$1,527.14 ", N/A ,"$1,510.55 ","$1,246.75 ","$1,021.53 ","$1,069.00 ","$1,021.53 ","$1,493.95 ","$1,493.95 ","$1,244.96 ", N/A ,"$1,259.22 ", N/A ,"$1,552.04 ","$1,309.09 ", N/A ,"$1,444.15 ","$1,246.75 ","$1,493.95 ","$1,246.75 ","$1,493.95 ","$1,493.95 ","$1,493.95 ","$1,610.14 ","$1,344.55 ","$1,493.95 ","$1,493.95 ","$1,493.95 ","$1,493.95 " ST. JOSEPH'S - CHIPPEWA FALLS,27400102,L1686,HC ORTHOSIS HIP ABDUCTION CONTROL,274,1 ,"$1,385.92 ","$1,039.44 ",$762.26 ,"$2,316.74 ",$892.53 ,"$1,029.66 ",$970.14 , N/A ,"$1,150.31 ", N/A ,$914.71 ,"$1,316.62 ", N/A ,"$1,108.74 ","$1,261.19 ", N/A ,"$1,302.76 ","$1,316.62 ","$1,247.33 ","$1,178.03 ", N/A , N/A , N/A ,"$1,011.72 ","$1,029.66 ","$1,233.47 ","$1,247.33 ","$1,247.33 ","$1,108.74 ","$1,060.55 ",$762.26 ,"$1,247.33 ","$1,029.66 ","$1,247.33 ","$1,029.66 ","$1,316.62 ","$2,316.74 ","$1,275.05 ", N/A ,"$1,261.19 ","$1,029.66 ",$852.90 ,$892.53 ,$852.90 ,"$1,247.33 ","$1,247.33 ","$1,039.44 ", N/A ,"$1,039.96 ", N/A ,"$1,295.84 ","$1,081.14 ", N/A ,"$1,205.75 ","$1,029.66 ","$1,247.33 ","$1,029.66 ","$1,247.33 ","$1,247.33 ","$1,247.33 ","$1,344.34 ","$1,122.60 ","$1,247.33 ","$1,247.33 ","$1,247.33 ","$1,247.33 " ST. JOSEPH'S - CHIPPEWA FALLS,27400103,L1820,HC ORTHOSIS KNEE PREFAB,274,1 ,$414.20 ,$310.65 ,$196.97 ,$443.18 ,$266.74 ,$196.97 ,$289.94 , N/A ,$343.79 , N/A ,$273.37 ,$393.49 , N/A ,$331.36 ,$376.92 , N/A ,$389.35 ,$393.49 ,$372.78 ,$352.07 , N/A , N/A , N/A ,$302.37 ,$196.97 ,$368.64 ,$372.78 ,$372.78 ,$331.36 ,$202.88 ,$227.81 ,$372.78 ,$196.97 ,$372.78 ,$196.97 ,$393.49 ,$443.18 ,$381.06 , N/A ,$376.92 ,$196.97 ,$254.90 ,$266.74 ,$254.90 ,$372.78 ,$372.78 ,$310.65 , N/A ,$198.94 , N/A ,$387.28 ,$206.82 , N/A ,$360.35 ,$196.97 ,$372.78 ,$196.97 ,$372.78 ,$372.78 ,$372.78 ,$401.77 ,$335.50 ,$372.78 ,$372.78 ,$372.78 ,$372.78 ST. JOSEPH'S - CHIPPEWA FALLS,27400104,L1830,HC KNEE IMMOBILIZER,274,1 ,$176.35 ,$132.26 ,$92.10 ,$207.23 ,$113.57 ,$92.10 ,$123.45 , N/A ,$146.37 , N/A ,$116.39 ,$167.53 , N/A ,$141.08 ,$160.48 , N/A ,$165.77 ,$167.53 ,$158.72 ,$149.90 , N/A , N/A , N/A ,$128.74 ,$92.10 ,$156.95 ,$158.72 ,$158.72 ,$141.08 ,$94.87 ,$96.99 ,$158.72 ,$92.10 ,$158.72 ,$92.10 ,$167.53 ,$207.23 ,$162.24 , N/A ,$160.48 ,$92.10 ,$108.53 ,$113.57 ,$108.53 ,$158.72 ,$158.72 ,$132.26 , N/A ,$93.02 , N/A ,$164.89 ,$96.71 , N/A ,$153.42 ,$92.10 ,$158.72 ,$92.10 ,$158.72 ,$158.72 ,$158.72 ,$171.06 ,$142.84 ,$158.72 ,$158.72 ,$158.72 ,$158.72 ST. JOSEPH'S - CHIPPEWA FALLS,27400105,L1831,HC ORTHOSIS KNEE LOCKING PREFAB,274,1 ,$857.79 ,$643.34 ,$407.91 ,$917.80 ,$552.42 ,$407.91 ,$600.45 , N/A ,$711.97 , N/A ,$566.14 ,$814.90 , N/A ,$686.23 ,$780.59 , N/A ,$806.32 ,$814.90 ,$772.01 ,$729.12 , N/A , N/A , N/A ,$626.19 ,$407.91 ,$763.43 ,$772.01 ,$772.01 ,$686.23 ,$420.15 ,$471.78 ,$772.01 ,$407.91 ,$772.01 ,$407.91 ,$814.90 ,$917.80 ,$789.17 , N/A ,$780.59 ,$407.91 ,$527.88 ,$552.42 ,$527.88 ,$772.01 ,$772.01 ,$643.34 , N/A ,$411.99 , N/A ,$802.03 ,$428.31 , N/A ,$746.28 ,$407.91 ,$772.01 ,$407.91 ,$772.01 ,$772.01 ,$772.01 ,$832.06 ,$694.81 ,$772.01 ,$772.01 ,$772.01 ,$772.01 ST. JOSEPH'S - CHIPPEWA FALLS,27400106,L1832,HC ORTHOSIS KNEE PREFAB,274,1 ,"$1,358.45 ","$1,018.84 ",$747.15 ,"$1,855.89 ",$874.84 ,$824.84 ,$950.92 , N/A ,"$1,127.51 ", N/A ,$896.58 ,"$1,290.53 ", N/A ,"$1,086.76 ","$1,236.19 ", N/A ,"$1,276.94 ","$1,290.53 ","$1,222.61 ","$1,154.68 ", N/A , N/A , N/A ,$991.67 ,$824.84 ,"$1,209.02 ","$1,222.61 ","$1,222.61 ","$1,086.76 ",$849.59 ,$747.15 ,"$1,222.61 ",$824.84 ,"$1,222.61 ",$824.84 ,"$1,290.53 ","$1,855.89 ","$1,249.77 ", N/A ,"$1,236.19 ",$824.84 ,$835.99 ,$874.84 ,$835.99 ,"$1,222.61 ","$1,222.61 ","$1,018.84 ", N/A ,$833.09 , N/A ,"$1,270.15 ",$866.08 , N/A ,"$1,181.85 ",$824.84 ,"$1,222.61 ",$824.84 ,"$1,222.61 ","$1,222.61 ","$1,222.61 ","$1,317.70 ","$1,100.34 ","$1,222.61 ","$1,222.61 ","$1,222.61 ","$1,222.61 " ST. JOSEPH'S - CHIPPEWA FALLS,27400107,L1845,HC ORTHOSIS KNEE/THIGH/CALF PREFAB,274,1 ,"$1,627.62 ","$1,220.72 ",$895.19 ,"$2,246.01 ","$1,048.19 ",$998.23 ,"$1,139.33 ", N/A ,"$1,350.92 ", N/A ,"$1,074.23 ","$1,546.24 ", N/A ,"$1,302.10 ","$1,481.13 ", N/A ,"$1,529.96 ","$1,546.24 ","$1,464.86 ","$1,383.48 ", N/A , N/A , N/A ,"$1,188.16 ",$998.23 ,"$1,448.58 ","$1,464.86 ","$1,464.86 ","$1,302.10 ","$1,028.17 ",$895.19 ,"$1,464.86 ",$998.23 ,"$1,464.86 ",$998.23 ,"$1,546.24 ","$2,246.01 ","$1,497.41 ", N/A ,"$1,481.13 ",$998.23 ,"$1,001.64 ","$1,048.19 ","$1,001.64 ","$1,464.86 ","$1,464.86 ","$1,220.72 ", N/A ,"$1,008.21 ", N/A ,"$1,521.82 ","$1,048.14 ", N/A ,"$1,416.03 ",$998.23 ,"$1,464.86 ",$998.23 ,"$1,464.86 ","$1,464.86 ","$1,464.86 ","$1,578.79 ","$1,318.37 ","$1,464.86 ","$1,464.86 ","$1,464.86 ","$1,464.86 " ST. JOSEPH'S - CHIPPEWA FALLS,27400108,L2620,HC PELVIC CONTROL HIP,274,1 ,$739.62 ,$554.72 ,$348.69 ,$784.56 ,$476.32 ,$348.69 ,$517.73 , N/A ,$613.88 , N/A ,$488.15 ,$702.64 , N/A ,$591.70 ,$673.05 , N/A ,$695.24 ,$702.64 ,$665.66 ,$628.68 , N/A , N/A , N/A ,$539.92 ,$348.69 ,$658.26 ,$665.66 ,$665.66 ,$591.70 ,$359.15 ,$406.79 ,$665.66 ,$348.69 ,$665.66 ,$348.69 ,$702.64 ,$784.56 ,$680.45 , N/A ,$673.05 ,$348.69 ,$455.16 ,$476.32 ,$455.16 ,$665.66 ,$665.66 ,$554.72 , N/A ,$352.18 , N/A ,$691.54 ,$366.12 , N/A ,$643.47 ,$348.69 ,$665.66 ,$348.69 ,$665.66 ,$665.66 ,$665.66 ,$717.43 ,$599.09 ,$665.66 ,$665.66 ,$665.66 ,$665.66 ST. JOSEPH'S - CHIPPEWA FALLS,27400109,L3702,HC ORTHOSIS ELBOW W/O JOINTS CUSTOM,274,1 ,$647.81 ,$485.86 ,$340.61 ,$766.37 ,$417.19 ,$340.61 ,$453.47 , N/A ,$537.68 , N/A ,$427.55 ,$615.42 , N/A ,$518.25 ,$589.51 , N/A ,$608.94 ,$615.42 ,$583.03 ,$550.64 , N/A , N/A , N/A ,$472.90 ,$340.61 ,$576.55 ,$583.03 ,$583.03 ,$518.25 ,$350.83 ,$356.30 ,$583.03 ,$340.61 ,$583.03 ,$340.61 ,$615.42 ,$766.37 ,$595.99 , N/A ,$589.51 ,$340.61 ,$398.66 ,$417.19 ,$398.66 ,$583.03 ,$583.03 ,$485.86 , N/A ,$344.02 , N/A ,$605.70 ,$357.64 , N/A ,$563.59 ,$340.61 ,$583.03 ,$340.61 ,$583.03 ,$583.03 ,$583.03 ,$628.38 ,$524.73 ,$583.03 ,$583.03 ,$583.03 ,$583.03 ST. JOSEPH'S - CHIPPEWA FALLS,27400110,L3808,HC ORTHOSIS WHFO RIGID W/O JOINTS,274,1 ,$518.23 ,$388.67 ,$285.03 ,$818.98 ,$333.74 ,$363.99 ,$362.76 , N/A ,$430.13 , N/A ,$342.03 ,$492.32 , N/A ,$414.58 ,$471.59 , N/A ,$487.14 ,$492.32 ,$466.41 ,$440.50 , N/A , N/A , N/A ,$378.31 ,$363.99 ,$461.22 ,$466.41 ,$466.41 ,$414.58 ,$374.91 ,$285.03 ,$466.41 ,$363.99 ,$466.41 ,$363.99 ,$492.32 ,$818.98 ,$476.77 , N/A ,$471.59 ,$363.99 ,$318.92 ,$333.74 ,$318.92 ,$466.41 ,$466.41 ,$388.67 , N/A ,$367.63 , N/A ,$484.55 ,$382.19 , N/A ,$450.86 ,$363.99 ,$466.41 ,$363.99 ,$466.41 ,$466.41 ,$466.41 ,$502.68 ,$419.77 ,$466.41 ,$466.41 ,$466.41 ,$466.41 ST. JOSEPH'S - CHIPPEWA FALLS,27400111,L3905,HC ORTHOSIS WHO W/NONTORSION JOINTS CUSTOM,274,1 ,$728.31 ,$546.23 ,$400.57 ,"$1,958.49 ",$469.03 ,$870.44 ,$509.82 , N/A ,$604.50 , N/A ,$480.68 ,$691.89 , N/A ,$582.65 ,$662.76 , N/A ,$684.61 ,$691.89 ,$655.48 ,$619.06 , N/A , N/A , N/A ,$531.67 ,$870.44 ,$648.20 ,$655.48 ,$655.48 ,$582.65 ,$896.55 ,$400.57 ,$655.48 ,$870.44 ,$655.48 ,$870.44 ,$691.89 ,"$1,958.49 ",$670.05 , N/A ,$662.76 ,$870.44 ,$448.20 ,$469.03 ,$448.20 ,$655.48 ,$655.48 ,$546.23 , N/A ,$879.14 , N/A ,$680.97 ,$913.96 , N/A ,$633.63 ,$870.44 ,$655.48 ,$870.44 ,$655.48 ,$655.48 ,$655.48 ,$706.46 ,$589.93 ,$655.48 ,$655.48 ,$655.48 ,$655.48 ST. JOSEPH'S - CHIPPEWA FALLS,27400112,L3906,HC ORTHOSIS WHO GAUNTLET MOLDED CUSTOM,274,1 ,$487.02 ,$365.27 ,$267.86 ,"$1,052.51 ",$313.64 ,$467.78 ,$340.91 , N/A ,$404.23 , N/A ,$321.43 ,$462.67 , N/A ,$389.62 ,$443.19 , N/A ,$457.80 ,$462.67 ,$438.32 ,$413.97 , N/A , N/A , N/A ,$355.52 ,$467.78 ,$433.45 ,$438.32 ,$438.32 ,$389.62 ,$481.81 ,$267.86 ,$438.32 ,$467.78 ,$438.32 ,$467.78 ,$462.67 ,"$1,052.51 ",$448.06 , N/A ,$443.19 ,$467.78 ,$299.71 ,$313.64 ,$299.71 ,$438.32 ,$438.32 ,$365.27 , N/A ,$472.46 , N/A ,$455.36 ,$491.17 , N/A ,$423.71 ,$467.78 ,$438.32 ,$467.78 ,$438.32 ,$438.32 ,$438.32 ,$472.41 ,$394.49 ,$438.32 ,$438.32 ,$438.32 ,$438.32 ST. JOSEPH'S - CHIPPEWA FALLS,27400113,L3908,HC ORTHOSIS WHO SPLINT WRIST EXT CONTROL COCK-UP,274,1 ,$331.79 ,$248.84 ,$119.94 ,$331.79 ,$213.67 ,$119.94 ,$232.25 , N/A ,$275.39 , N/A ,$218.98 ,$315.20 , N/A ,$265.43 ,$301.93 , N/A ,$311.88 ,$315.20 ,$298.61 ,$282.02 , N/A , N/A , N/A ,$242.21 ,$119.94 ,$295.29 ,$298.61 ,$298.61 ,$265.43 ,$123.54 ,$182.48 ,$298.61 ,$119.94 ,$298.61 ,$119.94 ,$315.20 ,$269.87 ,$305.25 , N/A ,$301.93 ,$119.94 ,$204.18 ,$213.67 ,$204.18 ,$298.61 ,$298.61 ,$248.84 , N/A ,$121.14 , N/A ,$310.22 ,$125.94 , N/A ,$288.66 ,$119.94 ,$298.61 ,$119.94 ,$298.61 ,$298.61 ,$298.61 ,$321.84 ,$268.75 ,$298.61 ,$298.61 ,$298.61 ,$298.61 ST. JOSEPH'S - CHIPPEWA FALLS,27400114,L3913,HC ORTHOSIS HFO KNUCKLE BENDER W/OUTRG CUSTOM,274,1 ,$487.02 ,$365.27 ,$267.86 ,$664.50 ,$313.64 ,$295.33 ,$340.91 , N/A ,$404.23 , N/A ,$321.43 ,$462.67 , N/A ,$389.62 ,$443.19 , N/A ,$457.80 ,$462.67 ,$438.32 ,$413.97 , N/A , N/A , N/A ,$355.52 ,$295.33 ,$433.45 ,$438.32 ,$438.32 ,$389.62 ,$304.19 ,$267.86 ,$438.32 ,$295.33 ,$438.32 ,$295.33 ,$462.67 ,$664.50 ,$448.06 , N/A ,$443.19 ,$295.33 ,$299.71 ,$313.64 ,$299.71 ,$438.32 ,$438.32 ,$365.27 , N/A ,$298.29 , N/A ,$455.36 ,$310.10 , N/A ,$423.71 ,$295.33 ,$438.32 ,$295.33 ,$438.32 ,$438.32 ,$438.32 ,$472.41 ,$394.49 ,$438.32 ,$438.32 ,$438.32 ,$438.32 ST. JOSEPH'S - CHIPPEWA FALLS,27400115,L3980,HC ORTHOSIS HUMERAL FRACTURE,274,1 ,"$1,041.51 ",$781.13 ,$491.05 ,"$1,104.85 ",$670.73 ,$491.05 ,$729.06 , N/A ,$864.45 , N/A ,$687.40 ,$989.43 , N/A ,$833.21 ,$947.77 , N/A ,$979.02 ,$989.43 ,$937.36 ,$885.28 , N/A , N/A , N/A ,$760.30 ,$491.05 ,$926.94 ,$937.36 ,$937.36 ,$833.21 ,$505.78 ,$572.83 ,$937.36 ,$491.05 ,$937.36 ,$491.05 ,$989.43 ,"$1,104.85 ",$958.19 , N/A ,$947.77 ,$491.05 ,$640.95 ,$670.73 ,$640.95 ,$937.36 ,$937.36 ,$781.13 , N/A ,$495.96 , N/A ,$973.81 ,$515.60 , N/A ,$906.11 ,$491.05 ,$937.36 ,$491.05 ,$937.36 ,$937.36 ,$937.36 ,"$1,010.26 ",$843.62 ,$937.36 ,$937.36 ,$937.36 ,$937.36 ST. JOSEPH'S - CHIPPEWA FALLS,27400116,L4210,HC PADS COLLAR CERVICAL,274,1 ,$207.05 ,$155.29 ,$113.88 ,$207.05 ,$133.34 , N/A ,$144.94 , N/A ,$171.85 , N/A ,$136.65 ,$196.70 , N/A ,$165.64 ,$188.42 , N/A ,$194.63 ,$196.70 ,$186.35 ,$175.99 , N/A , N/A , N/A ,$151.15 , N/A ,$184.27 ,$186.35 ,$186.35 ,$165.64 , N/A ,$113.88 ,$186.35 , N/A ,$186.35 , N/A ,$196.70 , N/A ,$190.49 , N/A ,$188.42 , N/A ,$127.42 ,$133.34 ,$127.42 ,$186.35 ,$186.35 ,$155.29 , N/A , N/A , N/A ,$193.59 , N/A , N/A ,$180.13 , N/A ,$186.35 , N/A ,$186.35 ,$186.35 ,$186.35 ,$200.84 ,$167.71 ,$186.35 ,$186.35 ,$186.35 ,$186.35 ST. JOSEPH'S - CHIPPEWA FALLS,27400117,L8460,HC PROSTHETIC SHRINKER ABOVE KNEE,274,1 ,$196.45 ,$147.34 ,$92.61 ,$208.37 ,$126.51 ,$92.61 ,$137.52 , N/A ,$163.05 , N/A ,$129.66 ,$186.63 , N/A ,$157.16 ,$178.77 , N/A ,$184.66 ,$186.63 ,$176.81 ,$166.98 , N/A , N/A , N/A ,$143.41 ,$92.61 ,$174.84 ,$176.81 ,$176.81 ,$157.16 ,$95.39 ,$108.05 ,$176.81 ,$92.61 ,$176.81 ,$92.61 ,$186.63 ,$208.37 ,$180.73 , N/A ,$178.77 ,$92.61 ,$120.90 ,$126.51 ,$120.90 ,$176.81 ,$176.81 ,$147.34 , N/A ,$93.54 , N/A ,$183.68 ,$97.24 , N/A ,$170.91 ,$92.61 ,$176.81 ,$92.61 ,$176.81 ,$176.81 ,$176.81 ,$190.56 ,$159.12 ,$176.81 ,$176.81 ,$176.81 ,$176.81 ST. JOSEPH'S - CHIPPEWA FALLS,27500020,C1898,HC MSB PACEMAKER LEAD,275,1 ,"$1,018.41 ",$763.81 ,$560.13 ,"$1,018.41 ",$655.86 , N/A ,$712.89 , N/A ,$845.28 , N/A ,$672.15 ,$967.49 , N/A ,$814.73 ,$926.75 , N/A ,$957.31 ,$967.49 ,$916.57 ,$865.65 , N/A , N/A , N/A ,$743.44 , N/A ,$906.38 ,$916.57 ,$916.57 ,$814.73 , N/A ,$560.13 ,$916.57 , N/A ,$916.57 , N/A ,$967.49 , N/A ,$936.94 , N/A ,$926.75 , N/A ,$626.73 ,$655.86 ,$626.73 ,$916.57 ,$916.57 ,$763.81 , N/A , N/A , N/A ,$952.21 , N/A , N/A ,$886.02 , N/A ,$916.57 , N/A ,$916.57 ,$916.57 ,$916.57 ,$987.86 ,$824.91 ,$916.57 ,$916.57 ,$916.57 ,$916.57 ST. JOSEPH'S - CHIPPEWA FALLS,27500022,C1900,HC MSB LEAD FOR CS,275,1 ,"$2,626.00 ","$1,969.50 ","$1,444.30 ","$2,626.00 ","$1,691.14 ", N/A ,"$1,838.20 ", N/A ,"$2,179.58 ", N/A ,"$1,733.16 ","$2,494.70 ", N/A ,"$2,100.80 ","$2,389.66 ", N/A ,"$2,468.44 ","$2,494.70 ","$2,363.40 ","$2,232.10 ", N/A , N/A , N/A ,"$1,916.98 ", N/A ,"$2,337.14 ","$2,363.40 ","$2,363.40 ","$2,100.80 ", N/A ,"$1,444.30 ","$2,363.40 ", N/A ,"$2,363.40 ", N/A ,"$2,494.70 ", N/A ,"$2,415.92 ", N/A ,"$2,389.66 ", N/A ,"$1,616.04 ","$1,691.14 ","$1,616.04 ","$2,363.40 ","$2,363.40 ","$1,969.50 ", N/A , N/A , N/A ,"$2,455.31 ", N/A , N/A ,"$2,284.62 ", N/A ,"$2,363.40 ", N/A ,"$2,363.40 ","$2,363.40 ","$2,363.40 ","$2,547.22 ","$2,127.06 ","$2,363.40 ","$2,363.40 ","$2,363.40 ","$2,363.40 " ST. JOSEPH'S - CHIPPEWA FALLS,27500023,C1786,HC MSB PACER SINGLE,275,1 ,"$4,165.12 ","$3,123.84 ","$2,290.82 ","$4,165.12 ","$2,682.34 ", N/A ,"$2,915.58 ", N/A ,"$3,457.05 ", N/A ,"$2,748.98 ","$3,956.86 ", N/A ,"$3,332.10 ","$3,790.26 ", N/A ,"$3,915.21 ","$3,956.86 ","$3,748.61 ","$3,540.35 ", N/A , N/A , N/A ,"$3,040.54 ", N/A ,"$3,706.96 ","$3,748.61 ","$3,748.61 ","$3,332.10 ", N/A ,"$2,290.82 ","$3,748.61 ", N/A ,"$3,748.61 ", N/A ,"$3,956.86 ", N/A ,"$3,831.91 ", N/A ,"$3,790.26 ", N/A ,"$2,563.21 ","$2,682.34 ","$2,563.21 ","$3,748.61 ","$3,748.61 ","$3,123.84 ", N/A , N/A , N/A ,"$3,894.39 ", N/A , N/A ,"$3,623.65 ", N/A ,"$3,748.61 ", N/A ,"$3,748.61 ","$3,748.61 ","$3,748.61 ","$4,040.17 ","$3,373.75 ","$3,748.61 ","$3,748.61 ","$3,748.61 ","$3,748.61 " ST. JOSEPH'S - CHIPPEWA FALLS,27500024,C1785,HC MSB PACER DUAL,275,1 ,"$5,382.80 ","$4,037.10 ","$2,960.54 ","$5,382.80 ","$3,466.52 ", N/A ,"$3,767.96 ", N/A ,"$4,467.72 ", N/A ,"$3,552.65 ","$5,113.66 ", N/A ,"$4,306.24 ","$4,898.35 ", N/A ,"$5,059.83 ","$5,113.66 ","$4,844.52 ","$4,575.38 ", N/A , N/A , N/A ,"$3,929.44 ", N/A ,"$4,790.69 ","$4,844.52 ","$4,844.52 ","$4,306.24 ", N/A ,"$2,960.54 ","$4,844.52 ", N/A ,"$4,844.52 ", N/A ,"$5,113.66 ", N/A ,"$4,952.18 ", N/A ,"$4,898.35 ", N/A ,"$3,312.58 ","$3,466.52 ","$3,312.58 ","$4,844.52 ","$4,844.52 ","$4,037.10 ", N/A , N/A , N/A ,"$5,032.92 ", N/A , N/A ,"$4,683.04 ", N/A ,"$4,844.52 ", N/A ,"$4,844.52 ","$4,844.52 ","$4,844.52 ","$5,221.32 ","$4,360.07 ","$4,844.52 ","$4,844.52 ","$4,844.52 ","$4,844.52 " ST. JOSEPH'S - CHIPPEWA FALLS,27500025,C2621,HC MSB PACER BI-V,275,1 ,"$8,802.66 ","$6,602.00 ","$4,841.46 ","$8,802.66 ","$5,668.91 ", N/A ,"$6,161.86 ", N/A ,"$7,306.21 ", N/A ,"$5,809.76 ","$8,362.53 ", N/A ,"$7,042.13 ","$8,010.42 ", N/A ,"$8,274.50 ","$8,362.53 ","$7,922.39 ","$7,482.26 ", N/A , N/A , N/A ,"$6,425.94 ", N/A ,"$7,834.37 ","$7,922.39 ","$7,922.39 ","$7,042.13 ", N/A ,"$4,841.46 ","$7,922.39 ", N/A ,"$7,922.39 ", N/A ,"$8,362.53 ", N/A ,"$8,098.45 ", N/A ,"$8,010.42 ", N/A ,"$5,417.16 ","$5,668.91 ","$5,417.16 ","$7,922.39 ","$7,922.39 ","$6,602.00 ", N/A , N/A , N/A ,"$8,230.49 ", N/A , N/A ,"$7,658.31 ", N/A ,"$7,922.39 ", N/A ,"$7,922.39 ","$7,922.39 ","$7,922.39 ","$8,538.58 ","$7,130.15 ","$7,922.39 ","$7,922.39 ","$7,922.39 ","$7,922.39 " ST. JOSEPH'S - CHIPPEWA FALLS,27500026,C1722,HC MSB ICD SINGLE,275,1 ,"$17,957.68 ","$13,468.26 ","$9,876.72 ","$17,957.68 ","$11,564.75 ", N/A ,"$12,570.38 ", N/A ,"$14,904.87 ", N/A ,"$11,852.07 ","$17,059.80 ", N/A ,"$14,366.14 ","$16,341.49 ", N/A ,"$16,880.22 ","$17,059.80 ","$16,161.91 ","$15,264.03 ", N/A , N/A , N/A ,"$13,109.11 ", N/A ,"$15,982.34 ","$16,161.91 ","$16,161.91 ","$14,366.14 ", N/A ,"$9,876.72 ","$16,161.91 ", N/A ,"$16,161.91 ", N/A ,"$17,059.80 ", N/A ,"$16,521.07 ", N/A ,"$16,341.49 ", N/A ,"$11,051.16 ","$11,564.75 ","$11,051.16 ","$16,161.91 ","$16,161.91 ","$13,468.26 ", N/A , N/A , N/A ,"$16,790.43 ", N/A , N/A ,"$15,623.18 ", N/A ,"$16,161.91 ", N/A ,"$16,161.91 ","$16,161.91 ","$16,161.91 ","$17,418.95 ","$14,545.72 ","$16,161.91 ","$16,161.91 ","$16,161.91 ","$16,161.91 " ST. JOSEPH'S - CHIPPEWA FALLS,27500027,C1721,HC MSB ICD DUAL,275,1 ,"$19,639.33 ","$14,729.50 ","$10,801.63 ","$19,639.33 ","$12,647.73 ", N/A ,"$13,747.53 ", N/A ,"$16,300.64 ", N/A ,"$12,961.96 ","$18,657.36 ", N/A ,"$15,711.46 ","$17,871.79 ", N/A ,"$18,460.97 ","$18,657.36 ","$17,675.40 ","$16,693.43 ", N/A , N/A , N/A ,"$14,336.71 ", N/A ,"$17,479.00 ","$17,675.40 ","$17,675.40 ","$15,711.46 ", N/A ,"$10,801.63 ","$17,675.40 ", N/A ,"$17,675.40 ", N/A ,"$18,657.36 ", N/A ,"$18,068.18 ", N/A ,"$17,871.79 ", N/A ,"$12,086.04 ","$12,647.73 ","$12,086.04 ","$17,675.40 ","$17,675.40 ","$14,729.50 ", N/A , N/A , N/A ,"$18,362.77 ", N/A , N/A ,"$17,086.22 ", N/A ,"$17,675.40 ", N/A ,"$17,675.40 ","$17,675.40 ","$17,675.40 ","$19,050.15 ","$15,907.86 ","$17,675.40 ","$17,675.40 ","$17,675.40 ","$17,675.40 " ST. JOSEPH'S - CHIPPEWA FALLS,27500028,C1882,HC MSB ICD BI-V,275,1 ,"$25,237.38 ","$18,928.04 ","$13,880.56 ","$25,237.38 ","$16,252.87 ", N/A ,"$17,666.17 ", N/A ,"$20,947.03 ", N/A ,"$16,656.67 ","$23,975.51 ", N/A ,"$20,189.90 ","$22,966.02 ", N/A ,"$23,723.14 ","$23,975.51 ","$22,713.64 ","$21,451.77 ", N/A , N/A , N/A ,"$18,423.29 ", N/A ,"$22,461.27 ","$22,713.64 ","$22,713.64 ","$20,189.90 ", N/A ,"$13,880.56 ","$22,713.64 ", N/A ,"$22,713.64 ", N/A ,"$23,975.51 ", N/A ,"$23,218.39 ", N/A ,"$22,966.02 ", N/A ,"$15,531.08 ","$16,252.87 ","$15,531.08 ","$22,713.64 ","$22,713.64 ","$18,928.04 ", N/A , N/A , N/A ,"$23,596.95 ", N/A , N/A ,"$21,956.52 ", N/A ,"$22,713.64 ", N/A ,"$22,713.64 ","$22,713.64 ","$22,713.64 ","$24,480.26 ","$20,442.28 ","$22,713.64 ","$22,713.64 ","$22,713.64 ","$22,713.64 " ST. JOSEPH'S - CHIPPEWA FALLS,27500031,C1896,HC MSB ICD LEAD NON ENDO SGL OR DUAL,275,1 ,"$6,060.00 ","$4,545.00 ","$3,333.00 ","$6,060.00 ","$3,902.64 ", N/A ,"$4,242.00 ", N/A ,"$5,029.80 ", N/A ,"$3,999.60 ","$5,757.00 ", N/A ,"$4,848.00 ","$5,514.60 ", N/A ,"$5,696.40 ","$5,757.00 ","$5,454.00 ","$5,151.00 ", N/A , N/A , N/A ,"$4,423.80 ", N/A ,"$5,393.40 ","$5,454.00 ","$5,454.00 ","$4,848.00 ", N/A ,"$3,333.00 ","$5,454.00 ", N/A ,"$5,454.00 ", N/A ,"$5,757.00 ", N/A ,"$5,575.20 ", N/A ,"$5,514.60 ", N/A ,"$3,729.32 ","$3,902.64 ","$3,729.32 ","$5,454.00 ","$5,454.00 ","$4,545.00 ", N/A , N/A , N/A ,"$5,666.10 ", N/A , N/A ,"$5,272.20 ", N/A ,"$5,454.00 ", N/A ,"$5,454.00 ","$5,454.00 ","$5,454.00 ","$5,878.20 ","$4,908.60 ","$5,454.00 ","$5,454.00 ","$5,454.00 ","$5,454.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27500032,C1777,HC ICD LEAD ENDO SINGLE,275,1 ,"$4,797.50 ","$3,598.13 ","$2,638.63 ","$4,797.50 ","$3,089.59 ", N/A ,"$3,358.25 ", N/A ,"$3,981.93 ", N/A ,"$3,166.35 ","$4,557.63 ", N/A ,"$3,838.00 ","$4,365.73 ", N/A ,"$4,509.65 ","$4,557.63 ","$4,317.75 ","$4,077.88 ", N/A , N/A , N/A ,"$3,502.18 ", N/A ,"$4,269.78 ","$4,317.75 ","$4,317.75 ","$3,838.00 ", N/A ,"$2,638.63 ","$4,317.75 ", N/A ,"$4,317.75 ", N/A ,"$4,557.63 ", N/A ,"$4,413.70 ", N/A ,"$4,365.73 ", N/A ,"$2,952.38 ","$3,089.59 ","$2,952.38 ","$4,317.75 ","$4,317.75 ","$3,598.13 ", N/A , N/A , N/A ,"$4,485.66 ", N/A , N/A ,"$4,173.83 ", N/A ,"$4,317.75 ", N/A ,"$4,317.75 ","$4,317.75 ","$4,317.75 ","$4,653.58 ","$3,885.98 ","$4,317.75 ","$4,317.75 ","$4,317.75 ","$4,317.75 " ST. JOSEPH'S - CHIPPEWA FALLS,27500040,N/A,HC WIRE PACEMAKER,275,1 ,$252.70 ,$189.53 ,$138.99 ,$252.70 ,$162.74 , N/A ,$176.89 , N/A ,$209.74 , N/A ,$166.78 ,$240.07 , N/A ,$202.16 ,$229.96 , N/A ,$237.54 ,$240.07 ,$227.43 ,$214.80 , N/A , N/A , N/A ,$184.47 , N/A ,$224.90 ,$227.43 ,$227.43 ,$202.16 , N/A ,$138.99 ,$227.43 , N/A ,$227.43 , N/A ,$240.07 , N/A ,$232.48 , N/A ,$229.96 , N/A ,$155.51 ,$162.74 ,$155.51 ,$227.43 ,$227.43 ,$189.53 , N/A , N/A , N/A ,$236.27 , N/A , N/A ,$219.85 , N/A ,$227.43 , N/A ,$227.43 ,$227.43 ,$227.43 ,$245.12 ,$204.69 ,$227.43 ,$227.43 ,$227.43 ,$227.43 ST. JOSEPH'S - CHIPPEWA FALLS,27500041,N/A,HC PACEMAKER CATH W INTRODUCER,275,1 ,$541.46 ,$406.10 ,$297.80 ,$541.46 ,$348.70 , N/A ,$379.02 , N/A ,$449.41 , N/A ,$357.36 ,$514.39 , N/A ,$433.17 ,$492.73 , N/A ,$508.97 ,$514.39 ,$487.31 ,$460.24 , N/A , N/A , N/A ,$395.27 , N/A ,$481.90 ,$487.31 ,$487.31 ,$433.17 , N/A ,$297.80 ,$487.31 , N/A ,$487.31 , N/A ,$514.39 , N/A ,$498.14 , N/A ,$492.73 , N/A ,$333.21 ,$348.70 ,$333.21 ,$487.31 ,$487.31 ,$406.10 , N/A , N/A , N/A ,$506.27 , N/A , N/A ,$471.07 , N/A ,$487.31 , N/A ,$487.31 ,$487.31 ,$487.31 ,$525.22 ,$438.58 ,$487.31 ,$487.31 ,$487.31 ,$487.31 ST. JOSEPH'S - CHIPPEWA FALLS,27500202,C1786,HC PACEMAKER SINGLE MICRA C1786,275,1 ,"$14,625.00 ","$10,968.75 ","$8,043.75 ","$14,625.00 ","$9,418.50 ", N/A ,"$10,237.50 ", N/A ,"$12,138.75 ", N/A ,"$9,652.50 ","$13,893.75 ", N/A ,"$11,700.00 ","$13,308.75 ", N/A ,"$13,747.50 ","$13,893.75 ","$13,162.50 ","$12,431.25 ", N/A , N/A , N/A ,"$10,676.25 ", N/A ,"$13,016.25 ","$13,162.50 ","$13,162.50 ","$11,700.00 ", N/A ,"$8,043.75 ","$13,162.50 ", N/A ,"$13,162.50 ", N/A ,"$13,893.75 ", N/A ,"$13,455.00 ", N/A ,"$13,308.75 ", N/A ,"$9,000.23 ","$9,418.50 ","$9,000.23 ","$13,162.50 ","$13,162.50 ","$10,968.75 ", N/A , N/A , N/A ,"$13,674.38 ", N/A , N/A ,"$12,723.75 ", N/A ,"$13,162.50 ", N/A ,"$13,162.50 ","$13,162.50 ","$13,162.50 ","$14,186.25 ","$11,846.25 ","$13,162.50 ","$13,162.50 ","$13,162.50 ","$13,162.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27800123,C1724,HC DIAMONDBACK BURR AND LUBRICANT,278,1 ,$252.00 ,$189.00 ,$138.60 ,$252.00 ,$162.29 , N/A ,$176.40 , N/A ,$209.16 , N/A ,$166.32 ,$239.40 , N/A ,$201.60 ,$229.32 , N/A ,$236.88 ,$239.40 ,$226.80 ,$214.20 , N/A , N/A , N/A ,$183.96 , N/A ,$224.28 ,$226.80 ,$226.80 ,$201.60 , N/A ,$138.60 ,$226.80 , N/A ,$226.80 , N/A ,$239.40 , N/A ,$231.84 , N/A ,$229.32 , N/A ,$155.08 ,$162.29 ,$155.08 ,$226.80 ,$226.80 ,$189.00 , N/A , N/A , N/A ,$235.62 , N/A , N/A ,$219.24 , N/A ,$226.80 , N/A ,$226.80 ,$226.80 ,$226.80 ,$244.44 ,$204.12 ,$226.80 ,$226.80 ,$226.80 ,$226.80 ST. JOSEPH'S - CHIPPEWA FALLS,27800133,C1751,HC HICKMAN,278,1 ,$999.90 ,$749.93 ,$549.95 ,$999.90 ,$643.94 , N/A ,$699.93 , N/A ,$829.92 , N/A ,$659.93 ,$949.91 , N/A ,$799.92 ,$909.91 , N/A ,$939.91 ,$949.91 ,$899.91 ,$849.92 , N/A , N/A , N/A ,$729.93 , N/A ,$889.91 ,$899.91 ,$899.91 ,$799.92 , N/A ,$549.95 ,$899.91 , N/A ,$899.91 , N/A ,$949.91 , N/A ,$919.91 , N/A ,$909.91 , N/A ,$615.34 ,$643.94 ,$615.34 ,$899.91 ,$899.91 ,$749.93 , N/A , N/A , N/A ,$934.91 , N/A , N/A ,$869.91 , N/A ,$899.91 , N/A ,$899.91 ,$899.91 ,$899.91 ,$969.90 ,$809.92 ,$899.91 ,$899.91 ,$899.91 ,$899.91 ST. JOSEPH'S - CHIPPEWA FALLS,27800166,C1760,HC DEVICE VASCULAR CLOSURE,278,1 ,$910.82 ,$683.12 ,$500.95 ,$910.82 ,$586.57 , N/A ,$637.57 , N/A ,$755.98 , N/A ,$601.14 ,$865.28 , N/A ,$728.66 ,$828.85 , N/A ,$856.17 ,$865.28 ,$819.74 ,$774.20 , N/A , N/A , N/A ,$664.90 , N/A ,$810.63 ,$819.74 ,$819.74 ,$728.66 , N/A ,$500.95 ,$819.74 , N/A ,$819.74 , N/A ,$865.28 , N/A ,$837.95 , N/A ,$828.85 , N/A ,$560.52 ,$586.57 ,$560.52 ,$819.74 ,$819.74 ,$683.12 , N/A , N/A , N/A ,$851.62 , N/A , N/A ,$792.41 , N/A ,$819.74 , N/A ,$819.74 ,$819.74 ,$819.74 ,$883.50 ,$737.76 ,$819.74 ,$819.74 ,$819.74 ,$819.74 ST. JOSEPH'S - CHIPPEWA FALLS,27800170,C1760,HC PERCLOSE,278,1 ,$675.00 ,$506.25 ,$371.25 ,$675.00 ,$434.70 , N/A ,$472.50 , N/A ,$560.25 , N/A ,$445.50 ,$641.25 , N/A ,$540.00 ,$614.25 , N/A ,$634.50 ,$641.25 ,$607.50 ,$573.75 , N/A , N/A , N/A ,$492.75 , N/A ,$600.75 ,$607.50 ,$607.50 ,$540.00 , N/A ,$371.25 ,$607.50 , N/A ,$607.50 , N/A ,$641.25 , N/A ,$621.00 , N/A ,$614.25 , N/A ,$415.40 ,$434.70 ,$415.40 ,$607.50 ,$607.50 ,$506.25 , N/A , N/A , N/A ,$631.13 , N/A , N/A ,$587.25 , N/A ,$607.50 , N/A ,$607.50 ,$607.50 ,$607.50 ,$654.75 ,$546.75 ,$607.50 ,$607.50 ,$607.50 ,$607.50 ST. JOSEPH'S - CHIPPEWA FALLS,27800493,C1788,HC PORT,278,1 ,"$1,764.98 ","$1,323.74 ",$970.74 ,"$1,764.98 ","$1,136.65 ", N/A ,"$1,235.49 ", N/A ,"$1,464.93 ", N/A ,"$1,164.89 ","$1,676.73 ", N/A ,"$1,411.98 ","$1,606.13 ", N/A ,"$1,659.08 ","$1,676.73 ","$1,588.48 ","$1,500.23 ", N/A , N/A , N/A ,"$1,288.44 ", N/A ,"$1,570.83 ","$1,588.48 ","$1,588.48 ","$1,411.98 ", N/A ,$970.74 ,"$1,588.48 ", N/A ,"$1,588.48 ", N/A ,"$1,676.73 ", N/A ,"$1,623.78 ", N/A ,"$1,606.13 ", N/A ,"$1,086.17 ","$1,136.65 ","$1,086.17 ","$1,588.48 ","$1,588.48 ","$1,323.74 ", N/A , N/A , N/A ,"$1,650.26 ", N/A , N/A ,"$1,535.53 ", N/A ,"$1,588.48 ", N/A ,"$1,588.48 ","$1,588.48 ","$1,588.48 ","$1,712.03 ","$1,429.63 ","$1,588.48 ","$1,588.48 ","$1,588.48 ","$1,588.48 " ST. JOSEPH'S - CHIPPEWA FALLS,27800506,C1874,HC DRUG ELUTING STENT,278,1 ,"$6,552.48 ","$4,914.36 ","$3,603.86 ","$6,552.48 ","$4,219.80 ", N/A ,"$4,586.74 ", N/A ,"$5,438.56 ", N/A ,"$4,324.64 ","$6,224.86 ", N/A ,"$5,241.98 ","$5,962.76 ", N/A ,"$6,159.33 ","$6,224.86 ","$5,897.23 ","$5,569.61 ", N/A , N/A , N/A ,"$4,783.31 ", N/A ,"$5,831.71 ","$5,897.23 ","$5,897.23 ","$5,241.98 ", N/A ,"$3,603.86 ","$5,897.23 ", N/A ,"$5,897.23 ", N/A ,"$6,224.86 ", N/A ,"$6,028.28 ", N/A ,"$5,962.76 ", N/A ,"$4,032.40 ","$4,219.80 ","$4,032.40 ","$5,897.23 ","$5,897.23 ","$4,914.36 ", N/A , N/A , N/A ,"$6,126.57 ", N/A , N/A ,"$5,700.66 ", N/A ,"$5,897.23 ", N/A ,"$5,897.23 ","$5,897.23 ","$5,897.23 ","$6,355.91 ","$5,307.51 ","$5,897.23 ","$5,897.23 ","$5,897.23 ","$5,897.23 " ST. JOSEPH'S - CHIPPEWA FALLS,27800535,C1876,HC STENT BARE METAL,278,1 ,"$2,373.50 ","$1,780.13 ","$1,305.43 ","$2,373.50 ","$1,528.53 ", N/A ,"$1,661.45 ", N/A ,"$1,970.01 ", N/A ,"$1,566.51 ","$2,254.83 ", N/A ,"$1,898.80 ","$2,159.89 ", N/A ,"$2,231.09 ","$2,254.83 ","$2,136.15 ","$2,017.48 ", N/A , N/A , N/A ,"$1,732.66 ", N/A ,"$2,112.42 ","$2,136.15 ","$2,136.15 ","$1,898.80 ", N/A ,"$1,305.43 ","$2,136.15 ", N/A ,"$2,136.15 ", N/A ,"$2,254.83 ", N/A ,"$2,183.62 ", N/A ,"$2,159.89 ", N/A ,"$1,460.65 ","$1,528.53 ","$1,460.65 ","$2,136.15 ","$2,136.15 ","$1,780.13 ", N/A , N/A , N/A ,"$2,219.22 ", N/A , N/A ,"$2,064.95 ", N/A ,"$2,136.15 ", N/A ,"$2,136.15 ","$2,136.15 ","$2,136.15 ","$2,302.30 ","$1,922.54 ","$2,136.15 ","$2,136.15 ","$2,136.15 ","$2,136.15 " ST. JOSEPH'S - CHIPPEWA FALLS,27800557,C1880,HC IVC FILTER,278,1 ,"$3,272.20 ","$2,454.15 ","$1,799.71 ","$3,272.20 ","$2,107.30 ", N/A ,"$2,290.54 ", N/A ,"$2,715.93 ", N/A ,"$2,159.65 ","$3,108.59 ", N/A ,"$2,617.76 ","$2,977.70 ", N/A ,"$3,075.87 ","$3,108.59 ","$2,944.98 ","$2,781.37 ", N/A , N/A , N/A ,"$2,388.71 ", N/A ,"$2,912.26 ","$2,944.98 ","$2,944.98 ","$2,617.76 ", N/A ,"$1,799.71 ","$2,944.98 ", N/A ,"$2,944.98 ", N/A ,"$3,108.59 ", N/A ,"$3,010.42 ", N/A ,"$2,977.70 ", N/A ,"$2,013.71 ","$2,107.30 ","$2,013.71 ","$2,944.98 ","$2,944.98 ","$2,454.15 ", N/A , N/A , N/A ,"$3,059.51 ", N/A , N/A ,"$2,846.81 ", N/A ,"$2,944.98 ", N/A ,"$2,944.98 ","$2,944.98 ","$2,944.98 ","$3,174.03 ","$2,650.48 ","$2,944.98 ","$2,944.98 ","$2,944.98 ","$2,944.98 " ST. JOSEPH'S - CHIPPEWA FALLS,27801362,C1874,HC VIABAHN 5 CM COVERED STENTS,278,1 ,"$4,961.63 ","$3,721.22 ","$2,728.90 ","$4,961.63 ","$3,195.29 ", N/A ,"$3,473.14 ", N/A ,"$4,118.15 ", N/A ,"$3,274.68 ","$4,713.55 ", N/A ,"$3,969.30 ","$4,515.08 ", N/A ,"$4,663.93 ","$4,713.55 ","$4,465.47 ","$4,217.39 ", N/A , N/A , N/A ,"$3,621.99 ", N/A ,"$4,415.85 ","$4,465.47 ","$4,465.47 ","$3,969.30 ", N/A ,"$2,728.90 ","$4,465.47 ", N/A ,"$4,465.47 ", N/A ,"$4,713.55 ", N/A ,"$4,564.70 ", N/A ,"$4,515.08 ", N/A ,"$3,053.39 ","$3,195.29 ","$3,053.39 ","$4,465.47 ","$4,465.47 ","$3,721.22 ", N/A , N/A , N/A ,"$4,639.12 ", N/A , N/A ,"$4,316.62 ", N/A ,"$4,465.47 ", N/A ,"$4,465.47 ","$4,465.47 ","$4,465.47 ","$4,812.78 ","$4,018.92 ","$4,465.47 ","$4,465.47 ","$4,465.47 ","$4,465.47 " ST. JOSEPH'S - CHIPPEWA FALLS,27801363,C1874,HC VIABAHN 10-15 CM COVERED STENTS,278,1 ,"$5,423.70 ","$4,067.78 ","$2,983.04 ","$5,423.70 ","$3,492.86 ", N/A ,"$3,796.59 ", N/A ,"$4,501.67 ", N/A ,"$3,579.64 ","$5,152.52 ", N/A ,"$4,338.96 ","$4,935.57 ", N/A ,"$5,098.28 ","$5,152.52 ","$4,881.33 ","$4,610.15 ", N/A , N/A , N/A ,"$3,959.30 ", N/A ,"$4,827.09 ","$4,881.33 ","$4,881.33 ","$4,338.96 ", N/A ,"$2,983.04 ","$4,881.33 ", N/A ,"$4,881.33 ", N/A ,"$5,152.52 ", N/A ,"$4,989.80 ", N/A ,"$4,935.57 ", N/A ,"$3,337.75 ","$3,492.86 ","$3,337.75 ","$4,881.33 ","$4,881.33 ","$4,067.78 ", N/A , N/A , N/A ,"$5,071.16 ", N/A , N/A ,"$4,718.62 ", N/A ,"$4,881.33 ", N/A ,"$4,881.33 ","$4,881.33 ","$4,881.33 ","$5,260.99 ","$4,393.20 ","$4,881.33 ","$4,881.33 ","$4,881.33 ","$4,881.33 " ST. JOSEPH'S - CHIPPEWA FALLS,27801430,C2623,HC CATH TRANSLUMINAL DRUG COATED C2623,278,1 ,"$2,136.15 ","$1,602.11 ","$1,174.88 ","$2,136.15 ","$1,375.68 ", N/A ,"$1,495.31 ", N/A ,"$1,773.00 ", N/A ,"$1,409.86 ","$2,029.34 ", N/A ,"$1,708.92 ","$1,943.90 ", N/A ,"$2,007.98 ","$2,029.34 ","$1,922.54 ","$1,815.73 ", N/A , N/A , N/A ,"$1,559.39 ", N/A ,"$1,901.17 ","$1,922.54 ","$1,922.54 ","$1,708.92 ", N/A ,"$1,174.88 ","$1,922.54 ", N/A ,"$1,922.54 ", N/A ,"$2,029.34 ", N/A ,"$1,965.26 ", N/A ,"$1,943.90 ", N/A ,"$1,314.59 ","$1,375.68 ","$1,314.59 ","$1,922.54 ","$1,922.54 ","$1,602.11 ", N/A , N/A , N/A ,"$1,997.30 ", N/A , N/A ,"$1,858.45 ", N/A ,"$1,922.54 ", N/A ,"$1,922.54 ","$1,922.54 ","$1,922.54 ","$2,072.07 ","$1,730.28 ","$1,922.54 ","$1,922.54 ","$1,922.54 ","$1,922.54 " ST. JOSEPH'S - CHIPPEWA FALLS,27801450,C1751,HC PICC,278,1 ,$620.14 ,$465.11 ,$341.08 ,$620.14 ,$399.37 , N/A ,$434.10 , N/A ,$514.72 , N/A ,$409.29 ,$589.13 , N/A ,$496.11 ,$564.33 , N/A ,$582.93 ,$589.13 ,$558.13 ,$527.12 , N/A , N/A , N/A ,$452.70 , N/A ,$551.92 ,$558.13 ,$558.13 ,$496.11 , N/A ,$341.08 ,$558.13 , N/A ,$558.13 , N/A ,$589.13 , N/A ,$570.53 , N/A ,$564.33 , N/A ,$381.63 ,$399.37 ,$381.63 ,$558.13 ,$558.13 ,$465.11 , N/A , N/A , N/A ,$579.83 , N/A , N/A ,$539.52 , N/A ,$558.13 , N/A ,$558.13 ,$558.13 ,$558.13 ,$601.54 ,$502.31 ,$558.13 ,$558.13 ,$558.13 ,$558.13 ST. JOSEPH'S - CHIPPEWA FALLS,27801471,C1713,HC ANCHOR SUTURE,278,1 ,$305.73 ,$229.30 ,$168.15 ,$305.73 ,$196.89 , N/A ,$214.01 , N/A ,$253.76 , N/A ,$201.78 ,$290.44 , N/A ,$244.58 ,$278.21 , N/A ,$287.39 ,$290.44 ,$275.16 ,$259.87 , N/A , N/A , N/A ,$223.18 , N/A ,$272.10 ,$275.16 ,$275.16 ,$244.58 , N/A ,$168.15 ,$275.16 , N/A ,$275.16 , N/A ,$290.44 , N/A ,$281.27 , N/A ,$278.21 , N/A ,$188.15 ,$196.89 ,$188.15 ,$275.16 ,$275.16 ,$229.30 , N/A , N/A , N/A ,$285.86 , N/A , N/A ,$265.99 , N/A ,$275.16 , N/A ,$275.16 ,$275.16 ,$275.16 ,$296.56 ,$247.64 ,$275.16 ,$275.16 ,$275.16 ,$275.16 ST. JOSEPH'S - CHIPPEWA FALLS,27801479,C1894,HC INTRODUCER CATH,278,1 ,$60.50 ,$45.38 ,$33.28 ,$60.50 ,$38.96 , N/A ,$42.35 , N/A ,$50.22 , N/A ,$39.93 ,$57.48 , N/A ,$48.40 ,$55.06 , N/A ,$56.87 ,$57.48 ,$54.45 ,$51.43 , N/A , N/A , N/A ,$44.17 , N/A ,$53.85 ,$54.45 ,$54.45 ,$48.40 , N/A ,$33.28 ,$54.45 , N/A ,$54.45 , N/A ,$57.48 , N/A ,$55.66 , N/A ,$55.06 , N/A ,$37.23 ,$38.96 ,$37.23 ,$54.45 ,$54.45 ,$45.38 , N/A , N/A , N/A ,$56.57 , N/A , N/A ,$52.64 , N/A ,$54.45 , N/A ,$54.45 ,$54.45 ,$54.45 ,$58.69 ,$49.01 ,$54.45 ,$54.45 ,$54.45 ,$54.45 ST. JOSEPH'S - CHIPPEWA FALLS,27801480,C2639,HC BRACHY NON-STRANDED I-125 PER SOURCE,278,1 ,$67.47 ,$50.60 ,$34.10 ,$882.47 ,$43.45 ,$34.10 ,$47.23 ,$67.47 ,$56.00 ,$857.50 ,$44.53 ,$64.10 , N/A ,$53.98 ,$61.40 ,$67.47 ,$63.42 ,$64.10 ,$60.72 ,$57.35 ,$832.52 ,$832.52 ,$832.52 ,$49.25 ,$34.10 ,$60.05 ,$60.72 ,$60.72 ,$53.98 ,$35.12 ,$37.11 ,$60.72 ,$34.10 ,$60.72 ,$34.10 ,$64.10 ,$76.73 ,$62.07 ,$882.47 ,$61.40 ,$34.10 ,$41.52 ,$43.45 ,$41.52 ,$60.72 ,$60.72 ,$50.60 , N/A ,$34.44 ,$874.15 ,$63.08 ,$35.81 ,$67.47 ,$58.70 ,$34.10 ,$60.72 ,$34.10 ,$60.72 ,$60.72 ,$60.72 ,$65.45 ,$54.65 ,$60.72 ,$60.72 ,$60.72 ,$60.72 ST. JOSEPH'S - CHIPPEWA FALLS,27801481,N/A,HC TUBE FEEDING,278,1 ,$8.28 ,$6.21 ,$4.55 ,$8.28 ,$5.33 , N/A ,$5.80 , N/A ,$6.87 , N/A ,$5.46 ,$7.87 , N/A ,$6.62 ,$7.53 , N/A ,$7.78 ,$7.87 ,$7.45 ,$7.04 , N/A , N/A , N/A ,$6.04 , N/A ,$7.37 ,$7.45 ,$7.45 ,$6.62 , N/A ,$4.55 ,$7.45 , N/A ,$7.45 , N/A ,$7.87 , N/A ,$7.62 , N/A ,$7.53 , N/A ,$5.10 ,$5.33 ,$5.10 ,$7.45 ,$7.45 ,$6.21 , N/A , N/A , N/A ,$7.74 , N/A , N/A ,$7.20 , N/A ,$7.45 , N/A ,$7.45 ,$7.45 ,$7.45 ,$8.03 ,$6.71 ,$7.45 ,$7.45 ,$7.45 ,$7.45 ST. JOSEPH'S - CHIPPEWA FALLS,27801483,N/A,HC CATHETER CROSSING SUPPORT,278,1 ,$457.23 ,$342.92 ,$251.48 ,$457.23 ,$294.46 , N/A ,$320.06 , N/A ,$379.50 , N/A ,$301.77 ,$434.37 , N/A ,$365.78 ,$416.08 , N/A ,$429.80 ,$434.37 ,$411.51 ,$388.65 , N/A , N/A , N/A ,$333.78 , N/A ,$406.93 ,$411.51 ,$411.51 ,$365.78 , N/A ,$251.48 ,$411.51 , N/A ,$411.51 , N/A ,$434.37 , N/A ,$420.65 , N/A ,$416.08 , N/A ,$281.38 ,$294.46 ,$281.38 ,$411.51 ,$411.51 ,$342.92 , N/A , N/A , N/A ,$427.51 , N/A , N/A ,$397.79 , N/A ,$411.51 , N/A ,$411.51 ,$411.51 ,$411.51 ,$443.51 ,$370.36 ,$411.51 ,$411.51 ,$411.51 ,$411.51 ST. JOSEPH'S - CHIPPEWA FALLS,27801484,C1894,HC INTRODUCER MICROPUNCTURE SET,278,1 ,$242.20 ,$181.65 ,$133.21 ,$242.20 ,$155.98 , N/A ,$169.54 , N/A ,$201.03 , N/A ,$159.85 ,$230.09 , N/A ,$193.76 ,$220.40 , N/A ,$227.67 ,$230.09 ,$217.98 ,$205.87 , N/A , N/A , N/A ,$176.81 , N/A ,$215.56 ,$217.98 ,$217.98 ,$193.76 , N/A ,$133.21 ,$217.98 , N/A ,$217.98 , N/A ,$230.09 , N/A ,$222.82 , N/A ,$220.40 , N/A ,$149.05 ,$155.98 ,$149.05 ,$217.98 ,$217.98 ,$181.65 , N/A , N/A , N/A ,$226.46 , N/A , N/A ,$210.71 , N/A ,$217.98 , N/A ,$217.98 ,$217.98 ,$217.98 ,$234.93 ,$196.18 ,$217.98 ,$217.98 ,$217.98 ,$217.98 ST. JOSEPH'S - CHIPPEWA FALLS,27801485,C1779,HC LEAD PACEMAKER VENTRICULAR,278,1 ,"$2,136.96 ","$1,602.72 ","$1,175.33 ","$2,136.96 ","$1,376.20 ", N/A ,"$1,495.87 ", N/A ,"$1,773.68 ", N/A ,"$1,410.39 ","$2,030.11 ", N/A ,"$1,709.57 ","$1,944.63 ", N/A ,"$2,008.74 ","$2,030.11 ","$1,923.26 ","$1,816.42 ", N/A , N/A , N/A ,"$1,559.98 ", N/A ,"$1,901.89 ","$1,923.26 ","$1,923.26 ","$1,709.57 ", N/A ,"$1,175.33 ","$1,923.26 ", N/A ,"$1,923.26 ", N/A ,"$2,030.11 ", N/A ,"$1,966.00 ", N/A ,"$1,944.63 ", N/A ,"$1,315.09 ","$1,376.20 ","$1,315.09 ","$1,923.26 ","$1,923.26 ","$1,602.72 ", N/A , N/A , N/A ,"$1,998.06 ", N/A , N/A ,"$1,859.16 ", N/A ,"$1,923.26 ", N/A ,"$1,923.26 ","$1,923.26 ","$1,923.26 ","$2,072.85 ","$1,730.94 ","$1,923.26 ","$1,923.26 ","$1,923.26 ","$1,923.26 " ST. JOSEPH'S - CHIPPEWA FALLS,27801486,C2617,HC STENT RENAL,278,1 ,"$1,808.51 ","$1,356.38 ",$994.68 ,"$1,808.51 ","$1,164.68 ", N/A ,"$1,265.96 ", N/A ,"$1,501.06 ", N/A ,"$1,193.62 ","$1,718.08 ", N/A ,"$1,446.81 ","$1,645.74 ", N/A ,"$1,700.00 ","$1,718.08 ","$1,627.66 ","$1,537.23 ", N/A , N/A , N/A ,"$1,320.21 ", N/A ,"$1,609.57 ","$1,627.66 ","$1,627.66 ","$1,446.81 ", N/A ,$994.68 ,"$1,627.66 ", N/A ,"$1,627.66 ", N/A ,"$1,718.08 ", N/A ,"$1,663.83 ", N/A ,"$1,645.74 ", N/A ,"$1,112.96 ","$1,164.68 ","$1,112.96 ","$1,627.66 ","$1,627.66 ","$1,356.38 ", N/A , N/A , N/A ,"$1,690.96 ", N/A , N/A ,"$1,573.40 ", N/A ,"$1,627.66 ", N/A ,"$1,627.66 ","$1,627.66 ","$1,627.66 ","$1,754.25 ","$1,464.89 ","$1,627.66 ","$1,627.66 ","$1,627.66 ","$1,627.66 " ST. JOSEPH'S - CHIPPEWA FALLS,27801487,C1898,HC LEAD PACEMAKER ATRIAL,278,1 ,"$2,020.10 ","$1,515.08 ","$1,111.06 ","$2,020.10 ","$1,300.94 ", N/A ,"$1,414.07 ", N/A ,"$1,676.68 ", N/A ,"$1,333.27 ","$1,919.10 ", N/A ,"$1,616.08 ","$1,838.29 ", N/A ,"$1,898.89 ","$1,919.10 ","$1,818.09 ","$1,717.09 ", N/A , N/A , N/A ,"$1,474.67 ", N/A ,"$1,797.89 ","$1,818.09 ","$1,818.09 ","$1,616.08 ", N/A ,"$1,111.06 ","$1,818.09 ", N/A ,"$1,818.09 ", N/A ,"$1,919.10 ", N/A ,"$1,858.49 ", N/A ,"$1,838.29 ", N/A ,"$1,243.17 ","$1,300.94 ","$1,243.17 ","$1,818.09 ","$1,818.09 ","$1,515.08 ", N/A , N/A , N/A ,"$1,888.79 ", N/A , N/A ,"$1,757.49 ", N/A ,"$1,818.09 ", N/A ,"$1,818.09 ","$1,818.09 ","$1,818.09 ","$1,959.50 ","$1,636.28 ","$1,818.09 ","$1,818.09 ","$1,818.09 ","$1,818.09 " ST. JOSEPH'S - CHIPPEWA FALLS,27801489,C1750,HC CATHETER DIALYSIS ASH SPLIT,278,1 ,"$1,166.55 ",$874.91 ,$641.60 ,"$1,166.55 ",$751.26 , N/A ,$816.59 , N/A ,$968.24 , N/A ,$769.92 ,"$1,108.22 ", N/A ,$933.24 ,"$1,061.56 ", N/A ,"$1,096.56 ","$1,108.22 ","$1,049.90 ",$991.57 , N/A , N/A , N/A ,$851.58 , N/A ,"$1,038.23 ","$1,049.90 ","$1,049.90 ",$933.24 , N/A ,$641.60 ,"$1,049.90 ", N/A ,"$1,049.90 ", N/A ,"$1,108.22 ", N/A ,"$1,073.23 ", N/A ,"$1,061.56 ", N/A ,$717.89 ,$751.26 ,$717.89 ,"$1,049.90 ","$1,049.90 ",$874.91 , N/A , N/A , N/A ,"$1,090.72 ", N/A , N/A ,"$1,014.90 ", N/A ,"$1,049.90 ", N/A ,"$1,049.90 ","$1,049.90 ","$1,049.90 ","$1,131.55 ",$944.91 ,"$1,049.90 ","$1,049.90 ","$1,049.90 ","$1,049.90 " ST. JOSEPH'S - CHIPPEWA FALLS,27801490,C1750,HC CATHETER DIALYSIS PERMANENT,278,1 ,$623.57 ,$467.68 ,$342.96 ,$623.57 ,$401.58 , N/A ,$436.50 , N/A ,$517.56 , N/A ,$411.56 ,$592.39 , N/A ,$498.86 ,$567.45 , N/A ,$586.16 ,$592.39 ,$561.21 ,$530.03 , N/A , N/A , N/A ,$455.21 , N/A ,$554.98 ,$561.21 ,$561.21 ,$498.86 , N/A ,$342.96 ,$561.21 , N/A ,$561.21 , N/A ,$592.39 , N/A ,$573.68 , N/A ,$567.45 , N/A ,$383.75 ,$401.58 ,$383.75 ,$561.21 ,$561.21 ,$467.68 , N/A , N/A , N/A ,$583.04 , N/A , N/A ,$542.51 , N/A ,$561.21 , N/A ,$561.21 ,$561.21 ,$561.21 ,$604.86 ,$505.09 ,$561.21 ,$561.21 ,$561.21 ,$561.21 ST. JOSEPH'S - CHIPPEWA FALLS,27801493,C1713,HC ADHESIVE BIOGLUE,278,1 ,"$1,229.78 ",$922.34 ,$676.38 ,"$1,229.78 ",$791.98 , N/A ,$860.85 , N/A ,"$1,020.72 ", N/A ,$811.65 ,"$1,168.29 ", N/A ,$983.82 ,"$1,119.10 ", N/A ,"$1,155.99 ","$1,168.29 ","$1,106.80 ","$1,045.31 ", N/A , N/A , N/A ,$897.74 , N/A ,"$1,094.50 ","$1,106.80 ","$1,106.80 ",$983.82 , N/A ,$676.38 ,"$1,106.80 ", N/A ,"$1,106.80 ", N/A ,"$1,168.29 ", N/A ,"$1,131.40 ", N/A ,"$1,119.10 ", N/A ,$756.81 ,$791.98 ,$756.81 ,"$1,106.80 ","$1,106.80 ",$922.34 , N/A , N/A , N/A ,"$1,149.84 ", N/A , N/A ,"$1,069.91 ", N/A ,"$1,106.80 ", N/A ,"$1,106.80 ","$1,106.80 ","$1,106.80 ","$1,192.89 ",$996.12 ,"$1,106.80 ","$1,106.80 ","$1,106.80 ","$1,106.80 " ST. JOSEPH'S - CHIPPEWA FALLS,27801494,Q4116,HC MATRIX ALLODERM PER SQ CM,278,1 ,$49.09 ,$36.82 ,$27.00 ,$49.09 ,$31.61 , N/A ,$34.36 , N/A ,$40.74 , N/A ,$32.40 ,$46.64 , N/A ,$39.27 ,$44.67 , N/A ,$46.14 ,$46.64 ,$44.18 ,$41.73 , N/A , N/A , N/A ,$35.84 , N/A ,$43.69 ,$44.18 ,$44.18 ,$39.27 , N/A ,$27.00 ,$44.18 , N/A ,$44.18 , N/A ,$46.64 , N/A ,$45.16 , N/A ,$44.67 , N/A ,$30.21 ,$31.61 ,$30.21 ,$44.18 ,$44.18 ,$36.82 , N/A , N/A , N/A ,$45.90 , N/A , N/A ,$42.71 , N/A ,$44.18 , N/A ,$44.18 ,$44.18 ,$44.18 ,$47.62 ,$39.76 ,$44.18 ,$44.18 ,$44.18 ,$44.18 ST. JOSEPH'S - CHIPPEWA FALLS,27801495,C1768,HC GRAFT VASCULAR FEMORAL ARTERY TIER 1,278,1 ,"$12,057.08 ","$9,042.81 ","$6,631.39 ","$12,057.08 ","$7,764.76 ", N/A ,"$8,439.96 ", N/A ,"$10,007.38 ", N/A ,"$7,957.67 ","$11,454.23 ", N/A ,"$9,645.66 ","$10,971.94 ", N/A ,"$11,333.66 ","$11,454.23 ","$10,851.37 ","$10,248.52 ", N/A , N/A , N/A ,"$8,801.67 ", N/A ,"$10,730.80 ","$10,851.37 ","$10,851.37 ","$9,645.66 ", N/A ,"$6,631.39 ","$10,851.37 ", N/A ,"$10,851.37 ", N/A ,"$11,454.23 ", N/A ,"$11,092.51 ", N/A ,"$10,971.94 ", N/A ,"$7,419.93 ","$7,764.76 ","$7,419.93 ","$10,851.37 ","$10,851.37 ","$9,042.81 ", N/A , N/A , N/A ,"$11,273.37 ", N/A , N/A ,"$10,489.66 ", N/A ,"$10,851.37 ", N/A ,"$10,851.37 ","$10,851.37 ","$10,851.37 ","$11,695.37 ","$9,766.23 ","$10,851.37 ","$10,851.37 ","$10,851.37 ","$10,851.37 " ST. JOSEPH'S - CHIPPEWA FALLS,27801496,C1768,HC GRAFT VASCULAR FEMORAL ARTERY TIER 2,278,1 ,"$13,400.38 ","$10,050.29 ","$7,370.21 ","$13,400.38 ","$8,629.84 ", N/A ,"$9,380.27 ", N/A ,"$11,122.32 ", N/A ,"$8,844.25 ","$12,730.36 ", N/A ,"$10,720.30 ","$12,194.35 ", N/A ,"$12,596.36 ","$12,730.36 ","$12,060.34 ","$11,390.32 ", N/A , N/A , N/A ,"$9,782.28 ", N/A ,"$11,926.34 ","$12,060.34 ","$12,060.34 ","$10,720.30 ", N/A ,"$7,370.21 ","$12,060.34 ", N/A ,"$12,060.34 ", N/A ,"$12,730.36 ", N/A ,"$12,328.35 ", N/A ,"$12,194.35 ", N/A ,"$8,246.59 ","$8,629.84 ","$8,246.59 ","$12,060.34 ","$12,060.34 ","$10,050.29 ", N/A , N/A , N/A ,"$12,529.36 ", N/A , N/A ,"$11,658.33 ", N/A ,"$12,060.34 ", N/A ,"$12,060.34 ","$12,060.34 ","$12,060.34 ","$12,998.37 ","$10,854.31 ","$12,060.34 ","$12,060.34 ","$12,060.34 ","$12,060.34 " ST. JOSEPH'S - CHIPPEWA FALLS,27801497,C1768,HC GRAFT VASCULAR FEMORAL ARTERY TIER 3,278,1 ,"$15,820.34 ","$11,865.26 ","$8,701.19 ","$15,820.34 ","$10,188.30 ", N/A ,"$11,074.24 ", N/A ,"$13,130.88 ", N/A ,"$10,441.42 ","$15,029.32 ", N/A ,"$12,656.27 ","$14,396.51 ", N/A ,"$14,871.12 ","$15,029.32 ","$14,238.31 ","$13,447.29 ", N/A , N/A , N/A ,"$11,548.85 ", N/A ,"$14,080.10 ","$14,238.31 ","$14,238.31 ","$12,656.27 ", N/A ,"$8,701.19 ","$14,238.31 ", N/A ,"$14,238.31 ", N/A ,"$15,029.32 ", N/A ,"$14,554.71 ", N/A ,"$14,396.51 ", N/A ,"$9,735.84 ","$10,188.30 ","$9,735.84 ","$14,238.31 ","$14,238.31 ","$11,865.26 ", N/A , N/A , N/A ,"$14,792.02 ", N/A , N/A ,"$13,763.70 ", N/A ,"$14,238.31 ", N/A ,"$14,238.31 ","$14,238.31 ","$14,238.31 ","$15,345.73 ","$12,814.48 ","$14,238.31 ","$14,238.31 ","$14,238.31 ","$14,238.31 " ST. JOSEPH'S - CHIPPEWA FALLS,27801498,C1713,HC BONE CANCELLOUS CHIPS TIER 1,278,1 ,"$1,007.48 ",$755.61 ,$554.11 ,"$1,007.48 ",$648.82 , N/A ,$705.24 , N/A ,$836.21 , N/A ,$664.94 ,$957.11 , N/A ,$805.98 ,$916.81 , N/A ,$947.03 ,$957.11 ,$906.73 ,$856.36 , N/A , N/A , N/A ,$735.46 , N/A ,$896.66 ,$906.73 ,$906.73 ,$805.98 , N/A ,$554.11 ,$906.73 , N/A ,$906.73 , N/A ,$957.11 , N/A ,$926.88 , N/A ,$916.81 , N/A ,$620.00 ,$648.82 ,$620.00 ,$906.73 ,$906.73 ,$755.61 , N/A , N/A , N/A ,$941.99 , N/A , N/A ,$876.51 , N/A ,$906.73 , N/A ,$906.73 ,$906.73 ,$906.73 ,$977.26 ,$816.06 ,$906.73 ,$906.73 ,$906.73 ,$906.73 ST. JOSEPH'S - CHIPPEWA FALLS,27801499,C1713,HC BONE CANCELLOUS CHIPS TIER 2,278,1 ,"$1,782.85 ","$1,337.14 ",$980.57 ,"$1,782.85 ","$1,148.16 ", N/A ,"$1,248.00 ", N/A ,"$1,479.77 ", N/A ,"$1,176.68 ","$1,693.71 ", N/A ,"$1,426.28 ","$1,622.39 ", N/A ,"$1,675.88 ","$1,693.71 ","$1,604.57 ","$1,515.42 ", N/A , N/A , N/A ,"$1,301.48 ", N/A ,"$1,586.74 ","$1,604.57 ","$1,604.57 ","$1,426.28 ", N/A ,$980.57 ,"$1,604.57 ", N/A ,"$1,604.57 ", N/A ,"$1,693.71 ", N/A ,"$1,640.22 ", N/A ,"$1,622.39 ", N/A ,"$1,097.17 ","$1,148.16 ","$1,097.17 ","$1,604.57 ","$1,604.57 ","$1,337.14 ", N/A , N/A , N/A ,"$1,666.96 ", N/A , N/A ,"$1,551.08 ", N/A ,"$1,604.57 ", N/A ,"$1,604.57 ","$1,604.57 ","$1,604.57 ","$1,729.36 ","$1,444.11 ","$1,604.57 ","$1,604.57 ","$1,604.57 ","$1,604.57 " ST. JOSEPH'S - CHIPPEWA FALLS,27801500,C1713,HC BONE CRANIAL FLAP,278,1 ,"$1,453.19 ","$1,089.89 ",$799.25 ,"$1,453.19 ",$935.85 , N/A ,"$1,017.23 ", N/A ,"$1,206.15 ", N/A ,$959.11 ,"$1,380.53 ", N/A ,"$1,162.55 ","$1,322.40 ", N/A ,"$1,366.00 ","$1,380.53 ","$1,307.87 ","$1,235.21 ", N/A , N/A , N/A ,"$1,060.83 ", N/A ,"$1,293.34 ","$1,307.87 ","$1,307.87 ","$1,162.55 ", N/A ,$799.25 ,"$1,307.87 ", N/A ,"$1,307.87 ", N/A ,"$1,380.53 ", N/A ,"$1,336.93 ", N/A ,"$1,322.40 ", N/A ,$894.29 ,$935.85 ,$894.29 ,"$1,307.87 ","$1,307.87 ","$1,089.89 ", N/A , N/A , N/A ,"$1,358.73 ", N/A , N/A ,"$1,264.28 ", N/A ,"$1,307.87 ", N/A ,"$1,307.87 ","$1,307.87 ","$1,307.87 ","$1,409.59 ","$1,177.08 ","$1,307.87 ","$1,307.87 ","$1,307.87 ","$1,307.87 " ST. JOSEPH'S - CHIPPEWA FALLS,27801501,C1713,HC BONE DOWEL FACET,278,1 ,"$5,838.10 ","$4,378.58 ","$3,210.96 ","$5,838.10 ","$3,759.74 ", N/A ,"$4,086.67 ", N/A ,"$4,845.62 ", N/A ,"$3,853.15 ","$5,546.20 ", N/A ,"$4,670.48 ","$5,312.67 ", N/A ,"$5,487.81 ","$5,546.20 ","$5,254.29 ","$4,962.39 ", N/A , N/A , N/A ,"$4,261.81 ", N/A ,"$5,195.91 ","$5,254.29 ","$5,254.29 ","$4,670.48 ", N/A ,"$3,210.96 ","$5,254.29 ", N/A ,"$5,254.29 ", N/A ,"$5,546.20 ", N/A ,"$5,371.05 ", N/A ,"$5,312.67 ", N/A ,"$3,592.77 ","$3,759.74 ","$3,592.77 ","$5,254.29 ","$5,254.29 ","$4,378.58 ", N/A , N/A , N/A ,"$5,458.62 ", N/A , N/A ,"$5,079.15 ", N/A ,"$5,254.29 ", N/A ,"$5,254.29 ","$5,254.29 ","$5,254.29 ","$5,662.96 ","$4,728.86 ","$5,254.29 ","$5,254.29 ","$5,254.29 ","$5,254.29 " ST. JOSEPH'S - CHIPPEWA FALLS,27801502,C1713,HC BONE FRAGMENT FEMUR HEAD,278,1 ,"$5,633.88 ","$4,225.41 ","$3,098.63 ","$5,633.88 ","$3,628.22 ", N/A ,"$3,943.72 ", N/A ,"$4,676.12 ", N/A ,"$3,718.36 ","$5,352.19 ", N/A ,"$4,507.10 ","$5,126.83 ", N/A ,"$5,295.85 ","$5,352.19 ","$5,070.49 ","$4,788.80 ", N/A , N/A , N/A ,"$4,112.73 ", N/A ,"$5,014.15 ","$5,070.49 ","$5,070.49 ","$4,507.10 ", N/A ,"$3,098.63 ","$5,070.49 ", N/A ,"$5,070.49 ", N/A ,"$5,352.19 ", N/A ,"$5,183.17 ", N/A ,"$5,126.83 ", N/A ,"$3,467.09 ","$3,628.22 ","$3,467.09 ","$5,070.49 ","$5,070.49 ","$4,225.41 ", N/A , N/A , N/A ,"$5,267.68 ", N/A , N/A ,"$4,901.48 ", N/A ,"$5,070.49 ", N/A ,"$5,070.49 ","$5,070.49 ","$5,070.49 ","$5,464.86 ","$4,563.44 ","$5,070.49 ","$5,070.49 ","$5,070.49 ","$5,070.49 " ST. JOSEPH'S - CHIPPEWA FALLS,27801503,C1713,HC BONE FRAGMENT FIBULA,278,1 ,"$3,493.79 ","$2,620.34 ","$1,921.58 ","$3,493.79 ","$2,250.00 ", N/A ,"$2,445.65 ", N/A ,"$2,899.85 ", N/A ,"$2,305.90 ","$3,319.10 ", N/A ,"$2,795.03 ","$3,179.35 ", N/A ,"$3,284.16 ","$3,319.10 ","$3,144.41 ","$2,969.72 ", N/A , N/A , N/A ,"$2,550.47 ", N/A ,"$3,109.47 ","$3,144.41 ","$3,144.41 ","$2,795.03 ", N/A ,"$1,921.58 ","$3,144.41 ", N/A ,"$3,144.41 ", N/A ,"$3,319.10 ", N/A ,"$3,214.29 ", N/A ,"$3,179.35 ", N/A ,"$2,150.08 ","$2,250.00 ","$2,150.08 ","$3,144.41 ","$3,144.41 ","$2,620.34 ", N/A , N/A , N/A ,"$3,266.69 ", N/A , N/A ,"$3,039.60 ", N/A ,"$3,144.41 ", N/A ,"$3,144.41 ","$3,144.41 ","$3,144.41 ","$3,388.98 ","$2,829.97 ","$3,144.41 ","$3,144.41 ","$3,144.41 ","$3,144.41 " ST. JOSEPH'S - CHIPPEWA FALLS,27801504,C1713,HC BONE FRAGMENT FEMUR CORTICAL,278,1 ,"$2,725.79 ","$2,044.34 ","$1,499.18 ","$2,725.79 ","$1,755.41 ", N/A ,"$1,908.05 ", N/A ,"$2,262.41 ", N/A ,"$1,799.02 ","$2,589.50 ", N/A ,"$2,180.63 ","$2,480.47 ", N/A ,"$2,562.24 ","$2,589.50 ","$2,453.21 ","$2,316.92 ", N/A , N/A , N/A ,"$1,989.83 ", N/A ,"$2,425.95 ","$2,453.21 ","$2,453.21 ","$2,180.63 ", N/A ,"$1,499.18 ","$2,453.21 ", N/A ,"$2,453.21 ", N/A ,"$2,589.50 ", N/A ,"$2,507.73 ", N/A ,"$2,480.47 ", N/A ,"$1,677.45 ","$1,755.41 ","$1,677.45 ","$2,453.21 ","$2,453.21 ","$2,044.34 ", N/A , N/A , N/A ,"$2,548.61 ", N/A , N/A ,"$2,371.44 ", N/A ,"$2,453.21 ", N/A ,"$2,453.21 ","$2,453.21 ","$2,453.21 ","$2,644.02 ","$2,207.89 ","$2,453.21 ","$2,453.21 ","$2,453.21 ","$2,453.21 " ST. JOSEPH'S - CHIPPEWA FALLS,27801505,C1713,HC GRAFT BONE MAGNIFUSE TIER 1,278,1 ,"$5,227.05 ","$3,920.29 ","$2,874.88 ","$5,227.05 ","$3,366.22 ", N/A ,"$3,658.94 ", N/A ,"$4,338.45 ", N/A ,"$3,449.85 ","$4,965.70 ", N/A ,"$4,181.64 ","$4,756.62 ", N/A ,"$4,913.43 ","$4,965.70 ","$4,704.35 ","$4,442.99 ", N/A , N/A , N/A ,"$3,815.75 ", N/A ,"$4,652.07 ","$4,704.35 ","$4,704.35 ","$4,181.64 ", N/A ,"$2,874.88 ","$4,704.35 ", N/A ,"$4,704.35 ", N/A ,"$4,965.70 ", N/A ,"$4,808.89 ", N/A ,"$4,756.62 ", N/A ,"$3,216.73 ","$3,366.22 ","$3,216.73 ","$4,704.35 ","$4,704.35 ","$3,920.29 ", N/A , N/A , N/A ,"$4,887.29 ", N/A , N/A ,"$4,547.53 ", N/A ,"$4,704.35 ", N/A ,"$4,704.35 ","$4,704.35 ","$4,704.35 ","$5,070.24 ","$4,233.91 ","$4,704.35 ","$4,704.35 ","$4,704.35 ","$4,704.35 " ST. JOSEPH'S - CHIPPEWA FALLS,27801506,C1713,HC GRAFT BONE MAGNIFUSE TIER 2,278,1 ,"$7,602.88 ","$5,702.16 ","$4,181.58 ","$7,602.88 ","$4,896.25 ", N/A ,"$5,322.02 ", N/A ,"$6,310.39 ", N/A ,"$5,017.90 ","$7,222.74 ", N/A ,"$6,082.30 ","$6,918.62 ", N/A ,"$7,146.71 ","$7,222.74 ","$6,842.59 ","$6,462.45 ", N/A , N/A , N/A ,"$5,550.10 ", N/A ,"$6,766.56 ","$6,842.59 ","$6,842.59 ","$6,082.30 ", N/A ,"$4,181.58 ","$6,842.59 ", N/A ,"$6,842.59 ", N/A ,"$7,222.74 ", N/A ,"$6,994.65 ", N/A ,"$6,918.62 ", N/A ,"$4,678.81 ","$4,896.25 ","$4,678.81 ","$6,842.59 ","$6,842.59 ","$5,702.16 ", N/A , N/A , N/A ,"$7,108.69 ", N/A , N/A ,"$6,614.51 ", N/A ,"$6,842.59 ", N/A ,"$6,842.59 ","$6,842.59 ","$6,842.59 ","$7,374.79 ","$6,158.33 ","$6,842.59 ","$6,842.59 ","$6,842.59 ","$6,842.59 " ST. JOSEPH'S - CHIPPEWA FALLS,27801507,C1713,HC GRAFT BONE MAGNIFUSE TIER 3,278,1 ,"$2,992.63 ","$2,244.47 ","$1,645.95 ","$2,992.63 ","$1,927.25 ", N/A ,"$2,094.84 ", N/A ,"$2,483.88 ", N/A ,"$1,975.14 ","$2,843.00 ", N/A ,"$2,394.10 ","$2,723.29 ", N/A ,"$2,813.07 ","$2,843.00 ","$2,693.37 ","$2,543.74 ", N/A , N/A , N/A ,"$2,184.62 ", N/A ,"$2,663.44 ","$2,693.37 ","$2,693.37 ","$2,394.10 ", N/A ,"$1,645.95 ","$2,693.37 ", N/A ,"$2,693.37 ", N/A ,"$2,843.00 ", N/A ,"$2,753.22 ", N/A ,"$2,723.29 ", N/A ,"$1,841.66 ","$1,927.25 ","$1,841.66 ","$2,693.37 ","$2,693.37 ","$2,244.47 ", N/A , N/A , N/A ,"$2,798.11 ", N/A , N/A ,"$2,603.59 ", N/A ,"$2,693.37 ", N/A ,"$2,693.37 ","$2,693.37 ","$2,693.37 ","$2,902.85 ","$2,424.03 ","$2,693.37 ","$2,693.37 ","$2,693.37 ","$2,693.37 " ST. JOSEPH'S - CHIPPEWA FALLS,27801508,C1713,HC GRAFT BONE INFUSE X-SMALL,278,1 ,"$1,756.19 ","$1,317.14 ",$965.90 ,"$1,756.19 ","$1,130.99 ", N/A ,"$1,229.33 ", N/A ,"$1,457.64 ", N/A ,"$1,159.09 ","$1,668.38 ", N/A ,"$1,404.95 ","$1,598.13 ", N/A ,"$1,650.82 ","$1,668.38 ","$1,580.57 ","$1,492.76 ", N/A , N/A , N/A ,"$1,282.02 ", N/A ,"$1,563.01 ","$1,580.57 ","$1,580.57 ","$1,404.95 ", N/A ,$965.90 ,"$1,580.57 ", N/A ,"$1,580.57 ", N/A ,"$1,668.38 ", N/A ,"$1,615.69 ", N/A ,"$1,598.13 ", N/A ,"$1,080.76 ","$1,130.99 ","$1,080.76 ","$1,580.57 ","$1,580.57 ","$1,317.14 ", N/A , N/A , N/A ,"$1,642.04 ", N/A , N/A ,"$1,527.89 ", N/A ,"$1,580.57 ", N/A ,"$1,580.57 ","$1,580.57 ","$1,580.57 ","$1,703.50 ","$1,422.51 ","$1,580.57 ","$1,580.57 ","$1,580.57 ","$1,580.57 " ST. JOSEPH'S - CHIPPEWA FALLS,27801509,C1713,HC GRAFT BONE INFUSE XX-SMALL,278,1 ,"$3,460.77 ","$2,595.58 ","$1,903.42 ","$3,460.77 ","$2,228.74 ", N/A ,"$2,422.54 ", N/A ,"$2,872.44 ", N/A ,"$2,284.11 ","$3,287.73 ", N/A ,"$2,768.62 ","$3,149.30 ", N/A ,"$3,253.12 ","$3,287.73 ","$3,114.69 ","$2,941.65 ", N/A , N/A , N/A ,"$2,526.36 ", N/A ,"$3,080.09 ","$3,114.69 ","$3,114.69 ","$2,768.62 ", N/A ,"$1,903.42 ","$3,114.69 ", N/A ,"$3,114.69 ", N/A ,"$3,287.73 ", N/A ,"$3,183.91 ", N/A ,"$3,149.30 ", N/A ,"$2,129.76 ","$2,228.74 ","$2,129.76 ","$3,114.69 ","$3,114.69 ","$2,595.58 ", N/A , N/A , N/A ,"$3,235.82 ", N/A , N/A ,"$3,010.87 ", N/A ,"$3,114.69 ", N/A ,"$3,114.69 ","$3,114.69 ","$3,114.69 ","$3,356.95 ","$2,803.22 ","$3,114.69 ","$3,114.69 ","$3,114.69 ","$3,114.69 " ST. JOSEPH'S - CHIPPEWA FALLS,27801510,C1713,HC BONE MATRIX ALPHAGRAFT 2.5CC,278,1 ,$809.31 ,$606.98 ,$445.12 ,$809.31 ,$521.20 , N/A ,$566.52 , N/A ,$671.73 , N/A ,$534.14 ,$768.84 , N/A ,$647.45 ,$736.47 , N/A ,$760.75 ,$768.84 ,$728.38 ,$687.91 , N/A , N/A , N/A ,$590.80 , N/A ,$720.29 ,$728.38 ,$728.38 ,$647.45 , N/A ,$445.12 ,$728.38 , N/A ,$728.38 , N/A ,$768.84 , N/A ,$744.57 , N/A ,$736.47 , N/A ,$498.05 ,$521.20 ,$498.05 ,$728.38 ,$728.38 ,$606.98 , N/A , N/A , N/A ,$756.70 , N/A , N/A ,$704.10 , N/A ,$728.38 , N/A ,$728.38 ,$728.38 ,$728.38 ,$785.03 ,$655.54 ,$728.38 ,$728.38 ,$728.38 ,$728.38 ST. JOSEPH'S - CHIPPEWA FALLS,27801511,C1713,HC BONE MATRIX ALPHAGRAFT 5CC,278,1 ,"$1,143.02 ",$857.27 ,$628.66 ,"$1,143.02 ",$736.10 , N/A ,$800.11 , N/A ,$948.71 , N/A ,$754.39 ,"$1,085.87 ", N/A ,$914.42 ,"$1,040.15 ", N/A ,"$1,074.44 ","$1,085.87 ","$1,028.72 ",$971.57 , N/A , N/A , N/A ,$834.40 , N/A ,"$1,017.29 ","$1,028.72 ","$1,028.72 ",$914.42 , N/A ,$628.66 ,"$1,028.72 ", N/A ,"$1,028.72 ", N/A ,"$1,085.87 ", N/A ,"$1,051.58 ", N/A ,"$1,040.15 ", N/A ,$703.41 ,$736.10 ,$703.41 ,"$1,028.72 ","$1,028.72 ",$857.27 , N/A , N/A , N/A ,"$1,068.72 ", N/A , N/A ,$994.43 , N/A ,"$1,028.72 ", N/A ,"$1,028.72 ","$1,028.72 ","$1,028.72 ","$1,108.73 ",$925.85 ,"$1,028.72 ","$1,028.72 ","$1,028.72 ","$1,028.72 " ST. JOSEPH'S - CHIPPEWA FALLS,27801512,C1713,HC BONE MATRIX ALPHAGRAFT 10CC,278,1 ,"$1,622.26 ","$1,216.70 ",$892.24 ,"$1,622.26 ","$1,044.74 ", N/A ,"$1,135.58 ", N/A ,"$1,346.48 ", N/A ,"$1,070.69 ","$1,541.15 ", N/A ,"$1,297.81 ","$1,476.26 ", N/A ,"$1,524.92 ","$1,541.15 ","$1,460.03 ","$1,378.92 ", N/A , N/A , N/A ,"$1,184.25 ", N/A ,"$1,443.81 ","$1,460.03 ","$1,460.03 ","$1,297.81 ", N/A ,$892.24 ,"$1,460.03 ", N/A ,"$1,460.03 ", N/A ,"$1,541.15 ", N/A ,"$1,492.48 ", N/A ,"$1,476.26 ", N/A ,$998.34 ,"$1,044.74 ",$998.34 ,"$1,460.03 ","$1,460.03 ","$1,216.70 ", N/A , N/A , N/A ,"$1,516.81 ", N/A , N/A ,"$1,411.37 ", N/A ,"$1,460.03 ", N/A ,"$1,460.03 ","$1,460.03 ","$1,460.03 ","$1,573.59 ","$1,314.03 ","$1,460.03 ","$1,460.03 ","$1,460.03 ","$1,460.03 " ST. JOSEPH'S - CHIPPEWA FALLS,27801513,C1763,HC TISSUE MATRIX DURAGEN TIER 1,278,1 ,$870.42 ,$652.82 ,$478.73 ,$870.42 ,$560.55 , N/A ,$609.29 , N/A ,$722.45 , N/A ,$574.48 ,$826.90 , N/A ,$696.34 ,$792.08 , N/A ,$818.19 ,$826.90 ,$783.38 ,$739.86 , N/A , N/A , N/A ,$635.41 , N/A ,$774.67 ,$783.38 ,$783.38 ,$696.34 , N/A ,$478.73 ,$783.38 , N/A ,$783.38 , N/A ,$826.90 , N/A ,$800.79 , N/A ,$792.08 , N/A ,$535.66 ,$560.55 ,$535.66 ,$783.38 ,$783.38 ,$652.82 , N/A , N/A , N/A ,$813.84 , N/A , N/A ,$757.27 , N/A ,$783.38 , N/A ,$783.38 ,$783.38 ,$783.38 ,$844.31 ,$705.04 ,$783.38 ,$783.38 ,$783.38 ,$783.38 ST. JOSEPH'S - CHIPPEWA FALLS,27801514,C1763,HC TISSUE MATRIX DURAGEN TIER 2,278,1 ,"$1,478.03 ","$1,108.52 ",$812.92 ,"$1,478.03 ",$951.85 , N/A ,"$1,034.62 ", N/A ,"$1,226.76 ", N/A ,$975.50 ,"$1,404.13 ", N/A ,"$1,182.42 ","$1,345.01 ", N/A ,"$1,389.35 ","$1,404.13 ","$1,330.23 ","$1,256.33 ", N/A , N/A , N/A ,"$1,078.96 ", N/A ,"$1,315.45 ","$1,330.23 ","$1,330.23 ","$1,182.42 ", N/A ,$812.92 ,"$1,330.23 ", N/A ,"$1,330.23 ", N/A ,"$1,404.13 ", N/A ,"$1,359.79 ", N/A ,"$1,345.01 ", N/A ,$909.58 ,$951.85 ,$909.58 ,"$1,330.23 ","$1,330.23 ","$1,108.52 ", N/A , N/A , N/A ,"$1,381.96 ", N/A , N/A ,"$1,285.89 ", N/A ,"$1,330.23 ", N/A ,"$1,330.23 ","$1,330.23 ","$1,330.23 ","$1,433.69 ","$1,197.20 ","$1,330.23 ","$1,330.23 ","$1,330.23 ","$1,330.23 " ST. JOSEPH'S - CHIPPEWA FALLS,27801515,C1763,HC TISSUE MATRIX DURAGEN TIER 3,278,1 ,"$2,539.04 ","$1,904.28 ","$1,396.47 ","$2,539.04 ","$1,635.14 ", N/A ,"$1,777.33 ", N/A ,"$2,107.40 ", N/A ,"$1,675.77 ","$2,412.09 ", N/A ,"$2,031.23 ","$2,310.53 ", N/A ,"$2,386.70 ","$2,412.09 ","$2,285.14 ","$2,158.18 ", N/A , N/A , N/A ,"$1,853.50 ", N/A ,"$2,259.75 ","$2,285.14 ","$2,285.14 ","$2,031.23 ", N/A ,"$1,396.47 ","$2,285.14 ", N/A ,"$2,285.14 ", N/A ,"$2,412.09 ", N/A ,"$2,335.92 ", N/A ,"$2,310.53 ", N/A ,"$1,562.53 ","$1,635.14 ","$1,562.53 ","$2,285.14 ","$2,285.14 ","$1,904.28 ", N/A , N/A , N/A ,"$2,374.00 ", N/A , N/A ,"$2,208.96 ", N/A ,"$2,285.14 ", N/A ,"$2,285.14 ","$2,285.14 ","$2,285.14 ","$2,462.87 ","$2,056.62 ","$2,285.14 ","$2,285.14 ","$2,285.14 ","$2,285.14 " ST. JOSEPH'S - CHIPPEWA FALLS,27801516,C1763,HC TISSUE MATRIX DURAGEN TIER 4,278,1 ,"$4,600.75 ","$3,450.56 ","$2,530.41 ","$4,600.75 ","$2,962.88 ", N/A ,"$3,220.53 ", N/A ,"$3,818.62 ", N/A ,"$3,036.50 ","$4,370.71 ", N/A ,"$3,680.60 ","$4,186.68 ", N/A ,"$4,324.71 ","$4,370.71 ","$4,140.68 ","$3,910.64 ", N/A , N/A , N/A ,"$3,358.55 ", N/A ,"$4,094.67 ","$4,140.68 ","$4,140.68 ","$3,680.60 ", N/A ,"$2,530.41 ","$4,140.68 ", N/A ,"$4,140.68 ", N/A ,"$4,370.71 ", N/A ,"$4,232.69 ", N/A ,"$4,186.68 ", N/A ,"$2,831.30 ","$2,962.88 ","$2,831.30 ","$4,140.68 ","$4,140.68 ","$3,450.56 ", N/A , N/A , N/A ,"$4,301.70 ", N/A , N/A ,"$4,002.65 ", N/A ,"$4,140.68 ", N/A ,"$4,140.68 ","$4,140.68 ","$4,140.68 ","$4,462.73 ","$3,726.61 ","$4,140.68 ","$4,140.68 ","$4,140.68 ","$4,140.68 " ST. JOSEPH'S - CHIPPEWA FALLS,27801517,N/A,HC GRAFT STRUT FEMORAL CORTICAL,278,1 ,$880.52 ,$660.39 ,$484.29 ,$880.52 ,$567.05 , N/A ,$616.36 , N/A ,$730.83 , N/A ,$581.14 ,$836.49 , N/A ,$704.42 ,$801.27 , N/A ,$827.69 ,$836.49 ,$792.47 ,$748.44 , N/A , N/A , N/A ,$642.78 , N/A ,$783.66 ,$792.47 ,$792.47 ,$704.42 , N/A ,$484.29 ,$792.47 , N/A ,$792.47 , N/A ,$836.49 , N/A ,$810.08 , N/A ,$801.27 , N/A ,$541.87 ,$567.05 ,$541.87 ,$792.47 ,$792.47 ,$660.39 , N/A , N/A , N/A ,$823.29 , N/A , N/A ,$766.05 , N/A ,$792.47 , N/A ,$792.47 ,$792.47 ,$792.47 ,$854.10 ,$713.22 ,$792.47 ,$792.47 ,$792.47 ,$792.47 ST. JOSEPH'S - CHIPPEWA FALLS,27801518,C1713,HC GRAFT BONE FIBULA,278,1 ,"$2,447.13 ","$1,835.35 ","$1,345.92 ","$2,447.13 ","$1,575.95 ", N/A ,"$1,712.99 ", N/A ,"$2,031.12 ", N/A ,"$1,615.11 ","$2,324.77 ", N/A ,"$1,957.70 ","$2,226.89 ", N/A ,"$2,300.30 ","$2,324.77 ","$2,202.42 ","$2,080.06 ", N/A , N/A , N/A ,"$1,786.40 ", N/A ,"$2,177.95 ","$2,202.42 ","$2,202.42 ","$1,957.70 ", N/A ,"$1,345.92 ","$2,202.42 ", N/A ,"$2,202.42 ", N/A ,"$2,324.77 ", N/A ,"$2,251.36 ", N/A ,"$2,226.89 ", N/A ,"$1,505.96 ","$1,575.95 ","$1,505.96 ","$2,202.42 ","$2,202.42 ","$1,835.35 ", N/A , N/A , N/A ,"$2,288.07 ", N/A , N/A ,"$2,129.00 ", N/A ,"$2,202.42 ", N/A ,"$2,202.42 ","$2,202.42 ","$2,202.42 ","$2,373.72 ","$1,982.18 ","$2,202.42 ","$2,202.42 ","$2,202.42 ","$2,202.42 " ST. JOSEPH'S - CHIPPEWA FALLS,27801519,N/A,HC GRAFT TISSUE ILIAC CREST,278,1 ,"$3,254.32 ","$2,440.74 ","$1,789.88 ","$3,254.32 ","$2,095.78 ", N/A ,"$2,278.02 ", N/A ,"$2,701.09 ", N/A ,"$2,147.85 ","$3,091.60 ", N/A ,"$2,603.46 ","$2,961.43 ", N/A ,"$3,059.06 ","$3,091.60 ","$2,928.89 ","$2,766.17 ", N/A , N/A , N/A ,"$2,375.65 ", N/A ,"$2,896.34 ","$2,928.89 ","$2,928.89 ","$2,603.46 ", N/A ,"$1,789.88 ","$2,928.89 ", N/A ,"$2,928.89 ", N/A ,"$3,091.60 ", N/A ,"$2,993.97 ", N/A ,"$2,961.43 ", N/A ,"$2,002.71 ","$2,095.78 ","$2,002.71 ","$2,928.89 ","$2,928.89 ","$2,440.74 ", N/A , N/A , N/A ,"$3,042.79 ", N/A , N/A ,"$2,831.26 ", N/A ,"$2,928.89 ", N/A ,"$2,928.89 ","$2,928.89 ","$2,928.89 ","$3,156.69 ","$2,636.00 ","$2,928.89 ","$2,928.89 ","$2,928.89 ","$2,928.89 " ST. JOSEPH'S - CHIPPEWA FALLS,27801520,C1713,HC GRAFT BONE ILIUM TRICORTICAL,278,1 ,"$2,651.45 ","$1,988.59 ","$1,458.30 ","$2,651.45 ","$1,707.53 ", N/A ,"$1,856.02 ", N/A ,"$2,200.70 ", N/A ,"$1,749.96 ","$2,518.88 ", N/A ,"$2,121.16 ","$2,412.82 ", N/A ,"$2,492.36 ","$2,518.88 ","$2,386.31 ","$2,253.73 ", N/A , N/A , N/A ,"$1,935.56 ", N/A ,"$2,359.79 ","$2,386.31 ","$2,386.31 ","$2,121.16 ", N/A ,"$1,458.30 ","$2,386.31 ", N/A ,"$2,386.31 ", N/A ,"$2,518.88 ", N/A ,"$2,439.33 ", N/A ,"$2,412.82 ", N/A ,"$1,631.70 ","$1,707.53 ","$1,631.70 ","$2,386.31 ","$2,386.31 ","$1,988.59 ", N/A , N/A , N/A ,"$2,479.11 ", N/A , N/A ,"$2,306.76 ", N/A ,"$2,386.31 ", N/A ,"$2,386.31 ","$2,386.31 ","$2,386.31 ","$2,571.91 ","$2,147.67 ","$2,386.31 ","$2,386.31 ","$2,386.31 ","$2,386.31 " ST. JOSEPH'S - CHIPPEWA FALLS,27801521,N/A,HC TISSUE MATRIX HEMOSTATIC W/THROMBIN,278,1 ,$366.02 ,$274.52 ,$201.31 ,$366.02 ,$235.72 , N/A ,$256.21 , N/A ,$303.80 , N/A ,$241.57 ,$347.72 , N/A ,$292.82 ,$333.08 , N/A ,$344.06 ,$347.72 ,$329.42 ,$311.12 , N/A , N/A , N/A ,$267.19 , N/A ,$325.76 ,$329.42 ,$329.42 ,$292.82 , N/A ,$201.31 ,$329.42 , N/A ,$329.42 , N/A ,$347.72 , N/A ,$336.74 , N/A ,$333.08 , N/A ,$225.25 ,$235.72 ,$225.25 ,$329.42 ,$329.42 ,$274.52 , N/A , N/A , N/A ,$342.23 , N/A , N/A ,$318.44 , N/A ,$329.42 , N/A ,$329.42 ,$329.42 ,$329.42 ,$355.04 ,$296.48 ,$329.42 ,$329.42 ,$329.42 ,$329.42 ST. JOSEPH'S - CHIPPEWA FALLS,27801522,C1713,HC GRAFT MATRIX PUTTY .5CC,278,1 ,$427.33 ,$320.50 ,$235.03 ,$427.33 ,$275.20 , N/A ,$299.13 , N/A ,$354.68 , N/A ,$282.04 ,$405.96 , N/A ,$341.86 ,$388.87 , N/A ,$401.69 ,$405.96 ,$384.60 ,$363.23 , N/A , N/A , N/A ,$311.95 , N/A ,$380.32 ,$384.60 ,$384.60 ,$341.86 , N/A ,$235.03 ,$384.60 , N/A ,$384.60 , N/A ,$405.96 , N/A ,$393.14 , N/A ,$388.87 , N/A ,$262.98 ,$275.20 ,$262.98 ,$384.60 ,$384.60 ,$320.50 , N/A , N/A , N/A ,$399.55 , N/A , N/A ,$371.78 , N/A ,$384.60 , N/A ,$384.60 ,$384.60 ,$384.60 ,$414.51 ,$346.14 ,$384.60 ,$384.60 ,$384.60 ,$384.60 ST. JOSEPH'S - CHIPPEWA FALLS,27801523,C1713,HC GRAFT MATRIX PUTTY 1CC,278,1 ,$785.78 ,$589.34 ,$432.18 ,$785.78 ,$506.04 , N/A ,$550.05 , N/A ,$652.20 , N/A ,$518.61 ,$746.49 , N/A ,$628.62 ,$715.06 , N/A ,$738.63 ,$746.49 ,$707.20 ,$667.91 , N/A , N/A , N/A ,$573.62 , N/A ,$699.34 ,$707.20 ,$707.20 ,$628.62 , N/A ,$432.18 ,$707.20 , N/A ,$707.20 , N/A ,$746.49 , N/A ,$722.92 , N/A ,$715.06 , N/A ,$483.57 ,$506.04 ,$483.57 ,$707.20 ,$707.20 ,$589.34 , N/A , N/A , N/A ,$734.70 , N/A , N/A ,$683.63 , N/A ,$707.20 , N/A ,$707.20 ,$707.20 ,$707.20 ,$762.21 ,$636.48 ,$707.20 ,$707.20 ,$707.20 ,$707.20 ST. JOSEPH'S - CHIPPEWA FALLS,27801524,C1713,HC GRAFT MATRIX PUTTY 5CC,278,1 ,"$3,067.77 ","$2,300.83 ","$1,687.27 ","$3,067.77 ","$1,975.64 ", N/A ,"$2,147.44 ", N/A ,"$2,546.25 ", N/A ,"$2,024.73 ","$2,914.38 ", N/A ,"$2,454.22 ","$2,791.67 ", N/A ,"$2,883.70 ","$2,914.38 ","$2,760.99 ","$2,607.60 ", N/A , N/A , N/A ,"$2,239.47 ", N/A ,"$2,730.32 ","$2,760.99 ","$2,760.99 ","$2,454.22 ", N/A ,"$1,687.27 ","$2,760.99 ", N/A ,"$2,760.99 ", N/A ,"$2,914.38 ", N/A ,"$2,822.35 ", N/A ,"$2,791.67 ", N/A ,"$1,887.91 ","$1,975.64 ","$1,887.91 ","$2,760.99 ","$2,760.99 ","$2,300.83 ", N/A , N/A , N/A ,"$2,868.37 ", N/A , N/A ,"$2,668.96 ", N/A ,"$2,760.99 ", N/A ,"$2,760.99 ","$2,760.99 ","$2,760.99 ","$2,975.74 ","$2,484.89 ","$2,760.99 ","$2,760.99 ","$2,760.99 ","$2,760.99 " ST. JOSEPH'S - CHIPPEWA FALLS,27801525,C1713,HC GRAFT MATRIX PUTTY 10CC,278,1 ,"$4,380.07 ","$3,285.05 ","$2,409.04 ","$4,380.07 ","$2,820.77 ", N/A ,"$3,066.05 ", N/A ,"$3,635.46 ", N/A ,"$2,890.85 ","$4,161.07 ", N/A ,"$3,504.06 ","$3,985.86 ", N/A ,"$4,117.27 ","$4,161.07 ","$3,942.06 ","$3,723.06 ", N/A , N/A , N/A ,"$3,197.45 ", N/A ,"$3,898.26 ","$3,942.06 ","$3,942.06 ","$3,504.06 ", N/A ,"$2,409.04 ","$3,942.06 ", N/A ,"$3,942.06 ", N/A ,"$4,161.07 ", N/A ,"$4,029.66 ", N/A ,"$3,985.86 ", N/A ,"$2,695.50 ","$2,820.77 ","$2,695.50 ","$3,942.06 ","$3,942.06 ","$3,285.05 ", N/A , N/A , N/A ,"$4,095.37 ", N/A , N/A ,"$3,810.66 ", N/A ,"$3,942.06 ", N/A ,"$3,942.06 ","$3,942.06 ","$3,942.06 ","$4,248.67 ","$3,547.86 ","$3,942.06 ","$3,942.06 ","$3,942.06 ","$3,942.06 " ST. JOSEPH'S - CHIPPEWA FALLS,27801526,C1713,HC BONE MATRIX DEMINERALIZED .5CC,278,1 ,$437.84 ,$328.38 ,$240.81 ,$437.84 ,$281.97 , N/A ,$306.49 , N/A ,$363.41 , N/A ,$288.97 ,$415.95 , N/A ,$350.27 ,$398.43 , N/A ,$411.57 ,$415.95 ,$394.06 ,$372.16 , N/A , N/A , N/A ,$319.62 , N/A ,$389.68 ,$394.06 ,$394.06 ,$350.27 , N/A ,$240.81 ,$394.06 , N/A ,$394.06 , N/A ,$415.95 , N/A ,$402.81 , N/A ,$398.43 , N/A ,$269.45 ,$281.97 ,$269.45 ,$394.06 ,$394.06 ,$328.38 , N/A , N/A , N/A ,$409.38 , N/A , N/A ,$380.92 , N/A ,$394.06 , N/A ,$394.06 ,$394.06 ,$394.06 ,$424.70 ,$354.65 ,$394.06 ,$394.06 ,$394.06 ,$394.06 ST. JOSEPH'S - CHIPPEWA FALLS,27801527,C1713,HC BONE MATRIX DEMINERALIZED 1CC,278,1 ,$708.01 ,$531.01 ,$389.41 ,$708.01 ,$455.96 , N/A ,$495.61 , N/A ,$587.65 , N/A ,$467.29 ,$672.61 , N/A ,$566.41 ,$644.29 , N/A ,$665.53 ,$672.61 ,$637.21 ,$601.81 , N/A , N/A , N/A ,$516.85 , N/A ,$630.13 ,$637.21 ,$637.21 ,$566.41 , N/A ,$389.41 ,$637.21 , N/A ,$637.21 , N/A ,$672.61 , N/A ,$651.37 , N/A ,$644.29 , N/A ,$435.71 ,$455.96 ,$435.71 ,$637.21 ,$637.21 ,$531.01 , N/A , N/A , N/A ,$661.99 , N/A , N/A ,$615.97 , N/A ,$637.21 , N/A ,$637.21 ,$637.21 ,$637.21 ,$686.77 ,$573.49 ,$637.21 ,$637.21 ,$637.21 ,$637.21 ST. JOSEPH'S - CHIPPEWA FALLS,27801528,C1713,HC BONE MATRIX DEMINERALIZED 5CC,278,1 ,"$4,070.30 ","$3,052.73 ","$2,238.67 ","$4,070.30 ","$2,621.27 ", N/A ,"$2,849.21 ", N/A ,"$3,378.35 ", N/A ,"$2,686.40 ","$3,866.79 ", N/A ,"$3,256.24 ","$3,703.97 ", N/A ,"$3,826.08 ","$3,866.79 ","$3,663.27 ","$3,459.76 ", N/A , N/A , N/A ,"$2,971.32 ", N/A ,"$3,622.57 ","$3,663.27 ","$3,663.27 ","$3,256.24 ", N/A ,"$2,238.67 ","$3,663.27 ", N/A ,"$3,663.27 ", N/A ,"$3,866.79 ", N/A ,"$3,744.68 ", N/A ,"$3,703.97 ", N/A ,"$2,504.86 ","$2,621.27 ","$2,504.86 ","$3,663.27 ","$3,663.27 ","$3,052.73 ", N/A , N/A , N/A ,"$3,805.73 ", N/A , N/A ,"$3,541.16 ", N/A ,"$3,663.27 ", N/A ,"$3,663.27 ","$3,663.27 ","$3,663.27 ","$3,948.19 ","$3,296.94 ","$3,663.27 ","$3,663.27 ","$3,663.27 ","$3,663.27 " ST. JOSEPH'S - CHIPPEWA FALLS,27801529,C1713,HC BONE MATRIX DEMINERALIZED 10CC,278,1 ,"$4,453.09 ","$3,339.82 ","$2,449.20 ","$4,453.09 ","$2,867.79 ", N/A ,"$3,117.16 ", N/A ,"$3,696.06 ", N/A ,"$2,939.04 ","$4,230.44 ", N/A ,"$3,562.47 ","$4,052.31 ", N/A ,"$4,185.90 ","$4,230.44 ","$4,007.78 ","$3,785.13 ", N/A , N/A , N/A ,"$3,250.76 ", N/A ,"$3,963.25 ","$4,007.78 ","$4,007.78 ","$3,562.47 ", N/A ,"$2,449.20 ","$4,007.78 ", N/A ,"$4,007.78 ", N/A ,"$4,230.44 ", N/A ,"$4,096.84 ", N/A ,"$4,052.31 ", N/A ,"$2,740.43 ","$2,867.79 ","$2,740.43 ","$4,007.78 ","$4,007.78 ","$3,339.82 ", N/A , N/A , N/A ,"$4,163.64 ", N/A , N/A ,"$3,874.19 ", N/A ,"$4,007.78 ", N/A ,"$4,007.78 ","$4,007.78 ","$4,007.78 ","$4,319.50 ","$3,607.00 ","$4,007.78 ","$4,007.78 ","$4,007.78 ","$4,007.78 " ST. JOSEPH'S - CHIPPEWA FALLS,27801531,N/A,HC MATRIX DUREPAIR TIER 1,278,1 ,$537.42 ,$403.07 ,$295.58 ,$537.42 ,$346.10 , N/A ,$376.19 , N/A ,$446.06 , N/A ,$354.70 ,$510.55 , N/A ,$429.94 ,$489.05 , N/A ,$505.17 ,$510.55 ,$483.68 ,$456.81 , N/A , N/A , N/A ,$392.32 , N/A ,$478.30 ,$483.68 ,$483.68 ,$429.94 , N/A ,$295.58 ,$483.68 , N/A ,$483.68 , N/A ,$510.55 , N/A ,$494.43 , N/A ,$489.05 , N/A ,$330.73 ,$346.10 ,$330.73 ,$483.68 ,$483.68 ,$403.07 , N/A , N/A , N/A ,$502.49 , N/A , N/A ,$467.56 , N/A ,$483.68 , N/A ,$483.68 ,$483.68 ,$483.68 ,$521.30 ,$435.31 ,$483.68 ,$483.68 ,$483.68 ,$483.68 ST. JOSEPH'S - CHIPPEWA FALLS,27801532,N/A,HC MATRIX DUREPAIR TIER 2,278,1 ,"$1,090.80 ",$818.10 ,$599.94 ,"$1,090.80 ",$702.48 , N/A ,$763.56 , N/A ,$905.36 , N/A ,$719.93 ,"$1,036.26 ", N/A ,$872.64 ,$992.63 , N/A ,"$1,025.35 ","$1,036.26 ",$981.72 ,$927.18 , N/A , N/A , N/A ,$796.28 , N/A ,$970.81 ,$981.72 ,$981.72 ,$872.64 , N/A ,$599.94 ,$981.72 , N/A ,$981.72 , N/A ,"$1,036.26 ", N/A ,"$1,003.54 ", N/A ,$992.63 , N/A ,$671.28 ,$702.48 ,$671.28 ,$981.72 ,$981.72 ,$818.10 , N/A , N/A , N/A ,"$1,019.90 ", N/A , N/A ,$949.00 , N/A ,$981.72 , N/A ,$981.72 ,$981.72 ,$981.72 ,"$1,058.08 ",$883.55 ,$981.72 ,$981.72 ,$981.72 ,$981.72 ST. JOSEPH'S - CHIPPEWA FALLS,27801533,N/A,HC MATRIX DUREPAIR TIER 3,278,1 ,"$2,424.10 ","$1,818.08 ","$1,333.26 ","$2,424.10 ","$1,561.12 ", N/A ,"$1,696.87 ", N/A ,"$2,012.00 ", N/A ,"$1,599.91 ","$2,302.90 ", N/A ,"$1,939.28 ","$2,205.93 ", N/A ,"$2,278.65 ","$2,302.90 ","$2,181.69 ","$2,060.49 ", N/A , N/A , N/A ,"$1,769.59 ", N/A ,"$2,157.45 ","$2,181.69 ","$2,181.69 ","$1,939.28 ", N/A ,"$1,333.26 ","$2,181.69 ", N/A ,"$2,181.69 ", N/A ,"$2,302.90 ", N/A ,"$2,230.17 ", N/A ,"$2,205.93 ", N/A ,"$1,491.79 ","$1,561.12 ","$1,491.79 ","$2,181.69 ","$2,181.69 ","$1,818.08 ", N/A , N/A , N/A ,"$2,266.53 ", N/A , N/A ,"$2,108.97 ", N/A ,"$2,181.69 ", N/A ,"$2,181.69 ","$2,181.69 ","$2,181.69 ","$2,351.38 ","$1,963.52 ","$2,181.69 ","$2,181.69 ","$2,181.69 ","$2,181.69 " ST. JOSEPH'S - CHIPPEWA FALLS,27801534,N/A,HC MATRIX DUREPAIR TIER 4,278,1 ,"$4,549.44 ","$3,412.08 ","$2,502.19 ","$4,549.44 ","$2,929.84 ", N/A ,"$3,184.61 ", N/A ,"$3,776.04 ", N/A ,"$3,002.63 ","$4,321.97 ", N/A ,"$3,639.55 ","$4,139.99 ", N/A ,"$4,276.47 ","$4,321.97 ","$4,094.50 ","$3,867.02 ", N/A , N/A , N/A ,"$3,321.09 ", N/A ,"$4,049.00 ","$4,094.50 ","$4,094.50 ","$3,639.55 ", N/A ,"$2,502.19 ","$4,094.50 ", N/A ,"$4,094.50 ", N/A ,"$4,321.97 ", N/A ,"$4,185.48 ", N/A ,"$4,139.99 ", N/A ,"$2,799.73 ","$2,929.84 ","$2,799.73 ","$4,094.50 ","$4,094.50 ","$3,412.08 ", N/A , N/A , N/A ,"$4,253.73 ", N/A , N/A ,"$3,958.01 ", N/A ,"$4,094.50 ", N/A ,"$4,094.50 ","$4,094.50 ","$4,094.50 ","$4,412.96 ","$3,685.05 ","$4,094.50 ","$4,094.50 ","$4,094.50 ","$4,094.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27801535,C1781,HC MESH SYNTHETIC TIER 1,278,1 ,"$1,276.14 ",$957.11 ,$701.88 ,"$1,276.14 ",$821.83 , N/A ,$893.30 , N/A ,"$1,059.20 ", N/A ,$842.25 ,"$1,212.33 ", N/A ,"$1,020.91 ","$1,161.29 ", N/A ,"$1,199.57 ","$1,212.33 ","$1,148.53 ","$1,084.72 ", N/A , N/A , N/A ,$931.58 , N/A ,"$1,135.76 ","$1,148.53 ","$1,148.53 ","$1,020.91 ", N/A ,$701.88 ,"$1,148.53 ", N/A ,"$1,148.53 ", N/A ,"$1,212.33 ", N/A ,"$1,174.05 ", N/A ,"$1,161.29 ", N/A ,$785.34 ,$821.83 ,$785.34 ,"$1,148.53 ","$1,148.53 ",$957.11 , N/A , N/A , N/A ,"$1,193.19 ", N/A , N/A ,"$1,110.24 ", N/A ,"$1,148.53 ", N/A ,"$1,148.53 ","$1,148.53 ","$1,148.53 ","$1,237.86 ","$1,033.67 ","$1,148.53 ","$1,148.53 ","$1,148.53 ","$1,148.53 " ST. JOSEPH'S - CHIPPEWA FALLS,27801536,C1781,HC MESH SYNTHETIC TIER 2,278,1 ,"$1,643.17 ","$1,232.38 ",$903.74 ,"$1,643.17 ","$1,058.20 ", N/A ,"$1,150.22 ", N/A ,"$1,363.83 ", N/A ,"$1,084.49 ","$1,561.01 ", N/A ,"$1,314.54 ","$1,495.28 ", N/A ,"$1,544.58 ","$1,561.01 ","$1,478.85 ","$1,396.69 ", N/A , N/A , N/A ,"$1,199.51 ", N/A ,"$1,462.42 ","$1,478.85 ","$1,478.85 ","$1,314.54 ", N/A ,$903.74 ,"$1,478.85 ", N/A ,"$1,478.85 ", N/A ,"$1,561.01 ", N/A ,"$1,511.72 ", N/A ,"$1,495.28 ", N/A ,"$1,011.21 ","$1,058.20 ","$1,011.21 ","$1,478.85 ","$1,478.85 ","$1,232.38 ", N/A , N/A , N/A ,"$1,536.36 ", N/A , N/A ,"$1,429.56 ", N/A ,"$1,478.85 ", N/A ,"$1,478.85 ","$1,478.85 ","$1,478.85 ","$1,593.87 ","$1,330.97 ","$1,478.85 ","$1,478.85 ","$1,478.85 ","$1,478.85 " ST. JOSEPH'S - CHIPPEWA FALLS,27801537,C1713,HC GRAFT BONE INFUSE TIER 1,278,1 ,"$4,290.48 ","$3,217.86 ","$2,359.76 ","$4,290.48 ","$2,763.07 ", N/A ,"$3,003.34 ", N/A ,"$3,561.10 ", N/A ,"$2,831.72 ","$4,075.96 ", N/A ,"$3,432.38 ","$3,904.34 ", N/A ,"$4,033.05 ","$4,075.96 ","$3,861.43 ","$3,646.91 ", N/A , N/A , N/A ,"$3,132.05 ", N/A ,"$3,818.53 ","$3,861.43 ","$3,861.43 ","$3,432.38 ", N/A ,"$2,359.76 ","$3,861.43 ", N/A ,"$3,861.43 ", N/A ,"$4,075.96 ", N/A ,"$3,947.24 ", N/A ,"$3,904.34 ", N/A ,"$2,640.36 ","$2,763.07 ","$2,640.36 ","$3,861.43 ","$3,861.43 ","$3,217.86 ", N/A , N/A , N/A ,"$4,011.60 ", N/A , N/A ,"$3,732.72 ", N/A ,"$3,861.43 ", N/A ,"$3,861.43 ","$3,861.43 ","$3,861.43 ","$4,161.77 ","$3,475.29 ","$3,861.43 ","$3,861.43 ","$3,861.43 ","$3,861.43 " ST. JOSEPH'S - CHIPPEWA FALLS,27801538,C1713,HC GRAFT BONE INFUSE TIER 2,278,1 ,"$8,673.38 ","$6,505.04 ","$4,770.36 ","$8,673.38 ","$5,585.66 ", N/A ,"$6,071.37 ", N/A ,"$7,198.91 ", N/A ,"$5,724.43 ","$8,239.71 ", N/A ,"$6,938.70 ","$7,892.78 ", N/A ,"$8,152.98 ","$8,239.71 ","$7,806.04 ","$7,372.37 ", N/A , N/A , N/A ,"$6,331.57 ", N/A ,"$7,719.31 ","$7,806.04 ","$7,806.04 ","$6,938.70 ", N/A ,"$4,770.36 ","$7,806.04 ", N/A ,"$7,806.04 ", N/A ,"$8,239.71 ", N/A ,"$7,979.51 ", N/A ,"$7,892.78 ", N/A ,"$5,337.60 ","$5,585.66 ","$5,337.60 ","$7,806.04 ","$7,806.04 ","$6,505.04 ", N/A , N/A , N/A ,"$8,109.61 ", N/A , N/A ,"$7,545.84 ", N/A ,"$7,806.04 ", N/A ,"$7,806.04 ","$7,806.04 ","$7,806.04 ","$8,413.18 ","$7,025.44 ","$7,806.04 ","$7,806.04 ","$7,806.04 ","$7,806.04 " ST. JOSEPH'S - CHIPPEWA FALLS,27801539,N/A,HC SEALANT PLEURAL LEAK PROGEL TIER 1,278,1 ,"$2,024.85 ","$1,518.64 ","$1,113.67 ","$2,024.85 ","$1,304.00 ", N/A ,"$1,417.40 ", N/A ,"$1,680.63 ", N/A ,"$1,336.40 ","$1,923.61 ", N/A ,"$1,619.88 ","$1,842.61 ", N/A ,"$1,903.36 ","$1,923.61 ","$1,822.37 ","$1,721.12 ", N/A , N/A , N/A ,"$1,478.14 ", N/A ,"$1,802.12 ","$1,822.37 ","$1,822.37 ","$1,619.88 ", N/A ,"$1,113.67 ","$1,822.37 ", N/A ,"$1,822.37 ", N/A ,"$1,923.61 ", N/A ,"$1,862.86 ", N/A ,"$1,842.61 ", N/A ,"$1,246.09 ","$1,304.00 ","$1,246.09 ","$1,822.37 ","$1,822.37 ","$1,518.64 ", N/A , N/A , N/A ,"$1,893.23 ", N/A , N/A ,"$1,761.62 ", N/A ,"$1,822.37 ", N/A ,"$1,822.37 ","$1,822.37 ","$1,822.37 ","$1,964.10 ","$1,640.13 ","$1,822.37 ","$1,822.37 ","$1,822.37 ","$1,822.37 " ST. JOSEPH'S - CHIPPEWA FALLS,27801540,N/A,HC SEALANT PLEURAL LEAK PROGEL TIER 2,278,1 ,"$1,965.86 ","$1,474.40 ","$1,081.22 ","$1,965.86 ","$1,266.01 ", N/A ,"$1,376.10 ", N/A ,"$1,631.66 ", N/A ,"$1,297.47 ","$1,867.57 ", N/A ,"$1,572.69 ","$1,788.93 ", N/A ,"$1,847.91 ","$1,867.57 ","$1,769.27 ","$1,670.98 ", N/A , N/A , N/A ,"$1,435.08 ", N/A ,"$1,749.62 ","$1,769.27 ","$1,769.27 ","$1,572.69 ", N/A ,"$1,081.22 ","$1,769.27 ", N/A ,"$1,769.27 ", N/A ,"$1,867.57 ", N/A ,"$1,808.59 ", N/A ,"$1,788.93 ", N/A ,"$1,209.79 ","$1,266.01 ","$1,209.79 ","$1,769.27 ","$1,769.27 ","$1,474.40 ", N/A , N/A , N/A ,"$1,838.08 ", N/A , N/A ,"$1,710.30 ", N/A ,"$1,769.27 ", N/A ,"$1,769.27 ","$1,769.27 ","$1,769.27 ","$1,906.88 ","$1,592.35 ","$1,769.27 ","$1,769.27 ","$1,769.27 ","$1,769.27 " ST. JOSEPH'S - CHIPPEWA FALLS,27801541,N/A,HC SEALANT FIBRIN EVICEL/VISTASEAL TIER 1,278,1 ,"$1,193.42 ",$895.07 ,$656.38 ,"$1,193.42 ",$768.56 , N/A ,$835.39 , N/A ,$990.54 , N/A ,$787.66 ,"$1,133.75 ", N/A ,$954.74 ,"$1,086.01 ", N/A ,"$1,121.81 ","$1,133.75 ","$1,074.08 ","$1,014.41 ", N/A , N/A , N/A ,$871.20 , N/A ,"$1,062.14 ","$1,074.08 ","$1,074.08 ",$954.74 , N/A ,$656.38 ,"$1,074.08 ", N/A ,"$1,074.08 ", N/A ,"$1,133.75 ", N/A ,"$1,097.95 ", N/A ,"$1,086.01 ", N/A ,$734.43 ,$768.56 ,$734.43 ,"$1,074.08 ","$1,074.08 ",$895.07 , N/A , N/A , N/A ,"$1,115.85 ", N/A , N/A ,"$1,038.28 ", N/A ,"$1,074.08 ", N/A ,"$1,074.08 ","$1,074.08 ","$1,074.08 ","$1,157.62 ",$966.67 ,"$1,074.08 ","$1,074.08 ","$1,074.08 ","$1,074.08 " ST. JOSEPH'S - CHIPPEWA FALLS,27801542,N/A,HC SEALANT FIBRIN EVICEL/VISTASEAL TIER 2,278,1 ,"$1,796.59 ","$1,347.44 ",$988.12 ,"$1,796.59 ","$1,157.00 ", N/A ,"$1,257.61 ", N/A ,"$1,491.17 ", N/A ,"$1,185.75 ","$1,706.76 ", N/A ,"$1,437.27 ","$1,634.90 ", N/A ,"$1,688.79 ","$1,706.76 ","$1,616.93 ","$1,527.10 ", N/A , N/A , N/A ,"$1,311.51 ", N/A ,"$1,598.97 ","$1,616.93 ","$1,616.93 ","$1,437.27 ", N/A ,$988.12 ,"$1,616.93 ", N/A ,"$1,616.93 ", N/A ,"$1,706.76 ", N/A ,"$1,652.86 ", N/A ,"$1,634.90 ", N/A ,"$1,105.62 ","$1,157.00 ","$1,105.62 ","$1,616.93 ","$1,616.93 ","$1,347.44 ", N/A , N/A , N/A ,"$1,679.81 ", N/A , N/A ,"$1,563.03 ", N/A ,"$1,616.93 ", N/A ,"$1,616.93 ","$1,616.93 ","$1,616.93 ","$1,742.69 ","$1,455.24 ","$1,616.93 ","$1,616.93 ","$1,616.93 ","$1,616.93 " ST. JOSEPH'S - CHIPPEWA FALLS,27801543,N/A,HC SEALANT DURASEAL,278,1 ,"$10,990.11 ","$8,242.58 ","$6,044.56 ","$10,990.11 ","$7,077.63 ", N/A ,"$7,693.08 ", N/A ,"$9,121.79 ", N/A ,"$7,253.47 ","$10,440.60 ", N/A ,"$8,792.09 ","$10,001.00 ", N/A ,"$10,330.70 ","$10,440.60 ","$9,891.10 ","$9,341.59 ", N/A , N/A , N/A ,"$8,022.78 ", N/A ,"$9,781.20 ","$9,891.10 ","$9,891.10 ","$8,792.09 ", N/A ,"$6,044.56 ","$9,891.10 ", N/A ,"$9,891.10 ", N/A ,"$10,440.60 ", N/A ,"$10,110.90 ", N/A ,"$10,001.00 ", N/A ,"$6,763.31 ","$7,077.63 ","$6,763.31 ","$9,891.10 ","$9,891.10 ","$8,242.58 ", N/A , N/A , N/A ,"$10,275.75 ", N/A , N/A ,"$9,561.40 ", N/A ,"$9,891.10 ", N/A ,"$9,891.10 ","$9,891.10 ","$9,891.10 ","$10,660.41 ","$8,901.99 ","$9,891.10 ","$9,891.10 ","$9,891.10 ","$9,891.10 " ST. JOSEPH'S - CHIPPEWA FALLS,27801544,N/A,HC SEALANT FLOSEAL TIER 1,278,1 ,"$1,117.26 ",$837.95 ,$614.49 ,"$1,117.26 ",$719.52 , N/A ,$782.08 , N/A ,$927.33 , N/A ,$737.39 ,"$1,061.40 ", N/A ,$893.81 ,"$1,016.71 ", N/A ,"$1,050.22 ","$1,061.40 ","$1,005.53 ",$949.67 , N/A , N/A , N/A ,$815.60 , N/A ,$994.36 ,"$1,005.53 ","$1,005.53 ",$893.81 , N/A ,$614.49 ,"$1,005.53 ", N/A ,"$1,005.53 ", N/A ,"$1,061.40 ", N/A ,"$1,027.88 ", N/A ,"$1,016.71 ", N/A ,$687.56 ,$719.52 ,$687.56 ,"$1,005.53 ","$1,005.53 ",$837.95 , N/A , N/A , N/A ,"$1,044.64 ", N/A , N/A ,$972.02 , N/A ,"$1,005.53 ", N/A ,"$1,005.53 ","$1,005.53 ","$1,005.53 ","$1,083.74 ",$904.98 ,"$1,005.53 ","$1,005.53 ","$1,005.53 ","$1,005.53 " ST. JOSEPH'S - CHIPPEWA FALLS,27801545,N/A,HC SEALANT FLOSEAL TIER 2,278,1 ,$663.27 ,$497.45 ,$364.80 ,$663.27 ,$427.15 , N/A ,$464.29 , N/A ,$550.51 , N/A ,$437.76 ,$630.11 , N/A ,$530.62 ,$603.58 , N/A ,$623.47 ,$630.11 ,$596.94 ,$563.78 , N/A , N/A , N/A ,$484.19 , N/A ,$590.31 ,$596.94 ,$596.94 ,$530.62 , N/A ,$364.80 ,$596.94 , N/A ,$596.94 , N/A ,$630.11 , N/A ,$610.21 , N/A ,$603.58 , N/A ,$408.18 ,$427.15 ,$408.18 ,$596.94 ,$596.94 ,$497.45 , N/A , N/A , N/A ,$620.16 , N/A , N/A ,$577.04 , N/A ,$596.94 , N/A ,$596.94 ,$596.94 ,$596.94 ,$643.37 ,$537.25 ,$596.94 ,$596.94 ,$596.94 ,$596.94 ST. JOSEPH'S - CHIPPEWA FALLS,27801546,C1713,HC SPACER FRA,278,1 ,"$12,145.05 ","$9,108.79 ","$6,679.78 ","$12,145.05 ","$7,821.41 ", N/A ,"$8,501.54 ", N/A ,"$10,080.39 ", N/A ,"$8,015.73 ","$11,537.80 ", N/A ,"$9,716.04 ","$11,052.00 ", N/A ,"$11,416.35 ","$11,537.80 ","$10,930.55 ","$10,323.29 ", N/A , N/A , N/A ,"$8,865.89 ", N/A ,"$10,809.09 ","$10,930.55 ","$10,930.55 ","$9,716.04 ", N/A ,"$6,679.78 ","$10,930.55 ", N/A ,"$10,930.55 ", N/A ,"$11,537.80 ", N/A ,"$11,173.45 ", N/A ,"$11,052.00 ", N/A ,"$7,474.06 ","$7,821.41 ","$7,474.06 ","$10,930.55 ","$10,930.55 ","$9,108.79 ", N/A , N/A , N/A ,"$11,355.62 ", N/A , N/A ,"$10,566.19 ", N/A ,"$10,930.55 ", N/A ,"$10,930.55 ","$10,930.55 ","$10,930.55 ","$11,780.70 ","$9,837.49 ","$10,930.55 ","$10,930.55 ","$10,930.55 ","$10,930.55 " ST. JOSEPH'S - CHIPPEWA FALLS,27801547,C1713,HC SPACER ACF,278,1 ,"$4,991.93 ","$3,743.95 ","$2,745.56 ","$4,991.93 ","$3,214.80 ", N/A ,"$3,494.35 ", N/A ,"$4,143.30 ", N/A ,"$3,294.67 ","$4,742.33 ", N/A ,"$3,993.54 ","$4,542.66 ", N/A ,"$4,692.41 ","$4,742.33 ","$4,492.74 ","$4,243.14 ", N/A , N/A , N/A ,"$3,644.11 ", N/A ,"$4,442.82 ","$4,492.74 ","$4,492.74 ","$3,993.54 ", N/A ,"$2,745.56 ","$4,492.74 ", N/A ,"$4,492.74 ", N/A ,"$4,742.33 ", N/A ,"$4,592.58 ", N/A ,"$4,542.66 ", N/A ,"$3,072.03 ","$3,214.80 ","$3,072.03 ","$4,492.74 ","$4,492.74 ","$3,743.95 ", N/A , N/A , N/A ,"$4,667.45 ", N/A , N/A ,"$4,342.98 ", N/A ,"$4,492.74 ", N/A ,"$4,492.74 ","$4,492.74 ","$4,492.74 ","$4,842.17 ","$4,043.46 ","$4,492.74 ","$4,492.74 ","$4,492.74 ","$4,492.74 " ST. JOSEPH'S - CHIPPEWA FALLS,27801548,C1762,HC GRAFT STEM CELLS NUCEL,278,1 ,"$11,488.85 ","$8,616.64 ","$6,318.87 ","$11,488.85 ","$7,398.82 ", N/A ,"$8,042.20 ", N/A ,"$9,535.75 ", N/A ,"$7,582.64 ","$10,914.41 ", N/A ,"$9,191.08 ","$10,454.85 ", N/A ,"$10,799.52 ","$10,914.41 ","$10,339.97 ","$9,765.52 ", N/A , N/A , N/A ,"$8,386.86 ", N/A ,"$10,225.08 ","$10,339.97 ","$10,339.97 ","$9,191.08 ", N/A ,"$6,318.87 ","$10,339.97 ", N/A ,"$10,339.97 ", N/A ,"$10,914.41 ", N/A ,"$10,569.74 ", N/A ,"$10,454.85 ", N/A ,"$7,070.24 ","$7,398.82 ","$7,070.24 ","$10,339.97 ","$10,339.97 ","$8,616.64 ", N/A , N/A , N/A ,"$10,742.07 ", N/A , N/A ,"$9,995.30 ", N/A ,"$10,339.97 ", N/A ,"$10,339.97 ","$10,339.97 ","$10,339.97 ","$11,144.18 ","$9,305.97 ","$10,339.97 ","$10,339.97 ","$10,339.97 ","$10,339.97 " ST. JOSEPH'S - CHIPPEWA FALLS,27801549,C1713,HC TENDON PATELLAR,278,1 ,"$1,054.44 ",$790.83 ,$579.94 ,"$1,054.44 ",$679.06 , N/A ,$738.11 , N/A ,$875.19 , N/A ,$695.93 ,"$1,001.72 ", N/A ,$843.55 ,$959.54 , N/A ,$991.17 ,"$1,001.72 ",$949.00 ,$896.27 , N/A , N/A , N/A ,$769.74 , N/A ,$938.45 ,$949.00 ,$949.00 ,$843.55 , N/A ,$579.94 ,$949.00 , N/A ,$949.00 , N/A ,"$1,001.72 ", N/A ,$970.08 , N/A ,$959.54 , N/A ,$648.90 ,$679.06 ,$648.90 ,$949.00 ,$949.00 ,$790.83 , N/A , N/A , N/A ,$985.90 , N/A , N/A ,$917.36 , N/A ,$949.00 , N/A ,$949.00 ,$949.00 ,$949.00 ,"$1,022.81 ",$854.10 ,$949.00 ,$949.00 ,$949.00 ,$949.00 ST. JOSEPH'S - CHIPPEWA FALLS,27801550,C1713,HC TENDON ACHILLES W/CALCANEOUS BLOCK,278,1 ,"$4,661.45 ","$3,496.09 ","$2,563.80 ","$4,661.45 ","$3,001.97 ", N/A ,"$3,263.02 ", N/A ,"$3,869.00 ", N/A ,"$3,076.56 ","$4,428.38 ", N/A ,"$3,729.16 ","$4,241.92 ", N/A ,"$4,381.76 ","$4,428.38 ","$4,195.31 ","$3,962.23 ", N/A , N/A , N/A ,"$3,402.86 ", N/A ,"$4,148.69 ","$4,195.31 ","$4,195.31 ","$3,729.16 ", N/A ,"$2,563.80 ","$4,195.31 ", N/A ,"$4,195.31 ", N/A ,"$4,428.38 ", N/A ,"$4,288.53 ", N/A ,"$4,241.92 ", N/A ,"$2,868.66 ","$3,001.97 ","$2,868.66 ","$4,195.31 ","$4,195.31 ","$3,496.09 ", N/A , N/A , N/A ,"$4,358.46 ", N/A , N/A ,"$4,055.46 ", N/A ,"$4,195.31 ", N/A ,"$4,195.31 ","$4,195.31 ","$4,195.31 ","$4,521.61 ","$3,775.77 ","$4,195.31 ","$4,195.31 ","$4,195.31 ","$4,195.31 " ST. JOSEPH'S - CHIPPEWA FALLS,27801551,C1713,HC TENDON ACHILLES,278,1 ,"$4,903.05 ","$3,677.29 ","$2,696.68 ","$4,903.05 ","$3,157.56 ", N/A ,"$3,432.14 ", N/A ,"$4,069.53 ", N/A ,"$3,236.01 ","$4,657.90 ", N/A ,"$3,922.44 ","$4,461.78 ", N/A ,"$4,608.87 ","$4,657.90 ","$4,412.75 ","$4,167.59 ", N/A , N/A , N/A ,"$3,579.23 ", N/A ,"$4,363.71 ","$4,412.75 ","$4,412.75 ","$3,922.44 ", N/A ,"$2,696.68 ","$4,412.75 ", N/A ,"$4,412.75 ", N/A ,"$4,657.90 ", N/A ,"$4,510.81 ", N/A ,"$4,461.78 ", N/A ,"$3,017.34 ","$3,157.56 ","$3,017.34 ","$4,412.75 ","$4,412.75 ","$3,677.29 ", N/A , N/A , N/A ,"$4,584.35 ", N/A , N/A ,"$4,265.65 ", N/A ,"$4,412.75 ", N/A ,"$4,412.75 ","$4,412.75 ","$4,412.75 ","$4,755.96 ","$3,971.47 ","$4,412.75 ","$4,412.75 ","$4,412.75 ","$4,412.75 " ST. JOSEPH'S - CHIPPEWA FALLS,27801552,C1713,HC TENDON RADIUS ULNA SHAFT,278,1 ,"$3,761.64 ","$2,821.23 ","$2,068.90 ","$3,761.64 ","$2,422.50 ", N/A ,"$2,633.15 ", N/A ,"$3,122.16 ", N/A ,"$2,482.68 ","$3,573.56 ", N/A ,"$3,009.31 ","$3,423.09 ", N/A ,"$3,535.94 ","$3,573.56 ","$3,385.48 ","$3,197.39 ", N/A , N/A , N/A ,"$2,746.00 ", N/A ,"$3,347.86 ","$3,385.48 ","$3,385.48 ","$3,009.31 ", N/A ,"$2,068.90 ","$3,385.48 ", N/A ,"$3,385.48 ", N/A ,"$3,573.56 ", N/A ,"$3,460.71 ", N/A ,"$3,423.09 ", N/A ,"$2,314.91 ","$2,422.50 ","$2,314.91 ","$3,385.48 ","$3,385.48 ","$2,821.23 ", N/A , N/A , N/A ,"$3,517.13 ", N/A , N/A ,"$3,272.63 ", N/A ,"$3,385.48 ", N/A ,"$3,385.48 ","$3,385.48 ","$3,385.48 ","$3,648.79 ","$3,046.93 ","$3,385.48 ","$3,385.48 ","$3,385.48 ","$3,385.48 " ST. JOSEPH'S - CHIPPEWA FALLS,27801553,C1768,HC GRAFT VASCULAR FEMORAL VEIN TIER 1,278,1 ,"$11,979.61 ","$8,984.71 ","$6,588.79 ","$11,979.61 ","$7,714.87 ", N/A ,"$8,385.73 ", N/A ,"$9,943.08 ", N/A ,"$7,906.54 ","$11,380.63 ", N/A ,"$9,583.69 ","$10,901.45 ", N/A ,"$11,260.83 ","$11,380.63 ","$10,781.65 ","$10,182.67 ", N/A , N/A , N/A ,"$8,745.12 ", N/A ,"$10,661.85 ","$10,781.65 ","$10,781.65 ","$9,583.69 ", N/A ,"$6,588.79 ","$10,781.65 ", N/A ,"$10,781.65 ", N/A ,"$11,380.63 ", N/A ,"$11,021.24 ", N/A ,"$10,901.45 ", N/A ,"$7,372.25 ","$7,714.87 ","$7,372.25 ","$10,781.65 ","$10,781.65 ","$8,984.71 ", N/A , N/A , N/A ,"$11,200.94 ", N/A , N/A ,"$10,422.26 ", N/A ,"$10,781.65 ", N/A ,"$10,781.65 ","$10,781.65 ","$10,781.65 ","$11,620.22 ","$9,703.48 ","$10,781.65 ","$10,781.65 ","$10,781.65 ","$10,781.65 " ST. JOSEPH'S - CHIPPEWA FALLS,27801554,C1768,HC GRAFT VASCULAR FEMORAL VEIN TIER 2,278,1 ,"$14,028.19 ","$10,521.14 ","$7,715.50 ","$14,028.19 ","$9,034.15 ", N/A ,"$9,819.73 ", N/A ,"$11,643.40 ", N/A ,"$9,258.61 ","$13,326.78 ", N/A ,"$11,222.55 ","$12,765.65 ", N/A ,"$13,186.50 ","$13,326.78 ","$12,625.37 ","$11,923.96 ", N/A , N/A , N/A ,"$10,240.58 ", N/A ,"$12,485.09 ","$12,625.37 ","$12,625.37 ","$11,222.55 ", N/A ,"$7,715.50 ","$12,625.37 ", N/A ,"$12,625.37 ", N/A ,"$13,326.78 ", N/A ,"$12,905.93 ", N/A ,"$12,765.65 ", N/A ,"$8,632.95 ","$9,034.15 ","$8,632.95 ","$12,625.37 ","$12,625.37 ","$10,521.14 ", N/A , N/A , N/A ,"$13,116.36 ", N/A , N/A ,"$12,204.53 ", N/A ,"$12,625.37 ", N/A ,"$12,625.37 ","$12,625.37 ","$12,625.37 ","$13,607.34 ","$11,362.83 ","$12,625.37 ","$12,625.37 ","$12,625.37 ","$12,625.37 " ST. JOSEPH'S - CHIPPEWA FALLS,27801555,C1768,HC GRAFT VASCULAR FEMORAL VEIN TIER 3,278,1 ,"$16,169.29 ","$12,126.97 ","$8,893.11 ","$16,169.29 ","$10,413.02 ", N/A ,"$11,318.50 ", N/A ,"$13,420.51 ", N/A ,"$10,671.73 ","$15,360.83 ", N/A ,"$12,935.43 ","$14,714.05 ", N/A ,"$15,199.13 ","$15,360.83 ","$14,552.36 ","$13,743.90 ", N/A , N/A , N/A ,"$11,803.58 ", N/A ,"$14,390.67 ","$14,552.36 ","$14,552.36 ","$12,935.43 ", N/A ,"$8,893.11 ","$14,552.36 ", N/A ,"$14,552.36 ", N/A ,"$15,360.83 ", N/A ,"$14,875.75 ", N/A ,"$14,714.05 ", N/A ,"$9,950.58 ","$10,413.02 ","$9,950.58 ","$14,552.36 ","$14,552.36 ","$12,126.97 ", N/A , N/A , N/A ,"$15,118.29 ", N/A , N/A ,"$14,067.28 ", N/A ,"$14,552.36 ", N/A ,"$14,552.36 ","$14,552.36 ","$14,552.36 ","$15,684.21 ","$13,097.12 ","$14,552.36 ","$14,552.36 ","$14,552.36 ","$14,552.36 " ST. JOSEPH'S - CHIPPEWA FALLS,27801556,C1768,HC GRAFT VASCULAR SAPHENOUS VEIN TIER 1,278,1 ,"$8,995.36 ","$6,746.52 ","$4,947.45 ","$8,995.36 ","$5,793.01 ", N/A ,"$6,296.75 ", N/A ,"$7,466.15 ", N/A ,"$5,936.94 ","$8,545.59 ", N/A ,"$7,196.29 ","$8,185.78 ", N/A ,"$8,455.64 ","$8,545.59 ","$8,095.82 ","$7,646.06 ", N/A , N/A , N/A ,"$6,566.61 ", N/A ,"$8,005.87 ","$8,095.82 ","$8,095.82 ","$7,196.29 ", N/A ,"$4,947.45 ","$8,095.82 ", N/A ,"$8,095.82 ", N/A ,"$8,545.59 ", N/A ,"$8,275.73 ", N/A ,"$8,185.78 ", N/A ,"$5,535.74 ","$5,793.01 ","$5,535.74 ","$8,095.82 ","$8,095.82 ","$6,746.52 ", N/A , N/A , N/A ,"$8,410.66 ", N/A , N/A ,"$7,825.96 ", N/A ,"$8,095.82 ", N/A ,"$8,095.82 ","$8,095.82 ","$8,095.82 ","$8,725.50 ","$7,286.24 ","$8,095.82 ","$8,095.82 ","$8,095.82 ","$8,095.82 " ST. JOSEPH'S - CHIPPEWA FALLS,27801557,C1768,HC GRAFT VASCULAR SAPHENOUS VEIN TIER 2,278,1 ,"$12,443.00 ","$9,332.25 ","$6,843.65 ","$12,443.00 ","$8,013.29 ", N/A ,"$8,710.10 ", N/A ,"$10,327.69 ", N/A ,"$8,212.38 ","$11,820.85 ", N/A ,"$9,954.40 ","$11,323.13 ", N/A ,"$11,696.42 ","$11,820.85 ","$11,198.70 ","$10,576.55 ", N/A , N/A , N/A ,"$9,083.39 ", N/A ,"$11,074.27 ","$11,198.70 ","$11,198.70 ","$9,954.40 ", N/A ,"$6,843.65 ","$11,198.70 ", N/A ,"$11,198.70 ", N/A ,"$11,820.85 ", N/A ,"$11,447.56 ", N/A ,"$11,323.13 ", N/A ,"$7,657.42 ","$8,013.29 ","$7,657.42 ","$11,198.70 ","$11,198.70 ","$9,332.25 ", N/A , N/A , N/A ,"$11,634.21 ", N/A , N/A ,"$10,825.41 ", N/A ,"$11,198.70 ", N/A ,"$11,198.70 ","$11,198.70 ","$11,198.70 ","$12,069.71 ","$10,078.83 ","$11,198.70 ","$11,198.70 ","$11,198.70 ","$11,198.70 " ST. JOSEPH'S - CHIPPEWA FALLS,27801558,C1768,HC GRAFT VASCULAR SAPHENOUS VEIN TIER 3,278,1 ,"$13,783.07 ","$10,337.30 ","$7,580.69 ","$13,783.07 ","$8,876.30 ", N/A ,"$9,648.15 ", N/A ,"$11,439.95 ", N/A ,"$9,096.83 ","$13,093.92 ", N/A ,"$11,026.46 ","$12,542.59 ", N/A ,"$12,956.09 ","$13,093.92 ","$12,404.76 ","$11,715.61 ", N/A , N/A , N/A ,"$10,061.64 ", N/A ,"$12,266.93 ","$12,404.76 ","$12,404.76 ","$11,026.46 ", N/A ,"$7,580.69 ","$12,404.76 ", N/A ,"$12,404.76 ", N/A ,"$13,093.92 ", N/A ,"$12,680.42 ", N/A ,"$12,542.59 ", N/A ,"$8,482.10 ","$8,876.30 ","$8,482.10 ","$12,404.76 ","$12,404.76 ","$10,337.30 ", N/A , N/A , N/A ,"$12,887.17 ", N/A , N/A ,"$11,991.27 ", N/A ,"$12,404.76 ", N/A ,"$12,404.76 ","$12,404.76 ","$12,404.76 ","$13,369.58 ","$11,164.29 ","$12,404.76 ","$12,404.76 ","$12,404.76 ","$12,404.76 " ST. JOSEPH'S - CHIPPEWA FALLS,27801559,C1768,HC GRAFT VASCULAR SAPHENOUS VEIN TIER 4,278,1 ,"$17,913.36 ","$13,435.02 ","$9,852.35 ","$17,913.36 ","$11,536.20 ", N/A ,"$12,539.35 ", N/A ,"$14,868.09 ", N/A ,"$11,822.82 ","$17,017.69 ", N/A ,"$14,330.69 ","$16,301.16 ", N/A ,"$16,838.56 ","$17,017.69 ","$16,122.02 ","$15,226.36 ", N/A , N/A , N/A ,"$13,076.75 ", N/A ,"$15,942.89 ","$16,122.02 ","$16,122.02 ","$14,330.69 ", N/A ,"$9,852.35 ","$16,122.02 ", N/A ,"$16,122.02 ", N/A ,"$17,017.69 ", N/A ,"$16,480.29 ", N/A ,"$16,301.16 ", N/A ,"$11,023.88 ","$11,536.20 ","$11,023.88 ","$16,122.02 ","$16,122.02 ","$13,435.02 ", N/A , N/A , N/A ,"$16,748.99 ", N/A , N/A ,"$15,584.62 ", N/A ,"$16,122.02 ", N/A ,"$16,122.02 ","$16,122.02 ","$16,122.02 ","$17,375.96 ","$14,509.82 ","$16,122.02 ","$16,122.02 ","$16,122.02 ","$16,122.02 " ST. JOSEPH'S - CHIPPEWA FALLS,27801560,C1768,HC GRAFT VASCULAR SAPHENOUS VEIN TIER 5,278,1 ,"$19,149.40 ","$14,362.05 ","$10,532.17 ","$19,149.40 ","$12,332.21 ", N/A ,"$13,404.58 ", N/A ,"$15,894.00 ", N/A ,"$12,638.60 ","$18,191.93 ", N/A ,"$15,319.52 ","$17,425.95 ", N/A ,"$18,000.44 ","$18,191.93 ","$17,234.46 ","$16,276.99 ", N/A , N/A , N/A ,"$13,979.06 ", N/A ,"$17,042.97 ","$17,234.46 ","$17,234.46 ","$15,319.52 ", N/A ,"$10,532.17 ","$17,234.46 ", N/A ,"$17,234.46 ", N/A ,"$18,191.93 ", N/A ,"$17,617.45 ", N/A ,"$17,425.95 ", N/A ,"$11,784.54 ","$12,332.21 ","$11,784.54 ","$17,234.46 ","$17,234.46 ","$14,362.05 ", N/A , N/A , N/A ,"$17,904.69 ", N/A , N/A ,"$16,659.98 ", N/A ,"$17,234.46 ", N/A ,"$17,234.46 ","$17,234.46 ","$17,234.46 ","$18,574.92 ","$15,511.01 ","$17,234.46 ","$17,234.46 ","$17,234.46 ","$17,234.46 " ST. JOSEPH'S - CHIPPEWA FALLS,27801561,C1788,HC PAS PORT DELTEC,278,1 ,"$1,398.29 ","$1,048.72 ",$769.06 ,"$1,398.29 ",$900.50 , N/A ,$978.80 , N/A ,"$1,160.58 ", N/A ,$922.87 ,"$1,328.38 ", N/A ,"$1,118.63 ","$1,272.44 ", N/A ,"$1,314.39 ","$1,328.38 ","$1,258.46 ","$1,188.55 ", N/A , N/A , N/A ,"$1,020.75 ", N/A ,"$1,244.48 ","$1,258.46 ","$1,258.46 ","$1,118.63 ", N/A ,$769.06 ,"$1,258.46 ", N/A ,"$1,258.46 ", N/A ,"$1,328.38 ", N/A ,"$1,286.43 ", N/A ,"$1,272.44 ", N/A ,$860.51 ,$900.50 ,$860.51 ,"$1,258.46 ","$1,258.46 ","$1,048.72 ", N/A , N/A , N/A ,"$1,307.40 ", N/A , N/A ,"$1,216.51 ", N/A ,"$1,258.46 ", N/A ,"$1,258.46 ","$1,258.46 ","$1,258.46 ","$1,356.34 ","$1,132.61 ","$1,258.46 ","$1,258.46 ","$1,258.46 ","$1,258.46 " ST. JOSEPH'S - CHIPPEWA FALLS,27801562,C1788,HC PAS PORT ANGIODYNAMICS,278,1 ,"$1,092.32 ",$819.24 ,$600.78 ,"$1,092.32 ",$703.45 , N/A ,$764.62 , N/A ,$906.63 , N/A ,$720.93 ,"$1,037.70 ", N/A ,$873.86 ,$994.01 , N/A ,"$1,026.78 ","$1,037.70 ",$983.09 ,$928.47 , N/A , N/A , N/A ,$797.39 , N/A ,$972.16 ,$983.09 ,$983.09 ,$873.86 , N/A ,$600.78 ,$983.09 , N/A ,$983.09 , N/A ,"$1,037.70 ", N/A ,"$1,004.93 ", N/A ,$994.01 , N/A ,$672.21 ,$703.45 ,$672.21 ,$983.09 ,$983.09 ,$819.24 , N/A , N/A , N/A ,"$1,021.32 ", N/A , N/A ,$950.32 , N/A ,$983.09 , N/A ,$983.09 ,$983.09 ,$983.09 ,"$1,059.55 ",$884.78 ,$983.09 ,$983.09 ,$983.09 ,$983.09 ST. JOSEPH'S - CHIPPEWA FALLS,27801669,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T5,278,1 ,"$1,875.00 ","$1,406.25 ","$1,031.25 ","$1,875.00 ","$1,207.50 ", N/A ,"$1,312.50 ", N/A ,"$1,556.25 ", N/A ,"$1,237.50 ","$1,781.25 ", N/A ,"$1,500.00 ","$1,706.25 ", N/A ,"$1,762.50 ","$1,781.25 ","$1,687.50 ","$1,593.75 ", N/A , N/A , N/A ,"$1,368.75 ", N/A ,"$1,668.75 ","$1,687.50 ","$1,687.50 ","$1,500.00 ", N/A ,"$1,031.25 ","$1,687.50 ", N/A ,"$1,687.50 ", N/A ,"$1,781.25 ", N/A ,"$1,725.00 ", N/A ,"$1,706.25 ", N/A ,"$1,153.88 ","$1,207.50 ","$1,153.88 ","$1,687.50 ","$1,687.50 ","$1,406.25 ", N/A , N/A , N/A ,"$1,753.13 ", N/A , N/A ,"$1,631.25 ", N/A ,"$1,687.50 ", N/A ,"$1,687.50 ","$1,687.50 ","$1,687.50 ","$1,818.75 ","$1,518.75 ","$1,687.50 ","$1,687.50 ","$1,687.50 ","$1,687.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27801705,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T2,278,1 ,$900.00 ,$675.00 ,$495.00 ,$900.00 ,$579.60 , N/A ,$630.00 , N/A ,$747.00 , N/A ,$594.00 ,$855.00 , N/A ,$720.00 ,$819.00 , N/A ,$846.00 ,$855.00 ,$810.00 ,$765.00 , N/A , N/A , N/A ,$657.00 , N/A ,$801.00 ,$810.00 ,$810.00 ,$720.00 , N/A ,$495.00 ,$810.00 , N/A ,$810.00 , N/A ,$855.00 , N/A ,$828.00 , N/A ,$819.00 , N/A ,$553.86 ,$579.60 ,$553.86 ,$810.00 ,$810.00 ,$675.00 , N/A , N/A , N/A ,$841.50 , N/A , N/A ,$783.00 , N/A ,$810.00 , N/A ,$810.00 ,$810.00 ,$810.00 ,$873.00 ,$729.00 ,$810.00 ,$810.00 ,$810.00 ,$810.00 ST. JOSEPH'S - CHIPPEWA FALLS,27802133,N/A,HC DEVICE HEART ASSIST IMPELLA,278,1 ,"$37,500.00 ","$28,125.00 ","$20,625.00 ","$37,500.00 ","$24,150.00 ", N/A ,"$26,250.00 ", N/A ,"$31,125.00 ", N/A ,"$24,750.00 ","$35,625.00 ", N/A ,"$30,000.00 ","$34,125.00 ", N/A ,"$35,250.00 ","$35,625.00 ","$33,750.00 ","$31,875.00 ", N/A , N/A , N/A ,"$27,375.00 ", N/A ,"$33,375.00 ","$33,750.00 ","$33,750.00 ","$30,000.00 ", N/A ,"$20,625.00 ","$33,750.00 ", N/A ,"$33,750.00 ", N/A ,"$35,625.00 ", N/A ,"$34,500.00 ", N/A ,"$34,125.00 ", N/A ,"$23,077.50 ","$24,150.00 ","$23,077.50 ","$33,750.00 ","$33,750.00 ","$28,125.00 ", N/A , N/A , N/A ,"$35,062.50 ", N/A , N/A ,"$32,625.00 ", N/A ,"$33,750.00 ", N/A ,"$33,750.00 ","$33,750.00 ","$33,750.00 ","$36,375.00 ","$30,375.00 ","$33,750.00 ","$33,750.00 ","$33,750.00 ","$33,750.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27802137,N/A,HC SYSTEM HEART VALVE TRANSCATH SAPIEN 3,278,1 ,"$48,750.00 ","$36,562.50 ","$26,812.50 ","$48,750.00 ","$31,395.00 ", N/A ,"$34,125.00 ", N/A ,"$40,462.50 ", N/A ,"$32,175.00 ","$46,312.50 ", N/A ,"$39,000.00 ","$44,362.50 ", N/A ,"$45,825.00 ","$46,312.50 ","$43,875.00 ","$41,437.50 ", N/A , N/A , N/A ,"$35,587.50 ", N/A ,"$43,387.50 ","$43,875.00 ","$43,875.00 ","$39,000.00 ", N/A ,"$26,812.50 ","$43,875.00 ", N/A ,"$43,875.00 ", N/A ,"$46,312.50 ", N/A ,"$44,850.00 ", N/A ,"$44,362.50 ", N/A ,"$30,000.75 ","$31,395.00 ","$30,000.75 ","$43,875.00 ","$43,875.00 ","$36,562.50 ", N/A , N/A , N/A ,"$45,581.25 ", N/A , N/A ,"$42,412.50 ", N/A ,"$43,875.00 ", N/A ,"$43,875.00 ","$43,875.00 ","$43,875.00 ","$47,287.50 ","$39,487.50 ","$43,875.00 ","$43,875.00 ","$43,875.00 ","$43,875.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27802138,N/A,HC SYSTEM HEART VALVE TRANSCATH SAPIEN XT,278,1 ,"$48,750.00 ","$36,562.50 ","$26,812.50 ","$48,750.00 ","$31,395.00 ", N/A ,"$34,125.00 ", N/A ,"$40,462.50 ", N/A ,"$32,175.00 ","$46,312.50 ", N/A ,"$39,000.00 ","$44,362.50 ", N/A ,"$45,825.00 ","$46,312.50 ","$43,875.00 ","$41,437.50 ", N/A , N/A , N/A ,"$35,587.50 ", N/A ,"$43,387.50 ","$43,875.00 ","$43,875.00 ","$39,000.00 ", N/A ,"$26,812.50 ","$43,875.00 ", N/A ,"$43,875.00 ", N/A ,"$46,312.50 ", N/A ,"$44,850.00 ", N/A ,"$44,362.50 ", N/A ,"$30,000.75 ","$31,395.00 ","$30,000.75 ","$43,875.00 ","$43,875.00 ","$36,562.50 ", N/A , N/A , N/A ,"$45,581.25 ", N/A , N/A ,"$42,412.50 ", N/A ,"$43,875.00 ", N/A ,"$43,875.00 ","$43,875.00 ","$43,875.00 ","$47,287.50 ","$39,487.50 ","$43,875.00 ","$43,875.00 ","$43,875.00 ","$43,875.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27802148,N/A,HC MICROCATHETER LANTERN,278,1 ,"$1,475.00 ","$1,106.25 ",$811.25 ,"$1,475.00 ",$949.90 , N/A ,"$1,032.50 ", N/A ,"$1,224.25 ", N/A ,$973.50 ,"$1,401.25 ", N/A ,"$1,180.00 ","$1,342.25 ", N/A ,"$1,386.50 ","$1,401.25 ","$1,327.50 ","$1,253.75 ", N/A , N/A , N/A ,"$1,076.75 ", N/A ,"$1,312.75 ","$1,327.50 ","$1,327.50 ","$1,180.00 ", N/A ,$811.25 ,"$1,327.50 ", N/A ,"$1,327.50 ", N/A ,"$1,401.25 ", N/A ,"$1,357.00 ", N/A ,"$1,342.25 ", N/A ,$907.72 ,$949.90 ,$907.72 ,"$1,327.50 ","$1,327.50 ","$1,106.25 ", N/A , N/A , N/A ,"$1,379.13 ", N/A , N/A ,"$1,283.25 ", N/A ,"$1,327.50 ", N/A ,"$1,327.50 ","$1,327.50 ","$1,327.50 ","$1,430.75 ","$1,194.75 ","$1,327.50 ","$1,327.50 ","$1,327.50 ","$1,327.50 " ST. JOSEPH'S - CHIPPEWA FALLS,27802149,C1889,HC EMBOLIZATION COIL RUBY 5-25CM,278,1 ,"$1,470.00 ","$1,102.50 ",$808.50 ,"$1,470.00 ",$946.68 , N/A ,"$1,029.00 ", N/A ,"$1,220.10 ", N/A ,$970.20 ,"$1,396.50 ", N/A ,"$1,176.00 ","$1,337.70 ", N/A ,"$1,381.80 ","$1,396.50 ","$1,323.00 ","$1,249.50 ", N/A , N/A , N/A ,"$1,073.10 ", N/A ,"$1,308.30 ","$1,323.00 ","$1,323.00 ","$1,176.00 ", N/A ,$808.50 ,"$1,323.00 ", N/A ,"$1,323.00 ", N/A ,"$1,396.50 ", N/A ,"$1,352.40 ", N/A ,"$1,337.70 ", N/A ,$904.64 ,$946.68 ,$904.64 ,"$1,323.00 ","$1,323.00 ","$1,102.50 ", N/A , N/A , N/A ,"$1,374.45 ", N/A , N/A ,"$1,278.90 ", N/A ,"$1,323.00 ", N/A ,"$1,323.00 ","$1,323.00 ","$1,323.00 ","$1,425.90 ","$1,190.70 ","$1,323.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27802150,C1889,HC EMBOLIZATION COIL RUBY 26-60CM,278,1 ,"$1,920.00 ","$1,440.00 ","$1,056.00 ","$1,920.00 ","$1,236.48 ", N/A ,"$1,344.00 ", N/A ,"$1,593.60 ", N/A ,"$1,267.20 ","$1,824.00 ", N/A ,"$1,536.00 ","$1,747.20 ", N/A ,"$1,804.80 ","$1,824.00 ","$1,728.00 ","$1,632.00 ", N/A , N/A , N/A ,"$1,401.60 ", N/A ,"$1,708.80 ","$1,728.00 ","$1,728.00 ","$1,536.00 ", N/A ,"$1,056.00 ","$1,728.00 ", N/A ,"$1,728.00 ", N/A ,"$1,824.00 ", N/A ,"$1,766.40 ", N/A ,"$1,747.20 ", N/A ,"$1,181.57 ","$1,236.48 ","$1,181.57 ","$1,728.00 ","$1,728.00 ","$1,440.00 ", N/A , N/A , N/A ,"$1,795.20 ", N/A , N/A ,"$1,670.40 ", N/A ,"$1,728.00 ", N/A ,"$1,728.00 ","$1,728.00 ","$1,728.00 ","$1,862.40 ","$1,555.20 ","$1,728.00 ","$1,728.00 ","$1,728.00 ","$1,728.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27802178,N/A,HC SYSTEM HEART VALVE CERTITUDE,278,1 ,"$48,750.00 ","$36,562.50 ","$26,812.50 ","$48,750.00 ","$31,395.00 ", N/A ,"$34,125.00 ", N/A ,"$40,462.50 ", N/A ,"$32,175.00 ","$46,312.50 ", N/A ,"$39,000.00 ","$44,362.50 ", N/A ,"$45,825.00 ","$46,312.50 ","$43,875.00 ","$41,437.50 ", N/A , N/A , N/A ,"$35,587.50 ", N/A ,"$43,387.50 ","$43,875.00 ","$43,875.00 ","$39,000.00 ", N/A ,"$26,812.50 ","$43,875.00 ", N/A ,"$43,875.00 ", N/A ,"$46,312.50 ", N/A ,"$44,850.00 ", N/A ,"$44,362.50 ", N/A ,"$30,000.75 ","$31,395.00 ","$30,000.75 ","$43,875.00 ","$43,875.00 ","$36,562.50 ", N/A , N/A , N/A ,"$45,581.25 ", N/A , N/A ,"$42,412.50 ", N/A ,"$43,875.00 ", N/A ,"$43,875.00 ","$43,875.00 ","$43,875.00 ","$47,287.50 ","$39,487.50 ","$43,875.00 ","$43,875.00 ","$43,875.00 ","$43,875.00 " ST. JOSEPH'S - CHIPPEWA FALLS,27802180,C1889,"HC CATH SIL DRAIN 15FR, BALLOON DEFLATED",278,1 ,$325.50 ,$244.13 ,$179.03 ,$325.50 ,$209.62 , N/A ,$227.85 , N/A ,$270.17 , N/A ,$214.83 ,$309.23 , N/A ,$260.40 ,$296.21 , N/A ,$305.97 ,$309.23 ,$292.95 ,$276.68 , N/A , N/A , N/A ,$237.62 , N/A ,$289.70 ,$292.95 ,$292.95 ,$260.40 , N/A ,$179.03 ,$292.95 , N/A ,$292.95 , N/A ,$309.23 , N/A ,$299.46 , N/A ,$296.21 , N/A ,$200.31 ,$209.62 ,$200.31 ,$292.95 ,$292.95 ,$244.13 , N/A , N/A , N/A ,$304.34 , N/A , N/A ,$283.19 , N/A ,$292.95 , N/A ,$292.95 ,$292.95 ,$292.95 ,$315.74 ,$263.66 ,$292.95 ,$292.95 ,$292.95 ,$292.95 ST. JOSEPH'S - CHIPPEWA FALLS,28000001,G0498,HC CHEMO IV W/PUMP EXTENDED,280,1 ,$903.00 ,$677.25 ,$145.88 ,$903.00 ,$581.53 ,$300.96 ,$632.10 ,$145.88 ,$749.49 ,$150.26 ,$595.98 ,$857.85 , N/A ,$722.40 ,$821.73 ,$145.88 ,$848.82 ,$857.85 ,$812.70 ,$767.55 ,$145.88 ,$145.88 ,$145.88 ,$659.19 ,$300.96 ,$803.67 ,$812.70 ,$812.70 ,$722.40 ,$309.99 ,$496.65 ,$812.70 ,$300.96 ,$812.70 ,$300.96 ,$857.85 ,$677.16 ,$830.76 ,$154.63 ,$821.73 ,$300.96 ,$555.71 ,$581.53 ,$555.71 ,$812.70 ,$812.70 ,$677.25 ,$632.10 ,$303.97 ,$153.17 ,$844.31 ,$316.01 ,$145.88 ,$785.61 ,$300.96 ,$812.70 ,$300.96 ,$812.70 ,$812.70 ,$812.70 ,$875.91 ,$731.43 ,$812.70 ,$812.70 ,$812.70 ,$812.70 ST. JOSEPH'S - CHIPPEWA FALLS,30000004,N/A,HC POC GLUCOSE,300,1 ,$27.86 ,$20.90 ,$15.32 ,$27.86 ,$17.94 , N/A ,$19.50 , N/A ,$23.12 , N/A ,$18.39 ,$26.47 , N/A ,$22.29 ,$25.35 , N/A ,$26.19 ,$26.47 ,$25.07 ,$23.68 , N/A , N/A , N/A ,$20.34 , N/A ,$24.80 ,$25.07 ,$25.07 ,$22.29 , N/A ,$15.32 ,$25.07 , N/A ,$25.07 , N/A ,$26.47 , N/A ,$25.63 , N/A ,$25.35 , N/A ,$17.15 ,$17.94 ,$17.15 ,$25.07 ,$25.07 ,$20.90 ,$19.50 , N/A , N/A ,$26.05 , N/A , N/A ,$24.24 , N/A ,$25.07 , N/A ,$25.07 ,$25.07 ,$25.07 ,$27.02 ,$22.57 ,$25.07 ,$25.07 ,$25.07 ,$25.07 ST. JOSEPH'S - CHIPPEWA FALLS,30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$37.82 ,$28.37 ,$0.72 ,$37.82 ,$24.36 , N/A ,$26.47 ,$0.72 ,$31.39 ,$0.74 ,$24.96 ,$35.93 , N/A ,$30.26 ,$34.42 ,$0.72 ,$35.55 ,$35.93 ,$34.04 ,$32.15 ,$0.72 ,$0.72 ,$0.72 ,$27.61 , N/A ,$33.66 ,$34.04 ,$34.04 ,$30.26 , N/A ,$20.80 ,$34.04 , N/A ,$34.04 , N/A ,$35.93 , N/A ,$34.79 ,$0.76 ,$34.42 , N/A ,$23.27 ,$24.36 ,$23.27 ,$34.04 ,$34.04 ,$28.37 ,$26.47 , N/A ,$0.76 ,$35.36 , N/A ,$0.72 ,$32.90 , N/A ,$34.04 , N/A ,$34.04 ,$34.04 ,$34.04 ,$36.69 ,$30.63 ,$34.04 ,$34.04 ,$34.04 ,$34.04 ST. JOSEPH'S - CHIPPEWA FALLS,30000010,36415,HC VENIPUNCTURE,300,1 ,$39.10 ,$29.33 ,$0.72 ,$39.10 ,$25.18 ,$3.00 ,$27.37 ,$0.72 ,$32.45 ,$0.74 ,$25.81 ,$37.15 , N/A ,$31.28 ,$35.58 ,$0.72 ,$36.75 ,$37.15 ,$35.19 ,$33.24 ,$0.72 ,$0.72 ,$0.72 ,$28.54 ,$3.00 ,$34.80 ,$35.19 ,$35.19 ,$31.28 ,$3.09 ,$21.51 ,$35.19 ,$3.00 ,$35.19 ,$3.00 ,$37.15 ,$6.75 ,$35.97 ,$0.76 ,$35.58 ,$3.00 ,$24.06 ,$25.18 ,$24.06 ,$35.19 ,$24.83 ,$29.33 ,$15.05 ,$3.03 ,$0.76 ,$36.56 ,$3.15 ,$0.72 ,$34.02 ,$3.00 ,$35.19 ,$3.00 ,$35.19 ,$35.19 ,$35.19 ,$37.93 ,$31.67 ,$35.19 ,$35.19 ,$35.19 ,$35.19 ST. JOSEPH'S - CHIPPEWA FALLS,30000013,36415,HC VENIPUNCTURE (DRAW FEE),300,1 ,$39.10 ,$29.33 ,$0.72 ,$39.10 ,$25.18 ,$3.00 ,$27.37 ,$0.72 ,$32.45 ,$0.74 ,$25.81 ,$37.15 , N/A ,$31.28 ,$35.58 ,$0.72 ,$36.75 ,$37.15 ,$35.19 ,$33.24 ,$0.72 ,$0.72 ,$0.72 ,$28.54 ,$3.00 ,$34.80 ,$35.19 ,$35.19 ,$31.28 ,$3.09 ,$21.51 ,$35.19 ,$3.00 ,$35.19 ,$3.00 ,$37.15 ,$6.75 ,$35.97 ,$0.76 ,$35.58 ,$3.00 ,$24.06 ,$25.18 ,$24.06 ,$35.19 ,$24.83 ,$29.33 ,$15.05 ,$3.03 ,$0.76 ,$36.56 ,$3.15 ,$0.72 ,$34.02 ,$3.00 ,$35.19 ,$3.00 ,$35.19 ,$35.19 ,$35.19 ,$37.93 ,$31.67 ,$35.19 ,$35.19 ,$35.19 ,$35.19 ST. JOSEPH'S - CHIPPEWA FALLS,30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$274.69 ,$206.02 ,$17.61 ,$274.69 ,$176.90 ,$108.42 ,$192.28 ,$17.61 ,$227.99 ,$18.14 ,$181.30 ,$260.96 , N/A ,$219.75 ,$249.97 ,$17.61 ,$258.21 ,$260.96 ,$247.22 ,$233.49 ,$17.61 ,$17.61 ,$17.61 ,$200.52 ,$108.42 ,$244.47 ,$247.22 ,$247.22 ,$219.75 ,$111.68 ,$151.08 ,$247.22 ,$108.42 ,$247.22 ,$108.42 ,$260.96 ,$243.95 ,$252.71 ,$18.67 ,$249.97 ,$108.42 ,$169.04 ,$176.90 ,$169.04 ,$247.22 ,$247.22 ,$206.02 ,$192.28 ,$109.51 ,$18.49 ,$256.84 ,$113.84 ,$17.61 ,$238.98 ,$108.42 ,$247.22 ,$108.42 ,$247.22 ,$247.22 ,$247.22 ,$266.45 ,$222.50 ,$247.22 ,$247.22 ,$247.22 ,$247.22 ST. JOSEPH'S - CHIPPEWA FALLS,30000105,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$94.93 ,$71.20 ,$7.33 ,$94.93 ,$61.13 ,$7.33 ,$66.45 ,$7.57 ,$17.17 ,$7.80 ,$13.73 ,$90.18 , N/A ,$75.94 ,$86.39 ,$7.57 ,$89.23 ,$90.18 ,$85.44 ,$80.69 ,$7.57 ,$7.57 ,$7.57 ,$69.30 ,$7.33 ,$84.49 ,$85.44 ,$85.44 ,$75.94 ,$7.55 ,$52.21 ,$85.44 ,$7.33 ,$85.44 ,$7.33 ,$90.18 ,$16.49 ,$87.34 ,$8.02 ,$86.39 ,$7.33 ,$58.42 ,$61.13 ,$58.42 ,$85.44 ,$87.89 ,$71.20 ,$44.29 ,$7.40 ,$7.95 ,$88.76 ,$7.70 ,$7.57 ,$82.59 ,$7.33 ,$85.44 ,$7.33 ,$85.44 ,$85.44 ,$85.44 ,$92.08 ,$76.89 ,$85.44 ,$85.44 ,$85.44 ,$85.44 ST. JOSEPH'S - CHIPPEWA FALLS,30000109,89230,HC SWEAT COLLECTION,300,1 ,$434.09 ,$325.57 ,$5.52 ,$434.09 ,$279.55 ,$48.19 ,$303.86 ,$11.38 ,$6.90 ,$11.72 ,$5.52 ,$412.39 , N/A ,$347.27 ,$395.02 ,$11.38 ,$408.04 ,$412.39 ,$390.68 ,$368.98 ,$11.38 ,$11.38 ,$11.38 ,$316.89 ,$48.19 ,$386.34 ,$390.68 ,$390.68 ,$347.27 ,$49.64 ,$238.75 ,$390.68 ,$48.19 ,$390.68 ,$48.19 ,$412.39 ,$108.43 ,$399.36 ,$12.06 ,$395.02 ,$48.19 ,$267.14 ,$279.55 ,$267.14 ,$390.68 ,$128.82 ,$325.57 ,$16.20 ,$48.67 ,$11.95 ,$405.87 ,$50.60 ,$11.38 ,$377.66 ,$48.19 ,$390.68 ,$48.19 ,$390.68 ,$390.68 ,$390.68 ,$421.07 ,$351.61 ,$390.68 ,$390.68 ,$390.68 ,$390.68 ST. JOSEPH'S - CHIPPEWA FALLS,30000112,89320,HC SEMEN ANALYSIS COMPLETE,300,1 ,$438.45 ,$328.84 ,$12.31 ,$438.45 ,$282.36 ,$12.31 ,$306.92 ,$12.72 ,$28.93 ,$13.10 ,$23.14 ,$416.53 , N/A ,$350.76 ,$398.99 ,$12.72 ,$412.14 ,$416.53 ,$394.61 ,$372.68 ,$12.72 ,$12.72 ,$12.72 ,$320.07 ,$12.31 ,$390.22 ,$394.61 ,$394.61 ,$350.76 ,$12.68 ,$241.15 ,$394.61 ,$12.31 ,$394.61 ,$12.31 ,$416.53 ,$27.70 ,$403.37 ,$13.48 ,$398.99 ,$12.31 ,$269.82 ,$282.36 ,$269.82 ,$394.61 ,$114.22 ,$328.84 ,$306.92 ,$12.43 ,$13.36 ,$409.95 ,$12.93 ,$12.72 ,$381.45 ,$12.31 ,$394.61 ,$12.31 ,$394.61 ,$394.61 ,$394.61 ,$425.30 ,$355.14 ,$394.61 ,$394.61 ,$394.61 ,$394.61 ST. JOSEPH'S - CHIPPEWA FALLS,30000115,99001,HC SPECIMEN HAND/CONVEY OTHER,300,1 ,$35.07 ,$26.30 ,$3.92 ,$35.07 ,$22.59 , N/A ,$24.55 ,$3.92 ,$29.11 ,$4.04 ,$23.15 ,$33.32 , N/A ,$28.06 ,$31.91 ,$3.92 ,$32.97 ,$33.32 ,$31.56 ,$29.81 ,$3.92 ,$3.92 ,$3.92 ,$25.60 , N/A ,$31.21 ,$31.56 ,$31.56 ,$28.06 , N/A ,$19.29 ,$31.56 , N/A ,$31.56 , N/A ,$33.32 , N/A ,$32.26 ,$4.16 ,$31.91 , N/A ,$21.58 ,$22.59 ,$21.58 ,$31.56 ,$25.50 ,$26.30 ,$24.55 , N/A ,$4.12 ,$32.79 , N/A ,$3.92 ,$30.51 , N/A ,$31.56 , N/A ,$31.56 ,$31.56 ,$31.56 ,$34.02 ,$28.41 ,$31.56 ,$31.56 ,$31.56 ,$31.56 ST. JOSEPH'S - CHIPPEWA FALLS,30000121,80306,HC DRUG SCREEN SGL CLASS PRESUMPTIVE INSTRMNT,300,1 ,$132.78 ,$99.59 ,$17.14 ,$132.78 ,$85.51 ,$17.14 ,$92.95 ,$17.71 ,$34.91 ,$18.24 ,$27.93 ,$126.14 , N/A ,$106.22 ,$120.83 ,$17.71 ,$124.81 ,$126.14 ,$119.50 ,$112.86 ,$17.71 ,$17.71 ,$17.71 ,$96.93 ,$17.14 ,$118.17 ,$119.50 ,$119.50 ,$106.22 ,$17.65 ,$73.03 ,$119.50 ,$17.14 ,$119.50 ,$17.14 ,$126.14 ,$38.57 ,$122.16 ,$18.77 ,$120.83 ,$17.14 ,$81.71 ,$85.51 ,$81.71 ,$119.50 ,$38.33 ,$99.59 ,$92.95 ,$17.31 ,$18.60 ,$124.15 ,$18.00 ,$17.71 ,$115.52 ,$17.14 ,$119.50 ,$17.14 ,$119.50 ,$119.50 ,$119.50 ,$128.80 ,$107.55 ,$119.50 ,$119.50 ,$119.50 ,$119.50 ST. JOSEPH'S - CHIPPEWA FALLS,30000201,86332,HC IMMUNE COMPLEX ASSAY,300,1 ,$191.53 ,$143.65 ,$24.37 ,$191.53 ,$123.35 ,$24.37 ,$134.07 ,$25.18 ,$58.50 ,$25.94 ,$46.80 ,$181.95 , N/A ,$153.22 ,$174.29 ,$25.18 ,$180.04 ,$181.95 ,$172.38 ,$162.80 ,$25.18 ,$25.18 ,$25.18 ,$139.82 ,$24.37 ,$170.46 ,$172.38 ,$172.38 ,$153.22 ,$25.10 ,$105.34 ,$172.38 ,$24.37 ,$172.38 ,$24.37 ,$181.95 ,$54.83 ,$176.21 ,$26.69 ,$174.29 ,$24.37 ,$117.87 ,$123.35 ,$117.87 ,$172.38 ,$191.53 ,$143.65 ,$150.94 ,$24.61 ,$26.44 ,$179.08 ,$25.59 ,$25.18 ,$166.63 ,$24.37 ,$172.38 ,$24.37 ,$172.38 ,$172.38 ,$172.38 ,$185.78 ,$155.14 ,$172.38 ,$172.38 ,$172.38 ,$172.38 ST. JOSEPH'S - CHIPPEWA FALLS,30000213,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$100.48 ,$75.36 ,$17.61 ,$243.95 ,$64.71 ,$108.42 ,$70.34 ,$17.61 ,$83.40 ,$18.14 ,$66.32 ,$95.46 , N/A ,$80.38 ,$91.44 ,$17.61 ,$94.45 ,$95.46 ,$90.43 ,$85.41 ,$17.61 ,$17.61 ,$17.61 ,$73.35 ,$108.42 ,$89.43 ,$90.43 ,$90.43 ,$80.38 ,$111.68 ,$55.26 ,$90.43 ,$108.42 ,$90.43 ,$108.42 ,$95.46 ,$243.95 ,$92.44 ,$18.67 ,$91.44 ,$108.42 ,$61.84 ,$64.71 ,$61.84 ,$90.43 ,$90.43 ,$75.36 ,$70.34 ,$109.51 ,$18.49 ,$93.95 ,$113.84 ,$17.61 ,$87.42 ,$108.42 ,$90.43 ,$108.42 ,$90.43 ,$90.43 ,$90.43 ,$97.47 ,$81.39 ,$90.43 ,$90.43 ,$90.43 ,$90.43 ST. JOSEPH'S - CHIPPEWA FALLS,30000214,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$100.36 ,$75.27 ,$17.61 ,$243.95 ,$64.63 ,$108.42 ,$70.25 ,$17.61 ,$83.30 ,$18.14 ,$66.24 ,$95.34 , N/A ,$80.29 ,$91.33 ,$17.61 ,$94.34 ,$95.34 ,$90.32 ,$85.31 ,$17.61 ,$17.61 ,$17.61 ,$73.26 ,$108.42 ,$89.32 ,$90.32 ,$90.32 ,$80.29 ,$111.68 ,$55.20 ,$90.32 ,$108.42 ,$90.32 ,$108.42 ,$95.34 ,$243.95 ,$92.33 ,$18.67 ,$91.33 ,$108.42 ,$61.76 ,$64.63 ,$61.76 ,$90.32 ,$90.32 ,$75.27 ,$70.25 ,$109.51 ,$18.49 ,$93.84 ,$113.84 ,$17.61 ,$87.31 ,$108.42 ,$90.32 ,$108.42 ,$90.32 ,$90.32 ,$90.32 ,$97.35 ,$81.29 ,$90.32 ,$90.32 ,$90.32 ,$90.32 ST. JOSEPH'S - CHIPPEWA FALLS,30000215,81510,HC FETAL CONG ABNORMAL AFP/UE3/HCG,300,1 ,$138.85 ,$104.14 ,$44.43 ,$138.85 ,$89.42 ,$55.54 ,$97.20 ,$44.43 ,$138.85 ,$45.76 ,$138.85 ,$131.91 , N/A ,$111.08 ,$126.35 ,$44.43 ,$130.52 ,$131.91 ,$124.97 ,$118.02 ,$44.43 ,$44.43 ,$44.43 ,$101.36 ,$55.54 ,$123.58 ,$124.97 ,$124.97 ,$111.08 ,$57.21 ,$76.37 ,$124.97 ,$55.54 ,$124.97 ,$55.54 ,$131.91 ,$124.97 ,$127.74 ,$47.10 ,$126.35 ,$55.54 ,$85.45 ,$89.42 ,$85.45 ,$124.97 ,$105.41 ,$104.14 ,$124.97 ,$56.10 ,$46.65 ,$129.82 ,$58.32 ,$44.43 ,$120.80 ,$55.54 ,$124.97 ,$55.54 ,$124.97 ,$124.97 ,$124.97 ,$134.68 ,$112.47 ,$124.97 ,$124.97 ,$124.97 ,$124.97 ST. JOSEPH'S - CHIPPEWA FALLS,30000216,81511,HC FETAL CONG ABNORMAL AFP/UE3/HCG/DIA,300,1 ,$383.75 ,$287.81 ,$122.80 ,$383.75 ,$247.14 ,$153.50 ,$268.63 ,$122.80 ,$383.75 ,$126.48 ,$383.75 ,$364.56 , N/A ,$307.00 ,$349.21 ,$122.80 ,$360.73 ,$364.56 ,$345.38 ,$326.19 ,$122.80 ,$122.80 ,$122.80 ,$280.14 ,$153.50 ,$341.54 ,$345.38 ,$345.38 ,$307.00 ,$158.11 ,$211.06 ,$345.38 ,$153.50 ,$345.38 ,$153.50 ,$364.56 ,$345.38 ,$353.05 ,$130.17 ,$349.21 ,$153.50 ,$236.16 ,$247.14 ,$236.16 ,$345.38 ,$291.60 ,$287.81 ,$345.38 ,$155.04 ,$128.94 ,$358.81 ,$161.18 ,$122.80 ,$333.86 ,$153.50 ,$345.38 ,$153.50 ,$345.38 ,$345.38 ,$345.38 ,$372.24 ,$310.84 ,$345.38 ,$345.38 ,$345.38 ,$345.38 ST. JOSEPH'S - CHIPPEWA FALLS,30000217,86005,HC RAST ALLERGEN MULTI QL,300,1 ,$134.84 ,$101.13 ,$7.97 ,$134.84 ,$86.84 ,$7.97 ,$94.39 ,$8.24 ,$19.13 ,$8.49 ,$15.30 ,$128.10 , N/A ,$107.87 ,$122.70 ,$8.24 ,$126.75 ,$128.10 ,$121.36 ,$114.61 ,$8.24 ,$8.24 ,$8.24 ,$98.43 ,$7.97 ,$120.01 ,$121.36 ,$121.36 ,$107.87 ,$8.21 ,$74.16 ,$121.36 ,$7.97 ,$121.36 ,$7.97 ,$128.10 ,$17.93 ,$124.05 ,$8.73 ,$122.70 ,$7.97 ,$82.98 ,$86.84 ,$82.98 ,$121.36 ,$34.07 ,$101.13 ,$49.36 ,$8.05 ,$8.65 ,$126.08 ,$8.37 ,$8.24 ,$117.31 ,$7.97 ,$121.36 ,$7.97 ,$121.36 ,$121.36 ,$121.36 ,$130.79 ,$109.22 ,$121.36 ,$121.36 ,$121.36 ,$121.36 ST. JOSEPH'S - CHIPPEWA FALLS,30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$538.58 ,$403.94 ,$8.01 ,$538.58 ,$346.85 ,$144.46 ,$377.01 ,$8.01 ,$33.02 ,$8.25 ,$26.42 ,$511.65 , N/A ,$430.86 ,$490.11 ,$8.01 ,$506.27 ,$511.65 ,$484.72 ,$457.79 ,$8.01 ,$8.01 ,$8.01 ,$393.16 ,$144.46 ,$479.34 ,$484.72 ,$484.72 ,$430.86 ,$148.80 ,$296.22 ,$484.72 ,$144.46 ,$484.72 ,$144.46 ,$511.65 ,$325.04 ,$495.49 ,$8.49 ,$490.11 ,$144.46 ,$331.44 ,$346.85 ,$331.44 ,$484.72 ,$64.67 ,$403.94 ,$377.01 ,$145.91 ,$8.41 ,$503.57 ,$151.68 ,$8.01 ,$468.56 ,$144.46 ,$484.72 ,$144.46 ,$484.72 ,$484.72 ,$484.72 ,$522.42 ,$436.25 ,$484.72 ,$484.72 ,$484.72 ,$484.72 ST. JOSEPH'S - CHIPPEWA FALLS,30000219,86970,HC RBC PRETREAT CHEM,300,1 ,$95.38 ,$71.54 ,$8.01 ,$95.38 ,$61.42 ,$32.77 ,$66.77 ,$8.01 ,$48.04 ,$8.25 ,$38.43 ,$90.61 , N/A ,$76.30 ,$86.80 ,$8.01 ,$89.66 ,$90.61 ,$85.84 ,$81.07 ,$8.01 ,$8.01 ,$8.01 ,$69.63 ,$32.77 ,$84.89 ,$85.84 ,$85.84 ,$76.30 ,$33.76 ,$52.46 ,$85.84 ,$32.77 ,$85.84 ,$32.77 ,$90.61 ,$73.74 ,$87.75 ,$8.49 ,$86.80 ,$32.77 ,$58.70 ,$61.42 ,$58.70 ,$85.84 ,$60.39 ,$71.54 ,$66.77 ,$33.10 ,$8.41 ,$89.18 ,$34.41 ,$8.01 ,$82.98 ,$32.77 ,$85.84 ,$32.77 ,$85.84 ,$85.84 ,$85.84 ,$92.52 ,$77.26 ,$85.84 ,$85.84 ,$85.84 ,$85.84 ST. JOSEPH'S - CHIPPEWA FALLS,30000220,86971,HC RBC PRETREAT ENZYME,300,1 ,$538.58 ,$403.94 ,$8.01 ,$634.69 ,$346.85 ,$282.09 ,$377.01 ,$8.01 ,$38.43 ,$8.25 ,$30.74 ,$511.65 , N/A ,$430.86 ,$490.11 ,$8.01 ,$506.27 ,$511.65 ,$484.72 ,$457.79 ,$8.01 ,$8.01 ,$8.01 ,$393.16 ,$282.09 ,$479.34 ,$484.72 ,$484.72 ,$430.86 ,$290.55 ,$296.22 ,$484.72 ,$282.09 ,$484.72 ,$282.09 ,$511.65 ,$634.69 ,$495.49 ,$8.49 ,$490.11 ,$282.09 ,$331.44 ,$346.85 ,$331.44 ,$484.72 ,$40.85 ,$403.94 ,$377.01 ,$284.91 ,$8.41 ,$503.57 ,$296.19 ,$8.01 ,$468.56 ,$282.09 ,$484.72 ,$282.09 ,$484.72 ,$484.72 ,$484.72 ,$522.42 ,$436.25 ,$484.72 ,$484.72 ,$484.72 ,$484.72 ST. JOSEPH'S - CHIPPEWA FALLS,30000222,89050,HC BODY FLUID CELL COUNT,300,1 ,$96.28 ,$72.21 ,$4.72 ,$96.28 ,$62.00 ,$4.72 ,$67.40 ,$4.88 ,$11.34 ,$5.03 ,$9.07 ,$91.47 , N/A ,$77.02 ,$87.61 ,$4.88 ,$90.50 ,$91.47 ,$86.65 ,$81.84 ,$4.88 ,$4.88 ,$4.88 ,$70.28 ,$4.72 ,$85.69 ,$86.65 ,$86.65 ,$77.02 ,$4.86 ,$52.95 ,$86.65 ,$4.72 ,$86.65 ,$4.72 ,$91.47 ,$10.62 ,$88.58 ,$5.17 ,$87.61 ,$4.72 ,$59.25 ,$62.00 ,$59.25 ,$86.65 ,$76.87 ,$72.21 ,$29.25 ,$4.77 ,$5.12 ,$90.02 ,$4.96 ,$4.88 ,$83.76 ,$4.72 ,$86.65 ,$4.72 ,$86.65 ,$86.65 ,$86.65 ,$93.39 ,$77.99 ,$86.65 ,$86.65 ,$86.65 ,$86.65 ST. JOSEPH'S - CHIPPEWA FALLS,30000223,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$114.60 ,$85.95 ,$5.60 ,$114.60 ,$73.80 ,$5.60 ,$80.22 ,$5.79 ,$13.21 ,$5.96 ,$10.57 ,$108.87 , N/A ,$91.68 ,$104.29 ,$5.79 ,$107.72 ,$108.87 ,$103.14 ,$97.41 ,$5.79 ,$5.79 ,$5.79 ,$83.66 ,$5.60 ,$101.99 ,$103.14 ,$103.14 ,$91.68 ,$5.77 ,$63.03 ,$103.14 ,$5.60 ,$103.14 ,$5.60 ,$108.87 ,$12.60 ,$105.43 ,$6.14 ,$104.29 ,$5.60 ,$70.52 ,$73.80 ,$70.52 ,$103.14 ,$87.89 ,$85.95 ,$34.11 ,$5.66 ,$6.08 ,$107.15 ,$5.88 ,$5.79 ,$99.70 ,$5.60 ,$103.14 ,$5.60 ,$103.14 ,$103.14 ,$103.14 ,$111.16 ,$92.83 ,$103.14 ,$103.14 ,$103.14 ,$103.14 ST. JOSEPH'S - CHIPPEWA FALLS,30000224,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$59.56 ,$44.67 ,$4.27 ,$59.56 ,$38.36 ,$4.27 ,$41.69 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$56.58 , N/A ,$47.65 ,$54.20 ,$4.41 ,$55.99 ,$56.58 ,$53.60 ,$50.63 ,$4.41 ,$4.41 ,$4.41 ,$43.48 ,$4.27 ,$53.01 ,$53.60 ,$53.60 ,$47.65 ,$4.40 ,$32.76 ,$53.60 ,$4.27 ,$53.60 ,$4.27 ,$56.58 ,$9.61 ,$54.80 ,$4.67 ,$54.20 ,$4.27 ,$36.65 ,$38.36 ,$36.65 ,$53.60 ,$14.13 ,$44.67 ,$26.44 ,$4.31 ,$4.63 ,$55.69 ,$4.48 ,$4.41 ,$51.82 ,$4.27 ,$53.60 ,$4.27 ,$53.60 ,$53.60 ,$53.60 ,$57.77 ,$48.24 ,$53.60 ,$53.60 ,$53.60 ,$53.60 ST. JOSEPH'S - CHIPPEWA FALLS,30000225,89190,HC SMEAR NASAL EOSINOPHILS,300,1 ,$74.29 ,$55.72 ,$5.79 ,$74.29 ,$47.84 ,$5.79 ,$52.00 ,$5.98 ,$11.39 ,$6.16 ,$9.11 ,$70.58 , N/A ,$59.43 ,$67.60 ,$5.98 ,$69.83 ,$70.58 ,$66.86 ,$63.15 ,$5.98 ,$5.98 ,$5.98 ,$54.23 ,$5.79 ,$66.12 ,$66.86 ,$66.86 ,$59.43 ,$5.96 ,$40.86 ,$66.86 ,$5.79 ,$66.86 ,$5.79 ,$70.58 ,$13.03 ,$68.35 ,$6.34 ,$67.60 ,$5.79 ,$45.72 ,$47.84 ,$45.72 ,$66.86 ,$32.94 ,$55.72 ,$29.40 ,$5.85 ,$6.28 ,$69.46 ,$6.08 ,$5.98 ,$64.63 ,$5.79 ,$66.86 ,$5.79 ,$66.86 ,$66.86 ,$66.86 ,$72.06 ,$60.17 ,$66.86 ,$66.86 ,$66.86 ,$66.86 ST. JOSEPH'S - CHIPPEWA FALLS,30000226,89320,HC SEMEN ANALYSIS COMPLETE,300,1 ,$438.45 ,$328.84 ,$12.31 ,$438.45 ,$282.36 ,$12.31 ,$306.92 ,$12.72 ,$28.93 ,$13.10 ,$23.14 ,$416.53 , N/A ,$350.76 ,$398.99 ,$12.72 ,$412.14 ,$416.53 ,$394.61 ,$372.68 ,$12.72 ,$12.72 ,$12.72 ,$320.07 ,$12.31 ,$390.22 ,$394.61 ,$394.61 ,$350.76 ,$12.68 ,$241.15 ,$394.61 ,$12.31 ,$394.61 ,$12.31 ,$416.53 ,$27.70 ,$403.37 ,$13.48 ,$398.99 ,$12.31 ,$269.82 ,$282.36 ,$269.82 ,$394.61 ,$114.22 ,$328.84 ,$306.92 ,$12.43 ,$13.36 ,$409.95 ,$12.93 ,$12.72 ,$381.45 ,$12.31 ,$394.61 ,$12.31 ,$394.61 ,$394.61 ,$394.61 ,$425.30 ,$355.14 ,$394.61 ,$394.61 ,$394.61 ,$394.61 ST. JOSEPH'S - CHIPPEWA FALLS,30000227,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$200.24 ,$150.18 ,$12.05 ,$200.24 ,$128.95 ,$12.05 ,$140.17 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$190.23 , N/A ,$160.19 ,$182.22 ,$12.45 ,$188.23 ,$190.23 ,$180.22 ,$170.20 ,$12.45 ,$12.45 ,$12.45 ,$146.18 ,$12.05 ,$178.21 ,$180.22 ,$180.22 ,$160.19 ,$12.41 ,$110.13 ,$180.22 ,$12.05 ,$180.22 ,$12.05 ,$190.23 ,$27.11 ,$184.22 ,$13.20 ,$182.22 ,$12.05 ,$123.23 ,$128.95 ,$123.23 ,$180.22 ,$32.86 ,$150.18 ,$140.17 ,$12.17 ,$13.07 ,$187.22 ,$12.65 ,$12.45 ,$174.21 ,$12.05 ,$180.22 ,$12.05 ,$180.22 ,$180.22 ,$180.22 ,$194.23 ,$162.19 ,$180.22 ,$180.22 ,$180.22 ,$180.22 ST. JOSEPH'S - CHIPPEWA FALLS,30000228,86078,HC INVESTIGATE TRANSFSN REACTION,300,1 ,$322.95 ,$242.21 ,$8.01 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$8.01 ,$97.09 ,$8.25 ,$77.67 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.01 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.01 ,$8.01 ,$8.01 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$8.49 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$147.57 ,$242.21 ,$259.30 ,$145.91 ,$8.41 ,$301.96 ,$151.68 ,$8.01 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,30000232,G0482,HC UA DRUG COLLECTION FEE LEVEL 2,300,1 ,$29.49 ,$22.12 ,$16.22 ,$66.35 ,$18.99 ,$29.49 ,$20.64 ,$29.49 ,$29.49 ,$30.37 ,$29.49 ,$28.02 , N/A ,$23.59 ,$26.84 ,$29.49 ,$27.72 ,$28.02 ,$26.54 ,$25.07 ,$29.49 ,$29.49 ,$29.49 ,$21.53 ,$29.49 ,$26.25 ,$26.54 ,$26.54 ,$23.59 ,$30.37 ,$16.22 ,$26.54 ,$29.49 ,$26.54 ,$29.49 ,$28.02 ,$66.35 ,$27.13 ,$31.26 ,$26.84 ,$29.49 ,$18.15 ,$18.99 ,$18.15 ,$26.54 ,$26.54 ,$22.12 ,$26.54 ,$29.78 ,$30.96 ,$27.57 ,$30.96 ,$29.49 ,$25.66 ,$29.49 ,$26.54 ,$29.49 ,$26.54 ,$26.54 ,$26.54 ,$28.61 ,$23.89 ,$26.54 ,$26.54 ,$26.54 ,$26.54 ST. JOSEPH'S - CHIPPEWA FALLS,30000233,G0483,HC UA DRUG COLLECTION FEE LEVEL 3,300,1 ,$40.00 ,$30.00 ,$22.00 ,$90.00 ,$25.76 ,$40.00 ,$28.00 ,$40.00 ,$40.00 ,$41.20 ,$40.00 ,$38.00 , N/A ,$32.00 ,$36.40 ,$40.00 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$40.00 ,$40.00 ,$40.00 ,$29.20 ,$40.00 ,$35.60 ,$36.00 ,$36.00 ,$32.00 ,$41.20 ,$22.00 ,$36.00 ,$40.00 ,$36.00 ,$40.00 ,$38.00 ,$90.00 ,$36.80 ,$42.40 ,$36.40 ,$40.00 ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$36.00 ,$30.00 ,$36.00 ,$40.40 ,$42.00 ,$37.40 ,$42.00 ,$40.00 ,$34.80 ,$40.00 ,$36.00 ,$40.00 ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 ST. JOSEPH'S - CHIPPEWA FALLS,30000234,80307,HC KIT RAPID DRUG TEST 10 PANEL,300,1 ,$60.00 ,$45.00 ,$33.00 ,$135.00 ,$38.64 ,$60.00 ,$42.00 ,$60.00 ,$60.00 ,$61.80 ,$60.00 ,$57.00 , N/A ,$48.00 ,$54.60 ,$60.00 ,$56.40 ,$57.00 ,$54.00 ,$51.00 ,$60.00 ,$60.00 ,$60.00 ,$43.80 ,$60.00 ,$53.40 ,$54.00 ,$54.00 ,$48.00 ,$61.80 ,$33.00 ,$54.00 ,$60.00 ,$54.00 ,$60.00 ,$57.00 ,$135.00 ,$55.20 ,$63.60 ,$54.60 ,$60.00 ,$36.92 ,$38.64 ,$36.92 ,$54.00 ,$60.00 ,$45.00 ,$42.00 ,$60.60 ,$63.00 ,$56.10 ,$63.00 ,$60.00 ,$52.20 ,$60.00 ,$54.00 ,$60.00 ,$54.00 ,$54.00 ,$54.00 ,$58.20 ,$48.60 ,$54.00 ,$54.00 ,$54.00 ,$54.00 ST. JOSEPH'S - CHIPPEWA FALLS,30000235,N/A,HC KIT RAPID DRUG TEST MRO,300,1 ,$60.00 ,$45.00 ,$33.00 ,$60.00 ,$38.64 , N/A ,$42.00 , N/A ,$49.80 , N/A ,$39.60 ,$57.00 , N/A ,$48.00 ,$54.60 , N/A ,$56.40 ,$57.00 ,$54.00 ,$51.00 , N/A , N/A , N/A ,$43.80 , N/A ,$53.40 ,$54.00 ,$54.00 ,$48.00 , N/A ,$33.00 ,$54.00 , N/A ,$54.00 , N/A ,$57.00 , N/A ,$55.20 , N/A ,$54.60 , N/A ,$36.92 ,$38.64 ,$36.92 ,$54.00 ,$54.00 ,$45.00 ,$42.00 , N/A , N/A ,$56.10 , N/A , N/A ,$52.20 , N/A ,$54.00 , N/A ,$54.00 ,$54.00 ,$54.00 ,$58.20 ,$48.60 ,$54.00 ,$54.00 ,$54.00 ,$54.00 ST. JOSEPH'S - CHIPPEWA FALLS,30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$228.72 ,$171.54 ,$8.46 ,$228.72 ,$147.30 ,$8.46 ,$160.10 ,$8.74 ,$20.30 ,$9.00 ,$16.24 ,$217.28 , N/A ,$182.98 ,$208.14 ,$8.74 ,$215.00 ,$217.28 ,$205.85 ,$194.41 ,$8.74 ,$8.74 ,$8.74 ,$166.97 ,$8.46 ,$203.56 ,$205.85 ,$205.85 ,$182.98 ,$8.71 ,$125.80 ,$205.85 ,$8.46 ,$205.85 ,$8.46 ,$217.28 ,$19.04 ,$210.42 ,$9.26 ,$208.14 ,$8.46 ,$140.75 ,$147.30 ,$140.75 ,$205.85 ,$32.65 ,$171.54 ,$52.37 ,$8.54 ,$9.18 ,$213.85 ,$8.88 ,$8.74 ,$198.99 ,$8.46 ,$205.85 ,$8.46 ,$205.85 ,$205.85 ,$205.85 ,$221.86 ,$185.26 ,$205.85 ,$205.85 ,$205.85 ,$205.85 ST. JOSEPH'S - CHIPPEWA FALLS,30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$204.24 ,$153.18 ,$7.01 ,$204.24 ,$131.53 ,$7.01 ,$142.97 ,$7.24 ,$16.84 ,$7.46 ,$13.47 ,$194.03 , N/A ,$163.39 ,$185.86 ,$7.24 ,$191.99 ,$194.03 ,$183.82 ,$173.60 ,$7.24 ,$7.24 ,$7.24 ,$149.10 ,$7.01 ,$181.77 ,$183.82 ,$183.82 ,$163.39 ,$7.22 ,$112.33 ,$183.82 ,$7.01 ,$183.82 ,$7.01 ,$194.03 ,$15.77 ,$187.90 ,$7.67 ,$185.86 ,$7.01 ,$125.69 ,$131.53 ,$125.69 ,$183.82 ,$51.87 ,$153.18 ,$43.44 ,$7.08 ,$7.60 ,$190.96 ,$7.36 ,$7.24 ,$177.69 ,$7.01 ,$183.82 ,$7.01 ,$183.82 ,$183.82 ,$183.82 ,$198.11 ,$165.43 ,$183.82 ,$183.82 ,$183.82 ,$183.82 ST. JOSEPH'S - CHIPPEWA FALLS,30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$315.54 ,$236.66 ,$10.56 ,$315.54 ,$203.21 ,$10.56 ,$220.88 ,$10.91 ,$25.36 ,$11.24 ,$20.29 ,$299.76 , N/A ,$252.43 ,$287.14 ,$10.91 ,$296.61 ,$299.76 ,$283.99 ,$268.21 ,$10.91 ,$10.91 ,$10.91 ,$230.34 ,$10.56 ,$280.83 ,$283.99 ,$283.99 ,$252.43 ,$10.88 ,$173.55 ,$283.99 ,$10.56 ,$283.99 ,$10.56 ,$299.76 ,$23.76 ,$290.30 ,$11.56 ,$287.14 ,$10.56 ,$194.18 ,$203.21 ,$194.18 ,$283.99 ,$40.83 ,$236.66 ,$65.41 ,$10.67 ,$11.46 ,$295.03 ,$11.09 ,$10.91 ,$274.52 ,$10.56 ,$283.99 ,$10.56 ,$283.99 ,$283.99 ,$283.99 ,$306.07 ,$255.59 ,$283.99 ,$283.99 ,$283.99 ,$283.99 ST. JOSEPH'S - CHIPPEWA FALLS,30100107,80061,HC LIPID PANEL,301,1 ,$248.79 ,$186.59 ,$13.39 ,$248.79 ,$160.22 ,$13.39 ,$174.15 ,$13.84 ,$32.15 ,$14.26 ,$25.72 ,$236.35 , N/A ,$199.03 ,$226.40 ,$13.84 ,$233.86 ,$236.35 ,$223.91 ,$211.47 ,$13.84 ,$13.84 ,$13.84 ,$181.62 ,$13.39 ,$221.42 ,$223.91 ,$223.91 ,$199.03 ,$13.79 ,$136.83 ,$223.91 ,$13.39 ,$223.91 ,$13.39 ,$236.35 ,$30.13 ,$228.89 ,$14.67 ,$226.40 ,$13.39 ,$153.11 ,$160.22 ,$153.11 ,$223.91 ,$74.23 ,$186.59 ,$82.92 ,$13.52 ,$14.53 ,$232.62 ,$14.06 ,$13.84 ,$216.45 ,$13.39 ,$223.91 ,$13.39 ,$223.91 ,$223.91 ,$223.91 ,$241.33 ,$201.52 ,$223.91 ,$223.91 ,$223.91 ,$223.91 ST. JOSEPH'S - CHIPPEWA FALLS,30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$196.52 ,$147.39 ,$8.17 ,$196.52 ,$126.56 ,$8.17 ,$137.56 ,$8.44 ,$19.62 ,$8.69 ,$15.69 ,$186.69 , N/A ,$157.22 ,$178.83 ,$8.44 ,$184.73 ,$186.69 ,$176.87 ,$167.04 ,$8.44 ,$8.44 ,$8.44 ,$143.46 ,$8.17 ,$174.90 ,$176.87 ,$176.87 ,$157.22 ,$8.42 ,$108.09 ,$176.87 ,$8.17 ,$176.87 ,$8.17 ,$186.69 ,$18.38 ,$180.80 ,$8.95 ,$178.83 ,$8.17 ,$120.94 ,$126.56 ,$120.94 ,$176.87 ,$31.65 ,$147.39 ,$50.62 ,$8.25 ,$8.86 ,$183.75 ,$8.58 ,$8.44 ,$170.97 ,$8.17 ,$176.87 ,$8.17 ,$176.87 ,$176.87 ,$176.87 ,$190.62 ,$159.18 ,$176.87 ,$176.87 ,$176.87 ,$176.87 ST. JOSEPH'S - CHIPPEWA FALLS,30100115,80346,HC BENZODIAZEPINE GC/MS,301,1 ,$62.22 ,$46.67 ,$3.23 ,$62.22 ,$40.07 , N/A ,$43.55 ,$3.23 ,$41.42 ,$3.33 ,$33.14 ,$59.11 , N/A ,$49.78 ,$56.62 ,$3.23 ,$58.49 ,$59.11 ,$56.00 ,$52.89 ,$3.23 ,$3.23 ,$3.23 ,$45.42 , N/A ,$55.38 ,$56.00 ,$56.00 ,$49.78 , N/A ,$34.22 ,$56.00 , N/A ,$56.00 , N/A ,$59.11 , N/A ,$57.24 ,$3.42 ,$56.62 , N/A ,$38.29 ,$40.07 ,$38.29 ,$56.00 ,$47.23 ,$46.67 ,$43.55 , N/A ,$3.39 ,$58.18 , N/A ,$3.23 ,$54.13 , N/A ,$56.00 , N/A ,$56.00 ,$56.00 ,$56.00 ,$60.35 ,$50.40 ,$56.00 ,$56.00 ,$56.00 ,$56.00 ST. JOSEPH'S - CHIPPEWA FALLS,30100116,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$165.16 ,$123.87 ,$14.57 ,$165.16 ,$106.36 ,$14.57 ,$115.61 ,$15.06 ,$34.97 ,$15.51 ,$27.97 ,$156.90 , N/A ,$132.13 ,$150.30 ,$15.06 ,$155.25 ,$156.90 ,$148.64 ,$140.39 ,$15.06 ,$15.06 ,$15.06 ,$120.57 ,$14.57 ,$146.99 ,$148.64 ,$148.64 ,$132.13 ,$15.01 ,$90.84 ,$148.64 ,$14.57 ,$148.64 ,$14.57 ,$156.90 ,$32.78 ,$151.95 ,$15.96 ,$150.30 ,$14.57 ,$101.64 ,$106.36 ,$101.64 ,$148.64 ,$88.52 ,$123.87 ,$90.19 ,$14.72 ,$15.81 ,$154.42 ,$15.30 ,$15.06 ,$143.69 ,$14.57 ,$148.64 ,$14.57 ,$148.64 ,$148.64 ,$148.64 ,$160.21 ,$133.78 ,$148.64 ,$148.64 ,$148.64 ,$148.64 ST. JOSEPH'S - CHIPPEWA FALLS,30100117,80157,HC CARBAMAZEPINE FREE,301,1 ,$72.20 ,$54.15 ,$13.25 ,$72.20 ,$46.50 ,$13.25 ,$50.54 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$68.59 , N/A ,$57.76 ,$65.70 ,$13.69 ,$67.87 ,$68.59 ,$64.98 ,$61.37 ,$13.69 ,$13.69 ,$13.69 ,$52.71 ,$13.25 ,$64.26 ,$64.98 ,$64.98 ,$57.76 ,$13.65 ,$39.71 ,$64.98 ,$13.25 ,$64.98 ,$13.25 ,$68.59 ,$29.81 ,$66.42 ,$14.51 ,$65.70 ,$13.25 ,$44.43 ,$46.50 ,$44.43 ,$64.98 ,$50.27 ,$54.15 ,$64.98 ,$13.38 ,$14.37 ,$67.51 ,$13.91 ,$13.69 ,$62.81 ,$13.25 ,$64.98 ,$13.25 ,$64.98 ,$64.98 ,$64.98 ,$70.03 ,$58.48 ,$64.98 ,$64.98 ,$64.98 ,$64.98 ST. JOSEPH'S - CHIPPEWA FALLS,30100118,80158,HC CYCLOSPORINE,301,1 ,$112.27 ,$84.20 ,$18.05 ,$112.27 ,$72.30 ,$18.05 ,$78.59 ,$18.65 ,$43.33 ,$19.21 ,$34.66 ,$106.66 , N/A ,$89.82 ,$102.17 ,$18.65 ,$105.53 ,$106.66 ,$101.04 ,$95.43 ,$18.65 ,$18.65 ,$18.65 ,$81.96 ,$18.05 ,$99.92 ,$101.04 ,$101.04 ,$89.82 ,$18.59 ,$61.75 ,$101.04 ,$18.05 ,$101.04 ,$18.05 ,$106.66 ,$40.61 ,$103.29 ,$19.77 ,$102.17 ,$18.05 ,$69.09 ,$72.30 ,$69.09 ,$101.04 ,$96.21 ,$84.20 ,$101.04 ,$18.23 ,$19.58 ,$104.97 ,$18.95 ,$18.65 ,$97.67 ,$18.05 ,$101.04 ,$18.05 ,$101.04 ,$101.04 ,$101.04 ,$108.90 ,$90.94 ,$101.04 ,$101.04 ,$101.04 ,$101.04 ST. JOSEPH'S - CHIPPEWA FALLS,30100120,80162,HC DIGOXIN LEVELS,301,1 ,$192.95 ,$144.71 ,$13.28 ,$192.95 ,$124.26 ,$13.28 ,$135.07 ,$13.72 ,$31.87 ,$14.13 ,$25.49 ,$183.30 , N/A ,$154.36 ,$175.58 ,$13.72 ,$181.37 ,$183.30 ,$173.66 ,$164.01 ,$13.72 ,$13.72 ,$13.72 ,$140.85 ,$13.28 ,$171.73 ,$173.66 ,$173.66 ,$154.36 ,$13.68 ,$106.12 ,$173.66 ,$13.28 ,$173.66 ,$13.28 ,$183.30 ,$29.88 ,$177.51 ,$14.54 ,$175.58 ,$13.28 ,$118.74 ,$124.26 ,$118.74 ,$173.66 ,$82.56 ,$144.71 ,$82.22 ,$13.41 ,$14.41 ,$180.41 ,$13.94 ,$13.72 ,$167.87 ,$13.28 ,$173.66 ,$13.28 ,$173.66 ,$173.66 ,$173.66 ,$187.16 ,$156.29 ,$173.66 ,$173.66 ,$173.66 ,$173.66 ST. JOSEPH'S - CHIPPEWA FALLS,30100121,80164,HC VALPROIC ACID,301,1 ,$74.46 ,$55.85 ,$13.54 ,$74.46 ,$47.95 ,$13.54 ,$52.12 ,$13.99 ,$32.52 ,$14.41 ,$26.01 ,$70.74 , N/A ,$59.57 ,$67.76 ,$13.99 ,$69.99 ,$70.74 ,$67.01 ,$63.29 ,$13.99 ,$13.99 ,$13.99 ,$54.36 ,$13.54 ,$66.27 ,$67.01 ,$67.01 ,$59.57 ,$13.95 ,$40.95 ,$67.01 ,$13.54 ,$67.01 ,$13.54 ,$70.74 ,$30.47 ,$68.50 ,$14.83 ,$67.76 ,$13.54 ,$45.82 ,$47.95 ,$45.82 ,$67.01 ,$74.46 ,$55.85 ,$67.01 ,$13.68 ,$14.69 ,$69.62 ,$14.22 ,$13.99 ,$64.78 ,$13.54 ,$67.01 ,$13.54 ,$67.01 ,$67.01 ,$67.01 ,$72.23 ,$60.31 ,$67.01 ,$67.01 ,$67.01 ,$67.01 ST. JOSEPH'S - CHIPPEWA FALLS,30100124,80170,HC GENTAMICIN,301,1 ,$198.65 ,$148.99 ,$16.38 ,$198.65 ,$127.93 ,$16.38 ,$139.06 ,$16.93 ,$39.32 ,$17.44 ,$31.46 ,$188.72 , N/A ,$158.92 ,$180.77 ,$16.93 ,$186.73 ,$188.72 ,$178.79 ,$168.85 ,$16.93 ,$16.93 ,$16.93 ,$145.01 ,$16.38 ,$176.80 ,$178.79 ,$178.79 ,$158.92 ,$16.87 ,$109.26 ,$178.79 ,$16.38 ,$178.79 ,$16.38 ,$188.72 ,$36.86 ,$182.76 ,$17.95 ,$180.77 ,$16.38 ,$122.25 ,$127.93 ,$122.25 ,$178.79 ,$112.00 ,$148.99 ,$101.43 ,$16.54 ,$17.78 ,$185.74 ,$17.20 ,$16.93 ,$172.83 ,$16.38 ,$178.79 ,$16.38 ,$178.79 ,$178.79 ,$178.79 ,$192.69 ,$160.91 ,$178.79 ,$178.79 ,$178.79 ,$178.79 ST. JOSEPH'S - CHIPPEWA FALLS,30100126,80176,HC LIDOCAINE,301,1 ,$177.89 ,$133.42 ,$14.69 ,$177.89 ,$114.56 ,$14.69 ,$124.52 ,$15.18 ,$35.26 ,$15.64 ,$28.21 ,$169.00 , N/A ,$142.31 ,$161.88 ,$15.18 ,$167.22 ,$169.00 ,$160.10 ,$151.21 ,$15.18 ,$15.18 ,$15.18 ,$129.86 ,$14.69 ,$158.32 ,$160.10 ,$160.10 ,$142.31 ,$15.13 ,$97.84 ,$160.10 ,$14.69 ,$160.10 ,$14.69 ,$169.00 ,$33.05 ,$163.66 ,$16.09 ,$161.88 ,$14.69 ,$109.47 ,$114.56 ,$109.47 ,$160.10 ,$88.52 ,$133.42 ,$91.00 ,$14.84 ,$15.94 ,$166.33 ,$15.42 ,$15.18 ,$154.76 ,$14.69 ,$160.10 ,$14.69 ,$160.10 ,$160.10 ,$160.10 ,$172.55 ,$144.09 ,$160.10 ,$160.10 ,$160.10 ,$160.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100127,80178,HC LITHIUM,301,1 ,$72.56 ,$54.42 ,$6.61 ,$72.56 ,$46.73 ,$6.61 ,$50.79 ,$6.83 ,$15.87 ,$7.03 ,$12.70 ,$68.93 , N/A ,$58.05 ,$66.03 ,$6.83 ,$68.21 ,$68.93 ,$65.30 ,$61.68 ,$6.83 ,$6.83 ,$6.83 ,$52.97 ,$6.61 ,$64.58 ,$65.30 ,$65.30 ,$58.05 ,$6.81 ,$39.91 ,$65.30 ,$6.61 ,$65.30 ,$6.61 ,$68.93 ,$14.87 ,$66.76 ,$7.24 ,$66.03 ,$6.61 ,$44.65 ,$46.73 ,$44.65 ,$65.30 ,$44.14 ,$54.42 ,$40.93 ,$6.68 ,$7.17 ,$67.84 ,$6.94 ,$6.83 ,$63.13 ,$6.61 ,$65.30 ,$6.61 ,$65.30 ,$65.30 ,$65.30 ,$70.38 ,$58.77 ,$65.30 ,$65.30 ,$65.30 ,$65.30 ST. JOSEPH'S - CHIPPEWA FALLS,30100129,80184,HC PHENOBARBITAL,301,1 ,$86.92 ,$65.19 ,$15.30 ,$86.92 ,$55.98 ,$15.30 ,$60.84 ,$15.81 ,$27.49 ,$16.28 ,$21.99 ,$82.57 , N/A ,$69.54 ,$79.10 ,$15.81 ,$81.70 ,$82.57 ,$78.23 ,$73.88 ,$15.81 ,$15.81 ,$15.81 ,$63.45 ,$15.30 ,$77.36 ,$78.23 ,$78.23 ,$69.54 ,$15.76 ,$47.81 ,$78.23 ,$15.30 ,$78.23 ,$15.30 ,$82.57 ,$34.43 ,$79.97 ,$16.76 ,$79.10 ,$15.30 ,$53.49 ,$55.98 ,$53.49 ,$78.23 ,$86.92 ,$65.19 ,$76.75 ,$15.45 ,$16.60 ,$81.27 ,$16.07 ,$15.81 ,$75.62 ,$15.30 ,$78.23 ,$15.30 ,$78.23 ,$78.23 ,$78.23 ,$84.31 ,$70.41 ,$78.23 ,$78.23 ,$78.23 ,$78.23 ST. JOSEPH'S - CHIPPEWA FALLS,30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$145.22 ,$108.92 ,$13.25 ,$145.22 ,$93.52 ,$13.25 ,$101.65 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$137.96 , N/A ,$116.18 ,$132.15 ,$13.69 ,$136.51 ,$137.96 ,$130.70 ,$123.44 ,$13.69 ,$13.69 ,$13.69 ,$106.01 ,$13.25 ,$129.25 ,$130.70 ,$130.70 ,$116.18 ,$13.65 ,$79.87 ,$130.70 ,$13.25 ,$130.70 ,$13.25 ,$137.96 ,$29.81 ,$133.60 ,$14.51 ,$132.15 ,$13.25 ,$89.37 ,$93.52 ,$89.37 ,$130.70 ,$91.14 ,$108.92 ,$82.07 ,$13.38 ,$14.37 ,$135.78 ,$13.91 ,$13.69 ,$126.34 ,$13.25 ,$130.70 ,$13.25 ,$130.70 ,$130.70 ,$130.70 ,$140.86 ,$117.63 ,$130.70 ,$130.70 ,$130.70 ,$130.70 ST. JOSEPH'S - CHIPPEWA FALLS,30100131,80186,HC PHENYTOIN FREE,301,1 ,$42.48 ,$31.86 ,$13.76 ,$42.48 ,$27.36 ,$13.76 ,$29.74 ,$14.22 ,$28.18 ,$14.65 ,$22.54 ,$40.36 , N/A ,$33.98 ,$38.66 ,$14.22 ,$39.93 ,$40.36 ,$38.23 ,$36.11 ,$14.22 ,$14.22 ,$14.22 ,$31.01 ,$13.76 ,$37.81 ,$38.23 ,$38.23 ,$33.98 ,$14.17 ,$23.36 ,$38.23 ,$13.76 ,$38.23 ,$13.76 ,$40.36 ,$30.96 ,$39.08 ,$15.07 ,$38.66 ,$13.76 ,$26.14 ,$27.36 ,$26.14 ,$38.23 ,$42.48 ,$31.86 ,$38.23 ,$13.90 ,$14.93 ,$39.72 ,$14.45 ,$14.22 ,$36.96 ,$13.76 ,$38.23 ,$13.76 ,$38.23 ,$38.23 ,$38.23 ,$41.21 ,$34.41 ,$38.23 ,$38.23 ,$38.23 ,$38.23 ST. JOSEPH'S - CHIPPEWA FALLS,30100132,80188,HC PRIMIDONE,301,1 ,$51.20 ,$38.40 ,$16.59 ,$51.20 ,$32.97 ,$16.59 ,$35.84 ,$17.14 ,$39.83 ,$17.65 ,$31.86 ,$48.64 , N/A ,$40.96 ,$46.59 ,$17.14 ,$48.13 ,$48.64 ,$46.08 ,$43.52 ,$17.14 ,$17.14 ,$17.14 ,$37.38 ,$16.59 ,$45.57 ,$46.08 ,$46.08 ,$40.96 ,$17.09 ,$28.16 ,$46.08 ,$16.59 ,$46.08 ,$16.59 ,$48.64 ,$37.33 ,$47.10 ,$18.17 ,$46.59 ,$16.59 ,$31.51 ,$32.97 ,$31.51 ,$46.08 ,$51.20 ,$38.40 ,$46.08 ,$16.76 ,$18.00 ,$47.87 ,$17.42 ,$17.14 ,$44.54 ,$16.59 ,$46.08 ,$16.59 ,$46.08 ,$46.08 ,$46.08 ,$49.66 ,$41.47 ,$46.08 ,$46.08 ,$46.08 ,$46.08 ST. JOSEPH'S - CHIPPEWA FALLS,30100133,80192,HC PROCAINEAMIDE,301,1 ,$95.85 ,$71.89 ,$16.75 ,$95.85 ,$61.73 ,$16.75 ,$67.10 ,$17.31 ,$40.22 ,$17.83 ,$32.17 ,$91.06 , N/A ,$76.68 ,$87.22 ,$17.31 ,$90.10 ,$91.06 ,$86.27 ,$81.47 ,$17.31 ,$17.31 ,$17.31 ,$69.97 ,$16.75 ,$85.31 ,$86.27 ,$86.27 ,$76.68 ,$17.25 ,$52.72 ,$86.27 ,$16.75 ,$86.27 ,$16.75 ,$91.06 ,$37.69 ,$88.18 ,$18.35 ,$87.22 ,$16.75 ,$58.99 ,$61.73 ,$58.99 ,$86.27 ,$81.28 ,$71.89 ,$86.27 ,$16.92 ,$18.18 ,$89.62 ,$17.59 ,$17.31 ,$83.39 ,$16.75 ,$86.27 ,$16.75 ,$86.27 ,$86.27 ,$86.27 ,$92.97 ,$77.64 ,$86.27 ,$86.27 ,$86.27 ,$86.27 ST. JOSEPH'S - CHIPPEWA FALLS,30100134,80194,HC QUINIDINE,301,1 ,$94.50 ,$70.88 ,$14.60 ,$94.50 ,$60.86 ,$14.60 ,$66.15 ,$15.09 ,$35.05 ,$15.54 ,$28.04 ,$89.78 , N/A ,$75.60 ,$86.00 ,$15.09 ,$88.83 ,$89.78 ,$85.05 ,$80.33 ,$15.09 ,$15.09 ,$15.09 ,$68.99 ,$14.60 ,$84.11 ,$85.05 ,$85.05 ,$75.60 ,$15.04 ,$51.98 ,$85.05 ,$14.60 ,$85.05 ,$14.60 ,$89.78 ,$32.85 ,$86.94 ,$16.00 ,$86.00 ,$14.60 ,$58.16 ,$60.86 ,$58.16 ,$85.05 ,$82.56 ,$70.88 ,$85.05 ,$14.75 ,$15.84 ,$88.36 ,$15.33 ,$15.09 ,$82.22 ,$14.60 ,$85.05 ,$14.60 ,$85.05 ,$85.05 ,$85.05 ,$91.67 ,$76.55 ,$85.05 ,$85.05 ,$85.05 ,$85.05 ST. JOSEPH'S - CHIPPEWA FALLS,30100135,80195,HC RAPAMYCIN (SIROLIMUS),301,1 ,$65.55 ,$49.16 ,$13.73 ,$65.55 ,$42.21 ,$13.73 ,$45.89 ,$14.19 ,$32.97 ,$14.62 ,$26.38 ,$62.27 , N/A ,$52.44 ,$59.65 ,$14.19 ,$61.62 ,$62.27 ,$59.00 ,$55.72 ,$14.19 ,$14.19 ,$14.19 ,$47.85 ,$13.73 ,$58.34 ,$59.00 ,$59.00 ,$52.44 ,$14.14 ,$36.05 ,$59.00 ,$13.73 ,$59.00 ,$13.73 ,$62.27 ,$30.89 ,$60.31 ,$15.04 ,$59.65 ,$13.73 ,$40.34 ,$42.21 ,$40.34 ,$59.00 ,$40.81 ,$49.16 ,$59.00 ,$13.87 ,$14.90 ,$61.29 ,$14.42 ,$14.19 ,$57.03 ,$13.73 ,$59.00 ,$13.73 ,$59.00 ,$59.00 ,$59.00 ,$63.58 ,$53.10 ,$59.00 ,$59.00 ,$59.00 ,$59.00 ST. JOSEPH'S - CHIPPEWA FALLS,30100137,80197,HC TACROLIMUS,301,1 ,$47.83 ,$35.87 ,$13.73 ,$47.83 ,$30.80 ,$13.73 ,$33.48 ,$14.19 ,$32.97 ,$14.62 ,$26.38 ,$45.44 , N/A ,$38.26 ,$43.53 ,$14.19 ,$44.96 ,$45.44 ,$43.05 ,$40.66 ,$14.19 ,$14.19 ,$14.19 ,$34.92 ,$13.73 ,$42.57 ,$43.05 ,$43.05 ,$38.26 ,$14.14 ,$26.31 ,$43.05 ,$13.73 ,$43.05 ,$13.73 ,$45.44 ,$30.89 ,$44.00 ,$15.04 ,$43.53 ,$13.73 ,$29.43 ,$30.80 ,$29.43 ,$43.05 ,$47.83 ,$35.87 ,$43.05 ,$13.87 ,$14.90 ,$44.72 ,$14.42 ,$14.19 ,$41.61 ,$13.73 ,$43.05 ,$13.73 ,$43.05 ,$43.05 ,$43.05 ,$46.40 ,$38.74 ,$43.05 ,$43.05 ,$43.05 ,$43.05 ST. JOSEPH'S - CHIPPEWA FALLS,30100138,80198,HC THEOPHYLLINE,301,1 ,$165.16 ,$123.87 ,$14.14 ,$165.16 ,$106.36 ,$14.14 ,$115.61 ,$14.61 ,$33.95 ,$15.05 ,$27.16 ,$156.90 , N/A ,$132.13 ,$150.30 ,$14.61 ,$155.25 ,$156.90 ,$148.64 ,$140.39 ,$14.61 ,$14.61 ,$14.61 ,$120.57 ,$14.14 ,$146.99 ,$148.64 ,$148.64 ,$132.13 ,$14.56 ,$90.84 ,$148.64 ,$14.14 ,$148.64 ,$14.14 ,$156.90 ,$31.82 ,$151.95 ,$15.49 ,$150.30 ,$14.14 ,$101.64 ,$106.36 ,$101.64 ,$148.64 ,$68.96 ,$123.87 ,$87.59 ,$14.28 ,$15.34 ,$154.42 ,$14.85 ,$14.61 ,$143.69 ,$14.14 ,$148.64 ,$14.14 ,$148.64 ,$148.64 ,$148.64 ,$160.21 ,$133.78 ,$148.64 ,$148.64 ,$148.64 ,$148.64 ST. JOSEPH'S - CHIPPEWA FALLS,30100139,80200,HC TOBRAMYCIN,301,1 ,$199.63 ,$149.72 ,$16.13 ,$199.63 ,$128.56 ,$16.13 ,$139.74 ,$16.67 ,$38.71 ,$17.17 ,$30.97 ,$189.65 , N/A ,$159.70 ,$181.66 ,$16.67 ,$187.65 ,$189.65 ,$179.67 ,$169.69 ,$16.67 ,$16.67 ,$16.67 ,$145.73 ,$16.13 ,$177.67 ,$179.67 ,$179.67 ,$159.70 ,$16.61 ,$109.80 ,$179.67 ,$16.13 ,$179.67 ,$16.13 ,$189.65 ,$36.29 ,$183.66 ,$17.67 ,$181.66 ,$16.13 ,$122.85 ,$128.56 ,$122.85 ,$179.67 ,$106.54 ,$149.72 ,$99.88 ,$16.29 ,$17.50 ,$186.65 ,$16.94 ,$16.67 ,$173.68 ,$16.13 ,$179.67 ,$16.13 ,$179.67 ,$179.67 ,$179.67 ,$193.64 ,$161.70 ,$179.67 ,$179.67 ,$179.67 ,$179.67 ST. JOSEPH'S - CHIPPEWA FALLS,30100140,80201,HC TOPIRAMATE,301,1 ,$72.11 ,$54.08 ,$11.92 ,$72.11 ,$46.44 ,$11.92 ,$50.48 ,$12.32 ,$28.61 ,$12.69 ,$22.89 ,$68.50 , N/A ,$57.69 ,$65.62 ,$12.32 ,$67.78 ,$68.50 ,$64.90 ,$61.29 ,$12.32 ,$12.32 ,$12.32 ,$52.64 ,$11.92 ,$64.18 ,$64.90 ,$64.90 ,$57.69 ,$12.28 ,$39.66 ,$64.90 ,$11.92 ,$64.90 ,$11.92 ,$68.50 ,$26.82 ,$66.34 ,$13.06 ,$65.62 ,$11.92 ,$44.38 ,$46.44 ,$44.38 ,$64.90 ,$72.11 ,$54.08 ,$64.90 ,$12.04 ,$12.94 ,$67.42 ,$12.52 ,$12.32 ,$62.74 ,$11.92 ,$64.90 ,$11.92 ,$64.90 ,$64.90 ,$64.90 ,$69.95 ,$58.41 ,$64.90 ,$64.90 ,$64.90 ,$64.90 ST. JOSEPH'S - CHIPPEWA FALLS,30100141,80202,HC VANCOMYCIN,301,1 ,$190.34 ,$142.76 ,$13.54 ,$190.34 ,$122.58 ,$13.54 ,$133.24 ,$13.99 ,$32.52 ,$14.41 ,$26.01 ,$180.82 , N/A ,$152.27 ,$173.21 ,$13.99 ,$178.92 ,$180.82 ,$171.31 ,$161.79 ,$13.99 ,$13.99 ,$13.99 ,$138.95 ,$13.54 ,$169.40 ,$171.31 ,$171.31 ,$152.27 ,$13.95 ,$104.69 ,$171.31 ,$13.54 ,$171.31 ,$13.54 ,$180.82 ,$30.47 ,$175.11 ,$14.83 ,$173.21 ,$13.54 ,$117.14 ,$122.58 ,$117.14 ,$171.31 ,$134.62 ,$142.76 ,$83.87 ,$13.68 ,$14.69 ,$177.97 ,$14.22 ,$13.99 ,$165.60 ,$13.54 ,$171.31 ,$13.54 ,$171.31 ,$171.31 ,$171.31 ,$184.63 ,$154.18 ,$171.31 ,$171.31 ,$171.31 ,$171.31 ST. JOSEPH'S - CHIPPEWA FALLS,30100146,80171,HC GABAPENTIN PLASMA,301,1 ,$94.88 ,$71.16 ,$14.48 ,$94.88 ,$61.10 ,$21.67 ,$66.42 ,$14.48 ,$31.82 ,$14.91 ,$25.45 ,$90.14 , N/A ,$75.90 ,$86.34 ,$14.48 ,$89.19 ,$90.14 ,$85.39 ,$80.65 ,$14.48 ,$14.48 ,$14.48 ,$69.26 ,$21.67 ,$84.44 ,$85.39 ,$85.39 ,$75.90 ,$22.32 ,$52.18 ,$85.39 ,$21.67 ,$85.39 ,$21.67 ,$90.14 ,$48.76 ,$87.29 ,$15.35 ,$86.34 ,$21.67 ,$58.39 ,$61.10 ,$58.39 ,$85.39 ,$34.23 ,$71.16 ,$85.39 ,$21.89 ,$15.20 ,$88.71 ,$22.75 ,$14.48 ,$82.55 ,$21.67 ,$85.39 ,$21.67 ,$85.39 ,$85.39 ,$85.39 ,$92.03 ,$76.85 ,$85.39 ,$85.39 ,$85.39 ,$85.39 ST. JOSEPH'S - CHIPPEWA FALLS,30100147,80175,HC LAMOTRIGINE,301,1 ,$47.04 ,$35.28 ,$13.25 ,$47.04 ,$30.29 ,$13.25 ,$32.93 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$44.69 , N/A ,$37.63 ,$42.81 ,$13.69 ,$44.22 ,$44.69 ,$42.34 ,$39.98 ,$13.69 ,$13.69 ,$13.69 ,$34.34 ,$13.25 ,$41.87 ,$42.34 ,$42.34 ,$37.63 ,$13.65 ,$25.87 ,$42.34 ,$13.25 ,$42.34 ,$13.25 ,$44.69 ,$29.81 ,$43.28 ,$14.51 ,$42.81 ,$13.25 ,$28.95 ,$30.29 ,$28.95 ,$42.34 ,$34.23 ,$35.28 ,$42.34 ,$13.38 ,$14.37 ,$43.98 ,$13.91 ,$13.69 ,$40.92 ,$13.25 ,$42.34 ,$13.25 ,$42.34 ,$42.34 ,$42.34 ,$45.63 ,$38.10 ,$42.34 ,$42.34 ,$42.34 ,$42.34 ST. JOSEPH'S - CHIPPEWA FALLS,30100149,80177,HC KEPPRA,301,1 ,$58.31 ,$43.73 ,$13.25 ,$58.31 ,$37.55 ,$13.25 ,$40.82 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$55.39 , N/A ,$46.65 ,$53.06 ,$13.69 ,$54.81 ,$55.39 ,$52.48 ,$49.56 ,$13.69 ,$13.69 ,$13.69 ,$42.57 ,$13.25 ,$51.90 ,$52.48 ,$52.48 ,$46.65 ,$13.65 ,$32.07 ,$52.48 ,$13.25 ,$52.48 ,$13.25 ,$55.39 ,$29.81 ,$53.65 ,$14.51 ,$53.06 ,$13.25 ,$35.88 ,$37.55 ,$35.88 ,$52.48 ,$34.23 ,$43.73 ,$52.48 ,$13.38 ,$14.37 ,$54.52 ,$13.91 ,$13.69 ,$50.73 ,$13.25 ,$52.48 ,$13.25 ,$52.48 ,$52.48 ,$52.48 ,$56.56 ,$47.23 ,$52.48 ,$52.48 ,$52.48 ,$52.48 ST. JOSEPH'S - CHIPPEWA FALLS,30100150,80203,HC ZONISAMIDE,301,1 ,$111.67 ,$83.75 ,$13.25 ,$111.67 ,$71.92 ,$13.25 ,$78.17 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$106.09 , N/A ,$89.34 ,$101.62 ,$13.69 ,$104.97 ,$106.09 ,$100.50 ,$94.92 ,$13.69 ,$13.69 ,$13.69 ,$81.52 ,$13.25 ,$99.39 ,$100.50 ,$100.50 ,$89.34 ,$13.65 ,$61.42 ,$100.50 ,$13.25 ,$100.50 ,$13.25 ,$106.09 ,$29.81 ,$102.74 ,$14.51 ,$101.62 ,$13.25 ,$68.72 ,$71.92 ,$68.72 ,$100.50 ,$34.23 ,$83.75 ,$82.07 ,$13.38 ,$14.37 ,$104.41 ,$13.91 ,$13.69 ,$97.15 ,$13.25 ,$100.50 ,$13.25 ,$100.50 ,$100.50 ,$100.50 ,$108.32 ,$90.45 ,$100.50 ,$100.50 ,$100.50 ,$100.50 ST. JOSEPH'S - CHIPPEWA FALLS,30100157,82009,HC ACETONE SERUM,301,1 ,$93.62 ,$70.22 ,$4.52 ,$93.62 ,$60.29 ,$4.52 ,$65.53 ,$4.67 ,$10.85 ,$4.81 ,$8.68 ,$88.94 , N/A ,$74.90 ,$85.19 ,$4.67 ,$88.00 ,$88.94 ,$84.26 ,$79.58 ,$4.67 ,$4.67 ,$4.67 ,$68.34 ,$4.52 ,$83.32 ,$84.26 ,$84.26 ,$74.90 ,$4.66 ,$51.49 ,$84.26 ,$4.52 ,$84.26 ,$4.52 ,$88.94 ,$10.17 ,$86.13 ,$4.95 ,$85.19 ,$4.52 ,$57.61 ,$60.29 ,$57.61 ,$84.26 ,$27.69 ,$70.22 ,$27.99 ,$4.57 ,$4.90 ,$87.53 ,$4.75 ,$4.67 ,$81.45 ,$4.52 ,$84.26 ,$4.52 ,$84.26 ,$84.26 ,$84.26 ,$90.81 ,$75.83 ,$84.26 ,$84.26 ,$84.26 ,$84.26 ST. JOSEPH'S - CHIPPEWA FALLS,30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$40.90 ,$30.68 ,$8.17 ,$40.90 ,$26.34 ,$8.17 ,$28.63 ,$8.44 ,$19.62 ,$8.69 ,$15.69 ,$38.86 , N/A ,$32.72 ,$37.22 ,$8.44 ,$38.45 ,$38.86 ,$36.81 ,$34.77 ,$8.44 ,$8.44 ,$8.44 ,$29.86 ,$8.17 ,$36.40 ,$36.81 ,$36.81 ,$32.72 ,$8.42 ,$22.50 ,$36.81 ,$8.17 ,$36.81 ,$8.17 ,$38.86 ,$18.38 ,$37.63 ,$8.95 ,$37.22 ,$8.17 ,$25.17 ,$26.34 ,$25.17 ,$36.81 ,$40.90 ,$30.68 ,$36.81 ,$8.25 ,$8.86 ,$38.24 ,$8.58 ,$8.44 ,$35.58 ,$8.17 ,$36.81 ,$8.17 ,$36.81 ,$36.81 ,$36.81 ,$39.67 ,$33.13 ,$36.81 ,$36.81 ,$36.81 ,$36.81 ST. JOSEPH'S - CHIPPEWA FALLS,30100163,82024,HC ACTH,301,1 ,$119.20 ,$89.40 ,$38.62 ,$119.20 ,$76.76 ,$38.62 ,$83.44 ,$39.91 ,$92.72 ,$41.11 ,$74.17 ,$113.24 , N/A ,$95.36 ,$108.47 ,$39.91 ,$112.05 ,$113.24 ,$107.28 ,$101.32 ,$39.91 ,$39.91 ,$39.91 ,$87.02 ,$38.62 ,$106.09 ,$107.28 ,$107.28 ,$95.36 ,$39.78 ,$65.56 ,$107.28 ,$38.62 ,$107.28 ,$38.62 ,$113.24 ,$86.90 ,$109.66 ,$42.30 ,$108.47 ,$38.62 ,$73.36 ,$76.76 ,$73.36 ,$107.28 ,$119.20 ,$89.40 ,$107.28 ,$39.01 ,$41.91 ,$111.45 ,$40.55 ,$39.91 ,$103.70 ,$38.62 ,$107.28 ,$38.62 ,$107.28 ,$107.28 ,$107.28 ,$115.62 ,$96.55 ,$107.28 ,$107.28 ,$107.28 ,$107.28 ST. JOSEPH'S - CHIPPEWA FALLS,30100164,82040,HC ALBUMIN,301,1 ,$87.27 ,$65.45 ,$4.95 ,$87.27 ,$56.20 ,$4.95 ,$61.09 ,$5.11 ,$11.88 ,$5.26 ,$9.51 ,$82.91 , N/A ,$69.82 ,$79.42 ,$5.11 ,$82.03 ,$82.91 ,$78.54 ,$74.18 ,$5.11 ,$5.11 ,$5.11 ,$63.71 ,$4.95 ,$77.67 ,$78.54 ,$78.54 ,$69.82 ,$5.10 ,$48.00 ,$78.54 ,$4.95 ,$78.54 ,$4.95 ,$82.91 ,$11.14 ,$80.29 ,$5.42 ,$79.42 ,$4.95 ,$53.71 ,$56.20 ,$53.71 ,$78.54 ,$54.24 ,$65.45 ,$30.65 ,$5.00 ,$5.37 ,$81.60 ,$5.20 ,$5.11 ,$75.92 ,$4.95 ,$78.54 ,$4.95 ,$78.54 ,$78.54 ,$78.54 ,$84.65 ,$70.69 ,$78.54 ,$78.54 ,$78.54 ,$78.54 ST. JOSEPH'S - CHIPPEWA FALLS,30100166,82042,HC ALBUMIN BODY FLUID,301,1 ,$50.54 ,$37.91 ,$7.27 ,$50.54 ,$32.55 ,$7.78 ,$35.38 ,$7.27 ,$12.43 ,$7.49 ,$9.94 ,$48.01 , N/A ,$40.43 ,$45.99 ,$7.27 ,$47.51 ,$48.01 ,$45.49 ,$42.96 ,$7.27 ,$7.27 ,$7.27 ,$36.89 ,$7.78 ,$44.98 ,$45.49 ,$45.49 ,$40.43 ,$8.01 ,$27.80 ,$45.49 ,$7.78 ,$45.49 ,$7.78 ,$48.01 ,$17.51 ,$46.50 ,$7.71 ,$45.99 ,$7.78 ,$31.10 ,$32.55 ,$31.10 ,$45.49 ,$44.56 ,$37.91 ,$39.03 ,$7.86 ,$7.63 ,$47.25 ,$8.17 ,$7.27 ,$43.97 ,$7.78 ,$45.49 ,$7.78 ,$45.49 ,$45.49 ,$45.49 ,$49.02 ,$40.94 ,$45.49 ,$45.49 ,$45.49 ,$45.49 ST. JOSEPH'S - CHIPPEWA FALLS,30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$84.78 ,$63.59 ,$5.78 ,$84.78 ,$54.60 ,$5.78 ,$59.35 ,$5.97 ,$13.88 ,$6.15 ,$11.10 ,$80.54 , N/A ,$67.82 ,$77.15 ,$5.97 ,$79.69 ,$80.54 ,$76.30 ,$72.06 ,$5.97 ,$5.97 ,$5.97 ,$61.89 ,$5.78 ,$75.45 ,$76.30 ,$76.30 ,$67.82 ,$5.95 ,$46.63 ,$76.30 ,$5.78 ,$76.30 ,$5.78 ,$80.54 ,$13.01 ,$78.00 ,$6.33 ,$77.15 ,$5.78 ,$52.17 ,$54.60 ,$52.17 ,$76.30 ,$84.78 ,$63.59 ,$35.82 ,$5.84 ,$6.27 ,$79.27 ,$6.07 ,$5.97 ,$73.76 ,$5.78 ,$76.30 ,$5.78 ,$76.30 ,$76.30 ,$76.30 ,$82.24 ,$68.67 ,$76.30 ,$76.30 ,$76.30 ,$76.30 ST. JOSEPH'S - CHIPPEWA FALLS,30100170,82085,HC ALDOLASE,301,1 ,$71.28 ,$53.46 ,$9.71 ,$71.28 ,$45.90 ,$9.71 ,$49.90 ,$10.03 ,$23.31 ,$10.33 ,$18.65 ,$67.72 , N/A ,$57.02 ,$64.86 ,$10.03 ,$67.00 ,$67.72 ,$64.15 ,$60.59 ,$10.03 ,$10.03 ,$10.03 ,$52.03 ,$9.71 ,$63.44 ,$64.15 ,$64.15 ,$57.02 ,$10.00 ,$39.20 ,$64.15 ,$9.71 ,$64.15 ,$9.71 ,$67.72 ,$21.85 ,$65.58 ,$10.63 ,$64.86 ,$9.71 ,$43.87 ,$45.90 ,$43.87 ,$64.15 ,$71.28 ,$53.46 ,$60.15 ,$9.81 ,$10.53 ,$66.65 ,$10.20 ,$10.03 ,$62.01 ,$9.71 ,$64.15 ,$9.71 ,$64.15 ,$64.15 ,$64.15 ,$69.14 ,$57.74 ,$64.15 ,$64.15 ,$64.15 ,$64.15 ST. JOSEPH'S - CHIPPEWA FALLS,30100171,82088,HC ALDOSTERONE,301,1 ,$125.78 ,$94.34 ,$40.75 ,$125.78 ,$81.00 ,$40.75 ,$88.05 ,$42.11 ,$97.83 ,$43.37 ,$78.26 ,$119.49 , N/A ,$100.62 ,$114.46 ,$42.11 ,$118.23 ,$119.49 ,$113.20 ,$106.91 ,$42.11 ,$42.11 ,$42.11 ,$91.82 ,$40.75 ,$111.94 ,$113.20 ,$113.20 ,$100.62 ,$41.97 ,$69.18 ,$113.20 ,$40.75 ,$113.20 ,$40.75 ,$119.49 ,$91.69 ,$115.72 ,$44.64 ,$114.46 ,$40.75 ,$77.41 ,$81.00 ,$77.41 ,$113.20 ,$125.78 ,$94.34 ,$113.20 ,$41.16 ,$44.22 ,$117.60 ,$42.79 ,$42.11 ,$109.43 ,$40.75 ,$113.20 ,$40.75 ,$113.20 ,$113.20 ,$113.20 ,$122.01 ,$101.88 ,$113.20 ,$113.20 ,$113.20 ,$113.20 ST. JOSEPH'S - CHIPPEWA FALLS,30100172,82103,HC ALPHA-1 ANTITRYPSIN TOTAL,301,1 ,$63.64 ,$47.73 ,$13.44 ,$63.64 ,$40.98 ,$13.44 ,$44.55 ,$13.89 ,$32.25 ,$14.31 ,$25.80 ,$60.46 , N/A ,$50.91 ,$57.91 ,$13.89 ,$59.82 ,$60.46 ,$57.28 ,$54.09 ,$13.89 ,$13.89 ,$13.89 ,$46.46 ,$13.44 ,$56.64 ,$57.28 ,$57.28 ,$50.91 ,$13.84 ,$35.00 ,$57.28 ,$13.44 ,$57.28 ,$13.44 ,$60.46 ,$30.24 ,$58.55 ,$14.72 ,$57.91 ,$13.44 ,$39.16 ,$40.98 ,$39.16 ,$57.28 ,$63.64 ,$47.73 ,$57.28 ,$13.57 ,$14.58 ,$59.50 ,$14.11 ,$13.89 ,$55.37 ,$13.44 ,$57.28 ,$13.44 ,$57.28 ,$57.28 ,$57.28 ,$61.73 ,$51.55 ,$57.28 ,$57.28 ,$57.28 ,$57.28 ST. JOSEPH'S - CHIPPEWA FALLS,30100175,82105,HC ALPHA FETOPROTEIN SERUM,301,1 ,$53.51 ,$40.13 ,$16.77 ,$53.51 ,$34.46 ,$16.77 ,$37.46 ,$17.33 ,$40.27 ,$17.85 ,$32.21 ,$50.83 , N/A ,$42.81 ,$48.69 ,$17.33 ,$50.30 ,$50.83 ,$48.16 ,$45.48 ,$17.33 ,$17.33 ,$17.33 ,$39.06 ,$16.77 ,$47.62 ,$48.16 ,$48.16 ,$42.81 ,$17.27 ,$29.43 ,$48.16 ,$16.77 ,$48.16 ,$16.77 ,$50.83 ,$37.73 ,$49.23 ,$18.37 ,$48.69 ,$16.77 ,$32.93 ,$34.46 ,$32.93 ,$48.16 ,$53.51 ,$40.13 ,$48.16 ,$16.94 ,$18.20 ,$50.03 ,$17.61 ,$17.33 ,$46.55 ,$16.77 ,$48.16 ,$16.77 ,$48.16 ,$48.16 ,$48.16 ,$51.90 ,$43.34 ,$48.16 ,$48.16 ,$48.16 ,$48.16 ST. JOSEPH'S - CHIPPEWA FALLS,30100179,82108,HC ALUMINUM,301,1 ,$78.65 ,$58.99 ,$25.48 ,$78.65 ,$50.65 ,$25.48 ,$55.06 ,$26.33 ,$61.16 ,$27.12 ,$48.93 ,$74.72 , N/A ,$62.92 ,$71.57 ,$26.33 ,$73.93 ,$74.72 ,$70.79 ,$66.85 ,$26.33 ,$26.33 ,$26.33 ,$57.41 ,$25.48 ,$70.00 ,$70.79 ,$70.79 ,$62.92 ,$26.24 ,$43.26 ,$70.79 ,$25.48 ,$70.79 ,$25.48 ,$74.72 ,$57.33 ,$72.36 ,$27.91 ,$71.57 ,$25.48 ,$48.40 ,$50.65 ,$48.40 ,$70.79 ,$78.65 ,$58.99 ,$70.79 ,$25.73 ,$27.65 ,$73.54 ,$26.75 ,$26.33 ,$68.43 ,$25.48 ,$70.79 ,$25.48 ,$70.79 ,$70.79 ,$70.79 ,$76.29 ,$63.71 ,$70.79 ,$70.79 ,$70.79 ,$70.79 ST. JOSEPH'S - CHIPPEWA FALLS,30100182,82139,HC AMINO ACID 6+ QN PLASMA,301,1 ,$155.97 ,$116.98 ,$16.87 ,$155.97 ,$100.44 ,$16.87 ,$109.18 ,$17.43 ,$34.60 ,$17.95 ,$27.68 ,$148.17 , N/A ,$124.78 ,$141.93 ,$17.43 ,$146.61 ,$148.17 ,$140.37 ,$132.57 ,$17.43 ,$17.43 ,$17.43 ,$113.86 ,$16.87 ,$138.81 ,$140.37 ,$140.37 ,$124.78 ,$17.38 ,$85.78 ,$140.37 ,$16.87 ,$140.37 ,$16.87 ,$148.17 ,$37.96 ,$143.49 ,$18.48 ,$141.93 ,$16.87 ,$95.98 ,$100.44 ,$95.98 ,$140.37 ,$71.40 ,$116.98 ,$104.49 ,$17.04 ,$18.30 ,$145.83 ,$17.71 ,$17.43 ,$135.69 ,$16.87 ,$140.37 ,$16.87 ,$140.37 ,$140.37 ,$140.37 ,$151.29 ,$126.34 ,$140.37 ,$140.37 ,$140.37 ,$140.37 ST. JOSEPH'S - CHIPPEWA FALLS,30100186,82140,HC AMMONIA,301,1 ,$200.14 ,$150.11 ,$14.57 ,$200.14 ,$128.89 ,$14.57 ,$140.10 ,$15.06 ,$34.98 ,$15.51 ,$27.99 ,$190.13 , N/A ,$160.11 ,$182.13 ,$15.06 ,$188.13 ,$190.13 ,$180.13 ,$170.12 ,$15.06 ,$15.06 ,$15.06 ,$146.10 ,$14.57 ,$178.12 ,$180.13 ,$180.13 ,$160.11 ,$15.01 ,$110.08 ,$180.13 ,$14.57 ,$180.13 ,$14.57 ,$190.13 ,$32.78 ,$184.13 ,$15.96 ,$182.13 ,$14.57 ,$123.17 ,$128.89 ,$123.17 ,$180.13 ,$118.58 ,$150.11 ,$90.25 ,$14.72 ,$15.81 ,$187.13 ,$15.30 ,$15.06 ,$174.12 ,$14.57 ,$180.13 ,$14.57 ,$180.13 ,$180.13 ,$180.13 ,$194.14 ,$162.11 ,$180.13 ,$180.13 ,$180.13 ,$180.13 ST. JOSEPH'S - CHIPPEWA FALLS,30100187,80324,HC AMPHETAMINE,301,1 ,$61.64 ,$46.23 ,$3.23 ,$61.64 ,$39.70 , N/A ,$43.15 ,$3.23 ,$41.42 ,$3.33 ,$33.14 ,$58.56 , N/A ,$49.31 ,$56.09 ,$3.23 ,$57.94 ,$58.56 ,$55.48 ,$52.39 ,$3.23 ,$3.23 ,$3.23 ,$45.00 , N/A ,$54.86 ,$55.48 ,$55.48 ,$49.31 , N/A ,$33.90 ,$55.48 , N/A ,$55.48 , N/A ,$58.56 , N/A ,$56.71 ,$3.42 ,$56.09 , N/A ,$37.93 ,$39.70 ,$37.93 ,$55.48 ,$47.23 ,$46.23 ,$43.15 , N/A ,$3.39 ,$57.63 , N/A ,$3.23 ,$53.63 , N/A ,$55.48 , N/A ,$55.48 ,$55.48 ,$55.48 ,$59.79 ,$49.93 ,$55.48 ,$55.48 ,$55.48 ,$55.48 ST. JOSEPH'S - CHIPPEWA FALLS,30100188,82150,HC AMYLASE,301,1 ,$151.60 ,$113.70 ,$6.48 ,$151.60 ,$97.63 ,$6.48 ,$106.12 ,$6.70 ,$15.56 ,$6.90 ,$12.45 ,$144.02 , N/A ,$121.28 ,$137.96 ,$6.70 ,$142.50 ,$144.02 ,$136.44 ,$128.86 ,$6.70 ,$6.70 ,$6.70 ,$110.67 ,$6.48 ,$134.92 ,$136.44 ,$136.44 ,$121.28 ,$6.67 ,$83.38 ,$136.44 ,$6.48 ,$136.44 ,$6.48 ,$144.02 ,$14.58 ,$139.47 ,$7.10 ,$137.96 ,$6.48 ,$93.29 ,$97.63 ,$93.29 ,$136.44 ,$59.25 ,$113.70 ,$40.13 ,$6.54 ,$7.04 ,$141.75 ,$6.80 ,$6.70 ,$131.89 ,$6.48 ,$136.44 ,$6.48 ,$136.44 ,$136.44 ,$136.44 ,$147.05 ,$122.80 ,$136.44 ,$136.44 ,$136.44 ,$136.44 ST. JOSEPH'S - CHIPPEWA FALLS,30100191,82164,HC ANGIOTENSIN 1 ENZYME (ACE),301,1 ,$63.24 ,$47.43 ,$14.60 ,$63.24 ,$40.73 ,$14.60 ,$44.27 ,$15.09 ,$35.05 ,$15.54 ,$28.04 ,$60.08 , N/A ,$50.59 ,$57.55 ,$15.09 ,$59.45 ,$60.08 ,$56.92 ,$53.75 ,$15.09 ,$15.09 ,$15.09 ,$46.17 ,$14.60 ,$56.28 ,$56.92 ,$56.92 ,$50.59 ,$15.04 ,$34.78 ,$56.92 ,$14.60 ,$56.92 ,$14.60 ,$60.08 ,$32.85 ,$58.18 ,$16.00 ,$57.55 ,$14.60 ,$38.92 ,$40.73 ,$38.92 ,$56.92 ,$63.24 ,$47.43 ,$56.92 ,$14.75 ,$15.84 ,$59.13 ,$15.33 ,$15.09 ,$55.02 ,$14.60 ,$56.92 ,$14.60 ,$56.92 ,$56.92 ,$56.92 ,$61.34 ,$51.22 ,$56.92 ,$56.92 ,$56.92 ,$56.92 ST. JOSEPH'S - CHIPPEWA FALLS,30100192,82172,HC APOLIPOPROTEIN SERUM,301,1 ,$52.73 ,$39.55 ,$21.09 ,$52.73 ,$33.96 ,$21.09 ,$36.91 ,$21.79 ,$37.21 ,$22.44 ,$29.76 ,$50.09 , N/A ,$42.18 ,$47.98 ,$21.79 ,$49.57 ,$50.09 ,$47.46 ,$44.82 ,$21.79 ,$21.79 ,$21.79 ,$38.49 ,$21.09 ,$46.93 ,$47.46 ,$47.46 ,$42.18 ,$21.72 ,$29.00 ,$47.46 ,$21.09 ,$47.46 ,$21.09 ,$50.09 ,$47.45 ,$48.51 ,$23.10 ,$47.98 ,$21.09 ,$32.45 ,$33.96 ,$32.45 ,$47.46 ,$52.73 ,$39.55 ,$47.46 ,$21.30 ,$22.88 ,$49.30 ,$22.14 ,$21.79 ,$45.88 ,$21.09 ,$47.46 ,$21.09 ,$47.46 ,$47.46 ,$47.46 ,$51.15 ,$42.71 ,$47.46 ,$47.46 ,$47.46 ,$47.46 ST. JOSEPH'S - CHIPPEWA FALLS,30100193,82175,HC ARSENIC,301,1 ,$58.55 ,$43.91 ,$18.97 ,$58.55 ,$37.71 ,$18.97 ,$40.99 ,$19.60 ,$45.54 ,$20.19 ,$36.43 ,$55.62 , N/A ,$46.84 ,$53.28 ,$19.60 ,$55.04 ,$55.62 ,$52.70 ,$49.77 ,$19.60 ,$19.60 ,$19.60 ,$42.74 ,$18.97 ,$52.11 ,$52.70 ,$52.70 ,$46.84 ,$19.54 ,$32.20 ,$52.70 ,$18.97 ,$52.70 ,$18.97 ,$55.62 ,$42.68 ,$53.87 ,$20.78 ,$53.28 ,$18.97 ,$36.03 ,$37.71 ,$36.03 ,$52.70 ,$58.55 ,$43.91 ,$52.70 ,$19.16 ,$20.58 ,$54.74 ,$19.92 ,$19.60 ,$50.94 ,$18.97 ,$52.70 ,$18.97 ,$52.70 ,$52.70 ,$52.70 ,$56.79 ,$47.43 ,$52.70 ,$52.70 ,$52.70 ,$52.70 ST. JOSEPH'S - CHIPPEWA FALLS,30100197,82180,HC VITAMIN C (ASCORBIC ACID),301,1 ,$213.55 ,$160.16 ,$9.89 ,$213.55 ,$137.53 ,$9.89 ,$149.49 ,$10.22 ,$23.73 ,$10.53 ,$18.98 ,$202.87 , N/A ,$170.84 ,$194.33 ,$10.22 ,$200.74 ,$202.87 ,$192.20 ,$181.52 ,$10.22 ,$10.22 ,$10.22 ,$155.89 ,$9.89 ,$190.06 ,$192.20 ,$192.20 ,$170.84 ,$10.19 ,$117.45 ,$192.20 ,$9.89 ,$192.20 ,$9.89 ,$202.87 ,$22.25 ,$196.47 ,$10.83 ,$194.33 ,$9.89 ,$131.42 ,$137.53 ,$131.42 ,$192.20 ,$122.98 ,$160.16 ,$61.20 ,$9.99 ,$10.73 ,$199.67 ,$10.38 ,$10.22 ,$185.79 ,$9.89 ,$192.20 ,$9.89 ,$192.20 ,$192.20 ,$192.20 ,$207.14 ,$172.98 ,$192.20 ,$192.20 ,$192.20 ,$192.20 ST. JOSEPH'S - CHIPPEWA FALLS,30100201,82232,HC BETA 2 MICROGLOBULIN,301,1 ,$61.66 ,$46.25 ,$16.18 ,$61.66 ,$39.71 ,$16.18 ,$43.16 ,$16.72 ,$38.83 ,$17.22 ,$31.07 ,$58.58 , N/A ,$49.33 ,$56.11 ,$16.72 ,$57.96 ,$58.58 ,$55.49 ,$52.41 ,$16.72 ,$16.72 ,$16.72 ,$45.01 ,$16.18 ,$54.88 ,$55.49 ,$55.49 ,$49.33 ,$16.67 ,$33.91 ,$55.49 ,$16.18 ,$55.49 ,$16.18 ,$58.58 ,$36.41 ,$56.73 ,$17.72 ,$56.11 ,$16.18 ,$37.95 ,$39.71 ,$37.95 ,$55.49 ,$61.49 ,$46.25 ,$55.49 ,$16.34 ,$17.56 ,$57.65 ,$16.99 ,$16.72 ,$53.64 ,$16.18 ,$55.49 ,$16.18 ,$55.49 ,$55.49 ,$55.49 ,$59.81 ,$49.94 ,$55.49 ,$55.49 ,$55.49 ,$55.49 ST. JOSEPH'S - CHIPPEWA FALLS,30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$99.58 ,$74.69 ,$4.24 ,$99.58 ,$64.13 ,$5.02 ,$69.71 ,$4.24 ,$12.04 ,$4.37 ,$9.63 ,$94.60 , N/A ,$79.66 ,$90.62 ,$4.24 ,$93.61 ,$94.60 ,$89.62 ,$84.64 ,$4.24 ,$4.24 ,$4.24 ,$72.69 ,$5.02 ,$88.63 ,$89.62 ,$89.62 ,$79.66 ,$5.17 ,$54.77 ,$89.62 ,$5.02 ,$89.62 ,$5.02 ,$94.60 ,$11.30 ,$91.61 ,$4.49 ,$90.62 ,$5.02 ,$61.28 ,$64.13 ,$61.28 ,$89.62 ,$21.33 ,$74.69 ,$31.05 ,$5.07 ,$4.45 ,$93.11 ,$5.27 ,$4.24 ,$86.63 ,$5.02 ,$89.62 ,$5.02 ,$89.62 ,$89.62 ,$89.62 ,$96.59 ,$80.66 ,$89.62 ,$89.62 ,$89.62 ,$89.62 ST. JOSEPH'S - CHIPPEWA FALLS,30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$99.58 ,$74.69 ,$4.70 ,$99.58 ,$64.13 ,$5.02 ,$69.71 ,$4.70 ,$12.04 ,$4.84 ,$9.63 ,$94.60 , N/A ,$79.66 ,$90.62 ,$4.70 ,$93.61 ,$94.60 ,$89.62 ,$84.64 ,$4.70 ,$4.70 ,$4.70 ,$72.69 ,$5.02 ,$88.63 ,$89.62 ,$89.62 ,$79.66 ,$5.17 ,$54.77 ,$89.62 ,$5.02 ,$89.62 ,$5.02 ,$94.60 ,$11.30 ,$91.61 ,$4.98 ,$90.62 ,$5.02 ,$61.28 ,$64.13 ,$61.28 ,$89.62 ,$21.33 ,$74.69 ,$31.05 ,$5.07 ,$4.94 ,$93.11 ,$5.27 ,$4.70 ,$86.63 ,$5.02 ,$89.62 ,$5.02 ,$89.62 ,$89.62 ,$89.62 ,$96.59 ,$80.66 ,$89.62 ,$89.62 ,$89.62 ,$89.62 ST. JOSEPH'S - CHIPPEWA FALLS,30100205,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$54.11 ,$40.58 ,$3.66 ,$54.11 ,$34.85 ,$4.38 ,$37.88 ,$3.66 ,$7.81 ,$3.77 ,$6.24 ,$51.40 , N/A ,$43.29 ,$49.24 ,$3.66 ,$50.86 ,$51.40 ,$48.70 ,$45.99 ,$3.66 ,$3.66 ,$3.66 ,$39.50 ,$4.38 ,$48.16 ,$48.70 ,$48.70 ,$43.29 ,$4.51 ,$29.76 ,$48.70 ,$4.38 ,$48.70 ,$4.38 ,$51.40 ,$9.86 ,$49.78 ,$3.88 ,$49.24 ,$4.38 ,$33.30 ,$34.85 ,$33.30 ,$48.70 ,$43.91 ,$40.58 ,$21.97 ,$4.42 ,$3.84 ,$50.59 ,$4.60 ,$3.66 ,$47.08 ,$4.38 ,$48.70 ,$4.38 ,$48.70 ,$48.70 ,$48.70 ,$52.49 ,$43.83 ,$48.70 ,$48.70 ,$48.70 ,$48.70 ST. JOSEPH'S - CHIPPEWA FALLS,30100206,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$55.30 ,$41.48 ,$4.26 ,$55.30 ,$35.61 ,$5.32 ,$38.71 ,$4.26 ,$7.81 ,$4.39 ,$6.24 ,$52.54 , N/A ,$44.24 ,$50.32 ,$4.26 ,$51.98 ,$52.54 ,$49.77 ,$47.01 ,$4.26 ,$4.26 ,$4.26 ,$40.37 ,$5.32 ,$49.22 ,$49.77 ,$49.77 ,$44.24 ,$5.48 ,$30.42 ,$49.77 ,$5.32 ,$49.77 ,$5.32 ,$52.54 ,$11.97 ,$50.88 ,$4.52 ,$50.32 ,$5.32 ,$34.03 ,$35.61 ,$34.03 ,$49.77 ,$10.01 ,$41.48 ,$26.69 ,$5.37 ,$4.47 ,$51.71 ,$5.59 ,$4.26 ,$48.11 ,$5.32 ,$49.77 ,$5.32 ,$49.77 ,$49.77 ,$49.77 ,$53.64 ,$44.79 ,$49.77 ,$49.77 ,$49.77 ,$49.77 ST. JOSEPH'S - CHIPPEWA FALLS,30100207,82272,HC OCCULT BLOOD FECAL DIAG,301,1 ,$54.11 ,$40.58 ,$4.23 ,$54.11 ,$34.85 ,$4.23 ,$37.88 ,$4.26 ,$7.81 ,$4.39 ,$6.24 ,$51.40 , N/A ,$43.29 ,$49.24 ,$4.26 ,$50.86 ,$51.40 ,$48.70 ,$45.99 ,$4.26 ,$4.26 ,$4.26 ,$39.50 ,$4.23 ,$48.16 ,$48.70 ,$48.70 ,$43.29 ,$4.36 ,$29.76 ,$48.70 ,$4.23 ,$48.70 ,$4.23 ,$51.40 ,$9.52 ,$49.78 ,$4.52 ,$49.24 ,$4.23 ,$33.30 ,$34.85 ,$33.30 ,$48.70 ,$10.01 ,$40.58 ,$21.22 ,$4.27 ,$4.47 ,$50.59 ,$4.44 ,$4.26 ,$47.08 ,$4.23 ,$48.70 ,$4.23 ,$48.70 ,$48.70 ,$48.70 ,$52.49 ,$43.83 ,$48.70 ,$48.70 ,$48.70 ,$48.70 ST. JOSEPH'S - CHIPPEWA FALLS,30100212,82306,HC VITAMIN D 25 OH,301,1 ,$94.42 ,$70.82 ,$29.60 ,$94.42 ,$60.81 ,$29.60 ,$66.09 ,$30.59 ,$71.07 ,$31.51 ,$56.85 ,$89.70 , N/A ,$75.54 ,$85.92 ,$30.59 ,$88.75 ,$89.70 ,$84.98 ,$80.26 ,$30.59 ,$30.59 ,$30.59 ,$68.93 ,$29.60 ,$84.03 ,$84.98 ,$84.98 ,$75.54 ,$30.49 ,$51.93 ,$84.98 ,$29.60 ,$84.98 ,$29.60 ,$89.70 ,$66.60 ,$86.87 ,$32.43 ,$85.92 ,$29.60 ,$58.11 ,$60.81 ,$58.11 ,$84.98 ,$57.99 ,$70.82 ,$84.98 ,$29.90 ,$32.12 ,$88.28 ,$31.08 ,$30.59 ,$82.15 ,$29.60 ,$84.98 ,$29.60 ,$84.98 ,$84.98 ,$84.98 ,$91.59 ,$76.48 ,$84.98 ,$84.98 ,$84.98 ,$84.98 ST. JOSEPH'S - CHIPPEWA FALLS,30100213,82308,HC CALCITONIN,301,1 ,$82.70 ,$62.03 ,$26.79 ,$82.70 ,$53.26 ,$26.79 ,$57.89 ,$27.68 ,$64.31 ,$28.51 ,$51.45 ,$78.57 , N/A ,$66.16 ,$75.26 ,$27.68 ,$77.74 ,$78.57 ,$74.43 ,$70.30 ,$27.68 ,$27.68 ,$27.68 ,$60.37 ,$26.79 ,$73.60 ,$74.43 ,$74.43 ,$66.16 ,$27.59 ,$45.49 ,$74.43 ,$26.79 ,$74.43 ,$26.79 ,$78.57 ,$60.28 ,$76.08 ,$29.34 ,$75.26 ,$26.79 ,$50.89 ,$53.26 ,$50.89 ,$74.43 ,$82.70 ,$62.03 ,$74.43 ,$27.06 ,$29.06 ,$77.32 ,$28.13 ,$27.68 ,$71.95 ,$26.79 ,$74.43 ,$26.79 ,$74.43 ,$74.43 ,$74.43 ,$80.22 ,$66.99 ,$74.43 ,$74.43 ,$74.43 ,$74.43 ST. JOSEPH'S - CHIPPEWA FALLS,30100214,82310,HC CALCIUM,301,1 ,$99.58 ,$74.69 ,$5.16 ,$99.58 ,$64.13 ,$5.16 ,$69.71 ,$5.33 ,$12.39 ,$5.49 ,$9.91 ,$94.60 , N/A ,$79.66 ,$90.62 ,$5.33 ,$93.61 ,$94.60 ,$89.62 ,$84.64 ,$5.33 ,$5.33 ,$5.33 ,$72.69 ,$5.16 ,$88.63 ,$89.62 ,$89.62 ,$79.66 ,$5.31 ,$54.77 ,$89.62 ,$5.16 ,$89.62 ,$5.16 ,$94.60 ,$11.61 ,$91.61 ,$5.65 ,$90.62 ,$5.16 ,$61.28 ,$64.13 ,$61.28 ,$89.62 ,$49.41 ,$74.69 ,$31.95 ,$5.21 ,$5.60 ,$93.11 ,$5.42 ,$5.33 ,$86.63 ,$5.16 ,$89.62 ,$5.16 ,$89.62 ,$89.62 ,$89.62 ,$96.59 ,$80.66 ,$89.62 ,$89.62 ,$89.62 ,$89.62 ST. JOSEPH'S - CHIPPEWA FALLS,30100215,82330,HC CALCIUM IONIZED,301,1 ,$117.07 ,$87.80 ,$13.68 ,$117.07 ,$75.39 ,$13.68 ,$81.95 ,$14.14 ,$32.83 ,$14.56 ,$26.26 ,$111.22 , N/A ,$93.66 ,$106.53 ,$14.14 ,$110.05 ,$111.22 ,$105.36 ,$99.51 ,$14.14 ,$14.14 ,$14.14 ,$85.46 ,$13.68 ,$104.19 ,$105.36 ,$105.36 ,$93.66 ,$14.09 ,$64.39 ,$105.36 ,$13.68 ,$105.36 ,$13.68 ,$111.22 ,$30.78 ,$107.70 ,$14.99 ,$106.53 ,$13.68 ,$72.04 ,$75.39 ,$72.04 ,$105.36 ,$87.89 ,$87.80 ,$84.68 ,$13.82 ,$14.85 ,$109.46 ,$14.36 ,$14.14 ,$101.85 ,$13.68 ,$105.36 ,$13.68 ,$105.36 ,$105.36 ,$105.36 ,$113.56 ,$94.83 ,$105.36 ,$105.36 ,$105.36 ,$105.36 ST. JOSEPH'S - CHIPPEWA FALLS,30100216,82340,HC CALCIUM URINE QN TIMED,301,1 ,$106.23 ,$79.67 ,$6.03 ,$106.23 ,$68.41 ,$6.03 ,$74.36 ,$6.23 ,$14.47 ,$6.42 ,$11.58 ,$100.92 , N/A ,$84.98 ,$96.67 ,$6.23 ,$99.86 ,$100.92 ,$95.61 ,$90.30 ,$6.23 ,$6.23 ,$6.23 ,$77.55 ,$6.03 ,$94.54 ,$95.61 ,$95.61 ,$84.98 ,$6.21 ,$58.43 ,$95.61 ,$6.03 ,$95.61 ,$6.03 ,$100.92 ,$13.57 ,$97.73 ,$6.60 ,$96.67 ,$6.03 ,$65.37 ,$68.41 ,$65.37 ,$95.61 ,$49.41 ,$79.67 ,$37.32 ,$6.09 ,$6.54 ,$99.33 ,$6.33 ,$6.23 ,$92.42 ,$6.03 ,$95.61 ,$6.03 ,$95.61 ,$95.61 ,$95.61 ,$103.04 ,$86.05 ,$95.61 ,$95.61 ,$95.61 ,$95.61 ST. JOSEPH'S - CHIPPEWA FALLS,30100222,82374,HC BICARBONATE,301,1 ,$89.45 ,$67.09 ,$4.88 ,$89.45 ,$57.61 ,$4.88 ,$62.62 ,$5.04 ,$11.73 ,$5.19 ,$9.38 ,$84.98 , N/A ,$71.56 ,$81.40 ,$5.04 ,$84.08 ,$84.98 ,$80.51 ,$76.03 ,$5.04 ,$5.04 ,$5.04 ,$65.30 ,$4.88 ,$79.61 ,$80.51 ,$80.51 ,$71.56 ,$5.03 ,$49.20 ,$80.51 ,$4.88 ,$80.51 ,$4.88 ,$84.98 ,$10.98 ,$82.29 ,$5.34 ,$81.40 ,$4.88 ,$55.05 ,$57.61 ,$55.05 ,$80.51 ,$49.41 ,$67.09 ,$30.25 ,$4.93 ,$5.29 ,$83.64 ,$5.12 ,$5.04 ,$77.82 ,$4.88 ,$80.51 ,$4.88 ,$80.51 ,$80.51 ,$80.51 ,$86.77 ,$72.45 ,$80.51 ,$80.51 ,$80.51 ,$80.51 ST. JOSEPH'S - CHIPPEWA FALLS,30100224,82375,HC CARBON MONOXIDE,301,1 ,$141.77 ,$106.33 ,$12.32 ,$141.77 ,$91.30 ,$12.32 ,$99.24 ,$12.73 ,$29.58 ,$13.11 ,$23.66 ,$134.68 , N/A ,$113.42 ,$129.01 ,$12.73 ,$133.26 ,$134.68 ,$127.59 ,$120.50 ,$12.73 ,$12.73 ,$12.73 ,$103.49 ,$12.32 ,$126.18 ,$127.59 ,$127.59 ,$113.42 ,$12.69 ,$77.97 ,$127.59 ,$12.32 ,$127.59 ,$12.32 ,$134.68 ,$27.72 ,$130.43 ,$13.49 ,$129.01 ,$12.32 ,$87.25 ,$91.30 ,$87.25 ,$127.59 ,$59.95 ,$106.33 ,$76.30 ,$12.44 ,$13.37 ,$132.56 ,$12.94 ,$12.73 ,$123.34 ,$12.32 ,$127.59 ,$12.32 ,$127.59 ,$127.59 ,$127.59 ,$137.52 ,$114.83 ,$127.59 ,$127.59 ,$127.59 ,$127.59 ST. JOSEPH'S - CHIPPEWA FALLS,30100226,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$88.26 ,$66.20 ,$18.96 ,$88.26 ,$56.84 ,$18.96 ,$61.78 ,$19.59 ,$45.52 ,$20.18 ,$36.41 ,$83.85 , N/A ,$70.61 ,$80.32 ,$19.59 ,$82.96 ,$83.85 ,$79.43 ,$75.02 ,$19.59 ,$19.59 ,$19.59 ,$64.43 ,$18.96 ,$78.55 ,$79.43 ,$79.43 ,$70.61 ,$19.53 ,$48.54 ,$79.43 ,$18.96 ,$79.43 ,$18.96 ,$83.85 ,$42.66 ,$81.20 ,$20.77 ,$80.32 ,$18.96 ,$54.32 ,$56.84 ,$54.32 ,$79.43 ,$88.26 ,$66.20 ,$79.43 ,$19.15 ,$20.57 ,$82.52 ,$19.91 ,$19.59 ,$76.79 ,$18.96 ,$79.43 ,$18.96 ,$79.43 ,$79.43 ,$79.43 ,$85.61 ,$71.49 ,$79.43 ,$79.43 ,$79.43 ,$79.43 ST. JOSEPH'S - CHIPPEWA FALLS,30100231,82380,HC CAROTENE,301,1 ,$36.74 ,$27.56 ,$9.22 ,$36.74 ,$23.66 ,$9.22 ,$25.72 ,$9.53 ,$22.14 ,$9.82 ,$17.71 ,$34.90 , N/A ,$29.39 ,$33.43 ,$9.53 ,$34.54 ,$34.90 ,$33.07 ,$31.23 ,$9.53 ,$9.53 ,$9.53 ,$26.82 ,$9.22 ,$32.70 ,$33.07 ,$33.07 ,$29.39 ,$9.50 ,$20.21 ,$33.07 ,$9.22 ,$33.07 ,$9.22 ,$34.90 ,$20.75 ,$33.80 ,$10.10 ,$33.43 ,$9.22 ,$22.61 ,$23.66 ,$22.61 ,$33.07 ,$36.74 ,$27.56 ,$33.07 ,$9.31 ,$10.01 ,$34.35 ,$9.68 ,$9.53 ,$31.96 ,$9.22 ,$33.07 ,$9.22 ,$33.07 ,$33.07 ,$33.07 ,$35.64 ,$29.76 ,$33.07 ,$33.07 ,$33.07 ,$33.07 ST. JOSEPH'S - CHIPPEWA FALLS,30100232,82384,HC CATECHOLAMINE FRACTION,301,1 ,$135.52 ,$101.64 ,$25.25 ,$135.52 ,$87.27 ,$25.25 ,$94.86 ,$26.09 ,$60.62 ,$26.87 ,$48.50 ,$128.74 , N/A ,$108.42 ,$123.32 ,$26.09 ,$127.39 ,$128.74 ,$121.97 ,$115.19 ,$26.09 ,$26.09 ,$26.09 ,$98.93 ,$25.25 ,$120.61 ,$121.97 ,$121.97 ,$108.42 ,$26.01 ,$74.54 ,$121.97 ,$25.25 ,$121.97 ,$25.25 ,$128.74 ,$56.81 ,$124.68 ,$27.66 ,$123.32 ,$25.25 ,$83.40 ,$87.27 ,$83.40 ,$121.97 ,$135.52 ,$101.64 ,$121.97 ,$25.50 ,$27.39 ,$126.71 ,$26.51 ,$26.09 ,$117.90 ,$25.25 ,$121.97 ,$25.25 ,$121.97 ,$121.97 ,$121.97 ,$131.45 ,$109.77 ,$121.97 ,$121.97 ,$121.97 ,$121.97 ST. JOSEPH'S - CHIPPEWA FALLS,30100235,82390,HC CERULOPLASMIN,301,1 ,$59.37 ,$44.53 ,$10.74 ,$59.37 ,$38.23 ,$10.74 ,$41.56 ,$11.10 ,$25.78 ,$11.43 ,$20.62 ,$56.40 , N/A ,$47.50 ,$54.03 ,$11.10 ,$55.81 ,$56.40 ,$53.43 ,$50.46 ,$11.10 ,$11.10 ,$11.10 ,$43.34 ,$10.74 ,$52.84 ,$53.43 ,$53.43 ,$47.50 ,$11.06 ,$32.65 ,$53.43 ,$10.74 ,$53.43 ,$10.74 ,$56.40 ,$24.17 ,$54.62 ,$11.77 ,$54.03 ,$10.74 ,$36.54 ,$38.23 ,$36.54 ,$53.43 ,$59.37 ,$44.53 ,$53.43 ,$10.85 ,$11.66 ,$55.51 ,$11.28 ,$11.10 ,$51.65 ,$10.74 ,$53.43 ,$10.74 ,$53.43 ,$53.43 ,$53.43 ,$57.59 ,$48.09 ,$53.43 ,$53.43 ,$53.43 ,$53.43 ST. JOSEPH'S - CHIPPEWA FALLS,30100236,82397,HC CHEMILUMINESCENT ASSAY,301,1 ,$43.58 ,$32.69 ,$14.12 ,$43.58 ,$28.07 ,$14.12 ,$30.51 ,$14.59 ,$33.90 ,$15.03 ,$27.12 ,$41.40 , N/A ,$34.86 ,$39.66 ,$14.59 ,$40.97 ,$41.40 ,$39.22 ,$37.04 ,$14.59 ,$14.59 ,$14.59 ,$31.81 ,$14.12 ,$38.79 ,$39.22 ,$39.22 ,$34.86 ,$14.54 ,$23.97 ,$39.22 ,$14.12 ,$39.22 ,$14.12 ,$41.40 ,$31.77 ,$40.09 ,$15.47 ,$39.66 ,$14.12 ,$26.82 ,$28.07 ,$26.82 ,$39.22 ,$43.58 ,$32.69 ,$39.22 ,$14.26 ,$15.32 ,$40.75 ,$14.83 ,$14.59 ,$37.91 ,$14.12 ,$39.22 ,$14.12 ,$39.22 ,$39.22 ,$39.22 ,$42.27 ,$35.30 ,$39.22 ,$39.22 ,$39.22 ,$39.22 ST. JOSEPH'S - CHIPPEWA FALLS,30100237,82435,HC CHLORIDE,301,1 ,$82.40 ,$61.80 ,$4.60 ,$82.40 ,$53.07 ,$4.60 ,$57.68 ,$4.75 ,$11.04 ,$4.89 ,$8.83 ,$78.28 , N/A ,$65.92 ,$74.98 ,$4.75 ,$77.46 ,$78.28 ,$74.16 ,$70.04 ,$4.75 ,$4.75 ,$4.75 ,$60.15 ,$4.60 ,$73.34 ,$74.16 ,$74.16 ,$65.92 ,$4.74 ,$45.32 ,$74.16 ,$4.60 ,$74.16 ,$4.60 ,$78.28 ,$10.35 ,$75.81 ,$5.04 ,$74.98 ,$4.60 ,$50.71 ,$53.07 ,$50.71 ,$74.16 ,$49.41 ,$61.80 ,$28.49 ,$4.65 ,$4.99 ,$77.04 ,$4.83 ,$4.75 ,$71.69 ,$4.60 ,$74.16 ,$4.60 ,$74.16 ,$74.16 ,$74.16 ,$79.93 ,$66.74 ,$74.16 ,$74.16 ,$74.16 ,$74.16 ST. JOSEPH'S - CHIPPEWA FALLS,30100238,82436,HC CHLORIDE URINE,301,1 ,$88.26 ,$66.20 ,$5.75 ,$88.26 ,$56.84 ,$5.75 ,$61.78 ,$5.94 ,$12.08 ,$6.12 ,$9.66 ,$83.85 , N/A ,$70.61 ,$80.32 ,$5.94 ,$82.96 ,$83.85 ,$79.43 ,$75.02 ,$5.94 ,$5.94 ,$5.94 ,$64.43 ,$5.75 ,$78.55 ,$79.43 ,$79.43 ,$70.61 ,$5.92 ,$48.54 ,$79.43 ,$5.75 ,$79.43 ,$5.75 ,$83.85 ,$12.94 ,$81.20 ,$6.30 ,$80.32 ,$5.75 ,$54.32 ,$56.84 ,$54.32 ,$79.43 ,$36.04 ,$66.20 ,$31.15 ,$5.81 ,$6.24 ,$82.52 ,$6.04 ,$5.94 ,$76.79 ,$5.75 ,$79.43 ,$5.75 ,$79.43 ,$79.43 ,$79.43 ,$85.61 ,$71.49 ,$79.43 ,$79.43 ,$79.43 ,$79.43 ST. JOSEPH'S - CHIPPEWA FALLS,30100240,82438,HC CHLORIDE OTHER SOURCE,301,1 ,$85.68 ,$64.26 ,$5.00 ,$85.68 ,$55.18 ,$5.00 ,$59.98 ,$5.17 ,$11.73 ,$5.33 ,$9.38 ,$81.40 , N/A ,$68.54 ,$77.97 ,$5.17 ,$80.54 ,$81.40 ,$77.11 ,$72.83 ,$5.17 ,$5.17 ,$5.17 ,$62.55 ,$5.00 ,$76.26 ,$77.11 ,$77.11 ,$68.54 ,$5.15 ,$47.12 ,$77.11 ,$5.00 ,$77.11 ,$5.00 ,$81.40 ,$11.25 ,$78.83 ,$5.48 ,$77.97 ,$5.00 ,$52.73 ,$55.18 ,$52.73 ,$77.11 ,$53.78 ,$64.26 ,$30.25 ,$5.05 ,$5.43 ,$80.11 ,$5.25 ,$5.17 ,$74.54 ,$5.00 ,$77.11 ,$5.00 ,$77.11 ,$77.11 ,$77.11 ,$83.11 ,$69.40 ,$77.11 ,$77.11 ,$77.11 ,$77.11 ST. JOSEPH'S - CHIPPEWA FALLS,30100241,82465,HC CHOLESTEROL,301,1 ,$93.12 ,$69.84 ,$4.35 ,$93.12 ,$59.97 ,$4.35 ,$65.18 ,$4.49 ,$10.45 ,$4.62 ,$8.36 ,$88.46 , N/A ,$74.50 ,$84.74 ,$4.49 ,$87.53 ,$88.46 ,$83.81 ,$79.15 ,$4.49 ,$4.49 ,$4.49 ,$67.98 ,$4.35 ,$82.88 ,$83.81 ,$83.81 ,$74.50 ,$4.48 ,$51.22 ,$83.81 ,$4.35 ,$83.81 ,$4.35 ,$88.46 ,$9.79 ,$85.67 ,$4.76 ,$84.74 ,$4.35 ,$57.31 ,$59.97 ,$57.31 ,$83.81 ,$50.50 ,$69.84 ,$26.94 ,$4.39 ,$4.71 ,$87.07 ,$4.57 ,$4.49 ,$81.01 ,$4.35 ,$83.81 ,$4.35 ,$83.81 ,$83.81 ,$83.81 ,$90.33 ,$75.43 ,$83.81 ,$83.81 ,$83.81 ,$83.81 ST. JOSEPH'S - CHIPPEWA FALLS,30100242,82542,HC CHROMATO QN SGL COLUMN,301,1 ,$138.04 ,$103.53 ,$24.09 ,$138.04 ,$88.90 ,$24.09 ,$96.63 ,$24.89 ,$43.35 ,$25.64 ,$34.68 ,$131.14 , N/A ,$110.43 ,$125.62 ,$24.89 ,$129.76 ,$131.14 ,$124.24 ,$117.33 ,$24.89 ,$24.89 ,$24.89 ,$100.77 ,$24.09 ,$122.86 ,$124.24 ,$124.24 ,$110.43 ,$24.81 ,$75.92 ,$124.24 ,$24.09 ,$124.24 ,$24.09 ,$131.14 ,$54.20 ,$127.00 ,$26.38 ,$125.62 ,$24.09 ,$84.95 ,$88.90 ,$84.95 ,$124.24 ,$76.74 ,$103.53 ,$120.85 ,$24.33 ,$26.13 ,$129.07 ,$25.29 ,$24.89 ,$120.09 ,$24.09 ,$124.24 ,$24.09 ,$124.24 ,$124.24 ,$124.24 ,$133.90 ,$111.81 ,$124.24 ,$124.24 ,$124.24 ,$124.24 ST. JOSEPH'S - CHIPPEWA FALLS,30100243,80299,HC CHROMATO QN MLT COLUMN,301,1 ,$86.19 ,$64.64 ,$18.64 ,$86.19 ,$55.51 ,$18.64 ,$60.33 ,$19.26 ,$32.88 ,$19.84 ,$26.31 ,$81.88 , N/A ,$68.95 ,$78.43 ,$19.26 ,$81.02 ,$81.88 ,$77.57 ,$73.26 ,$19.26 ,$19.26 ,$19.26 ,$62.92 ,$18.64 ,$76.71 ,$77.57 ,$77.57 ,$68.95 ,$19.20 ,$47.40 ,$77.57 ,$18.64 ,$77.57 ,$18.64 ,$81.88 ,$41.94 ,$79.29 ,$20.42 ,$78.43 ,$18.64 ,$53.04 ,$55.51 ,$53.04 ,$77.57 ,$86.19 ,$64.64 ,$77.57 ,$18.83 ,$20.22 ,$80.59 ,$19.57 ,$19.26 ,$74.99 ,$18.64 ,$77.57 ,$18.64 ,$77.57 ,$77.57 ,$77.57 ,$83.60 ,$69.81 ,$77.57 ,$77.57 ,$77.57 ,$77.57 ST. JOSEPH'S - CHIPPEWA FALLS,30100245,82495,HC CHROMIUM SERUM,301,1 ,$65.63 ,$49.22 ,$10.23 ,$65.63 ,$42.27 ,$20.28 ,$45.94 ,$10.23 ,$17.47 ,$10.54 ,$13.97 ,$62.35 , N/A ,$52.50 ,$59.72 ,$10.23 ,$61.69 ,$62.35 ,$59.07 ,$55.79 ,$10.23 ,$10.23 ,$10.23 ,$47.91 ,$20.28 ,$58.41 ,$59.07 ,$59.07 ,$52.50 ,$20.89 ,$36.10 ,$59.07 ,$20.28 ,$59.07 ,$20.28 ,$62.35 ,$45.63 ,$60.38 ,$10.84 ,$59.72 ,$20.28 ,$40.39 ,$42.27 ,$40.39 ,$59.07 ,$46.55 ,$49.22 ,$59.07 ,$20.48 ,$10.74 ,$61.36 ,$21.29 ,$10.23 ,$57.10 ,$20.28 ,$59.07 ,$20.28 ,$59.07 ,$59.07 ,$59.07 ,$63.66 ,$53.16 ,$59.07 ,$59.07 ,$59.07 ,$59.07 ST. JOSEPH'S - CHIPPEWA FALLS,30100246,82507,HC CITRATE,301,1 ,$109.00 ,$81.75 ,$27.80 ,$109.00 ,$70.20 ,$27.80 ,$76.30 ,$28.73 ,$66.75 ,$29.59 ,$53.40 ,$103.55 , N/A ,$87.20 ,$99.19 ,$28.73 ,$102.46 ,$103.55 ,$98.10 ,$92.65 ,$28.73 ,$28.73 ,$28.73 ,$79.57 ,$27.80 ,$97.01 ,$98.10 ,$98.10 ,$87.20 ,$28.63 ,$59.95 ,$98.10 ,$27.80 ,$98.10 ,$27.80 ,$103.55 ,$62.55 ,$100.28 ,$30.45 ,$99.19 ,$27.80 ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$109.00 ,$81.75 ,$98.10 ,$28.08 ,$30.17 ,$101.92 ,$29.19 ,$28.73 ,$94.83 ,$27.80 ,$98.10 ,$27.80 ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100252,82525,HC COPPER,301,1 ,$86.56 ,$64.92 ,$12.41 ,$86.56 ,$55.74 ,$12.41 ,$60.59 ,$12.82 ,$24.64 ,$13.20 ,$19.71 ,$82.23 , N/A ,$69.25 ,$78.77 ,$12.82 ,$81.37 ,$82.23 ,$77.90 ,$73.58 ,$12.82 ,$12.82 ,$12.82 ,$63.19 ,$12.41 ,$77.04 ,$77.90 ,$77.90 ,$69.25 ,$12.78 ,$47.61 ,$77.90 ,$12.41 ,$77.90 ,$12.41 ,$82.23 ,$27.92 ,$79.64 ,$13.59 ,$78.77 ,$12.41 ,$53.27 ,$55.74 ,$53.27 ,$77.90 ,$86.56 ,$64.92 ,$76.85 ,$12.53 ,$13.46 ,$80.93 ,$13.03 ,$12.82 ,$75.31 ,$12.41 ,$77.90 ,$12.41 ,$77.90 ,$77.90 ,$77.90 ,$83.96 ,$70.11 ,$77.90 ,$77.90 ,$77.90 ,$77.90 ST. JOSEPH'S - CHIPPEWA FALLS,30100253,82530,HC CORTISOL FREE,301,1 ,$185.65 ,$139.24 ,$16.71 ,$185.65 ,$119.56 ,$16.71 ,$129.96 ,$17.27 ,$40.11 ,$17.79 ,$32.09 ,$176.37 , N/A ,$148.52 ,$168.94 ,$17.27 ,$174.51 ,$176.37 ,$167.09 ,$157.80 ,$17.27 ,$17.27 ,$17.27 ,$135.52 ,$16.71 ,$165.23 ,$167.09 ,$167.09 ,$148.52 ,$17.21 ,$102.11 ,$167.09 ,$16.71 ,$167.09 ,$16.71 ,$176.37 ,$37.60 ,$170.80 ,$18.31 ,$168.94 ,$16.71 ,$114.25 ,$119.56 ,$114.25 ,$167.09 ,$162.51 ,$139.24 ,$103.49 ,$16.88 ,$18.13 ,$173.58 ,$17.55 ,$17.27 ,$161.52 ,$16.71 ,$167.09 ,$16.71 ,$167.09 ,$167.09 ,$167.09 ,$180.08 ,$150.38 ,$167.09 ,$167.09 ,$167.09 ,$167.09 ST. JOSEPH'S - CHIPPEWA FALLS,30100254,82533,HC CORTISOL TOTAL,301,1 ,$211.17 ,$158.38 ,$16.30 ,$211.17 ,$135.99 ,$16.30 ,$147.82 ,$16.84 ,$39.13 ,$17.35 ,$31.30 ,$200.61 , N/A ,$168.94 ,$192.16 ,$16.84 ,$198.50 ,$200.61 ,$190.05 ,$179.49 ,$16.84 ,$16.84 ,$16.84 ,$154.15 ,$16.30 ,$187.94 ,$190.05 ,$190.05 ,$168.94 ,$16.79 ,$116.14 ,$190.05 ,$16.30 ,$190.05 ,$16.30 ,$200.61 ,$36.68 ,$194.28 ,$17.85 ,$192.16 ,$16.30 ,$129.95 ,$135.99 ,$129.95 ,$190.05 ,$125.17 ,$158.38 ,$100.93 ,$16.46 ,$17.68 ,$197.44 ,$17.12 ,$16.84 ,$183.72 ,$16.30 ,$190.05 ,$16.30 ,$190.05 ,$190.05 ,$190.05 ,$204.83 ,$171.05 ,$190.05 ,$190.05 ,$190.05 ,$190.05 ST. JOSEPH'S - CHIPPEWA FALLS,30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$142.36 ,$106.77 ,$6.51 ,$142.36 ,$91.68 ,$6.51 ,$99.65 ,$6.73 ,$15.63 ,$6.93 ,$12.50 ,$135.24 , N/A ,$113.89 ,$129.55 ,$6.73 ,$133.82 ,$135.24 ,$128.12 ,$121.01 ,$6.73 ,$6.73 ,$6.73 ,$103.92 ,$6.51 ,$126.70 ,$128.12 ,$128.12 ,$113.89 ,$6.71 ,$78.30 ,$128.12 ,$6.51 ,$128.12 ,$6.51 ,$135.24 ,$14.65 ,$130.97 ,$7.13 ,$129.55 ,$6.51 ,$87.61 ,$91.68 ,$87.61 ,$128.12 ,$92.26 ,$106.77 ,$40.33 ,$6.58 ,$7.07 ,$133.11 ,$6.84 ,$6.73 ,$123.85 ,$6.51 ,$128.12 ,$6.51 ,$128.12 ,$128.12 ,$128.12 ,$138.09 ,$115.31 ,$128.12 ,$128.12 ,$128.12 ,$128.12 ST. JOSEPH'S - CHIPPEWA FALLS,30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$244.52 ,$183.39 ,$8.66 ,$244.52 ,$157.47 ,$11.55 ,$171.16 ,$8.66 ,$14.79 ,$8.92 ,$11.83 ,$232.29 , N/A ,$195.62 ,$222.51 ,$8.66 ,$229.85 ,$232.29 ,$220.07 ,$207.84 ,$8.66 ,$8.66 ,$8.66 ,$178.50 ,$11.55 ,$217.62 ,$220.07 ,$220.07 ,$195.62 ,$11.90 ,$134.49 ,$220.07 ,$11.55 ,$220.07 ,$11.55 ,$232.29 ,$25.99 ,$224.96 ,$9.18 ,$222.51 ,$11.55 ,$150.48 ,$157.47 ,$150.48 ,$220.07 ,$48.30 ,$183.39 ,$71.53 ,$11.67 ,$9.09 ,$228.63 ,$12.13 ,$8.66 ,$212.73 ,$11.55 ,$220.07 ,$11.55 ,$220.07 ,$220.07 ,$220.07 ,$237.18 ,$198.06 ,$220.07 ,$220.07 ,$220.07 ,$220.07 ST. JOSEPH'S - CHIPPEWA FALLS,30100262,82565,HC CREATININE,301,1 ,$88.85 ,$66.64 ,$5.12 ,$88.85 ,$57.22 ,$5.12 ,$62.20 ,$5.29 ,$12.30 ,$5.45 ,$9.84 ,$84.41 , N/A ,$71.08 ,$80.85 ,$5.29 ,$83.52 ,$84.41 ,$79.97 ,$75.52 ,$5.29 ,$5.29 ,$5.29 ,$64.86 ,$5.12 ,$79.08 ,$79.97 ,$79.97 ,$71.08 ,$5.27 ,$48.87 ,$79.97 ,$5.12 ,$79.97 ,$5.12 ,$84.41 ,$11.52 ,$81.74 ,$5.61 ,$80.85 ,$5.12 ,$54.68 ,$57.22 ,$54.68 ,$79.97 ,$65.89 ,$66.64 ,$31.75 ,$5.17 ,$5.55 ,$83.07 ,$5.38 ,$5.29 ,$77.30 ,$5.12 ,$79.97 ,$5.12 ,$79.97 ,$79.97 ,$79.97 ,$86.18 ,$71.97 ,$79.97 ,$79.97 ,$79.97 ,$79.97 ST. JOSEPH'S - CHIPPEWA FALLS,30100263,82570,HC CREATININE BODY FLUID,301,1 ,$87.27 ,$65.45 ,$5.18 ,$87.27 ,$56.20 ,$5.18 ,$61.09 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$82.91 , N/A ,$69.82 ,$79.42 ,$5.35 ,$82.03 ,$82.91 ,$78.54 ,$74.18 ,$5.35 ,$5.35 ,$5.35 ,$63.71 ,$5.18 ,$77.67 ,$78.54 ,$78.54 ,$69.82 ,$5.34 ,$48.00 ,$78.54 ,$5.18 ,$78.54 ,$5.18 ,$82.91 ,$11.66 ,$80.29 ,$5.67 ,$79.42 ,$5.18 ,$53.71 ,$56.20 ,$53.71 ,$78.54 ,$63.68 ,$65.45 ,$32.05 ,$5.23 ,$5.62 ,$81.60 ,$5.44 ,$5.35 ,$75.92 ,$5.18 ,$78.54 ,$5.18 ,$78.54 ,$78.54 ,$78.54 ,$84.65 ,$70.69 ,$78.54 ,$78.54 ,$78.54 ,$78.54 ST. JOSEPH'S - CHIPPEWA FALLS,30100266,82575,HC CREATININE CLEARANCE,301,1 ,$158.15 ,$118.61 ,$9.46 ,$158.15 ,$101.85 ,$9.46 ,$110.71 ,$9.78 ,$22.70 ,$10.07 ,$18.16 ,$150.24 , N/A ,$126.52 ,$143.92 ,$9.78 ,$148.66 ,$150.24 ,$142.34 ,$134.43 ,$9.78 ,$9.78 ,$9.78 ,$115.45 ,$9.46 ,$140.75 ,$142.34 ,$142.34 ,$126.52 ,$9.74 ,$86.98 ,$142.34 ,$9.46 ,$142.34 ,$9.46 ,$150.24 ,$21.29 ,$145.50 ,$10.37 ,$143.92 ,$9.46 ,$97.33 ,$101.85 ,$97.33 ,$142.34 ,$74.67 ,$118.61 ,$58.54 ,$9.55 ,$10.27 ,$147.87 ,$9.93 ,$9.78 ,$137.59 ,$9.46 ,$142.34 ,$9.46 ,$142.34 ,$142.34 ,$142.34 ,$153.41 ,$128.10 ,$142.34 ,$142.34 ,$142.34 ,$142.34 ST. JOSEPH'S - CHIPPEWA FALLS,30100267,82585,HC CRYOFIBRINOGEN,301,1 ,$42.42 ,$31.82 ,$9.02 ,$42.42 ,$27.32 ,$14.14 ,$29.69 ,$9.02 ,$15.40 ,$9.29 ,$12.32 ,$40.30 , N/A ,$33.94 ,$38.60 ,$9.02 ,$39.87 ,$40.30 ,$38.18 ,$36.06 ,$9.02 ,$9.02 ,$9.02 ,$30.97 ,$14.14 ,$37.75 ,$38.18 ,$38.18 ,$33.94 ,$14.56 ,$23.33 ,$38.18 ,$14.14 ,$38.18 ,$14.14 ,$40.30 ,$31.82 ,$39.03 ,$9.56 ,$38.60 ,$14.14 ,$26.11 ,$27.32 ,$26.11 ,$38.18 ,$42.42 ,$31.82 ,$38.18 ,$14.28 ,$9.47 ,$39.66 ,$14.85 ,$9.02 ,$36.91 ,$14.14 ,$38.18 ,$14.14 ,$38.18 ,$38.18 ,$38.18 ,$41.15 ,$34.36 ,$38.18 ,$38.18 ,$38.18 ,$38.18 ST. JOSEPH'S - CHIPPEWA FALLS,30100268,82595,HC CRYOGLOBULIN,301,1 ,$57.78 ,$43.34 ,$6.47 ,$57.78 ,$37.21 ,$6.47 ,$40.45 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$54.89 , N/A ,$46.22 ,$52.58 ,$6.69 ,$54.31 ,$54.89 ,$52.00 ,$49.11 ,$6.69 ,$6.69 ,$6.69 ,$42.18 ,$6.47 ,$51.42 ,$52.00 ,$52.00 ,$46.22 ,$6.66 ,$31.78 ,$52.00 ,$6.47 ,$52.00 ,$6.47 ,$54.89 ,$14.56 ,$53.16 ,$7.09 ,$52.58 ,$6.47 ,$35.56 ,$37.21 ,$35.56 ,$52.00 ,$46.12 ,$43.34 ,$40.03 ,$6.53 ,$7.02 ,$54.02 ,$6.79 ,$6.69 ,$50.27 ,$6.47 ,$52.00 ,$6.47 ,$52.00 ,$52.00 ,$52.00 ,$56.05 ,$46.80 ,$52.00 ,$52.00 ,$52.00 ,$52.00 ST. JOSEPH'S - CHIPPEWA FALLS,30100269,82607,HC VITAMIN B12,301,1 ,$81.61 ,$61.21 ,$15.08 ,$81.61 ,$52.56 ,$15.08 ,$57.13 ,$15.58 ,$36.19 ,$16.05 ,$28.95 ,$77.53 , N/A ,$65.29 ,$74.27 ,$15.58 ,$76.71 ,$77.53 ,$73.45 ,$69.37 ,$15.58 ,$15.58 ,$15.58 ,$59.58 ,$15.08 ,$72.63 ,$73.45 ,$73.45 ,$65.29 ,$15.53 ,$44.89 ,$73.45 ,$15.08 ,$73.45 ,$15.08 ,$77.53 ,$33.93 ,$75.08 ,$16.51 ,$74.27 ,$15.08 ,$50.22 ,$52.56 ,$50.22 ,$73.45 ,$81.61 ,$61.21 ,$73.45 ,$15.23 ,$16.36 ,$76.31 ,$15.83 ,$15.58 ,$71.00 ,$15.08 ,$73.45 ,$15.08 ,$73.45 ,$73.45 ,$73.45 ,$79.16 ,$66.10 ,$73.45 ,$73.45 ,$73.45 ,$73.45 ST. JOSEPH'S - CHIPPEWA FALLS,30100271,82627,HC DHEA SULFATE,301,1 ,$68.63 ,$51.47 ,$22.23 ,$68.63 ,$44.20 ,$22.23 ,$48.04 ,$22.97 ,$53.38 ,$23.66 ,$42.70 ,$65.20 , N/A ,$54.90 ,$62.45 ,$22.97 ,$64.51 ,$65.20 ,$61.77 ,$58.34 ,$22.97 ,$22.97 ,$22.97 ,$50.10 ,$22.23 ,$61.08 ,$61.77 ,$61.77 ,$54.90 ,$22.90 ,$37.75 ,$61.77 ,$22.23 ,$61.77 ,$22.23 ,$65.20 ,$50.02 ,$63.14 ,$24.35 ,$62.45 ,$22.23 ,$42.23 ,$44.20 ,$42.23 ,$61.77 ,$68.63 ,$51.47 ,$61.77 ,$22.45 ,$24.12 ,$64.17 ,$23.34 ,$22.97 ,$59.71 ,$22.23 ,$61.77 ,$22.23 ,$61.77 ,$61.77 ,$61.77 ,$66.57 ,$55.59 ,$61.77 ,$61.77 ,$61.77 ,$61.77 ST. JOSEPH'S - CHIPPEWA FALLS,30100272,82652,HC VITAMIN D (1 25 DIHYDROXY),301,1 ,$206.20 ,$154.65 ,$38.50 ,$206.20 ,$132.79 ,$38.50 ,$144.34 ,$39.78 ,$92.42 ,$40.97 ,$73.93 ,$195.89 , N/A ,$164.96 ,$187.64 ,$39.78 ,$193.83 ,$195.89 ,$185.58 ,$175.27 ,$39.78 ,$39.78 ,$39.78 ,$150.53 ,$38.50 ,$183.52 ,$185.58 ,$185.58 ,$164.96 ,$39.66 ,$113.41 ,$185.58 ,$38.50 ,$185.58 ,$38.50 ,$195.89 ,$86.63 ,$189.70 ,$42.17 ,$187.64 ,$38.50 ,$126.90 ,$132.79 ,$126.90 ,$185.58 ,$186.68 ,$154.65 ,$185.58 ,$38.89 ,$41.77 ,$192.80 ,$40.43 ,$39.78 ,$179.39 ,$38.50 ,$185.58 ,$38.50 ,$185.58 ,$185.58 ,$185.58 ,$200.01 ,$167.02 ,$185.58 ,$185.58 ,$185.58 ,$185.58 ST. JOSEPH'S - CHIPPEWA FALLS,30100273,82657,HC ENZYME ACT NONRAD SUBS,301,1 ,$91.86 ,$68.90 ,$22.17 ,$91.86 ,$59.16 ,$22.17 ,$64.30 ,$22.91 ,$43.35 ,$23.60 ,$34.68 ,$87.27 , N/A ,$73.49 ,$83.59 ,$22.91 ,$86.35 ,$87.27 ,$82.67 ,$78.08 ,$22.91 ,$22.91 ,$22.91 ,$67.06 ,$22.17 ,$81.76 ,$82.67 ,$82.67 ,$73.49 ,$22.84 ,$50.52 ,$82.67 ,$22.17 ,$82.67 ,$22.17 ,$87.27 ,$49.88 ,$84.51 ,$24.28 ,$83.59 ,$22.17 ,$56.53 ,$59.16 ,$56.53 ,$82.67 ,$76.74 ,$68.90 ,$82.67 ,$22.39 ,$24.06 ,$85.89 ,$23.28 ,$22.91 ,$79.92 ,$22.17 ,$82.67 ,$22.17 ,$82.67 ,$82.67 ,$82.67 ,$89.10 ,$74.41 ,$82.67 ,$82.67 ,$82.67 ,$82.67 ST. JOSEPH'S - CHIPPEWA FALLS,30100275,82668,HC ERYTHROPOIETIN,301,1 ,$85.88 ,$64.41 ,$18.79 ,$85.88 ,$55.31 ,$18.79 ,$60.12 ,$19.42 ,$45.12 ,$20.00 ,$36.09 ,$81.59 , N/A ,$68.70 ,$78.15 ,$19.42 ,$80.73 ,$81.59 ,$77.29 ,$73.00 ,$19.42 ,$19.42 ,$19.42 ,$62.69 ,$18.79 ,$76.43 ,$77.29 ,$77.29 ,$68.70 ,$19.35 ,$47.23 ,$77.29 ,$18.79 ,$77.29 ,$18.79 ,$81.59 ,$42.28 ,$79.01 ,$20.59 ,$78.15 ,$18.79 ,$52.85 ,$55.31 ,$52.85 ,$77.29 ,$65.89 ,$64.41 ,$77.29 ,$18.98 ,$20.39 ,$80.30 ,$19.73 ,$19.42 ,$74.72 ,$18.79 ,$77.29 ,$18.79 ,$77.29 ,$77.29 ,$77.29 ,$83.30 ,$69.56 ,$77.29 ,$77.29 ,$77.29 ,$77.29 ST. JOSEPH'S - CHIPPEWA FALLS,30100276,82670,HC ESTRADIOL,301,1 ,$168.37 ,$126.28 ,$27.94 ,$168.37 ,$108.43 ,$27.94 ,$117.86 ,$28.87 ,$67.06 ,$29.74 ,$53.65 ,$159.95 , N/A ,$134.70 ,$153.22 ,$28.87 ,$158.27 ,$159.95 ,$151.53 ,$143.11 ,$28.87 ,$28.87 ,$28.87 ,$122.91 ,$27.94 ,$149.85 ,$151.53 ,$151.53 ,$134.70 ,$28.78 ,$92.60 ,$151.53 ,$27.94 ,$151.53 ,$27.94 ,$159.95 ,$62.87 ,$154.90 ,$30.60 ,$153.22 ,$27.94 ,$103.61 ,$108.43 ,$103.61 ,$151.53 ,$168.37 ,$126.28 ,$151.53 ,$28.22 ,$30.31 ,$157.43 ,$29.34 ,$28.87 ,$146.48 ,$27.94 ,$151.53 ,$27.94 ,$151.53 ,$151.53 ,$151.53 ,$163.32 ,$136.38 ,$151.53 ,$151.53 ,$151.53 ,$151.53 ST. JOSEPH'S - CHIPPEWA FALLS,30100278,82672,HC ESTROGEN TOTAL,301,1 ,$128.36 ,$96.27 ,$21.70 ,$128.36 ,$82.66 ,$21.70 ,$89.85 ,$22.42 ,$52.08 ,$23.09 ,$41.66 ,$121.94 , N/A ,$102.69 ,$116.81 ,$22.42 ,$120.66 ,$121.94 ,$115.52 ,$109.11 ,$22.42 ,$22.42 ,$22.42 ,$93.70 ,$21.70 ,$114.24 ,$115.52 ,$115.52 ,$102.69 ,$22.35 ,$70.60 ,$115.52 ,$21.70 ,$115.52 ,$21.70 ,$121.94 ,$48.83 ,$118.09 ,$23.77 ,$116.81 ,$21.70 ,$78.99 ,$82.66 ,$78.99 ,$115.52 ,$128.36 ,$96.27 ,$115.52 ,$21.92 ,$23.54 ,$120.02 ,$22.79 ,$22.42 ,$111.67 ,$21.70 ,$115.52 ,$21.70 ,$115.52 ,$115.52 ,$115.52 ,$124.51 ,$103.97 ,$115.52 ,$115.52 ,$115.52 ,$115.52 ST. JOSEPH'S - CHIPPEWA FALLS,30100280,82677,HC ESTRIOL,301,1 ,$74.63 ,$55.97 ,$24.18 ,$74.63 ,$48.06 ,$24.18 ,$52.24 ,$24.99 ,$58.05 ,$25.74 ,$46.44 ,$70.90 , N/A ,$59.70 ,$67.91 ,$24.99 ,$70.15 ,$70.90 ,$67.17 ,$63.44 ,$24.99 ,$24.99 ,$24.99 ,$54.48 ,$24.18 ,$66.42 ,$67.17 ,$67.17 ,$59.70 ,$24.91 ,$41.05 ,$67.17 ,$24.18 ,$67.17 ,$24.18 ,$70.90 ,$54.41 ,$68.66 ,$26.49 ,$67.91 ,$24.18 ,$45.93 ,$48.06 ,$45.93 ,$67.17 ,$74.63 ,$55.97 ,$67.17 ,$24.42 ,$26.24 ,$69.78 ,$25.39 ,$24.99 ,$64.93 ,$24.18 ,$67.17 ,$24.18 ,$67.17 ,$67.17 ,$67.17 ,$72.39 ,$60.45 ,$67.17 ,$67.17 ,$67.17 ,$67.17 ST. JOSEPH'S - CHIPPEWA FALLS,30100287,82710,HC FECAL FAT QN,301,1 ,$64.19 ,$48.14 ,$16.80 ,$64.19 ,$41.34 ,$16.80 ,$44.93 ,$17.36 ,$40.34 ,$17.88 ,$32.27 ,$60.98 , N/A ,$51.35 ,$58.41 ,$17.36 ,$60.34 ,$60.98 ,$57.77 ,$54.56 ,$17.36 ,$17.36 ,$17.36 ,$46.86 ,$16.80 ,$57.13 ,$57.77 ,$57.77 ,$51.35 ,$17.30 ,$35.30 ,$57.77 ,$16.80 ,$57.77 ,$16.80 ,$60.98 ,$37.80 ,$59.05 ,$18.40 ,$58.41 ,$16.80 ,$39.50 ,$41.34 ,$39.50 ,$57.77 ,$64.19 ,$48.14 ,$57.77 ,$16.97 ,$18.23 ,$60.02 ,$17.64 ,$17.36 ,$55.85 ,$16.80 ,$57.77 ,$16.80 ,$57.77 ,$57.77 ,$57.77 ,$62.26 ,$51.99 ,$57.77 ,$57.77 ,$57.77 ,$57.77 ST. JOSEPH'S - CHIPPEWA FALLS,30100290,82728,HC FERRITIN,301,1 ,$170.66 ,$128.00 ,$13.63 ,$170.66 ,$109.91 ,$13.63 ,$119.46 ,$14.08 ,$32.73 ,$14.50 ,$26.18 ,$162.13 , N/A ,$136.53 ,$155.30 ,$14.08 ,$160.42 ,$162.13 ,$153.59 ,$145.06 ,$14.08 ,$14.08 ,$14.08 ,$124.58 ,$13.63 ,$151.89 ,$153.59 ,$153.59 ,$136.53 ,$14.04 ,$93.86 ,$153.59 ,$13.63 ,$153.59 ,$13.63 ,$162.13 ,$30.67 ,$157.01 ,$14.92 ,$155.30 ,$13.63 ,$105.02 ,$109.91 ,$105.02 ,$153.59 ,$107.64 ,$128.00 ,$84.43 ,$13.77 ,$14.78 ,$159.57 ,$14.31 ,$14.08 ,$148.47 ,$13.63 ,$153.59 ,$13.63 ,$153.59 ,$153.59 ,$153.59 ,$165.54 ,$138.23 ,$153.59 ,$153.59 ,$153.59 ,$153.59 ST. JOSEPH'S - CHIPPEWA FALLS,30100291,82731,HC FETAL FIBRONECTIN,301,1 ,$255.05 ,$191.29 ,$63.97 ,$255.05 ,$164.25 ,$64.41 ,$178.54 ,$66.55 ,$154.63 ,$68.55 ,$123.70 ,$242.30 , N/A ,$204.04 ,$232.10 ,$66.55 ,$239.75 ,$242.30 ,$229.55 ,$216.79 ,$66.55 ,$66.55 ,$66.55 ,$186.19 ,$64.41 ,$226.99 ,$229.55 ,$229.55 ,$204.04 ,$66.34 ,$140.28 ,$229.55 ,$64.41 ,$229.55 ,$64.41 ,$242.30 ,$144.92 ,$234.65 ,$70.54 ,$232.10 ,$64.41 ,$156.96 ,$164.25 ,$156.96 ,$229.55 ,$63.97 ,$191.29 ,$229.55 ,$65.05 ,$69.88 ,$238.47 ,$67.63 ,$66.55 ,$221.89 ,$64.41 ,$229.55 ,$64.41 ,$229.55 ,$229.55 ,$229.55 ,$247.40 ,$206.59 ,$229.55 ,$229.55 ,$229.55 ,$229.55 ST. JOSEPH'S - CHIPPEWA FALLS,30100292,82746,HC FOLIC ACID SERUM,301,1 ,$148.31 ,$111.23 ,$14.70 ,$148.31 ,$95.51 ,$14.70 ,$103.82 ,$15.19 ,$35.30 ,$15.65 ,$28.24 ,$140.89 , N/A ,$118.65 ,$134.96 ,$15.19 ,$139.41 ,$140.89 ,$133.48 ,$126.06 ,$15.19 ,$15.19 ,$15.19 ,$108.27 ,$14.70 ,$132.00 ,$133.48 ,$133.48 ,$118.65 ,$15.14 ,$81.57 ,$133.48 ,$14.70 ,$133.48 ,$14.70 ,$140.89 ,$33.08 ,$136.45 ,$16.10 ,$134.96 ,$14.70 ,$91.27 ,$95.51 ,$91.27 ,$133.48 ,$127.39 ,$111.23 ,$91.05 ,$14.85 ,$15.95 ,$138.67 ,$15.44 ,$15.19 ,$129.03 ,$14.70 ,$133.48 ,$14.70 ,$133.48 ,$133.48 ,$133.48 ,$143.86 ,$120.13 ,$133.48 ,$133.48 ,$133.48 ,$133.48 ST. JOSEPH'S - CHIPPEWA FALLS,30100293,82747,HC FOLIC ACID RBC,301,1 ,$53.45 ,$40.09 ,$16.37 ,$53.45 ,$34.42 ,$17.65 ,$37.42 ,$16.37 ,$27.95 ,$16.86 ,$22.36 ,$50.78 , N/A ,$42.76 ,$48.64 ,$16.37 ,$50.24 ,$50.78 ,$48.11 ,$45.43 ,$16.37 ,$16.37 ,$16.37 ,$39.02 ,$17.65 ,$47.57 ,$48.11 ,$48.11 ,$42.76 ,$18.18 ,$29.40 ,$48.11 ,$17.65 ,$48.11 ,$17.65 ,$50.78 ,$39.71 ,$49.17 ,$17.35 ,$48.64 ,$17.65 ,$32.89 ,$34.42 ,$32.89 ,$48.11 ,$53.45 ,$40.09 ,$48.11 ,$17.83 ,$17.19 ,$49.98 ,$18.53 ,$16.37 ,$46.50 ,$17.65 ,$48.11 ,$17.65 ,$48.11 ,$48.11 ,$48.11 ,$51.85 ,$43.29 ,$48.11 ,$48.11 ,$48.11 ,$48.11 ST. JOSEPH'S - CHIPPEWA FALLS,30100295,82784,HC GAMMAGLOBULIN,301,1 ,$44.38 ,$33.29 ,$9.30 ,$44.38 ,$28.58 ,$9.30 ,$31.07 ,$9.61 ,$22.33 ,$9.90 ,$17.86 ,$42.16 , N/A ,$35.50 ,$40.39 ,$9.61 ,$41.72 ,$42.16 ,$39.94 ,$37.72 ,$9.61 ,$9.61 ,$9.61 ,$32.40 ,$9.30 ,$39.50 ,$39.94 ,$39.94 ,$35.50 ,$9.58 ,$24.41 ,$39.94 ,$9.30 ,$39.94 ,$9.30 ,$42.16 ,$20.93 ,$40.83 ,$10.19 ,$40.39 ,$9.30 ,$27.31 ,$28.58 ,$27.31 ,$39.94 ,$44.38 ,$33.29 ,$39.94 ,$9.39 ,$10.09 ,$41.50 ,$9.77 ,$9.61 ,$38.61 ,$9.30 ,$39.94 ,$9.30 ,$39.94 ,$39.94 ,$39.94 ,$43.05 ,$35.95 ,$39.94 ,$39.94 ,$39.94 ,$39.94 ST. JOSEPH'S - CHIPPEWA FALLS,30100302,82785,HC GAMMAGLOBULIN IGE,301,1 ,$81.80 ,$61.35 ,$16.46 ,$81.80 ,$52.68 ,$16.46 ,$57.26 ,$17.01 ,$39.52 ,$17.52 ,$31.61 ,$77.71 , N/A ,$65.44 ,$74.44 ,$17.01 ,$76.89 ,$77.71 ,$73.62 ,$69.53 ,$17.01 ,$17.01 ,$17.01 ,$59.71 ,$16.46 ,$72.80 ,$73.62 ,$73.62 ,$65.44 ,$16.95 ,$44.99 ,$73.62 ,$16.46 ,$73.62 ,$16.46 ,$77.71 ,$37.04 ,$75.26 ,$18.03 ,$74.44 ,$16.46 ,$50.34 ,$52.68 ,$50.34 ,$73.62 ,$81.80 ,$61.35 ,$73.62 ,$16.62 ,$17.86 ,$76.48 ,$17.28 ,$17.01 ,$71.17 ,$16.46 ,$73.62 ,$16.46 ,$73.62 ,$73.62 ,$73.62 ,$79.35 ,$66.26 ,$73.62 ,$73.62 ,$73.62 ,$73.62 ST. JOSEPH'S - CHIPPEWA FALLS,30100305,82800,HC BLOOD GAS PH,301,1 ,$71.78 ,$53.84 ,$11.00 ,$71.78 ,$46.23 ,$11.00 ,$50.25 ,$11.37 ,$20.32 ,$11.71 ,$16.25 ,$68.19 , N/A ,$57.42 ,$65.32 ,$11.37 ,$67.47 ,$68.19 ,$64.60 ,$61.01 ,$11.37 ,$11.37 ,$11.37 ,$52.40 ,$11.00 ,$63.88 ,$64.60 ,$64.60 ,$57.42 ,$11.33 ,$39.48 ,$64.60 ,$11.00 ,$64.60 ,$11.00 ,$68.19 ,$24.75 ,$66.04 ,$12.05 ,$65.32 ,$11.00 ,$44.17 ,$46.23 ,$44.17 ,$64.60 ,$70.29 ,$53.84 ,$55.18 ,$11.11 ,$11.94 ,$67.11 ,$11.55 ,$11.37 ,$62.45 ,$11.00 ,$64.60 ,$11.00 ,$64.60 ,$64.60 ,$64.60 ,$69.63 ,$58.14 ,$64.60 ,$64.60 ,$64.60 ,$64.60 ST. JOSEPH'S - CHIPPEWA FALLS,30100306,82803,HC BLOOD GAS PH PO2 AND /OR PCO2,301,1 ,$339.57 ,$254.68 ,$26.07 ,$339.57 ,$218.68 ,$26.07 ,$237.70 ,$26.94 ,$46.45 ,$27.75 ,$37.16 ,$322.59 , N/A ,$271.66 ,$309.01 ,$26.94 ,$319.20 ,$322.59 ,$305.61 ,$288.63 ,$26.94 ,$26.94 ,$26.94 ,$247.89 ,$26.07 ,$302.22 ,$305.61 ,$305.61 ,$271.66 ,$26.85 ,$186.76 ,$305.61 ,$26.07 ,$305.61 ,$26.07 ,$322.59 ,$58.66 ,$312.40 ,$28.56 ,$309.01 ,$26.07 ,$208.97 ,$218.68 ,$208.97 ,$305.61 ,$107.64 ,$254.68 ,$130.78 ,$26.33 ,$28.29 ,$317.50 ,$27.37 ,$26.94 ,$295.43 ,$26.07 ,$305.61 ,$26.07 ,$305.61 ,$305.61 ,$305.61 ,$329.38 ,$275.05 ,$305.61 ,$305.61 ,$305.61 ,$305.61 ST. JOSEPH'S - CHIPPEWA FALLS,30100307,82805,HC BLOOD GASES W/O2 SAT,301,1 ,$350.55 ,$262.91 ,$39.91 ,$350.55 ,$225.75 ,$78.77 ,$245.39 ,$39.91 ,$68.11 ,$41.11 ,$54.49 ,$333.02 , N/A ,$280.44 ,$319.00 ,$39.91 ,$329.52 ,$333.02 ,$315.50 ,$297.97 ,$39.91 ,$39.91 ,$39.91 ,$255.90 ,$78.77 ,$311.99 ,$315.50 ,$315.50 ,$280.44 ,$81.13 ,$192.80 ,$315.50 ,$78.77 ,$315.50 ,$78.77 ,$333.02 ,$177.23 ,$322.51 ,$42.30 ,$319.00 ,$78.77 ,$215.73 ,$225.75 ,$215.73 ,$315.50 ,$131.77 ,$262.91 ,$315.50 ,$79.56 ,$41.91 ,$327.76 ,$82.71 ,$39.91 ,$304.98 ,$78.77 ,$315.50 ,$78.77 ,$315.50 ,$315.50 ,$315.50 ,$340.03 ,$283.95 ,$315.50 ,$315.50 ,$315.50 ,$315.50 ST. JOSEPH'S - CHIPPEWA FALLS,30100309,82941,HC GASTRIN,301,1 ,$98.58 ,$73.94 ,$17.63 ,$98.58 ,$63.49 ,$17.63 ,$69.01 ,$18.22 ,$42.33 ,$18.77 ,$33.87 ,$93.65 , N/A ,$78.86 ,$89.71 ,$18.22 ,$92.67 ,$93.65 ,$88.72 ,$83.79 ,$18.22 ,$18.22 ,$18.22 ,$71.96 ,$17.63 ,$87.74 ,$88.72 ,$88.72 ,$78.86 ,$18.16 ,$54.22 ,$88.72 ,$17.63 ,$88.72 ,$17.63 ,$93.65 ,$39.67 ,$90.69 ,$19.31 ,$89.71 ,$17.63 ,$60.67 ,$63.49 ,$60.67 ,$88.72 ,$54.90 ,$73.94 ,$88.72 ,$17.81 ,$19.13 ,$92.17 ,$18.51 ,$18.22 ,$85.76 ,$17.63 ,$88.72 ,$17.63 ,$88.72 ,$88.72 ,$88.72 ,$95.62 ,$79.85 ,$88.72 ,$88.72 ,$88.72 ,$88.72 ST. JOSEPH'S - CHIPPEWA FALLS,30100311,82945,HC GLUCOSE BODY FLUID,301,1 ,$101.86 ,$76.40 ,$3.93 ,$101.86 ,$65.60 ,$3.93 ,$71.30 ,$4.06 ,$9.43 ,$4.18 ,$7.55 ,$96.77 , N/A ,$81.49 ,$92.69 ,$4.06 ,$95.75 ,$96.77 ,$91.67 ,$86.58 ,$4.06 ,$4.06 ,$4.06 ,$74.36 ,$3.93 ,$90.66 ,$91.67 ,$91.67 ,$81.49 ,$4.05 ,$56.02 ,$91.67 ,$3.93 ,$91.67 ,$3.93 ,$96.77 ,$8.84 ,$93.71 ,$4.30 ,$92.69 ,$3.93 ,$62.68 ,$65.60 ,$62.68 ,$91.67 ,$53.15 ,$76.40 ,$24.33 ,$3.97 ,$4.26 ,$95.24 ,$4.13 ,$4.06 ,$88.62 ,$3.93 ,$91.67 ,$3.93 ,$91.67 ,$91.67 ,$91.67 ,$98.80 ,$82.51 ,$91.67 ,$91.67 ,$91.67 ,$91.67 ST. JOSEPH'S - CHIPPEWA FALLS,30100312,82947,HC GLUCOSE,301,1 ,$74.96 ,$56.22 ,$3.93 ,$74.96 ,$48.27 ,$3.93 ,$52.47 ,$4.06 ,$9.43 ,$4.18 ,$7.55 ,$71.21 , N/A ,$59.97 ,$68.21 ,$4.06 ,$70.46 ,$71.21 ,$67.46 ,$63.72 ,$4.06 ,$4.06 ,$4.06 ,$54.72 ,$3.93 ,$66.71 ,$67.46 ,$67.46 ,$59.97 ,$4.05 ,$41.23 ,$67.46 ,$3.93 ,$67.46 ,$3.93 ,$71.21 ,$8.84 ,$68.96 ,$4.30 ,$68.21 ,$3.93 ,$46.13 ,$48.27 ,$46.13 ,$67.46 ,$54.90 ,$56.22 ,$24.33 ,$3.97 ,$4.26 ,$70.09 ,$4.13 ,$4.06 ,$65.22 ,$3.93 ,$67.46 ,$3.93 ,$67.46 ,$67.46 ,$67.46 ,$72.71 ,$60.72 ,$67.46 ,$67.46 ,$67.46 ,$67.46 ST. JOSEPH'S - CHIPPEWA FALLS,30100313,82950,HC GLUCOSE SCREEN,301,1 ,$83.40 ,$62.55 ,$4.75 ,$83.40 ,$53.71 ,$4.75 ,$58.38 ,$4.91 ,$11.39 ,$5.06 ,$9.11 ,$79.23 , N/A ,$66.72 ,$75.89 ,$4.91 ,$78.40 ,$79.23 ,$75.06 ,$70.89 ,$4.91 ,$4.91 ,$4.91 ,$60.88 ,$4.75 ,$74.23 ,$75.06 ,$75.06 ,$66.72 ,$4.89 ,$45.87 ,$75.06 ,$4.75 ,$75.06 ,$4.75 ,$79.23 ,$10.69 ,$76.73 ,$5.20 ,$75.89 ,$4.75 ,$51.32 ,$53.71 ,$51.32 ,$75.06 ,$74.67 ,$62.55 ,$29.40 ,$4.80 ,$5.16 ,$77.98 ,$4.99 ,$4.91 ,$72.56 ,$4.75 ,$75.06 ,$4.75 ,$75.06 ,$75.06 ,$75.06 ,$80.90 ,$67.55 ,$75.06 ,$75.06 ,$75.06 ,$75.06 ST. JOSEPH'S - CHIPPEWA FALLS,30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$161.33 ,$121.00 ,$12.87 ,$161.33 ,$103.90 ,$12.87 ,$112.93 ,$13.30 ,$30.91 ,$13.70 ,$24.72 ,$153.26 , N/A ,$129.06 ,$146.81 ,$13.30 ,$151.65 ,$153.26 ,$145.20 ,$137.13 ,$13.30 ,$13.30 ,$13.30 ,$117.77 ,$12.87 ,$143.58 ,$145.20 ,$145.20 ,$129.06 ,$13.26 ,$88.73 ,$145.20 ,$12.87 ,$145.20 ,$12.87 ,$153.26 ,$28.96 ,$148.42 ,$14.10 ,$146.81 ,$12.87 ,$99.28 ,$103.90 ,$99.28 ,$145.20 ,$139.47 ,$121.00 ,$79.71 ,$13.00 ,$13.97 ,$150.84 ,$13.51 ,$13.30 ,$140.36 ,$12.87 ,$145.20 ,$12.87 ,$145.20 ,$145.20 ,$145.20 ,$156.49 ,$130.68 ,$145.20 ,$145.20 ,$145.20 ,$145.20 ST. JOSEPH'S - CHIPPEWA FALLS,30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$94.82 ,$71.12 ,$3.92 ,$94.82 ,$61.06 ,$3.92 ,$66.37 ,$4.05 ,$9.42 ,$4.17 ,$7.53 ,$90.08 , N/A ,$75.86 ,$86.29 ,$4.05 ,$89.13 ,$90.08 ,$85.34 ,$80.60 ,$4.05 ,$4.05 ,$4.05 ,$69.22 ,$3.92 ,$84.39 ,$85.34 ,$85.34 ,$75.86 ,$4.04 ,$52.15 ,$85.34 ,$3.92 ,$85.34 ,$3.92 ,$90.08 ,$8.82 ,$87.23 ,$4.29 ,$86.29 ,$3.92 ,$58.35 ,$61.06 ,$58.35 ,$85.34 ,$57.09 ,$71.12 ,$24.28 ,$3.96 ,$4.25 ,$88.66 ,$4.12 ,$4.05 ,$82.49 ,$3.92 ,$85.34 ,$3.92 ,$85.34 ,$85.34 ,$85.34 ,$91.98 ,$76.80 ,$85.34 ,$85.34 ,$85.34 ,$85.34 ST. JOSEPH'S - CHIPPEWA FALLS,30100316,82955,HC G6PD ENZYME QN,301,1 ,$82.51 ,$61.88 ,$9.70 ,$82.51 ,$53.14 ,$9.70 ,$57.76 ,$10.02 ,$23.28 ,$10.32 ,$18.62 ,$78.38 , N/A ,$66.01 ,$75.08 ,$10.02 ,$77.56 ,$78.38 ,$74.26 ,$70.13 ,$10.02 ,$10.02 ,$10.02 ,$60.23 ,$9.70 ,$73.43 ,$74.26 ,$74.26 ,$66.01 ,$9.99 ,$45.38 ,$74.26 ,$9.70 ,$74.26 ,$9.70 ,$78.38 ,$21.83 ,$75.91 ,$10.62 ,$75.08 ,$9.70 ,$50.78 ,$53.14 ,$50.78 ,$74.26 ,$82.51 ,$61.88 ,$60.05 ,$9.80 ,$10.52 ,$77.15 ,$10.19 ,$10.02 ,$71.78 ,$9.70 ,$74.26 ,$9.70 ,$74.26 ,$74.26 ,$74.26 ,$80.03 ,$66.83 ,$74.26 ,$74.26 ,$74.26 ,$74.26 ST. JOSEPH'S - CHIPPEWA FALLS,30100319,82977,HC GGT/GGTP,301,1 ,$151.00 ,$113.25 ,$7.20 ,$151.00 ,$97.24 ,$7.20 ,$105.70 ,$7.44 ,$17.29 ,$7.66 ,$13.83 ,$143.45 , N/A ,$120.80 ,$137.41 ,$7.44 ,$141.94 ,$143.45 ,$135.90 ,$128.35 ,$7.44 ,$7.44 ,$7.44 ,$110.23 ,$7.20 ,$134.39 ,$135.90 ,$135.90 ,$120.80 ,$7.42 ,$83.05 ,$135.90 ,$7.20 ,$135.90 ,$7.20 ,$143.45 ,$16.20 ,$138.92 ,$7.89 ,$137.41 ,$7.20 ,$92.93 ,$97.24 ,$92.93 ,$135.90 ,$69.62 ,$113.25 ,$44.60 ,$7.27 ,$7.81 ,$141.19 ,$7.56 ,$7.44 ,$131.37 ,$7.20 ,$135.90 ,$7.20 ,$135.90 ,$135.90 ,$135.90 ,$146.47 ,$122.31 ,$135.90 ,$135.90 ,$135.90 ,$135.90 ST. JOSEPH'S - CHIPPEWA FALLS,30100321,82985,HC FRUCTOSAMINE,301,1 ,$46.53 ,$34.90 ,$16.62 ,$46.53 ,$29.97 ,$16.76 ,$32.57 ,$16.62 ,$28.37 ,$17.12 ,$22.69 ,$44.20 , N/A ,$37.22 ,$42.34 ,$16.62 ,$43.74 ,$44.20 ,$41.88 ,$39.55 ,$16.62 ,$16.62 ,$16.62 ,$33.97 ,$16.76 ,$41.41 ,$41.88 ,$41.88 ,$37.22 ,$17.26 ,$25.59 ,$41.88 ,$16.76 ,$41.88 ,$16.76 ,$44.20 ,$37.71 ,$42.81 ,$17.62 ,$42.34 ,$16.76 ,$28.63 ,$29.97 ,$28.63 ,$41.88 ,$46.53 ,$34.90 ,$41.88 ,$16.93 ,$17.45 ,$43.51 ,$17.60 ,$16.62 ,$40.48 ,$16.76 ,$41.88 ,$16.76 ,$41.88 ,$41.88 ,$41.88 ,$45.13 ,$37.69 ,$41.88 ,$41.88 ,$41.88 ,$41.88 ST. JOSEPH'S - CHIPPEWA FALLS,30100322,83001,HC FSH,301,1 ,$145.25 ,$108.94 ,$18.58 ,$145.25 ,$93.54 ,$18.58 ,$101.68 ,$19.20 ,$44.61 ,$19.78 ,$35.69 ,$137.99 , N/A ,$116.20 ,$132.18 ,$19.20 ,$136.54 ,$137.99 ,$130.73 ,$123.46 ,$19.20 ,$19.20 ,$19.20 ,$106.03 ,$18.58 ,$129.27 ,$130.73 ,$130.73 ,$116.20 ,$19.14 ,$79.89 ,$130.73 ,$18.58 ,$130.73 ,$18.58 ,$137.99 ,$41.81 ,$133.63 ,$20.35 ,$132.18 ,$18.58 ,$89.39 ,$93.54 ,$89.39 ,$130.73 ,$145.25 ,$108.94 ,$115.08 ,$18.77 ,$20.16 ,$135.81 ,$19.51 ,$19.20 ,$126.37 ,$18.58 ,$130.73 ,$18.58 ,$130.73 ,$130.73 ,$130.73 ,$140.89 ,$117.65 ,$130.73 ,$130.73 ,$130.73 ,$130.73 ST. JOSEPH'S - CHIPPEWA FALLS,30100325,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$142.86 ,$107.15 ,$18.52 ,$142.86 ,$92.00 ,$18.52 ,$100.00 ,$19.14 ,$44.45 ,$19.71 ,$35.56 ,$135.72 , N/A ,$114.29 ,$130.00 ,$19.14 ,$134.29 ,$135.72 ,$128.57 ,$121.43 ,$19.14 ,$19.14 ,$19.14 ,$104.29 ,$18.52 ,$127.15 ,$128.57 ,$128.57 ,$114.29 ,$19.08 ,$78.57 ,$128.57 ,$18.52 ,$128.57 ,$18.52 ,$135.72 ,$41.67 ,$131.43 ,$20.29 ,$130.00 ,$18.52 ,$87.92 ,$92.00 ,$87.92 ,$128.57 ,$142.86 ,$107.15 ,$114.67 ,$18.71 ,$20.10 ,$133.57 ,$19.45 ,$19.14 ,$124.29 ,$18.52 ,$128.57 ,$18.52 ,$128.57 ,$128.57 ,$128.57 ,$138.57 ,$115.72 ,$128.57 ,$128.57 ,$128.57 ,$128.57 ST. JOSEPH'S - CHIPPEWA FALLS,30100326,83003,HC GROWTH HORMONE,301,1 ,$77.83 ,$58.37 ,$16.67 ,$77.83 ,$50.12 ,$16.67 ,$54.48 ,$17.23 ,$40.02 ,$17.75 ,$32.02 ,$73.94 , N/A ,$62.26 ,$70.83 ,$17.23 ,$73.16 ,$73.94 ,$70.05 ,$66.16 ,$17.23 ,$17.23 ,$17.23 ,$56.82 ,$16.67 ,$69.27 ,$70.05 ,$70.05 ,$62.26 ,$17.17 ,$42.81 ,$70.05 ,$16.67 ,$70.05 ,$16.67 ,$73.94 ,$37.51 ,$71.60 ,$18.26 ,$70.83 ,$16.67 ,$47.90 ,$50.12 ,$47.90 ,$70.05 ,$77.83 ,$58.37 ,$70.05 ,$16.84 ,$18.09 ,$72.77 ,$17.50 ,$17.23 ,$67.71 ,$16.67 ,$70.05 ,$16.67 ,$70.05 ,$70.05 ,$70.05 ,$75.50 ,$63.04 ,$70.05 ,$70.05 ,$70.05 ,$70.05 ST. JOSEPH'S - CHIPPEWA FALLS,30100327,83010,HC HAPTOGLOBIN,301,1 ,$103.84 ,$77.88 ,$12.58 ,$103.84 ,$66.87 ,$12.58 ,$72.69 ,$13.00 ,$30.19 ,$13.39 ,$24.15 ,$98.65 , N/A ,$83.07 ,$94.49 ,$13.00 ,$97.61 ,$98.65 ,$93.46 ,$88.26 ,$13.00 ,$13.00 ,$13.00 ,$75.80 ,$12.58 ,$92.42 ,$93.46 ,$93.46 ,$83.07 ,$12.96 ,$57.11 ,$93.46 ,$12.58 ,$93.46 ,$12.58 ,$98.65 ,$28.31 ,$95.53 ,$13.78 ,$94.49 ,$12.58 ,$63.90 ,$66.87 ,$63.90 ,$93.46 ,$103.84 ,$77.88 ,$77.90 ,$12.71 ,$13.65 ,$97.09 ,$13.21 ,$13.00 ,$90.34 ,$12.58 ,$93.46 ,$12.58 ,$93.46 ,$93.46 ,$93.46 ,$100.72 ,$84.11 ,$93.46 ,$93.46 ,$93.46 ,$93.46 ST. JOSEPH'S - CHIPPEWA FALLS,30100328,83018,HC HEAVY METAL EACH,301,1 ,$77.14 ,$57.86 ,$21.96 ,$77.14 ,$49.68 ,$21.96 ,$54.00 ,$22.69 ,$52.73 ,$23.37 ,$42.18 ,$73.28 , N/A ,$61.71 ,$70.20 ,$22.69 ,$72.51 ,$73.28 ,$69.43 ,$65.57 ,$22.69 ,$22.69 ,$22.69 ,$56.31 ,$21.96 ,$68.65 ,$69.43 ,$69.43 ,$61.71 ,$22.62 ,$42.43 ,$69.43 ,$21.96 ,$69.43 ,$21.96 ,$73.28 ,$49.41 ,$70.97 ,$24.05 ,$70.20 ,$21.96 ,$47.47 ,$49.68 ,$47.47 ,$69.43 ,$77.14 ,$57.86 ,$69.43 ,$22.18 ,$23.82 ,$72.13 ,$23.06 ,$22.69 ,$67.11 ,$21.96 ,$69.43 ,$21.96 ,$69.43 ,$69.43 ,$69.43 ,$74.83 ,$62.48 ,$69.43 ,$69.43 ,$69.43 ,$69.43 ST. JOSEPH'S - CHIPPEWA FALLS,30100333,83021,HC HEMOGLOBIN FRACT QN,301,1 ,$55.73 ,$41.80 ,$18.06 ,$55.73 ,$35.89 ,$18.06 ,$39.01 ,$18.66 ,$43.35 ,$19.22 ,$34.68 ,$52.94 , N/A ,$44.58 ,$50.71 ,$18.66 ,$52.39 ,$52.94 ,$50.16 ,$47.37 ,$18.66 ,$18.66 ,$18.66 ,$40.68 ,$18.06 ,$49.60 ,$50.16 ,$50.16 ,$44.58 ,$18.60 ,$30.65 ,$50.16 ,$18.06 ,$50.16 ,$18.06 ,$52.94 ,$40.64 ,$51.27 ,$19.78 ,$50.71 ,$18.06 ,$34.30 ,$35.89 ,$34.30 ,$50.16 ,$55.73 ,$41.80 ,$50.16 ,$18.24 ,$19.59 ,$52.11 ,$18.96 ,$18.66 ,$48.49 ,$18.06 ,$50.16 ,$18.06 ,$50.16 ,$50.16 ,$50.16 ,$54.06 ,$45.14 ,$50.16 ,$50.16 ,$50.16 ,$50.16 ST. JOSEPH'S - CHIPPEWA FALLS,30100337,83036,HC GLYCOSYLATED HGB,301,1 ,$57.48 ,$43.11 ,$9.71 ,$57.48 ,$37.02 ,$9.71 ,$40.24 ,$10.03 ,$23.31 ,$10.33 ,$18.65 ,$54.61 , N/A ,$45.98 ,$52.31 ,$10.03 ,$54.03 ,$54.61 ,$51.73 ,$48.86 ,$10.03 ,$10.03 ,$10.03 ,$41.96 ,$9.71 ,$51.16 ,$51.73 ,$51.73 ,$45.98 ,$10.00 ,$31.61 ,$51.73 ,$9.71 ,$51.73 ,$9.71 ,$54.61 ,$21.85 ,$52.88 ,$10.63 ,$52.31 ,$9.71 ,$35.37 ,$37.02 ,$35.37 ,$51.73 ,$57.48 ,$43.11 ,$51.73 ,$9.81 ,$10.53 ,$53.74 ,$10.20 ,$10.03 ,$50.01 ,$9.71 ,$51.73 ,$9.71 ,$51.73 ,$51.73 ,$51.73 ,$55.76 ,$46.56 ,$51.73 ,$51.73 ,$51.73 ,$51.73 ST. JOSEPH'S - CHIPPEWA FALLS,30100338,83050,HC METHEMOGLOBIN,301,1 ,$110.59 ,$82.94 ,$4.12 ,$110.59 ,$71.22 ,$8.20 ,$77.41 ,$4.12 ,$7.04 ,$4.24 ,$5.63 ,$105.06 , N/A ,$88.47 ,$100.64 ,$4.12 ,$103.95 ,$105.06 ,$99.53 ,$94.00 ,$4.12 ,$4.12 ,$4.12 ,$80.73 ,$8.20 ,$98.43 ,$99.53 ,$99.53 ,$88.47 ,$8.45 ,$60.82 ,$99.53 ,$8.20 ,$99.53 ,$8.20 ,$105.06 ,$18.45 ,$101.74 ,$4.37 ,$100.64 ,$8.20 ,$68.06 ,$71.22 ,$68.06 ,$99.53 ,$74.67 ,$82.94 ,$45.40 ,$8.28 ,$4.33 ,$103.40 ,$8.61 ,$4.12 ,$96.21 ,$8.20 ,$99.53 ,$8.20 ,$99.53 ,$99.53 ,$99.53 ,$107.27 ,$89.58 ,$99.53 ,$99.53 ,$99.53 ,$99.53 ST. JOSEPH'S - CHIPPEWA FALLS,30100339,83051,HC HEMOGLOBIN PLASMA,301,1 ,$70.78 ,$53.09 ,$4.90 ,$70.78 ,$45.58 ,$7.31 ,$49.55 ,$4.90 ,$8.35 ,$5.05 ,$6.68 ,$67.24 , N/A ,$56.62 ,$64.41 ,$4.90 ,$66.53 ,$67.24 ,$63.70 ,$60.16 ,$4.90 ,$4.90 ,$4.90 ,$51.67 ,$7.31 ,$62.99 ,$63.70 ,$63.70 ,$56.62 ,$7.53 ,$38.93 ,$63.70 ,$7.31 ,$63.70 ,$7.31 ,$67.24 ,$16.45 ,$65.12 ,$5.19 ,$64.41 ,$7.31 ,$43.56 ,$45.58 ,$43.56 ,$63.70 ,$24.36 ,$53.09 ,$45.30 ,$7.38 ,$5.15 ,$66.18 ,$7.68 ,$4.90 ,$61.58 ,$7.31 ,$63.70 ,$7.31 ,$63.70 ,$63.70 ,$63.70 ,$68.66 ,$57.33 ,$63.70 ,$63.70 ,$63.70 ,$63.70 ST. JOSEPH'S - CHIPPEWA FALLS,30100344,83070,HC HEMOSIDERIN,301,1 ,$93.22 ,$69.92 ,$4.75 ,$93.22 ,$60.03 ,$4.75 ,$65.25 ,$4.91 ,$11.39 ,$5.06 ,$9.11 ,$88.56 , N/A ,$74.58 ,$84.83 ,$4.91 ,$87.63 ,$88.56 ,$83.90 ,$79.24 ,$4.91 ,$4.91 ,$4.91 ,$68.05 ,$4.75 ,$82.97 ,$83.90 ,$83.90 ,$74.58 ,$4.89 ,$51.27 ,$83.90 ,$4.75 ,$83.90 ,$4.75 ,$88.56 ,$10.69 ,$85.76 ,$5.20 ,$84.83 ,$4.75 ,$57.37 ,$60.03 ,$57.37 ,$83.90 ,$74.67 ,$69.92 ,$29.40 ,$4.80 ,$5.16 ,$87.16 ,$4.99 ,$4.91 ,$81.10 ,$4.75 ,$83.90 ,$4.75 ,$83.90 ,$83.90 ,$83.90 ,$90.42 ,$75.51 ,$83.90 ,$83.90 ,$83.90 ,$83.90 ST. JOSEPH'S - CHIPPEWA FALLS,30100346,83090,HC HOMOCYSTEINE,301,1 ,$68.21 ,$51.16 ,$17.92 ,$68.21 ,$43.93 ,$17.92 ,$47.75 ,$18.52 ,$40.50 ,$19.08 ,$32.40 ,$64.80 , N/A ,$54.57 ,$62.07 ,$18.52 ,$64.12 ,$64.80 ,$61.39 ,$57.98 ,$18.52 ,$18.52 ,$18.52 ,$49.79 ,$17.92 ,$60.71 ,$61.39 ,$61.39 ,$54.57 ,$18.46 ,$37.52 ,$61.39 ,$17.92 ,$61.39 ,$17.92 ,$64.80 ,$40.32 ,$62.75 ,$19.63 ,$62.07 ,$17.92 ,$41.98 ,$43.93 ,$41.98 ,$61.39 ,$35.74 ,$51.16 ,$61.39 ,$18.10 ,$19.45 ,$63.78 ,$18.82 ,$18.52 ,$59.34 ,$17.92 ,$61.39 ,$17.92 ,$61.39 ,$61.39 ,$61.39 ,$66.16 ,$55.25 ,$61.39 ,$61.39 ,$61.39 ,$61.39 ST. JOSEPH'S - CHIPPEWA FALLS,30100350,83497,HC HYDROXYINDOLACET 5 (HIAA),301,1 ,$83.79 ,$62.84 ,$12.90 ,$83.79 ,$53.96 ,$12.90 ,$58.65 ,$13.33 ,$30.96 ,$13.73 ,$24.77 ,$79.60 , N/A ,$67.03 ,$76.25 ,$13.33 ,$78.76 ,$79.60 ,$75.41 ,$71.22 ,$13.33 ,$13.33 ,$13.33 ,$61.17 ,$12.90 ,$74.57 ,$75.41 ,$75.41 ,$67.03 ,$13.29 ,$46.08 ,$75.41 ,$12.90 ,$75.41 ,$12.90 ,$79.60 ,$29.03 ,$77.09 ,$14.13 ,$76.25 ,$12.90 ,$51.56 ,$53.96 ,$51.56 ,$75.41 ,$83.79 ,$62.84 ,$75.41 ,$13.03 ,$14.00 ,$78.34 ,$13.55 ,$13.33 ,$72.90 ,$12.90 ,$75.41 ,$12.90 ,$75.41 ,$75.41 ,$75.41 ,$81.28 ,$67.87 ,$75.41 ,$75.41 ,$75.41 ,$75.41 ST. JOSEPH'S - CHIPPEWA FALLS,30100352,83498,HC HYDROXYPROGESTERONE 17D,301,1 ,$86.67 ,$65.00 ,$27.17 ,$86.67 ,$55.82 ,$27.17 ,$60.67 ,$28.07 ,$65.22 ,$28.91 ,$52.18 ,$82.34 , N/A ,$69.34 ,$78.87 ,$28.07 ,$81.47 ,$82.34 ,$78.00 ,$73.67 ,$28.07 ,$28.07 ,$28.07 ,$63.27 ,$27.17 ,$77.14 ,$78.00 ,$78.00 ,$69.34 ,$27.99 ,$47.67 ,$78.00 ,$27.17 ,$78.00 ,$27.17 ,$82.34 ,$61.13 ,$79.74 ,$29.75 ,$78.87 ,$27.17 ,$53.34 ,$55.82 ,$53.34 ,$78.00 ,$86.67 ,$65.00 ,$78.00 ,$27.44 ,$29.47 ,$81.04 ,$28.53 ,$28.07 ,$75.40 ,$27.17 ,$78.00 ,$27.17 ,$78.00 ,$78.00 ,$78.00 ,$84.07 ,$70.20 ,$78.00 ,$78.00 ,$78.00 ,$78.00 ST. JOSEPH'S - CHIPPEWA FALLS,30100355,83516,HC IMMUNO QL/SQ MLT,301,1 ,$55.10 ,$41.33 ,$11.53 ,$55.10 ,$35.48 ,$11.53 ,$38.57 ,$11.91 ,$27.69 ,$12.27 ,$22.15 ,$52.35 , N/A ,$44.08 ,$50.14 ,$11.91 ,$51.79 ,$52.35 ,$49.59 ,$46.84 ,$11.91 ,$11.91 ,$11.91 ,$40.22 ,$11.53 ,$49.04 ,$49.59 ,$49.59 ,$44.08 ,$11.88 ,$30.31 ,$49.59 ,$11.53 ,$49.59 ,$11.53 ,$52.35 ,$25.94 ,$50.69 ,$12.62 ,$50.14 ,$11.53 ,$33.91 ,$35.48 ,$33.91 ,$49.59 ,$48.30 ,$41.33 ,$49.59 ,$11.65 ,$12.51 ,$51.52 ,$12.11 ,$11.91 ,$47.94 ,$11.53 ,$49.59 ,$11.53 ,$49.59 ,$49.59 ,$49.59 ,$53.45 ,$44.63 ,$49.59 ,$49.59 ,$49.59 ,$49.59 ST. JOSEPH'S - CHIPPEWA FALLS,30100363,83519,HC ACETYLCHOLINE RECEPTR AB,301,1 ,$55.99 ,$41.99 ,$18.40 ,$55.99 ,$36.06 ,$18.40 ,$39.19 ,$19.00 ,$32.43 ,$19.57 ,$25.94 ,$53.19 , N/A ,$44.79 ,$50.95 ,$19.00 ,$52.63 ,$53.19 ,$50.39 ,$47.59 ,$19.00 ,$19.00 ,$19.00 ,$40.87 ,$18.40 ,$49.83 ,$50.39 ,$50.39 ,$44.79 ,$18.95 ,$30.79 ,$50.39 ,$18.40 ,$50.39 ,$18.40 ,$53.19 ,$41.40 ,$51.51 ,$20.14 ,$50.95 ,$18.40 ,$34.46 ,$36.06 ,$34.46 ,$50.39 ,$55.99 ,$41.99 ,$50.39 ,$18.58 ,$19.95 ,$52.35 ,$19.32 ,$19.00 ,$48.71 ,$18.40 ,$50.39 ,$18.40 ,$50.39 ,$50.39 ,$50.39 ,$54.31 ,$45.35 ,$50.39 ,$50.39 ,$50.39 ,$50.39 ST. JOSEPH'S - CHIPPEWA FALLS,30100366,86341,HC ISLET CELL AUTO AB,301,1 ,$61.08 ,$45.81 ,$19.88 ,$61.08 ,$39.34 ,$23.57 ,$42.76 ,$19.88 ,$33.93 ,$20.48 ,$27.15 ,$58.03 , N/A ,$48.86 ,$55.58 ,$19.88 ,$57.42 ,$58.03 ,$54.97 ,$51.92 ,$19.88 ,$19.88 ,$19.88 ,$44.59 ,$23.57 ,$54.36 ,$54.97 ,$54.97 ,$48.86 ,$24.28 ,$33.59 ,$54.97 ,$23.57 ,$54.97 ,$23.57 ,$58.03 ,$53.03 ,$56.19 ,$21.07 ,$55.58 ,$23.57 ,$37.59 ,$39.34 ,$37.59 ,$54.97 ,$61.08 ,$45.81 ,$54.97 ,$23.81 ,$20.87 ,$57.11 ,$24.75 ,$19.88 ,$53.14 ,$23.57 ,$54.97 ,$23.57 ,$54.97 ,$54.97 ,$54.97 ,$59.25 ,$49.47 ,$54.97 ,$54.97 ,$54.97 ,$54.97 ST. JOSEPH'S - CHIPPEWA FALLS,30100392,83525,HC INSULIN TOTAL,301,1 ,$85.18 ,$63.89 ,$11.43 ,$85.18 ,$54.86 ,$11.43 ,$59.63 ,$11.81 ,$27.44 ,$12.16 ,$21.95 ,$80.92 , N/A ,$68.14 ,$77.51 ,$11.81 ,$80.07 ,$80.92 ,$76.66 ,$72.40 ,$11.81 ,$11.81 ,$11.81 ,$62.18 ,$11.43 ,$75.81 ,$76.66 ,$76.66 ,$68.14 ,$11.77 ,$46.85 ,$76.66 ,$11.43 ,$76.66 ,$11.43 ,$80.92 ,$25.72 ,$78.37 ,$12.52 ,$77.51 ,$11.43 ,$52.42 ,$54.86 ,$52.42 ,$76.66 ,$85.18 ,$63.89 ,$70.78 ,$11.54 ,$12.40 ,$79.64 ,$12.00 ,$11.81 ,$74.11 ,$11.43 ,$76.66 ,$11.43 ,$76.66 ,$76.66 ,$76.66 ,$82.62 ,$69.00 ,$76.66 ,$76.66 ,$76.66 ,$76.66 ST. JOSEPH'S - CHIPPEWA FALLS,30100393,83540,HC IRON TOTAL,301,1 ,$61.46 ,$46.10 ,$6.47 ,$61.46 ,$39.58 ,$6.47 ,$43.02 ,$6.69 ,$15.54 ,$6.89 ,$12.43 ,$58.39 , N/A ,$49.17 ,$55.93 ,$6.69 ,$57.77 ,$58.39 ,$55.31 ,$52.24 ,$6.69 ,$6.69 ,$6.69 ,$44.87 ,$6.47 ,$54.70 ,$55.31 ,$55.31 ,$49.17 ,$6.66 ,$33.80 ,$55.31 ,$6.47 ,$55.31 ,$6.47 ,$58.39 ,$14.56 ,$56.54 ,$7.09 ,$55.93 ,$6.47 ,$37.82 ,$39.58 ,$37.82 ,$55.31 ,$61.46 ,$46.10 ,$40.08 ,$6.53 ,$7.02 ,$57.47 ,$6.79 ,$6.69 ,$53.47 ,$6.47 ,$55.31 ,$6.47 ,$55.31 ,$55.31 ,$55.31 ,$59.62 ,$49.78 ,$55.31 ,$55.31 ,$55.31 ,$55.31 ST. JOSEPH'S - CHIPPEWA FALLS,30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$26.98 ,$20.24 ,$8.74 ,$26.98 ,$17.38 ,$8.74 ,$18.89 ,$9.03 ,$20.98 ,$9.30 ,$16.79 ,$25.63 , N/A ,$21.58 ,$24.55 ,$9.03 ,$25.36 ,$25.63 ,$24.28 ,$22.93 ,$9.03 ,$9.03 ,$9.03 ,$19.70 ,$8.74 ,$24.01 ,$24.28 ,$24.28 ,$21.58 ,$9.00 ,$14.84 ,$24.28 ,$8.74 ,$24.28 ,$8.74 ,$25.63 ,$19.67 ,$24.82 ,$9.57 ,$24.55 ,$8.74 ,$16.60 ,$17.38 ,$16.60 ,$24.28 ,$26.98 ,$20.24 ,$24.28 ,$8.83 ,$9.48 ,$25.23 ,$9.18 ,$9.03 ,$23.47 ,$8.74 ,$24.28 ,$8.74 ,$24.28 ,$24.28 ,$24.28 ,$26.17 ,$21.85 ,$24.28 ,$24.28 ,$24.28 ,$24.28 ST. JOSEPH'S - CHIPPEWA FALLS,30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$99.39 ,$74.54 ,$11.57 ,$99.39 ,$64.01 ,$11.57 ,$69.57 ,$11.96 ,$25.64 ,$12.32 ,$20.51 ,$94.42 , N/A ,$79.51 ,$90.44 ,$11.96 ,$93.43 ,$94.42 ,$89.45 ,$84.48 ,$11.96 ,$11.96 ,$11.96 ,$72.55 ,$11.57 ,$88.46 ,$89.45 ,$89.45 ,$79.51 ,$11.92 ,$54.66 ,$89.45 ,$11.57 ,$89.45 ,$11.57 ,$94.42 ,$26.03 ,$91.44 ,$12.68 ,$90.44 ,$11.57 ,$61.16 ,$64.01 ,$61.16 ,$89.45 ,$39.99 ,$74.54 ,$66.17 ,$11.69 ,$12.56 ,$92.93 ,$12.15 ,$11.96 ,$86.47 ,$11.57 ,$89.45 ,$11.57 ,$89.45 ,$89.45 ,$89.45 ,$96.41 ,$80.51 ,$89.45 ,$89.45 ,$89.45 ,$89.45 ST. JOSEPH'S - CHIPPEWA FALLS,30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$106.23 ,$79.67 ,$6.04 ,$106.23 ,$68.41 ,$6.04 ,$74.36 ,$6.24 ,$14.49 ,$6.43 ,$11.59 ,$100.92 , N/A ,$84.98 ,$96.67 ,$6.24 ,$99.86 ,$100.92 ,$95.61 ,$90.30 ,$6.24 ,$6.24 ,$6.24 ,$77.55 ,$6.04 ,$94.54 ,$95.61 ,$95.61 ,$84.98 ,$6.22 ,$58.43 ,$95.61 ,$6.04 ,$95.61 ,$6.04 ,$100.92 ,$13.59 ,$97.73 ,$6.61 ,$96.67 ,$6.04 ,$65.37 ,$68.41 ,$65.37 ,$95.61 ,$65.89 ,$79.67 ,$37.37 ,$6.10 ,$6.55 ,$99.33 ,$6.34 ,$6.24 ,$92.42 ,$6.04 ,$95.61 ,$6.04 ,$95.61 ,$95.61 ,$95.61 ,$103.04 ,$86.05 ,$95.61 ,$95.61 ,$95.61 ,$95.61 ST. JOSEPH'S - CHIPPEWA FALLS,30100401,83655,HC LEAD,301,1 ,$41.90 ,$31.43 ,$12.11 ,$41.90 ,$26.98 ,$12.11 ,$29.33 ,$12.51 ,$29.07 ,$12.89 ,$23.25 ,$39.81 , N/A ,$33.52 ,$38.13 ,$12.51 ,$39.39 ,$39.81 ,$37.71 ,$35.62 ,$12.51 ,$12.51 ,$12.51 ,$30.59 ,$12.11 ,$37.29 ,$37.71 ,$37.71 ,$33.52 ,$12.47 ,$23.05 ,$37.71 ,$12.11 ,$37.71 ,$12.11 ,$39.81 ,$27.25 ,$38.55 ,$13.26 ,$38.13 ,$12.11 ,$25.79 ,$26.98 ,$25.79 ,$37.71 ,$41.90 ,$31.43 ,$37.71 ,$12.23 ,$13.14 ,$39.18 ,$12.72 ,$12.51 ,$36.45 ,$12.11 ,$37.71 ,$12.11 ,$37.71 ,$37.71 ,$37.71 ,$40.64 ,$33.94 ,$37.71 ,$37.71 ,$37.71 ,$37.71 ST. JOSEPH'S - CHIPPEWA FALLS,30100408,83663,HC FETAL LUNG MATURITY,301,1 ,$164.90 ,$123.68 ,$13.65 ,$164.90 ,$106.20 ,$18.91 ,$115.43 ,$13.65 ,$45.40 ,$14.06 ,$36.32 ,$156.66 , N/A ,$131.92 ,$150.06 ,$13.65 ,$155.01 ,$156.66 ,$148.41 ,$140.17 ,$13.65 ,$13.65 ,$13.65 ,$120.38 ,$18.91 ,$146.76 ,$148.41 ,$148.41 ,$131.92 ,$19.48 ,$90.70 ,$148.41 ,$18.91 ,$148.41 ,$18.91 ,$156.66 ,$42.55 ,$151.71 ,$14.47 ,$150.06 ,$18.91 ,$101.48 ,$106.20 ,$101.48 ,$148.41 ,$30.93 ,$123.68 ,$117.13 ,$19.10 ,$14.33 ,$154.18 ,$19.86 ,$13.65 ,$143.46 ,$18.91 ,$148.41 ,$18.91 ,$148.41 ,$148.41 ,$148.41 ,$159.95 ,$133.57 ,$148.41 ,$148.41 ,$148.41 ,$148.41 ST. JOSEPH'S - CHIPPEWA FALLS,30100409,83690,HC LIPASE,301,1 ,$157.85 ,$118.39 ,$6.89 ,$157.85 ,$101.66 ,$6.89 ,$110.50 ,$7.12 ,$16.54 ,$7.33 ,$13.23 ,$149.96 , N/A ,$126.28 ,$143.64 ,$7.12 ,$148.38 ,$149.96 ,$142.07 ,$134.17 ,$7.12 ,$7.12 ,$7.12 ,$115.23 ,$6.89 ,$140.49 ,$142.07 ,$142.07 ,$126.28 ,$7.10 ,$86.82 ,$142.07 ,$6.89 ,$142.07 ,$6.89 ,$149.96 ,$15.50 ,$145.22 ,$7.55 ,$143.64 ,$6.89 ,$97.14 ,$101.66 ,$97.14 ,$142.07 ,$59.25 ,$118.39 ,$42.69 ,$6.96 ,$7.48 ,$147.59 ,$7.23 ,$7.12 ,$137.33 ,$6.89 ,$142.07 ,$6.89 ,$142.07 ,$142.07 ,$142.07 ,$153.11 ,$127.86 ,$142.07 ,$142.07 ,$142.07 ,$142.07 ST. JOSEPH'S - CHIPPEWA FALLS,30100413,83704,HC LP FRACTN ION MOBILITY,301,1 ,$183.26 ,$137.45 ,$34.19 ,$183.26 ,$118.02 ,$34.19 ,$128.28 ,$35.33 ,$75.74 ,$36.39 ,$60.59 ,$174.10 , N/A ,$146.61 ,$166.77 ,$35.33 ,$172.26 ,$174.10 ,$164.93 ,$155.77 ,$35.33 ,$35.33 ,$35.33 ,$133.78 ,$34.19 ,$163.10 ,$164.93 ,$164.93 ,$146.61 ,$35.22 ,$100.79 ,$164.93 ,$34.19 ,$164.93 ,$34.19 ,$174.10 ,$76.93 ,$168.60 ,$37.45 ,$166.77 ,$34.19 ,$112.78 ,$118.02 ,$112.78 ,$164.93 ,$93.92 ,$137.45 ,$164.93 ,$34.53 ,$37.10 ,$171.35 ,$35.90 ,$35.33 ,$159.44 ,$34.19 ,$164.93 ,$34.19 ,$164.93 ,$164.93 ,$164.93 ,$177.76 ,$148.44 ,$164.93 ,$164.93 ,$164.93 ,$164.93 ST. JOSEPH'S - CHIPPEWA FALLS,30100415,83718,HC CHOLESTEROL HDL,301,1 ,$123.30 ,$92.48 ,$8.19 ,$123.30 ,$79.41 ,$8.19 ,$86.31 ,$8.46 ,$19.67 ,$8.71 ,$15.74 ,$117.14 , N/A ,$98.64 ,$112.20 ,$8.46 ,$115.90 ,$117.14 ,$110.97 ,$104.81 ,$8.46 ,$8.46 ,$8.46 ,$90.01 ,$8.19 ,$109.74 ,$110.97 ,$110.97 ,$98.64 ,$8.44 ,$67.82 ,$110.97 ,$8.19 ,$110.97 ,$8.19 ,$117.14 ,$18.43 ,$113.44 ,$8.97 ,$112.20 ,$8.19 ,$75.88 ,$79.41 ,$75.88 ,$110.97 ,$72.48 ,$92.48 ,$50.77 ,$8.27 ,$8.88 ,$115.29 ,$8.60 ,$8.46 ,$107.27 ,$8.19 ,$110.97 ,$8.19 ,$110.97 ,$110.97 ,$110.97 ,$119.60 ,$99.87 ,$110.97 ,$110.97 ,$110.97 ,$110.97 ST. JOSEPH'S - CHIPPEWA FALLS,30100416,83721,HC CHOLESTEROL LDL,301,1 ,$96.60 ,$72.45 ,$10.50 ,$96.60 ,$62.21 ,$10.50 ,$67.62 ,$10.85 ,$22.91 ,$11.18 ,$18.33 ,$91.77 , N/A ,$77.28 ,$87.91 ,$10.85 ,$90.80 ,$91.77 ,$86.94 ,$82.11 ,$10.85 ,$10.85 ,$10.85 ,$70.52 ,$10.50 ,$85.97 ,$86.94 ,$86.94 ,$77.28 ,$10.82 ,$53.13 ,$86.94 ,$10.50 ,$86.94 ,$10.50 ,$91.77 ,$23.63 ,$88.87 ,$11.50 ,$87.91 ,$10.50 ,$59.45 ,$62.21 ,$59.45 ,$86.94 ,$79.07 ,$72.45 ,$59.09 ,$10.61 ,$11.39 ,$90.32 ,$11.03 ,$10.85 ,$84.04 ,$10.50 ,$86.94 ,$10.50 ,$86.94 ,$86.94 ,$86.94 ,$93.70 ,$78.25 ,$86.94 ,$86.94 ,$86.94 ,$86.94 ST. JOSEPH'S - CHIPPEWA FALLS,30100417,83735,HC MAGNESIUM,301,1 ,$130.55 ,$97.91 ,$6.70 ,$130.55 ,$84.07 ,$6.70 ,$91.39 ,$6.92 ,$16.08 ,$7.13 ,$12.87 ,$124.02 , N/A ,$104.44 ,$118.80 ,$6.92 ,$122.72 ,$124.02 ,$117.50 ,$110.97 ,$6.92 ,$6.92 ,$6.92 ,$95.30 ,$6.70 ,$116.19 ,$117.50 ,$117.50 ,$104.44 ,$6.90 ,$71.80 ,$117.50 ,$6.70 ,$117.50 ,$6.70 ,$124.02 ,$15.08 ,$120.11 ,$7.34 ,$118.80 ,$6.70 ,$80.34 ,$84.07 ,$80.34 ,$117.50 ,$59.25 ,$97.91 ,$41.49 ,$6.77 ,$7.27 ,$122.06 ,$7.04 ,$6.92 ,$113.58 ,$6.70 ,$117.50 ,$6.70 ,$117.50 ,$117.50 ,$117.50 ,$126.63 ,$105.75 ,$117.50 ,$117.50 ,$117.50 ,$117.50 ST. JOSEPH'S - CHIPPEWA FALLS,30100421,82542,HC BILE ACIDS,301,1 ,$39.50 ,$29.63 ,$21.73 ,$54.20 ,$25.44 ,$24.09 ,$27.65 ,$24.89 ,$39.50 ,$25.64 ,$34.68 ,$37.53 , N/A ,$31.60 ,$35.95 ,$24.89 ,$37.13 ,$37.53 ,$35.55 ,$33.58 ,$24.89 ,$24.89 ,$24.89 ,$28.84 ,$24.09 ,$35.16 ,$35.55 ,$35.55 ,$31.60 ,$24.81 ,$21.73 ,$35.55 ,$24.09 ,$35.55 ,$24.09 ,$37.53 ,$54.20 ,$36.34 ,$26.38 ,$35.95 ,$24.09 ,$24.31 ,$25.44 ,$24.31 ,$35.55 ,$39.50 ,$29.63 ,$35.55 ,$24.33 ,$26.13 ,$36.93 ,$25.29 ,$24.89 ,$34.37 ,$24.09 ,$35.55 ,$24.09 ,$35.55 ,$35.55 ,$35.55 ,$38.32 ,$32.00 ,$35.55 ,$35.55 ,$35.55 ,$35.55 ST. JOSEPH'S - CHIPPEWA FALLS,30100424,80183,HC TRILEPTAL,301,1 ,$68.77 ,$51.58 ,$13.25 ,$68.77 ,$44.29 ,$13.25 ,$48.14 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$65.33 , N/A ,$55.02 ,$62.58 ,$13.69 ,$64.64 ,$65.33 ,$61.89 ,$58.45 ,$13.69 ,$13.69 ,$13.69 ,$50.20 ,$13.25 ,$61.21 ,$61.89 ,$61.89 ,$55.02 ,$13.65 ,$37.82 ,$61.89 ,$13.25 ,$61.89 ,$13.25 ,$65.33 ,$29.81 ,$63.27 ,$14.51 ,$62.58 ,$13.25 ,$42.32 ,$44.29 ,$42.32 ,$61.89 ,$34.23 ,$51.58 ,$61.89 ,$13.38 ,$14.37 ,$64.30 ,$13.91 ,$13.69 ,$59.83 ,$13.25 ,$61.89 ,$13.25 ,$61.89 ,$61.89 ,$61.89 ,$66.71 ,$55.70 ,$61.89 ,$61.89 ,$61.89 ,$61.89 ST. JOSEPH'S - CHIPPEWA FALLS,30100426,83825,HC MERCURY,301,1 ,$50.18 ,$37.64 ,$16.26 ,$50.18 ,$32.32 ,$16.26 ,$35.13 ,$16.80 ,$39.03 ,$17.30 ,$31.22 ,$47.67 , N/A ,$40.14 ,$45.66 ,$16.80 ,$47.17 ,$47.67 ,$45.16 ,$42.65 ,$16.80 ,$16.80 ,$16.80 ,$36.63 ,$16.26 ,$44.66 ,$45.16 ,$45.16 ,$40.14 ,$16.75 ,$27.60 ,$45.16 ,$16.26 ,$45.16 ,$16.26 ,$47.67 ,$36.59 ,$46.17 ,$17.81 ,$45.66 ,$16.26 ,$30.88 ,$32.32 ,$30.88 ,$45.16 ,$50.18 ,$37.64 ,$45.16 ,$16.42 ,$17.64 ,$46.92 ,$17.07 ,$16.80 ,$43.66 ,$16.26 ,$45.16 ,$16.26 ,$45.16 ,$45.16 ,$45.16 ,$48.67 ,$40.65 ,$45.16 ,$45.16 ,$45.16 ,$45.16 ST. JOSEPH'S - CHIPPEWA FALLS,30100430,83835,HC METANEPHRINES,301,1 ,$115.76 ,$86.82 ,$16.94 ,$115.76 ,$74.55 ,$16.94 ,$81.03 ,$17.50 ,$40.67 ,$18.03 ,$32.54 ,$109.97 , N/A ,$92.61 ,$105.34 ,$17.50 ,$108.81 ,$109.97 ,$104.18 ,$98.40 ,$17.50 ,$17.50 ,$17.50 ,$84.50 ,$16.94 ,$103.03 ,$104.18 ,$104.18 ,$92.61 ,$17.45 ,$63.67 ,$104.18 ,$16.94 ,$104.18 ,$16.94 ,$109.97 ,$38.12 ,$106.50 ,$18.55 ,$105.34 ,$16.94 ,$71.24 ,$74.55 ,$71.24 ,$104.18 ,$115.76 ,$86.82 ,$104.18 ,$17.11 ,$18.38 ,$108.24 ,$17.79 ,$17.50 ,$100.71 ,$16.94 ,$104.18 ,$16.94 ,$104.18 ,$104.18 ,$104.18 ,$112.29 ,$93.77 ,$104.18 ,$104.18 ,$104.18 ,$104.18 ST. JOSEPH'S - CHIPPEWA FALLS,30100433,80358,HC METHADONE,301,1 ,$120.75 ,$90.56 ,$1.42 ,$120.75 ,$77.76 , N/A ,$84.53 ,$1.42 ,$41.42 ,$1.46 ,$33.14 ,$114.71 , N/A ,$96.60 ,$109.88 ,$1.42 ,$113.51 ,$114.71 ,$108.68 ,$102.64 ,$1.42 ,$1.42 ,$1.42 ,$88.15 , N/A ,$107.47 ,$108.68 ,$108.68 ,$96.60 , N/A ,$66.41 ,$108.68 , N/A ,$108.68 , N/A ,$114.71 , N/A ,$111.09 ,$1.51 ,$109.88 , N/A ,$74.31 ,$77.76 ,$74.31 ,$108.68 ,$47.23 ,$90.56 ,$84.53 , N/A ,$1.49 ,$112.90 , N/A ,$1.42 ,$105.05 , N/A ,$108.68 , N/A ,$108.68 ,$108.68 ,$108.68 ,$117.13 ,$97.81 ,$108.68 ,$108.68 ,$108.68 ,$108.68 ST. JOSEPH'S - CHIPPEWA FALLS,30100434,83873,HC MYELIN BASIC PROTEIN,301,1 ,$136.71 ,$102.53 ,$17.20 ,$136.71 ,$88.04 ,$17.20 ,$95.70 ,$17.77 ,$41.30 ,$18.30 ,$33.04 ,$129.87 , N/A ,$109.37 ,$124.41 ,$17.77 ,$128.51 ,$129.87 ,$123.04 ,$116.20 ,$17.77 ,$17.77 ,$17.77 ,$99.80 ,$17.20 ,$121.67 ,$123.04 ,$123.04 ,$109.37 ,$17.72 ,$75.19 ,$123.04 ,$17.20 ,$123.04 ,$17.20 ,$129.87 ,$38.70 ,$125.77 ,$18.84 ,$124.41 ,$17.20 ,$84.13 ,$88.04 ,$84.13 ,$123.04 ,$128.72 ,$102.53 ,$106.55 ,$17.37 ,$18.66 ,$127.82 ,$18.06 ,$17.77 ,$118.94 ,$17.20 ,$123.04 ,$17.20 ,$123.04 ,$123.04 ,$123.04 ,$132.61 ,$110.74 ,$123.04 ,$123.04 ,$123.04 ,$123.04 ST. JOSEPH'S - CHIPPEWA FALLS,30100435,83874,HC MYOGLOBIN,301,1 ,$101.86 ,$76.40 ,$12.92 ,$101.86 ,$65.60 ,$12.92 ,$71.30 ,$13.35 ,$31.01 ,$13.75 ,$24.81 ,$96.77 , N/A ,$81.49 ,$92.69 ,$13.35 ,$95.75 ,$96.77 ,$91.67 ,$86.58 ,$13.35 ,$13.35 ,$13.35 ,$74.36 ,$12.92 ,$90.66 ,$91.67 ,$91.67 ,$81.49 ,$13.31 ,$56.02 ,$91.67 ,$12.92 ,$91.67 ,$12.92 ,$96.77 ,$29.07 ,$93.71 ,$14.15 ,$92.69 ,$12.92 ,$62.68 ,$65.60 ,$62.68 ,$91.67 ,$101.86 ,$76.40 ,$80.01 ,$13.05 ,$14.02 ,$95.24 ,$13.57 ,$13.35 ,$88.62 ,$12.92 ,$91.67 ,$12.92 ,$91.67 ,$91.67 ,$91.67 ,$98.80 ,$82.51 ,$91.67 ,$91.67 ,$91.67 ,$91.67 ST. JOSEPH'S - CHIPPEWA FALLS,30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$235.44 ,$176.58 ,$39.26 ,$235.44 ,$151.62 ,$39.26 ,$164.81 ,$40.57 ,$81.48 ,$41.79 ,$65.18 ,$223.67 , N/A ,$188.35 ,$214.25 ,$40.57 ,$221.31 ,$223.67 ,$211.90 ,$200.12 ,$40.57 ,$40.57 ,$40.57 ,$171.87 ,$39.26 ,$209.54 ,$211.90 ,$211.90 ,$188.35 ,$40.44 ,$129.49 ,$211.90 ,$39.26 ,$211.90 ,$39.26 ,$223.67 ,$88.34 ,$216.60 ,$43.00 ,$214.25 ,$39.26 ,$144.89 ,$151.62 ,$144.89 ,$211.90 ,$113.82 ,$176.58 ,$210.19 ,$39.65 ,$42.60 ,$220.14 ,$41.22 ,$40.57 ,$204.83 ,$39.26 ,$211.90 ,$39.26 ,$211.90 ,$211.90 ,$211.90 ,$228.38 ,$190.71 ,$211.90 ,$211.90 ,$211.90 ,$211.90 ST. JOSEPH'S - CHIPPEWA FALLS,30100439,83883,HC NEPHELOMETRY EA ANALYTE,301,1 ,$138.89 ,$104.17 ,$13.60 ,$138.89 ,$89.45 ,$13.60 ,$97.22 ,$14.05 ,$32.64 ,$14.47 ,$26.11 ,$131.95 , N/A ,$111.11 ,$126.39 ,$14.05 ,$130.56 ,$131.95 ,$125.00 ,$118.06 ,$14.05 ,$14.05 ,$14.05 ,$101.39 ,$13.60 ,$123.61 ,$125.00 ,$125.00 ,$111.11 ,$14.01 ,$76.39 ,$125.00 ,$13.60 ,$125.00 ,$13.60 ,$131.95 ,$30.60 ,$127.78 ,$14.89 ,$126.39 ,$13.60 ,$85.47 ,$89.45 ,$85.47 ,$125.00 ,$21.56 ,$104.17 ,$84.23 ,$13.74 ,$14.75 ,$129.86 ,$14.28 ,$14.05 ,$120.83 ,$13.60 ,$125.00 ,$13.60 ,$125.00 ,$125.00 ,$125.00 ,$134.72 ,$112.50 ,$125.00 ,$125.00 ,$125.00 ,$125.00 ST. JOSEPH'S - CHIPPEWA FALLS,30100441,86160,HC C1 ESTERASE INHIB PRO QU,301,1 ,$224.10 ,$168.08 ,$12.00 ,$224.10 ,$144.32 ,$12.00 ,$156.87 ,$12.40 ,$28.81 ,$12.77 ,$23.04 ,$212.90 , N/A ,$179.28 ,$203.93 ,$12.40 ,$210.65 ,$212.90 ,$201.69 ,$190.49 ,$12.40 ,$12.40 ,$12.40 ,$163.59 ,$12.00 ,$199.45 ,$201.69 ,$201.69 ,$179.28 ,$12.36 ,$123.26 ,$201.69 ,$12.00 ,$201.69 ,$12.00 ,$212.90 ,$27.00 ,$206.17 ,$13.14 ,$203.93 ,$12.00 ,$137.91 ,$144.32 ,$137.91 ,$201.69 ,$109.82 ,$168.08 ,$74.29 ,$12.12 ,$13.02 ,$209.53 ,$12.60 ,$12.40 ,$194.97 ,$12.00 ,$201.69 ,$12.00 ,$201.69 ,$201.69 ,$201.69 ,$217.38 ,$181.52 ,$201.69 ,$201.69 ,$201.69 ,$201.69 ST. JOSEPH'S - CHIPPEWA FALLS,30100445,G0480,HC NICOTINE W/METABOLITE,301,1 ,$328.99 ,$246.74 ,$63.95 ,$328.99 ,$211.87 ,$114.43 ,$230.29 ,$63.95 ,$205.89 ,$65.87 ,$164.71 ,$312.54 , N/A ,$263.19 ,$299.38 ,$63.95 ,$309.25 ,$312.54 ,$296.09 ,$279.64 ,$63.95 ,$63.95 ,$63.95 ,$240.16 ,$114.43 ,$292.80 ,$296.09 ,$296.09 ,$263.19 ,$117.86 ,$180.94 ,$296.09 ,$114.43 ,$296.09 ,$114.43 ,$312.54 ,$257.47 ,$302.67 ,$67.79 ,$299.38 ,$114.43 ,$202.46 ,$211.87 ,$202.46 ,$296.09 ,$296.09 ,$246.74 ,$296.09 ,$115.57 ,$67.15 ,$307.61 ,$120.15 ,$63.95 ,$286.22 ,$114.43 ,$296.09 ,$114.43 ,$296.09 ,$296.09 ,$296.09 ,$319.12 ,$266.48 ,$296.09 ,$296.09 ,$296.09 ,$296.09 ST. JOSEPH'S - CHIPPEWA FALLS,30100446,83890,HC MOL EXT/ISO (B CELL),301,1 ,$91.56 ,$68.67 ,$50.36 ,$91.56 ,$58.96 , N/A ,$64.09 , N/A ,$75.99 , N/A ,$60.43 ,$86.98 , N/A ,$73.25 ,$83.32 , N/A ,$86.07 ,$86.98 ,$82.40 ,$77.83 , N/A , N/A , N/A ,$66.84 , N/A ,$81.49 ,$82.40 ,$82.40 ,$73.25 , N/A ,$50.36 ,$82.40 , N/A ,$82.40 , N/A ,$86.98 , N/A ,$84.24 , N/A ,$83.32 , N/A ,$56.35 ,$58.96 ,$56.35 ,$82.40 ,$82.40 ,$68.67 ,$64.09 , N/A , N/A ,$85.61 , N/A , N/A ,$79.66 , N/A ,$82.40 , N/A ,$82.40 ,$82.40 ,$82.40 ,$88.81 ,$74.16 ,$82.40 ,$82.40 ,$82.40 ,$82.40 ST. JOSEPH'S - CHIPPEWA FALLS,30100487,83892,HC MOL ENZ DIG (CYP2D6),301,1 ,$45.67 ,$34.25 ,$25.12 ,$45.67 ,$29.41 , N/A ,$31.97 , N/A ,$37.91 , N/A ,$30.14 ,$43.39 , N/A ,$36.54 ,$41.56 , N/A ,$42.93 ,$43.39 ,$41.10 ,$38.82 , N/A , N/A , N/A ,$33.34 , N/A ,$40.65 ,$41.10 ,$41.10 ,$36.54 , N/A ,$25.12 ,$41.10 , N/A ,$41.10 , N/A ,$43.39 , N/A ,$42.02 , N/A ,$41.56 , N/A ,$28.11 ,$29.41 ,$28.11 ,$41.10 ,$41.10 ,$34.25 ,$31.97 , N/A , N/A ,$42.70 , N/A , N/A ,$39.73 , N/A ,$41.10 , N/A ,$41.10 ,$41.10 ,$41.10 ,$44.30 ,$36.99 ,$41.10 ,$41.10 ,$41.10 ,$41.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100493,83894,HC MOL SEP GEL ELECT (B CELL),301,1 ,$77.98 ,$58.49 ,$42.89 ,$77.98 ,$50.22 , N/A ,$54.59 , N/A ,$64.72 , N/A ,$51.47 ,$74.08 , N/A ,$62.38 ,$70.96 , N/A ,$73.30 ,$74.08 ,$70.18 ,$66.28 , N/A , N/A , N/A ,$56.93 , N/A ,$69.40 ,$70.18 ,$70.18 ,$62.38 , N/A ,$42.89 ,$70.18 , N/A ,$70.18 , N/A ,$74.08 , N/A ,$71.74 , N/A ,$70.96 , N/A ,$47.99 ,$50.22 ,$47.99 ,$70.18 ,$70.18 ,$58.49 ,$54.59 , N/A , N/A ,$72.91 , N/A , N/A ,$67.84 , N/A ,$70.18 , N/A ,$70.18 ,$70.18 ,$70.18 ,$75.64 ,$63.16 ,$70.18 ,$70.18 ,$70.18 ,$70.18 ST. JOSEPH'S - CHIPPEWA FALLS,30100499,83896,HC MOL NUC AC (PROTHRMBN),301,1 ,$48.99 ,$36.74 ,$26.94 ,$48.99 ,$31.55 , N/A ,$34.29 , N/A ,$40.66 , N/A ,$32.33 ,$46.54 , N/A ,$39.19 ,$44.58 , N/A ,$46.05 ,$46.54 ,$44.09 ,$41.64 , N/A , N/A , N/A ,$35.76 , N/A ,$43.60 ,$44.09 ,$44.09 ,$39.19 , N/A ,$26.94 ,$44.09 , N/A ,$44.09 , N/A ,$46.54 , N/A ,$45.07 , N/A ,$44.58 , N/A ,$30.15 ,$31.55 ,$30.15 ,$44.09 ,$44.09 ,$36.74 ,$34.29 , N/A , N/A ,$45.81 , N/A , N/A ,$42.62 , N/A ,$44.09 , N/A ,$44.09 ,$44.09 ,$44.09 ,$47.52 ,$39.68 ,$44.09 ,$44.09 ,$44.09 ,$44.09 ST. JOSEPH'S - CHIPPEWA FALLS,30100637,83921,HC ORGANIC ACID SNG QN(METHYL),301,1 ,$165.70 ,$124.28 ,$21.21 ,$165.70 ,$106.71 ,$21.21 ,$115.99 ,$21.92 ,$39.50 ,$22.58 ,$31.60 ,$157.42 , N/A ,$132.56 ,$150.79 ,$21.92 ,$155.76 ,$157.42 ,$149.13 ,$140.85 ,$21.92 ,$21.92 ,$21.92 ,$120.96 ,$21.21 ,$147.47 ,$149.13 ,$149.13 ,$132.56 ,$21.85 ,$91.14 ,$149.13 ,$21.21 ,$149.13 ,$21.21 ,$157.42 ,$47.72 ,$152.44 ,$23.24 ,$150.79 ,$21.21 ,$101.97 ,$106.71 ,$101.97 ,$149.13 ,$62.83 ,$124.28 ,$106.40 ,$21.42 ,$23.02 ,$154.93 ,$22.27 ,$21.92 ,$144.16 ,$21.21 ,$149.13 ,$21.21 ,$149.13 ,$149.13 ,$149.13 ,$160.73 ,$134.22 ,$149.13 ,$149.13 ,$149.13 ,$149.13 ST. JOSEPH'S - CHIPPEWA FALLS,30100653,83914,HC MUTA ENZ LIG (CYP2D6),301,1 ,$49.54 ,$37.16 ,$27.25 ,$49.54 ,$31.90 , N/A ,$34.68 , N/A ,$41.12 , N/A ,$32.70 ,$47.06 , N/A ,$39.63 ,$45.08 , N/A ,$46.57 ,$47.06 ,$44.59 ,$42.11 , N/A , N/A , N/A ,$36.16 , N/A ,$44.09 ,$44.59 ,$44.59 ,$39.63 , N/A ,$27.25 ,$44.59 , N/A ,$44.59 , N/A ,$47.06 , N/A ,$45.58 , N/A ,$45.08 , N/A ,$30.49 ,$31.90 ,$30.49 ,$44.59 ,$44.59 ,$37.16 ,$34.68 , N/A , N/A ,$46.32 , N/A , N/A ,$43.10 , N/A ,$44.59 , N/A ,$44.59 ,$44.59 ,$44.59 ,$48.05 ,$40.13 ,$44.59 ,$44.59 ,$44.59 ,$44.59 ST. JOSEPH'S - CHIPPEWA FALLS,30100660,83915,HC NUCLEOTIDASE,301,1 ,$70.49 ,$52.87 ,$11.15 ,$70.49 ,$45.40 ,$11.15 ,$49.34 ,$11.52 ,$26.78 ,$11.87 ,$21.42 ,$66.97 , N/A ,$56.39 ,$64.15 ,$11.52 ,$66.26 ,$66.97 ,$63.44 ,$59.92 ,$11.52 ,$11.52 ,$11.52 ,$51.46 ,$11.15 ,$62.74 ,$63.44 ,$63.44 ,$56.39 ,$11.48 ,$38.77 ,$63.44 ,$11.15 ,$63.44 ,$11.15 ,$66.97 ,$25.09 ,$64.85 ,$12.21 ,$64.15 ,$11.15 ,$43.38 ,$45.40 ,$43.38 ,$63.44 ,$70.49 ,$52.87 ,$63.44 ,$11.26 ,$12.10 ,$65.91 ,$11.71 ,$11.52 ,$61.33 ,$11.15 ,$63.44 ,$11.15 ,$63.44 ,$63.44 ,$63.44 ,$68.38 ,$57.10 ,$63.44 ,$63.44 ,$63.44 ,$63.44 ST. JOSEPH'S - CHIPPEWA FALLS,30100661,83916,HC OLIGOCLONAL BANDS,301,1 ,$89.35 ,$67.01 ,$27.39 ,$89.35 ,$57.54 ,$27.39 ,$62.55 ,$28.28 ,$48.28 ,$29.13 ,$38.63 ,$84.88 , N/A ,$71.48 ,$81.31 ,$28.28 ,$83.99 ,$84.88 ,$80.42 ,$75.95 ,$28.28 ,$28.28 ,$28.28 ,$65.23 ,$27.39 ,$79.52 ,$80.42 ,$80.42 ,$71.48 ,$28.21 ,$49.14 ,$80.42 ,$27.39 ,$80.42 ,$27.39 ,$84.88 ,$61.63 ,$82.20 ,$29.98 ,$81.31 ,$27.39 ,$54.99 ,$57.54 ,$54.99 ,$80.42 ,$89.35 ,$67.01 ,$80.42 ,$27.66 ,$29.69 ,$83.54 ,$28.76 ,$28.28 ,$77.73 ,$27.39 ,$80.42 ,$27.39 ,$80.42 ,$80.42 ,$80.42 ,$86.67 ,$72.37 ,$80.42 ,$80.42 ,$80.42 ,$80.42 ST. JOSEPH'S - CHIPPEWA FALLS,30100668,83930,HC OSMOLALITY BLOOD,301,1 ,$114.28 ,$85.71 ,$6.61 ,$114.28 ,$73.60 ,$6.61 ,$80.00 ,$6.83 ,$15.87 ,$7.03 ,$12.70 ,$108.57 , N/A ,$91.42 ,$103.99 ,$6.83 ,$107.42 ,$108.57 ,$102.85 ,$97.14 ,$6.83 ,$6.83 ,$6.83 ,$83.42 ,$6.61 ,$101.71 ,$102.85 ,$102.85 ,$91.42 ,$6.81 ,$62.85 ,$102.85 ,$6.61 ,$102.85 ,$6.61 ,$108.57 ,$14.87 ,$105.14 ,$7.24 ,$103.99 ,$6.61 ,$70.33 ,$73.60 ,$70.33 ,$102.85 ,$103.23 ,$85.71 ,$40.93 ,$6.68 ,$7.17 ,$106.85 ,$6.94 ,$6.83 ,$99.42 ,$6.61 ,$102.85 ,$6.61 ,$102.85 ,$102.85 ,$102.85 ,$110.85 ,$92.57 ,$102.85 ,$102.85 ,$102.85 ,$102.85 ST. JOSEPH'S - CHIPPEWA FALLS,30100669,83935,HC OSMOLALITY URINE,301,1 ,$114.28 ,$85.71 ,$6.82 ,$114.28 ,$73.60 ,$6.82 ,$80.00 ,$7.05 ,$16.36 ,$7.26 ,$13.09 ,$108.57 , N/A ,$91.42 ,$103.99 ,$7.05 ,$107.42 ,$108.57 ,$102.85 ,$97.14 ,$7.05 ,$7.05 ,$7.05 ,$83.42 ,$6.82 ,$101.71 ,$102.85 ,$102.85 ,$91.42 ,$7.02 ,$62.85 ,$102.85 ,$6.82 ,$102.85 ,$6.82 ,$108.57 ,$15.35 ,$105.14 ,$7.47 ,$103.99 ,$6.82 ,$70.33 ,$73.60 ,$70.33 ,$102.85 ,$81.28 ,$85.71 ,$42.24 ,$6.89 ,$7.40 ,$106.85 ,$7.16 ,$7.05 ,$99.42 ,$6.82 ,$102.85 ,$6.82 ,$102.85 ,$102.85 ,$102.85 ,$110.85 ,$92.57 ,$102.85 ,$102.85 ,$102.85 ,$102.85 ST. JOSEPH'S - CHIPPEWA FALLS,30100670,83945,HC OXALATE,301,1 ,$86.96 ,$65.22 ,$14.45 ,$86.96 ,$56.00 ,$14.45 ,$60.87 ,$14.93 ,$30.91 ,$15.38 ,$24.72 ,$82.61 , N/A ,$69.57 ,$79.13 ,$14.93 ,$81.74 ,$82.61 ,$78.26 ,$73.92 ,$14.93 ,$14.93 ,$14.93 ,$63.48 ,$14.45 ,$77.39 ,$78.26 ,$78.26 ,$69.57 ,$14.88 ,$47.83 ,$78.26 ,$14.45 ,$78.26 ,$14.45 ,$82.61 ,$32.51 ,$80.00 ,$15.83 ,$79.13 ,$14.45 ,$53.52 ,$56.00 ,$53.52 ,$78.26 ,$86.96 ,$65.22 ,$78.26 ,$14.59 ,$15.68 ,$81.31 ,$15.17 ,$14.93 ,$75.66 ,$14.45 ,$78.26 ,$14.45 ,$78.26 ,$78.26 ,$78.26 ,$84.35 ,$70.44 ,$78.26 ,$78.26 ,$78.26 ,$78.26 ST. JOSEPH'S - CHIPPEWA FALLS,30100672,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$259.81 ,$194.86 ,$41.28 ,$259.81 ,$167.32 ,$41.28 ,$181.87 ,$42.65 ,$99.09 ,$43.93 ,$79.27 ,$246.82 , N/A ,$207.85 ,$236.43 ,$42.65 ,$244.22 ,$246.82 ,$233.83 ,$220.84 ,$42.65 ,$42.65 ,$42.65 ,$189.66 ,$41.28 ,$231.23 ,$233.83 ,$233.83 ,$207.85 ,$42.52 ,$142.90 ,$233.83 ,$41.28 ,$233.83 ,$41.28 ,$246.82 ,$92.88 ,$239.03 ,$45.21 ,$236.43 ,$41.28 ,$159.89 ,$167.32 ,$159.89 ,$233.83 ,$259.81 ,$194.86 ,$233.83 ,$41.69 ,$44.78 ,$242.92 ,$43.34 ,$42.65 ,$226.03 ,$41.28 ,$233.83 ,$41.28 ,$233.83 ,$233.83 ,$233.83 ,$252.02 ,$210.45 ,$233.83 ,$233.83 ,$233.83 ,$233.83 ST. JOSEPH'S - CHIPPEWA FALLS,30100673,83986,HC PH BODY FLUID,301,1 ,$110.11 ,$82.58 ,$3.58 ,$110.11 ,$70.91 ,$3.58 ,$77.08 ,$3.70 ,$8.59 ,$3.81 ,$6.87 ,$104.60 , N/A ,$88.09 ,$100.20 ,$3.70 ,$103.50 ,$104.60 ,$99.10 ,$93.59 ,$3.70 ,$3.70 ,$3.70 ,$80.38 ,$3.58 ,$98.00 ,$99.10 ,$99.10 ,$88.09 ,$3.69 ,$60.56 ,$99.10 ,$3.58 ,$99.10 ,$3.58 ,$104.60 ,$8.06 ,$101.30 ,$3.92 ,$100.20 ,$3.58 ,$67.76 ,$70.91 ,$67.76 ,$99.10 ,$70.29 ,$82.58 ,$22.17 ,$3.62 ,$3.89 ,$102.95 ,$3.76 ,$3.70 ,$95.80 ,$3.58 ,$99.10 ,$3.58 ,$99.10 ,$99.10 ,$99.10 ,$106.81 ,$89.19 ,$99.10 ,$99.10 ,$99.10 ,$99.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100676,84030,HC NEWBORN SCREEN PKU,301,1 ,$146.40 ,$109.80 ,$5.50 ,$146.40 ,$94.28 ,$5.50 ,$102.48 ,$5.68 ,$13.20 ,$5.85 ,$10.56 ,$139.08 , N/A ,$117.12 ,$133.22 ,$5.68 ,$137.62 ,$139.08 ,$131.76 ,$124.44 ,$5.68 ,$5.68 ,$5.68 ,$106.87 ,$5.50 ,$130.30 ,$131.76 ,$131.76 ,$117.12 ,$5.67 ,$80.52 ,$131.76 ,$5.50 ,$131.76 ,$5.50 ,$139.08 ,$12.38 ,$134.69 ,$6.02 ,$133.22 ,$5.50 ,$90.09 ,$94.28 ,$90.09 ,$131.76 ,$76.87 ,$109.80 ,$34.06 ,$5.56 ,$5.96 ,$136.88 ,$5.78 ,$5.68 ,$127.37 ,$5.50 ,$131.76 ,$5.50 ,$131.76 ,$131.76 ,$131.76 ,$142.01 ,$118.58 ,$131.76 ,$131.76 ,$131.76 ,$131.76 ST. JOSEPH'S - CHIPPEWA FALLS,30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$106.23 ,$79.67 ,$5.18 ,$106.23 ,$68.41 ,$5.18 ,$74.36 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$100.92 , N/A ,$84.98 ,$96.67 ,$5.35 ,$99.86 ,$100.92 ,$95.61 ,$90.30 ,$5.35 ,$5.35 ,$5.35 ,$77.55 ,$5.18 ,$94.54 ,$95.61 ,$95.61 ,$84.98 ,$5.34 ,$58.43 ,$95.61 ,$5.18 ,$95.61 ,$5.18 ,$100.92 ,$11.66 ,$97.73 ,$5.67 ,$96.67 ,$5.18 ,$65.37 ,$68.41 ,$65.37 ,$95.61 ,$65.89 ,$79.67 ,$32.05 ,$5.23 ,$5.62 ,$99.33 ,$5.44 ,$5.35 ,$92.42 ,$5.18 ,$95.61 ,$5.18 ,$95.61 ,$95.61 ,$95.61 ,$103.04 ,$86.05 ,$95.61 ,$95.61 ,$95.61 ,$95.61 ST. JOSEPH'S - CHIPPEWA FALLS,30100681,84080,HC ALK PHOS ISOENZ,301,1 ,$62.65 ,$46.99 ,$14.78 ,$62.65 ,$40.35 ,$14.78 ,$43.86 ,$15.27 ,$35.49 ,$15.73 ,$28.39 ,$59.52 , N/A ,$50.12 ,$57.01 ,$15.27 ,$58.89 ,$59.52 ,$56.39 ,$53.25 ,$15.27 ,$15.27 ,$15.27 ,$45.73 ,$14.78 ,$55.76 ,$56.39 ,$56.39 ,$50.12 ,$15.22 ,$34.46 ,$56.39 ,$14.78 ,$56.39 ,$14.78 ,$59.52 ,$33.26 ,$57.64 ,$16.19 ,$57.01 ,$14.78 ,$38.55 ,$40.35 ,$38.55 ,$56.39 ,$62.65 ,$46.99 ,$56.39 ,$14.93 ,$16.03 ,$58.58 ,$15.52 ,$15.27 ,$54.51 ,$14.78 ,$56.39 ,$14.78 ,$56.39 ,$56.39 ,$56.39 ,$60.77 ,$50.75 ,$56.39 ,$56.39 ,$56.39 ,$56.39 ST. JOSEPH'S - CHIPPEWA FALLS,30100682,84081,HC PHOSPHATIDYLYCEROL (PG),301,1 ,$133.23 ,$99.92 ,$16.52 ,$133.23 ,$85.80 ,$16.52 ,$93.26 ,$17.07 ,$39.66 ,$17.58 ,$31.72 ,$126.57 , N/A ,$106.58 ,$121.24 ,$17.07 ,$125.24 ,$126.57 ,$119.91 ,$113.25 ,$17.07 ,$17.07 ,$17.07 ,$97.26 ,$16.52 ,$118.57 ,$119.91 ,$119.91 ,$106.58 ,$17.02 ,$73.28 ,$119.91 ,$16.52 ,$119.91 ,$16.52 ,$126.57 ,$37.17 ,$122.57 ,$18.09 ,$121.24 ,$16.52 ,$81.99 ,$85.80 ,$81.99 ,$119.91 ,$133.23 ,$99.92 ,$102.28 ,$16.69 ,$17.92 ,$124.57 ,$17.35 ,$17.07 ,$115.91 ,$16.52 ,$119.91 ,$16.52 ,$119.91 ,$119.91 ,$119.91 ,$129.23 ,$107.92 ,$119.91 ,$119.91 ,$119.91 ,$119.91 ST. JOSEPH'S - CHIPPEWA FALLS,30100684,84100,HC PHOSPHORUS,301,1 ,$94.12 ,$70.59 ,$4.74 ,$94.12 ,$60.61 ,$4.74 ,$65.88 ,$4.90 ,$11.38 ,$5.05 ,$9.10 ,$89.41 , N/A ,$75.30 ,$85.65 ,$4.90 ,$88.47 ,$89.41 ,$84.71 ,$80.00 ,$4.90 ,$4.90 ,$4.90 ,$68.71 ,$4.74 ,$83.77 ,$84.71 ,$84.71 ,$75.30 ,$4.88 ,$51.77 ,$84.71 ,$4.74 ,$84.71 ,$4.74 ,$89.41 ,$10.67 ,$86.59 ,$5.19 ,$85.65 ,$4.74 ,$57.92 ,$60.61 ,$57.92 ,$84.71 ,$61.49 ,$70.59 ,$29.35 ,$4.79 ,$5.15 ,$88.00 ,$4.98 ,$4.90 ,$81.88 ,$4.74 ,$84.71 ,$4.74 ,$84.71 ,$84.71 ,$84.71 ,$91.30 ,$76.24 ,$84.71 ,$84.71 ,$84.71 ,$84.71 ST. JOSEPH'S - CHIPPEWA FALLS,30100685,84105,HC PHOSPHORUS URINE,301,1 ,$103.05 ,$77.29 ,$5.78 ,$103.05 ,$66.36 ,$5.78 ,$72.14 ,$5.97 ,$12.43 ,$6.15 ,$9.94 ,$97.90 , N/A ,$82.44 ,$93.78 ,$5.97 ,$96.87 ,$97.90 ,$92.75 ,$87.59 ,$5.97 ,$5.97 ,$5.97 ,$75.23 ,$5.78 ,$91.71 ,$92.75 ,$92.75 ,$82.44 ,$5.95 ,$56.68 ,$92.75 ,$5.78 ,$92.75 ,$5.78 ,$97.90 ,$13.01 ,$94.81 ,$6.33 ,$93.78 ,$5.78 ,$63.42 ,$66.36 ,$63.42 ,$92.75 ,$61.49 ,$77.29 ,$32.05 ,$5.84 ,$6.27 ,$96.35 ,$6.07 ,$5.97 ,$89.65 ,$5.78 ,$92.75 ,$5.78 ,$92.75 ,$92.75 ,$92.75 ,$99.96 ,$83.47 ,$92.75 ,$92.75 ,$92.75 ,$92.75 ST. JOSEPH'S - CHIPPEWA FALLS,30100686,84110,HC PORPHOBILINOGEN QN,301,1 ,$36.93 ,$27.70 ,$8.44 ,$36.93 ,$23.78 ,$8.44 ,$25.85 ,$8.72 ,$20.27 ,$8.98 ,$16.21 ,$35.08 , N/A ,$29.54 ,$33.61 ,$8.72 ,$34.71 ,$35.08 ,$33.24 ,$31.39 ,$8.72 ,$8.72 ,$8.72 ,$26.96 ,$8.44 ,$32.87 ,$33.24 ,$33.24 ,$29.54 ,$8.69 ,$20.31 ,$33.24 ,$8.44 ,$33.24 ,$8.44 ,$35.08 ,$18.99 ,$33.98 ,$9.24 ,$33.61 ,$8.44 ,$22.73 ,$23.78 ,$22.73 ,$33.24 ,$36.93 ,$27.70 ,$33.24 ,$8.52 ,$9.16 ,$34.53 ,$8.86 ,$8.72 ,$32.13 ,$8.44 ,$33.24 ,$8.44 ,$33.24 ,$33.24 ,$33.24 ,$35.82 ,$29.91 ,$33.24 ,$33.24 ,$33.24 ,$33.24 ST. JOSEPH'S - CHIPPEWA FALLS,30100688,84112,HC PLACENTAL ALPHA MICROGLOBULIN,301,1 ,$245.28 ,$183.96 ,$90.57 ,$245.28 ,$157.96 ,$98.11 ,$171.70 ,$90.57 ,$154.63 ,$93.29 ,$123.70 ,$233.02 , N/A ,$196.22 ,$223.20 ,$90.57 ,$230.56 ,$233.02 ,$220.75 ,$208.49 ,$90.57 ,$90.57 ,$90.57 ,$179.05 ,$98.11 ,$218.30 ,$220.75 ,$220.75 ,$196.22 ,$101.05 ,$134.90 ,$220.75 ,$98.11 ,$220.75 ,$98.11 ,$233.02 ,$220.75 ,$225.66 ,$96.00 ,$223.20 ,$98.11 ,$150.95 ,$157.96 ,$150.95 ,$220.75 ,$182.76 ,$183.96 ,$220.75 ,$99.09 ,$95.10 ,$229.34 ,$103.02 ,$90.57 ,$213.39 ,$98.11 ,$220.75 ,$98.11 ,$220.75 ,$220.75 ,$220.75 ,$237.92 ,$198.68 ,$220.75 ,$220.75 ,$220.75 ,$220.75 ST. JOSEPH'S - CHIPPEWA FALLS,30100689,84120,HC PORPHYRINS QN FRACT,301,1 ,$87.27 ,$65.45 ,$14.71 ,$87.27 ,$56.20 ,$14.71 ,$61.09 ,$15.20 ,$35.32 ,$15.66 ,$28.25 ,$82.91 , N/A ,$69.82 ,$79.42 ,$15.20 ,$82.03 ,$82.91 ,$78.54 ,$74.18 ,$15.20 ,$15.20 ,$15.20 ,$63.71 ,$14.71 ,$77.67 ,$78.54 ,$78.54 ,$69.82 ,$15.15 ,$48.00 ,$78.54 ,$14.71 ,$78.54 ,$14.71 ,$82.91 ,$33.10 ,$80.29 ,$16.11 ,$79.42 ,$14.71 ,$53.71 ,$56.20 ,$53.71 ,$78.54 ,$87.27 ,$65.45 ,$78.54 ,$14.86 ,$15.96 ,$81.60 ,$15.45 ,$15.20 ,$75.92 ,$14.71 ,$78.54 ,$14.71 ,$78.54 ,$78.54 ,$78.54 ,$84.65 ,$70.69 ,$78.54 ,$78.54 ,$78.54 ,$78.54 ST. JOSEPH'S - CHIPPEWA FALLS,30100691,84132,HC POTASSIUM,301,1 ,$93.12 ,$69.84 ,$4.76 ,$93.12 ,$59.97 ,$4.76 ,$65.18 ,$4.92 ,$11.04 ,$5.07 ,$8.83 ,$88.46 , N/A ,$74.50 ,$84.74 ,$4.92 ,$87.53 ,$88.46 ,$83.81 ,$79.15 ,$4.92 ,$4.92 ,$4.92 ,$67.98 ,$4.76 ,$82.88 ,$83.81 ,$83.81 ,$74.50 ,$4.90 ,$51.22 ,$83.81 ,$4.76 ,$83.81 ,$4.76 ,$88.46 ,$10.71 ,$85.67 ,$5.22 ,$84.74 ,$4.76 ,$57.31 ,$59.97 ,$57.31 ,$83.81 ,$39.53 ,$69.84 ,$28.49 ,$4.81 ,$5.17 ,$87.07 ,$5.00 ,$4.92 ,$81.01 ,$4.76 ,$83.81 ,$4.76 ,$83.81 ,$83.81 ,$83.81 ,$90.33 ,$75.43 ,$83.81 ,$83.81 ,$83.81 ,$83.81 ST. JOSEPH'S - CHIPPEWA FALLS,30100694,84133,HC POTASSIUM URINE,301,1 ,$93.12 ,$69.84 ,$4.73 ,$93.12 ,$59.97 ,$4.73 ,$65.18 ,$4.89 ,$10.34 ,$5.04 ,$8.27 ,$88.46 , N/A ,$74.50 ,$84.74 ,$4.89 ,$87.53 ,$88.46 ,$83.81 ,$79.15 ,$4.89 ,$4.89 ,$4.89 ,$67.98 ,$4.73 ,$82.88 ,$83.81 ,$83.81 ,$74.50 ,$4.87 ,$51.22 ,$83.81 ,$4.73 ,$83.81 ,$4.73 ,$88.46 ,$10.64 ,$85.67 ,$5.18 ,$84.74 ,$4.73 ,$57.31 ,$59.97 ,$57.31 ,$83.81 ,$39.53 ,$69.84 ,$26.69 ,$4.78 ,$5.13 ,$87.07 ,$4.97 ,$4.89 ,$81.01 ,$4.73 ,$83.81 ,$4.73 ,$83.81 ,$83.81 ,$83.81 ,$90.33 ,$75.43 ,$83.81 ,$83.81 ,$83.81 ,$83.81 ST. JOSEPH'S - CHIPPEWA FALLS,30100695,84134,HC PREALBUMIN,301,1 ,$58.87 ,$44.15 ,$7.85 ,$58.87 ,$37.91 ,$14.59 ,$41.21 ,$7.85 ,$13.41 ,$8.09 ,$10.72 ,$55.93 , N/A ,$47.10 ,$53.57 ,$7.85 ,$55.34 ,$55.93 ,$52.98 ,$50.04 ,$7.85 ,$7.85 ,$7.85 ,$42.98 ,$14.59 ,$52.39 ,$52.98 ,$52.98 ,$47.10 ,$15.03 ,$32.38 ,$52.98 ,$14.59 ,$52.98 ,$14.59 ,$55.93 ,$32.83 ,$54.16 ,$8.32 ,$53.57 ,$14.59 ,$36.23 ,$37.91 ,$36.23 ,$52.98 ,$58.87 ,$44.15 ,$52.98 ,$14.74 ,$8.24 ,$55.04 ,$15.32 ,$7.85 ,$51.22 ,$14.59 ,$52.98 ,$14.59 ,$52.98 ,$52.98 ,$52.98 ,$57.10 ,$47.68 ,$52.98 ,$52.98 ,$52.98 ,$52.98 ST. JOSEPH'S - CHIPPEWA FALLS,30100696,84144,HC PROGESTERONE,301,1 ,$130.16 ,$97.62 ,$20.86 ,$130.16 ,$83.82 ,$20.86 ,$91.11 ,$21.55 ,$44.68 ,$22.20 ,$35.74 ,$123.65 , N/A ,$104.13 ,$118.45 ,$21.55 ,$122.35 ,$123.65 ,$117.14 ,$110.64 ,$21.55 ,$21.55 ,$21.55 ,$95.02 ,$20.86 ,$115.84 ,$117.14 ,$117.14 ,$104.13 ,$21.49 ,$71.59 ,$117.14 ,$20.86 ,$117.14 ,$20.86 ,$123.65 ,$46.94 ,$119.75 ,$22.84 ,$118.45 ,$20.86 ,$80.10 ,$83.82 ,$80.10 ,$117.14 ,$130.16 ,$97.62 ,$117.14 ,$21.07 ,$22.63 ,$121.70 ,$21.90 ,$21.55 ,$113.24 ,$20.86 ,$117.14 ,$20.86 ,$117.14 ,$117.14 ,$117.14 ,$126.26 ,$105.43 ,$117.14 ,$117.14 ,$117.14 ,$117.14 ST. JOSEPH'S - CHIPPEWA FALLS,30100697,84146,HC PROLACTIN,301,1 ,$89.35 ,$67.01 ,$19.38 ,$89.35 ,$57.54 ,$19.38 ,$62.55 ,$20.03 ,$46.52 ,$20.63 ,$37.21 ,$84.88 , N/A ,$71.48 ,$81.31 ,$20.03 ,$83.99 ,$84.88 ,$80.42 ,$75.95 ,$20.03 ,$20.03 ,$20.03 ,$65.23 ,$19.38 ,$79.52 ,$80.42 ,$80.42 ,$71.48 ,$19.96 ,$49.14 ,$80.42 ,$19.38 ,$80.42 ,$19.38 ,$84.88 ,$43.61 ,$82.20 ,$21.23 ,$81.31 ,$19.38 ,$54.99 ,$57.54 ,$54.99 ,$80.42 ,$89.35 ,$67.01 ,$80.42 ,$19.57 ,$21.03 ,$83.54 ,$20.35 ,$20.03 ,$77.73 ,$19.38 ,$80.42 ,$19.38 ,$80.42 ,$80.42 ,$80.42 ,$86.67 ,$72.37 ,$80.42 ,$80.42 ,$80.42 ,$80.42 ST. JOSEPH'S - CHIPPEWA FALLS,30100698,84153,HC PSA TOTAL,301,1 ,$199.55 ,$149.66 ,$18.39 ,$199.55 ,$128.51 ,$18.39 ,$139.69 ,$19.00 ,$44.15 ,$19.57 ,$35.32 ,$189.57 , N/A ,$159.64 ,$181.59 ,$19.00 ,$187.58 ,$189.57 ,$179.60 ,$169.62 ,$19.00 ,$19.00 ,$19.00 ,$145.67 ,$18.39 ,$177.60 ,$179.60 ,$179.60 ,$159.64 ,$18.94 ,$109.75 ,$179.60 ,$18.39 ,$179.60 ,$18.39 ,$189.57 ,$41.38 ,$183.59 ,$20.14 ,$181.59 ,$18.39 ,$122.80 ,$128.51 ,$122.80 ,$179.60 ,$139.47 ,$149.66 ,$113.92 ,$18.57 ,$19.95 ,$186.58 ,$19.31 ,$19.00 ,$173.61 ,$18.39 ,$179.60 ,$18.39 ,$179.60 ,$179.60 ,$179.60 ,$193.56 ,$161.64 ,$179.60 ,$179.60 ,$179.60 ,$179.60 ST. JOSEPH'S - CHIPPEWA FALLS,30100699,84154,HC PSA FREE,301,1 ,$56.78 ,$42.59 ,$18.39 ,$56.78 ,$36.57 ,$18.39 ,$39.75 ,$19.00 ,$44.15 ,$19.57 ,$35.32 ,$53.94 , N/A ,$45.42 ,$51.67 ,$19.00 ,$53.37 ,$53.94 ,$51.10 ,$48.26 ,$19.00 ,$19.00 ,$19.00 ,$41.45 ,$18.39 ,$50.53 ,$51.10 ,$51.10 ,$45.42 ,$18.94 ,$31.23 ,$51.10 ,$18.39 ,$51.10 ,$18.39 ,$53.94 ,$41.38 ,$52.24 ,$20.14 ,$51.67 ,$18.39 ,$34.94 ,$36.57 ,$34.94 ,$51.10 ,$56.78 ,$42.59 ,$51.10 ,$18.57 ,$19.95 ,$53.09 ,$19.31 ,$19.00 ,$49.40 ,$18.39 ,$51.10 ,$18.39 ,$51.10 ,$51.10 ,$51.10 ,$55.08 ,$45.99 ,$51.10 ,$51.10 ,$51.10 ,$51.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100700,84155,HC PROTEIN TOTAL,301,1 ,$86.28 ,$64.71 ,$3.67 ,$86.28 ,$55.56 ,$3.67 ,$60.40 ,$3.79 ,$8.80 ,$3.90 ,$7.04 ,$81.97 , N/A ,$69.02 ,$78.51 ,$3.79 ,$81.10 ,$81.97 ,$77.65 ,$73.34 ,$3.79 ,$3.79 ,$3.79 ,$62.98 ,$3.67 ,$76.79 ,$77.65 ,$77.65 ,$69.02 ,$3.78 ,$47.45 ,$77.65 ,$3.67 ,$77.65 ,$3.67 ,$81.97 ,$8.26 ,$79.38 ,$4.02 ,$78.51 ,$3.67 ,$53.10 ,$55.56 ,$53.10 ,$77.65 ,$43.91 ,$64.71 ,$22.72 ,$3.71 ,$3.98 ,$80.67 ,$3.85 ,$3.79 ,$75.06 ,$3.67 ,$77.65 ,$3.67 ,$77.65 ,$77.65 ,$77.65 ,$83.69 ,$69.89 ,$77.65 ,$77.65 ,$77.65 ,$77.65 ST. JOSEPH'S - CHIPPEWA FALLS,30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$111.79 ,$83.84 ,$3.67 ,$111.79 ,$71.99 ,$3.67 ,$78.25 ,$3.79 ,$8.80 ,$3.90 ,$7.04 ,$106.20 , N/A ,$89.43 ,$101.73 ,$3.79 ,$105.08 ,$106.20 ,$100.61 ,$95.02 ,$3.79 ,$3.79 ,$3.79 ,$81.61 ,$3.67 ,$99.49 ,$100.61 ,$100.61 ,$89.43 ,$3.78 ,$61.48 ,$100.61 ,$3.67 ,$100.61 ,$3.67 ,$106.20 ,$8.26 ,$102.85 ,$4.02 ,$101.73 ,$3.67 ,$68.80 ,$71.99 ,$68.80 ,$100.61 ,$11.26 ,$83.84 ,$22.72 ,$3.71 ,$3.98 ,$104.52 ,$3.85 ,$3.79 ,$97.26 ,$3.67 ,$100.61 ,$3.67 ,$100.61 ,$100.61 ,$100.61 ,$108.44 ,$90.55 ,$100.61 ,$100.61 ,$100.61 ,$100.61 ST. JOSEPH'S - CHIPPEWA FALLS,30100703,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$111.79 ,$83.84 ,$4.00 ,$111.79 ,$71.99 ,$4.00 ,$78.25 ,$4.13 ,$8.80 ,$4.25 ,$7.04 ,$106.20 , N/A ,$89.43 ,$101.73 ,$4.13 ,$105.08 ,$106.20 ,$100.61 ,$95.02 ,$4.13 ,$4.13 ,$4.13 ,$81.61 ,$4.00 ,$99.49 ,$100.61 ,$100.61 ,$89.43 ,$4.12 ,$61.48 ,$100.61 ,$4.00 ,$100.61 ,$4.00 ,$106.20 ,$9.00 ,$102.85 ,$4.38 ,$101.73 ,$4.00 ,$68.80 ,$71.99 ,$68.80 ,$100.61 ,$11.26 ,$83.84 ,$22.72 ,$4.04 ,$4.34 ,$104.52 ,$4.20 ,$4.13 ,$97.26 ,$4.00 ,$100.61 ,$4.00 ,$100.61 ,$100.61 ,$100.61 ,$108.44 ,$90.55 ,$100.61 ,$100.61 ,$100.61 ,$100.61 ST. JOSEPH'S - CHIPPEWA FALLS,30100705,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$39.45 ,$29.59 ,$10.74 ,$39.45 ,$25.41 ,$10.74 ,$27.62 ,$11.10 ,$25.78 ,$11.43 ,$20.62 ,$37.48 , N/A ,$31.56 ,$35.90 ,$11.10 ,$37.08 ,$37.48 ,$35.51 ,$33.53 ,$11.10 ,$11.10 ,$11.10 ,$28.80 ,$10.74 ,$35.11 ,$35.51 ,$35.51 ,$31.56 ,$11.06 ,$21.70 ,$35.51 ,$10.74 ,$35.51 ,$10.74 ,$37.48 ,$24.17 ,$36.29 ,$11.77 ,$35.90 ,$10.74 ,$24.28 ,$25.41 ,$24.28 ,$35.51 ,$39.45 ,$29.59 ,$35.51 ,$10.85 ,$11.66 ,$36.89 ,$11.28 ,$11.10 ,$34.32 ,$10.74 ,$35.51 ,$10.74 ,$35.51 ,$35.51 ,$35.51 ,$38.27 ,$31.95 ,$35.51 ,$35.51 ,$35.51 ,$35.51 ST. JOSEPH'S - CHIPPEWA FALLS,30100706,84166,HC PROTEIN EP OTH FLUID,301,1 ,$53.49 ,$40.12 ,$17.83 ,$53.49 ,$34.45 ,$17.83 ,$37.44 ,$18.42 ,$42.81 ,$18.97 ,$34.24 ,$50.82 , N/A ,$42.79 ,$48.68 ,$18.42 ,$50.28 ,$50.82 ,$48.14 ,$45.47 ,$18.42 ,$18.42 ,$18.42 ,$39.05 ,$17.83 ,$47.61 ,$48.14 ,$48.14 ,$42.79 ,$18.36 ,$29.42 ,$48.14 ,$17.83 ,$48.14 ,$17.83 ,$50.82 ,$40.12 ,$49.21 ,$19.53 ,$48.68 ,$17.83 ,$32.92 ,$34.45 ,$32.92 ,$48.14 ,$51.79 ,$40.12 ,$48.14 ,$18.01 ,$19.34 ,$50.01 ,$18.72 ,$18.42 ,$46.54 ,$17.83 ,$48.14 ,$17.83 ,$48.14 ,$48.14 ,$48.14 ,$51.89 ,$43.33 ,$48.14 ,$48.14 ,$48.14 ,$48.14 ST. JOSEPH'S - CHIPPEWA FALLS,30100708,84181,HC PROTEIN WESTERN BLOT,301,1 ,$52.55 ,$39.41 ,$17.03 ,$52.55 ,$33.84 ,$17.03 ,$36.79 ,$17.60 ,$40.88 ,$18.13 ,$32.70 ,$49.92 , N/A ,$42.04 ,$47.82 ,$17.60 ,$49.40 ,$49.92 ,$47.30 ,$44.67 ,$17.60 ,$17.60 ,$17.60 ,$38.36 ,$17.03 ,$46.77 ,$47.30 ,$47.30 ,$42.04 ,$17.54 ,$28.90 ,$47.30 ,$17.03 ,$47.30 ,$17.03 ,$49.92 ,$38.32 ,$48.35 ,$18.66 ,$47.82 ,$17.03 ,$32.34 ,$33.84 ,$32.34 ,$47.30 ,$52.55 ,$39.41 ,$47.30 ,$17.20 ,$18.48 ,$49.13 ,$17.88 ,$17.60 ,$45.72 ,$17.03 ,$47.30 ,$17.03 ,$47.30 ,$47.30 ,$47.30 ,$50.97 ,$42.57 ,$47.30 ,$47.30 ,$47.30 ,$47.30 ST. JOSEPH'S - CHIPPEWA FALLS,30100709,84202,HC PROTOPORPHYRIN,301,1 ,$79.82 ,$59.87 ,$14.35 ,$79.82 ,$51.40 ,$14.35 ,$55.87 ,$14.83 ,$34.44 ,$15.27 ,$27.55 ,$75.83 , N/A ,$63.86 ,$72.64 ,$14.83 ,$75.03 ,$75.83 ,$71.84 ,$67.85 ,$14.83 ,$14.83 ,$14.83 ,$58.27 ,$14.35 ,$71.04 ,$71.84 ,$71.84 ,$63.86 ,$14.78 ,$43.90 ,$71.84 ,$14.35 ,$71.84 ,$14.35 ,$75.83 ,$32.29 ,$73.43 ,$15.72 ,$72.64 ,$14.35 ,$49.12 ,$51.40 ,$49.12 ,$71.84 ,$79.82 ,$59.87 ,$71.84 ,$14.49 ,$15.57 ,$74.63 ,$15.07 ,$14.83 ,$69.44 ,$14.35 ,$71.84 ,$14.35 ,$71.84 ,$71.84 ,$71.84 ,$77.43 ,$64.65 ,$71.84 ,$71.84 ,$71.84 ,$71.84 ST. JOSEPH'S - CHIPPEWA FALLS,30100712,84210,HC PYRUVATE,301,1 ,$94.71 ,$71.03 ,$14.48 ,$94.71 ,$60.99 ,$14.48 ,$66.30 ,$14.96 ,$26.06 ,$15.41 ,$20.85 ,$89.97 , N/A ,$75.77 ,$86.19 ,$14.96 ,$89.03 ,$89.97 ,$85.24 ,$80.50 ,$14.96 ,$14.96 ,$14.96 ,$69.14 ,$14.48 ,$84.29 ,$85.24 ,$85.24 ,$75.77 ,$14.91 ,$52.09 ,$85.24 ,$14.48 ,$85.24 ,$14.48 ,$89.97 ,$32.58 ,$87.13 ,$15.86 ,$86.19 ,$14.48 ,$58.28 ,$60.99 ,$58.28 ,$85.24 ,$94.71 ,$71.03 ,$72.64 ,$14.62 ,$15.71 ,$88.55 ,$15.20 ,$14.96 ,$82.40 ,$14.48 ,$85.24 ,$14.48 ,$85.24 ,$85.24 ,$85.24 ,$91.87 ,$76.72 ,$85.24 ,$85.24 ,$85.24 ,$85.24 ST. JOSEPH'S - CHIPPEWA FALLS,30100714,84238,HC RECEPTOR ASSAY NON ENDO,301,1 ,$112.85 ,$84.64 ,$36.57 ,$112.85 ,$72.68 ,$36.57 ,$79.00 ,$37.79 ,$87.78 ,$38.92 ,$70.22 ,$107.21 , N/A ,$90.28 ,$102.69 ,$37.79 ,$106.08 ,$107.21 ,$101.57 ,$95.92 ,$37.79 ,$37.79 ,$37.79 ,$82.38 ,$36.57 ,$100.44 ,$101.57 ,$101.57 ,$90.28 ,$37.67 ,$62.07 ,$101.57 ,$36.57 ,$101.57 ,$36.57 ,$107.21 ,$82.28 ,$103.82 ,$40.06 ,$102.69 ,$36.57 ,$69.45 ,$72.68 ,$69.45 ,$101.57 ,$112.85 ,$84.64 ,$101.57 ,$36.94 ,$39.68 ,$105.51 ,$38.40 ,$37.79 ,$98.18 ,$36.57 ,$101.57 ,$36.57 ,$101.57 ,$101.57 ,$101.57 ,$109.46 ,$91.41 ,$101.57 ,$101.57 ,$101.57 ,$101.57 ST. JOSEPH'S - CHIPPEWA FALLS,30100715,84244,HC RENIN,301,1 ,$67.88 ,$50.91 ,$21.99 ,$67.88 ,$43.71 ,$21.99 ,$47.52 ,$22.72 ,$52.80 ,$23.40 ,$42.24 ,$64.49 , N/A ,$54.30 ,$61.77 ,$22.72 ,$63.81 ,$64.49 ,$61.09 ,$57.70 ,$22.72 ,$22.72 ,$22.72 ,$49.55 ,$21.99 ,$60.41 ,$61.09 ,$61.09 ,$54.30 ,$22.65 ,$37.33 ,$61.09 ,$21.99 ,$61.09 ,$21.99 ,$64.49 ,$49.48 ,$62.45 ,$24.08 ,$61.77 ,$21.99 ,$41.77 ,$43.71 ,$41.77 ,$61.09 ,$67.88 ,$50.91 ,$61.09 ,$22.21 ,$23.86 ,$63.47 ,$23.09 ,$22.72 ,$59.06 ,$21.99 ,$61.09 ,$21.99 ,$61.09 ,$61.09 ,$61.09 ,$65.84 ,$54.98 ,$61.09 ,$61.09 ,$61.09 ,$61.09 ST. JOSEPH'S - CHIPPEWA FALLS,30100718,84260,HC SEROTONIN,301,1 ,$101.26 ,$75.95 ,$30.98 ,$101.26 ,$65.21 ,$30.98 ,$70.88 ,$32.01 ,$74.38 ,$32.97 ,$59.50 ,$96.20 , N/A ,$81.01 ,$92.15 ,$32.01 ,$95.18 ,$96.20 ,$91.13 ,$86.07 ,$32.01 ,$32.01 ,$32.01 ,$73.92 ,$30.98 ,$90.12 ,$91.13 ,$91.13 ,$81.01 ,$31.91 ,$55.69 ,$91.13 ,$30.98 ,$91.13 ,$30.98 ,$96.20 ,$69.71 ,$93.16 ,$33.93 ,$92.15 ,$30.98 ,$62.32 ,$65.21 ,$62.32 ,$91.13 ,$101.26 ,$75.95 ,$91.13 ,$31.29 ,$33.61 ,$94.68 ,$32.53 ,$32.01 ,$88.10 ,$30.98 ,$91.13 ,$30.98 ,$91.13 ,$91.13 ,$91.13 ,$98.22 ,$82.02 ,$91.13 ,$91.13 ,$91.13 ,$91.13 ST. JOSEPH'S - CHIPPEWA FALLS,30100720,84270,HC SEX HORMONE BIND GLOB,301,1 ,$69.00 ,$51.75 ,$21.73 ,$69.00 ,$44.44 ,$21.73 ,$48.30 ,$22.45 ,$52.17 ,$23.12 ,$41.73 ,$65.55 , N/A ,$55.20 ,$62.79 ,$22.45 ,$64.86 ,$65.55 ,$62.10 ,$58.65 ,$22.45 ,$22.45 ,$22.45 ,$50.37 ,$21.73 ,$61.41 ,$62.10 ,$62.10 ,$55.20 ,$22.38 ,$37.95 ,$62.10 ,$21.73 ,$62.10 ,$21.73 ,$65.55 ,$48.89 ,$63.48 ,$23.80 ,$62.79 ,$21.73 ,$42.46 ,$44.44 ,$42.46 ,$62.10 ,$69.00 ,$51.75 ,$62.10 ,$21.95 ,$23.57 ,$64.52 ,$22.82 ,$22.45 ,$60.03 ,$21.73 ,$62.10 ,$21.73 ,$62.10 ,$62.10 ,$62.10 ,$66.93 ,$55.89 ,$62.10 ,$62.10 ,$62.10 ,$62.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100721,84295,HC SODIUM,301,1 ,$93.12 ,$69.84 ,$4.81 ,$93.12 ,$59.97 ,$4.81 ,$65.18 ,$4.97 ,$11.55 ,$5.12 ,$9.24 ,$88.46 , N/A ,$74.50 ,$84.74 ,$4.97 ,$87.53 ,$88.46 ,$83.81 ,$79.15 ,$4.97 ,$4.97 ,$4.97 ,$67.98 ,$4.81 ,$82.88 ,$83.81 ,$83.81 ,$74.50 ,$4.95 ,$51.22 ,$83.81 ,$4.81 ,$83.81 ,$4.81 ,$88.46 ,$10.82 ,$85.67 ,$5.27 ,$84.74 ,$4.81 ,$57.31 ,$59.97 ,$57.31 ,$83.81 ,$41.75 ,$69.84 ,$29.80 ,$4.86 ,$5.22 ,$87.07 ,$5.05 ,$4.97 ,$81.01 ,$4.81 ,$83.81 ,$4.81 ,$83.81 ,$83.81 ,$83.81 ,$90.33 ,$75.43 ,$83.81 ,$83.81 ,$83.81 ,$83.81 ST. JOSEPH'S - CHIPPEWA FALLS,30100724,84300,HC SODIUM URINE,301,1 ,$93.12 ,$69.84 ,$5.06 ,$93.12 ,$59.97 ,$5.06 ,$65.18 ,$5.23 ,$11.67 ,$5.39 ,$9.34 ,$88.46 , N/A ,$74.50 ,$84.74 ,$5.23 ,$87.53 ,$88.46 ,$83.81 ,$79.15 ,$5.23 ,$5.23 ,$5.23 ,$67.98 ,$5.06 ,$82.88 ,$83.81 ,$83.81 ,$74.50 ,$5.21 ,$51.22 ,$83.81 ,$5.06 ,$83.81 ,$5.06 ,$88.46 ,$11.39 ,$85.67 ,$5.54 ,$84.74 ,$5.06 ,$57.31 ,$59.97 ,$57.31 ,$83.81 ,$41.75 ,$69.84 ,$30.10 ,$5.11 ,$5.49 ,$87.07 ,$5.31 ,$5.23 ,$81.01 ,$5.06 ,$83.81 ,$5.06 ,$83.81 ,$83.81 ,$83.81 ,$90.33 ,$75.43 ,$83.81 ,$83.81 ,$83.81 ,$83.81 ST. JOSEPH'S - CHIPPEWA FALLS,30100725,84302,HC SODIUM OTHER FLUID,301,1 ,$33.66 ,$25.25 ,$4.86 ,$33.66 ,$21.68 ,$4.86 ,$23.56 ,$5.02 ,$11.67 ,$5.17 ,$9.34 ,$31.98 , N/A ,$26.93 ,$30.63 ,$5.02 ,$31.64 ,$31.98 ,$30.29 ,$28.61 ,$5.02 ,$5.02 ,$5.02 ,$24.57 ,$4.86 ,$29.96 ,$30.29 ,$30.29 ,$26.93 ,$5.01 ,$18.51 ,$30.29 ,$4.86 ,$30.29 ,$4.86 ,$31.98 ,$10.94 ,$30.97 ,$5.32 ,$30.63 ,$4.86 ,$20.71 ,$21.68 ,$20.71 ,$30.29 ,$16.60 ,$25.25 ,$30.10 ,$4.91 ,$5.27 ,$31.47 ,$5.10 ,$5.02 ,$29.28 ,$4.86 ,$30.29 ,$4.86 ,$30.29 ,$30.29 ,$30.29 ,$32.65 ,$27.26 ,$30.29 ,$30.29 ,$30.29 ,$30.29 ST. JOSEPH'S - CHIPPEWA FALLS,30100726,84305,HC SOMATOMEDINC,301,1 ,$116.06 ,$87.05 ,$21.26 ,$116.06 ,$74.74 ,$21.26 ,$81.24 ,$21.97 ,$51.05 ,$22.63 ,$40.84 ,$110.26 , N/A ,$92.85 ,$105.61 ,$21.97 ,$109.10 ,$110.26 ,$104.45 ,$98.65 ,$21.97 ,$21.97 ,$21.97 ,$84.72 ,$21.26 ,$103.29 ,$104.45 ,$104.45 ,$92.85 ,$21.90 ,$63.83 ,$104.45 ,$21.26 ,$104.45 ,$21.26 ,$110.26 ,$47.84 ,$106.78 ,$23.29 ,$105.61 ,$21.26 ,$71.42 ,$74.74 ,$71.42 ,$104.45 ,$116.06 ,$87.05 ,$104.45 ,$21.47 ,$23.07 ,$108.52 ,$22.32 ,$21.97 ,$100.97 ,$21.26 ,$104.45 ,$21.26 ,$104.45 ,$104.45 ,$104.45 ,$112.58 ,$94.01 ,$104.45 ,$104.45 ,$104.45 ,$104.45 ST. JOSEPH'S - CHIPPEWA FALLS,30100727,84311,HC SPECTROPHOTOMETRY,301,1 ,$43.88 ,$32.91 ,$8.10 ,$43.88 ,$28.26 ,$8.10 ,$30.72 ,$8.37 ,$16.78 ,$8.62 ,$13.43 ,$41.69 , N/A ,$35.10 ,$39.93 ,$8.37 ,$41.25 ,$41.69 ,$39.49 ,$37.30 ,$8.37 ,$8.37 ,$8.37 ,$32.03 ,$8.10 ,$39.05 ,$39.49 ,$39.49 ,$35.10 ,$8.34 ,$24.13 ,$39.49 ,$8.10 ,$39.49 ,$8.10 ,$41.69 ,$18.23 ,$40.37 ,$8.87 ,$39.93 ,$8.10 ,$27.00 ,$28.26 ,$27.00 ,$39.49 ,$34.07 ,$32.91 ,$39.49 ,$8.18 ,$8.79 ,$41.03 ,$8.51 ,$8.37 ,$38.18 ,$8.10 ,$39.49 ,$8.10 ,$39.49 ,$39.49 ,$39.49 ,$42.56 ,$35.54 ,$39.49 ,$39.49 ,$39.49 ,$39.49 ST. JOSEPH'S - CHIPPEWA FALLS,30100728,84376,HC SUGARS SINGLE QL,301,1 ,$49.04 ,$36.78 ,$5.50 ,$49.04 ,$31.58 ,$5.50 ,$34.33 ,$5.68 ,$13.20 ,$5.85 ,$10.56 ,$46.59 , N/A ,$39.23 ,$44.63 ,$5.68 ,$46.10 ,$46.59 ,$44.14 ,$41.68 ,$5.68 ,$5.68 ,$5.68 ,$35.80 ,$5.50 ,$43.65 ,$44.14 ,$44.14 ,$39.23 ,$5.67 ,$26.97 ,$44.14 ,$5.50 ,$44.14 ,$5.50 ,$46.59 ,$12.38 ,$45.12 ,$6.02 ,$44.63 ,$5.50 ,$30.18 ,$31.58 ,$30.18 ,$44.14 ,$23.44 ,$36.78 ,$34.06 ,$5.56 ,$5.96 ,$45.85 ,$5.78 ,$5.68 ,$42.66 ,$5.50 ,$44.14 ,$5.50 ,$44.14 ,$44.14 ,$44.14 ,$47.57 ,$39.72 ,$44.14 ,$44.14 ,$44.14 ,$44.14 ST. JOSEPH'S - CHIPPEWA FALLS,30100732,84402,HC TESTOSTERONE FREE,301,1 ,$79.13 ,$59.35 ,$25.47 ,$79.13 ,$50.96 ,$25.47 ,$55.39 ,$26.32 ,$61.15 ,$27.11 ,$48.92 ,$75.17 , N/A ,$63.30 ,$72.01 ,$26.32 ,$74.38 ,$75.17 ,$71.22 ,$67.26 ,$26.32 ,$26.32 ,$26.32 ,$57.76 ,$25.47 ,$70.43 ,$71.22 ,$71.22 ,$63.30 ,$26.23 ,$43.52 ,$71.22 ,$25.47 ,$71.22 ,$25.47 ,$75.17 ,$57.31 ,$72.80 ,$27.90 ,$72.01 ,$25.47 ,$48.70 ,$50.96 ,$48.70 ,$71.22 ,$79.13 ,$59.35 ,$71.22 ,$25.72 ,$27.64 ,$73.99 ,$26.74 ,$26.32 ,$68.84 ,$25.47 ,$71.22 ,$25.47 ,$71.22 ,$71.22 ,$71.22 ,$76.76 ,$64.10 ,$71.22 ,$71.22 ,$71.22 ,$71.22 ST. JOSEPH'S - CHIPPEWA FALLS,30100733,84403,HC TESTOSTERONE TOTAL,301,1 ,$79.68 ,$59.76 ,$25.81 ,$79.68 ,$51.31 ,$25.81 ,$55.78 ,$26.67 ,$60.50 ,$27.47 ,$48.40 ,$75.70 , N/A ,$63.74 ,$72.51 ,$26.67 ,$74.90 ,$75.70 ,$71.71 ,$67.73 ,$26.67 ,$26.67 ,$26.67 ,$58.17 ,$25.81 ,$70.92 ,$71.71 ,$71.71 ,$63.74 ,$26.58 ,$43.82 ,$71.71 ,$25.81 ,$71.71 ,$25.81 ,$75.70 ,$58.07 ,$73.31 ,$28.27 ,$72.51 ,$25.81 ,$49.04 ,$51.31 ,$49.04 ,$71.71 ,$79.68 ,$59.76 ,$71.71 ,$26.07 ,$28.00 ,$74.50 ,$27.10 ,$26.67 ,$69.32 ,$25.81 ,$71.71 ,$25.81 ,$71.71 ,$71.71 ,$71.71 ,$77.29 ,$64.54 ,$71.71 ,$71.71 ,$71.71 ,$71.71 ST. JOSEPH'S - CHIPPEWA FALLS,30100735,84425,HC VITAMIN B1,301,1 ,$126.78 ,$95.09 ,$21.23 ,$126.78 ,$81.65 ,$21.23 ,$88.75 ,$21.94 ,$50.96 ,$22.60 ,$40.77 ,$120.44 , N/A ,$101.42 ,$115.37 ,$21.94 ,$119.17 ,$120.44 ,$114.10 ,$107.76 ,$21.94 ,$21.94 ,$21.94 ,$92.55 ,$21.23 ,$112.83 ,$114.10 ,$114.10 ,$101.42 ,$21.87 ,$69.73 ,$114.10 ,$21.23 ,$114.10 ,$21.23 ,$120.44 ,$47.77 ,$116.64 ,$23.26 ,$115.37 ,$21.23 ,$78.02 ,$81.65 ,$78.02 ,$114.10 ,$126.78 ,$95.09 ,$114.10 ,$21.44 ,$23.04 ,$118.54 ,$22.29 ,$21.94 ,$110.30 ,$21.23 ,$114.10 ,$21.23 ,$114.10 ,$114.10 ,$114.10 ,$122.98 ,$102.69 ,$114.10 ,$114.10 ,$114.10 ,$114.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100737,84432,HC THYROGLOBULIN,301,1 ,$49.58 ,$37.19 ,$16.06 ,$49.58 ,$31.93 ,$16.06 ,$34.71 ,$16.59 ,$38.55 ,$17.09 ,$30.84 ,$47.10 , N/A ,$39.66 ,$45.12 ,$16.59 ,$46.61 ,$47.10 ,$44.62 ,$42.14 ,$16.59 ,$16.59 ,$16.59 ,$36.19 ,$16.06 ,$44.13 ,$44.62 ,$44.62 ,$39.66 ,$16.54 ,$27.27 ,$44.62 ,$16.06 ,$44.62 ,$16.06 ,$47.10 ,$36.14 ,$45.61 ,$17.59 ,$45.12 ,$16.06 ,$30.51 ,$31.93 ,$30.51 ,$44.62 ,$43.91 ,$37.19 ,$44.62 ,$16.22 ,$17.42 ,$46.36 ,$16.86 ,$16.59 ,$43.13 ,$16.06 ,$44.62 ,$16.06 ,$44.62 ,$44.62 ,$44.62 ,$48.09 ,$40.16 ,$44.62 ,$44.62 ,$44.62 ,$44.62 ST. JOSEPH'S - CHIPPEWA FALLS,30100739,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$33.66 ,$25.25 ,$6.87 ,$33.66 ,$21.68 ,$6.87 ,$23.56 ,$7.10 ,$16.49 ,$7.31 ,$13.19 ,$31.98 , N/A ,$26.93 ,$30.63 ,$7.10 ,$31.64 ,$31.98 ,$30.29 ,$28.61 ,$7.10 ,$7.10 ,$7.10 ,$24.57 ,$6.87 ,$29.96 ,$30.29 ,$30.29 ,$26.93 ,$7.08 ,$18.51 ,$30.29 ,$6.87 ,$30.29 ,$6.87 ,$31.98 ,$15.46 ,$30.97 ,$7.53 ,$30.63 ,$6.87 ,$20.71 ,$21.68 ,$20.71 ,$30.29 ,$33.66 ,$25.25 ,$30.29 ,$6.94 ,$7.46 ,$31.47 ,$7.21 ,$7.10 ,$29.28 ,$6.87 ,$30.29 ,$6.87 ,$30.29 ,$30.29 ,$30.29 ,$32.65 ,$27.26 ,$30.29 ,$30.29 ,$30.29 ,$30.29 ST. JOSEPH'S - CHIPPEWA FALLS,30100740,84439,HC T4 FREE,301,1 ,$109.00 ,$81.75 ,$9.02 ,$109.00 ,$70.20 ,$9.02 ,$76.30 ,$9.32 ,$21.65 ,$9.60 ,$17.32 ,$103.55 , N/A ,$87.20 ,$99.19 ,$9.32 ,$102.46 ,$103.55 ,$98.10 ,$92.65 ,$9.32 ,$9.32 ,$9.32 ,$79.57 ,$9.02 ,$97.01 ,$98.10 ,$98.10 ,$87.20 ,$9.29 ,$59.95 ,$98.10 ,$9.02 ,$98.10 ,$9.02 ,$103.55 ,$20.30 ,$100.28 ,$9.88 ,$99.19 ,$9.02 ,$67.08 ,$70.20 ,$67.08 ,$98.10 ,$92.26 ,$81.75 ,$55.83 ,$9.11 ,$9.79 ,$101.92 ,$9.47 ,$9.32 ,$94.83 ,$9.02 ,$98.10 ,$9.02 ,$98.10 ,$98.10 ,$98.10 ,$105.73 ,$88.29 ,$98.10 ,$98.10 ,$98.10 ,$98.10 ST. JOSEPH'S - CHIPPEWA FALLS,30100742,84442,HC THYROXINE BIND GLOB,301,1 ,$183.66 ,$137.75 ,$14.78 ,$183.66 ,$118.28 ,$14.78 ,$128.56 ,$15.27 ,$35.49 ,$15.73 ,$28.39 ,$174.48 , N/A ,$146.93 ,$167.13 ,$15.27 ,$172.64 ,$174.48 ,$165.29 ,$156.11 ,$15.27 ,$15.27 ,$15.27 ,$134.07 ,$14.78 ,$163.46 ,$165.29 ,$165.29 ,$146.93 ,$15.22 ,$101.01 ,$165.29 ,$14.78 ,$165.29 ,$14.78 ,$174.48 ,$33.26 ,$168.97 ,$16.19 ,$167.13 ,$14.78 ,$113.02 ,$118.28 ,$113.02 ,$165.29 ,$151.53 ,$137.75 ,$91.55 ,$14.93 ,$16.03 ,$171.72 ,$15.52 ,$15.27 ,$159.78 ,$14.78 ,$165.29 ,$14.78 ,$165.29 ,$165.29 ,$165.29 ,$178.15 ,$148.76 ,$165.29 ,$165.29 ,$165.29 ,$165.29 ST. JOSEPH'S - CHIPPEWA FALLS,30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$191.66 ,$143.75 ,$16.80 ,$191.66 ,$123.43 ,$16.80 ,$134.16 ,$17.36 ,$40.34 ,$17.88 ,$32.27 ,$182.08 , N/A ,$153.33 ,$174.41 ,$17.36 ,$180.16 ,$182.08 ,$172.49 ,$162.91 ,$17.36 ,$17.36 ,$17.36 ,$139.91 ,$16.80 ,$170.58 ,$172.49 ,$172.49 ,$153.33 ,$17.30 ,$105.41 ,$172.49 ,$16.80 ,$172.49 ,$16.80 ,$182.08 ,$37.80 ,$176.33 ,$18.40 ,$174.41 ,$16.80 ,$117.95 ,$123.43 ,$117.95 ,$172.49 ,$127.39 ,$143.75 ,$104.09 ,$16.97 ,$18.23 ,$179.20 ,$17.64 ,$17.36 ,$166.74 ,$16.80 ,$172.49 ,$16.80 ,$172.49 ,$172.49 ,$172.49 ,$185.91 ,$155.24 ,$172.49 ,$172.49 ,$172.49 ,$172.49 ST. JOSEPH'S - CHIPPEWA FALLS,30100744,84445,HC THYROID STIM IMMUNO GLOB,301,1 ,$173.84 ,$130.38 ,$32.70 ,$173.84 ,$111.95 ,$50.86 ,$121.69 ,$32.70 ,$55.83 ,$33.68 ,$44.66 ,$165.15 , N/A ,$139.07 ,$158.19 ,$32.70 ,$163.41 ,$165.15 ,$156.46 ,$147.76 ,$32.70 ,$32.70 ,$32.70 ,$126.90 ,$50.86 ,$154.72 ,$156.46 ,$156.46 ,$139.07 ,$52.39 ,$95.61 ,$156.46 ,$50.86 ,$156.46 ,$50.86 ,$165.15 ,$114.44 ,$159.93 ,$34.66 ,$158.19 ,$50.86 ,$106.98 ,$111.95 ,$106.98 ,$156.46 ,$127.39 ,$130.38 ,$156.46 ,$51.37 ,$34.34 ,$162.54 ,$53.40 ,$32.70 ,$151.24 ,$50.86 ,$156.46 ,$50.86 ,$156.46 ,$156.46 ,$156.46 ,$168.62 ,$140.81 ,$156.46 ,$156.46 ,$156.46 ,$156.46 ST. JOSEPH'S - CHIPPEWA FALLS,30100745,84446,HC VITAMIN E,301,1 ,$77.74 ,$58.31 ,$14.18 ,$77.74 ,$50.06 ,$14.18 ,$54.42 ,$14.65 ,$34.04 ,$15.09 ,$27.23 ,$73.85 , N/A ,$62.19 ,$70.74 ,$14.65 ,$73.08 ,$73.85 ,$69.97 ,$66.08 ,$14.65 ,$14.65 ,$14.65 ,$56.75 ,$14.18 ,$69.19 ,$69.97 ,$69.97 ,$62.19 ,$14.61 ,$42.76 ,$69.97 ,$14.18 ,$69.97 ,$14.18 ,$73.85 ,$31.91 ,$71.52 ,$15.53 ,$70.74 ,$14.18 ,$47.84 ,$50.06 ,$47.84 ,$69.97 ,$46.12 ,$58.31 ,$69.97 ,$14.32 ,$15.38 ,$72.69 ,$14.89 ,$14.65 ,$67.63 ,$14.18 ,$69.97 ,$14.18 ,$69.97 ,$69.97 ,$69.97 ,$75.41 ,$62.97 ,$69.97 ,$69.97 ,$69.97 ,$69.97 ST. JOSEPH'S - CHIPPEWA FALLS,30100746,84450,HC AST,301,1 ,$106.23 ,$79.67 ,$5.18 ,$106.23 ,$68.41 ,$5.18 ,$74.36 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$100.92 , N/A ,$84.98 ,$96.67 ,$5.35 ,$99.86 ,$100.92 ,$95.61 ,$90.30 ,$5.35 ,$5.35 ,$5.35 ,$77.55 ,$5.18 ,$94.54 ,$95.61 ,$95.61 ,$84.98 ,$5.34 ,$58.43 ,$95.61 ,$5.18 ,$95.61 ,$5.18 ,$100.92 ,$11.66 ,$97.73 ,$5.67 ,$96.67 ,$5.18 ,$65.37 ,$68.41 ,$65.37 ,$95.61 ,$48.30 ,$79.67 ,$32.05 ,$5.23 ,$5.62 ,$99.33 ,$5.44 ,$5.35 ,$92.42 ,$5.18 ,$95.61 ,$5.18 ,$95.61 ,$95.61 ,$95.61 ,$103.04 ,$86.05 ,$95.61 ,$95.61 ,$95.61 ,$95.61 ST. JOSEPH'S - CHIPPEWA FALLS,30100747,84460,HC ALT,301,1 ,$121.32 ,$90.99 ,$5.30 ,$121.32 ,$78.13 ,$5.30 ,$84.92 ,$5.48 ,$12.72 ,$5.64 ,$10.18 ,$115.25 , N/A ,$97.06 ,$110.40 ,$5.48 ,$114.04 ,$115.25 ,$109.19 ,$103.12 ,$5.48 ,$5.48 ,$5.48 ,$88.56 ,$5.30 ,$107.97 ,$109.19 ,$109.19 ,$97.06 ,$5.46 ,$66.73 ,$109.19 ,$5.30 ,$109.19 ,$5.30 ,$115.25 ,$11.93 ,$111.61 ,$5.81 ,$110.40 ,$5.30 ,$74.66 ,$78.13 ,$74.66 ,$109.19 ,$52.72 ,$90.99 ,$32.81 ,$5.35 ,$5.75 ,$113.43 ,$5.57 ,$5.48 ,$105.55 ,$5.30 ,$109.19 ,$5.30 ,$109.19 ,$109.19 ,$109.19 ,$117.68 ,$98.27 ,$109.19 ,$109.19 ,$109.19 ,$109.19 ST. JOSEPH'S - CHIPPEWA FALLS,30100748,84466,HC TRANSFERRIN,301,1 ,$132.73 ,$99.55 ,$12.76 ,$132.73 ,$85.48 ,$12.76 ,$92.91 ,$13.18 ,$30.64 ,$13.58 ,$24.51 ,$126.09 , N/A ,$106.18 ,$120.78 ,$13.18 ,$124.77 ,$126.09 ,$119.46 ,$112.82 ,$13.18 ,$13.18 ,$13.18 ,$96.89 ,$12.76 ,$118.13 ,$119.46 ,$119.46 ,$106.18 ,$13.14 ,$73.00 ,$119.46 ,$12.76 ,$119.46 ,$12.76 ,$126.09 ,$28.71 ,$122.11 ,$13.97 ,$120.78 ,$12.76 ,$81.68 ,$85.48 ,$81.68 ,$119.46 ,$109.82 ,$99.55 ,$79.06 ,$12.89 ,$13.84 ,$124.10 ,$13.40 ,$13.18 ,$115.48 ,$12.76 ,$119.46 ,$12.76 ,$119.46 ,$119.46 ,$119.46 ,$128.75 ,$107.51 ,$119.46 ,$119.46 ,$119.46 ,$119.46 ST. JOSEPH'S - CHIPPEWA FALLS,30100750,84478,HC TRIGLYCERIDES,301,1 ,$142.36 ,$106.77 ,$5.74 ,$142.36 ,$91.68 ,$5.74 ,$99.65 ,$5.93 ,$13.79 ,$6.11 ,$11.03 ,$135.24 , N/A ,$113.89 ,$129.55 ,$5.93 ,$133.82 ,$135.24 ,$128.12 ,$121.01 ,$5.93 ,$5.93 ,$5.93 ,$103.92 ,$5.74 ,$126.70 ,$128.12 ,$128.12 ,$113.89 ,$5.91 ,$78.30 ,$128.12 ,$5.74 ,$128.12 ,$5.74 ,$135.24 ,$12.92 ,$130.97 ,$6.29 ,$129.55 ,$5.74 ,$87.61 ,$91.68 ,$87.61 ,$128.12 ,$54.90 ,$106.77 ,$35.57 ,$5.80 ,$6.23 ,$133.11 ,$6.03 ,$5.93 ,$123.85 ,$5.74 ,$128.12 ,$5.74 ,$128.12 ,$128.12 ,$128.12 ,$138.09 ,$115.31 ,$128.12 ,$128.12 ,$128.12 ,$128.12 ST. JOSEPH'S - CHIPPEWA FALLS,30100753,84479,HC T3 UPTAKE,301,1 ,$57.38 ,$43.04 ,$6.47 ,$57.38 ,$36.95 ,$6.47 ,$40.17 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$54.51 , N/A ,$45.90 ,$52.22 ,$6.69 ,$53.94 ,$54.51 ,$51.64 ,$48.77 ,$6.69 ,$6.69 ,$6.69 ,$41.89 ,$6.47 ,$51.07 ,$51.64 ,$51.64 ,$45.90 ,$6.66 ,$31.56 ,$51.64 ,$6.47 ,$51.64 ,$6.47 ,$54.51 ,$14.56 ,$52.79 ,$7.09 ,$52.22 ,$6.47 ,$35.31 ,$36.95 ,$35.31 ,$51.64 ,$57.38 ,$43.04 ,$40.03 ,$6.53 ,$7.02 ,$53.65 ,$6.79 ,$6.69 ,$49.92 ,$6.47 ,$51.64 ,$6.47 ,$51.64 ,$51.64 ,$51.64 ,$55.66 ,$46.48 ,$51.64 ,$51.64 ,$51.64 ,$51.64 ST. JOSEPH'S - CHIPPEWA FALLS,30100754,84480,HC T3 TOTAL,301,1 ,$142.86 ,$107.15 ,$14.18 ,$142.86 ,$92.00 ,$14.18 ,$100.00 ,$14.65 ,$34.04 ,$15.09 ,$27.23 ,$135.72 , N/A ,$114.29 ,$130.00 ,$14.65 ,$134.29 ,$135.72 ,$128.57 ,$121.43 ,$14.65 ,$14.65 ,$14.65 ,$104.29 ,$14.18 ,$127.15 ,$128.57 ,$128.57 ,$114.29 ,$14.61 ,$78.57 ,$128.57 ,$14.18 ,$128.57 ,$14.18 ,$135.72 ,$31.91 ,$131.43 ,$15.53 ,$130.00 ,$14.18 ,$87.92 ,$92.00 ,$87.92 ,$128.57 ,$92.26 ,$107.15 ,$87.84 ,$14.32 ,$15.38 ,$133.57 ,$14.89 ,$14.65 ,$124.29 ,$14.18 ,$128.57 ,$14.18 ,$128.57 ,$128.57 ,$128.57 ,$138.57 ,$115.72 ,$128.57 ,$128.57 ,$128.57 ,$128.57 ST. JOSEPH'S - CHIPPEWA FALLS,30100755,84481,HC T3 FREE,301,1 ,$52.30 ,$39.23 ,$16.62 ,$52.30 ,$33.68 ,$16.94 ,$36.61 ,$16.62 ,$28.37 ,$17.12 ,$22.69 ,$49.69 , N/A ,$41.84 ,$47.59 ,$16.62 ,$49.16 ,$49.69 ,$47.07 ,$44.46 ,$16.62 ,$16.62 ,$16.62 ,$38.18 ,$16.94 ,$46.55 ,$47.07 ,$47.07 ,$41.84 ,$17.45 ,$28.77 ,$47.07 ,$16.94 ,$47.07 ,$16.94 ,$49.69 ,$38.12 ,$48.12 ,$17.62 ,$47.59 ,$16.94 ,$32.19 ,$33.68 ,$32.19 ,$47.07 ,$52.30 ,$39.23 ,$47.07 ,$17.11 ,$17.45 ,$48.90 ,$17.79 ,$16.62 ,$45.50 ,$16.94 ,$47.07 ,$16.94 ,$47.07 ,$47.07 ,$47.07 ,$50.73 ,$42.36 ,$47.07 ,$47.07 ,$47.07 ,$47.07 ST. JOSEPH'S - CHIPPEWA FALLS,30100757,84482,HC T3 REVERSE,301,1 ,$97.49 ,$73.12 ,$10.82 ,$97.49 ,$62.78 ,$15.76 ,$68.24 ,$10.82 ,$18.46 ,$11.14 ,$14.77 ,$92.62 , N/A ,$77.99 ,$88.72 ,$10.82 ,$91.64 ,$92.62 ,$87.74 ,$82.87 ,$10.82 ,$10.82 ,$10.82 ,$71.17 ,$15.76 ,$86.77 ,$87.74 ,$87.74 ,$77.99 ,$16.23 ,$53.62 ,$87.74 ,$15.76 ,$87.74 ,$15.76 ,$92.62 ,$35.46 ,$89.69 ,$11.47 ,$88.72 ,$15.76 ,$60.00 ,$62.78 ,$60.00 ,$87.74 ,$97.49 ,$73.12 ,$87.74 ,$15.92 ,$11.36 ,$91.15 ,$16.55 ,$10.82 ,$84.82 ,$15.76 ,$87.74 ,$15.76 ,$87.74 ,$87.74 ,$87.74 ,$94.57 ,$78.97 ,$87.74 ,$87.74 ,$87.74 ,$87.74 ST. JOSEPH'S - CHIPPEWA FALLS,30100758,84484,HC TROPONIN QN,301,1 ,$256.44 ,$192.33 ,$12.47 ,$256.44 ,$165.15 ,$12.47 ,$179.51 ,$12.89 ,$23.63 ,$13.28 ,$18.90 ,$243.62 , N/A ,$205.15 ,$233.36 ,$12.89 ,$241.05 ,$243.62 ,$230.80 ,$217.97 ,$12.89 ,$12.89 ,$12.89 ,$187.20 ,$12.47 ,$228.23 ,$230.80 ,$230.80 ,$205.15 ,$12.84 ,$141.04 ,$230.80 ,$12.47 ,$230.80 ,$12.47 ,$243.62 ,$28.06 ,$235.92 ,$13.66 ,$233.36 ,$12.47 ,$157.81 ,$165.15 ,$157.81 ,$230.80 ,$34.79 ,$192.33 ,$62.55 ,$12.59 ,$13.53 ,$239.77 ,$13.09 ,$12.89 ,$223.10 ,$12.47 ,$230.80 ,$12.47 ,$230.80 ,$230.80 ,$230.80 ,$248.75 ,$207.72 ,$230.80 ,$230.80 ,$230.80 ,$230.80 ST. JOSEPH'S - CHIPPEWA FALLS,30100761,84520,HC BUN,301,1 ,$86.28 ,$64.71 ,$3.95 ,$86.28 ,$55.56 ,$3.95 ,$60.40 ,$4.08 ,$9.49 ,$4.20 ,$7.59 ,$81.97 , N/A ,$69.02 ,$78.51 ,$4.08 ,$81.10 ,$81.97 ,$77.65 ,$73.34 ,$4.08 ,$4.08 ,$4.08 ,$62.98 ,$3.95 ,$76.79 ,$77.65 ,$77.65 ,$69.02 ,$4.07 ,$47.45 ,$77.65 ,$3.95 ,$77.65 ,$3.95 ,$81.97 ,$8.89 ,$79.38 ,$4.32 ,$78.51 ,$3.95 ,$53.10 ,$55.56 ,$53.10 ,$77.65 ,$46.12 ,$64.71 ,$24.48 ,$3.99 ,$4.28 ,$80.67 ,$4.15 ,$4.08 ,$75.06 ,$3.95 ,$77.65 ,$3.95 ,$77.65 ,$77.65 ,$77.65 ,$83.69 ,$69.89 ,$77.65 ,$77.65 ,$77.65 ,$77.65 ST. JOSEPH'S - CHIPPEWA FALLS,30100764,84540,HC UREA URINE,301,1 ,$74.26 ,$55.70 ,$5.56 ,$74.26 ,$47.82 ,$5.56 ,$51.98 ,$5.75 ,$11.39 ,$5.92 ,$9.11 ,$70.55 , N/A ,$59.41 ,$67.58 ,$5.75 ,$69.80 ,$70.55 ,$66.83 ,$63.12 ,$5.75 ,$5.75 ,$5.75 ,$54.21 ,$5.56 ,$66.09 ,$66.83 ,$66.83 ,$59.41 ,$5.73 ,$40.84 ,$66.83 ,$5.56 ,$66.83 ,$5.56 ,$70.55 ,$12.51 ,$68.32 ,$6.10 ,$67.58 ,$5.56 ,$45.70 ,$47.82 ,$45.70 ,$66.83 ,$46.12 ,$55.70 ,$29.40 ,$5.62 ,$6.04 ,$69.43 ,$5.84 ,$5.75 ,$64.61 ,$5.56 ,$66.83 ,$5.56 ,$66.83 ,$66.83 ,$66.83 ,$72.03 ,$60.15 ,$66.83 ,$66.83 ,$66.83 ,$66.83 ST. JOSEPH'S - CHIPPEWA FALLS,30100765,84550,HC URIC ACID,301,1 ,$149.82 ,$112.37 ,$4.52 ,$149.82 ,$96.48 ,$4.52 ,$104.87 ,$4.67 ,$10.85 ,$4.81 ,$8.68 ,$142.33 , N/A ,$119.86 ,$136.34 ,$4.67 ,$140.83 ,$142.33 ,$134.84 ,$127.35 ,$4.67 ,$4.67 ,$4.67 ,$109.37 ,$4.52 ,$133.34 ,$134.84 ,$134.84 ,$119.86 ,$4.66 ,$82.40 ,$134.84 ,$4.52 ,$134.84 ,$4.52 ,$142.33 ,$10.17 ,$137.83 ,$4.95 ,$136.34 ,$4.52 ,$92.20 ,$96.48 ,$92.20 ,$134.84 ,$63.68 ,$112.37 ,$27.99 ,$4.57 ,$4.90 ,$140.08 ,$4.75 ,$4.67 ,$130.34 ,$4.52 ,$134.84 ,$4.52 ,$134.84 ,$134.84 ,$134.84 ,$145.33 ,$121.35 ,$134.84 ,$134.84 ,$134.84 ,$134.84 ST. JOSEPH'S - CHIPPEWA FALLS,30100766,84560,HC URIC ACID OTH SRC,301,1 ,$151.10 ,$113.33 ,$5.08 ,$151.10 ,$97.31 ,$5.08 ,$105.77 ,$5.25 ,$11.39 ,$5.41 ,$9.11 ,$143.55 , N/A ,$120.88 ,$137.50 ,$5.25 ,$142.03 ,$143.55 ,$135.99 ,$128.44 ,$5.25 ,$5.25 ,$5.25 ,$110.30 ,$5.08 ,$134.48 ,$135.99 ,$135.99 ,$120.88 ,$5.23 ,$83.11 ,$135.99 ,$5.08 ,$135.99 ,$5.08 ,$143.55 ,$11.43 ,$139.01 ,$5.57 ,$137.50 ,$5.08 ,$92.99 ,$97.31 ,$92.99 ,$135.99 ,$48.30 ,$113.33 ,$29.40 ,$5.13 ,$5.51 ,$141.28 ,$5.33 ,$5.25 ,$131.46 ,$5.08 ,$135.99 ,$5.08 ,$135.99 ,$135.99 ,$135.99 ,$146.57 ,$122.39 ,$135.99 ,$135.99 ,$135.99 ,$135.99 ST. JOSEPH'S - CHIPPEWA FALLS,30100768,84585,HC VANILLYLMAND AC (VMA),301,1 ,$85.78 ,$64.34 ,$15.50 ,$85.78 ,$55.24 ,$15.50 ,$60.05 ,$16.02 ,$37.21 ,$16.50 ,$29.76 ,$81.49 , N/A ,$68.62 ,$78.06 ,$16.02 ,$80.63 ,$81.49 ,$77.20 ,$72.91 ,$16.02 ,$16.02 ,$16.02 ,$62.62 ,$15.50 ,$76.34 ,$77.20 ,$77.20 ,$68.62 ,$15.97 ,$47.18 ,$77.20 ,$15.50 ,$77.20 ,$15.50 ,$81.49 ,$34.88 ,$78.92 ,$16.98 ,$78.06 ,$15.50 ,$52.79 ,$55.24 ,$52.79 ,$77.20 ,$85.78 ,$64.34 ,$77.20 ,$15.66 ,$16.82 ,$80.20 ,$16.28 ,$16.02 ,$74.63 ,$15.50 ,$77.20 ,$15.50 ,$77.20 ,$77.20 ,$77.20 ,$83.21 ,$69.48 ,$77.20 ,$77.20 ,$77.20 ,$77.20 ST. JOSEPH'S - CHIPPEWA FALLS,30100769,84586,HC VASOACTIVE INTEST PEPTIDE,301,1 ,$176.02 ,$132.02 ,$17.93 ,$176.02 ,$113.36 ,$35.33 ,$123.21 ,$17.93 ,$30.61 ,$18.47 ,$24.49 ,$167.22 , N/A ,$140.82 ,$160.18 ,$17.93 ,$165.46 ,$167.22 ,$158.42 ,$149.62 ,$17.93 ,$17.93 ,$17.93 ,$128.49 ,$35.33 ,$156.66 ,$158.42 ,$158.42 ,$140.82 ,$36.39 ,$96.81 ,$158.42 ,$35.33 ,$158.42 ,$35.33 ,$167.22 ,$79.49 ,$161.94 ,$19.01 ,$160.18 ,$35.33 ,$108.32 ,$113.36 ,$108.32 ,$158.42 ,$98.75 ,$132.02 ,$158.42 ,$35.68 ,$18.83 ,$164.58 ,$37.10 ,$17.93 ,$153.14 ,$35.33 ,$158.42 ,$35.33 ,$158.42 ,$158.42 ,$158.42 ,$170.74 ,$142.58 ,$158.42 ,$158.42 ,$158.42 ,$158.42 ST. JOSEPH'S - CHIPPEWA FALLS,30100771,84590,HC VITAMIN A,301,1 ,$72.08 ,$54.06 ,$11.61 ,$72.08 ,$46.42 ,$11.61 ,$50.46 ,$12.00 ,$27.86 ,$12.36 ,$22.29 ,$68.48 , N/A ,$57.66 ,$65.59 ,$12.00 ,$67.76 ,$68.48 ,$64.87 ,$61.27 ,$12.00 ,$12.00 ,$12.00 ,$52.62 ,$11.61 ,$64.15 ,$64.87 ,$64.87 ,$57.66 ,$11.96 ,$39.64 ,$64.87 ,$11.61 ,$64.87 ,$11.61 ,$68.48 ,$26.12 ,$66.31 ,$12.72 ,$65.59 ,$11.61 ,$44.36 ,$46.42 ,$44.36 ,$64.87 ,$72.08 ,$54.06 ,$64.87 ,$11.73 ,$12.60 ,$67.39 ,$12.19 ,$12.00 ,$62.71 ,$11.61 ,$64.87 ,$11.61 ,$64.87 ,$64.87 ,$64.87 ,$69.92 ,$58.38 ,$64.87 ,$64.87 ,$64.87 ,$64.87 ST. JOSEPH'S - CHIPPEWA FALLS,30100773,80320,HC VOLATILES,301,1 ,$258.98 ,$194.24 ,$3.23 ,$258.98 ,$166.78 , N/A ,$181.29 ,$3.23 ,$41.42 ,$3.33 ,$33.14 ,$246.03 , N/A ,$207.18 ,$235.67 ,$3.23 ,$243.44 ,$246.03 ,$233.08 ,$220.13 ,$3.23 ,$3.23 ,$3.23 ,$189.06 , N/A ,$230.49 ,$233.08 ,$233.08 ,$207.18 , N/A ,$142.44 ,$233.08 , N/A ,$233.08 , N/A ,$246.03 , N/A ,$238.26 ,$3.42 ,$235.67 , N/A ,$159.38 ,$166.78 ,$159.38 ,$233.08 ,$47.23 ,$194.24 ,$181.29 , N/A ,$3.39 ,$242.15 , N/A ,$3.23 ,$225.31 , N/A ,$233.08 , N/A ,$233.08 ,$233.08 ,$233.08 ,$251.21 ,$209.77 ,$233.08 ,$233.08 ,$233.08 ,$233.08 ST. JOSEPH'S - CHIPPEWA FALLS,30100776,84630,HC ZINC,301,1 ,$103.84 ,$77.88 ,$11.39 ,$103.84 ,$66.87 ,$11.39 ,$72.69 ,$11.77 ,$24.87 ,$12.12 ,$19.89 ,$98.65 , N/A ,$83.07 ,$94.49 ,$11.77 ,$97.61 ,$98.65 ,$93.46 ,$88.26 ,$11.77 ,$11.77 ,$11.77 ,$75.80 ,$11.39 ,$92.42 ,$93.46 ,$93.46 ,$83.07 ,$11.73 ,$57.11 ,$93.46 ,$11.39 ,$93.46 ,$11.39 ,$98.65 ,$25.63 ,$95.53 ,$12.48 ,$94.49 ,$11.39 ,$63.90 ,$66.87 ,$63.90 ,$93.46 ,$48.73 ,$77.88 ,$70.53 ,$11.50 ,$12.36 ,$97.09 ,$11.96 ,$11.77 ,$90.34 ,$11.39 ,$93.46 ,$11.39 ,$93.46 ,$93.46 ,$93.46 ,$100.72 ,$84.11 ,$93.46 ,$93.46 ,$93.46 ,$93.46 ST. JOSEPH'S - CHIPPEWA FALLS,30100801,84681,HC C PEPTIDE,301,1 ,$72.87 ,$54.65 ,$7.34 ,$72.87 ,$46.93 ,$20.81 ,$51.01 ,$7.34 ,$12.53 ,$7.56 ,$10.02 ,$69.23 , N/A ,$58.30 ,$66.31 ,$7.34 ,$68.50 ,$69.23 ,$65.58 ,$61.94 ,$7.34 ,$7.34 ,$7.34 ,$53.20 ,$20.81 ,$64.85 ,$65.58 ,$65.58 ,$58.30 ,$21.43 ,$40.08 ,$65.58 ,$20.81 ,$65.58 ,$20.81 ,$69.23 ,$46.82 ,$67.04 ,$7.78 ,$66.31 ,$20.81 ,$44.84 ,$46.93 ,$44.84 ,$65.58 ,$36.22 ,$54.65 ,$65.58 ,$21.02 ,$7.71 ,$68.13 ,$21.85 ,$7.34 ,$63.40 ,$20.81 ,$65.58 ,$20.81 ,$65.58 ,$65.58 ,$65.58 ,$70.68 ,$59.02 ,$65.58 ,$65.58 ,$65.58 ,$65.58 ST. JOSEPH'S - CHIPPEWA FALLS,30100802,84702,HC HCG QN,301,1 ,$233.05 ,$174.79 ,$15.05 ,$233.05 ,$150.08 ,$15.05 ,$163.14 ,$15.55 ,$36.14 ,$16.02 ,$28.91 ,$221.40 , N/A ,$186.44 ,$212.08 ,$15.55 ,$219.07 ,$221.40 ,$209.75 ,$198.09 ,$15.55 ,$15.55 ,$15.55 ,$170.13 ,$15.05 ,$207.41 ,$209.75 ,$209.75 ,$186.44 ,$15.50 ,$128.18 ,$209.75 ,$15.05 ,$209.75 ,$15.05 ,$221.40 ,$33.86 ,$214.41 ,$16.48 ,$212.08 ,$15.05 ,$143.42 ,$150.08 ,$143.42 ,$209.75 ,$65.02 ,$174.79 ,$93.25 ,$15.20 ,$16.33 ,$217.90 ,$15.80 ,$15.55 ,$202.75 ,$15.05 ,$209.75 ,$15.05 ,$209.75 ,$209.75 ,$209.75 ,$226.06 ,$188.77 ,$209.75 ,$209.75 ,$209.75 ,$209.75 ST. JOSEPH'S - CHIPPEWA FALLS,30100808,84703,HC HCG QL,301,1 ,$196.27 ,$147.20 ,$7.52 ,$196.27 ,$126.40 ,$7.52 ,$137.39 ,$7.77 ,$18.06 ,$8.00 ,$14.45 ,$186.46 , N/A ,$157.02 ,$178.61 ,$7.77 ,$184.49 ,$186.46 ,$176.64 ,$166.83 ,$7.77 ,$7.77 ,$7.77 ,$143.28 ,$7.52 ,$174.68 ,$176.64 ,$176.64 ,$157.02 ,$7.75 ,$107.95 ,$176.64 ,$7.52 ,$176.64 ,$7.52 ,$186.46 ,$16.92 ,$180.57 ,$8.24 ,$178.61 ,$7.52 ,$120.78 ,$126.40 ,$120.78 ,$176.64 ,$67.41 ,$147.20 ,$46.60 ,$7.60 ,$8.16 ,$183.51 ,$7.90 ,$7.77 ,$170.75 ,$7.52 ,$176.64 ,$7.52 ,$176.64 ,$176.64 ,$176.64 ,$190.38 ,$158.98 ,$176.64 ,$176.64 ,$176.64 ,$176.64 ST. JOSEPH'S - CHIPPEWA FALLS,30100809,84999,HC CHEMISTRY UNLISTED,301,1 ,$76.15 ,$57.11 ,$3.23 ,$76.15 ,$49.04 , N/A ,$53.31 ,$3.23 ,$63.20 ,$3.33 ,$50.26 ,$72.34 , N/A ,$60.92 ,$69.30 ,$3.23 ,$71.58 ,$72.34 ,$68.54 ,$64.73 ,$3.23 ,$3.23 ,$3.23 ,$55.59 , N/A ,$67.77 ,$68.54 ,$68.54 ,$60.92 , N/A ,$41.88 ,$68.54 , N/A ,$68.54 , N/A ,$72.34 ,$45.69 ,$70.06 ,$3.42 ,$69.30 , N/A ,$46.86 ,$49.04 ,$46.86 ,$68.54 ,$68.54 ,$57.11 ,$53.31 ,$62.44 ,$3.39 ,$71.20 , N/A ,$3.23 ,$66.25 , N/A ,$68.54 , N/A ,$68.54 ,$68.54 ,$68.54 ,$73.87 ,$61.68 ,$68.54 ,$68.54 ,$68.54 ,$68.54 ST. JOSEPH'S - CHIPPEWA FALLS,30100810,88720,HC BILICHECK TEST,301,1 ,$100.97 ,$75.73 ,$3.63 ,$100.97 ,$65.02 ,$5.02 ,$70.68 ,$3.63 ,$12.04 ,$3.74 ,$9.63 ,$95.92 , N/A ,$80.78 ,$91.88 ,$3.63 ,$94.91 ,$95.92 ,$90.87 ,$85.82 ,$3.63 ,$3.63 ,$3.63 ,$73.71 ,$5.02 ,$89.86 ,$90.87 ,$90.87 ,$80.78 ,$5.17 ,$55.53 ,$90.87 ,$5.02 ,$90.87 ,$5.02 ,$95.92 ,$11.30 ,$92.89 ,$3.85 ,$91.88 ,$5.02 ,$62.14 ,$65.02 ,$62.14 ,$90.87 ,$30.80 ,$75.73 ,$31.05 ,$5.07 ,$3.81 ,$94.41 ,$5.27 ,$3.63 ,$87.84 ,$5.02 ,$90.87 ,$5.02 ,$90.87 ,$90.87 ,$90.87 ,$97.94 ,$81.79 ,$90.87 ,$90.87 ,$90.87 ,$90.87 ST. JOSEPH'S - CHIPPEWA FALLS,30100815,G0123,HC PAP SMEAR THIN PREP SCREEN,311,1 ,$118.50 ,$88.88 ,$20.26 ,$118.50 ,$76.31 ,$20.26 ,$82.95 ,$20.93 ,$48.63 ,$21.56 ,$38.91 ,$112.58 , N/A ,$94.80 ,$107.84 ,$20.93 ,$111.39 ,$112.58 ,$106.65 ,$100.73 ,$20.93 ,$20.93 ,$20.93 ,$86.51 ,$20.26 ,$105.47 ,$106.65 ,$106.65 ,$94.80 ,$20.87 ,$65.18 ,$106.65 ,$20.26 ,$106.65 ,$20.26 ,$112.58 ,$45.59 ,$109.02 ,$22.19 ,$107.84 ,$20.26 ,$72.92 ,$76.31 ,$72.92 ,$106.65 ,$106.65 ,$88.88 ,$106.65 ,$20.46 ,$21.98 ,$110.80 ,$21.27 ,$20.93 ,$103.10 ,$20.26 ,$106.65 ,$20.26 ,$106.65 ,$106.65 ,$106.65 ,$114.95 ,$95.99 ,$106.65 ,$106.65 ,$106.65 ,$106.65 ST. JOSEPH'S - CHIPPEWA FALLS,30100818,84182,HC PROTEIN WEST BLOT BAND ID,301,1 ,$277.77 ,$208.33 ,$25.31 ,$277.77 ,$178.88 ,$29.21 ,$194.44 ,$25.31 ,$43.21 ,$26.07 ,$34.57 ,$263.88 , N/A ,$222.22 ,$252.77 ,$25.31 ,$261.10 ,$263.88 ,$249.99 ,$236.10 ,$25.31 ,$25.31 ,$25.31 ,$202.77 ,$29.21 ,$247.22 ,$249.99 ,$249.99 ,$222.22 ,$30.09 ,$152.77 ,$249.99 ,$29.21 ,$249.99 ,$29.21 ,$263.88 ,$65.72 ,$255.55 ,$26.83 ,$252.77 ,$29.21 ,$170.94 ,$178.88 ,$170.94 ,$249.99 ,$99.52 ,$208.33 ,$146.53 ,$29.50 ,$26.58 ,$259.72 ,$30.67 ,$25.31 ,$241.66 ,$29.21 ,$249.99 ,$29.21 ,$249.99 ,$249.99 ,$249.99 ,$269.44 ,$224.99 ,$249.99 ,$249.99 ,$249.99 ,$249.99 ST. JOSEPH'S - CHIPPEWA FALLS,30100820,83664,HC LAMELLAR BODY CT,301,1 ,$70.00 ,$52.50 ,$6.82 ,$70.00 ,$45.08 ,$19.32 ,$49.00 ,$6.82 ,$45.40 ,$7.02 ,$36.32 ,$66.50 , N/A ,$56.00 ,$63.70 ,$6.82 ,$65.80 ,$66.50 ,$63.00 ,$59.50 ,$6.82 ,$6.82 ,$6.82 ,$51.10 ,$19.32 ,$62.30 ,$63.00 ,$63.00 ,$56.00 ,$19.90 ,$38.50 ,$63.00 ,$19.32 ,$63.00 ,$19.32 ,$66.50 ,$43.47 ,$64.40 ,$7.23 ,$63.70 ,$19.32 ,$43.08 ,$45.08 ,$43.08 ,$63.00 ,$30.93 ,$52.50 ,$63.00 ,$19.51 ,$7.16 ,$65.45 ,$20.29 ,$6.82 ,$60.90 ,$19.32 ,$63.00 ,$19.32 ,$63.00 ,$63.00 ,$63.00 ,$67.90 ,$56.70 ,$63.00 ,$63.00 ,$63.00 ,$63.00 ST. JOSEPH'S - CHIPPEWA FALLS,30100821,80159,HC CLOZAPINE,301,1 ,$65.64 ,$49.23 ,$20.15 ,$65.64 ,$42.27 ,$20.15 ,$45.95 ,$20.18 ,$44.40 ,$20.79 ,$35.52 ,$62.36 , N/A ,$52.51 ,$59.73 ,$20.18 ,$61.70 ,$62.36 ,$59.08 ,$55.79 ,$20.18 ,$20.18 ,$20.18 ,$47.92 ,$20.15 ,$58.42 ,$59.08 ,$59.08 ,$52.51 ,$20.75 ,$36.10 ,$59.08 ,$20.15 ,$59.08 ,$20.15 ,$62.36 ,$45.34 ,$60.39 ,$21.39 ,$59.73 ,$20.15 ,$40.39 ,$42.27 ,$40.39 ,$59.08 ,$47.92 ,$49.23 ,$59.08 ,$20.35 ,$21.19 ,$61.37 ,$21.16 ,$20.18 ,$57.11 ,$20.15 ,$59.08 ,$20.15 ,$59.08 ,$59.08 ,$59.08 ,$63.67 ,$53.17 ,$59.08 ,$59.08 ,$59.08 ,$59.08 ST. JOSEPH'S - CHIPPEWA FALLS,30100845,82948,HC GLUCOSE BLOOD REAGENT STRIP,301,1 ,$24.23 ,$18.17 ,$4.45 ,$24.23 ,$15.60 ,$5.04 ,$16.96 ,$4.45 ,$7.61 ,$4.58 ,$6.09 ,$23.02 , N/A ,$19.38 ,$22.05 ,$4.45 ,$22.78 ,$23.02 ,$21.81 ,$20.60 ,$4.45 ,$4.45 ,$4.45 ,$17.69 ,$5.04 ,$21.56 ,$21.81 ,$21.81 ,$19.38 ,$5.19 ,$13.33 ,$21.81 ,$5.04 ,$21.81 ,$5.04 ,$23.02 ,$11.34 ,$22.29 ,$4.72 ,$22.05 ,$5.04 ,$14.91 ,$15.60 ,$14.91 ,$21.81 ,$21.96 ,$18.17 ,$21.81 ,$5.09 ,$4.67 ,$22.66 ,$5.29 ,$4.45 ,$21.08 ,$5.04 ,$21.81 ,$5.04 ,$21.81 ,$21.81 ,$21.81 ,$23.50 ,$19.63 ,$21.81 ,$21.81 ,$21.81 ,$21.81 ST. JOSEPH'S - CHIPPEWA FALLS,30100860,84145,HC PROCALCITONIN,301,1 ,$158.41 ,$118.81 ,$27.22 ,$158.41 ,$102.02 ,$27.22 ,$110.89 ,$28.13 ,$64.31 ,$28.97 ,$51.45 ,$150.49 , N/A ,$126.73 ,$144.15 ,$28.13 ,$148.91 ,$150.49 ,$142.57 ,$134.65 ,$28.13 ,$28.13 ,$28.13 ,$115.64 ,$27.22 ,$140.98 ,$142.57 ,$142.57 ,$126.73 ,$28.04 ,$87.13 ,$142.57 ,$27.22 ,$142.57 ,$27.22 ,$150.49 ,$61.25 ,$145.74 ,$29.82 ,$144.15 ,$27.22 ,$97.49 ,$102.02 ,$97.49 ,$142.57 ,$75.98 ,$118.81 ,$142.57 ,$27.49 ,$29.54 ,$148.11 ,$28.58 ,$28.13 ,$137.82 ,$27.22 ,$142.57 ,$27.22 ,$142.57 ,$142.57 ,$142.57 ,$153.66 ,$128.31 ,$142.57 ,$142.57 ,$142.57 ,$142.57 ST. JOSEPH'S - CHIPPEWA FALLS,30100961,83993,HC CALPROTECTIN STOOL,301,1 ,$189.80 ,$142.35 ,$19.63 ,$189.80 ,$122.23 ,$19.63 ,$132.86 ,$20.28 ,$47.13 ,$20.89 ,$37.70 ,$180.31 , N/A ,$151.84 ,$172.72 ,$20.28 ,$178.41 ,$180.31 ,$170.82 ,$161.33 ,$20.28 ,$20.28 ,$20.28 ,$138.55 ,$19.63 ,$168.92 ,$170.82 ,$170.82 ,$151.84 ,$20.22 ,$104.39 ,$170.82 ,$19.63 ,$170.82 ,$19.63 ,$180.31 ,$44.17 ,$174.62 ,$21.50 ,$172.72 ,$19.63 ,$116.80 ,$122.23 ,$116.80 ,$170.82 ,$57.25 ,$142.35 ,$121.60 ,$19.83 ,$21.29 ,$177.46 ,$20.61 ,$20.28 ,$165.13 ,$19.63 ,$170.82 ,$19.63 ,$170.82 ,$170.82 ,$170.82 ,$184.11 ,$153.74 ,$170.82 ,$170.82 ,$170.82 ,$170.82 ST. JOSEPH'S - CHIPPEWA FALLS,30100969,82705,HC FECAL FAT QUALITATIVE,301,1 ,$57.48 ,$43.11 ,$5.10 ,$57.48 ,$37.02 ,$5.10 ,$40.24 ,$5.27 ,$12.23 ,$5.43 ,$9.79 ,$54.61 , N/A ,$45.98 ,$52.31 ,$5.27 ,$54.03 ,$54.61 ,$51.73 ,$48.86 ,$5.27 ,$5.27 ,$5.27 ,$41.96 ,$5.10 ,$51.16 ,$51.73 ,$51.73 ,$45.98 ,$5.25 ,$31.61 ,$51.73 ,$5.10 ,$51.73 ,$5.10 ,$54.61 ,$11.48 ,$52.88 ,$5.59 ,$52.31 ,$5.10 ,$35.37 ,$37.02 ,$35.37 ,$51.73 ,$57.48 ,$43.11 ,$31.55 ,$5.15 ,$5.53 ,$53.74 ,$5.36 ,$5.27 ,$50.01 ,$5.10 ,$51.73 ,$5.10 ,$51.73 ,$51.73 ,$51.73 ,$55.76 ,$46.56 ,$51.73 ,$51.73 ,$51.73 ,$51.73 ST. JOSEPH'S - CHIPPEWA FALLS,30100970,80180,HC MYCOPHENOLIC ACID,301,1 ,$88.21 ,$66.16 ,$18.05 ,$88.21 ,$56.81 ,$18.05 ,$61.75 ,$18.65 ,$43.33 ,$19.21 ,$34.66 ,$83.80 , N/A ,$70.57 ,$80.27 ,$18.65 ,$82.92 ,$83.80 ,$79.39 ,$74.98 ,$18.65 ,$18.65 ,$18.65 ,$64.39 ,$18.05 ,$78.51 ,$79.39 ,$79.39 ,$70.57 ,$18.59 ,$48.52 ,$79.39 ,$18.05 ,$79.39 ,$18.05 ,$83.80 ,$40.61 ,$81.15 ,$19.77 ,$80.27 ,$18.05 ,$54.28 ,$56.81 ,$54.28 ,$79.39 ,$47.23 ,$66.16 ,$79.39 ,$18.23 ,$19.58 ,$82.48 ,$18.95 ,$18.65 ,$76.74 ,$18.05 ,$79.39 ,$18.05 ,$79.39 ,$79.39 ,$79.39 ,$85.56 ,$71.45 ,$79.39 ,$79.39 ,$79.39 ,$79.39 ST. JOSEPH'S - CHIPPEWA FALLS,30100993,80055,HC PRENATAL PANEL,301,1 ,$147.55 ,$110.66 ,$18.84 ,$147.55 ,$95.02 ,$47.81 ,$103.29 ,$18.84 ,$114.77 ,$19.41 ,$91.81 ,$140.17 , N/A ,$118.04 ,$134.27 ,$18.84 ,$138.70 ,$140.17 ,$132.80 ,$125.42 ,$18.84 ,$18.84 ,$18.84 ,$107.71 ,$47.81 ,$131.32 ,$132.80 ,$132.80 ,$118.04 ,$49.24 ,$81.15 ,$132.80 ,$47.81 ,$132.80 ,$47.81 ,$140.17 ,$107.57 ,$135.75 ,$19.97 ,$134.27 ,$47.81 ,$90.80 ,$95.02 ,$90.80 ,$132.80 ,$108.94 ,$110.66 ,$132.80 ,$48.29 ,$19.78 ,$137.96 ,$50.20 ,$18.84 ,$128.37 ,$47.81 ,$132.80 ,$47.81 ,$132.80 ,$132.80 ,$132.80 ,$143.12 ,$119.52 ,$132.80 ,$132.80 ,$132.80 ,$132.80 ST. JOSEPH'S - CHIPPEWA FALLS,30100994,81479,HC IDH GENE MUTATION ASSAY,301,1 ,$66.49 ,$49.87 ,$10.83 ,$66.49 ,$42.82 , N/A ,$46.54 ,$10.83 ,$55.19 ,$11.15 ,$43.88 ,$63.17 , N/A ,$53.19 ,$60.51 ,$10.83 ,$62.50 ,$63.17 ,$59.84 ,$56.52 ,$10.83 ,$10.83 ,$10.83 ,$48.54 , N/A ,$59.18 ,$59.84 ,$59.84 ,$53.19 , N/A ,$36.57 ,$59.84 , N/A ,$59.84 , N/A ,$63.17 ,$39.89 ,$61.17 ,$11.48 ,$60.51 , N/A ,$40.92 ,$42.82 ,$40.92 ,$59.84 ,$59.84 ,$49.87 ,$46.54 ,$54.52 ,$11.37 ,$62.17 , N/A ,$10.83 ,$57.85 , N/A ,$59.84 , N/A ,$59.84 ,$59.84 ,$59.84 ,$64.50 ,$53.86 ,$59.84 ,$59.84 ,$59.84 ,$59.84 ST. JOSEPH'S - CHIPPEWA FALLS,30100995,82017,HC ACYLCARNITINES QN EA SPEC,301,1 ,$52.08 ,$39.06 ,$16.87 ,$52.08 ,$33.54 ,$16.87 ,$36.46 ,$17.43 ,$34.60 ,$17.95 ,$27.68 ,$49.48 , N/A ,$41.66 ,$47.39 ,$17.43 ,$48.96 ,$49.48 ,$46.87 ,$44.27 ,$17.43 ,$17.43 ,$17.43 ,$38.02 ,$16.87 ,$46.35 ,$46.87 ,$46.87 ,$41.66 ,$17.38 ,$28.64 ,$46.87 ,$16.87 ,$46.87 ,$16.87 ,$49.48 ,$37.96 ,$47.91 ,$18.48 ,$47.39 ,$16.87 ,$32.05 ,$33.54 ,$32.05 ,$46.87 ,$52.08 ,$39.06 ,$46.87 ,$17.04 ,$18.30 ,$48.69 ,$17.71 ,$17.43 ,$45.31 ,$16.87 ,$46.87 ,$16.87 ,$46.87 ,$46.87 ,$46.87 ,$50.52 ,$42.18 ,$46.87 ,$46.87 ,$46.87 ,$46.87 ST. JOSEPH'S - CHIPPEWA FALLS,30100996,82075,HC ALCOHOL BREATH,301,1 ,$75.00 ,$56.25 ,$16.95 ,$75.00 ,$48.30 ,$30.00 ,$52.50 ,$16.95 ,$28.93 ,$17.46 ,$23.14 ,$71.25 , N/A ,$60.00 ,$68.25 ,$16.95 ,$70.50 ,$71.25 ,$67.50 ,$63.75 ,$16.95 ,$16.95 ,$16.95 ,$54.75 ,$30.00 ,$66.75 ,$67.50 ,$67.50 ,$60.00 ,$30.90 ,$41.25 ,$67.50 ,$30.00 ,$67.50 ,$30.00 ,$71.25 ,$67.50 ,$69.00 ,$17.97 ,$68.25 ,$30.00 ,$46.16 ,$48.30 ,$46.16 ,$67.50 ,$75.00 ,$56.25 ,$67.50 ,$30.30 ,$17.80 ,$70.13 ,$31.50 ,$16.95 ,$65.25 ,$30.00 ,$67.50 ,$30.00 ,$67.50 ,$67.50 ,$67.50 ,$72.75 ,$60.75 ,$67.50 ,$67.50 ,$67.50 ,$67.50 ST. JOSEPH'S - CHIPPEWA FALLS,30100997,82106,HC ALPHA FETOPROTEIN AMNIOTIC FLUID,301,1 ,$227.93 ,$170.95 ,$17.00 ,$227.93 ,$146.79 ,$17.00 ,$159.55 ,$17.57 ,$40.27 ,$18.10 ,$32.21 ,$216.53 , N/A ,$182.34 ,$207.42 ,$17.57 ,$214.25 ,$216.53 ,$205.14 ,$193.74 ,$17.57 ,$17.57 ,$17.57 ,$166.39 ,$17.00 ,$202.86 ,$205.14 ,$205.14 ,$182.34 ,$17.51 ,$125.36 ,$205.14 ,$17.00 ,$205.14 ,$17.00 ,$216.53 ,$38.25 ,$209.70 ,$18.62 ,$207.42 ,$17.00 ,$140.27 ,$146.79 ,$140.27 ,$205.14 ,$104.52 ,$170.95 ,$103.89 ,$17.17 ,$18.45 ,$213.11 ,$17.85 ,$17.57 ,$198.30 ,$17.00 ,$205.14 ,$17.00 ,$205.14 ,$205.14 ,$205.14 ,$221.09 ,$184.62 ,$205.14 ,$205.14 ,$205.14 ,$205.14 ST. JOSEPH'S - CHIPPEWA FALLS,30100998,82128,HC AMINO ACIDS MULT QL EA SPECIMEN,301,1 ,$185.75 ,$139.31 ,$13.87 ,$185.75 ,$119.62 ,$13.87 ,$130.03 ,$14.33 ,$33.30 ,$14.76 ,$26.64 ,$176.46 , N/A ,$148.60 ,$169.03 ,$14.33 ,$174.61 ,$176.46 ,$167.18 ,$157.89 ,$14.33 ,$14.33 ,$14.33 ,$135.60 ,$13.87 ,$165.32 ,$167.18 ,$167.18 ,$148.60 ,$14.29 ,$102.16 ,$167.18 ,$13.87 ,$167.18 ,$13.87 ,$176.46 ,$31.21 ,$170.89 ,$15.19 ,$169.03 ,$13.87 ,$114.31 ,$119.62 ,$114.31 ,$167.18 ,$65.89 ,$139.31 ,$85.93 ,$14.01 ,$15.05 ,$173.68 ,$14.56 ,$14.33 ,$161.60 ,$13.87 ,$167.18 ,$13.87 ,$167.18 ,$167.18 ,$167.18 ,$180.18 ,$150.46 ,$167.18 ,$167.18 ,$167.18 ,$167.18 ST. JOSEPH'S - CHIPPEWA FALLS,30100999,82190,HC ATOMIC ABSORPTION SPEC EA ANALYTE,301,1 ,$179.80 ,$134.85 ,$15.90 ,$179.80 ,$115.79 ,$15.90 ,$125.86 ,$16.43 ,$29.35 ,$16.92 ,$23.48 ,$170.81 , N/A ,$143.84 ,$163.62 ,$16.43 ,$169.01 ,$170.81 ,$161.82 ,$152.83 ,$16.43 ,$16.43 ,$16.43 ,$131.25 ,$15.90 ,$160.02 ,$161.82 ,$161.82 ,$143.84 ,$16.38 ,$98.89 ,$161.82 ,$15.90 ,$161.82 ,$15.90 ,$170.81 ,$35.78 ,$165.42 ,$17.42 ,$163.62 ,$15.90 ,$110.65 ,$115.79 ,$110.65 ,$161.82 ,$92.26 ,$134.85 ,$92.35 ,$16.06 ,$17.25 ,$168.11 ,$16.70 ,$16.43 ,$156.43 ,$15.90 ,$161.82 ,$15.90 ,$161.82 ,$161.82 ,$161.82 ,$174.41 ,$145.64 ,$161.82 ,$161.82 ,$161.82 ,$161.82 ST. JOSEPH'S - CHIPPEWA FALLS,30101000,82261,HC BIOTINIDASE,301,1 ,$52.08 ,$39.06 ,$16.87 ,$52.08 ,$33.54 ,$16.87 ,$36.46 ,$17.43 ,$34.60 ,$17.95 ,$27.68 ,$49.48 , N/A ,$41.66 ,$47.39 ,$17.43 ,$48.96 ,$49.48 ,$46.87 ,$44.27 ,$17.43 ,$17.43 ,$17.43 ,$38.02 ,$16.87 ,$46.35 ,$46.87 ,$46.87 ,$41.66 ,$17.38 ,$28.64 ,$46.87 ,$16.87 ,$46.87 ,$16.87 ,$49.48 ,$37.96 ,$47.91 ,$18.48 ,$47.39 ,$16.87 ,$32.05 ,$33.54 ,$32.05 ,$46.87 ,$52.08 ,$39.06 ,$46.87 ,$17.04 ,$18.30 ,$48.69 ,$17.71 ,$17.43 ,$45.31 ,$16.87 ,$46.87 ,$16.87 ,$46.87 ,$46.87 ,$46.87 ,$50.52 ,$42.18 ,$46.87 ,$46.87 ,$46.87 ,$46.87 ST. JOSEPH'S - CHIPPEWA FALLS,30101001,82355,HC CALCULUS ANALYSIS QL,301,1 ,$85.88 ,$64.41 ,$11.58 ,$85.88 ,$55.31 ,$11.58 ,$60.12 ,$11.97 ,$27.79 ,$12.33 ,$22.23 ,$81.59 , N/A ,$68.70 ,$78.15 ,$11.97 ,$80.73 ,$81.59 ,$77.29 ,$73.00 ,$11.97 ,$11.97 ,$11.97 ,$62.69 ,$11.58 ,$76.43 ,$77.29 ,$77.29 ,$68.70 ,$11.93 ,$47.23 ,$77.29 ,$11.58 ,$77.29 ,$11.58 ,$81.59 ,$26.06 ,$79.01 ,$12.69 ,$78.15 ,$11.58 ,$52.85 ,$55.31 ,$52.85 ,$77.29 ,$85.88 ,$64.41 ,$71.68 ,$11.70 ,$12.57 ,$80.30 ,$12.16 ,$11.97 ,$74.72 ,$11.58 ,$77.29 ,$11.58 ,$77.29 ,$77.29 ,$77.29 ,$83.30 ,$69.56 ,$77.29 ,$77.29 ,$77.29 ,$77.29 ST. JOSEPH'S - CHIPPEWA FALLS,30101002,82355,HC CALCULUS ANALYSIS QL,301,1 ,$85.88 ,$64.41 ,$11.58 ,$85.88 ,$55.31 ,$11.58 ,$60.12 ,$11.97 ,$27.79 ,$12.33 ,$22.23 ,$81.59 , N/A ,$68.70 ,$78.15 ,$11.97 ,$80.73 ,$81.59 ,$77.29 ,$73.00 ,$11.97 ,$11.97 ,$11.97 ,$62.69 ,$11.58 ,$76.43 ,$77.29 ,$77.29 ,$68.70 ,$11.93 ,$47.23 ,$77.29 ,$11.58 ,$77.29 ,$11.58 ,$81.59 ,$26.06 ,$79.01 ,$12.69 ,$78.15 ,$11.58 ,$52.85 ,$55.31 ,$52.85 ,$77.29 ,$85.88 ,$64.41 ,$71.68 ,$11.70 ,$12.57 ,$80.30 ,$12.16 ,$11.97 ,$74.72 ,$11.58 ,$77.29 ,$11.58 ,$77.29 ,$77.29 ,$77.29 ,$83.30 ,$69.56 ,$77.29 ,$77.29 ,$77.29 ,$77.29 ST. JOSEPH'S - CHIPPEWA FALLS,30101003,82523,HC COLLAGEN CROSS LINKS ANY METHOD,301,1 ,$81.91 ,$61.43 ,$14.65 ,$81.91 ,$52.75 ,$18.68 ,$57.34 ,$14.65 ,$25.01 ,$15.09 ,$20.01 ,$77.81 , N/A ,$65.53 ,$74.54 ,$14.65 ,$77.00 ,$77.81 ,$73.72 ,$69.62 ,$14.65 ,$14.65 ,$14.65 ,$59.79 ,$18.68 ,$72.90 ,$73.72 ,$73.72 ,$65.53 ,$19.24 ,$45.05 ,$73.72 ,$18.68 ,$73.72 ,$18.68 ,$77.81 ,$42.03 ,$75.36 ,$15.53 ,$74.54 ,$18.68 ,$50.41 ,$52.75 ,$50.41 ,$73.72 ,$65.70 ,$61.43 ,$73.72 ,$18.87 ,$15.38 ,$76.59 ,$19.61 ,$14.65 ,$71.26 ,$18.68 ,$73.72 ,$18.68 ,$73.72 ,$73.72 ,$73.72 ,$79.45 ,$66.35 ,$73.72 ,$73.72 ,$73.72 ,$73.72 ST. JOSEPH'S - CHIPPEWA FALLS,30101004,82608,HC CYANOCOBALAMIN (B12) UNSAT BINDING CAPACITY,301,1 ,$194.88 ,$146.16 ,$14.32 ,$194.88 ,$125.50 ,$14.32 ,$136.42 ,$14.80 ,$34.37 ,$15.24 ,$27.50 ,$185.14 , N/A ,$155.90 ,$177.34 ,$14.80 ,$183.19 ,$185.14 ,$175.39 ,$165.65 ,$14.80 ,$14.80 ,$14.80 ,$142.26 ,$14.32 ,$173.44 ,$175.39 ,$175.39 ,$155.90 ,$14.75 ,$107.18 ,$175.39 ,$14.32 ,$175.39 ,$14.32 ,$185.14 ,$32.22 ,$179.29 ,$15.69 ,$177.34 ,$14.32 ,$119.93 ,$125.50 ,$119.93 ,$175.39 ,$116.40 ,$146.16 ,$88.69 ,$14.46 ,$15.54 ,$182.21 ,$15.04 ,$14.80 ,$169.55 ,$14.32 ,$175.39 ,$14.32 ,$175.39 ,$175.39 ,$175.39 ,$189.03 ,$157.85 ,$175.39 ,$175.39 ,$175.39 ,$175.39 ST. JOSEPH'S - CHIPPEWA FALLS,30101005,82760,HC GLACTOSE,301,1 ,$34.55 ,$25.91 ,$11.20 ,$34.55 ,$22.25 ,$11.20 ,$24.19 ,$11.57 ,$26.88 ,$11.92 ,$21.50 ,$32.82 , N/A ,$27.64 ,$31.44 ,$11.57 ,$32.48 ,$32.82 ,$31.10 ,$29.37 ,$11.57 ,$11.57 ,$11.57 ,$25.22 ,$11.20 ,$30.75 ,$31.10 ,$31.10 ,$27.64 ,$11.54 ,$19.00 ,$31.10 ,$11.20 ,$31.10 ,$11.20 ,$32.82 ,$25.20 ,$31.79 ,$12.26 ,$31.44 ,$11.20 ,$21.26 ,$22.25 ,$21.26 ,$31.10 ,$34.55 ,$25.91 ,$31.10 ,$11.31 ,$12.15 ,$32.30 ,$11.76 ,$11.57 ,$30.06 ,$11.20 ,$31.10 ,$11.20 ,$31.10 ,$31.10 ,$31.10 ,$33.51 ,$27.99 ,$31.10 ,$31.10 ,$31.10 ,$31.10 ST. JOSEPH'S - CHIPPEWA FALLS,30101006,82787,HC IMMUNOGLOBULIN SUBCLASSES,301,1 ,$51.42 ,$38.57 ,$5.90 ,$51.42 ,$33.11 ,$8.02 ,$35.99 ,$5.90 ,$10.08 ,$6.08 ,$8.06 ,$48.85 , N/A ,$41.14 ,$46.79 ,$5.90 ,$48.33 ,$48.85 ,$46.28 ,$43.71 ,$5.90 ,$5.90 ,$5.90 ,$37.54 ,$8.02 ,$45.76 ,$46.28 ,$46.28 ,$41.14 ,$8.26 ,$28.28 ,$46.28 ,$8.02 ,$46.28 ,$8.02 ,$48.85 ,$18.05 ,$47.31 ,$6.25 ,$46.79 ,$8.02 ,$31.64 ,$33.11 ,$31.64 ,$46.28 ,$51.42 ,$38.57 ,$46.28 ,$8.10 ,$6.20 ,$48.08 ,$8.42 ,$5.90 ,$44.74 ,$8.02 ,$46.28 ,$8.02 ,$46.28 ,$46.28 ,$46.28 ,$49.88 ,$41.65 ,$46.28 ,$46.28 ,$46.28 ,$46.28 ST. JOSEPH'S - CHIPPEWA FALLS,30101007,83015,HC HEAVY METAL SCREEN,301,1 ,$411.60 ,$308.70 ,$20.94 ,$411.60 ,$265.07 ,$20.94 ,$288.12 ,$21.64 ,$45.20 ,$22.29 ,$36.16 ,$391.02 , N/A ,$329.28 ,$374.56 ,$21.64 ,$386.90 ,$391.02 ,$370.44 ,$349.86 ,$21.64 ,$21.64 ,$21.64 ,$300.47 ,$20.94 ,$366.32 ,$370.44 ,$370.44 ,$329.28 ,$21.57 ,$226.38 ,$370.44 ,$20.94 ,$370.44 ,$20.94 ,$391.02 ,$47.12 ,$378.67 ,$22.94 ,$374.56 ,$20.94 ,$253.30 ,$265.07 ,$253.30 ,$370.44 ,$210.85 ,$308.70 ,$116.63 ,$21.15 ,$22.72 ,$384.85 ,$21.99 ,$21.64 ,$358.09 ,$20.94 ,$370.44 ,$20.94 ,$370.44 ,$370.44 ,$370.44 ,$399.25 ,$333.40 ,$370.44 ,$370.44 ,$370.44 ,$370.44 ST. JOSEPH'S - CHIPPEWA FALLS,30101008,83020,HC HGB ELECTROPHORESIS,301,1 ,$39.73 ,$29.80 ,$6.41 ,$39.73 ,$25.59 ,$12.87 ,$27.81 ,$6.41 ,$10.94 ,$6.60 ,$8.75 ,$37.74 , N/A ,$31.78 ,$36.15 ,$6.41 ,$37.35 ,$37.74 ,$35.76 ,$33.77 ,$6.41 ,$6.41 ,$6.41 ,$29.00 ,$12.87 ,$35.36 ,$35.76 ,$35.76 ,$31.78 ,$13.26 ,$21.85 ,$35.76 ,$12.87 ,$35.76 ,$12.87 ,$37.74 ,$28.96 ,$36.55 ,$6.79 ,$36.15 ,$12.87 ,$24.45 ,$25.59 ,$24.45 ,$35.76 ,$32.94 ,$29.80 ,$35.76 ,$13.00 ,$6.73 ,$37.15 ,$13.51 ,$6.41 ,$34.57 ,$12.87 ,$35.76 ,$12.87 ,$35.76 ,$35.76 ,$35.76 ,$38.54 ,$32.18 ,$35.76 ,$35.76 ,$35.76 ,$35.76 ST. JOSEPH'S - CHIPPEWA FALLS,30101009,83060,HC SULFHEMOGLOBIN QN,301,1 ,$94.82 ,$71.12 ,$8.80 ,$94.82 ,$61.06 ,$8.80 ,$66.37 ,$9.09 ,$19.85 ,$9.36 ,$15.88 ,$90.08 , N/A ,$75.86 ,$86.29 ,$9.09 ,$89.13 ,$90.08 ,$85.34 ,$80.60 ,$9.09 ,$9.09 ,$9.09 ,$69.22 ,$8.80 ,$84.39 ,$85.34 ,$85.34 ,$75.86 ,$9.06 ,$52.15 ,$85.34 ,$8.80 ,$85.34 ,$8.80 ,$90.08 ,$19.80 ,$87.23 ,$9.64 ,$86.29 ,$8.80 ,$58.35 ,$61.06 ,$58.35 ,$85.34 ,$93.36 ,$71.12 ,$51.22 ,$8.89 ,$9.54 ,$88.66 ,$9.24 ,$9.09 ,$82.49 ,$8.80 ,$85.34 ,$8.80 ,$85.34 ,$85.34 ,$85.34 ,$91.98 ,$76.80 ,$85.34 ,$85.34 ,$85.34 ,$85.34 ST. JOSEPH'S - CHIPPEWA FALLS,30101010,83520,HC IMMUNOASSAY QN OTHER,301,1 ,$43.18 ,$32.39 ,$17.27 ,$43.18 ,$27.81 ,$17.27 ,$30.23 ,$17.85 ,$31.08 ,$18.39 ,$24.86 ,$41.02 , N/A ,$34.54 ,$39.29 ,$17.85 ,$40.59 ,$41.02 ,$38.86 ,$36.70 ,$17.85 ,$17.85 ,$17.85 ,$31.52 ,$17.27 ,$38.43 ,$38.86 ,$38.86 ,$34.54 ,$17.79 ,$23.75 ,$38.86 ,$17.27 ,$38.86 ,$17.27 ,$41.02 ,$38.86 ,$39.73 ,$18.92 ,$39.29 ,$17.27 ,$26.57 ,$27.81 ,$26.57 ,$38.86 ,$43.18 ,$32.39 ,$38.86 ,$17.44 ,$18.74 ,$40.37 ,$18.13 ,$17.85 ,$37.57 ,$17.27 ,$38.86 ,$17.27 ,$38.86 ,$38.86 ,$38.86 ,$41.88 ,$34.98 ,$38.86 ,$38.86 ,$38.86 ,$38.86 ST. JOSEPH'S - CHIPPEWA FALLS,30101011,83630,HC LACTOFERRIN FECAL QL,301,1 ,$186.54 ,$139.91 ,$16.82 ,$186.54 ,$120.13 ,$19.70 ,$130.58 ,$16.82 ,$47.13 ,$17.32 ,$37.70 ,$177.21 , N/A ,$149.23 ,$169.75 ,$16.82 ,$175.35 ,$177.21 ,$167.89 ,$158.56 ,$16.82 ,$16.82 ,$16.82 ,$136.17 ,$19.70 ,$166.02 ,$167.89 ,$167.89 ,$149.23 ,$20.29 ,$102.60 ,$167.89 ,$19.70 ,$167.89 ,$19.70 ,$177.21 ,$44.33 ,$171.62 ,$17.83 ,$169.75 ,$19.70 ,$114.80 ,$120.13 ,$114.80 ,$167.89 ,$58.51 ,$139.91 ,$121.60 ,$19.90 ,$17.66 ,$174.41 ,$20.69 ,$16.82 ,$162.29 ,$19.70 ,$167.89 ,$19.70 ,$167.89 ,$167.89 ,$167.89 ,$180.94 ,$151.10 ,$167.89 ,$167.89 ,$167.89 ,$167.89 ST. JOSEPH'S - CHIPPEWA FALLS,30101012,83661,HC FETAL LUNG MATURITY L/S RATIO,301,1 ,$67.85 ,$50.89 ,$21.99 ,$67.85 ,$43.70 ,$21.99 ,$47.50 ,$22.72 ,$52.78 ,$23.40 ,$42.22 ,$64.46 , N/A ,$54.28 ,$61.74 ,$22.72 ,$63.78 ,$64.46 ,$61.07 ,$57.67 ,$22.72 ,$22.72 ,$22.72 ,$49.53 ,$21.99 ,$60.39 ,$61.07 ,$61.07 ,$54.28 ,$22.65 ,$37.32 ,$61.07 ,$21.99 ,$61.07 ,$21.99 ,$64.46 ,$49.48 ,$62.42 ,$24.08 ,$61.74 ,$21.99 ,$41.75 ,$43.70 ,$41.75 ,$61.07 ,$67.85 ,$50.89 ,$61.07 ,$22.21 ,$23.86 ,$63.44 ,$23.09 ,$22.72 ,$59.03 ,$21.99 ,$61.07 ,$21.99 ,$61.07 ,$61.07 ,$61.07 ,$65.81 ,$54.96 ,$61.07 ,$61.07 ,$61.07 ,$61.07 ST. JOSEPH'S - CHIPPEWA FALLS,30101013,83698,HC LIPOPROTEIN ASSOC PHOSPHOLIPASE A2,301,1 ,$141.17 ,$105.88 ,$46.31 ,$141.17 ,$90.91 ,$46.31 ,$98.82 ,$47.73 ,$81.48 ,$49.16 ,$65.18 ,$134.11 , N/A ,$112.94 ,$128.46 ,$47.73 ,$132.70 ,$134.11 ,$127.05 ,$119.99 ,$47.73 ,$47.73 ,$47.73 ,$103.05 ,$46.31 ,$125.64 ,$127.05 ,$127.05 ,$112.94 ,$47.70 ,$77.64 ,$127.05 ,$46.31 ,$127.05 ,$46.31 ,$134.11 ,$104.20 ,$129.88 ,$50.59 ,$128.46 ,$46.31 ,$86.88 ,$90.91 ,$86.88 ,$127.05 ,$91.55 ,$105.88 ,$127.05 ,$46.77 ,$50.12 ,$131.99 ,$48.63 ,$47.73 ,$122.82 ,$46.31 ,$127.05 ,$46.31 ,$127.05 ,$127.05 ,$127.05 ,$136.93 ,$114.35 ,$127.05 ,$127.05 ,$127.05 ,$127.05 ST. JOSEPH'S - CHIPPEWA FALLS,30101014,83789,HC MASS SPEC QL,301,1 ,$136.71 ,$102.53 ,$24.11 ,$136.71 ,$88.04 ,$24.11 ,$95.70 ,$24.91 ,$43.35 ,$25.66 ,$34.68 ,$129.87 , N/A ,$109.37 ,$124.41 ,$24.91 ,$128.51 ,$129.87 ,$123.04 ,$116.20 ,$24.91 ,$24.91 ,$24.91 ,$99.80 ,$24.11 ,$121.67 ,$123.04 ,$123.04 ,$109.37 ,$24.83 ,$75.19 ,$123.04 ,$24.11 ,$123.04 ,$24.11 ,$129.87 ,$54.25 ,$125.77 ,$26.40 ,$124.41 ,$24.11 ,$84.13 ,$88.04 ,$84.13 ,$123.04 ,$76.74 ,$102.53 ,$120.95 ,$24.35 ,$26.16 ,$127.82 ,$25.32 ,$24.91 ,$118.94 ,$24.11 ,$123.04 ,$24.11 ,$123.04 ,$123.04 ,$123.04 ,$132.61 ,$110.74 ,$123.04 ,$123.04 ,$123.04 ,$123.04 ST. JOSEPH'S - CHIPPEWA FALLS,30101015,83872,HC MUCIN SYNOVIAL FLUID (ROPES TEST),301,1 ,$35.34 ,$26.51 ,$5.86 ,$35.34 ,$22.76 ,$5.86 ,$24.74 ,$6.06 ,$14.07 ,$6.24 ,$11.26 ,$33.57 , N/A ,$28.27 ,$32.16 ,$6.06 ,$33.22 ,$33.57 ,$31.81 ,$30.04 ,$6.06 ,$6.06 ,$6.06 ,$25.80 ,$5.86 ,$31.45 ,$31.81 ,$31.81 ,$28.27 ,$6.04 ,$19.44 ,$31.81 ,$5.86 ,$31.81 ,$5.86 ,$33.57 ,$13.19 ,$32.51 ,$6.42 ,$32.16 ,$5.86 ,$21.75 ,$22.76 ,$21.75 ,$31.81 ,$35.34 ,$26.51 ,$31.81 ,$5.92 ,$6.36 ,$33.04 ,$6.15 ,$6.06 ,$30.75 ,$5.86 ,$31.81 ,$5.86 ,$31.81 ,$31.81 ,$31.81 ,$34.28 ,$28.63 ,$31.81 ,$31.81 ,$31.81 ,$31.81 ST. JOSEPH'S - CHIPPEWA FALLS,30101016,83919,HC ORGANIC ACIDS QL EA SPECIMEN,301,1 ,$174.83 ,$131.12 ,$16.45 ,$174.83 ,$112.59 ,$16.45 ,$122.38 ,$17.00 ,$39.50 ,$17.51 ,$31.60 ,$166.09 , N/A ,$139.86 ,$159.10 ,$17.00 ,$164.34 ,$166.09 ,$157.35 ,$148.61 ,$17.00 ,$17.00 ,$17.00 ,$127.63 ,$16.45 ,$155.60 ,$157.35 ,$157.35 ,$139.86 ,$16.94 ,$96.16 ,$157.35 ,$16.45 ,$157.35 ,$16.45 ,$166.09 ,$37.01 ,$160.84 ,$18.02 ,$159.10 ,$16.45 ,$107.59 ,$112.59 ,$107.59 ,$157.35 ,$70.34 ,$131.12 ,$101.88 ,$16.61 ,$17.85 ,$163.47 ,$17.27 ,$17.00 ,$152.10 ,$16.45 ,$157.35 ,$16.45 ,$157.35 ,$157.35 ,$157.35 ,$169.59 ,$141.61 ,$157.35 ,$157.35 ,$157.35 ,$157.35 ST. JOSEPH'S - CHIPPEWA FALLS,30101017,84030,HC NEWBORN SCREENING (PKU),301,1 ,$16.98 ,$12.74 ,$5.50 ,$16.98 ,$10.94 ,$5.50 ,$11.89 ,$5.68 ,$13.20 ,$5.85 ,$10.56 ,$16.13 , N/A ,$13.58 ,$15.45 ,$5.68 ,$15.96 ,$16.13 ,$15.28 ,$14.43 ,$5.68 ,$5.68 ,$5.68 ,$12.40 ,$5.50 ,$15.11 ,$15.28 ,$15.28 ,$13.58 ,$5.67 ,$9.34 ,$15.28 ,$5.50 ,$15.28 ,$5.50 ,$16.13 ,$12.38 ,$15.62 ,$6.02 ,$15.45 ,$5.50 ,$10.45 ,$10.94 ,$10.45 ,$15.28 ,$16.98 ,$12.74 ,$15.28 ,$5.56 ,$5.96 ,$15.88 ,$5.78 ,$5.68 ,$14.77 ,$5.50 ,$15.28 ,$5.50 ,$15.28 ,$15.28 ,$15.28 ,$16.47 ,$13.75 ,$15.28 ,$15.28 ,$15.28 ,$15.28 ST. JOSEPH'S - CHIPPEWA FALLS,30101018,84233,HC RECEPTOR ASSAY ESTROGEN,301,1 ,$443.95 ,$332.96 ,$87.88 ,$443.95 ,$285.90 ,$87.88 ,$310.77 ,$90.57 ,$154.63 ,$93.29 ,$123.70 ,$421.75 , N/A ,$355.16 ,$403.99 ,$90.57 ,$417.31 ,$421.75 ,$399.56 ,$377.36 ,$90.57 ,$90.57 ,$90.57 ,$324.08 ,$87.88 ,$395.12 ,$399.56 ,$399.56 ,$355.16 ,$90.52 ,$244.17 ,$399.56 ,$87.88 ,$399.56 ,$87.88 ,$421.75 ,$197.73 ,$408.43 ,$96.00 ,$403.99 ,$87.88 ,$273.21 ,$285.90 ,$273.21 ,$399.56 ,$241.58 ,$332.96 ,$399.56 ,$88.76 ,$95.10 ,$415.09 ,$92.27 ,$90.57 ,$386.24 ,$87.88 ,$399.56 ,$87.88 ,$399.56 ,$399.56 ,$399.56 ,$430.63 ,$359.60 ,$399.56 ,$399.56 ,$399.56 ,$399.56 ST. JOSEPH'S - CHIPPEWA FALLS,30101019,84234,HC RECEPTOR ASSAY PROGESTERONE,301,1 ,$443.95 ,$332.96 ,$64.88 ,$443.95 ,$285.90 ,$64.88 ,$310.77 ,$67.04 ,$155.75 ,$69.05 ,$124.60 ,$421.75 , N/A ,$355.16 ,$403.99 ,$67.04 ,$417.31 ,$421.75 ,$399.56 ,$377.36 ,$67.04 ,$67.04 ,$67.04 ,$324.08 ,$64.88 ,$395.12 ,$399.56 ,$399.56 ,$355.16 ,$66.83 ,$244.17 ,$399.56 ,$64.88 ,$399.56 ,$64.88 ,$421.75 ,$145.98 ,$408.43 ,$71.06 ,$403.99 ,$64.88 ,$273.21 ,$285.90 ,$273.21 ,$399.56 ,$241.58 ,$332.96 ,$399.56 ,$65.53 ,$70.39 ,$415.09 ,$68.12 ,$67.04 ,$386.24 ,$64.88 ,$399.56 ,$64.88 ,$399.56 ,$399.56 ,$399.56 ,$430.63 ,$359.60 ,$399.56 ,$399.56 ,$399.56 ,$399.56 ST. JOSEPH'S - CHIPPEWA FALLS,30101020,84510,HC TYROSINE,301,1 ,$32.10 ,$24.08 ,$10.63 ,$32.10 ,$20.67 ,$10.63 ,$22.47 ,$10.98 ,$24.97 ,$11.31 ,$19.98 ,$30.50 , N/A ,$25.68 ,$29.21 ,$10.98 ,$30.17 ,$30.50 ,$28.89 ,$27.29 ,$10.98 ,$10.98 ,$10.98 ,$23.43 ,$10.63 ,$28.57 ,$28.89 ,$28.89 ,$25.68 ,$10.95 ,$17.66 ,$28.89 ,$10.63 ,$28.89 ,$10.63 ,$30.50 ,$23.92 ,$29.53 ,$11.64 ,$29.21 ,$10.63 ,$19.75 ,$20.67 ,$19.75 ,$28.89 ,$32.10 ,$24.08 ,$28.89 ,$10.74 ,$11.53 ,$30.01 ,$11.16 ,$10.98 ,$27.93 ,$10.63 ,$28.89 ,$10.63 ,$28.89 ,$28.89 ,$28.89 ,$31.14 ,$26.00 ,$28.89 ,$28.89 ,$28.89 ,$28.89 ST. JOSEPH'S - CHIPPEWA FALLS,30101021,84520,HC BUN TRANSFUSION REACTION,301,1 ,$86.28 ,$64.71 ,$3.95 ,$86.28 ,$55.56 ,$3.95 ,$60.40 ,$4.08 ,$9.49 ,$4.20 ,$7.59 ,$81.97 , N/A ,$69.02 ,$78.51 ,$4.08 ,$81.10 ,$81.97 ,$77.65 ,$73.34 ,$4.08 ,$4.08 ,$4.08 ,$62.98 ,$3.95 ,$76.79 ,$77.65 ,$77.65 ,$69.02 ,$4.07 ,$47.45 ,$77.65 ,$3.95 ,$77.65 ,$3.95 ,$81.97 ,$8.89 ,$79.38 ,$4.32 ,$78.51 ,$3.95 ,$53.10 ,$55.56 ,$53.10 ,$77.65 ,$46.12 ,$64.71 ,$24.48 ,$3.99 ,$4.28 ,$80.67 ,$4.15 ,$4.08 ,$75.06 ,$3.95 ,$77.65 ,$3.95 ,$77.65 ,$77.65 ,$77.65 ,$83.69 ,$69.89 ,$77.65 ,$77.65 ,$77.65 ,$77.65 ST. JOSEPH'S - CHIPPEWA FALLS,30101022,84583,HC UROBILINOGEN URINE SEMI-QN,301,1 ,$33.13 ,$24.85 ,$6.05 ,$33.13 ,$21.34 ,$6.05 ,$23.19 ,$6.25 ,$12.08 ,$6.44 ,$9.66 ,$31.47 , N/A ,$26.50 ,$30.15 ,$6.25 ,$31.14 ,$31.47 ,$29.82 ,$28.16 ,$6.25 ,$6.25 ,$6.25 ,$24.18 ,$6.05 ,$29.49 ,$29.82 ,$29.82 ,$26.50 ,$6.23 ,$18.22 ,$29.82 ,$6.05 ,$29.82 ,$6.05 ,$31.47 ,$13.61 ,$30.48 ,$6.63 ,$30.15 ,$6.05 ,$20.39 ,$21.34 ,$20.39 ,$29.82 ,$33.13 ,$24.85 ,$29.82 ,$6.11 ,$6.56 ,$30.98 ,$6.35 ,$6.25 ,$28.82 ,$6.05 ,$29.82 ,$6.05 ,$29.82 ,$29.82 ,$29.82 ,$32.14 ,$26.84 ,$29.82 ,$29.82 ,$29.82 ,$29.82 ST. JOSEPH'S - CHIPPEWA FALLS,30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$291.60 ,$218.70 ,$19.31 ,$291.60 ,$187.79 ,$19.31 ,$204.12 ,$19.95 ,$44.15 ,$20.55 ,$35.32 ,$277.02 , N/A ,$233.28 ,$265.36 ,$19.95 ,$274.10 ,$277.02 ,$262.44 ,$247.86 ,$19.95 ,$19.95 ,$19.95 ,$212.87 ,$19.31 ,$259.52 ,$262.44 ,$262.44 ,$233.28 ,$19.89 ,$160.38 ,$262.44 ,$19.31 ,$262.44 ,$19.31 ,$277.02 ,$43.45 ,$268.27 ,$21.15 ,$265.36 ,$19.31 ,$179.45 ,$187.79 ,$179.45 ,$262.44 ,$262.44 ,$218.70 ,$113.92 ,$19.50 ,$20.95 ,$272.65 ,$20.28 ,$19.95 ,$253.69 ,$19.31 ,$262.44 ,$19.31 ,$262.44 ,$262.44 ,$262.44 ,$282.85 ,$236.20 ,$262.44 ,$262.44 ,$262.44 ,$262.44 ST. JOSEPH'S - CHIPPEWA FALLS,30101024,G0480,HC DRUG CONFIRMATION EA PROC 1-7 CLASSES,301,1 ,$328.99 ,$246.74 ,$63.95 ,$328.99 ,$211.87 ,$114.43 ,$230.29 ,$63.95 ,$205.89 ,$65.87 ,$164.71 ,$312.54 , N/A ,$263.19 ,$299.38 ,$63.95 ,$309.25 ,$312.54 ,$296.09 ,$279.64 ,$63.95 ,$63.95 ,$63.95 ,$240.16 ,$114.43 ,$292.80 ,$296.09 ,$296.09 ,$263.19 ,$117.86 ,$180.94 ,$296.09 ,$114.43 ,$296.09 ,$114.43 ,$312.54 ,$257.47 ,$302.67 ,$67.79 ,$299.38 ,$114.43 ,$202.46 ,$211.87 ,$202.46 ,$296.09 ,$296.09 ,$246.74 ,$296.09 ,$115.57 ,$67.15 ,$307.61 ,$120.15 ,$63.95 ,$286.22 ,$114.43 ,$296.09 ,$114.43 ,$296.09 ,$296.09 ,$296.09 ,$319.12 ,$266.48 ,$296.09 ,$296.09 ,$296.09 ,$296.09 ST. JOSEPH'S - CHIPPEWA FALLS,30101025,G0478,HC DRUG SCREEN PRESUMP INST ASSIST DIRECT OPT,301,1 ,$139.77 ,$104.83 ,$69.34 ,$139.77 ,$90.01 , N/A ,$97.84 , N/A ,$86.68 , N/A ,$69.34 ,$132.78 , N/A ,$111.82 ,$127.19 , N/A ,$131.38 ,$132.78 ,$125.79 ,$118.80 , N/A , N/A , N/A ,$102.03 , N/A ,$124.40 ,$125.79 ,$125.79 ,$111.82 , N/A ,$76.87 ,$125.79 , N/A ,$125.79 , N/A ,$132.78 , N/A ,$128.59 , N/A ,$127.19 , N/A ,$86.01 ,$90.01 ,$86.01 ,$125.79 ,$125.79 ,$104.83 ,$97.84 , N/A , N/A ,$130.69 , N/A , N/A ,$121.60 , N/A ,$125.79 , N/A ,$125.79 ,$125.79 ,$125.79 ,$135.58 ,$113.21 ,$125.79 ,$125.79 ,$125.79 ,$125.79 ST. JOSEPH'S - CHIPPEWA FALLS,30101026,G0479,HC DRUG SCREEN PRESUMP INST ASSIST,301,1 ,$154.46 ,$115.85 ,$84.95 ,$154.46 ,$99.47 , N/A ,$108.12 , N/A ,$154.46 , N/A ,$154.46 ,$146.74 , N/A ,$123.57 ,$140.56 , N/A ,$145.19 ,$146.74 ,$139.01 ,$131.29 , N/A , N/A , N/A ,$112.76 , N/A ,$137.47 ,$139.01 ,$139.01 ,$123.57 , N/A ,$84.95 ,$139.01 , N/A ,$139.01 , N/A ,$146.74 , N/A ,$142.10 , N/A ,$140.56 , N/A ,$95.05 ,$99.47 ,$95.05 ,$139.01 ,$139.01 ,$115.85 ,$108.12 , N/A , N/A ,$144.42 , N/A , N/A ,$134.38 , N/A ,$139.01 , N/A ,$139.01 ,$139.01 ,$139.01 ,$149.83 ,$125.11 ,$139.01 ,$139.01 ,$139.01 ,$139.01 ST. JOSEPH'S - CHIPPEWA FALLS,30101027,82803,HC I-STAT G3 AND PANEL-XS,301,1 ,$338.24 ,$253.68 ,$26.07 ,$338.24 ,$217.83 ,$26.07 ,$236.77 ,$26.94 ,$46.45 ,$27.75 ,$37.16 ,$321.33 , N/A ,$270.59 ,$307.80 ,$26.94 ,$317.95 ,$321.33 ,$304.42 ,$287.50 ,$26.94 ,$26.94 ,$26.94 ,$246.92 ,$26.07 ,$301.03 ,$304.42 ,$304.42 ,$270.59 ,$26.85 ,$186.03 ,$304.42 ,$26.07 ,$304.42 ,$26.07 ,$321.33 ,$58.66 ,$311.18 ,$28.56 ,$307.80 ,$26.07 ,$208.15 ,$217.83 ,$208.15 ,$304.42 ,$107.64 ,$253.68 ,$130.78 ,$26.33 ,$28.29 ,$316.25 ,$27.37 ,$26.94 ,$294.27 ,$26.07 ,$304.42 ,$26.07 ,$304.42 ,$304.42 ,$304.42 ,$328.09 ,$273.97 ,$304.42 ,$304.42 ,$304.42 ,$304.42 ST. JOSEPH'S - CHIPPEWA FALLS,30101072,80365,HC OXYCODONE,301,1 ,$27.00 ,$20.25 ,$1.42 ,$27.00 ,$17.39 , N/A ,$18.90 ,$1.42 ,$27.00 ,$1.46 ,$27.00 ,$25.65 , N/A ,$21.60 ,$24.57 ,$1.42 ,$25.38 ,$25.65 ,$24.30 ,$22.95 ,$1.42 ,$1.42 ,$1.42 ,$19.71 , N/A ,$24.03 ,$24.30 ,$24.30 ,$21.60 , N/A ,$14.85 ,$24.30 , N/A ,$24.30 , N/A ,$25.65 , N/A ,$24.84 ,$1.51 ,$24.57 , N/A ,$16.62 ,$17.39 ,$16.62 ,$24.30 ,$27.00 ,$20.25 ,$18.90 , N/A ,$1.49 ,$25.25 , N/A ,$1.42 ,$23.49 , N/A ,$24.30 , N/A ,$24.30 ,$24.30 ,$24.30 ,$26.19 ,$21.87 ,$24.30 ,$24.30 ,$24.30 ,$24.30 ST. JOSEPH'S - CHIPPEWA FALLS,30101139,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT,301,1 ,$105.80 ,$79.35 ,$58.19 ,$139.82 ,$68.14 ,$62.14 ,$74.06 ,$63.40 ,$105.80 ,$65.30 ,$105.80 ,$100.51 , N/A ,$84.64 ,$96.28 ,$63.40 ,$99.45 ,$100.51 ,$95.22 ,$89.93 ,$63.40 ,$63.40 ,$63.40 ,$77.23 ,$62.14 ,$94.16 ,$95.22 ,$95.22 ,$84.64 ,$64.00 ,$58.19 ,$95.22 ,$62.14 ,$95.22 ,$62.14 ,$100.51 ,$139.82 ,$97.34 ,$67.20 ,$96.28 ,$62.14 ,$65.11 ,$68.14 ,$65.11 ,$95.22 ,$105.80 ,$79.35 ,$74.06 ,$62.76 ,$66.57 ,$98.92 ,$65.25 ,$63.40 ,$92.05 ,$62.14 ,$95.22 ,$62.14 ,$95.22 ,$95.22 ,$95.22 ,$102.63 ,$85.70 ,$95.22 ,$95.22 ,$95.22 ,$95.22 ST. JOSEPH'S - CHIPPEWA FALLS,30101654,82642,HC DIHYDROTESTOSTERONE,301,1 ,$67.60 ,$50.70 ,$29.28 ,$67.60 ,$43.53 ,$29.28 ,$47.32 ,$30.26 ,$56.93 ,$31.17 ,$45.54 ,$64.22 , N/A ,$54.08 ,$61.52 ,$30.26 ,$63.54 ,$64.22 ,$60.84 ,$57.46 ,$30.26 ,$30.26 ,$30.26 ,$49.35 ,$29.28 ,$60.16 ,$60.84 ,$60.84 ,$54.08 ,$30.16 ,$37.18 ,$60.84 ,$29.28 ,$60.84 ,$29.28 ,$64.22 ,$65.88 ,$62.19 ,$32.08 ,$61.52 ,$29.28 ,$41.60 ,$43.53 ,$41.60 ,$60.84 ,$60.84 ,$50.70 ,$47.32 ,$29.57 ,$31.77 ,$63.21 ,$30.74 ,$30.26 ,$58.81 ,$29.28 ,$60.84 ,$29.28 ,$60.84 ,$60.84 ,$60.84 ,$65.57 ,$54.76 ,$60.84 ,$60.84 ,$60.84 ,$60.84 ST. JOSEPH'S - CHIPPEWA FALLS,30101673,80353,HC COCAINE QN,301,1 ,$58.65 ,$43.99 ,$1.42 ,$58.65 ,$37.77 , N/A ,$41.06 ,$1.42 ,$41.42 ,$1.46 ,$33.14 ,$55.72 , N/A ,$46.92 ,$53.37 ,$1.42 ,$55.13 ,$55.72 ,$52.79 ,$49.85 ,$1.42 ,$1.42 ,$1.42 ,$42.81 , N/A ,$52.20 ,$52.79 ,$52.79 ,$46.92 , N/A ,$32.26 ,$52.79 , N/A ,$52.79 , N/A ,$55.72 , N/A ,$53.96 ,$1.51 ,$53.37 , N/A ,$36.09 ,$37.77 ,$36.09 ,$52.79 ,$47.23 ,$43.99 ,$41.06 , N/A ,$1.49 ,$54.84 , N/A ,$1.42 ,$51.03 , N/A ,$52.79 , N/A ,$52.79 ,$52.79 ,$52.79 ,$56.89 ,$47.51 ,$52.79 ,$52.79 ,$52.79 ,$52.79 ST. JOSEPH'S - CHIPPEWA FALLS,30101687,80353,HC COCAINE,301,1 ,$58.65 ,$43.99 ,$1.42 ,$58.65 ,$37.77 , N/A ,$41.06 ,$1.42 ,$41.42 ,$1.46 ,$33.14 ,$55.72 , N/A ,$46.92 ,$53.37 ,$1.42 ,$55.13 ,$55.72 ,$52.79 ,$49.85 ,$1.42 ,$1.42 ,$1.42 ,$42.81 , N/A ,$52.20 ,$52.79 ,$52.79 ,$46.92 , N/A ,$32.26 ,$52.79 , N/A ,$52.79 , N/A ,$55.72 , N/A ,$53.96 ,$1.51 ,$53.37 , N/A ,$36.09 ,$37.77 ,$36.09 ,$52.79 ,$47.23 ,$43.99 ,$41.06 , N/A ,$1.49 ,$54.84 , N/A ,$1.42 ,$51.03 , N/A ,$52.79 , N/A ,$52.79 ,$52.79 ,$52.79 ,$56.89 ,$47.51 ,$52.79 ,$52.79 ,$52.79 ,$52.79 ST. JOSEPH'S - CHIPPEWA FALLS,30108000,84620,HC XYLOSE TOLERANCE TEST,301,1 ,$141.67 ,$106.25 ,$12.91 ,$141.67 ,$91.24 ,$12.91 ,$99.17 ,$13.34 ,$28.44 ,$13.74 ,$22.75 ,$134.59 , N/A ,$113.34 ,$128.92 ,$13.34 ,$133.17 ,$134.59 ,$127.50 ,$120.42 ,$13.34 ,$13.34 ,$13.34 ,$103.42 ,$12.91 ,$126.09 ,$127.50 ,$127.50 ,$113.34 ,$13.30 ,$77.92 ,$127.50 ,$12.91 ,$127.50 ,$12.91 ,$134.59 ,$29.05 ,$130.34 ,$14.14 ,$128.92 ,$12.91 ,$87.18 ,$91.24 ,$87.18 ,$127.50 ,$48.73 ,$106.25 ,$73.39 ,$13.04 ,$14.01 ,$132.46 ,$13.56 ,$13.34 ,$123.25 ,$12.91 ,$127.50 ,$12.91 ,$127.50 ,$127.50 ,$127.50 ,$137.42 ,$114.75 ,$127.50 ,$127.50 ,$127.50 ,$127.50 ST. JOSEPH'S - CHIPPEWA FALLS,30140113,80154,HC LORAZEPAM-REF,301,1 ,$216.09 ,$162.07 ,$118.85 ,$216.09 ,$139.16 , N/A ,$151.26 , N/A ,$179.35 , N/A ,$142.62 ,$205.29 , N/A ,$172.87 ,$196.64 , N/A ,$203.12 ,$205.29 ,$194.48 ,$183.68 , N/A , N/A , N/A ,$157.75 , N/A ,$192.32 ,$194.48 ,$194.48 ,$172.87 , N/A ,$118.85 ,$194.48 , N/A ,$194.48 , N/A ,$205.29 , N/A ,$198.80 , N/A ,$196.64 , N/A ,$132.98 ,$139.16 ,$132.98 ,$194.48 ,$124.08 ,$162.07 ,$151.26 , N/A , N/A ,$202.04 , N/A , N/A ,$188.00 , N/A ,$194.48 , N/A ,$194.48 ,$194.48 ,$194.48 ,$209.61 ,$175.03 ,$194.48 ,$194.48 ,$194.48 ,$194.48 ST. JOSEPH'S - CHIPPEWA FALLS,30140128,80182,HC NORTRIPTYLINE-REF,301,1 ,$108.35 ,$81.26 ,$59.59 ,$108.35 ,$69.78 , N/A ,$75.85 , N/A ,$89.93 , N/A ,$71.51 ,$102.93 , N/A ,$86.68 ,$98.60 , N/A ,$101.85 ,$102.93 ,$97.52 ,$92.10 , N/A , N/A , N/A ,$79.10 , N/A ,$96.43 ,$97.52 ,$97.52 ,$86.68 , N/A ,$59.59 ,$97.52 , N/A ,$97.52 , N/A ,$102.93 , N/A ,$99.68 , N/A ,$98.60 , N/A ,$66.68 ,$69.78 ,$66.68 ,$97.52 ,$96.21 ,$81.26 ,$75.85 , N/A , N/A ,$101.31 , N/A , N/A ,$94.26 , N/A ,$97.52 , N/A ,$97.52 ,$97.52 ,$97.52 ,$105.10 ,$87.76 ,$97.52 ,$97.52 ,$97.52 ,$97.52 ST. JOSEPH'S - CHIPPEWA FALLS,30140189,82157,HC ANDROSTENEDIONE-REF,301,1 ,$90.35 ,$67.76 ,$29.28 ,$90.35 ,$58.19 ,$29.28 ,$63.25 ,$30.26 ,$70.28 ,$31.17 ,$56.22 ,$85.83 , N/A ,$72.28 ,$82.22 ,$30.26 ,$84.93 ,$85.83 ,$81.32 ,$76.80 ,$30.26 ,$30.26 ,$30.26 ,$65.96 ,$29.28 ,$80.41 ,$81.32 ,$81.32 ,$72.28 ,$30.16 ,$49.69 ,$81.32 ,$29.28 ,$81.32 ,$29.28 ,$85.83 ,$65.88 ,$83.12 ,$32.08 ,$82.22 ,$29.28 ,$55.60 ,$58.19 ,$55.60 ,$81.32 ,$90.35 ,$67.76 ,$81.32 ,$29.57 ,$31.77 ,$84.48 ,$30.74 ,$30.26 ,$78.60 ,$29.28 ,$81.32 ,$29.28 ,$81.32 ,$81.32 ,$81.32 ,$87.64 ,$73.18 ,$81.32 ,$81.32 ,$81.32 ,$81.32 ST. JOSEPH'S - CHIPPEWA FALLS,30140242,82491,HC CHROMATO QN SGL COLUMN-REF,301,1 ,$158.75 ,$119.06 ,$86.03 ,$158.75 ,$102.24 , N/A ,$111.13 , N/A ,$107.54 , N/A ,$86.03 ,$150.81 , N/A ,$127.00 ,$144.46 , N/A ,$149.23 ,$150.81 ,$142.88 ,$134.94 , N/A , N/A , N/A ,$115.89 , N/A ,$141.29 ,$142.88 ,$142.88 ,$127.00 , N/A ,$87.31 ,$142.88 , N/A ,$142.88 , N/A ,$150.81 , N/A ,$146.05 , N/A ,$144.46 , N/A ,$97.69 ,$102.24 ,$97.69 ,$142.88 ,$151.77 ,$119.06 ,$111.13 , N/A , N/A ,$148.43 , N/A , N/A ,$138.11 , N/A ,$142.88 , N/A ,$142.88 ,$142.88 ,$142.88 ,$153.99 ,$128.59 ,$142.88 ,$142.88 ,$142.88 ,$142.88 ST. JOSEPH'S - CHIPPEWA FALLS,30140243,82492,HC CHROMATO QN MLT COLUMN-REF,301,1 ,$179.14 ,$134.36 ,$76.74 ,$179.14 ,$115.37 , N/A ,$125.40 , N/A ,$107.54 , N/A ,$86.03 ,$170.18 , N/A ,$143.31 ,$163.02 , N/A ,$168.39 ,$170.18 ,$161.23 ,$152.27 , N/A , N/A , N/A ,$130.77 , N/A ,$159.43 ,$161.23 ,$161.23 ,$143.31 , N/A ,$98.53 ,$161.23 , N/A ,$161.23 , N/A ,$170.18 , N/A ,$164.81 , N/A ,$163.02 , N/A ,$110.24 ,$115.37 ,$110.24 ,$161.23 ,$76.74 ,$134.36 ,$125.40 , N/A , N/A ,$167.50 , N/A , N/A ,$155.85 , N/A ,$161.23 , N/A ,$161.23 ,$161.23 ,$161.23 ,$173.77 ,$145.10 ,$161.23 ,$161.23 ,$161.23 ,$161.23 ST. JOSEPH'S - CHIPPEWA FALLS,30140420,83788,HC MASS SPEC QL-REF,301,1 ,$59.13 ,$44.35 ,$32.52 ,$59.13 ,$38.08 , N/A ,$41.39 , N/A ,$59.13 , N/A ,$59.13 ,$56.17 , N/A ,$47.30 ,$53.81 , N/A ,$55.58 ,$56.17 ,$53.22 ,$50.26 , N/A , N/A , N/A ,$43.16 , N/A ,$52.63 ,$53.22 ,$53.22 ,$47.30 , N/A ,$32.52 ,$53.22 , N/A ,$53.22 , N/A ,$56.17 , N/A ,$54.40 , N/A ,$53.81 , N/A ,$36.39 ,$38.08 ,$36.39 ,$53.22 ,$59.13 ,$44.35 ,$41.39 , N/A , N/A ,$55.29 , N/A , N/A ,$51.44 , N/A ,$53.22 , N/A ,$53.22 ,$53.22 ,$53.22 ,$57.36 ,$47.90 ,$53.22 ,$53.22 ,$53.22 ,$53.22 ST. JOSEPH'S - CHIPPEWA FALLS,30140424,80183,HC TRILEPTAL-REF,301,1 ,$68.77 ,$51.58 ,$13.25 ,$68.77 ,$44.29 ,$13.25 ,$48.14 ,$13.69 ,$31.82 ,$14.10 ,$25.45 ,$65.33 , N/A ,$55.02 ,$62.58 ,$13.69 ,$64.64 ,$65.33 ,$61.89 ,$58.45 ,$13.69 ,$13.69 ,$13.69 ,$50.20 ,$13.25 ,$61.21 ,$61.89 ,$61.89 ,$55.02 ,$13.65 ,$37.82 ,$61.89 ,$13.25 ,$61.89 ,$13.25 ,$65.33 ,$29.81 ,$63.27 ,$14.51 ,$62.58 ,$13.25 ,$42.32 ,$44.29 ,$42.32 ,$61.89 ,$34.23 ,$51.58 ,$61.89 ,$13.38 ,$14.37 ,$64.30 ,$13.91 ,$13.69 ,$59.83 ,$13.25 ,$61.89 ,$13.25 ,$61.89 ,$61.89 ,$61.89 ,$66.71 ,$55.70 ,$61.89 ,$61.89 ,$61.89 ,$61.89 ST. JOSEPH'S - CHIPPEWA FALLS,30200102,86003,HC ALLERGEN IGE QN EA,302,1 ,$68.69 ,$51.52 ,$4.57 ,$68.69 ,$44.24 ,$5.22 ,$48.08 ,$4.57 ,$7.79 ,$4.71 ,$6.23 ,$65.26 , N/A ,$54.95 ,$62.51 ,$4.57 ,$64.57 ,$65.26 ,$61.82 ,$58.39 ,$4.57 ,$4.57 ,$4.57 ,$50.14 ,$5.22 ,$61.13 ,$61.82 ,$61.82 ,$54.95 ,$5.38 ,$37.78 ,$61.82 ,$5.22 ,$61.82 ,$5.22 ,$65.26 ,$11.75 ,$63.19 ,$4.84 ,$62.51 ,$5.22 ,$42.27 ,$44.24 ,$42.27 ,$61.82 ,$68.69 ,$51.52 ,$32.31 ,$5.27 ,$4.80 ,$64.23 ,$5.48 ,$4.57 ,$59.76 ,$5.22 ,$61.82 ,$5.22 ,$61.82 ,$61.82 ,$61.82 ,$66.63 ,$55.64 ,$61.82 ,$61.82 ,$61.82 ,$61.82 ST. JOSEPH'S - CHIPPEWA FALLS,30200103,86021,HC LEUKO AB ID,302,1 ,$138.65 ,$103.99 ,$15.05 ,$138.65 ,$89.29 ,$15.05 ,$97.06 ,$15.55 ,$36.14 ,$16.02 ,$28.91 ,$131.72 , N/A ,$110.92 ,$126.17 ,$15.55 ,$130.33 ,$131.72 ,$124.79 ,$117.85 ,$15.55 ,$15.55 ,$15.55 ,$101.21 ,$15.05 ,$123.40 ,$124.79 ,$124.79 ,$110.92 ,$15.50 ,$76.26 ,$124.79 ,$15.05 ,$124.79 ,$15.05 ,$131.72 ,$33.86 ,$127.56 ,$16.48 ,$126.17 ,$15.05 ,$85.33 ,$89.29 ,$85.33 ,$124.79 ,$138.65 ,$103.99 ,$93.25 ,$15.20 ,$16.33 ,$129.64 ,$15.80 ,$15.55 ,$120.63 ,$15.05 ,$124.79 ,$15.05 ,$124.79 ,$124.79 ,$124.79 ,$134.49 ,$112.31 ,$124.79 ,$124.79 ,$124.79 ,$124.79 ST. JOSEPH'S - CHIPPEWA FALLS,30200108,86022,HC PLATELET AB ID (HIT),302,1 ,$228.70 ,$171.53 ,$18.37 ,$228.70 ,$147.28 ,$18.37 ,$160.09 ,$18.98 ,$44.10 ,$19.55 ,$35.28 ,$217.27 , N/A ,$182.96 ,$208.12 ,$18.98 ,$214.98 ,$217.27 ,$205.83 ,$194.40 ,$18.98 ,$18.98 ,$18.98 ,$166.95 ,$18.37 ,$203.54 ,$205.83 ,$205.83 ,$182.96 ,$18.92 ,$125.79 ,$205.83 ,$18.37 ,$205.83 ,$18.37 ,$217.27 ,$41.33 ,$210.40 ,$20.12 ,$208.12 ,$18.37 ,$140.74 ,$147.28 ,$140.74 ,$205.83 ,$228.70 ,$171.53 ,$113.77 ,$18.55 ,$19.93 ,$213.83 ,$19.29 ,$18.98 ,$198.97 ,$18.37 ,$205.83 ,$18.37 ,$205.83 ,$205.83 ,$205.83 ,$221.84 ,$185.25 ,$205.83 ,$205.83 ,$205.83 ,$205.83 ST. JOSEPH'S - CHIPPEWA FALLS,30200119,86038,HC ANA SCREEN,302,1 ,$41.93 ,$31.45 ,$12.09 ,$41.93 ,$27.00 ,$12.09 ,$29.35 ,$12.49 ,$25.01 ,$12.86 ,$20.01 ,$39.83 , N/A ,$33.54 ,$38.16 ,$12.49 ,$39.41 ,$39.83 ,$37.74 ,$35.64 ,$12.49 ,$12.49 ,$12.49 ,$30.61 ,$12.09 ,$37.32 ,$37.74 ,$37.74 ,$33.54 ,$12.45 ,$23.06 ,$37.74 ,$12.09 ,$37.74 ,$12.09 ,$39.83 ,$27.20 ,$38.58 ,$13.24 ,$38.16 ,$12.09 ,$25.80 ,$27.00 ,$25.80 ,$37.74 ,$41.93 ,$31.45 ,$37.74 ,$12.21 ,$13.11 ,$39.20 ,$12.69 ,$12.49 ,$36.48 ,$12.09 ,$37.74 ,$12.09 ,$37.74 ,$37.74 ,$37.74 ,$40.67 ,$33.96 ,$37.74 ,$37.74 ,$37.74 ,$37.74 ST. JOSEPH'S - CHIPPEWA FALLS,30200120,86039,HC ANA TITER,302,1 ,$41.93 ,$31.45 ,$11.16 ,$41.93 ,$27.00 ,$11.16 ,$29.35 ,$11.53 ,$26.79 ,$11.88 ,$21.43 ,$39.83 , N/A ,$33.54 ,$38.16 ,$11.53 ,$39.41 ,$39.83 ,$37.74 ,$35.64 ,$11.53 ,$11.53 ,$11.53 ,$30.61 ,$11.16 ,$37.32 ,$37.74 ,$37.74 ,$33.54 ,$11.49 ,$23.06 ,$37.74 ,$11.16 ,$37.74 ,$11.16 ,$39.83 ,$25.11 ,$38.58 ,$12.22 ,$38.16 ,$11.16 ,$25.80 ,$27.00 ,$25.80 ,$37.74 ,$41.93 ,$31.45 ,$37.74 ,$11.27 ,$12.11 ,$39.20 ,$11.72 ,$11.53 ,$36.48 ,$11.16 ,$37.74 ,$11.16 ,$37.74 ,$37.74 ,$37.74 ,$40.67 ,$33.96 ,$37.74 ,$37.74 ,$37.74 ,$37.74 ST. JOSEPH'S - CHIPPEWA FALLS,30200123,86140,HC C-REACTIVE PROTEIN,302,1 ,$109.70 ,$82.28 ,$5.18 ,$109.70 ,$70.65 ,$5.18 ,$76.79 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$104.22 , N/A ,$87.76 ,$99.83 ,$5.35 ,$103.12 ,$104.22 ,$98.73 ,$93.25 ,$5.35 ,$5.35 ,$5.35 ,$80.08 ,$5.18 ,$97.63 ,$98.73 ,$98.73 ,$87.76 ,$5.34 ,$60.34 ,$98.73 ,$5.18 ,$98.73 ,$5.18 ,$104.22 ,$11.66 ,$100.92 ,$5.67 ,$99.83 ,$5.18 ,$67.51 ,$70.65 ,$67.51 ,$98.73 ,$65.89 ,$82.28 ,$32.05 ,$5.23 ,$5.62 ,$102.57 ,$5.44 ,$5.35 ,$95.44 ,$5.18 ,$98.73 ,$5.18 ,$98.73 ,$98.73 ,$98.73 ,$106.41 ,$88.86 ,$98.73 ,$98.73 ,$98.73 ,$98.73 ST. JOSEPH'S - CHIPPEWA FALLS,30200124,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$205.95 ,$154.46 ,$12.95 ,$205.95 ,$132.63 ,$12.95 ,$144.17 ,$13.38 ,$31.08 ,$13.78 ,$24.86 ,$195.65 , N/A ,$164.76 ,$187.41 ,$13.38 ,$193.59 ,$195.65 ,$185.36 ,$175.06 ,$13.38 ,$13.38 ,$13.38 ,$150.34 ,$12.95 ,$183.30 ,$185.36 ,$185.36 ,$164.76 ,$13.34 ,$113.27 ,$185.36 ,$12.95 ,$185.36 ,$12.95 ,$195.65 ,$29.14 ,$189.47 ,$14.18 ,$187.41 ,$12.95 ,$126.74 ,$132.63 ,$126.74 ,$185.36 ,$35.26 ,$154.46 ,$80.16 ,$13.08 ,$14.05 ,$192.56 ,$13.60 ,$13.38 ,$179.18 ,$12.95 ,$185.36 ,$12.95 ,$185.36 ,$185.36 ,$185.36 ,$199.77 ,$166.82 ,$185.36 ,$185.36 ,$185.36 ,$185.36 ST. JOSEPH'S - CHIPPEWA FALLS,30200125,86146,HC BETA 2 GLYCO AB,302,1 ,$78.55 ,$58.91 ,$8.17 ,$78.55 ,$50.59 ,$25.45 ,$54.99 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$74.62 , N/A ,$62.84 ,$71.48 ,$8.17 ,$73.84 ,$74.62 ,$70.70 ,$66.77 ,$8.17 ,$8.17 ,$8.17 ,$57.34 ,$25.45 ,$69.91 ,$70.70 ,$70.70 ,$62.84 ,$26.21 ,$43.20 ,$70.70 ,$25.45 ,$70.70 ,$25.45 ,$74.62 ,$57.26 ,$72.27 ,$8.66 ,$71.48 ,$25.45 ,$48.34 ,$50.59 ,$48.34 ,$70.70 ,$78.55 ,$58.91 ,$70.70 ,$25.70 ,$8.58 ,$73.44 ,$26.72 ,$8.17 ,$68.34 ,$25.45 ,$70.70 ,$25.45 ,$70.70 ,$70.70 ,$70.70 ,$76.19 ,$63.63 ,$70.70 ,$70.70 ,$70.70 ,$70.70 ST. JOSEPH'S - CHIPPEWA FALLS,30200126,86147,HC CARDIOLIPIN AB EA,302,1 ,$78.55 ,$58.91 ,$8.17 ,$78.55 ,$50.59 ,$25.45 ,$54.99 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$74.62 , N/A ,$62.84 ,$71.48 ,$8.17 ,$73.84 ,$74.62 ,$70.70 ,$66.77 ,$8.17 ,$8.17 ,$8.17 ,$57.34 ,$25.45 ,$69.91 ,$70.70 ,$70.70 ,$62.84 ,$26.21 ,$43.20 ,$70.70 ,$25.45 ,$70.70 ,$25.45 ,$74.62 ,$57.26 ,$72.27 ,$8.66 ,$71.48 ,$25.45 ,$48.34 ,$50.59 ,$48.34 ,$70.70 ,$78.55 ,$58.91 ,$70.70 ,$25.70 ,$8.58 ,$73.44 ,$26.72 ,$8.17 ,$68.34 ,$25.45 ,$70.70 ,$25.45 ,$70.70 ,$70.70 ,$70.70 ,$76.19 ,$63.63 ,$70.70 ,$70.70 ,$70.70 ,$70.70 ST. JOSEPH'S - CHIPPEWA FALLS,30200129,86157,HC COLD AGGLUTININ TITER,302,1 ,$187.70 ,$140.78 ,$8.06 ,$187.70 ,$120.88 ,$8.06 ,$131.39 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$178.32 , N/A ,$150.16 ,$170.81 ,$8.17 ,$176.44 ,$178.32 ,$168.93 ,$159.55 ,$8.17 ,$8.17 ,$8.17 ,$137.02 ,$8.06 ,$167.05 ,$168.93 ,$168.93 ,$150.16 ,$8.30 ,$103.24 ,$168.93 ,$8.06 ,$168.93 ,$8.06 ,$178.32 ,$18.14 ,$172.68 ,$8.66 ,$170.81 ,$8.06 ,$115.51 ,$120.88 ,$115.51 ,$168.93 ,$57.09 ,$140.78 ,$49.91 ,$8.14 ,$8.58 ,$175.50 ,$8.46 ,$8.17 ,$163.30 ,$8.06 ,$168.93 ,$8.06 ,$168.93 ,$168.93 ,$168.93 ,$182.07 ,$152.04 ,$168.93 ,$168.93 ,$168.93 ,$168.93 ST. JOSEPH'S - CHIPPEWA FALLS,30200133,86161,HC C1 ESTERASE INHIBITOR,302,1 ,$216.98 ,$162.74 ,$12.00 ,$216.98 ,$139.74 ,$12.00 ,$151.89 ,$12.40 ,$28.81 ,$12.77 ,$23.04 ,$206.13 , N/A ,$173.58 ,$197.45 ,$12.40 ,$203.96 ,$206.13 ,$195.28 ,$184.43 ,$12.40 ,$12.40 ,$12.40 ,$158.40 ,$12.00 ,$193.11 ,$195.28 ,$195.28 ,$173.58 ,$12.36 ,$119.34 ,$195.28 ,$12.00 ,$195.28 ,$12.00 ,$206.13 ,$27.00 ,$199.62 ,$13.14 ,$197.45 ,$12.00 ,$133.53 ,$139.74 ,$133.53 ,$195.28 ,$109.82 ,$162.74 ,$74.29 ,$12.12 ,$13.02 ,$202.88 ,$12.60 ,$12.40 ,$188.77 ,$12.00 ,$195.28 ,$12.00 ,$195.28 ,$195.28 ,$195.28 ,$210.47 ,$175.75 ,$195.28 ,$195.28 ,$195.28 ,$195.28 ST. JOSEPH'S - CHIPPEWA FALLS,30200137,86225,HC DNA DOUBLE STRAND AB,302,1 ,$42.43 ,$31.82 ,$13.74 ,$42.43 ,$27.32 ,$13.74 ,$29.70 ,$14.20 ,$32.99 ,$14.63 ,$26.39 ,$40.31 , N/A ,$33.94 ,$38.61 ,$14.20 ,$39.88 ,$40.31 ,$38.19 ,$36.07 ,$14.20 ,$14.20 ,$14.20 ,$30.97 ,$13.74 ,$37.76 ,$38.19 ,$38.19 ,$33.94 ,$14.15 ,$23.34 ,$38.19 ,$13.74 ,$38.19 ,$13.74 ,$40.31 ,$30.92 ,$39.04 ,$15.05 ,$38.61 ,$13.74 ,$26.11 ,$27.32 ,$26.11 ,$38.19 ,$42.43 ,$31.82 ,$38.19 ,$13.88 ,$14.91 ,$39.67 ,$14.43 ,$14.20 ,$36.91 ,$13.74 ,$38.19 ,$13.74 ,$38.19 ,$38.19 ,$38.19 ,$41.16 ,$34.37 ,$38.19 ,$38.19 ,$38.19 ,$38.19 ST. JOSEPH'S - CHIPPEWA FALLS,30200138,86235,HC ENA AB,302,1 ,$78.00 ,$58.50 ,$17.93 ,$78.00 ,$50.23 ,$17.93 ,$54.60 ,$18.53 ,$43.05 ,$19.09 ,$34.44 ,$74.10 , N/A ,$62.40 ,$70.98 ,$18.53 ,$73.32 ,$74.10 ,$70.20 ,$66.30 ,$18.53 ,$18.53 ,$18.53 ,$56.94 ,$17.93 ,$69.42 ,$70.20 ,$70.20 ,$62.40 ,$18.47 ,$42.90 ,$70.20 ,$17.93 ,$70.20 ,$17.93 ,$74.10 ,$40.34 ,$71.76 ,$19.64 ,$70.98 ,$17.93 ,$48.00 ,$50.23 ,$48.00 ,$70.20 ,$78.00 ,$58.50 ,$70.20 ,$18.11 ,$19.46 ,$72.93 ,$18.83 ,$18.53 ,$67.86 ,$17.93 ,$70.20 ,$17.93 ,$70.20 ,$70.20 ,$70.20 ,$75.66 ,$63.18 ,$70.20 ,$70.20 ,$70.20 ,$70.20 ST. JOSEPH'S - CHIPPEWA FALLS,30200158,86300,HC TUMOR AG CA 15-3 (27.29),302,1 ,$38.69 ,$29.02 ,$20.81 ,$46.82 ,$24.92 ,$20.81 ,$27.08 ,$21.50 ,$38.69 ,$22.15 ,$38.69 ,$36.76 , N/A ,$30.95 ,$35.21 ,$21.50 ,$36.37 ,$36.76 ,$34.82 ,$32.89 ,$21.50 ,$21.50 ,$21.50 ,$28.24 ,$20.81 ,$34.43 ,$34.82 ,$34.82 ,$30.95 ,$21.43 ,$21.28 ,$34.82 ,$20.81 ,$34.82 ,$20.81 ,$36.76 ,$46.82 ,$35.59 ,$22.79 ,$35.21 ,$20.81 ,$23.81 ,$24.92 ,$23.81 ,$34.82 ,$38.69 ,$29.02 ,$34.82 ,$21.02 ,$22.58 ,$36.18 ,$21.85 ,$21.50 ,$33.66 ,$20.81 ,$34.82 ,$20.81 ,$34.82 ,$34.82 ,$34.82 ,$37.53 ,$31.34 ,$34.82 ,$34.82 ,$34.82 ,$34.82 ST. JOSEPH'S - CHIPPEWA FALLS,30200160,86301,HC TUMOR AG CA 19-9,302,1 ,$202.16 ,$151.62 ,$20.81 ,$202.16 ,$130.19 ,$20.81 ,$141.51 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$192.05 , N/A ,$161.73 ,$183.97 ,$21.50 ,$190.03 ,$192.05 ,$181.94 ,$171.84 ,$21.50 ,$21.50 ,$21.50 ,$147.58 ,$20.81 ,$179.92 ,$181.94 ,$181.94 ,$161.73 ,$21.43 ,$111.19 ,$181.94 ,$20.81 ,$181.94 ,$20.81 ,$192.05 ,$46.82 ,$185.99 ,$22.79 ,$183.97 ,$20.81 ,$124.41 ,$130.19 ,$124.41 ,$181.94 ,$73.45 ,$151.62 ,$128.92 ,$21.02 ,$22.58 ,$189.02 ,$21.85 ,$21.50 ,$175.88 ,$20.81 ,$181.94 ,$20.81 ,$181.94 ,$181.94 ,$181.94 ,$196.10 ,$163.75 ,$181.94 ,$181.94 ,$181.94 ,$181.94 ST. JOSEPH'S - CHIPPEWA FALLS,30200162,86304,HC TUMOR AG CA 125,302,1 ,$179.77 ,$134.83 ,$20.81 ,$179.77 ,$115.77 ,$20.81 ,$125.84 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$170.78 , N/A ,$143.82 ,$163.59 ,$21.50 ,$168.98 ,$170.78 ,$161.79 ,$152.80 ,$21.50 ,$21.50 ,$21.50 ,$131.23 ,$20.81 ,$160.00 ,$161.79 ,$161.79 ,$143.82 ,$21.43 ,$98.87 ,$161.79 ,$20.81 ,$161.79 ,$20.81 ,$170.78 ,$46.82 ,$165.39 ,$22.79 ,$163.59 ,$20.81 ,$110.63 ,$115.77 ,$110.63 ,$161.79 ,$73.45 ,$134.83 ,$128.92 ,$21.02 ,$22.58 ,$168.09 ,$21.85 ,$21.50 ,$156.40 ,$20.81 ,$161.79 ,$20.81 ,$161.79 ,$161.79 ,$161.79 ,$174.38 ,$145.61 ,$161.79 ,$161.79 ,$161.79 ,$161.79 ST. JOSEPH'S - CHIPPEWA FALLS,30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$142.89 ,$107.17 ,$5.18 ,$142.89 ,$92.02 ,$5.18 ,$100.02 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$135.75 , N/A ,$114.31 ,$130.03 ,$5.35 ,$134.32 ,$135.75 ,$128.60 ,$121.46 ,$5.35 ,$5.35 ,$5.35 ,$104.31 ,$5.18 ,$127.17 ,$128.60 ,$128.60 ,$114.31 ,$5.34 ,$78.59 ,$128.60 ,$5.18 ,$128.60 ,$5.18 ,$135.75 ,$11.66 ,$131.46 ,$5.67 ,$130.03 ,$5.18 ,$87.93 ,$92.02 ,$87.93 ,$128.60 ,$51.17 ,$107.17 ,$32.05 ,$5.23 ,$5.62 ,$133.60 ,$5.44 ,$5.35 ,$124.31 ,$5.18 ,$128.60 ,$5.18 ,$128.60 ,$128.60 ,$128.60 ,$138.60 ,$115.74 ,$128.60 ,$128.60 ,$128.60 ,$128.60 ST. JOSEPH'S - CHIPPEWA FALLS,30200167,86331,HC IMMUNODIFF EL EA AG AB QL,302,1 ,$43.41 ,$32.56 ,$11.98 ,$43.41 ,$27.96 ,$11.98 ,$30.39 ,$12.38 ,$28.75 ,$12.75 ,$23.00 ,$41.24 , N/A ,$34.73 ,$39.50 ,$12.38 ,$40.81 ,$41.24 ,$39.07 ,$36.90 ,$12.38 ,$12.38 ,$12.38 ,$31.69 ,$11.98 ,$38.63 ,$39.07 ,$39.07 ,$34.73 ,$12.34 ,$23.88 ,$39.07 ,$11.98 ,$39.07 ,$11.98 ,$41.24 ,$26.96 ,$39.94 ,$13.12 ,$39.50 ,$11.98 ,$26.71 ,$27.96 ,$26.71 ,$39.07 ,$43.41 ,$32.56 ,$39.07 ,$12.10 ,$13.00 ,$40.59 ,$12.58 ,$12.38 ,$37.77 ,$11.98 ,$39.07 ,$11.98 ,$39.07 ,$39.07 ,$39.07 ,$42.11 ,$35.16 ,$39.07 ,$39.07 ,$39.07 ,$39.07 ST. JOSEPH'S - CHIPPEWA FALLS,30200169,86334,HC IMMUNOFIX ELECTRO SERUM,302,1 ,$68.98 ,$51.74 ,$22.34 ,$68.98 ,$44.42 ,$22.34 ,$48.29 ,$23.08 ,$53.64 ,$23.77 ,$42.91 ,$65.53 , N/A ,$55.18 ,$62.77 ,$23.08 ,$64.84 ,$65.53 ,$62.08 ,$58.63 ,$23.08 ,$23.08 ,$23.08 ,$50.36 ,$22.34 ,$61.39 ,$62.08 ,$62.08 ,$55.18 ,$23.01 ,$37.94 ,$62.08 ,$22.34 ,$62.08 ,$22.34 ,$65.53 ,$50.27 ,$63.46 ,$24.46 ,$62.77 ,$22.34 ,$42.45 ,$44.42 ,$42.45 ,$62.08 ,$68.98 ,$51.74 ,$62.08 ,$22.56 ,$24.23 ,$64.50 ,$23.46 ,$23.08 ,$60.01 ,$22.34 ,$62.08 ,$22.34 ,$62.08 ,$62.08 ,$62.08 ,$66.91 ,$55.87 ,$62.08 ,$62.08 ,$62.08 ,$62.08 ST. JOSEPH'S - CHIPPEWA FALLS,30200171,86335,HC IMMUNOFIX ELECTRO OTH,302,1 ,$90.58 ,$67.94 ,$29.35 ,$90.58 ,$58.33 ,$29.35 ,$63.41 ,$30.33 ,$70.46 ,$31.24 ,$56.36 ,$86.05 , N/A ,$72.46 ,$82.43 ,$30.33 ,$85.15 ,$86.05 ,$81.52 ,$76.99 ,$30.33 ,$30.33 ,$30.33 ,$66.12 ,$29.35 ,$80.62 ,$81.52 ,$81.52 ,$72.46 ,$30.23 ,$49.82 ,$81.52 ,$29.35 ,$81.52 ,$29.35 ,$86.05 ,$66.04 ,$83.33 ,$32.15 ,$82.43 ,$29.35 ,$55.74 ,$58.33 ,$55.74 ,$81.52 ,$84.76 ,$67.94 ,$81.52 ,$29.64 ,$31.85 ,$84.69 ,$30.82 ,$30.33 ,$78.80 ,$29.35 ,$81.52 ,$29.35 ,$81.52 ,$81.52 ,$81.52 ,$87.86 ,$73.37 ,$81.52 ,$81.52 ,$81.52 ,$81.52 ST. JOSEPH'S - CHIPPEWA FALLS,30200173,86336,HC INHIBIN A,302,1 ,$48.10 ,$36.08 ,$15.59 ,$48.10 ,$30.98 ,$15.59 ,$33.67 ,$16.11 ,$37.42 ,$16.59 ,$29.93 ,$45.70 , N/A ,$38.48 ,$43.77 ,$16.11 ,$45.21 ,$45.70 ,$43.29 ,$40.89 ,$16.11 ,$16.11 ,$16.11 ,$35.11 ,$15.59 ,$42.81 ,$43.29 ,$43.29 ,$38.48 ,$16.06 ,$26.46 ,$43.29 ,$15.59 ,$43.29 ,$15.59 ,$45.70 ,$35.08 ,$44.25 ,$17.08 ,$43.77 ,$15.59 ,$29.60 ,$30.98 ,$29.60 ,$43.29 ,$48.10 ,$36.08 ,$43.29 ,$15.75 ,$16.92 ,$44.97 ,$16.37 ,$16.11 ,$41.85 ,$15.59 ,$43.29 ,$15.59 ,$43.29 ,$43.29 ,$43.29 ,$46.66 ,$38.96 ,$43.29 ,$43.29 ,$43.29 ,$43.29 ST. JOSEPH'S - CHIPPEWA FALLS,30200176,86337,HC INSULIN AB,302,1 ,$221.00 ,$165.75 ,$21.41 ,$221.00 ,$142.32 ,$21.41 ,$154.70 ,$22.12 ,$51.40 ,$22.78 ,$41.12 ,$209.95 , N/A ,$176.80 ,$201.11 ,$22.12 ,$207.74 ,$209.95 ,$198.90 ,$187.85 ,$22.12 ,$22.12 ,$22.12 ,$161.33 ,$21.41 ,$196.69 ,$198.90 ,$198.90 ,$176.80 ,$22.05 ,$121.55 ,$198.90 ,$21.41 ,$198.90 ,$21.41 ,$209.95 ,$48.17 ,$203.32 ,$23.45 ,$201.11 ,$21.41 ,$136.00 ,$142.32 ,$136.00 ,$198.90 ,$107.82 ,$165.75 ,$132.58 ,$21.62 ,$23.23 ,$206.64 ,$22.48 ,$22.12 ,$192.27 ,$21.41 ,$198.90 ,$21.41 ,$198.90 ,$198.90 ,$198.90 ,$214.37 ,$179.01 ,$198.90 ,$198.90 ,$198.90 ,$198.90 ST. JOSEPH'S - CHIPPEWA FALLS,30200181,86355,HC B CELLS TOTAL COUNT,302,1 ,$116.45 ,$87.34 ,$37.73 ,$116.45 ,$74.99 ,$37.73 ,$81.52 ,$38.99 ,$90.56 ,$40.16 ,$72.45 ,$110.63 , N/A ,$93.16 ,$105.97 ,$38.99 ,$109.46 ,$110.63 ,$104.81 ,$98.98 ,$38.99 ,$38.99 ,$38.99 ,$85.01 ,$37.73 ,$103.64 ,$104.81 ,$104.81 ,$93.16 ,$38.86 ,$64.05 ,$104.81 ,$37.73 ,$104.81 ,$37.73 ,$110.63 ,$84.89 ,$107.13 ,$41.33 ,$105.97 ,$37.73 ,$71.66 ,$74.99 ,$71.66 ,$104.81 ,$112.40 ,$87.34 ,$104.81 ,$38.11 ,$40.94 ,$108.88 ,$39.62 ,$38.99 ,$101.31 ,$37.73 ,$104.81 ,$37.73 ,$104.81 ,$104.81 ,$104.81 ,$112.96 ,$94.32 ,$104.81 ,$104.81 ,$104.81 ,$104.81 ST. JOSEPH'S - CHIPPEWA FALLS,30200184,86360,HC ABS T CELLS CD4 CD8 RATIO,302,1 ,$220.08 ,$165.06 ,$46.98 ,$220.08 ,$141.73 ,$46.98 ,$154.06 ,$48.54 ,$112.79 ,$50.00 ,$90.23 ,$209.08 , N/A ,$176.06 ,$200.27 ,$48.54 ,$206.88 ,$209.08 ,$198.07 ,$187.07 ,$48.54 ,$48.54 ,$48.54 ,$160.66 ,$46.98 ,$195.87 ,$198.07 ,$198.07 ,$176.06 ,$48.39 ,$121.04 ,$198.07 ,$46.98 ,$198.07 ,$46.98 ,$209.08 ,$105.71 ,$202.47 ,$51.45 ,$200.27 ,$46.98 ,$135.44 ,$141.73 ,$135.44 ,$198.07 ,$220.08 ,$165.06 ,$198.07 ,$47.45 ,$50.97 ,$205.77 ,$49.33 ,$48.54 ,$191.47 ,$46.98 ,$198.07 ,$46.98 ,$198.07 ,$198.07 ,$198.07 ,$213.48 ,$178.26 ,$198.07 ,$198.07 ,$198.07 ,$198.07 ST. JOSEPH'S - CHIPPEWA FALLS,30200189,86376,HC MICROSOMAL AB,302,1 ,$86.96 ,$65.22 ,$14.55 ,$86.96 ,$56.00 ,$14.55 ,$60.87 ,$15.03 ,$34.93 ,$15.48 ,$27.94 ,$82.61 , N/A ,$69.57 ,$79.13 ,$15.03 ,$81.74 ,$82.61 ,$78.26 ,$73.92 ,$15.03 ,$15.03 ,$15.03 ,$63.48 ,$14.55 ,$77.39 ,$78.26 ,$78.26 ,$69.57 ,$14.99 ,$47.83 ,$78.26 ,$14.55 ,$78.26 ,$14.55 ,$82.61 ,$32.74 ,$80.00 ,$15.93 ,$79.13 ,$14.55 ,$53.52 ,$56.00 ,$53.52 ,$78.26 ,$86.96 ,$65.22 ,$78.26 ,$14.70 ,$15.78 ,$81.31 ,$15.28 ,$15.03 ,$75.66 ,$14.55 ,$78.26 ,$14.55 ,$78.26 ,$78.26 ,$78.26 ,$84.35 ,$70.44 ,$78.26 ,$78.26 ,$78.26 ,$78.26 ST. JOSEPH'S - CHIPPEWA FALLS,30200191,86403,HC PARTICLE AGG SCREEN,302,1 ,$125.66 ,$94.25 ,$11.54 ,$125.66 ,$80.93 ,$11.54 ,$87.96 ,$11.92 ,$24.47 ,$12.28 ,$19.57 ,$119.38 , N/A ,$100.53 ,$114.35 ,$11.92 ,$118.12 ,$119.38 ,$113.09 ,$106.81 ,$11.92 ,$11.92 ,$11.92 ,$91.73 ,$11.54 ,$111.84 ,$113.09 ,$113.09 ,$100.53 ,$11.89 ,$69.11 ,$113.09 ,$11.54 ,$113.09 ,$11.54 ,$119.38 ,$25.97 ,$115.61 ,$12.64 ,$114.35 ,$11.54 ,$77.33 ,$80.93 ,$77.33 ,$113.09 ,$51.58 ,$94.25 ,$63.11 ,$11.66 ,$12.52 ,$117.49 ,$12.12 ,$11.92 ,$109.32 ,$11.54 ,$113.09 ,$11.54 ,$113.09 ,$113.09 ,$113.09 ,$121.89 ,$101.78 ,$113.09 ,$113.09 ,$113.09 ,$113.09 ST. JOSEPH'S - CHIPPEWA FALLS,30200197,86430,HC RHEUMATOID FACTOR,302,1 ,$231.46 ,$173.60 ,$6.14 ,$231.46 ,$149.06 ,$6.14 ,$162.02 ,$6.34 ,$13.62 ,$6.53 ,$10.89 ,$219.89 , N/A ,$185.17 ,$210.63 ,$6.34 ,$217.57 ,$219.89 ,$208.31 ,$196.74 ,$6.34 ,$6.34 ,$6.34 ,$168.97 ,$6.14 ,$206.00 ,$208.31 ,$208.31 ,$185.17 ,$6.32 ,$127.30 ,$208.31 ,$6.14 ,$208.31 ,$6.14 ,$219.89 ,$13.82 ,$212.94 ,$6.72 ,$210.63 ,$6.14 ,$142.44 ,$149.06 ,$142.44 ,$208.31 ,$57.09 ,$173.60 ,$35.11 ,$6.20 ,$6.66 ,$216.42 ,$6.45 ,$6.34 ,$201.37 ,$6.14 ,$208.31 ,$6.14 ,$208.31 ,$208.31 ,$208.31 ,$224.52 ,$187.48 ,$208.31 ,$208.31 ,$208.31 ,$208.31 ST. JOSEPH'S - CHIPPEWA FALLS,30200198,86431,HC RHEUMATOID FACTOR QN,302,1 ,$235.59 ,$176.69 ,$5.67 ,$235.59 ,$151.72 ,$5.67 ,$164.91 ,$5.86 ,$13.62 ,$6.04 ,$10.89 ,$223.81 , N/A ,$188.47 ,$214.39 ,$5.86 ,$221.45 ,$223.81 ,$212.03 ,$200.25 ,$5.86 ,$5.86 ,$5.86 ,$171.98 ,$5.67 ,$209.68 ,$212.03 ,$212.03 ,$188.47 ,$5.84 ,$129.57 ,$212.03 ,$5.67 ,$212.03 ,$5.67 ,$223.81 ,$12.76 ,$216.74 ,$6.21 ,$214.39 ,$5.67 ,$144.98 ,$151.72 ,$144.98 ,$212.03 ,$74.23 ,$176.69 ,$35.11 ,$5.73 ,$6.15 ,$220.28 ,$5.95 ,$5.86 ,$204.96 ,$5.67 ,$212.03 ,$5.67 ,$212.03 ,$212.03 ,$212.03 ,$228.52 ,$190.83 ,$212.03 ,$212.03 ,$212.03 ,$212.03 ST. JOSEPH'S - CHIPPEWA FALLS,30200201,86592,HC SYPHILIS VDRL RPR QL,302,1 ,$57.43 ,$43.07 ,$4.27 ,$57.43 ,$36.98 ,$4.27 ,$40.20 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$54.56 , N/A ,$45.94 ,$52.26 ,$4.41 ,$53.98 ,$54.56 ,$51.69 ,$48.82 ,$4.41 ,$4.41 ,$4.41 ,$41.92 ,$4.27 ,$51.11 ,$51.69 ,$51.69 ,$45.94 ,$4.40 ,$31.59 ,$51.69 ,$4.27 ,$51.69 ,$4.27 ,$54.56 ,$9.61 ,$52.84 ,$4.67 ,$52.26 ,$4.27 ,$35.34 ,$36.98 ,$35.34 ,$51.69 ,$43.91 ,$43.07 ,$26.44 ,$4.31 ,$4.63 ,$53.70 ,$4.48 ,$4.41 ,$49.96 ,$4.27 ,$51.69 ,$4.27 ,$51.69 ,$51.69 ,$51.69 ,$55.71 ,$46.52 ,$51.69 ,$51.69 ,$51.69 ,$51.69 ST. JOSEPH'S - CHIPPEWA FALLS,30200207,86606,HC ASPERGILLUS AB,302,1 ,$46.48 ,$34.86 ,$8.17 ,$46.48 ,$29.93 ,$15.05 ,$32.54 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$44.16 , N/A ,$37.18 ,$42.30 ,$8.17 ,$43.69 ,$44.16 ,$41.83 ,$39.51 ,$8.17 ,$8.17 ,$8.17 ,$33.93 ,$15.05 ,$41.37 ,$41.83 ,$41.83 ,$37.18 ,$15.50 ,$25.56 ,$41.83 ,$15.05 ,$41.83 ,$15.05 ,$44.16 ,$33.86 ,$42.76 ,$8.66 ,$42.30 ,$15.05 ,$28.60 ,$29.93 ,$28.60 ,$41.83 ,$46.48 ,$34.86 ,$41.83 ,$15.20 ,$8.58 ,$43.46 ,$15.80 ,$8.17 ,$40.44 ,$15.05 ,$41.83 ,$15.05 ,$41.83 ,$41.83 ,$41.83 ,$45.09 ,$37.65 ,$41.83 ,$41.83 ,$41.83 ,$41.83 ST. JOSEPH'S - CHIPPEWA FALLS,30200211,86609,HC BACTERIUM AB NOS,302,1 ,$39.75 ,$29.81 ,$8.17 ,$39.75 ,$25.60 ,$12.88 ,$27.83 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$37.76 , N/A ,$31.80 ,$36.17 ,$8.17 ,$37.37 ,$37.76 ,$35.78 ,$33.79 ,$8.17 ,$8.17 ,$8.17 ,$29.02 ,$12.88 ,$35.38 ,$35.78 ,$35.78 ,$31.80 ,$13.27 ,$21.86 ,$35.78 ,$12.88 ,$35.78 ,$12.88 ,$37.76 ,$28.98 ,$36.57 ,$8.66 ,$36.17 ,$12.88 ,$24.46 ,$25.60 ,$24.46 ,$35.78 ,$39.75 ,$29.81 ,$35.78 ,$13.01 ,$8.58 ,$37.17 ,$13.52 ,$8.17 ,$34.58 ,$12.88 ,$35.78 ,$12.88 ,$35.78 ,$35.78 ,$35.78 ,$38.56 ,$32.20 ,$35.78 ,$35.78 ,$35.78 ,$35.78 ST. JOSEPH'S - CHIPPEWA FALLS,30200212,86611,HC BARTONELLA SCREEN AB,302,1 ,$47.09 ,$35.32 ,$8.17 ,$47.09 ,$30.33 ,$10.18 ,$32.96 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$44.74 , N/A ,$37.67 ,$42.85 ,$8.17 ,$44.26 ,$44.74 ,$42.38 ,$40.03 ,$8.17 ,$8.17 ,$8.17 ,$34.38 ,$10.18 ,$41.91 ,$42.38 ,$42.38 ,$37.67 ,$10.49 ,$25.90 ,$42.38 ,$10.18 ,$42.38 ,$10.18 ,$44.74 ,$22.91 ,$43.32 ,$8.66 ,$42.85 ,$10.18 ,$28.98 ,$30.33 ,$28.98 ,$42.38 ,$47.09 ,$35.32 ,$42.38 ,$10.28 ,$8.58 ,$44.03 ,$10.69 ,$8.17 ,$40.97 ,$10.18 ,$42.38 ,$10.18 ,$42.38 ,$42.38 ,$42.38 ,$45.68 ,$38.14 ,$42.38 ,$42.38 ,$42.38 ,$42.38 ST. JOSEPH'S - CHIPPEWA FALLS,30200213,86612,HC BLASTOMYCES AB,302,1 ,$84.54 ,$63.41 ,$8.17 ,$84.54 ,$54.44 ,$12.90 ,$59.18 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$80.31 , N/A ,$67.63 ,$76.93 ,$8.17 ,$79.47 ,$80.31 ,$76.09 ,$71.86 ,$8.17 ,$8.17 ,$8.17 ,$61.71 ,$12.90 ,$75.24 ,$76.09 ,$76.09 ,$67.63 ,$13.29 ,$46.50 ,$76.09 ,$12.90 ,$76.09 ,$12.90 ,$80.31 ,$29.03 ,$77.78 ,$8.66 ,$76.93 ,$12.90 ,$52.03 ,$54.44 ,$52.03 ,$76.09 ,$43.91 ,$63.41 ,$76.09 ,$13.03 ,$8.58 ,$79.04 ,$13.55 ,$8.17 ,$73.55 ,$12.90 ,$76.09 ,$12.90 ,$76.09 ,$76.09 ,$76.09 ,$82.00 ,$68.48 ,$76.09 ,$76.09 ,$76.09 ,$76.09 ST. JOSEPH'S - CHIPPEWA FALLS,30200217,86617,HC LYME DISEASE AB CONFIRM (IGG),302,1 ,$104.10 ,$78.08 ,$15.49 ,$104.10 ,$67.04 ,$15.49 ,$72.87 ,$16.01 ,$37.19 ,$16.49 ,$29.75 ,$98.90 , N/A ,$83.28 ,$94.73 ,$16.01 ,$97.85 ,$98.90 ,$93.69 ,$88.49 ,$16.01 ,$16.01 ,$16.01 ,$75.99 ,$15.49 ,$92.65 ,$93.69 ,$93.69 ,$83.28 ,$15.95 ,$57.26 ,$93.69 ,$15.49 ,$93.69 ,$15.49 ,$98.90 ,$34.85 ,$95.77 ,$16.97 ,$94.73 ,$15.49 ,$64.06 ,$67.04 ,$64.06 ,$93.69 ,$104.10 ,$78.08 ,$93.69 ,$15.64 ,$16.81 ,$97.33 ,$16.26 ,$16.01 ,$90.57 ,$15.49 ,$93.69 ,$15.49 ,$93.69 ,$93.69 ,$93.69 ,$100.98 ,$84.32 ,$93.69 ,$93.69 ,$93.69 ,$93.69 ST. JOSEPH'S - CHIPPEWA FALLS,30200219,86618,HC LYME AB,302,1 ,$265.10 ,$198.83 ,$17.03 ,$265.10 ,$170.72 ,$17.03 ,$185.57 ,$17.60 ,$40.88 ,$18.13 ,$32.70 ,$251.85 , N/A ,$212.08 ,$241.24 ,$17.60 ,$249.19 ,$251.85 ,$238.59 ,$225.34 ,$17.60 ,$17.60 ,$17.60 ,$193.52 ,$17.03 ,$235.94 ,$238.59 ,$238.59 ,$212.08 ,$17.54 ,$145.81 ,$238.59 ,$17.03 ,$238.59 ,$17.03 ,$251.85 ,$38.32 ,$243.89 ,$18.66 ,$241.24 ,$17.03 ,$163.14 ,$170.72 ,$163.14 ,$238.59 ,$107.64 ,$198.83 ,$105.44 ,$17.20 ,$18.48 ,$247.87 ,$17.88 ,$17.60 ,$230.64 ,$17.03 ,$238.59 ,$17.03 ,$238.59 ,$238.59 ,$238.59 ,$257.15 ,$214.73 ,$238.59 ,$238.59 ,$238.59 ,$238.59 ST. JOSEPH'S - CHIPPEWA FALLS,30200222,86628,HC CANDIDA AB,302,1 ,$37.05 ,$27.79 ,$8.17 ,$37.05 ,$23.86 ,$12.01 ,$25.94 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$35.20 , N/A ,$29.64 ,$33.72 ,$8.17 ,$34.83 ,$35.20 ,$33.35 ,$31.49 ,$8.17 ,$8.17 ,$8.17 ,$27.05 ,$12.01 ,$32.97 ,$33.35 ,$33.35 ,$29.64 ,$12.37 ,$20.38 ,$33.35 ,$12.01 ,$33.35 ,$12.01 ,$35.20 ,$27.02 ,$34.09 ,$8.66 ,$33.72 ,$12.01 ,$22.80 ,$23.86 ,$22.80 ,$33.35 ,$37.05 ,$27.79 ,$33.35 ,$12.13 ,$8.58 ,$34.64 ,$12.61 ,$8.17 ,$32.23 ,$12.01 ,$33.35 ,$12.01 ,$33.35 ,$33.35 ,$33.35 ,$35.94 ,$30.01 ,$33.35 ,$33.35 ,$33.35 ,$33.35 ST. JOSEPH'S - CHIPPEWA FALLS,30200223,86631,HC CHLAMYDIA AB,302,1 ,$105.10 ,$78.83 ,$8.17 ,$105.10 ,$67.68 ,$11.82 ,$73.57 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$99.85 , N/A ,$84.08 ,$95.64 ,$8.17 ,$98.79 ,$99.85 ,$94.59 ,$89.34 ,$8.17 ,$8.17 ,$8.17 ,$76.72 ,$11.82 ,$93.54 ,$94.59 ,$94.59 ,$84.08 ,$12.17 ,$57.81 ,$94.59 ,$11.82 ,$94.59 ,$11.82 ,$99.85 ,$26.60 ,$96.69 ,$8.66 ,$95.64 ,$11.82 ,$64.68 ,$67.68 ,$64.68 ,$94.59 ,$56.01 ,$78.83 ,$73.24 ,$11.94 ,$8.58 ,$98.27 ,$12.41 ,$8.17 ,$91.44 ,$11.82 ,$94.59 ,$11.82 ,$94.59 ,$94.59 ,$94.59 ,$101.95 ,$85.13 ,$94.59 ,$94.59 ,$94.59 ,$94.59 ST. JOSEPH'S - CHIPPEWA FALLS,30200230,86632,HC CHLAMYDIA AB IGM,302,1 ,$39.15 ,$29.36 ,$8.17 ,$39.15 ,$25.21 ,$12.68 ,$27.41 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$37.19 , N/A ,$31.32 ,$35.63 ,$8.17 ,$36.80 ,$37.19 ,$35.24 ,$33.28 ,$8.17 ,$8.17 ,$8.17 ,$28.58 ,$12.68 ,$34.84 ,$35.24 ,$35.24 ,$31.32 ,$13.06 ,$21.53 ,$35.24 ,$12.68 ,$35.24 ,$12.68 ,$37.19 ,$28.53 ,$36.02 ,$8.66 ,$35.63 ,$12.68 ,$24.09 ,$25.21 ,$24.09 ,$35.24 ,$39.15 ,$29.36 ,$35.24 ,$12.81 ,$8.58 ,$36.61 ,$13.31 ,$8.17 ,$34.06 ,$12.68 ,$35.24 ,$12.68 ,$35.24 ,$35.24 ,$35.24 ,$37.98 ,$31.71 ,$35.24 ,$35.24 ,$35.24 ,$35.24 ST. JOSEPH'S - CHIPPEWA FALLS,30200231,86635,HC COCCIDIOIDES AB,302,1 ,$84.54 ,$63.41 ,$8.17 ,$84.54 ,$54.44 ,$11.47 ,$59.18 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$80.31 , N/A ,$67.63 ,$76.93 ,$8.17 ,$79.47 ,$80.31 ,$76.09 ,$71.86 ,$8.17 ,$8.17 ,$8.17 ,$61.71 ,$11.47 ,$75.24 ,$76.09 ,$76.09 ,$67.63 ,$11.81 ,$46.50 ,$76.09 ,$11.47 ,$76.09 ,$11.47 ,$80.31 ,$25.81 ,$77.78 ,$8.66 ,$76.93 ,$11.47 ,$52.03 ,$54.44 ,$52.03 ,$76.09 ,$35.16 ,$63.41 ,$71.08 ,$11.58 ,$8.58 ,$79.04 ,$12.04 ,$8.17 ,$73.55 ,$11.47 ,$76.09 ,$11.47 ,$76.09 ,$76.09 ,$76.09 ,$82.00 ,$68.48 ,$76.09 ,$76.09 ,$76.09 ,$76.09 ST. JOSEPH'S - CHIPPEWA FALLS,30200247,86666,HC EHRICHIA AB,302,1 ,$114.75 ,$86.06 ,$8.17 ,$114.75 ,$73.90 ,$10.18 ,$80.33 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$109.01 , N/A ,$91.80 ,$104.42 ,$8.17 ,$107.87 ,$109.01 ,$103.28 ,$97.54 ,$8.17 ,$8.17 ,$8.17 ,$83.77 ,$10.18 ,$102.13 ,$103.28 ,$103.28 ,$91.80 ,$10.49 ,$63.11 ,$103.28 ,$10.18 ,$103.28 ,$10.18 ,$109.01 ,$22.91 ,$105.57 ,$8.66 ,$104.42 ,$10.18 ,$70.62 ,$73.90 ,$70.62 ,$103.28 ,$63.79 ,$86.06 ,$63.01 ,$10.28 ,$8.58 ,$107.29 ,$10.69 ,$8.17 ,$99.83 ,$10.18 ,$103.28 ,$10.18 ,$103.28 ,$103.28 ,$103.28 ,$111.31 ,$92.95 ,$103.28 ,$103.28 ,$103.28 ,$103.28 ST. JOSEPH'S - CHIPPEWA FALLS,30200250,86671,HC FUNGUS AB NOS,302,1 ,$137.27 ,$102.95 ,$7.15 ,$137.27 ,$88.40 ,$12.25 ,$96.09 ,$7.15 ,$12.22 ,$7.36 ,$9.77 ,$130.41 , N/A ,$109.82 ,$124.92 ,$7.15 ,$129.03 ,$130.41 ,$123.54 ,$116.68 ,$7.15 ,$7.15 ,$7.15 ,$100.21 ,$12.25 ,$122.17 ,$123.54 ,$123.54 ,$109.82 ,$12.62 ,$75.50 ,$123.54 ,$12.25 ,$123.54 ,$12.25 ,$130.41 ,$27.56 ,$126.29 ,$7.58 ,$124.92 ,$12.25 ,$84.48 ,$88.40 ,$84.48 ,$123.54 ,$54.90 ,$102.95 ,$75.90 ,$12.37 ,$7.51 ,$128.35 ,$12.86 ,$7.15 ,$119.42 ,$12.25 ,$123.54 ,$12.25 ,$123.54 ,$123.54 ,$123.54 ,$133.15 ,$111.19 ,$123.54 ,$123.54 ,$123.54 ,$123.54 ST. JOSEPH'S - CHIPPEWA FALLS,30200251,86677,HC H PYLORI AB,302,1 ,$134.51 ,$100.88 ,$8.17 ,$134.51 ,$86.62 ,$16.85 ,$94.16 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$127.78 , N/A ,$107.61 ,$122.40 ,$8.17 ,$126.44 ,$127.78 ,$121.06 ,$114.33 ,$8.17 ,$8.17 ,$8.17 ,$98.19 ,$16.85 ,$119.71 ,$121.06 ,$121.06 ,$107.61 ,$17.36 ,$73.98 ,$121.06 ,$16.85 ,$121.06 ,$16.85 ,$127.78 ,$37.91 ,$123.75 ,$8.66 ,$122.40 ,$16.85 ,$82.78 ,$86.62 ,$82.78 ,$121.06 ,$134.51 ,$100.88 ,$89.84 ,$17.02 ,$8.58 ,$125.77 ,$17.69 ,$8.17 ,$117.02 ,$16.85 ,$121.06 ,$16.85 ,$121.06 ,$121.06 ,$121.06 ,$130.47 ,$108.95 ,$121.06 ,$121.06 ,$121.06 ,$121.06 ST. JOSEPH'S - CHIPPEWA FALLS,30200253,86689,HC HIV WESTERN BLOT,302,1 ,$144.72 ,$108.54 ,$19.35 ,$144.72 ,$93.20 ,$19.35 ,$101.30 ,$19.99 ,$46.46 ,$20.59 ,$37.17 ,$137.48 , N/A ,$115.78 ,$131.70 ,$19.99 ,$136.04 ,$137.48 ,$130.25 ,$123.01 ,$19.99 ,$19.99 ,$19.99 ,$105.65 ,$19.35 ,$128.80 ,$130.25 ,$130.25 ,$115.78 ,$19.93 ,$79.60 ,$130.25 ,$19.35 ,$130.25 ,$19.35 ,$137.48 ,$43.54 ,$133.14 ,$21.19 ,$131.70 ,$19.35 ,$89.06 ,$93.20 ,$89.06 ,$130.25 ,$65.02 ,$108.54 ,$119.89 ,$19.54 ,$20.99 ,$135.31 ,$20.32 ,$19.99 ,$125.91 ,$19.35 ,$130.25 ,$19.35 ,$130.25 ,$130.25 ,$130.25 ,$140.38 ,$117.22 ,$130.25 ,$130.25 ,$130.25 ,$130.25 ST. JOSEPH'S - CHIPPEWA FALLS,30200259,86694,HC HERPES SIMPLEX AB,302,1 ,$54.90 ,$41.18 ,$14.39 ,$54.90 ,$35.36 ,$14.39 ,$38.43 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$52.16 , N/A ,$43.92 ,$49.96 ,$14.87 ,$51.61 ,$52.16 ,$49.41 ,$46.67 ,$14.87 ,$14.87 ,$14.87 ,$40.08 ,$14.39 ,$48.86 ,$49.41 ,$49.41 ,$43.92 ,$14.82 ,$30.20 ,$49.41 ,$14.39 ,$49.41 ,$14.39 ,$52.16 ,$32.38 ,$50.51 ,$15.76 ,$49.96 ,$14.39 ,$33.79 ,$35.36 ,$33.79 ,$49.41 ,$54.90 ,$41.18 ,$49.41 ,$14.53 ,$15.61 ,$51.33 ,$15.11 ,$14.87 ,$47.76 ,$14.39 ,$49.41 ,$14.39 ,$49.41 ,$49.41 ,$49.41 ,$53.25 ,$44.47 ,$49.41 ,$49.41 ,$49.41 ,$49.41 ST. JOSEPH'S - CHIPPEWA FALLS,30200261,86695,HC HERPES SIMPLEX AB I,302,1 ,$81.22 ,$60.92 ,$13.19 ,$81.22 ,$52.31 ,$13.19 ,$56.85 ,$13.63 ,$31.66 ,$14.04 ,$25.33 ,$77.16 , N/A ,$64.98 ,$73.91 ,$13.63 ,$76.35 ,$77.16 ,$73.10 ,$69.04 ,$13.63 ,$13.63 ,$13.63 ,$59.29 ,$13.19 ,$72.29 ,$73.10 ,$73.10 ,$64.98 ,$13.59 ,$44.67 ,$73.10 ,$13.19 ,$73.10 ,$13.19 ,$77.16 ,$29.68 ,$74.72 ,$14.45 ,$73.91 ,$13.19 ,$49.98 ,$52.31 ,$49.98 ,$73.10 ,$76.87 ,$60.92 ,$73.10 ,$13.32 ,$14.31 ,$75.94 ,$13.85 ,$13.63 ,$70.66 ,$13.19 ,$73.10 ,$13.19 ,$73.10 ,$73.10 ,$73.10 ,$78.78 ,$65.79 ,$73.10 ,$73.10 ,$73.10 ,$73.10 ST. JOSEPH'S - CHIPPEWA FALLS,30200263,86696,HC HERPES SIMPLEX AB II,302,1 ,$115.90 ,$86.93 ,$19.35 ,$115.90 ,$74.64 ,$19.35 ,$81.13 ,$19.99 ,$46.46 ,$20.59 ,$37.17 ,$110.11 , N/A ,$92.72 ,$105.47 ,$19.99 ,$108.95 ,$110.11 ,$104.31 ,$98.52 ,$19.99 ,$19.99 ,$19.99 ,$84.61 ,$19.35 ,$103.15 ,$104.31 ,$104.31 ,$92.72 ,$19.93 ,$63.75 ,$104.31 ,$19.35 ,$104.31 ,$19.35 ,$110.11 ,$43.54 ,$106.63 ,$21.19 ,$105.47 ,$19.35 ,$71.32 ,$74.64 ,$71.32 ,$104.31 ,$62.83 ,$86.93 ,$104.31 ,$19.54 ,$20.99 ,$108.37 ,$20.32 ,$19.99 ,$100.83 ,$19.35 ,$104.31 ,$19.35 ,$104.31 ,$104.31 ,$104.31 ,$112.42 ,$93.88 ,$104.31 ,$104.31 ,$104.31 ,$104.31 ST. JOSEPH'S - CHIPPEWA FALLS,30200265,86698,HC HISTOPLASMA AB,302,1 ,$41.24 ,$30.93 ,$13.79 ,$41.24 ,$26.56 ,$13.79 ,$28.87 ,$14.25 ,$26.95 ,$14.68 ,$21.56 ,$39.18 , N/A ,$32.99 ,$37.53 ,$14.25 ,$38.77 ,$39.18 ,$37.12 ,$35.05 ,$14.25 ,$14.25 ,$14.25 ,$30.11 ,$13.79 ,$36.70 ,$37.12 ,$37.12 ,$32.99 ,$14.20 ,$22.68 ,$37.12 ,$13.79 ,$37.12 ,$13.79 ,$39.18 ,$31.03 ,$37.94 ,$15.11 ,$37.53 ,$13.79 ,$25.38 ,$26.56 ,$25.38 ,$37.12 ,$41.24 ,$30.93 ,$37.12 ,$13.93 ,$14.96 ,$38.56 ,$14.48 ,$14.25 ,$35.88 ,$13.79 ,$37.12 ,$13.79 ,$37.12 ,$37.12 ,$37.12 ,$40.00 ,$33.40 ,$37.12 ,$37.12 ,$37.12 ,$37.12 ST. JOSEPH'S - CHIPPEWA FALLS,30200270,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$90.11 ,$67.58 ,$13.71 ,$90.11 ,$58.03 ,$13.71 ,$63.08 ,$14.17 ,$32.90 ,$14.60 ,$26.32 ,$85.60 , N/A ,$72.09 ,$82.00 ,$14.17 ,$84.70 ,$85.60 ,$81.10 ,$76.59 ,$14.17 ,$14.17 ,$14.17 ,$65.78 ,$13.71 ,$80.20 ,$81.10 ,$81.10 ,$72.09 ,$14.12 ,$49.56 ,$81.10 ,$13.71 ,$81.10 ,$13.71 ,$85.60 ,$30.85 ,$82.90 ,$15.02 ,$82.00 ,$13.71 ,$55.45 ,$58.03 ,$55.45 ,$81.10 ,$79.07 ,$67.58 ,$81.10 ,$13.85 ,$14.88 ,$84.25 ,$14.40 ,$14.17 ,$78.40 ,$13.71 ,$81.10 ,$13.71 ,$81.10 ,$81.10 ,$81.10 ,$87.41 ,$72.99 ,$81.10 ,$81.10 ,$81.10 ,$81.10 ST. JOSEPH'S - CHIPPEWA FALLS,30200282,86735,HC MUMPS AB,302,1 ,$106.02 ,$79.52 ,$13.05 ,$106.02 ,$68.28 ,$13.05 ,$74.21 ,$13.48 ,$31.33 ,$13.88 ,$25.06 ,$100.72 , N/A ,$84.82 ,$96.48 ,$13.48 ,$99.66 ,$100.72 ,$95.42 ,$90.12 ,$13.48 ,$13.48 ,$13.48 ,$77.39 ,$13.05 ,$94.36 ,$95.42 ,$95.42 ,$84.82 ,$13.44 ,$58.31 ,$95.42 ,$13.05 ,$95.42 ,$13.05 ,$100.72 ,$29.36 ,$97.54 ,$14.29 ,$96.48 ,$13.05 ,$65.24 ,$68.28 ,$65.24 ,$95.42 ,$65.02 ,$79.52 ,$80.81 ,$13.18 ,$14.15 ,$99.13 ,$13.70 ,$13.48 ,$92.24 ,$13.05 ,$95.42 ,$13.05 ,$95.42 ,$95.42 ,$95.42 ,$102.84 ,$85.88 ,$95.42 ,$95.42 ,$95.42 ,$95.42 ST. JOSEPH'S - CHIPPEWA FALLS,30200285,86744,HC NOCARDIA AB,302,1 ,$40.70 ,$30.53 ,$8.17 ,$40.70 ,$26.21 ,$15.99 ,$28.49 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$38.67 , N/A ,$32.56 ,$37.04 ,$8.17 ,$38.26 ,$38.67 ,$36.63 ,$34.60 ,$8.17 ,$8.17 ,$8.17 ,$29.71 ,$15.99 ,$36.22 ,$36.63 ,$36.63 ,$32.56 ,$16.47 ,$22.39 ,$36.63 ,$15.99 ,$36.63 ,$15.99 ,$38.67 ,$35.98 ,$37.44 ,$8.66 ,$37.04 ,$15.99 ,$25.05 ,$26.21 ,$25.05 ,$36.63 ,$40.70 ,$30.53 ,$36.63 ,$16.15 ,$8.58 ,$38.05 ,$16.79 ,$8.17 ,$35.41 ,$15.99 ,$36.63 ,$15.99 ,$36.63 ,$36.63 ,$36.63 ,$39.48 ,$32.97 ,$36.63 ,$36.63 ,$36.63 ,$36.63 ST. JOSEPH'S - CHIPPEWA FALLS,30200288,86762,HC RUBELLA AB,302,1 ,$162.58 ,$121.94 ,$14.39 ,$162.58 ,$104.70 ,$14.39 ,$113.81 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$154.45 , N/A ,$130.06 ,$147.95 ,$14.87 ,$152.83 ,$154.45 ,$146.32 ,$138.19 ,$14.87 ,$14.87 ,$14.87 ,$118.68 ,$14.39 ,$144.70 ,$146.32 ,$146.32 ,$130.06 ,$14.82 ,$89.42 ,$146.32 ,$14.39 ,$146.32 ,$14.39 ,$154.45 ,$32.38 ,$149.57 ,$15.76 ,$147.95 ,$14.39 ,$100.05 ,$104.70 ,$100.05 ,$146.32 ,$60.62 ,$121.94 ,$113.81 ,$14.53 ,$15.61 ,$152.01 ,$15.11 ,$14.87 ,$141.44 ,$14.39 ,$146.32 ,$14.39 ,$146.32 ,$146.32 ,$146.32 ,$157.70 ,$131.69 ,$146.32 ,$146.32 ,$146.32 ,$146.32 ST. JOSEPH'S - CHIPPEWA FALLS,30200291,86765,HC RUBEOLA AB,302,1 ,$79.38 ,$59.54 ,$12.88 ,$79.38 ,$51.12 ,$12.88 ,$55.57 ,$13.31 ,$30.92 ,$13.71 ,$24.74 ,$75.41 , N/A ,$63.50 ,$72.24 ,$13.31 ,$74.62 ,$75.41 ,$71.44 ,$67.47 ,$13.31 ,$13.31 ,$13.31 ,$57.95 ,$12.88 ,$70.65 ,$71.44 ,$71.44 ,$63.50 ,$13.27 ,$43.66 ,$71.44 ,$12.88 ,$71.44 ,$12.88 ,$75.41 ,$28.98 ,$73.03 ,$14.11 ,$72.24 ,$12.88 ,$48.85 ,$51.12 ,$48.85 ,$71.44 ,$57.99 ,$59.54 ,$71.44 ,$13.01 ,$13.98 ,$74.22 ,$13.52 ,$13.31 ,$69.06 ,$12.88 ,$71.44 ,$12.88 ,$71.44 ,$71.44 ,$71.44 ,$77.00 ,$64.30 ,$71.44 ,$71.44 ,$71.44 ,$71.44 ST. JOSEPH'S - CHIPPEWA FALLS,30200298,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$105.68 ,$79.26 ,$11.13 ,$105.68 ,$68.06 ,$13.24 ,$73.98 ,$11.13 ,$19.01 ,$11.46 ,$15.20 ,$100.40 , N/A ,$84.54 ,$96.17 ,$11.13 ,$99.34 ,$100.40 ,$95.11 ,$89.83 ,$11.13 ,$11.13 ,$11.13 ,$77.15 ,$13.24 ,$94.06 ,$95.11 ,$95.11 ,$84.54 ,$13.64 ,$58.12 ,$95.11 ,$13.24 ,$95.11 ,$13.24 ,$100.40 ,$29.79 ,$97.23 ,$11.80 ,$96.17 ,$13.24 ,$65.04 ,$68.06 ,$65.04 ,$95.11 ,$49.28 ,$79.26 ,$81.97 ,$13.37 ,$11.69 ,$98.81 ,$13.90 ,$11.13 ,$91.94 ,$13.24 ,$95.11 ,$13.24 ,$95.11 ,$95.11 ,$95.11 ,$102.51 ,$85.60 ,$95.11 ,$95.11 ,$95.11 ,$95.11 ST. JOSEPH'S - CHIPPEWA FALLS,30200299,86787,HC VARICELLA ZOSTER ATB,302,1 ,$108.89 ,$81.67 ,$8.17 ,$108.89 ,$70.13 ,$12.88 ,$76.22 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$103.45 , N/A ,$87.11 ,$99.09 ,$8.17 ,$102.36 ,$103.45 ,$98.00 ,$92.56 ,$8.17 ,$8.17 ,$8.17 ,$79.49 ,$12.88 ,$96.91 ,$98.00 ,$98.00 ,$87.11 ,$13.27 ,$59.89 ,$98.00 ,$12.88 ,$98.00 ,$12.88 ,$103.45 ,$28.98 ,$100.18 ,$8.66 ,$99.09 ,$12.88 ,$67.01 ,$70.13 ,$67.01 ,$98.00 ,$43.91 ,$81.67 ,$79.76 ,$13.01 ,$8.58 ,$101.81 ,$13.52 ,$8.17 ,$94.73 ,$12.88 ,$98.00 ,$12.88 ,$98.00 ,$98.00 ,$98.00 ,$105.62 ,$88.20 ,$98.00 ,$98.00 ,$98.00 ,$98.00 ST. JOSEPH'S - CHIPPEWA FALLS,30200303,86788,HC WEST NILE VIRUS AB IGM,302,1 ,$52.00 ,$39.00 ,$8.17 ,$52.00 ,$33.49 ,$16.85 ,$36.40 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$49.40 , N/A ,$41.60 ,$47.32 ,$8.17 ,$48.88 ,$49.40 ,$46.80 ,$44.20 ,$8.17 ,$8.17 ,$8.17 ,$37.96 ,$16.85 ,$46.28 ,$46.80 ,$46.80 ,$41.60 ,$17.36 ,$28.60 ,$46.80 ,$16.85 ,$46.80 ,$16.85 ,$49.40 ,$37.91 ,$47.84 ,$8.66 ,$47.32 ,$16.85 ,$32.00 ,$33.49 ,$32.00 ,$46.80 ,$45.41 ,$39.00 ,$46.80 ,$17.02 ,$8.58 ,$48.62 ,$17.69 ,$8.17 ,$45.24 ,$16.85 ,$46.80 ,$16.85 ,$46.80 ,$46.80 ,$46.80 ,$50.44 ,$42.12 ,$46.80 ,$46.80 ,$46.80 ,$46.80 ST. JOSEPH'S - CHIPPEWA FALLS,30200304,86789,HC WEST NILE AB,302,1 ,$100.52 ,$75.39 ,$14.39 ,$100.52 ,$64.73 ,$14.39 ,$70.36 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$95.49 , N/A ,$80.42 ,$91.47 ,$14.87 ,$94.49 ,$95.49 ,$90.47 ,$85.44 ,$14.87 ,$14.87 ,$14.87 ,$73.38 ,$14.39 ,$89.46 ,$90.47 ,$90.47 ,$80.42 ,$14.82 ,$55.29 ,$90.47 ,$14.39 ,$90.47 ,$14.39 ,$95.49 ,$32.38 ,$92.48 ,$15.76 ,$91.47 ,$14.39 ,$61.86 ,$64.73 ,$61.86 ,$90.47 ,$38.81 ,$75.39 ,$89.14 ,$14.53 ,$15.61 ,$93.99 ,$15.11 ,$14.87 ,$87.45 ,$14.39 ,$90.47 ,$14.39 ,$90.47 ,$90.47 ,$90.47 ,$97.50 ,$81.42 ,$90.47 ,$90.47 ,$90.47 ,$90.47 ST. JOSEPH'S - CHIPPEWA FALLS,30200312,86800,HC THYROGLOBULIN AB,302,1 ,$86.84 ,$65.13 ,$15.91 ,$86.84 ,$55.93 ,$15.91 ,$60.79 ,$16.44 ,$38.19 ,$16.93 ,$30.55 ,$82.50 , N/A ,$69.47 ,$79.02 ,$16.44 ,$81.63 ,$82.50 ,$78.16 ,$73.81 ,$16.44 ,$16.44 ,$16.44 ,$63.39 ,$15.91 ,$77.29 ,$78.16 ,$78.16 ,$69.47 ,$16.39 ,$47.76 ,$78.16 ,$15.91 ,$78.16 ,$15.91 ,$82.50 ,$35.80 ,$79.89 ,$17.43 ,$79.02 ,$15.91 ,$53.44 ,$55.93 ,$53.44 ,$78.16 ,$86.84 ,$65.13 ,$78.16 ,$16.07 ,$17.26 ,$81.20 ,$16.71 ,$16.44 ,$75.55 ,$15.91 ,$78.16 ,$15.91 ,$78.16 ,$78.16 ,$78.16 ,$84.23 ,$70.34 ,$78.16 ,$78.16 ,$78.16 ,$78.16 ST. JOSEPH'S - CHIPPEWA FALLS,30200314,86803,HC HEP C AB,302,1 ,$152.89 ,$114.67 ,$14.27 ,$152.89 ,$98.46 ,$14.27 ,$107.02 ,$14.75 ,$34.25 ,$15.19 ,$27.40 ,$145.25 , N/A ,$122.31 ,$139.13 ,$14.75 ,$143.72 ,$145.25 ,$137.60 ,$129.96 ,$14.75 ,$14.75 ,$14.75 ,$111.61 ,$14.27 ,$136.07 ,$137.60 ,$137.60 ,$122.31 ,$14.70 ,$84.09 ,$137.60 ,$14.27 ,$137.60 ,$14.27 ,$145.25 ,$32.11 ,$140.66 ,$15.64 ,$139.13 ,$14.27 ,$94.09 ,$98.46 ,$94.09 ,$137.60 ,$71.73 ,$114.67 ,$88.34 ,$14.41 ,$15.49 ,$142.95 ,$14.98 ,$14.75 ,$133.01 ,$14.27 ,$137.60 ,$14.27 ,$137.60 ,$137.60 ,$137.60 ,$148.30 ,$123.84 ,$137.60 ,$137.60 ,$137.60 ,$137.60 ST. JOSEPH'S - CHIPPEWA FALLS,30200502,87272,HC CRYPTOSPORIDIUM,302,1 ,$37.00 ,$27.75 ,$11.98 ,$37.00 ,$23.83 ,$11.98 ,$25.90 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$35.15 , N/A ,$29.60 ,$33.67 ,$12.38 ,$34.78 ,$35.15 ,$33.30 ,$31.45 ,$12.38 ,$12.38 ,$12.38 ,$27.01 ,$11.98 ,$32.93 ,$33.30 ,$33.30 ,$29.60 ,$12.34 ,$20.35 ,$33.30 ,$11.98 ,$33.30 ,$11.98 ,$35.15 ,$26.96 ,$34.04 ,$13.12 ,$33.67 ,$11.98 ,$22.77 ,$23.83 ,$22.77 ,$33.30 ,$37.00 ,$27.75 ,$33.30 ,$12.10 ,$13.00 ,$34.60 ,$12.58 ,$12.38 ,$32.19 ,$11.98 ,$33.30 ,$11.98 ,$33.30 ,$33.30 ,$33.30 ,$35.89 ,$29.97 ,$33.30 ,$33.30 ,$33.30 ,$33.30 ST. JOSEPH'S - CHIPPEWA FALLS,30200503,86022,HC PLATELET AB ID (HIT),302,1 ,$411.33 ,$308.50 ,$18.37 ,$411.33 ,$264.90 ,$18.37 ,$287.93 ,$18.98 ,$44.10 ,$19.55 ,$35.28 ,$390.76 , N/A ,$329.06 ,$374.31 ,$18.98 ,$386.65 ,$390.76 ,$370.20 ,$349.63 ,$18.98 ,$18.98 ,$18.98 ,$300.27 ,$18.37 ,$366.08 ,$370.20 ,$370.20 ,$329.06 ,$18.92 ,$226.23 ,$370.20 ,$18.37 ,$370.20 ,$18.37 ,$390.76 ,$41.33 ,$378.42 ,$20.12 ,$374.31 ,$18.37 ,$253.13 ,$264.90 ,$253.13 ,$370.20 ,$230.61 ,$308.50 ,$113.77 ,$18.55 ,$19.93 ,$384.59 ,$19.29 ,$18.98 ,$357.86 ,$18.37 ,$370.20 ,$18.37 ,$370.20 ,$370.20 ,$370.20 ,$398.99 ,$333.18 ,$370.20 ,$370.20 ,$370.20 ,$370.20 ST. JOSEPH'S - CHIPPEWA FALLS,30200504,86023,HC PLATELET ASSOC AB ID IGG,302,1 ,$149.90 ,$112.43 ,$12.46 ,$149.90 ,$96.54 ,$12.46 ,$104.93 ,$12.87 ,$29.91 ,$13.26 ,$23.93 ,$142.41 , N/A ,$119.92 ,$136.41 ,$12.87 ,$140.91 ,$142.41 ,$134.91 ,$127.42 ,$12.87 ,$12.87 ,$12.87 ,$109.43 ,$12.46 ,$133.41 ,$134.91 ,$134.91 ,$119.92 ,$12.83 ,$82.45 ,$134.91 ,$12.46 ,$134.91 ,$12.46 ,$142.41 ,$28.04 ,$137.91 ,$13.64 ,$136.41 ,$12.46 ,$92.25 ,$96.54 ,$92.25 ,$134.91 ,$56.76 ,$112.43 ,$77.15 ,$12.58 ,$13.51 ,$140.16 ,$13.08 ,$12.87 ,$130.41 ,$12.46 ,$134.91 ,$12.46 ,$134.91 ,$134.91 ,$134.91 ,$145.40 ,$121.42 ,$134.91 ,$134.91 ,$134.91 ,$134.91 ST. JOSEPH'S - CHIPPEWA FALLS,30200505,86039,HC ANA TITER,302,1 ,$41.93 ,$31.45 ,$11.16 ,$41.93 ,$27.00 ,$11.16 ,$29.35 ,$11.53 ,$26.79 ,$11.88 ,$21.43 ,$39.83 , N/A ,$33.54 ,$38.16 ,$11.53 ,$39.41 ,$39.83 ,$37.74 ,$35.64 ,$11.53 ,$11.53 ,$11.53 ,$30.61 ,$11.16 ,$37.32 ,$37.74 ,$37.74 ,$33.54 ,$11.49 ,$23.06 ,$37.74 ,$11.16 ,$37.74 ,$11.16 ,$39.83 ,$25.11 ,$38.58 ,$12.22 ,$38.16 ,$11.16 ,$25.80 ,$27.00 ,$25.80 ,$37.74 ,$41.93 ,$31.45 ,$37.74 ,$11.27 ,$12.11 ,$39.20 ,$11.72 ,$11.53 ,$36.48 ,$11.16 ,$37.74 ,$11.16 ,$37.74 ,$37.74 ,$37.74 ,$40.67 ,$33.96 ,$37.74 ,$37.74 ,$37.74 ,$37.74 ST. JOSEPH'S - CHIPPEWA FALLS,30200506,86060,HC ASO,302,1 ,$120.50 ,$90.38 ,$7.30 ,$120.50 ,$77.60 ,$7.30 ,$84.35 ,$7.54 ,$17.52 ,$7.77 ,$14.01 ,$114.48 , N/A ,$96.40 ,$109.66 ,$7.54 ,$113.27 ,$114.48 ,$108.45 ,$102.43 ,$7.54 ,$7.54 ,$7.54 ,$87.97 ,$7.30 ,$107.25 ,$108.45 ,$108.45 ,$96.40 ,$7.52 ,$66.28 ,$108.45 ,$7.30 ,$108.45 ,$7.30 ,$114.48 ,$16.43 ,$110.86 ,$7.99 ,$109.66 ,$7.30 ,$74.16 ,$77.60 ,$74.16 ,$108.45 ,$69.19 ,$90.38 ,$45.20 ,$7.37 ,$7.92 ,$112.67 ,$7.67 ,$7.54 ,$104.84 ,$7.30 ,$108.45 ,$7.30 ,$108.45 ,$108.45 ,$108.45 ,$116.89 ,$97.61 ,$108.45 ,$108.45 ,$108.45 ,$108.45 ST. JOSEPH'S - CHIPPEWA FALLS,30200507,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$205.95 ,$154.46 ,$12.95 ,$205.95 ,$132.63 ,$12.95 ,$144.17 ,$13.38 ,$31.08 ,$13.78 ,$24.86 ,$195.65 , N/A ,$164.76 ,$187.41 ,$13.38 ,$193.59 ,$195.65 ,$185.36 ,$175.06 ,$13.38 ,$13.38 ,$13.38 ,$150.34 ,$12.95 ,$183.30 ,$185.36 ,$185.36 ,$164.76 ,$13.34 ,$113.27 ,$185.36 ,$12.95 ,$185.36 ,$12.95 ,$195.65 ,$29.14 ,$189.47 ,$14.18 ,$187.41 ,$12.95 ,$126.74 ,$132.63 ,$126.74 ,$185.36 ,$35.26 ,$154.46 ,$80.16 ,$13.08 ,$14.05 ,$192.56 ,$13.60 ,$13.38 ,$179.18 ,$12.95 ,$185.36 ,$12.95 ,$185.36 ,$185.36 ,$185.36 ,$199.77 ,$166.82 ,$185.36 ,$185.36 ,$185.36 ,$185.36 ST. JOSEPH'S - CHIPPEWA FALLS,30200508,86162,HC COMPLEMENT TOTAL,302,1 ,$112.45 ,$84.34 ,$20.32 ,$112.45 ,$72.42 ,$20.32 ,$78.72 ,$21.00 ,$45.43 ,$21.63 ,$36.34 ,$106.83 , N/A ,$89.96 ,$102.33 ,$21.00 ,$105.70 ,$106.83 ,$101.21 ,$95.58 ,$21.00 ,$21.00 ,$21.00 ,$82.09 ,$20.32 ,$100.08 ,$101.21 ,$101.21 ,$89.96 ,$20.93 ,$61.85 ,$101.21 ,$20.32 ,$101.21 ,$20.32 ,$106.83 ,$45.72 ,$103.45 ,$22.26 ,$102.33 ,$20.32 ,$69.20 ,$72.42 ,$69.20 ,$101.21 ,$112.45 ,$84.34 ,$101.21 ,$20.52 ,$22.05 ,$105.14 ,$21.34 ,$21.00 ,$97.83 ,$20.32 ,$101.21 ,$20.32 ,$101.21 ,$101.21 ,$101.21 ,$109.08 ,$91.08 ,$101.21 ,$101.21 ,$101.21 ,$101.21 ST. JOSEPH'S - CHIPPEWA FALLS,30200509,86171,HC COMPLEMENT FIXATION EA ANTIGEN,302,1 ,$334.38 ,$250.79 ,$10.01 ,$334.38 ,$215.34 ,$10.01 ,$234.07 ,$10.34 ,$24.03 ,$10.65 ,$19.22 ,$317.66 , N/A ,$267.50 ,$304.29 ,$10.34 ,$314.32 ,$317.66 ,$300.94 ,$284.22 ,$10.34 ,$10.34 ,$10.34 ,$244.10 ,$10.01 ,$297.60 ,$300.94 ,$300.94 ,$267.50 ,$10.31 ,$183.91 ,$300.94 ,$10.01 ,$300.94 ,$10.01 ,$317.66 ,$22.52 ,$307.63 ,$10.96 ,$304.29 ,$10.01 ,$205.78 ,$215.34 ,$205.78 ,$300.94 ,$92.26 ,$250.79 ,$62.00 ,$10.11 ,$10.86 ,$312.65 ,$10.51 ,$10.34 ,$290.91 ,$10.01 ,$300.94 ,$10.01 ,$300.94 ,$300.94 ,$300.94 ,$324.35 ,$270.85 ,$300.94 ,$300.94 ,$300.94 ,$300.94 ST. JOSEPH'S - CHIPPEWA FALLS,30200510,86200,HC CCP AB,302,1 ,$107.97 ,$80.98 ,$12.95 ,$107.97 ,$69.53 ,$12.95 ,$75.58 ,$13.38 ,$31.08 ,$13.78 ,$24.86 ,$102.57 , N/A ,$86.38 ,$98.25 ,$13.38 ,$101.49 ,$102.57 ,$97.17 ,$91.77 ,$13.38 ,$13.38 ,$13.38 ,$78.82 ,$12.95 ,$96.09 ,$97.17 ,$97.17 ,$86.38 ,$13.34 ,$59.38 ,$97.17 ,$12.95 ,$97.17 ,$12.95 ,$102.57 ,$29.14 ,$99.33 ,$14.18 ,$98.25 ,$12.95 ,$66.44 ,$69.53 ,$66.44 ,$97.17 ,$38.50 ,$80.98 ,$80.16 ,$13.08 ,$14.05 ,$100.95 ,$13.60 ,$13.38 ,$93.93 ,$12.95 ,$97.17 ,$12.95 ,$97.17 ,$97.17 ,$97.17 ,$104.73 ,$87.46 ,$97.17 ,$97.17 ,$97.17 ,$97.17 ST. JOSEPH'S - CHIPPEWA FALLS,30200511,86226,HC DNA SINGLE STRAND AB,302,1 ,$96.26 ,$72.20 ,$12.11 ,$96.26 ,$61.99 ,$12.11 ,$67.38 ,$12.51 ,$29.07 ,$12.89 ,$23.25 ,$91.45 , N/A ,$77.01 ,$87.60 ,$12.51 ,$90.48 ,$91.45 ,$86.63 ,$81.82 ,$12.51 ,$12.51 ,$12.51 ,$70.27 ,$12.11 ,$85.67 ,$86.63 ,$86.63 ,$77.01 ,$12.47 ,$52.94 ,$86.63 ,$12.11 ,$86.63 ,$12.11 ,$91.45 ,$27.25 ,$88.56 ,$13.26 ,$87.60 ,$12.11 ,$59.24 ,$61.99 ,$59.24 ,$86.63 ,$96.26 ,$72.20 ,$75.00 ,$12.23 ,$13.14 ,$90.00 ,$12.72 ,$12.51 ,$83.75 ,$12.11 ,$86.63 ,$12.11 ,$86.63 ,$86.63 ,$86.63 ,$93.37 ,$77.97 ,$86.63 ,$86.63 ,$86.63 ,$86.63 ST. JOSEPH'S - CHIPPEWA FALLS,30200512,86255,HC FLUOR AB SCR,302,1 ,$120.80 ,$90.60 ,$12.05 ,$120.80 ,$77.80 ,$12.05 ,$84.56 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$114.76 , N/A ,$96.64 ,$109.93 ,$12.45 ,$113.55 ,$114.76 ,$108.72 ,$102.68 ,$12.45 ,$12.45 ,$12.45 ,$88.18 ,$12.05 ,$107.51 ,$108.72 ,$108.72 ,$96.64 ,$12.41 ,$66.44 ,$108.72 ,$12.05 ,$108.72 ,$12.05 ,$114.76 ,$27.11 ,$111.14 ,$13.20 ,$109.93 ,$12.05 ,$74.34 ,$77.80 ,$74.34 ,$108.72 ,$114.22 ,$90.60 ,$74.64 ,$12.17 ,$13.07 ,$112.95 ,$12.65 ,$12.45 ,$105.10 ,$12.05 ,$108.72 ,$12.05 ,$108.72 ,$108.72 ,$108.72 ,$117.18 ,$97.85 ,$108.72 ,$108.72 ,$108.72 ,$108.72 ST. JOSEPH'S - CHIPPEWA FALLS,30200513,86256,HC FLUOR AB TITER,302,1 ,$75.24 ,$56.43 ,$12.05 ,$75.24 ,$48.45 ,$12.05 ,$52.67 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$71.48 , N/A ,$60.19 ,$68.47 ,$12.45 ,$70.73 ,$71.48 ,$67.72 ,$63.95 ,$12.45 ,$12.45 ,$12.45 ,$54.93 ,$12.05 ,$66.96 ,$67.72 ,$67.72 ,$60.19 ,$12.41 ,$41.38 ,$67.72 ,$12.05 ,$67.72 ,$12.05 ,$71.48 ,$27.11 ,$69.22 ,$13.20 ,$68.47 ,$12.05 ,$46.30 ,$48.45 ,$46.30 ,$67.72 ,$75.24 ,$56.43 ,$67.72 ,$12.17 ,$13.07 ,$70.35 ,$12.65 ,$12.45 ,$65.46 ,$12.05 ,$67.72 ,$12.05 ,$67.72 ,$67.72 ,$67.72 ,$72.98 ,$60.94 ,$67.72 ,$67.72 ,$67.72 ,$67.72 ST. JOSEPH'S - CHIPPEWA FALLS,30200514,86280,HC MEASLES SEROLOGY (HAI),302,1 ,$85.46 ,$64.10 ,$8.19 ,$85.46 ,$55.04 ,$8.19 ,$59.82 ,$8.46 ,$18.71 ,$8.71 ,$14.97 ,$81.19 , N/A ,$68.37 ,$77.77 ,$8.46 ,$80.33 ,$81.19 ,$76.91 ,$72.64 ,$8.46 ,$8.46 ,$8.46 ,$62.39 ,$8.19 ,$76.06 ,$76.91 ,$76.91 ,$68.37 ,$8.44 ,$47.00 ,$76.91 ,$8.19 ,$76.91 ,$8.19 ,$81.19 ,$18.43 ,$78.62 ,$8.97 ,$77.77 ,$8.19 ,$52.59 ,$55.04 ,$52.59 ,$76.91 ,$68.07 ,$64.10 ,$50.77 ,$8.27 ,$8.88 ,$79.91 ,$8.60 ,$8.46 ,$74.35 ,$8.19 ,$76.91 ,$8.19 ,$76.91 ,$76.91 ,$76.91 ,$82.90 ,$69.22 ,$76.91 ,$76.91 ,$76.91 ,$76.91 ST. JOSEPH'S - CHIPPEWA FALLS,30200515,86304,HC TUMOR AG CA 125,302,1 ,$179.77 ,$134.83 ,$20.81 ,$179.77 ,$115.77 ,$20.81 ,$125.84 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$170.78 , N/A ,$143.82 ,$163.59 ,$21.50 ,$168.98 ,$170.78 ,$161.79 ,$152.80 ,$21.50 ,$21.50 ,$21.50 ,$131.23 ,$20.81 ,$160.00 ,$161.79 ,$161.79 ,$143.82 ,$21.43 ,$98.87 ,$161.79 ,$20.81 ,$161.79 ,$20.81 ,$170.78 ,$46.82 ,$165.39 ,$22.79 ,$163.59 ,$20.81 ,$110.63 ,$115.77 ,$110.63 ,$161.79 ,$73.45 ,$134.83 ,$128.92 ,$21.02 ,$22.58 ,$168.09 ,$21.85 ,$21.50 ,$156.40 ,$20.81 ,$161.79 ,$20.81 ,$161.79 ,$161.79 ,$161.79 ,$174.38 ,$145.61 ,$161.79 ,$161.79 ,$161.79 ,$161.79 ST. JOSEPH'S - CHIPPEWA FALLS,30200516,86310,HC HETEROPHILE AB TITER AFTER ABSORPTION,302,1 ,$68.12 ,$51.09 ,$7.37 ,$68.12 ,$43.87 ,$7.37 ,$47.68 ,$7.62 ,$17.69 ,$7.85 ,$14.15 ,$64.71 , N/A ,$54.50 ,$61.99 ,$7.62 ,$64.03 ,$64.71 ,$61.31 ,$57.90 ,$7.62 ,$7.62 ,$7.62 ,$49.73 ,$7.37 ,$60.63 ,$61.31 ,$61.31 ,$54.50 ,$7.59 ,$37.47 ,$61.31 ,$7.37 ,$61.31 ,$7.37 ,$64.71 ,$16.58 ,$62.67 ,$8.08 ,$61.99 ,$7.37 ,$41.92 ,$43.87 ,$41.92 ,$61.31 ,$68.12 ,$51.09 ,$45.65 ,$7.44 ,$8.00 ,$63.69 ,$7.74 ,$7.62 ,$59.26 ,$7.37 ,$61.31 ,$7.37 ,$61.31 ,$61.31 ,$61.31 ,$66.08 ,$55.18 ,$61.31 ,$61.31 ,$61.31 ,$61.31 ST. JOSEPH'S - CHIPPEWA FALLS,30200517,86316,HC TUMOR AG OTHER AG QN,302,1 ,$171.04 ,$128.28 ,$20.81 ,$171.04 ,$110.15 ,$20.81 ,$119.73 ,$21.50 ,$49.96 ,$22.15 ,$39.97 ,$162.49 , N/A ,$136.83 ,$155.65 ,$21.50 ,$160.78 ,$162.49 ,$153.94 ,$145.38 ,$21.50 ,$21.50 ,$21.50 ,$124.86 ,$20.81 ,$152.23 ,$153.94 ,$153.94 ,$136.83 ,$21.43 ,$94.07 ,$153.94 ,$20.81 ,$153.94 ,$20.81 ,$162.49 ,$46.82 ,$157.36 ,$22.79 ,$155.65 ,$20.81 ,$105.26 ,$110.15 ,$105.26 ,$153.94 ,$162.51 ,$128.28 ,$128.92 ,$21.02 ,$22.58 ,$159.92 ,$21.85 ,$21.50 ,$148.80 ,$20.81 ,$153.94 ,$20.81 ,$153.94 ,$153.94 ,$153.94 ,$165.91 ,$138.54 ,$153.94 ,$153.94 ,$153.94 ,$153.94 ST. JOSEPH'S - CHIPPEWA FALLS,30200518,86320,HC IMMUNOELECTROPHORESIS SERUM,302,1 ,$463.49 ,$347.62 ,$29.92 ,$463.49 ,$298.49 ,$29.92 ,$324.44 ,$30.92 ,$53.81 ,$31.85 ,$43.05 ,$440.32 , N/A ,$370.79 ,$421.78 ,$30.92 ,$435.68 ,$440.32 ,$417.14 ,$393.97 ,$30.92 ,$30.92 ,$30.92 ,$338.35 ,$29.92 ,$412.51 ,$417.14 ,$417.14 ,$370.79 ,$30.82 ,$254.92 ,$417.14 ,$29.92 ,$417.14 ,$29.92 ,$440.32 ,$67.32 ,$426.41 ,$32.78 ,$421.78 ,$29.92 ,$285.23 ,$298.49 ,$285.23 ,$417.14 ,$89.87 ,$347.62 ,$150.09 ,$30.22 ,$32.47 ,$433.36 ,$31.42 ,$30.92 ,$403.24 ,$29.92 ,$417.14 ,$29.92 ,$417.14 ,$417.14 ,$417.14 ,$449.59 ,$375.43 ,$417.14 ,$417.14 ,$417.14 ,$417.14 ST. JOSEPH'S - CHIPPEWA FALLS,30200519,86325,HC IMMUNOELECTROPHORESIS OTHER FLUIDS,302,1 ,$403.18 ,$302.39 ,$23.13 ,$403.18 ,$259.65 ,$23.13 ,$282.23 ,$23.90 ,$53.69 ,$24.62 ,$42.95 ,$383.02 , N/A ,$322.54 ,$366.89 ,$23.90 ,$378.99 ,$383.02 ,$362.86 ,$342.70 ,$23.90 ,$23.90 ,$23.90 ,$294.32 ,$23.13 ,$358.83 ,$362.86 ,$362.86 ,$322.54 ,$23.82 ,$221.75 ,$362.86 ,$23.13 ,$362.86 ,$23.13 ,$383.02 ,$52.04 ,$370.93 ,$25.33 ,$366.89 ,$23.13 ,$248.12 ,$259.65 ,$248.12 ,$362.86 ,$92.76 ,$302.39 ,$138.50 ,$23.36 ,$25.10 ,$376.97 ,$24.29 ,$23.90 ,$350.77 ,$23.13 ,$362.86 ,$23.13 ,$362.86 ,$362.86 ,$362.86 ,$391.08 ,$326.58 ,$362.86 ,$362.86 ,$362.86 ,$362.86 ST. JOSEPH'S - CHIPPEWA FALLS,30200520,86340,HC INTRINSIC FACTOR AB,302,1 ,$88.22 ,$66.17 ,$14.28 ,$88.22 ,$56.81 ,$15.08 ,$61.75 ,$14.28 ,$24.38 ,$14.71 ,$19.50 ,$83.81 , N/A ,$70.58 ,$80.28 ,$14.28 ,$82.93 ,$83.81 ,$79.40 ,$74.99 ,$14.28 ,$14.28 ,$14.28 ,$64.40 ,$15.08 ,$78.52 ,$79.40 ,$79.40 ,$70.58 ,$15.53 ,$48.52 ,$79.40 ,$15.08 ,$79.40 ,$15.08 ,$83.81 ,$33.93 ,$81.16 ,$15.14 ,$80.28 ,$15.08 ,$54.29 ,$56.81 ,$54.29 ,$79.40 ,$88.22 ,$66.17 ,$79.40 ,$15.23 ,$14.99 ,$82.49 ,$15.83 ,$14.28 ,$76.75 ,$15.08 ,$79.40 ,$15.08 ,$79.40 ,$79.40 ,$79.40 ,$85.57 ,$71.46 ,$79.40 ,$79.40 ,$79.40 ,$79.40 ST. JOSEPH'S - CHIPPEWA FALLS,30200521,86357,HC CD8 TOTAL COUNT,302,1 ,$116.45 ,$87.34 ,$37.73 ,$116.45 ,$74.99 ,$37.73 ,$81.52 ,$38.99 ,$90.56 ,$40.16 ,$72.45 ,$110.63 , N/A ,$93.16 ,$105.97 ,$38.99 ,$109.46 ,$110.63 ,$104.81 ,$98.98 ,$38.99 ,$38.99 ,$38.99 ,$85.01 ,$37.73 ,$103.64 ,$104.81 ,$104.81 ,$93.16 ,$38.86 ,$64.05 ,$104.81 ,$37.73 ,$104.81 ,$37.73 ,$110.63 ,$84.89 ,$107.13 ,$41.33 ,$105.97 ,$37.73 ,$71.66 ,$74.99 ,$71.66 ,$104.81 ,$112.40 ,$87.34 ,$104.81 ,$38.11 ,$40.94 ,$108.88 ,$39.62 ,$38.99 ,$101.31 ,$37.73 ,$104.81 ,$37.73 ,$104.81 ,$104.81 ,$104.81 ,$112.96 ,$94.32 ,$104.81 ,$104.81 ,$104.81 ,$104.81 ST. JOSEPH'S - CHIPPEWA FALLS,30200522,86359,HC T CELLS TOTAL COUNT,302,1 ,$116.45 ,$87.34 ,$37.73 ,$116.45 ,$74.99 ,$37.73 ,$81.52 ,$38.99 ,$90.56 ,$40.16 ,$72.45 ,$110.63 , N/A ,$93.16 ,$105.97 ,$38.99 ,$109.46 ,$110.63 ,$104.81 ,$98.98 ,$38.99 ,$38.99 ,$38.99 ,$85.01 ,$37.73 ,$103.64 ,$104.81 ,$104.81 ,$93.16 ,$38.86 ,$64.05 ,$104.81 ,$37.73 ,$104.81 ,$37.73 ,$110.63 ,$84.89 ,$107.13 ,$41.33 ,$105.97 ,$37.73 ,$71.66 ,$74.99 ,$71.66 ,$104.81 ,$116.45 ,$87.34 ,$104.81 ,$38.11 ,$40.94 ,$108.88 ,$39.62 ,$38.99 ,$101.31 ,$37.73 ,$104.81 ,$37.73 ,$104.81 ,$104.81 ,$104.81 ,$112.96 ,$94.32 ,$104.81 ,$104.81 ,$104.81 ,$104.81 ST. JOSEPH'S - CHIPPEWA FALLS,30200523,86431,HC RHEUMATOID FACTOR QN,302,1 ,$235.59 ,$176.69 ,$5.67 ,$235.59 ,$151.72 ,$5.67 ,$164.91 ,$5.86 ,$13.62 ,$6.04 ,$10.89 ,$223.81 , N/A ,$188.47 ,$214.39 ,$5.86 ,$221.45 ,$223.81 ,$212.03 ,$200.25 ,$5.86 ,$5.86 ,$5.86 ,$171.98 ,$5.67 ,$209.68 ,$212.03 ,$212.03 ,$188.47 ,$5.84 ,$129.57 ,$212.03 ,$5.67 ,$212.03 ,$5.67 ,$223.81 ,$12.76 ,$216.74 ,$6.21 ,$214.39 ,$5.67 ,$144.98 ,$151.72 ,$144.98 ,$212.03 ,$74.23 ,$176.69 ,$35.11 ,$5.73 ,$6.15 ,$220.28 ,$5.95 ,$5.86 ,$204.96 ,$5.67 ,$212.03 ,$5.67 ,$212.03 ,$212.03 ,$212.03 ,$228.52 ,$190.83 ,$212.03 ,$212.03 ,$212.03 ,$212.03 ST. JOSEPH'S - CHIPPEWA FALLS,30200524,86480,HC TB CELL IMMUNITY MEAS GAMMA INTERF,302,1 ,$191.30 ,$143.48 ,$61.98 ,$191.30 ,$123.20 ,$61.98 ,$133.91 ,$64.04 ,$148.79 ,$65.96 ,$119.03 ,$181.74 , N/A ,$153.04 ,$174.08 ,$64.04 ,$179.82 ,$181.74 ,$172.17 ,$162.61 ,$64.04 ,$64.04 ,$64.04 ,$139.65 ,$61.98 ,$170.26 ,$172.17 ,$172.17 ,$153.04 ,$63.84 ,$105.22 ,$172.17 ,$61.98 ,$172.17 ,$61.98 ,$181.74 ,$139.46 ,$176.00 ,$67.88 ,$174.08 ,$61.98 ,$117.73 ,$123.20 ,$117.73 ,$172.17 ,$184.01 ,$143.48 ,$172.17 ,$62.60 ,$67.24 ,$178.87 ,$65.08 ,$64.04 ,$166.43 ,$61.98 ,$172.17 ,$61.98 ,$172.17 ,$172.17 ,$172.17 ,$185.56 ,$154.95 ,$172.17 ,$172.17 ,$172.17 ,$172.17 ST. JOSEPH'S - CHIPPEWA FALLS,30200525,86485,HC SKIN TEST CANDIDA,302,1 ,$103.10 ,$77.33 ,$9.34 ,$103.10 ,$66.40 ,$23.89 ,$72.17 ,$9.34 ,$33.02 ,$9.62 ,$26.42 ,$97.95 , N/A ,$82.48 ,$93.82 ,$9.34 ,$96.91 ,$97.95 ,$92.79 ,$87.64 ,$9.34 ,$9.34 ,$9.34 ,$75.26 ,$23.89 ,$91.76 ,$92.79 ,$92.79 ,$82.48 ,$24.61 ,$56.71 ,$92.79 ,$23.89 ,$92.79 ,$23.89 ,$97.95 ,$53.76 ,$94.85 ,$9.90 ,$93.82 ,$23.89 ,$63.45 ,$66.40 ,$63.45 ,$92.79 ,$38.59 ,$77.33 ,$72.17 ,$24.13 ,$9.81 ,$96.40 ,$25.08 ,$9.34 ,$89.70 ,$23.89 ,$92.79 ,$23.89 ,$92.79 ,$92.79 ,$92.79 ,$100.01 ,$83.51 ,$92.79 ,$92.79 ,$92.79 ,$92.79 ST. JOSEPH'S - CHIPPEWA FALLS,30200526,86486,HC SKIN TEST MUMPS,302,1 ,$103.10 ,$77.33 ,$3.18 ,$103.10 ,$66.40 ,$23.89 ,$72.17 ,$3.18 ,$8.09 ,$3.28 ,$6.47 ,$97.95 , N/A ,$82.48 ,$93.82 ,$3.18 ,$96.91 ,$97.95 ,$92.79 ,$87.64 ,$3.18 ,$3.18 ,$3.18 ,$75.26 ,$23.89 ,$91.76 ,$92.79 ,$92.79 ,$82.48 ,$24.61 ,$56.71 ,$92.79 ,$23.89 ,$92.79 ,$23.89 ,$97.95 ,$53.76 ,$94.85 ,$3.37 ,$93.82 ,$23.89 ,$63.45 ,$66.40 ,$63.45 ,$92.79 ,$10.74 ,$77.33 ,$23.08 ,$24.13 ,$3.34 ,$96.40 ,$25.08 ,$3.18 ,$89.70 ,$23.89 ,$92.79 ,$23.89 ,$92.79 ,$92.79 ,$92.79 ,$100.01 ,$83.51 ,$92.79 ,$92.79 ,$92.79 ,$92.79 ST. JOSEPH'S - CHIPPEWA FALLS,30200527,86580,HC SKIN TEST TB INTRADERMAL,302,1 ,$104.41 ,$78.31 ,$3.18 ,$104.41 ,$67.24 ,$23.89 ,$73.09 ,$3.18 ,$13.49 ,$3.28 ,$10.79 ,$99.19 , N/A ,$83.53 ,$95.01 ,$3.18 ,$98.15 ,$99.19 ,$93.97 ,$88.75 ,$3.18 ,$3.18 ,$3.18 ,$76.22 ,$23.89 ,$92.92 ,$93.97 ,$93.97 ,$83.53 ,$24.61 ,$57.43 ,$93.97 ,$23.89 ,$93.97 ,$23.89 ,$99.19 ,$53.76 ,$96.06 ,$3.37 ,$95.01 ,$23.89 ,$64.25 ,$67.24 ,$64.25 ,$93.97 ,$32.50 ,$78.31 ,$38.63 ,$24.13 ,$3.34 ,$97.62 ,$25.08 ,$3.18 ,$90.84 ,$23.89 ,$93.97 ,$23.89 ,$93.97 ,$93.97 ,$93.97 ,$101.28 ,$84.57 ,$93.97 ,$93.97 ,$93.97 ,$93.97 ST. JOSEPH'S - CHIPPEWA FALLS,30200528,86615,HC BORDETELLA AB,302,1 ,$78.69 ,$59.02 ,$8.17 ,$78.69 ,$50.68 ,$13.19 ,$55.08 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$74.76 , N/A ,$62.95 ,$71.61 ,$8.17 ,$73.97 ,$74.76 ,$70.82 ,$66.89 ,$8.17 ,$8.17 ,$8.17 ,$57.44 ,$13.19 ,$70.03 ,$70.82 ,$70.82 ,$62.95 ,$13.59 ,$43.28 ,$70.82 ,$13.19 ,$70.82 ,$13.19 ,$74.76 ,$29.68 ,$72.39 ,$8.66 ,$71.61 ,$13.19 ,$48.43 ,$50.68 ,$48.43 ,$70.82 ,$64.67 ,$59.02 ,$70.82 ,$13.32 ,$8.58 ,$73.58 ,$13.85 ,$8.17 ,$68.46 ,$13.19 ,$70.82 ,$13.19 ,$70.82 ,$70.82 ,$70.82 ,$76.33 ,$63.74 ,$70.82 ,$70.82 ,$70.82 ,$70.82 ST. JOSEPH'S - CHIPPEWA FALLS,30200529,86617,HC LYME DISEASE AB CONFIRM,302,1 ,$47.83 ,$35.87 ,$15.49 ,$47.83 ,$30.80 ,$15.49 ,$33.48 ,$16.01 ,$37.19 ,$16.49 ,$29.75 ,$45.44 , N/A ,$38.26 ,$43.53 ,$16.01 ,$44.96 ,$45.44 ,$43.05 ,$40.66 ,$16.01 ,$16.01 ,$16.01 ,$34.92 ,$15.49 ,$42.57 ,$43.05 ,$43.05 ,$38.26 ,$15.95 ,$26.31 ,$43.05 ,$15.49 ,$43.05 ,$15.49 ,$45.44 ,$34.85 ,$44.00 ,$16.97 ,$43.53 ,$15.49 ,$29.43 ,$30.80 ,$29.43 ,$43.05 ,$47.83 ,$35.87 ,$43.05 ,$15.64 ,$16.81 ,$44.72 ,$16.26 ,$16.01 ,$41.61 ,$15.49 ,$43.05 ,$15.49 ,$43.05 ,$43.05 ,$43.05 ,$46.40 ,$38.74 ,$43.05 ,$43.05 ,$43.05 ,$43.05 ST. JOSEPH'S - CHIPPEWA FALLS,30200530,86645,HC CMV AB IGM,302,1 ,$52.00 ,$39.00 ,$8.17 ,$52.00 ,$33.49 ,$16.85 ,$36.40 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$49.40 , N/A ,$41.60 ,$47.32 ,$8.17 ,$48.88 ,$49.40 ,$46.80 ,$44.20 ,$8.17 ,$8.17 ,$8.17 ,$37.96 ,$16.85 ,$46.28 ,$46.80 ,$46.80 ,$41.60 ,$17.36 ,$28.60 ,$46.80 ,$16.85 ,$46.80 ,$16.85 ,$49.40 ,$37.91 ,$47.84 ,$8.66 ,$47.32 ,$16.85 ,$32.00 ,$33.49 ,$32.00 ,$46.80 ,$52.00 ,$39.00 ,$46.80 ,$17.02 ,$8.58 ,$48.62 ,$17.69 ,$8.17 ,$45.24 ,$16.85 ,$46.80 ,$16.85 ,$46.80 ,$46.80 ,$46.80 ,$50.44 ,$42.12 ,$46.80 ,$46.80 ,$46.80 ,$46.80 ST. JOSEPH'S - CHIPPEWA FALLS,30200531,86651,HC ENCEPHALITIS CALIFORNIA AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.34 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 ST. JOSEPH'S - CHIPPEWA FALLS,30200532,86652,HC ENCEPHALITIS EQUINE AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.34 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 ST. JOSEPH'S - CHIPPEWA FALLS,30200533,86653,HC ENCEPHALITIS ST LOUIS AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.34 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 ST. JOSEPH'S - CHIPPEWA FALLS,30200534,86654,HC ENCEPHALITIS WEST EQUINE AB,302,1 ,$75.12 ,$56.34 ,$8.17 ,$75.12 ,$48.38 ,$13.19 ,$52.58 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$71.36 , N/A ,$60.10 ,$68.36 ,$8.17 ,$70.61 ,$71.36 ,$67.61 ,$63.85 ,$8.17 ,$8.17 ,$8.17 ,$54.84 ,$13.19 ,$66.86 ,$67.61 ,$67.61 ,$60.10 ,$13.59 ,$41.32 ,$67.61 ,$13.19 ,$67.61 ,$13.19 ,$71.36 ,$29.68 ,$69.11 ,$8.66 ,$68.36 ,$13.19 ,$46.23 ,$48.38 ,$46.23 ,$67.61 ,$64.67 ,$56.34 ,$67.61 ,$13.32 ,$8.58 ,$70.24 ,$13.85 ,$8.17 ,$65.35 ,$13.19 ,$67.61 ,$13.19 ,$67.61 ,$67.61 ,$67.61 ,$72.87 ,$60.85 ,$67.61 ,$67.61 ,$67.61 ,$67.61 ST. JOSEPH'S - CHIPPEWA FALLS,30200535,86658,HC ENTEROVIRUS A,302,1 ,$64.22 ,$48.17 ,$8.17 ,$64.22 ,$41.36 ,$13.03 ,$44.95 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$61.01 , N/A ,$51.38 ,$58.44 ,$8.17 ,$60.37 ,$61.01 ,$57.80 ,$54.59 ,$8.17 ,$8.17 ,$8.17 ,$46.88 ,$13.03 ,$57.16 ,$57.80 ,$57.80 ,$51.38 ,$13.42 ,$35.32 ,$57.80 ,$13.03 ,$57.80 ,$13.03 ,$61.01 ,$29.32 ,$59.08 ,$8.66 ,$58.44 ,$13.03 ,$39.52 ,$41.36 ,$39.52 ,$57.80 ,$64.22 ,$48.17 ,$57.80 ,$13.16 ,$8.58 ,$60.05 ,$13.68 ,$8.17 ,$55.87 ,$13.03 ,$57.80 ,$13.03 ,$57.80 ,$57.80 ,$57.80 ,$62.29 ,$52.02 ,$57.80 ,$57.80 ,$57.80 ,$57.80 ST. JOSEPH'S - CHIPPEWA FALLS,30200536,86663,HC EBV EARLY AG,302,1 ,$76.73 ,$57.55 ,$13.12 ,$76.73 ,$49.41 ,$13.12 ,$53.71 ,$13.56 ,$31.50 ,$13.97 ,$25.20 ,$72.89 , N/A ,$61.38 ,$69.82 ,$13.56 ,$72.13 ,$72.89 ,$69.06 ,$65.22 ,$13.56 ,$13.56 ,$13.56 ,$56.01 ,$13.12 ,$68.29 ,$69.06 ,$69.06 ,$61.38 ,$13.51 ,$42.20 ,$69.06 ,$13.12 ,$69.06 ,$13.12 ,$72.89 ,$29.52 ,$70.59 ,$14.37 ,$69.82 ,$13.12 ,$47.22 ,$49.41 ,$47.22 ,$69.06 ,$64.67 ,$57.55 ,$69.06 ,$13.25 ,$14.24 ,$71.74 ,$13.78 ,$13.56 ,$66.76 ,$13.12 ,$69.06 ,$13.12 ,$69.06 ,$69.06 ,$69.06 ,$74.43 ,$62.15 ,$69.06 ,$69.06 ,$69.06 ,$69.06 ST. JOSEPH'S - CHIPPEWA FALLS,30200537,86664,HC EBV NUCLEAR AG,302,1 ,$47.20 ,$35.40 ,$15.29 ,$47.20 ,$30.40 ,$15.29 ,$33.04 ,$15.80 ,$36.72 ,$16.27 ,$29.37 ,$44.84 , N/A ,$37.76 ,$42.95 ,$15.80 ,$44.37 ,$44.84 ,$42.48 ,$40.12 ,$15.80 ,$15.80 ,$15.80 ,$34.46 ,$15.29 ,$42.01 ,$42.48 ,$42.48 ,$37.76 ,$15.75 ,$25.96 ,$42.48 ,$15.29 ,$42.48 ,$15.29 ,$44.84 ,$34.40 ,$43.42 ,$16.75 ,$42.95 ,$15.29 ,$29.05 ,$30.40 ,$29.05 ,$42.48 ,$47.20 ,$35.40 ,$42.48 ,$15.44 ,$16.59 ,$44.13 ,$16.05 ,$15.80 ,$41.06 ,$15.29 ,$42.48 ,$15.29 ,$42.48 ,$42.48 ,$42.48 ,$45.78 ,$38.23 ,$42.48 ,$42.48 ,$42.48 ,$42.48 ST. JOSEPH'S - CHIPPEWA FALLS,30200538,86665,HC EBV VIRAL CAP,302,1 ,$60.64 ,$45.48 ,$18.14 ,$60.64 ,$39.05 ,$18.14 ,$42.45 ,$18.74 ,$43.56 ,$19.30 ,$34.85 ,$57.61 , N/A ,$48.51 ,$55.18 ,$18.74 ,$57.00 ,$57.61 ,$54.58 ,$51.54 ,$18.74 ,$18.74 ,$18.74 ,$44.27 ,$18.14 ,$53.97 ,$54.58 ,$54.58 ,$48.51 ,$18.68 ,$33.35 ,$54.58 ,$18.14 ,$54.58 ,$18.14 ,$57.61 ,$40.82 ,$55.79 ,$19.86 ,$55.18 ,$18.14 ,$37.32 ,$39.05 ,$37.32 ,$54.58 ,$55.76 ,$45.48 ,$54.58 ,$18.32 ,$19.68 ,$56.70 ,$19.05 ,$18.74 ,$52.76 ,$18.14 ,$54.58 ,$18.14 ,$54.58 ,$54.58 ,$54.58 ,$58.82 ,$49.12 ,$54.58 ,$54.58 ,$54.58 ,$54.58 ST. JOSEPH'S - CHIPPEWA FALLS,30200539,86677,HC H PYLORI AB,302,1 ,$134.51 ,$100.88 ,$8.17 ,$134.51 ,$86.62 ,$16.85 ,$94.16 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$127.78 , N/A ,$107.61 ,$122.40 ,$8.17 ,$126.44 ,$127.78 ,$121.06 ,$114.33 ,$8.17 ,$8.17 ,$8.17 ,$98.19 ,$16.85 ,$119.71 ,$121.06 ,$121.06 ,$107.61 ,$17.36 ,$73.98 ,$121.06 ,$16.85 ,$121.06 ,$16.85 ,$127.78 ,$37.91 ,$123.75 ,$8.66 ,$122.40 ,$16.85 ,$82.78 ,$86.62 ,$82.78 ,$121.06 ,$134.51 ,$100.88 ,$89.84 ,$17.02 ,$8.58 ,$125.77 ,$17.69 ,$8.17 ,$117.02 ,$16.85 ,$121.06 ,$16.85 ,$121.06 ,$121.06 ,$121.06 ,$130.47 ,$108.95 ,$121.06 ,$121.06 ,$121.06 ,$121.06 ST. JOSEPH'S - CHIPPEWA FALLS,30200540,86701,HC HIV-1 AB,302,1 ,$258.80 ,$194.10 ,$8.89 ,$258.80 ,$166.67 ,$8.89 ,$181.16 ,$9.19 ,$21.33 ,$9.47 ,$17.07 ,$245.86 , N/A ,$207.04 ,$235.51 ,$9.19 ,$243.27 ,$245.86 ,$232.92 ,$219.98 ,$9.19 ,$9.19 ,$9.19 ,$188.92 ,$8.89 ,$230.33 ,$232.92 ,$232.92 ,$207.04 ,$9.16 ,$142.34 ,$232.92 ,$8.89 ,$232.92 ,$8.89 ,$245.86 ,$20.00 ,$238.10 ,$9.74 ,$235.51 ,$8.89 ,$159.27 ,$166.67 ,$159.27 ,$232.92 ,$83.70 ,$194.10 ,$55.03 ,$8.98 ,$9.65 ,$241.98 ,$9.33 ,$9.19 ,$225.16 ,$8.89 ,$232.92 ,$8.89 ,$232.92 ,$232.92 ,$232.92 ,$251.04 ,$209.63 ,$232.92 ,$232.92 ,$232.92 ,$232.92 ST. JOSEPH'S - CHIPPEWA FALLS,30200541,86702,HC HIV-2 AB,302,1 ,$240.98 ,$180.74 ,$13.52 ,$240.98 ,$155.19 ,$13.52 ,$168.69 ,$13.97 ,$32.45 ,$14.39 ,$25.96 ,$228.93 , N/A ,$192.78 ,$219.29 ,$13.97 ,$226.52 ,$228.93 ,$216.88 ,$204.83 ,$13.97 ,$13.97 ,$13.97 ,$175.92 ,$13.52 ,$214.47 ,$216.88 ,$216.88 ,$192.78 ,$13.93 ,$132.54 ,$216.88 ,$13.52 ,$216.88 ,$13.52 ,$228.93 ,$30.42 ,$221.70 ,$14.81 ,$219.29 ,$13.52 ,$148.30 ,$155.19 ,$148.30 ,$216.88 ,$83.70 ,$180.74 ,$83.72 ,$13.66 ,$14.67 ,$225.32 ,$14.20 ,$13.97 ,$209.65 ,$13.52 ,$216.88 ,$13.52 ,$216.88 ,$216.88 ,$216.88 ,$233.75 ,$195.19 ,$216.88 ,$216.88 ,$216.88 ,$216.88 ST. JOSEPH'S - CHIPPEWA FALLS,30200542,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$90.11 ,$67.58 ,$13.71 ,$90.11 ,$58.03 ,$13.71 ,$63.08 ,$14.17 ,$32.90 ,$14.60 ,$26.32 ,$85.60 , N/A ,$72.09 ,$82.00 ,$14.17 ,$84.70 ,$85.60 ,$81.10 ,$76.59 ,$14.17 ,$14.17 ,$14.17 ,$65.78 ,$13.71 ,$80.20 ,$81.10 ,$81.10 ,$72.09 ,$14.12 ,$49.56 ,$81.10 ,$13.71 ,$81.10 ,$13.71 ,$85.60 ,$30.85 ,$82.90 ,$15.02 ,$82.00 ,$13.71 ,$55.45 ,$58.03 ,$55.45 ,$81.10 ,$79.07 ,$67.58 ,$81.10 ,$13.85 ,$14.88 ,$84.25 ,$14.40 ,$14.17 ,$78.40 ,$13.71 ,$81.10 ,$13.71 ,$81.10 ,$81.10 ,$81.10 ,$87.41 ,$72.99 ,$81.10 ,$81.10 ,$81.10 ,$81.10 ST. JOSEPH'S - CHIPPEWA FALLS,30200543,86704,HC HEP CORE AB,302,1 ,$189.41 ,$142.06 ,$12.05 ,$189.41 ,$121.98 ,$12.05 ,$132.59 ,$12.45 ,$28.93 ,$12.82 ,$23.14 ,$179.94 , N/A ,$151.53 ,$172.36 ,$12.45 ,$178.05 ,$179.94 ,$170.47 ,$161.00 ,$12.45 ,$12.45 ,$12.45 ,$138.27 ,$12.05 ,$168.57 ,$170.47 ,$170.47 ,$151.53 ,$12.41 ,$104.18 ,$170.47 ,$12.05 ,$170.47 ,$12.05 ,$179.94 ,$27.11 ,$174.26 ,$13.20 ,$172.36 ,$12.05 ,$116.56 ,$121.98 ,$116.56 ,$170.47 ,$62.90 ,$142.06 ,$74.64 ,$12.17 ,$13.07 ,$177.10 ,$12.65 ,$12.45 ,$164.79 ,$12.05 ,$170.47 ,$12.05 ,$170.47 ,$170.47 ,$170.47 ,$183.73 ,$153.42 ,$170.47 ,$170.47 ,$170.47 ,$170.47 ST. JOSEPH'S - CHIPPEWA FALLS,30200544,86705,HC HEP B CORE IGM,302,1 ,$55.72 ,$41.79 ,$11.77 ,$55.72 ,$35.88 ,$11.77 ,$39.00 ,$12.16 ,$28.26 ,$12.52 ,$22.61 ,$52.93 , N/A ,$44.58 ,$50.71 ,$12.16 ,$52.38 ,$52.93 ,$50.15 ,$47.36 ,$12.16 ,$12.16 ,$12.16 ,$40.68 ,$11.77 ,$49.59 ,$50.15 ,$50.15 ,$44.58 ,$12.12 ,$30.65 ,$50.15 ,$11.77 ,$50.15 ,$11.77 ,$52.93 ,$26.48 ,$51.26 ,$12.89 ,$50.71 ,$11.77 ,$34.29 ,$35.88 ,$34.29 ,$50.15 ,$55.72 ,$41.79 ,$50.15 ,$11.89 ,$12.77 ,$52.10 ,$12.36 ,$12.16 ,$48.48 ,$11.77 ,$50.15 ,$11.77 ,$50.15 ,$50.15 ,$50.15 ,$54.05 ,$45.13 ,$50.15 ,$50.15 ,$50.15 ,$50.15 ST. JOSEPH'S - CHIPPEWA FALLS,30200545,86706,HC HEP B SURFACE AB,302,1 ,$176.10 ,$132.08 ,$10.74 ,$176.10 ,$113.41 ,$10.74 ,$123.27 ,$11.10 ,$25.78 ,$11.43 ,$20.62 ,$167.30 , N/A ,$140.88 ,$160.25 ,$11.10 ,$165.53 ,$167.30 ,$158.49 ,$149.69 ,$11.10 ,$11.10 ,$11.10 ,$128.55 ,$10.74 ,$156.73 ,$158.49 ,$158.49 ,$140.88 ,$11.06 ,$96.86 ,$158.49 ,$10.74 ,$158.49 ,$10.74 ,$167.30 ,$24.17 ,$162.01 ,$11.77 ,$160.25 ,$10.74 ,$108.37 ,$113.41 ,$108.37 ,$158.49 ,$48.56 ,$132.08 ,$66.52 ,$10.85 ,$11.66 ,$164.65 ,$11.28 ,$11.10 ,$153.21 ,$10.74 ,$158.49 ,$10.74 ,$158.49 ,$158.49 ,$158.49 ,$170.82 ,$142.64 ,$158.49 ,$158.49 ,$158.49 ,$158.49 ST. JOSEPH'S - CHIPPEWA FALLS,30200546,86707,HC HEP B E AB,302,1 ,$81.45 ,$61.09 ,$11.57 ,$81.45 ,$52.45 ,$11.57 ,$57.02 ,$11.96 ,$27.77 ,$12.32 ,$22.22 ,$77.38 , N/A ,$65.16 ,$74.12 ,$11.96 ,$76.56 ,$77.38 ,$73.31 ,$69.23 ,$11.96 ,$11.96 ,$11.96 ,$59.46 ,$11.57 ,$72.49 ,$73.31 ,$73.31 ,$65.16 ,$11.92 ,$44.80 ,$73.31 ,$11.57 ,$73.31 ,$11.57 ,$77.38 ,$26.03 ,$74.93 ,$12.68 ,$74.12 ,$11.57 ,$50.12 ,$52.45 ,$50.12 ,$73.31 ,$52.97 ,$61.09 ,$71.63 ,$11.69 ,$12.56 ,$76.16 ,$12.15 ,$11.96 ,$70.86 ,$11.57 ,$73.31 ,$11.57 ,$73.31 ,$73.31 ,$73.31 ,$79.01 ,$65.97 ,$73.31 ,$73.31 ,$73.31 ,$73.31 ST. JOSEPH'S - CHIPPEWA FALLS,30200547,86708,HC HEP A AB TOTAL,302,1 ,$62.38 ,$46.79 ,$12.39 ,$62.38 ,$40.17 ,$12.39 ,$43.67 ,$12.80 ,$29.73 ,$13.18 ,$23.79 ,$59.26 , N/A ,$49.90 ,$56.77 ,$12.80 ,$58.64 ,$59.26 ,$56.14 ,$53.02 ,$12.80 ,$12.80 ,$12.80 ,$45.54 ,$12.39 ,$55.52 ,$56.14 ,$56.14 ,$49.90 ,$12.76 ,$34.31 ,$56.14 ,$12.39 ,$56.14 ,$12.39 ,$59.26 ,$27.88 ,$57.39 ,$13.57 ,$56.77 ,$12.39 ,$38.39 ,$40.17 ,$38.39 ,$56.14 ,$60.69 ,$46.79 ,$56.14 ,$12.51 ,$13.44 ,$58.33 ,$13.01 ,$12.80 ,$54.27 ,$12.39 ,$56.14 ,$12.39 ,$56.14 ,$56.14 ,$56.14 ,$60.51 ,$50.53 ,$56.14 ,$56.14 ,$56.14 ,$56.14 ST. JOSEPH'S - CHIPPEWA FALLS,30200548,86709,HC HEP A AB IGM,302,1 ,$202.39 ,$151.79 ,$11.26 ,$202.39 ,$130.34 ,$11.26 ,$141.67 ,$11.63 ,$27.02 ,$11.98 ,$21.62 ,$192.27 , N/A ,$161.91 ,$184.17 ,$11.63 ,$190.25 ,$192.27 ,$182.15 ,$172.03 ,$11.63 ,$11.63 ,$11.63 ,$147.74 ,$11.26 ,$180.13 ,$182.15 ,$182.15 ,$161.91 ,$11.60 ,$111.31 ,$182.15 ,$11.26 ,$182.15 ,$11.26 ,$192.27 ,$25.34 ,$186.20 ,$12.33 ,$184.17 ,$11.26 ,$124.55 ,$130.34 ,$124.55 ,$182.15 ,$56.28 ,$151.79 ,$69.73 ,$11.37 ,$12.21 ,$189.23 ,$11.82 ,$11.63 ,$176.08 ,$11.26 ,$182.15 ,$11.26 ,$182.15 ,$182.15 ,$182.15 ,$196.32 ,$163.94 ,$182.15 ,$182.15 ,$182.15 ,$182.15 ST. JOSEPH'S - CHIPPEWA FALLS,30200549,86713,HC LEGIONELLA AB,302,1 ,$202.16 ,$151.62 ,$15.30 ,$202.16 ,$130.19 ,$15.30 ,$141.51 ,$15.81 ,$36.73 ,$16.28 ,$29.39 ,$192.05 , N/A ,$161.73 ,$183.97 ,$15.81 ,$190.03 ,$192.05 ,$181.94 ,$171.84 ,$15.81 ,$15.81 ,$15.81 ,$147.58 ,$15.30 ,$179.92 ,$181.94 ,$181.94 ,$161.73 ,$15.76 ,$111.19 ,$181.94 ,$15.30 ,$181.94 ,$15.30 ,$192.05 ,$34.43 ,$185.99 ,$16.76 ,$183.97 ,$15.30 ,$124.41 ,$130.19 ,$124.41 ,$181.94 ,$92.92 ,$151.62 ,$94.76 ,$15.45 ,$16.60 ,$189.02 ,$16.07 ,$15.81 ,$175.88 ,$15.30 ,$181.94 ,$15.30 ,$181.94 ,$181.94 ,$181.94 ,$196.10 ,$163.75 ,$181.94 ,$181.94 ,$181.94 ,$181.94 ST. JOSEPH'S - CHIPPEWA FALLS,30200550,86727,HC LYMPH CHORIOMENINGITIS AB,302,1 ,$39.73 ,$29.80 ,$8.17 ,$39.73 ,$25.59 ,$12.87 ,$27.81 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$37.74 , N/A ,$31.78 ,$36.15 ,$8.17 ,$37.35 ,$37.74 ,$35.76 ,$33.77 ,$8.17 ,$8.17 ,$8.17 ,$29.00 ,$12.87 ,$35.36 ,$35.76 ,$35.76 ,$31.78 ,$13.26 ,$21.85 ,$35.76 ,$12.87 ,$35.76 ,$12.87 ,$37.74 ,$28.96 ,$36.55 ,$8.66 ,$36.15 ,$12.87 ,$24.45 ,$25.59 ,$24.45 ,$35.76 ,$39.73 ,$29.80 ,$35.76 ,$13.00 ,$8.58 ,$37.15 ,$13.51 ,$8.17 ,$34.57 ,$12.87 ,$35.76 ,$12.87 ,$35.76 ,$35.76 ,$35.76 ,$38.54 ,$32.18 ,$35.76 ,$35.76 ,$35.76 ,$35.76 ST. JOSEPH'S - CHIPPEWA FALLS,30200551,86738,HC MYCOPLASMA AB,302,1 ,$67.77 ,$50.83 ,$13.24 ,$67.77 ,$43.64 ,$13.24 ,$47.44 ,$13.68 ,$31.78 ,$14.09 ,$25.42 ,$64.38 , N/A ,$54.22 ,$61.67 ,$13.68 ,$63.70 ,$64.38 ,$60.99 ,$57.60 ,$13.68 ,$13.68 ,$13.68 ,$49.47 ,$13.24 ,$60.32 ,$60.99 ,$60.99 ,$54.22 ,$13.64 ,$37.27 ,$60.99 ,$13.24 ,$60.99 ,$13.24 ,$64.38 ,$29.79 ,$62.35 ,$14.50 ,$61.67 ,$13.24 ,$41.71 ,$43.64 ,$41.71 ,$60.99 ,$67.77 ,$50.83 ,$60.99 ,$13.37 ,$14.36 ,$63.37 ,$13.90 ,$13.68 ,$58.96 ,$13.24 ,$60.99 ,$13.24 ,$60.99 ,$60.99 ,$60.99 ,$65.74 ,$54.89 ,$60.99 ,$60.99 ,$60.99 ,$60.99 ST. JOSEPH'S - CHIPPEWA FALLS,30200552,86747,HC PARVOVIRUS AB,302,1 ,$104.30 ,$78.23 ,$15.03 ,$104.30 ,$67.17 ,$15.03 ,$73.01 ,$15.53 ,$36.09 ,$16.00 ,$28.87 ,$99.09 , N/A ,$83.44 ,$94.91 ,$15.53 ,$98.04 ,$99.09 ,$93.87 ,$88.66 ,$15.53 ,$15.53 ,$15.53 ,$76.14 ,$15.03 ,$92.83 ,$93.87 ,$93.87 ,$83.44 ,$15.48 ,$57.37 ,$93.87 ,$15.03 ,$93.87 ,$15.03 ,$99.09 ,$33.82 ,$95.96 ,$16.46 ,$94.91 ,$15.03 ,$64.19 ,$67.17 ,$64.19 ,$93.87 ,$87.89 ,$78.23 ,$93.10 ,$15.18 ,$16.31 ,$97.52 ,$15.78 ,$15.53 ,$90.74 ,$15.03 ,$93.87 ,$15.03 ,$93.87 ,$93.87 ,$93.87 ,$101.17 ,$84.48 ,$93.87 ,$93.87 ,$93.87 ,$93.87 ST. JOSEPH'S - CHIPPEWA FALLS,30200553,86753,HC PROTOZOA AB NOS,302,1 ,$68.46 ,$51.35 ,$8.17 ,$68.46 ,$44.09 ,$12.39 ,$47.92 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$65.04 , N/A ,$54.77 ,$62.30 ,$8.17 ,$64.35 ,$65.04 ,$61.61 ,$58.19 ,$8.17 ,$8.17 ,$8.17 ,$49.98 ,$12.39 ,$60.93 ,$61.61 ,$61.61 ,$54.77 ,$12.76 ,$37.65 ,$61.61 ,$12.39 ,$61.61 ,$12.39 ,$65.04 ,$27.88 ,$62.98 ,$8.66 ,$62.30 ,$12.39 ,$42.13 ,$44.09 ,$42.13 ,$61.61 ,$60.17 ,$51.35 ,$61.61 ,$12.51 ,$8.58 ,$64.01 ,$13.01 ,$8.17 ,$59.56 ,$12.39 ,$61.61 ,$12.39 ,$61.61 ,$61.61 ,$61.61 ,$66.41 ,$55.45 ,$61.61 ,$61.61 ,$61.61 ,$61.61 ST. JOSEPH'S - CHIPPEWA FALLS,30200554,86777,HC TOXOPLASMA AB,302,1 ,$46.98 ,$35.24 ,$14.39 ,$46.98 ,$30.26 ,$14.39 ,$32.89 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$44.63 , N/A ,$37.58 ,$42.75 ,$14.87 ,$44.16 ,$44.63 ,$42.28 ,$39.93 ,$14.87 ,$14.87 ,$14.87 ,$34.30 ,$14.39 ,$41.81 ,$42.28 ,$42.28 ,$37.58 ,$14.82 ,$25.84 ,$42.28 ,$14.39 ,$42.28 ,$14.39 ,$44.63 ,$32.38 ,$43.22 ,$15.76 ,$42.75 ,$14.39 ,$28.91 ,$30.26 ,$28.91 ,$42.28 ,$46.55 ,$35.24 ,$42.28 ,$14.53 ,$15.61 ,$43.93 ,$15.11 ,$14.87 ,$40.87 ,$14.39 ,$42.28 ,$14.39 ,$42.28 ,$42.28 ,$42.28 ,$45.57 ,$38.05 ,$42.28 ,$42.28 ,$42.28 ,$42.28 ST. JOSEPH'S - CHIPPEWA FALLS,30200555,86778,HC TOXOPLASMA AB IGM,302,1 ,$46.98 ,$35.24 ,$14.41 ,$46.98 ,$30.26 ,$14.41 ,$32.89 ,$14.89 ,$30.68 ,$15.34 ,$24.54 ,$44.63 , N/A ,$37.58 ,$42.75 ,$14.89 ,$44.16 ,$44.63 ,$42.28 ,$39.93 ,$14.89 ,$14.89 ,$14.89 ,$34.30 ,$14.41 ,$41.81 ,$42.28 ,$42.28 ,$37.58 ,$14.84 ,$25.84 ,$42.28 ,$14.41 ,$42.28 ,$14.41 ,$44.63 ,$32.42 ,$43.22 ,$15.78 ,$42.75 ,$14.41 ,$28.91 ,$30.26 ,$28.91 ,$42.28 ,$46.55 ,$35.24 ,$42.28 ,$14.55 ,$15.63 ,$43.93 ,$15.13 ,$14.89 ,$40.87 ,$14.41 ,$42.28 ,$14.41 ,$42.28 ,$42.28 ,$42.28 ,$45.57 ,$38.05 ,$42.28 ,$42.28 ,$42.28 ,$42.28 ST. JOSEPH'S - CHIPPEWA FALLS,30200556,86790,HC VIRUS AB NOT SPECIFIED,302,1 ,$152.54 ,$114.41 ,$3.18 ,$152.54 ,$98.24 ,$12.88 ,$106.78 ,$3.18 ,$13.97 ,$3.28 ,$11.17 ,$144.91 , N/A ,$122.03 ,$138.81 ,$3.18 ,$143.39 ,$144.91 ,$137.29 ,$129.66 ,$3.18 ,$3.18 ,$3.18 ,$111.35 ,$12.88 ,$135.76 ,$137.29 ,$137.29 ,$122.03 ,$13.27 ,$83.90 ,$137.29 ,$12.88 ,$137.29 ,$12.88 ,$144.91 ,$28.98 ,$140.34 ,$3.37 ,$138.81 ,$12.88 ,$93.87 ,$98.24 ,$93.87 ,$137.29 ,$64.67 ,$114.41 ,$79.76 ,$13.01 ,$3.34 ,$142.62 ,$13.52 ,$3.18 ,$132.71 ,$12.88 ,$137.29 ,$12.88 ,$137.29 ,$137.29 ,$137.29 ,$147.96 ,$123.56 ,$137.29 ,$137.29 ,$137.29 ,$137.29 ST. JOSEPH'S - CHIPPEWA FALLS,30200557,86804,HC HEP C AB CONFIRM,302,1 ,$145.64 ,$109.23 ,$15.49 ,$145.64 ,$93.79 ,$15.49 ,$101.95 ,$16.01 ,$37.19 ,$16.49 ,$29.75 ,$138.36 , N/A ,$116.51 ,$132.53 ,$16.01 ,$136.90 ,$138.36 ,$131.08 ,$123.79 ,$16.01 ,$16.01 ,$16.01 ,$106.32 ,$15.49 ,$129.62 ,$131.08 ,$131.08 ,$116.51 ,$15.95 ,$80.10 ,$131.08 ,$15.49 ,$131.08 ,$15.49 ,$138.36 ,$34.85 ,$133.99 ,$16.97 ,$132.53 ,$15.49 ,$89.63 ,$93.79 ,$89.63 ,$131.08 ,$79.43 ,$109.23 ,$95.96 ,$15.64 ,$16.81 ,$136.17 ,$16.26 ,$16.01 ,$126.71 ,$15.49 ,$131.08 ,$15.49 ,$131.08 ,$131.08 ,$131.08 ,$141.27 ,$117.97 ,$131.08 ,$131.08 ,$131.08 ,$131.08 ST. JOSEPH'S - CHIPPEWA FALLS,30200558,86812,HC HLA TYPING SINGLE A/B/C,302,1 ,$149.55 ,$112.16 ,$25.81 ,$149.55 ,$96.31 ,$25.81 ,$104.69 ,$26.67 ,$61.95 ,$27.47 ,$49.56 ,$142.07 , N/A ,$119.64 ,$136.09 ,$26.67 ,$140.58 ,$142.07 ,$134.60 ,$127.12 ,$26.67 ,$26.67 ,$26.67 ,$109.17 ,$25.81 ,$133.10 ,$134.60 ,$134.60 ,$119.64 ,$26.58 ,$82.25 ,$134.60 ,$25.81 ,$134.60 ,$25.81 ,$142.07 ,$58.07 ,$137.59 ,$28.27 ,$136.09 ,$25.81 ,$92.03 ,$96.31 ,$92.03 ,$134.60 ,$149.55 ,$112.16 ,$134.60 ,$26.07 ,$28.00 ,$139.83 ,$27.10 ,$26.67 ,$130.11 ,$25.81 ,$134.60 ,$25.81 ,$134.60 ,$134.60 ,$134.60 ,$145.06 ,$121.14 ,$134.60 ,$134.60 ,$134.60 ,$134.60 ST. JOSEPH'S - CHIPPEWA FALLS,30200559,86850,HC AB SCREEN,302,1 ,$263.53 ,$197.65 ,$5.38 ,$263.53 ,$169.71 ,$48.19 ,$184.47 ,$5.38 ,$9.19 ,$5.54 ,$7.35 ,$250.35 , N/A ,$210.82 ,$239.81 ,$5.38 ,$247.72 ,$250.35 ,$237.18 ,$224.00 ,$5.38 ,$5.38 ,$5.38 ,$192.38 ,$48.19 ,$234.54 ,$237.18 ,$237.18 ,$210.82 ,$49.64 ,$144.94 ,$237.18 ,$48.19 ,$237.18 ,$48.19 ,$250.35 ,$108.43 ,$242.45 ,$5.70 ,$239.81 ,$48.19 ,$162.18 ,$169.71 ,$162.18 ,$237.18 ,$67.41 ,$197.65 ,$49.01 ,$48.67 ,$5.65 ,$246.40 ,$50.60 ,$5.38 ,$229.27 ,$48.19 ,$237.18 ,$48.19 ,$237.18 ,$237.18 ,$237.18 ,$255.62 ,$213.46 ,$237.18 ,$237.18 ,$237.18 ,$237.18 ST. JOSEPH'S - CHIPPEWA FALLS,30200560,86860,HC ELUTION,302,1 ,$322.95 ,$242.21 ,$4.14 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$4.14 ,$52.24 ,$4.26 ,$41.79 ,$306.80 , N/A ,$258.36 ,$293.88 ,$4.14 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$4.14 ,$4.14 ,$4.14 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$4.39 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$197.64 ,$242.21 ,$226.07 ,$145.91 ,$4.35 ,$301.96 ,$151.68 ,$4.14 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,30200561,86870,HC RBC AB ID PANEL,302,1 ,$538.58 ,$403.94 ,$4.14 ,$634.69 ,$346.85 ,$282.09 ,$377.01 ,$4.14 ,$71.45 ,$4.26 ,$57.16 ,$511.65 , N/A ,$430.86 ,$490.11 ,$4.14 ,$506.27 ,$511.65 ,$484.72 ,$457.79 ,$4.14 ,$4.14 ,$4.14 ,$393.16 ,$282.09 ,$479.34 ,$484.72 ,$484.72 ,$430.86 ,$290.55 ,$296.22 ,$484.72 ,$282.09 ,$484.72 ,$282.09 ,$511.65 ,$634.69 ,$495.49 ,$4.39 ,$490.11 ,$282.09 ,$331.44 ,$346.85 ,$331.44 ,$484.72 ,$197.64 ,$403.94 ,$377.01 ,$284.91 ,$4.35 ,$503.57 ,$296.19 ,$4.14 ,$468.56 ,$282.09 ,$484.72 ,$282.09 ,$484.72 ,$484.72 ,$484.72 ,$522.42 ,$436.25 ,$484.72 ,$484.72 ,$484.72 ,$484.72 ST. JOSEPH'S - CHIPPEWA FALLS,30200562,86880,HC COOMBS DIRECT,302,1 ,$110.39 ,$82.79 ,$5.57 ,$121.29 ,$71.09 ,$53.91 ,$77.27 ,$5.57 ,$10.33 ,$5.74 ,$8.26 ,$104.87 , N/A ,$88.31 ,$100.45 ,$5.57 ,$103.77 ,$104.87 ,$99.35 ,$93.83 ,$5.57 ,$5.57 ,$5.57 ,$80.58 ,$53.91 ,$98.25 ,$99.35 ,$99.35 ,$88.31 ,$55.52 ,$60.71 ,$99.35 ,$53.91 ,$99.35 ,$53.91 ,$104.87 ,$121.29 ,$101.56 ,$5.90 ,$100.45 ,$53.91 ,$67.93 ,$71.09 ,$67.93 ,$99.35 ,$32.94 ,$82.79 ,$33.36 ,$54.45 ,$5.85 ,$103.21 ,$56.61 ,$5.57 ,$96.04 ,$53.91 ,$99.35 ,$53.91 ,$99.35 ,$99.35 ,$99.35 ,$107.08 ,$89.42 ,$99.35 ,$99.35 ,$99.35 ,$99.35 ST. JOSEPH'S - CHIPPEWA FALLS,30200563,86885,HC INDIRECT COOMBS,302,1 ,$132.91 ,$99.68 ,$5.91 ,$325.04 ,$85.59 ,$144.46 ,$93.04 ,$5.91 ,$13.74 ,$6.09 ,$10.99 ,$126.26 , N/A ,$106.33 ,$120.95 ,$5.91 ,$124.94 ,$126.26 ,$119.62 ,$112.97 ,$5.91 ,$5.91 ,$5.91 ,$97.02 ,$144.46 ,$118.29 ,$119.62 ,$119.62 ,$106.33 ,$148.80 ,$73.10 ,$119.62 ,$144.46 ,$119.62 ,$144.46 ,$126.26 ,$325.04 ,$122.28 ,$6.26 ,$120.95 ,$144.46 ,$81.79 ,$85.59 ,$81.79 ,$119.62 ,$47.68 ,$99.68 ,$35.47 ,$145.91 ,$6.21 ,$124.27 ,$151.68 ,$5.91 ,$115.63 ,$144.46 ,$119.62 ,$144.46 ,$119.62 ,$119.62 ,$119.62 ,$128.92 ,$107.66 ,$119.62 ,$119.62 ,$119.62 ,$119.62 ST. JOSEPH'S - CHIPPEWA FALLS,30200564,86890,HC AUTOLOGOUS PROCESSING FEE,302,1 ,$538.58 ,$403.94 ,$8.01 ,$538.58 ,$346.85 ,$144.46 ,$377.01 ,$8.01 ,$163.92 ,$8.25 ,$131.14 ,$511.65 , N/A ,$430.86 ,$490.11 ,$8.01 ,$506.27 ,$511.65 ,$484.72 ,$457.79 ,$8.01 ,$8.01 ,$8.01 ,$393.16 ,$144.46 ,$479.34 ,$484.72 ,$484.72 ,$430.86 ,$148.80 ,$296.22 ,$484.72 ,$144.46 ,$484.72 ,$144.46 ,$511.65 ,$325.04 ,$495.49 ,$8.49 ,$490.11 ,$144.46 ,$331.44 ,$346.85 ,$331.44 ,$484.72 ,$184.48 ,$403.94 ,$377.01 ,$145.91 ,$8.41 ,$503.57 ,$151.68 ,$8.01 ,$468.56 ,$144.46 ,$484.72 ,$144.46 ,$484.72 ,$484.72 ,$484.72 ,$522.42 ,$436.25 ,$484.72 ,$484.72 ,$484.72 ,$484.72 ST. JOSEPH'S - CHIPPEWA FALLS,30200565,86900,HC BLOOD TYPING ABO,302,1 ,$61.94 ,$46.46 ,$3.09 ,$243.95 ,$39.89 ,$108.42 ,$43.36 ,$3.09 ,$6.58 ,$3.18 ,$5.26 ,$58.84 , N/A ,$49.55 ,$56.37 ,$3.09 ,$58.22 ,$58.84 ,$55.75 ,$52.65 ,$3.09 ,$3.09 ,$3.09 ,$45.22 ,$108.42 ,$55.13 ,$55.75 ,$55.75 ,$49.55 ,$111.68 ,$34.07 ,$55.75 ,$108.42 ,$55.75 ,$108.42 ,$58.84 ,$243.95 ,$56.98 ,$3.28 ,$56.37 ,$108.42 ,$38.12 ,$39.89 ,$38.12 ,$55.75 ,$50.50 ,$46.46 ,$18.51 ,$109.51 ,$3.24 ,$57.91 ,$113.84 ,$3.09 ,$53.89 ,$108.42 ,$55.75 ,$108.42 ,$55.75 ,$55.75 ,$55.75 ,$60.08 ,$50.17 ,$55.75 ,$55.75 ,$55.75 ,$55.75 ST. JOSEPH'S - CHIPPEWA FALLS,30200566,86901,HC BLOOD TYPING RH,302,1 ,$78.00 ,$58.50 ,$3.09 ,$78.00 ,$50.23 ,$32.77 ,$54.60 ,$3.09 ,$6.58 ,$3.18 ,$5.26 ,$74.10 , N/A ,$62.40 ,$70.98 ,$3.09 ,$73.32 ,$74.10 ,$70.20 ,$66.30 ,$3.09 ,$3.09 ,$3.09 ,$56.94 ,$32.77 ,$69.42 ,$70.20 ,$70.20 ,$62.40 ,$33.76 ,$42.90 ,$70.20 ,$32.77 ,$70.20 ,$32.77 ,$74.10 ,$73.74 ,$71.76 ,$3.28 ,$70.98 ,$32.77 ,$48.00 ,$50.23 ,$48.00 ,$70.20 ,$50.50 ,$58.50 ,$18.51 ,$33.10 ,$3.24 ,$72.93 ,$34.41 ,$3.09 ,$67.86 ,$32.77 ,$70.20 ,$32.77 ,$70.20 ,$70.20 ,$70.20 ,$75.66 ,$63.18 ,$70.20 ,$70.20 ,$70.20 ,$70.20 ST. JOSEPH'S - CHIPPEWA FALLS,30200567,86902,HC RBC AG SCR RGT SERUM,302,1 ,$146.78 ,$110.09 ,$5.37 ,$634.69 ,$94.53 ,$282.09 ,$102.75 ,$5.37 ,$9.19 ,$5.53 ,$7.35 ,$139.44 , N/A ,$117.42 ,$133.57 ,$5.37 ,$137.97 ,$139.44 ,$132.10 ,$124.76 ,$5.37 ,$5.37 ,$5.37 ,$107.15 ,$282.09 ,$130.63 ,$132.10 ,$132.10 ,$117.42 ,$290.55 ,$80.73 ,$132.10 ,$282.09 ,$132.10 ,$282.09 ,$139.44 ,$634.69 ,$135.04 ,$5.69 ,$133.57 ,$282.09 ,$90.33 ,$94.53 ,$90.33 ,$132.10 ,$10.95 ,$110.09 ,$31.85 ,$284.91 ,$5.64 ,$137.24 ,$296.19 ,$5.37 ,$127.70 ,$282.09 ,$132.10 ,$282.09 ,$132.10 ,$132.10 ,$132.10 ,$142.38 ,$118.89 ,$132.10 ,$132.10 ,$132.10 ,$132.10 ST. JOSEPH'S - CHIPPEWA FALLS,30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$206.06 ,$154.55 ,$3.96 ,$634.69 ,$132.70 ,$282.09 ,$144.24 ,$3.96 ,$9.19 ,$4.08 ,$7.35 ,$195.76 , N/A ,$164.85 ,$187.51 ,$3.96 ,$193.70 ,$195.76 ,$185.45 ,$175.15 ,$3.96 ,$3.96 ,$3.96 ,$150.42 ,$282.09 ,$183.39 ,$185.45 ,$185.45 ,$164.85 ,$290.55 ,$113.33 ,$185.45 ,$282.09 ,$185.45 ,$282.09 ,$195.76 ,$634.69 ,$189.58 ,$4.20 ,$187.51 ,$282.09 ,$126.81 ,$132.70 ,$126.81 ,$185.45 ,$57.09 ,$154.55 ,$23.73 ,$284.91 ,$4.16 ,$192.67 ,$296.19 ,$3.96 ,$179.27 ,$282.09 ,$185.45 ,$282.09 ,$185.45 ,$185.45 ,$185.45 ,$199.88 ,$166.91 ,$185.45 ,$185.45 ,$185.45 ,$185.45 ST. JOSEPH'S - CHIPPEWA FALLS,30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$322.95 ,$242.21 ,$4.14 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$4.14 ,$57.65 ,$4.26 ,$46.12 ,$306.80 , N/A ,$258.36 ,$293.88 ,$4.14 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$4.14 ,$4.14 ,$4.14 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$4.39 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$30.75 ,$242.21 ,$226.07 ,$145.91 ,$4.35 ,$301.96 ,$151.68 ,$4.14 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,30200570,86921,HC CROSSMATCH INCUBATION,302,1 ,$322.95 ,$242.21 ,$4.14 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$4.14 ,$52.24 ,$4.26 ,$41.79 ,$306.80 , N/A ,$258.36 ,$293.88 ,$4.14 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$4.14 ,$4.14 ,$4.14 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$4.39 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$47.68 ,$242.21 ,$226.07 ,$145.91 ,$4.35 ,$301.96 ,$151.68 ,$4.14 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,30200571,86922,HC CROSSMATCH AHG,302,1 ,$322.95 ,$242.21 ,$4.14 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$4.14 ,$61.85 ,$4.26 ,$49.48 ,$306.80 , N/A ,$258.36 ,$293.88 ,$4.14 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$4.14 ,$4.14 ,$4.14 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$4.39 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$90.47 ,$242.21 ,$226.07 ,$145.91 ,$4.35 ,$301.96 ,$151.68 ,$4.14 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,30200572,86923,HC CROSSMATCH ELECTRONIC,302,1 ,$322.95 ,$242.21 ,$4.14 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$4.14 ,$46.24 ,$4.26 ,$36.99 ,$306.80 , N/A ,$258.36 ,$293.88 ,$4.14 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$4.14 ,$4.14 ,$4.14 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$4.39 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$44.66 ,$242.21 ,$226.07 ,$145.91 ,$4.35 ,$301.96 ,$151.68 ,$4.14 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,30200573,86978,HC RBC PRETREAT ABSOR,302,1 ,$143.21 ,$107.41 ,$8.01 ,$143.21 ,$92.23 ,$32.77 ,$100.25 ,$8.01 ,$57.65 ,$8.25 ,$46.12 ,$136.05 , N/A ,$114.57 ,$130.32 ,$8.01 ,$134.62 ,$136.05 ,$128.89 ,$121.73 ,$8.01 ,$8.01 ,$8.01 ,$104.54 ,$32.77 ,$127.46 ,$128.89 ,$128.89 ,$114.57 ,$33.76 ,$78.77 ,$128.89 ,$32.77 ,$128.89 ,$32.77 ,$136.05 ,$73.74 ,$131.75 ,$8.49 ,$130.32 ,$32.77 ,$88.13 ,$92.23 ,$88.13 ,$128.89 ,$87.89 ,$107.41 ,$100.25 ,$33.10 ,$8.41 ,$133.90 ,$34.41 ,$8.01 ,$124.59 ,$32.77 ,$128.89 ,$32.77 ,$128.89 ,$128.89 ,$128.89 ,$138.91 ,$116.00 ,$128.89 ,$128.89 ,$128.89 ,$128.89 ST. JOSEPH'S - CHIPPEWA FALLS,30200574,87272,HC CRYPTOSPORIDIUM,302,1 ,$323.78 ,$242.84 ,$11.98 ,$323.78 ,$208.51 ,$11.98 ,$226.65 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$307.59 , N/A ,$259.02 ,$294.64 ,$12.38 ,$304.35 ,$307.59 ,$291.40 ,$275.21 ,$12.38 ,$12.38 ,$12.38 ,$236.36 ,$11.98 ,$288.16 ,$291.40 ,$291.40 ,$259.02 ,$12.34 ,$178.08 ,$291.40 ,$11.98 ,$291.40 ,$11.98 ,$307.59 ,$26.96 ,$297.88 ,$13.12 ,$294.64 ,$11.98 ,$199.25 ,$208.51 ,$199.25 ,$291.40 ,$51.16 ,$242.84 ,$74.24 ,$12.10 ,$13.00 ,$302.73 ,$12.58 ,$12.38 ,$281.69 ,$11.98 ,$291.40 ,$11.98 ,$291.40 ,$291.40 ,$291.40 ,$314.07 ,$262.26 ,$291.40 ,$291.40 ,$291.40 ,$291.40 ST. JOSEPH'S - CHIPPEWA FALLS,30200575,87801,HC INFECT MLT ORG AMP,302,1 ,$386.23 ,$289.67 ,$50.62 ,$386.23 ,$248.73 ,$70.20 ,$270.36 ,$50.62 ,$168.51 ,$52.14 ,$134.81 ,$366.92 , N/A ,$308.98 ,$351.47 ,$50.62 ,$363.06 ,$366.92 ,$347.61 ,$328.30 ,$50.62 ,$50.62 ,$50.62 ,$281.95 ,$70.20 ,$343.74 ,$347.61 ,$347.61 ,$308.98 ,$72.31 ,$212.43 ,$347.61 ,$70.20 ,$347.61 ,$70.20 ,$366.92 ,$157.95 ,$355.33 ,$53.66 ,$351.47 ,$70.20 ,$237.69 ,$248.73 ,$237.69 ,$347.61 ,$122.72 ,$289.67 ,$347.61 ,$70.90 ,$53.15 ,$361.13 ,$73.71 ,$50.62 ,$336.02 ,$70.20 ,$347.61 ,$70.20 ,$347.61 ,$347.61 ,$347.61 ,$374.64 ,$312.85 ,$347.61 ,$347.61 ,$347.61 ,$347.61 ST. JOSEPH'S - CHIPPEWA FALLS,30200576,87804,HC INFLUENZA ASSAY W/OPTIC,302,1 ,$135.31 ,$101.48 ,$16.55 ,$135.31 ,$87.14 ,$16.55 ,$94.72 ,$16.86 ,$28.77 ,$17.37 ,$23.02 ,$128.54 , N/A ,$108.25 ,$123.13 ,$16.86 ,$127.19 ,$128.54 ,$121.78 ,$115.01 ,$16.86 ,$16.86 ,$16.86 ,$98.78 ,$16.55 ,$120.43 ,$121.78 ,$121.78 ,$108.25 ,$17.05 ,$74.42 ,$121.78 ,$16.55 ,$121.78 ,$16.55 ,$128.54 ,$37.24 ,$124.49 ,$17.87 ,$123.13 ,$16.55 ,$83.27 ,$87.14 ,$83.27 ,$121.78 ,$65.98 ,$101.48 ,$83.02 ,$16.72 ,$17.70 ,$126.51 ,$17.38 ,$16.86 ,$117.72 ,$16.55 ,$121.78 ,$16.55 ,$121.78 ,$121.78 ,$121.78 ,$131.25 ,$109.60 ,$121.78 ,$121.78 ,$121.78 ,$121.78 ST. JOSEPH'S - CHIPPEWA FALLS,30200577,86481,HC TB ANTIGEN RESPONSE GAMMA INTER T-CELL SUSP,302,1 ,$250.00 ,$187.50 ,$90.12 ,$250.00 ,$161.00 ,$100.00 ,$175.00 ,$90.12 ,$179.88 ,$92.82 ,$143.91 ,$237.50 , N/A ,$200.00 ,$227.50 ,$90.12 ,$235.00 ,$237.50 ,$225.00 ,$212.50 ,$90.12 ,$90.12 ,$90.12 ,$182.50 ,$100.00 ,$222.50 ,$225.00 ,$225.00 ,$200.00 ,$103.00 ,$137.50 ,$225.00 ,$100.00 ,$225.00 ,$100.00 ,$237.50 ,$225.00 ,$230.00 ,$95.53 ,$227.50 ,$100.00 ,$153.85 ,$161.00 ,$153.85 ,$225.00 ,$175.92 ,$187.50 ,$225.00 ,$101.00 ,$94.63 ,$233.75 ,$105.00 ,$90.12 ,$217.50 ,$100.00 ,$225.00 ,$100.00 ,$225.00 ,$225.00 ,$225.00 ,$242.50 ,$202.50 ,$225.00 ,$225.00 ,$225.00 ,$225.00 ST. JOSEPH'S - CHIPPEWA FALLS,30200581,87801,HC INFECT MLT ORG AMP -52,302,1 ,$328.10 ,$246.08 ,$50.62 ,$328.10 ,$211.30 ,$70.20 ,$229.67 ,$50.62 ,$168.51 ,$52.14 ,$134.81 ,$311.70 , N/A ,$262.48 ,$298.57 ,$50.62 ,$308.41 ,$311.70 ,$295.29 ,$278.89 ,$50.62 ,$50.62 ,$50.62 ,$239.51 ,$70.20 ,$292.01 ,$295.29 ,$295.29 ,$262.48 ,$72.31 ,$180.46 ,$295.29 ,$70.20 ,$295.29 ,$70.20 ,$311.70 ,$157.95 ,$301.85 ,$53.66 ,$298.57 ,$70.20 ,$201.91 ,$211.30 ,$201.91 ,$295.29 ,$122.72 ,$246.08 ,$295.29 ,$70.90 ,$53.15 ,$306.77 ,$73.71 ,$50.62 ,$285.45 ,$70.20 ,$295.29 ,$70.20 ,$295.29 ,$295.29 ,$295.29 ,$318.26 ,$265.76 ,$295.29 ,$295.29 ,$295.29 ,$295.29 ST. JOSEPH'S - CHIPPEWA FALLS,30200824,86644,HC CMV AB,302,1 ,$44.43 ,$33.32 ,$14.39 ,$44.43 ,$28.61 ,$14.39 ,$31.10 ,$14.87 ,$34.55 ,$15.32 ,$27.64 ,$42.21 , N/A ,$35.54 ,$40.43 ,$14.87 ,$41.76 ,$42.21 ,$39.99 ,$37.77 ,$14.87 ,$14.87 ,$14.87 ,$32.43 ,$14.39 ,$39.54 ,$39.99 ,$39.99 ,$35.54 ,$14.82 ,$24.44 ,$39.99 ,$14.39 ,$39.99 ,$14.39 ,$42.21 ,$32.38 ,$40.88 ,$15.76 ,$40.43 ,$14.39 ,$27.34 ,$28.61 ,$27.34 ,$39.99 ,$44.43 ,$33.32 ,$39.99 ,$14.53 ,$15.61 ,$41.54 ,$15.11 ,$14.87 ,$38.65 ,$14.39 ,$39.99 ,$14.39 ,$39.99 ,$39.99 ,$39.99 ,$43.10 ,$35.99 ,$39.99 ,$39.99 ,$39.99 ,$39.99 ST. JOSEPH'S - CHIPPEWA FALLS,30201083,86353,HC LYMPHOCYTE TRANFORM MITOGENS,302,1 ,$55.00 ,$41.25 ,$30.25 ,$110.32 ,$35.42 ,$49.03 ,$38.50 ,$50.66 ,$55.00 ,$52.18 ,$55.00 ,$52.25 , N/A ,$44.00 ,$50.05 ,$50.66 ,$51.70 ,$52.25 ,$49.50 ,$46.75 ,$50.66 ,$50.66 ,$50.66 ,$40.15 ,$49.03 ,$48.95 ,$49.50 ,$49.50 ,$44.00 ,$50.50 ,$30.25 ,$49.50 ,$49.03 ,$49.50 ,$49.03 ,$52.25 ,$110.32 ,$50.60 ,$53.70 ,$50.05 ,$49.03 ,$33.85 ,$35.42 ,$33.85 ,$49.50 ,$55.00 ,$41.25 ,$49.50 ,$49.52 ,$53.19 ,$51.43 ,$51.48 ,$50.66 ,$47.85 ,$49.03 ,$49.50 ,$49.03 ,$49.50 ,$49.50 ,$49.50 ,$53.35 ,$44.55 ,$49.50 ,$49.50 ,$49.50 ,$49.50 ST. JOSEPH'S - CHIPPEWA FALLS,30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$76.27 ,$57.20 ,$3.80 ,$76.27 ,$49.12 ,$3.80 ,$53.39 ,$3.93 ,$8.24 ,$4.05 ,$6.59 ,$72.46 , N/A ,$61.02 ,$69.41 ,$3.93 ,$71.69 ,$72.46 ,$68.64 ,$64.83 ,$3.93 ,$3.93 ,$3.93 ,$55.68 ,$3.80 ,$67.88 ,$68.64 ,$68.64 ,$61.02 ,$3.91 ,$41.95 ,$68.64 ,$3.80 ,$68.64 ,$3.80 ,$72.46 ,$8.55 ,$70.17 ,$4.17 ,$69.41 ,$3.80 ,$46.94 ,$49.12 ,$46.94 ,$68.64 ,$43.91 ,$57.20 ,$21.27 ,$3.84 ,$4.13 ,$71.31 ,$3.99 ,$3.93 ,$66.35 ,$3.80 ,$68.64 ,$3.80 ,$68.64 ,$68.64 ,$68.64 ,$73.98 ,$61.78 ,$68.64 ,$68.64 ,$68.64 ,$68.64 ST. JOSEPH'S - CHIPPEWA FALLS,30500104,85014,HC HEMATOCRIT,305,1 ,$31.41 ,$23.56 ,$2.37 ,$31.41 ,$20.23 ,$2.37 ,$21.99 ,$2.45 ,$5.69 ,$2.52 ,$4.55 ,$29.84 , N/A ,$25.13 ,$28.58 ,$2.45 ,$29.53 ,$29.84 ,$28.27 ,$26.70 ,$2.45 ,$2.45 ,$2.45 ,$22.93 ,$2.37 ,$27.95 ,$28.27 ,$28.27 ,$25.13 ,$2.44 ,$17.28 ,$28.27 ,$2.37 ,$28.27 ,$2.37 ,$29.84 ,$5.33 ,$28.90 ,$2.60 ,$28.58 ,$2.37 ,$19.33 ,$20.23 ,$19.33 ,$28.27 ,$29.66 ,$23.56 ,$14.70 ,$2.39 ,$2.57 ,$29.37 ,$2.49 ,$2.45 ,$27.33 ,$2.37 ,$28.27 ,$2.37 ,$28.27 ,$28.27 ,$28.27 ,$30.47 ,$25.44 ,$28.27 ,$28.27 ,$28.27 ,$28.27 ST. JOSEPH'S - CHIPPEWA FALLS,30500106,85018,HC HGB,305,1 ,$32.36 ,$24.27 ,$2.37 ,$32.36 ,$20.84 ,$2.37 ,$22.65 ,$2.45 ,$5.69 ,$2.52 ,$4.55 ,$30.74 , N/A ,$25.89 ,$29.45 ,$2.45 ,$30.42 ,$30.74 ,$29.12 ,$27.51 ,$2.45 ,$2.45 ,$2.45 ,$23.62 ,$2.37 ,$28.80 ,$29.12 ,$29.12 ,$25.89 ,$2.44 ,$17.80 ,$29.12 ,$2.37 ,$29.12 ,$2.37 ,$30.74 ,$5.33 ,$29.77 ,$2.60 ,$29.45 ,$2.37 ,$19.91 ,$20.84 ,$19.91 ,$29.12 ,$32.36 ,$24.27 ,$14.70 ,$2.39 ,$2.57 ,$30.26 ,$2.49 ,$2.45 ,$28.15 ,$2.37 ,$29.12 ,$2.37 ,$29.12 ,$29.12 ,$29.12 ,$31.39 ,$26.21 ,$29.12 ,$29.12 ,$29.12 ,$29.12 ST. JOSEPH'S - CHIPPEWA FALLS,30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$145.46 ,$109.10 ,$7.77 ,$145.46 ,$93.68 ,$7.77 ,$101.82 ,$8.03 ,$18.66 ,$8.27 ,$14.92 ,$138.19 , N/A ,$116.37 ,$132.37 ,$8.03 ,$136.73 ,$138.19 ,$130.91 ,$123.64 ,$8.03 ,$8.03 ,$8.03 ,$106.19 ,$7.77 ,$129.46 ,$130.91 ,$130.91 ,$116.37 ,$8.00 ,$80.00 ,$130.91 ,$7.77 ,$130.91 ,$7.77 ,$138.19 ,$17.48 ,$133.82 ,$8.51 ,$132.37 ,$7.77 ,$89.52 ,$93.68 ,$89.52 ,$130.91 ,$76.87 ,$109.10 ,$48.11 ,$7.85 ,$8.43 ,$136.01 ,$8.16 ,$8.03 ,$126.55 ,$7.77 ,$130.91 ,$7.77 ,$130.91 ,$130.91 ,$130.91 ,$141.10 ,$117.82 ,$130.91 ,$130.91 ,$130.91 ,$130.91 ST. JOSEPH'S - CHIPPEWA FALLS,30500108,85027,HC CBC W/O DIFF,305,1 ,$93.83 ,$70.37 ,$6.47 ,$93.83 ,$60.43 ,$6.47 ,$65.68 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$89.14 , N/A ,$75.06 ,$85.39 ,$6.69 ,$88.20 ,$89.14 ,$84.45 ,$79.76 ,$6.69 ,$6.69 ,$6.69 ,$68.50 ,$6.47 ,$83.51 ,$84.45 ,$84.45 ,$75.06 ,$6.66 ,$51.61 ,$84.45 ,$6.47 ,$84.45 ,$6.47 ,$89.14 ,$14.56 ,$86.32 ,$7.09 ,$85.39 ,$6.47 ,$57.74 ,$60.43 ,$57.74 ,$84.45 ,$76.87 ,$70.37 ,$40.03 ,$6.53 ,$7.02 ,$87.73 ,$6.79 ,$6.69 ,$81.63 ,$6.47 ,$84.45 ,$6.47 ,$84.45 ,$84.45 ,$84.45 ,$91.02 ,$76.00 ,$84.45 ,$84.45 ,$84.45 ,$84.45 ST. JOSEPH'S - CHIPPEWA FALLS,30500110,85044,HC RETIC COUNT MANUAL,305,1 ,$75.79 ,$56.84 ,$4.31 ,$75.79 ,$48.81 ,$4.31 ,$53.05 ,$4.45 ,$10.34 ,$4.58 ,$8.27 ,$72.00 , N/A ,$60.63 ,$68.97 ,$4.45 ,$71.24 ,$72.00 ,$68.21 ,$64.42 ,$4.45 ,$4.45 ,$4.45 ,$55.33 ,$4.31 ,$67.45 ,$68.21 ,$68.21 ,$60.63 ,$4.44 ,$41.68 ,$68.21 ,$4.31 ,$68.21 ,$4.31 ,$72.00 ,$9.70 ,$69.73 ,$4.72 ,$68.97 ,$4.31 ,$46.64 ,$48.81 ,$46.64 ,$68.21 ,$41.75 ,$56.84 ,$26.69 ,$4.35 ,$4.67 ,$70.86 ,$4.53 ,$4.45 ,$65.94 ,$4.31 ,$68.21 ,$4.31 ,$68.21 ,$68.21 ,$68.21 ,$73.52 ,$61.39 ,$68.21 ,$68.21 ,$68.21 ,$68.21 ST. JOSEPH'S - CHIPPEWA FALLS,30500111,85045,HC RETIC COUNT AUTO,305,1 ,$92.50 ,$69.38 ,$3.99 ,$92.50 ,$59.57 ,$3.99 ,$64.75 ,$4.12 ,$9.59 ,$4.24 ,$7.67 ,$87.88 , N/A ,$74.00 ,$84.18 ,$4.12 ,$86.95 ,$87.88 ,$83.25 ,$78.63 ,$4.12 ,$4.12 ,$4.12 ,$67.53 ,$3.99 ,$82.33 ,$83.25 ,$83.25 ,$74.00 ,$4.11 ,$50.88 ,$83.25 ,$3.99 ,$83.25 ,$3.99 ,$87.88 ,$8.98 ,$85.10 ,$4.37 ,$84.18 ,$3.99 ,$56.92 ,$59.57 ,$56.92 ,$83.25 ,$79.07 ,$69.38 ,$24.73 ,$4.03 ,$4.33 ,$86.49 ,$4.19 ,$4.12 ,$80.48 ,$3.99 ,$83.25 ,$3.99 ,$83.25 ,$83.25 ,$83.25 ,$89.73 ,$74.93 ,$83.25 ,$83.25 ,$83.25 ,$83.25 ST. JOSEPH'S - CHIPPEWA FALLS,30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$36.08 ,$27.06 ,$2.54 ,$36.08 ,$23.24 ,$2.54 ,$25.26 ,$2.62 ,$6.09 ,$2.70 ,$4.87 ,$34.28 , N/A ,$28.86 ,$32.83 ,$2.62 ,$33.92 ,$34.28 ,$32.47 ,$30.67 ,$2.62 ,$2.62 ,$2.62 ,$26.34 ,$2.54 ,$32.11 ,$32.47 ,$32.47 ,$28.86 ,$2.62 ,$19.84 ,$32.47 ,$2.54 ,$32.47 ,$2.54 ,$34.28 ,$5.72 ,$33.19 ,$2.78 ,$32.83 ,$2.54 ,$22.20 ,$23.24 ,$22.20 ,$32.47 ,$30.75 ,$27.06 ,$15.70 ,$2.57 ,$2.75 ,$33.73 ,$2.67 ,$2.62 ,$31.39 ,$2.54 ,$32.47 ,$2.54 ,$32.47 ,$32.47 ,$32.47 ,$35.00 ,$29.22 ,$32.47 ,$32.47 ,$32.47 ,$32.47 ST. JOSEPH'S - CHIPPEWA FALLS,30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$76.74 ,$57.56 ,$4.48 ,$76.74 ,$49.42 ,$4.48 ,$53.72 ,$4.63 ,$10.75 ,$4.77 ,$8.60 ,$72.90 , N/A ,$61.39 ,$69.83 ,$4.63 ,$72.14 ,$72.90 ,$69.07 ,$65.23 ,$4.63 ,$4.63 ,$4.63 ,$56.02 ,$4.48 ,$68.30 ,$69.07 ,$69.07 ,$61.39 ,$4.61 ,$42.21 ,$69.07 ,$4.48 ,$69.07 ,$4.48 ,$72.90 ,$10.08 ,$70.60 ,$4.91 ,$69.83 ,$4.48 ,$47.23 ,$49.42 ,$47.23 ,$69.07 ,$14.95 ,$57.56 ,$27.74 ,$4.52 ,$4.86 ,$71.75 ,$4.70 ,$4.63 ,$66.76 ,$4.48 ,$69.07 ,$4.48 ,$69.07 ,$69.07 ,$69.07 ,$74.44 ,$62.16 ,$69.07 ,$69.07 ,$69.07 ,$69.07 ST. JOSEPH'S - CHIPPEWA FALLS,30500115,85060,HC BLOOD SMEAR INTERP,305,1 ,$61.78 ,$46.34 ,$5.22 ,$61.78 ,$39.79 , N/A ,$43.25 ,$5.22 ,$43.24 ,$5.38 ,$34.59 ,$58.69 , N/A ,$49.42 ,$56.22 ,$5.22 ,$58.07 ,$58.69 ,$55.60 ,$52.51 ,$5.22 ,$5.22 ,$5.22 ,$45.10 , N/A ,$54.98 ,$55.60 ,$55.60 ,$49.42 , N/A ,$33.98 ,$55.60 , N/A ,$55.60 , N/A ,$58.69 , N/A ,$56.84 ,$5.53 ,$56.22 , N/A ,$38.02 ,$39.79 ,$38.02 ,$55.60 ,$61.78 ,$46.34 ,$55.60 , N/A ,$5.48 ,$57.76 , N/A ,$5.22 ,$53.75 , N/A ,$55.60 , N/A ,$55.60 ,$55.60 ,$55.60 ,$59.93 ,$50.04 ,$55.60 ,$55.60 ,$55.60 ,$55.60 ST. JOSEPH'S - CHIPPEWA FALLS,30500121,85210,HC FACTOR II,305,1 ,$105.48 ,$79.11 ,$8.17 ,$105.48 ,$67.93 ,$12.98 ,$73.84 ,$8.17 ,$13.97 ,$8.42 ,$11.17 ,$100.21 , N/A ,$84.38 ,$95.99 ,$8.17 ,$99.15 ,$100.21 ,$94.93 ,$89.66 ,$8.17 ,$8.17 ,$8.17 ,$77.00 ,$12.98 ,$93.88 ,$94.93 ,$94.93 ,$84.38 ,$13.37 ,$58.01 ,$94.93 ,$12.98 ,$94.93 ,$12.98 ,$100.21 ,$29.21 ,$97.04 ,$8.66 ,$95.99 ,$12.98 ,$64.91 ,$67.93 ,$64.91 ,$94.93 ,$105.48 ,$79.11 ,$80.41 ,$13.11 ,$8.58 ,$98.62 ,$13.63 ,$8.17 ,$91.77 ,$12.98 ,$94.93 ,$12.98 ,$94.93 ,$94.93 ,$94.93 ,$102.32 ,$85.44 ,$94.93 ,$94.93 ,$94.93 ,$94.93 ST. JOSEPH'S - CHIPPEWA FALLS,30500123,85220,HC FACTOR V,305,1 ,$120.37 ,$90.28 ,$17.65 ,$120.37 ,$77.52 ,$17.65 ,$84.26 ,$18.24 ,$42.37 ,$18.79 ,$33.89 ,$114.35 , N/A ,$96.30 ,$109.54 ,$18.24 ,$113.15 ,$114.35 ,$108.33 ,$102.31 ,$18.24 ,$18.24 ,$18.24 ,$87.87 ,$17.65 ,$107.13 ,$108.33 ,$108.33 ,$96.30 ,$18.18 ,$66.20 ,$108.33 ,$17.65 ,$108.33 ,$17.65 ,$114.35 ,$39.71 ,$110.74 ,$19.33 ,$109.54 ,$17.65 ,$74.08 ,$77.52 ,$74.08 ,$108.33 ,$120.37 ,$90.28 ,$108.33 ,$17.83 ,$19.15 ,$112.55 ,$18.53 ,$18.24 ,$104.72 ,$17.65 ,$108.33 ,$17.65 ,$108.33 ,$108.33 ,$108.33 ,$116.76 ,$97.50 ,$108.33 ,$108.33 ,$108.33 ,$108.33 ST. JOSEPH'S - CHIPPEWA FALLS,30500125,85230,HC FACTOR VII,305,1 ,$116.45 ,$87.34 ,$17.90 ,$116.45 ,$74.99 ,$17.90 ,$81.52 ,$18.50 ,$42.98 ,$19.06 ,$34.38 ,$110.63 , N/A ,$93.16 ,$105.97 ,$18.50 ,$109.46 ,$110.63 ,$104.81 ,$98.98 ,$18.50 ,$18.50 ,$18.50 ,$85.01 ,$17.90 ,$103.64 ,$104.81 ,$104.81 ,$93.16 ,$18.44 ,$64.05 ,$104.81 ,$17.90 ,$104.81 ,$17.90 ,$110.63 ,$40.28 ,$107.13 ,$19.61 ,$105.97 ,$17.90 ,$71.66 ,$74.99 ,$71.66 ,$104.81 ,$116.45 ,$87.34 ,$104.81 ,$18.08 ,$19.43 ,$108.88 ,$18.80 ,$18.50 ,$101.31 ,$17.90 ,$104.81 ,$17.90 ,$104.81 ,$104.81 ,$104.81 ,$112.96 ,$94.32 ,$104.81 ,$104.81 ,$104.81 ,$104.81 ST. JOSEPH'S - CHIPPEWA FALLS,30500126,85240,HC FACTOR VIII AHG,305,1 ,$120.37 ,$90.28 ,$9.84 ,$120.37 ,$77.52 ,$17.90 ,$84.26 ,$9.84 ,$16.80 ,$10.14 ,$13.44 ,$114.35 , N/A ,$96.30 ,$109.54 ,$9.84 ,$113.15 ,$114.35 ,$108.33 ,$102.31 ,$9.84 ,$9.84 ,$9.84 ,$87.87 ,$17.90 ,$107.13 ,$108.33 ,$108.33 ,$96.30 ,$18.44 ,$66.20 ,$108.33 ,$17.90 ,$108.33 ,$17.90 ,$114.35 ,$40.28 ,$110.74 ,$10.43 ,$109.54 ,$17.90 ,$74.08 ,$77.52 ,$74.08 ,$108.33 ,$120.37 ,$90.28 ,$108.33 ,$18.08 ,$10.33 ,$112.55 ,$18.80 ,$9.84 ,$104.72 ,$17.90 ,$108.33 ,$17.90 ,$108.33 ,$108.33 ,$108.33 ,$116.76 ,$97.50 ,$108.33 ,$108.33 ,$108.33 ,$108.33 ST. JOSEPH'S - CHIPPEWA FALLS,30500130,85245,HC FACTOR VIII VW RISTO,305,1 ,$181.45 ,$136.09 ,$22.94 ,$181.45 ,$116.85 ,$22.94 ,$127.02 ,$23.70 ,$55.07 ,$24.41 ,$44.06 ,$172.38 , N/A ,$145.16 ,$165.12 ,$23.70 ,$170.56 ,$172.38 ,$163.31 ,$154.23 ,$23.70 ,$23.70 ,$23.70 ,$132.46 ,$22.94 ,$161.49 ,$163.31 ,$163.31 ,$145.16 ,$23.63 ,$99.80 ,$163.31 ,$22.94 ,$163.31 ,$22.94 ,$172.38 ,$51.62 ,$166.93 ,$25.12 ,$165.12 ,$22.94 ,$111.66 ,$116.85 ,$111.66 ,$163.31 ,$181.45 ,$136.09 ,$142.06 ,$23.17 ,$24.89 ,$169.66 ,$24.09 ,$23.70 ,$157.86 ,$22.94 ,$163.31 ,$22.94 ,$163.31 ,$163.31 ,$163.31 ,$176.01 ,$146.97 ,$163.31 ,$163.31 ,$163.31 ,$163.31 ST. JOSEPH'S - CHIPPEWA FALLS,30500132,85246,HC FACTOR VIII VW AG,305,1 ,$157.02 ,$117.77 ,$22.94 ,$157.02 ,$101.12 ,$22.94 ,$109.91 ,$23.70 ,$55.07 ,$24.41 ,$44.06 ,$149.17 , N/A ,$125.62 ,$142.89 ,$23.70 ,$147.60 ,$149.17 ,$141.32 ,$133.47 ,$23.70 ,$23.70 ,$23.70 ,$114.62 ,$22.94 ,$139.75 ,$141.32 ,$141.32 ,$125.62 ,$23.63 ,$86.36 ,$141.32 ,$22.94 ,$141.32 ,$22.94 ,$149.17 ,$51.62 ,$144.46 ,$25.12 ,$142.89 ,$22.94 ,$96.63 ,$101.12 ,$96.63 ,$141.32 ,$157.02 ,$117.77 ,$141.32 ,$23.17 ,$24.89 ,$146.81 ,$24.09 ,$23.70 ,$136.61 ,$22.94 ,$141.32 ,$22.94 ,$141.32 ,$141.32 ,$141.32 ,$152.31 ,$127.19 ,$141.32 ,$141.32 ,$141.32 ,$141.32 ST. JOSEPH'S - CHIPPEWA FALLS,30500136,85247,HC FACTOR VW MULTIM ANALY,305,1 ,$269.27 ,$201.95 ,$22.94 ,$269.27 ,$173.41 ,$22.94 ,$188.49 ,$23.70 ,$55.07 ,$24.41 ,$44.06 ,$255.81 , N/A ,$215.42 ,$245.04 ,$23.70 ,$253.11 ,$255.81 ,$242.34 ,$228.88 ,$23.70 ,$23.70 ,$23.70 ,$196.57 ,$22.94 ,$239.65 ,$242.34 ,$242.34 ,$215.42 ,$23.63 ,$148.10 ,$242.34 ,$22.94 ,$242.34 ,$22.94 ,$255.81 ,$51.62 ,$247.73 ,$25.12 ,$245.04 ,$22.94 ,$165.71 ,$173.41 ,$165.71 ,$242.34 ,$269.27 ,$201.95 ,$142.06 ,$23.17 ,$24.89 ,$251.77 ,$24.09 ,$23.70 ,$234.26 ,$22.94 ,$242.34 ,$22.94 ,$242.34 ,$242.34 ,$242.34 ,$261.19 ,$218.11 ,$242.34 ,$242.34 ,$242.34 ,$242.34 ST. JOSEPH'S - CHIPPEWA FALLS,30500138,85250,HC FACTOR IX,305,1 ,$116.45 ,$87.34 ,$19.04 ,$116.45 ,$74.99 ,$19.04 ,$81.52 ,$19.67 ,$45.71 ,$20.26 ,$36.57 ,$110.63 , N/A ,$93.16 ,$105.97 ,$19.67 ,$109.46 ,$110.63 ,$104.81 ,$98.98 ,$19.67 ,$19.67 ,$19.67 ,$85.01 ,$19.04 ,$103.64 ,$104.81 ,$104.81 ,$93.16 ,$19.61 ,$64.05 ,$104.81 ,$19.04 ,$104.81 ,$19.04 ,$110.63 ,$42.84 ,$107.13 ,$20.85 ,$105.97 ,$19.04 ,$71.66 ,$74.99 ,$71.66 ,$104.81 ,$116.45 ,$87.34 ,$104.81 ,$19.23 ,$20.65 ,$108.88 ,$19.99 ,$19.67 ,$101.31 ,$19.04 ,$104.81 ,$19.04 ,$104.81 ,$104.81 ,$104.81 ,$112.96 ,$94.32 ,$104.81 ,$104.81 ,$104.81 ,$104.81 ST. JOSEPH'S - CHIPPEWA FALLS,30500142,85260,HC FACTOR X,305,1 ,$120.37 ,$90.28 ,$17.90 ,$120.37 ,$77.52 ,$17.90 ,$84.26 ,$18.50 ,$42.98 ,$19.06 ,$34.38 ,$114.35 , N/A ,$96.30 ,$109.54 ,$18.50 ,$113.15 ,$114.35 ,$108.33 ,$102.31 ,$18.50 ,$18.50 ,$18.50 ,$87.87 ,$17.90 ,$107.13 ,$108.33 ,$108.33 ,$96.30 ,$18.44 ,$66.20 ,$108.33 ,$17.90 ,$108.33 ,$17.90 ,$114.35 ,$40.28 ,$110.74 ,$19.61 ,$109.54 ,$17.90 ,$74.08 ,$77.52 ,$74.08 ,$108.33 ,$120.37 ,$90.28 ,$108.33 ,$18.08 ,$19.43 ,$112.55 ,$18.80 ,$18.50 ,$104.72 ,$17.90 ,$108.33 ,$17.90 ,$108.33 ,$108.33 ,$108.33 ,$116.76 ,$97.50 ,$108.33 ,$108.33 ,$108.33 ,$108.33 ST. JOSEPH'S - CHIPPEWA FALLS,30500144,85270,HC FACTOR XI,305,1 ,$113.01 ,$84.76 ,$17.90 ,$113.01 ,$72.78 ,$17.90 ,$79.11 ,$18.50 ,$42.98 ,$19.06 ,$34.38 ,$107.36 , N/A ,$90.41 ,$102.84 ,$18.50 ,$106.23 ,$107.36 ,$101.71 ,$96.06 ,$18.50 ,$18.50 ,$18.50 ,$82.50 ,$17.90 ,$100.58 ,$101.71 ,$101.71 ,$90.41 ,$18.44 ,$62.16 ,$101.71 ,$17.90 ,$101.71 ,$17.90 ,$107.36 ,$40.28 ,$103.97 ,$19.61 ,$102.84 ,$17.90 ,$69.55 ,$72.78 ,$69.55 ,$101.71 ,$113.01 ,$84.76 ,$101.71 ,$18.08 ,$19.43 ,$105.66 ,$18.80 ,$18.50 ,$98.32 ,$17.90 ,$101.71 ,$17.90 ,$101.71 ,$101.71 ,$101.71 ,$109.62 ,$91.54 ,$101.71 ,$101.71 ,$101.71 ,$101.71 ST. JOSEPH'S - CHIPPEWA FALLS,30500149,85300,HC ANTITHROMBIN III ACT,305,1 ,$88.49 ,$66.37 ,$11.85 ,$88.49 ,$56.99 ,$11.85 ,$61.94 ,$12.24 ,$28.46 ,$12.61 ,$22.76 ,$84.07 , N/A ,$70.79 ,$80.53 ,$12.24 ,$83.18 ,$84.07 ,$79.64 ,$75.22 ,$12.24 ,$12.24 ,$12.24 ,$64.60 ,$11.85 ,$78.76 ,$79.64 ,$79.64 ,$70.79 ,$12.21 ,$48.67 ,$79.64 ,$11.85 ,$79.64 ,$11.85 ,$84.07 ,$26.66 ,$81.41 ,$12.97 ,$80.53 ,$11.85 ,$54.46 ,$56.99 ,$54.46 ,$79.64 ,$88.49 ,$66.37 ,$73.39 ,$11.97 ,$12.85 ,$82.74 ,$12.44 ,$12.24 ,$76.99 ,$11.85 ,$79.64 ,$11.85 ,$79.64 ,$79.64 ,$79.64 ,$85.84 ,$71.68 ,$79.64 ,$79.64 ,$79.64 ,$79.64 ST. JOSEPH'S - CHIPPEWA FALLS,30500153,85302,HC PROTEIN C AG,305,1 ,$45.73 ,$34.30 ,$12.01 ,$45.73 ,$29.45 ,$12.01 ,$32.01 ,$12.41 ,$28.84 ,$12.78 ,$23.07 ,$43.44 , N/A ,$36.58 ,$41.61 ,$12.41 ,$42.99 ,$43.44 ,$41.16 ,$38.87 ,$12.41 ,$12.41 ,$12.41 ,$33.38 ,$12.01 ,$40.70 ,$41.16 ,$41.16 ,$36.58 ,$12.37 ,$25.15 ,$41.16 ,$12.01 ,$41.16 ,$12.01 ,$43.44 ,$27.02 ,$42.07 ,$13.15 ,$41.61 ,$12.01 ,$28.14 ,$29.45 ,$28.14 ,$41.16 ,$45.73 ,$34.30 ,$41.16 ,$12.13 ,$13.03 ,$42.76 ,$12.61 ,$12.41 ,$39.79 ,$12.01 ,$41.16 ,$12.01 ,$41.16 ,$41.16 ,$41.16 ,$44.36 ,$37.04 ,$41.16 ,$41.16 ,$41.16 ,$41.16 ST. JOSEPH'S - CHIPPEWA FALLS,30500154,85303,HC PROTEIN C ACTIVITY,305,1 ,$42.70 ,$32.03 ,$13.84 ,$42.70 ,$27.50 ,$13.84 ,$29.89 ,$14.30 ,$33.22 ,$14.73 ,$26.57 ,$40.57 , N/A ,$34.16 ,$38.86 ,$14.30 ,$40.14 ,$40.57 ,$38.43 ,$36.30 ,$14.30 ,$14.30 ,$14.30 ,$31.17 ,$13.84 ,$38.00 ,$38.43 ,$38.43 ,$34.16 ,$14.26 ,$23.49 ,$38.43 ,$13.84 ,$38.43 ,$13.84 ,$40.57 ,$31.14 ,$39.28 ,$15.16 ,$38.86 ,$13.84 ,$26.28 ,$27.50 ,$26.28 ,$38.43 ,$42.70 ,$32.03 ,$38.43 ,$13.98 ,$15.02 ,$39.92 ,$14.53 ,$14.30 ,$37.15 ,$13.84 ,$38.43 ,$13.84 ,$38.43 ,$38.43 ,$38.43 ,$41.42 ,$34.59 ,$38.43 ,$38.43 ,$38.43 ,$38.43 ST. JOSEPH'S - CHIPPEWA FALLS,30500156,85305,HC PROTEIN S TOTAL,305,1 ,$45.73 ,$34.30 ,$11.61 ,$45.73 ,$29.45 ,$11.61 ,$32.01 ,$12.00 ,$27.86 ,$12.36 ,$22.29 ,$43.44 , N/A ,$36.58 ,$41.61 ,$12.00 ,$42.99 ,$43.44 ,$41.16 ,$38.87 ,$12.00 ,$12.00 ,$12.00 ,$33.38 ,$11.61 ,$40.70 ,$41.16 ,$41.16 ,$36.58 ,$11.96 ,$25.15 ,$41.16 ,$11.61 ,$41.16 ,$11.61 ,$43.44 ,$26.12 ,$42.07 ,$12.72 ,$41.61 ,$11.61 ,$28.14 ,$29.45 ,$28.14 ,$41.16 ,$45.73 ,$34.30 ,$41.16 ,$11.73 ,$12.60 ,$42.76 ,$12.19 ,$12.00 ,$39.79 ,$11.61 ,$41.16 ,$11.61 ,$41.16 ,$41.16 ,$41.16 ,$44.36 ,$37.04 ,$41.16 ,$41.16 ,$41.16 ,$41.16 ST. JOSEPH'S - CHIPPEWA FALLS,30500159,85306,HC PROTEIN S FREE,305,1 ,$47.30 ,$35.48 ,$15.32 ,$47.30 ,$30.46 ,$15.32 ,$33.11 ,$15.83 ,$34.30 ,$16.30 ,$27.44 ,$44.94 , N/A ,$37.84 ,$43.04 ,$15.83 ,$44.46 ,$44.94 ,$42.57 ,$40.21 ,$15.83 ,$15.83 ,$15.83 ,$34.53 ,$15.32 ,$42.10 ,$42.57 ,$42.57 ,$37.84 ,$15.78 ,$26.02 ,$42.57 ,$15.32 ,$42.57 ,$15.32 ,$44.94 ,$34.47 ,$43.52 ,$16.78 ,$43.04 ,$15.32 ,$29.11 ,$30.46 ,$29.11 ,$42.57 ,$47.30 ,$35.48 ,$42.57 ,$15.47 ,$16.62 ,$44.23 ,$16.09 ,$15.83 ,$41.15 ,$15.32 ,$42.57 ,$15.32 ,$42.57 ,$42.57 ,$42.57 ,$45.88 ,$38.31 ,$42.57 ,$42.57 ,$42.57 ,$42.57 ST. JOSEPH'S - CHIPPEWA FALLS,30500168,85347,HC ACTIVATED CLOTTING TIME,305,1 ,$88.30 ,$66.23 ,$4.28 ,$88.30 ,$56.87 ,$4.28 ,$61.81 ,$4.42 ,$10.22 ,$4.55 ,$8.18 ,$83.89 , N/A ,$70.64 ,$80.35 ,$4.42 ,$83.00 ,$83.89 ,$79.47 ,$75.06 ,$4.42 ,$4.42 ,$4.42 ,$64.46 ,$4.28 ,$78.59 ,$79.47 ,$79.47 ,$70.64 ,$4.41 ,$48.57 ,$79.47 ,$4.28 ,$79.47 ,$4.28 ,$83.89 ,$9.63 ,$81.24 ,$4.69 ,$80.35 ,$4.28 ,$54.34 ,$56.87 ,$54.34 ,$79.47 ,$34.73 ,$66.23 ,$26.39 ,$4.32 ,$4.64 ,$82.56 ,$4.49 ,$4.42 ,$76.82 ,$4.28 ,$79.47 ,$4.28 ,$79.47 ,$79.47 ,$79.47 ,$85.65 ,$71.52 ,$79.47 ,$79.47 ,$79.47 ,$79.47 ST. JOSEPH'S - CHIPPEWA FALLS,30500172,85347,HC ACTIVATED CLOTTING TIME (HRACT),305,1 ,$91.81 ,$68.86 ,$4.28 ,$91.81 ,$59.13 ,$4.28 ,$64.27 ,$4.42 ,$10.22 ,$4.55 ,$8.18 ,$87.22 , N/A ,$73.45 ,$83.55 ,$4.42 ,$86.30 ,$87.22 ,$82.63 ,$78.04 ,$4.42 ,$4.42 ,$4.42 ,$67.02 ,$4.28 ,$81.71 ,$82.63 ,$82.63 ,$73.45 ,$4.41 ,$50.50 ,$82.63 ,$4.28 ,$82.63 ,$4.28 ,$87.22 ,$9.63 ,$84.47 ,$4.69 ,$83.55 ,$4.28 ,$56.50 ,$59.13 ,$56.50 ,$82.63 ,$34.73 ,$68.86 ,$26.39 ,$4.32 ,$4.64 ,$85.84 ,$4.49 ,$4.42 ,$79.87 ,$4.28 ,$82.63 ,$4.28 ,$82.63 ,$82.63 ,$82.63 ,$89.06 ,$74.37 ,$82.63 ,$82.63 ,$82.63 ,$82.63 ST. JOSEPH'S - CHIPPEWA FALLS,30500175,85379,HC D DIMER QN,305,1 ,$179.16 ,$134.37 ,$10.18 ,$179.16 ,$115.38 ,$10.18 ,$125.41 ,$10.52 ,$19.46 ,$10.84 ,$15.57 ,$170.20 , N/A ,$143.33 ,$163.04 ,$10.52 ,$168.41 ,$170.20 ,$161.24 ,$152.29 ,$10.52 ,$10.52 ,$10.52 ,$130.79 ,$10.18 ,$159.45 ,$161.24 ,$161.24 ,$143.33 ,$10.49 ,$98.54 ,$161.24 ,$10.18 ,$161.24 ,$10.18 ,$170.20 ,$22.91 ,$164.83 ,$11.15 ,$163.04 ,$10.18 ,$110.26 ,$115.38 ,$110.26 ,$161.24 ,$55.63 ,$134.37 ,$63.01 ,$10.28 ,$11.05 ,$167.51 ,$10.69 ,$10.52 ,$155.87 ,$10.18 ,$161.24 ,$10.18 ,$161.24 ,$161.24 ,$161.24 ,$173.79 ,$145.12 ,$161.24 ,$161.24 ,$161.24 ,$161.24 ST. JOSEPH'S - CHIPPEWA FALLS,30500176,85384,HC FIBRINOGEN,305,1 ,$199.97 ,$149.98 ,$9.72 ,$199.97 ,$128.78 ,$9.72 ,$139.98 ,$10.04 ,$20.39 ,$10.34 ,$16.31 ,$189.97 , N/A ,$159.98 ,$181.97 ,$10.04 ,$187.97 ,$189.97 ,$179.97 ,$169.97 ,$10.04 ,$10.04 ,$10.04 ,$145.98 ,$9.72 ,$177.97 ,$179.97 ,$179.97 ,$159.98 ,$10.01 ,$109.98 ,$179.97 ,$9.72 ,$179.97 ,$9.72 ,$189.97 ,$21.87 ,$183.97 ,$10.64 ,$181.97 ,$9.72 ,$123.06 ,$128.78 ,$123.06 ,$179.97 ,$55.76 ,$149.98 ,$52.62 ,$9.82 ,$10.54 ,$186.97 ,$10.21 ,$10.04 ,$173.97 ,$9.72 ,$179.97 ,$9.72 ,$179.97 ,$179.97 ,$179.97 ,$193.97 ,$161.98 ,$179.97 ,$179.97 ,$179.97 ,$179.97 ST. JOSEPH'S - CHIPPEWA FALLS,30500179,85385,HC FIBRINOGEN AG,305,1 ,$79.41 ,$59.56 ,$11.94 ,$79.41 ,$51.14 ,$14.46 ,$55.59 ,$11.94 ,$20.39 ,$12.30 ,$16.31 ,$75.44 , N/A ,$63.53 ,$72.26 ,$11.94 ,$74.65 ,$75.44 ,$71.47 ,$67.50 ,$11.94 ,$11.94 ,$11.94 ,$57.97 ,$14.46 ,$70.67 ,$71.47 ,$71.47 ,$63.53 ,$14.89 ,$43.68 ,$71.47 ,$14.46 ,$71.47 ,$14.46 ,$75.44 ,$32.54 ,$73.06 ,$12.66 ,$72.26 ,$14.46 ,$48.87 ,$51.14 ,$48.87 ,$71.47 ,$55.76 ,$59.56 ,$71.47 ,$14.60 ,$12.54 ,$74.25 ,$15.18 ,$11.94 ,$69.09 ,$14.46 ,$71.47 ,$14.46 ,$71.47 ,$71.47 ,$71.47 ,$77.03 ,$64.32 ,$71.47 ,$71.47 ,$71.47 ,$71.47 ST. JOSEPH'S - CHIPPEWA FALLS,30500180,85397,HC MBC ADAMTS13 ACTIVITY,305,1 ,$172.10 ,$129.08 ,$30.86 ,$172.10 ,$110.83 ,$30.86 ,$120.47 ,$31.89 ,$55.07 ,$32.85 ,$44.06 ,$163.50 , N/A ,$137.68 ,$156.61 ,$31.89 ,$161.77 ,$163.50 ,$154.89 ,$146.29 ,$31.89 ,$31.89 ,$31.89 ,$125.63 ,$30.86 ,$153.17 ,$154.89 ,$154.89 ,$137.68 ,$31.79 ,$94.66 ,$154.89 ,$30.86 ,$154.89 ,$30.86 ,$163.50 ,$69.44 ,$158.33 ,$33.80 ,$156.61 ,$30.86 ,$105.91 ,$110.83 ,$105.91 ,$154.89 ,$63.66 ,$129.08 ,$154.81 ,$31.17 ,$33.48 ,$160.91 ,$32.40 ,$31.89 ,$149.73 ,$30.86 ,$154.89 ,$30.86 ,$154.89 ,$154.89 ,$154.89 ,$166.94 ,$139.40 ,$154.89 ,$154.89 ,$154.89 ,$154.89 ST. JOSEPH'S - CHIPPEWA FALLS,30500184,85420,HC PLASMINOGEN ACTIVITY,305,1 ,$76.84 ,$57.63 ,$6.53 ,$76.84 ,$49.49 ,$6.53 ,$53.79 ,$6.75 ,$15.68 ,$6.95 ,$12.54 ,$73.00 , N/A ,$61.47 ,$69.92 ,$6.75 ,$72.23 ,$73.00 ,$69.16 ,$65.31 ,$6.75 ,$6.75 ,$6.75 ,$56.09 ,$6.53 ,$68.39 ,$69.16 ,$69.16 ,$61.47 ,$6.73 ,$42.26 ,$69.16 ,$6.53 ,$69.16 ,$6.53 ,$73.00 ,$14.69 ,$70.69 ,$7.16 ,$69.92 ,$6.53 ,$47.29 ,$49.49 ,$47.29 ,$69.16 ,$49.41 ,$57.63 ,$40.43 ,$6.60 ,$7.09 ,$71.85 ,$6.86 ,$6.75 ,$66.85 ,$6.53 ,$69.16 ,$6.53 ,$69.16 ,$69.16 ,$69.16 ,$74.53 ,$62.24 ,$69.16 ,$69.16 ,$69.16 ,$69.16 ST. JOSEPH'S - CHIPPEWA FALLS,30500185,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$62.04 ,$46.53 ,$7.73 ,$62.04 ,$39.95 ,$7.73 ,$43.43 ,$7.99 ,$18.57 ,$8.23 ,$14.85 ,$58.94 , N/A ,$49.63 ,$56.46 ,$7.99 ,$58.32 ,$58.94 ,$55.84 ,$52.73 ,$7.99 ,$7.99 ,$7.99 ,$45.29 ,$7.73 ,$55.22 ,$55.84 ,$55.84 ,$49.63 ,$7.96 ,$34.12 ,$55.84 ,$7.73 ,$55.84 ,$7.73 ,$58.94 ,$17.39 ,$57.08 ,$8.47 ,$56.46 ,$7.73 ,$38.18 ,$39.95 ,$38.18 ,$55.84 ,$57.09 ,$46.53 ,$47.91 ,$7.81 ,$8.39 ,$58.01 ,$8.12 ,$7.99 ,$53.97 ,$7.73 ,$55.84 ,$7.73 ,$55.84 ,$55.84 ,$55.84 ,$60.18 ,$50.25 ,$55.84 ,$55.84 ,$55.84 ,$55.84 ST. JOSEPH'S - CHIPPEWA FALLS,30500186,85461,HC FETAL HGB ROSETTE,305,1 ,$156.83 ,$117.62 ,$9.33 ,$156.83 ,$101.00 ,$9.36 ,$109.78 ,$9.33 ,$15.93 ,$9.61 ,$12.74 ,$148.99 , N/A ,$125.46 ,$142.72 ,$9.33 ,$147.42 ,$148.99 ,$141.15 ,$133.31 ,$9.33 ,$9.33 ,$9.33 ,$114.49 ,$9.36 ,$139.58 ,$141.15 ,$141.15 ,$125.46 ,$9.64 ,$86.26 ,$141.15 ,$9.36 ,$141.15 ,$9.36 ,$148.99 ,$21.06 ,$144.28 ,$9.89 ,$142.72 ,$9.36 ,$96.51 ,$101.00 ,$96.51 ,$141.15 ,$34.07 ,$117.62 ,$46.95 ,$9.45 ,$9.80 ,$146.64 ,$9.83 ,$9.33 ,$136.44 ,$9.36 ,$141.15 ,$9.36 ,$141.15 ,$141.15 ,$141.15 ,$152.13 ,$127.03 ,$141.15 ,$141.15 ,$141.15 ,$141.15 ST. JOSEPH'S - CHIPPEWA FALLS,30500187,85520,HC HEPARIN ASSAY,305,1 ,$157.49 ,$118.12 ,$13.09 ,$157.49 ,$101.42 ,$13.09 ,$110.24 ,$13.53 ,$26.83 ,$13.94 ,$21.46 ,$149.62 , N/A ,$125.99 ,$143.32 ,$13.53 ,$148.04 ,$149.62 ,$141.74 ,$133.87 ,$13.53 ,$13.53 ,$13.53 ,$114.97 ,$13.09 ,$140.17 ,$141.74 ,$141.74 ,$125.99 ,$13.48 ,$86.62 ,$141.74 ,$13.09 ,$141.74 ,$13.09 ,$149.62 ,$29.45 ,$144.89 ,$14.34 ,$143.32 ,$13.09 ,$96.92 ,$101.42 ,$96.92 ,$141.74 ,$84.12 ,$118.12 ,$81.07 ,$13.22 ,$14.21 ,$147.25 ,$13.74 ,$13.53 ,$137.02 ,$13.09 ,$141.74 ,$13.09 ,$141.74 ,$141.74 ,$141.74 ,$152.77 ,$127.57 ,$141.74 ,$141.74 ,$141.74 ,$141.74 ST. JOSEPH'S - CHIPPEWA FALLS,30500190,85540,HC LEUKOCYTE ALK PHOS,305,1 ,$93.92 ,$70.44 ,$8.60 ,$93.92 ,$60.48 ,$8.60 ,$65.74 ,$8.89 ,$20.65 ,$9.16 ,$16.52 ,$89.22 , N/A ,$75.14 ,$85.47 ,$8.89 ,$88.28 ,$89.22 ,$84.53 ,$79.83 ,$8.89 ,$8.89 ,$8.89 ,$68.56 ,$8.60 ,$83.59 ,$84.53 ,$84.53 ,$75.14 ,$8.86 ,$51.66 ,$84.53 ,$8.60 ,$84.53 ,$8.60 ,$89.22 ,$19.35 ,$86.41 ,$9.42 ,$85.47 ,$8.60 ,$57.80 ,$60.48 ,$57.80 ,$84.53 ,$93.92 ,$70.44 ,$53.27 ,$8.69 ,$9.33 ,$87.82 ,$9.03 ,$8.89 ,$81.71 ,$8.60 ,$84.53 ,$8.60 ,$84.53 ,$84.53 ,$84.53 ,$91.10 ,$76.08 ,$84.53 ,$84.53 ,$84.53 ,$84.53 ST. JOSEPH'S - CHIPPEWA FALLS,30500191,85557,HC OSMOTIC FRAG RBC INCUB,305,1 ,$43.91 ,$32.93 ,$13.36 ,$43.91 ,$28.28 ,$13.36 ,$30.74 ,$13.80 ,$32.06 ,$14.21 ,$25.65 ,$41.71 , N/A ,$35.13 ,$39.96 ,$13.80 ,$41.28 ,$41.71 ,$39.52 ,$37.32 ,$13.80 ,$13.80 ,$13.80 ,$32.05 ,$13.36 ,$39.08 ,$39.52 ,$39.52 ,$35.13 ,$13.76 ,$24.15 ,$39.52 ,$13.36 ,$39.52 ,$13.36 ,$41.71 ,$30.06 ,$40.40 ,$14.63 ,$39.96 ,$13.36 ,$27.02 ,$28.28 ,$27.02 ,$39.52 ,$43.91 ,$32.93 ,$39.52 ,$13.49 ,$14.49 ,$41.06 ,$14.03 ,$13.80 ,$38.20 ,$13.36 ,$39.52 ,$13.36 ,$39.52 ,$39.52 ,$39.52 ,$42.59 ,$35.57 ,$39.52 ,$39.52 ,$39.52 ,$39.52 ST. JOSEPH'S - CHIPPEWA FALLS,30500192,85576,HC PLATELET AGGREGATION EA,305,1 ,$251.80 ,$188.85 ,$24.91 ,$251.80 ,$162.16 ,$24.91 ,$176.26 ,$25.74 ,$51.57 ,$26.51 ,$41.26 ,$239.21 , N/A ,$201.44 ,$229.14 ,$25.74 ,$236.69 ,$239.21 ,$226.62 ,$214.03 ,$25.74 ,$25.74 ,$25.74 ,$183.81 ,$24.91 ,$224.10 ,$226.62 ,$226.62 ,$201.44 ,$25.66 ,$138.49 ,$226.62 ,$24.91 ,$226.62 ,$24.91 ,$239.21 ,$56.05 ,$231.66 ,$27.28 ,$229.14 ,$24.91 ,$154.96 ,$162.16 ,$154.96 ,$226.62 ,$65.70 ,$188.85 ,$133.03 ,$25.16 ,$27.03 ,$235.43 ,$26.16 ,$25.74 ,$219.07 ,$24.91 ,$226.62 ,$24.91 ,$226.62 ,$226.62 ,$226.62 ,$244.25 ,$203.96 ,$226.62 ,$226.62 ,$226.62 ,$226.62 ST. JOSEPH'S - CHIPPEWA FALLS,30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$76.46 ,$57.35 ,$4.29 ,$76.46 ,$49.24 ,$4.29 ,$53.52 ,$4.43 ,$9.43 ,$4.56 ,$7.55 ,$72.64 , N/A ,$61.17 ,$69.58 ,$4.43 ,$71.87 ,$72.64 ,$68.81 ,$64.99 ,$4.43 ,$4.43 ,$4.43 ,$55.82 ,$4.29 ,$68.05 ,$68.81 ,$68.81 ,$61.17 ,$4.42 ,$42.05 ,$68.81 ,$4.29 ,$68.81 ,$4.29 ,$72.64 ,$9.65 ,$70.34 ,$4.70 ,$69.58 ,$4.29 ,$47.05 ,$49.24 ,$47.05 ,$68.81 ,$47.68 ,$57.35 ,$24.33 ,$4.33 ,$4.65 ,$71.49 ,$4.50 ,$4.43 ,$66.52 ,$4.29 ,$68.81 ,$4.29 ,$68.81 ,$68.81 ,$68.81 ,$74.17 ,$61.93 ,$68.81 ,$68.81 ,$68.81 ,$68.81 ST. JOSEPH'S - CHIPPEWA FALLS,30500202,85613,HC RUSSELL VIPER VENOM DIL,305,1 ,$69.78 ,$52.34 ,$9.58 ,$69.78 ,$44.94 ,$9.58 ,$48.85 ,$9.90 ,$23.00 ,$10.20 ,$18.40 ,$66.29 , N/A ,$55.82 ,$63.50 ,$9.90 ,$65.59 ,$66.29 ,$62.80 ,$59.31 ,$9.90 ,$9.90 ,$9.90 ,$50.94 ,$9.58 ,$62.10 ,$62.80 ,$62.80 ,$55.82 ,$9.87 ,$38.38 ,$62.80 ,$9.58 ,$62.80 ,$9.58 ,$66.29 ,$21.56 ,$64.20 ,$10.49 ,$63.50 ,$9.58 ,$42.94 ,$44.94 ,$42.94 ,$62.80 ,$47.68 ,$52.34 ,$59.34 ,$9.68 ,$10.40 ,$65.24 ,$10.06 ,$9.90 ,$60.71 ,$9.58 ,$62.80 ,$9.58 ,$62.80 ,$62.80 ,$62.80 ,$67.69 ,$56.52 ,$62.80 ,$62.80 ,$62.80 ,$62.80 ST. JOSEPH'S - CHIPPEWA FALLS,30500205,85652,HC SED RATE AUTO,305,1 ,$60.71 ,$45.53 ,$2.70 ,$60.71 ,$39.10 ,$2.70 ,$42.50 ,$2.79 ,$6.48 ,$2.87 ,$5.18 ,$57.67 , N/A ,$48.57 ,$55.25 ,$2.79 ,$57.07 ,$57.67 ,$54.64 ,$51.60 ,$2.79 ,$2.79 ,$2.79 ,$44.32 ,$2.70 ,$54.03 ,$54.64 ,$54.64 ,$48.57 ,$2.78 ,$33.39 ,$54.64 ,$2.70 ,$54.64 ,$2.70 ,$57.67 ,$6.08 ,$55.85 ,$2.96 ,$55.25 ,$2.70 ,$37.36 ,$39.10 ,$37.36 ,$54.64 ,$25.24 ,$45.53 ,$16.70 ,$2.73 ,$2.93 ,$56.76 ,$2.84 ,$2.79 ,$52.82 ,$2.70 ,$54.64 ,$2.70 ,$54.64 ,$54.64 ,$54.64 ,$58.89 ,$49.18 ,$54.64 ,$54.64 ,$54.64 ,$54.64 ST. JOSEPH'S - CHIPPEWA FALLS,30500206,85660,HC SICKLE CELL RBC,305,1 ,$54.32 ,$40.74 ,$5.51 ,$54.32 ,$34.98 ,$5.51 ,$38.02 ,$5.69 ,$13.23 ,$5.86 ,$10.58 ,$51.60 , N/A ,$43.46 ,$49.43 ,$5.69 ,$51.06 ,$51.60 ,$48.89 ,$46.17 ,$5.69 ,$5.69 ,$5.69 ,$39.65 ,$5.51 ,$48.34 ,$48.89 ,$48.89 ,$43.46 ,$5.68 ,$29.88 ,$48.89 ,$5.51 ,$48.89 ,$5.51 ,$51.60 ,$12.40 ,$49.97 ,$6.03 ,$49.43 ,$5.51 ,$33.43 ,$34.98 ,$33.43 ,$48.89 ,$43.91 ,$40.74 ,$34.11 ,$5.57 ,$5.97 ,$50.79 ,$5.79 ,$5.69 ,$47.26 ,$5.51 ,$48.89 ,$5.51 ,$48.89 ,$48.89 ,$48.89 ,$52.69 ,$44.00 ,$48.89 ,$48.89 ,$48.89 ,$48.89 ST. JOSEPH'S - CHIPPEWA FALLS,30500207,85670,HC THROMBIN TIME PLASMA,305,1 ,$33.12 ,$24.84 ,$1.21 ,$33.12 ,$21.33 ,$5.77 ,$23.18 ,$1.21 ,$13.84 ,$1.25 ,$11.07 ,$31.46 , N/A ,$26.50 ,$30.14 ,$1.21 ,$31.13 ,$31.46 ,$29.81 ,$28.15 ,$1.21 ,$1.21 ,$1.21 ,$24.18 ,$5.77 ,$29.48 ,$29.81 ,$29.81 ,$26.50 ,$5.94 ,$18.22 ,$29.81 ,$5.77 ,$29.81 ,$5.77 ,$31.46 ,$12.98 ,$30.47 ,$1.28 ,$30.14 ,$5.77 ,$20.38 ,$21.33 ,$20.38 ,$29.81 ,$33.12 ,$24.84 ,$29.81 ,$5.83 ,$1.27 ,$30.97 ,$6.06 ,$1.21 ,$28.81 ,$5.77 ,$29.81 ,$5.77 ,$29.81 ,$29.81 ,$29.81 ,$32.13 ,$26.83 ,$29.81 ,$29.81 ,$29.81 ,$29.81 ST. JOSEPH'S - CHIPPEWA FALLS,30500211,85730,HC PTT,305,1 ,$116.93 ,$87.70 ,$6.01 ,$116.93 ,$75.30 ,$6.01 ,$81.85 ,$6.21 ,$14.42 ,$6.40 ,$11.54 ,$111.08 , N/A ,$93.54 ,$106.41 ,$6.21 ,$109.91 ,$111.08 ,$105.24 ,$99.39 ,$6.21 ,$6.21 ,$6.21 ,$85.36 ,$6.01 ,$104.07 ,$105.24 ,$105.24 ,$93.54 ,$6.19 ,$64.31 ,$105.24 ,$6.01 ,$105.24 ,$6.01 ,$111.08 ,$13.52 ,$107.58 ,$6.58 ,$106.41 ,$6.01 ,$71.96 ,$75.30 ,$71.96 ,$105.24 ,$49.41 ,$87.70 ,$37.22 ,$6.07 ,$6.52 ,$109.33 ,$6.31 ,$6.21 ,$101.73 ,$6.01 ,$105.24 ,$6.01 ,$105.24 ,$105.24 ,$105.24 ,$113.42 ,$94.71 ,$105.24 ,$105.24 ,$105.24 ,$105.24 ST. JOSEPH'S - CHIPPEWA FALLS,30500213,85732,HC PTT MIXING STUDY,305,1 ,$88.49 ,$66.37 ,$6.47 ,$88.49 ,$56.99 ,$6.47 ,$61.94 ,$6.69 ,$15.52 ,$6.89 ,$12.42 ,$84.07 , N/A ,$70.79 ,$80.53 ,$6.69 ,$83.18 ,$84.07 ,$79.64 ,$75.22 ,$6.69 ,$6.69 ,$6.69 ,$64.60 ,$6.47 ,$78.76 ,$79.64 ,$79.64 ,$70.79 ,$6.66 ,$48.67 ,$79.64 ,$6.47 ,$79.64 ,$6.47 ,$84.07 ,$14.56 ,$81.41 ,$7.09 ,$80.53 ,$6.47 ,$54.46 ,$56.99 ,$54.46 ,$79.64 ,$69.19 ,$66.37 ,$40.03 ,$6.53 ,$7.02 ,$82.74 ,$6.79 ,$6.69 ,$76.99 ,$6.47 ,$79.64 ,$6.47 ,$79.64 ,$79.64 ,$79.64 ,$85.84 ,$71.68 ,$79.64 ,$79.64 ,$79.64 ,$79.64 ST. JOSEPH'S - CHIPPEWA FALLS,30500323,85008,HC BLOOD COUNT W/O MAN DIFF WBC,305,1 ,$27.46 ,$20.60 ,$3.43 ,$27.46 ,$17.68 ,$3.43 ,$19.22 ,$3.54 ,$8.24 ,$3.65 ,$6.59 ,$26.09 , N/A ,$21.97 ,$24.99 ,$3.54 ,$25.81 ,$26.09 ,$24.71 ,$23.34 ,$3.54 ,$3.54 ,$3.54 ,$20.05 ,$3.43 ,$24.44 ,$24.71 ,$24.71 ,$21.97 ,$3.53 ,$15.10 ,$24.71 ,$3.43 ,$24.71 ,$3.43 ,$26.09 ,$7.72 ,$25.26 ,$3.75 ,$24.99 ,$3.43 ,$16.90 ,$17.68 ,$16.90 ,$24.71 ,$27.46 ,$20.60 ,$21.27 ,$3.46 ,$3.72 ,$25.68 ,$3.60 ,$3.54 ,$23.89 ,$3.43 ,$24.71 ,$3.43 ,$24.71 ,$24.71 ,$24.71 ,$26.64 ,$22.24 ,$24.71 ,$24.71 ,$24.71 ,$24.71 ST. JOSEPH'S - CHIPPEWA FALLS,30500324,85009,HC BLOOD COUNT MAN DIFF WBC BUFFY COAT,305,1 ,$62.77 ,$47.08 ,$5.07 ,$62.77 ,$40.42 ,$5.07 ,$43.94 ,$5.23 ,$8.94 ,$5.39 ,$7.15 ,$59.63 , N/A ,$50.22 ,$57.12 ,$5.23 ,$59.00 ,$59.63 ,$56.49 ,$53.35 ,$5.23 ,$5.23 ,$5.23 ,$45.82 ,$5.07 ,$55.87 ,$56.49 ,$56.49 ,$50.22 ,$5.22 ,$34.52 ,$56.49 ,$5.07 ,$56.49 ,$5.07 ,$59.63 ,$11.41 ,$57.75 ,$5.54 ,$57.12 ,$5.07 ,$38.63 ,$40.42 ,$38.63 ,$56.49 ,$38.66 ,$47.08 ,$25.43 ,$5.12 ,$5.49 ,$58.69 ,$5.32 ,$5.23 ,$54.61 ,$5.07 ,$56.49 ,$5.07 ,$56.49 ,$56.49 ,$56.49 ,$60.89 ,$50.84 ,$56.49 ,$56.49 ,$56.49 ,$56.49 ST. JOSEPH'S - CHIPPEWA FALLS,30500325,85013,HC BLOOD COUNT SPUN MICROHEMATOCRIT,305,1 ,$40.76 ,$30.57 ,$3.34 ,$40.76 ,$26.25 ,$7.00 ,$28.53 ,$3.34 ,$5.69 ,$3.44 ,$4.55 ,$38.72 , N/A ,$32.61 ,$37.09 ,$3.34 ,$38.31 ,$38.72 ,$36.68 ,$34.65 ,$3.34 ,$3.34 ,$3.34 ,$29.75 ,$7.00 ,$36.28 ,$36.68 ,$36.68 ,$32.61 ,$7.21 ,$22.42 ,$36.68 ,$7.00 ,$36.68 ,$7.00 ,$38.72 ,$15.75 ,$37.50 ,$3.54 ,$37.09 ,$7.00 ,$25.08 ,$26.25 ,$25.08 ,$36.68 ,$32.94 ,$30.57 ,$35.11 ,$7.07 ,$3.51 ,$38.11 ,$7.35 ,$3.34 ,$35.46 ,$7.00 ,$36.68 ,$7.00 ,$36.68 ,$36.68 ,$36.68 ,$39.54 ,$33.02 ,$36.68 ,$36.68 ,$36.68 ,$36.68 ST. JOSEPH'S - CHIPPEWA FALLS,30500326,85014,HC HEMATOCRIT,305,1 ,$31.41 ,$23.56 ,$2.37 ,$31.41 ,$20.23 ,$2.37 ,$21.99 ,$2.45 ,$5.69 ,$2.52 ,$4.55 ,$29.84 , N/A ,$25.13 ,$28.58 ,$2.45 ,$29.53 ,$29.84 ,$28.27 ,$26.70 ,$2.45 ,$2.45 ,$2.45 ,$22.93 ,$2.37 ,$27.95 ,$28.27 ,$28.27 ,$25.13 ,$2.44 ,$17.28 ,$28.27 ,$2.37 ,$28.27 ,$2.37 ,$29.84 ,$5.33 ,$28.90 ,$2.60 ,$28.58 ,$2.37 ,$19.33 ,$20.23 ,$19.33 ,$28.27 ,$29.66 ,$23.56 ,$14.70 ,$2.39 ,$2.57 ,$29.37 ,$2.49 ,$2.45 ,$27.33 ,$2.37 ,$28.27 ,$2.37 ,$28.27 ,$28.27 ,$28.27 ,$30.47 ,$25.44 ,$28.27 ,$28.27 ,$28.27 ,$28.27 ST. JOSEPH'S - CHIPPEWA FALLS,30500327,85041,HC BLOOD COUNT RBS AUTO,305,1 ,$18.81 ,$14.11 ,$3.02 ,$18.81 ,$12.11 ,$3.02 ,$13.17 ,$3.12 ,$7.25 ,$3.21 ,$5.80 ,$17.87 , N/A ,$15.05 ,$17.12 ,$3.12 ,$17.68 ,$17.87 ,$16.93 ,$15.99 ,$3.12 ,$3.12 ,$3.12 ,$13.73 ,$3.02 ,$16.74 ,$16.93 ,$16.93 ,$15.05 ,$3.11 ,$10.35 ,$16.93 ,$3.02 ,$16.93 ,$3.02 ,$17.87 ,$6.80 ,$17.31 ,$3.31 ,$17.12 ,$3.02 ,$11.58 ,$12.11 ,$11.58 ,$16.93 ,$18.81 ,$14.11 ,$16.93 ,$3.05 ,$3.28 ,$17.59 ,$3.17 ,$3.12 ,$16.36 ,$3.02 ,$16.93 ,$3.02 ,$16.93 ,$16.93 ,$16.93 ,$18.25 ,$15.24 ,$16.93 ,$16.93 ,$16.93 ,$16.93 ST. JOSEPH'S - CHIPPEWA FALLS,30500328,85307,HC ACTIV PROTEIN C RESIST,305,1 ,$126.48 ,$94.86 ,$15.32 ,$126.48 ,$81.45 ,$15.32 ,$88.54 ,$15.83 ,$34.30 ,$16.30 ,$27.44 ,$120.16 , N/A ,$101.18 ,$115.10 ,$15.83 ,$118.89 ,$120.16 ,$113.83 ,$107.51 ,$15.83 ,$15.83 ,$15.83 ,$92.33 ,$15.32 ,$112.57 ,$113.83 ,$113.83 ,$101.18 ,$15.78 ,$69.56 ,$113.83 ,$15.32 ,$113.83 ,$15.32 ,$120.16 ,$34.47 ,$116.36 ,$16.78 ,$115.10 ,$15.32 ,$77.84 ,$81.45 ,$77.84 ,$113.83 ,$71.53 ,$94.86 ,$94.91 ,$15.47 ,$16.62 ,$118.26 ,$16.09 ,$15.83 ,$110.04 ,$15.32 ,$113.83 ,$15.32 ,$113.83 ,$113.83 ,$113.83 ,$122.69 ,$102.45 ,$113.83 ,$113.83 ,$113.83 ,$113.83 ST. JOSEPH'S - CHIPPEWA FALLS,30500329,85345,HC CLOTTING TIME LEE AND WHITE,305,1 ,$70.61 ,$52.96 ,$4.69 ,$70.61 ,$45.47 ,$4.69 ,$49.43 ,$4.85 ,$9.89 ,$5.00 ,$7.91 ,$67.08 , N/A ,$56.49 ,$64.26 ,$4.85 ,$66.37 ,$67.08 ,$63.55 ,$60.02 ,$4.85 ,$4.85 ,$4.85 ,$51.55 ,$4.69 ,$62.84 ,$63.55 ,$63.55 ,$56.49 ,$4.83 ,$38.84 ,$63.55 ,$4.69 ,$63.55 ,$4.69 ,$67.08 ,$10.55 ,$64.96 ,$5.14 ,$64.26 ,$4.69 ,$43.45 ,$45.47 ,$43.45 ,$63.55 ,$39.53 ,$52.96 ,$26.69 ,$4.74 ,$5.09 ,$66.02 ,$4.92 ,$4.85 ,$61.43 ,$4.69 ,$63.55 ,$4.69 ,$63.55 ,$63.55 ,$63.55 ,$68.49 ,$57.19 ,$63.55 ,$63.55 ,$63.55 ,$63.55 ST. JOSEPH'S - CHIPPEWA FALLS,30500330,85347,HC ACTIVATED CLOTTING TIME,305,1 ,$88.30 ,$66.23 ,$4.28 ,$88.30 ,$56.87 ,$4.28 ,$61.81 ,$4.42 ,$10.22 ,$4.55 ,$8.18 ,$83.89 , N/A ,$70.64 ,$80.35 ,$4.42 ,$83.00 ,$83.89 ,$79.47 ,$75.06 ,$4.42 ,$4.42 ,$4.42 ,$64.46 ,$4.28 ,$78.59 ,$79.47 ,$79.47 ,$70.64 ,$4.41 ,$48.57 ,$79.47 ,$4.28 ,$79.47 ,$4.28 ,$83.89 ,$9.63 ,$81.24 ,$4.69 ,$80.35 ,$4.28 ,$54.34 ,$56.87 ,$54.34 ,$79.47 ,$34.73 ,$66.23 ,$26.39 ,$4.32 ,$4.64 ,$82.56 ,$4.49 ,$4.42 ,$76.82 ,$4.28 ,$79.47 ,$4.28 ,$79.47 ,$79.47 ,$79.47 ,$85.65 ,$71.52 ,$79.47 ,$79.47 ,$79.47 ,$79.47 ST. JOSEPH'S - CHIPPEWA FALLS,30500331,85378,HC FDP (D-DIMER) QL/SEMI-QN,305,1 ,$199.97 ,$149.98 ,$9.72 ,$199.97 ,$128.78 ,$9.72 ,$139.98 ,$10.03 ,$17.13 ,$10.33 ,$13.71 ,$189.97 , N/A ,$159.98 ,$181.97 ,$10.03 ,$187.97 ,$189.97 ,$179.97 ,$169.97 ,$10.03 ,$10.03 ,$10.03 ,$145.98 ,$9.72 ,$177.97 ,$179.97 ,$179.97 ,$159.98 ,$10.01 ,$109.98 ,$179.97 ,$9.72 ,$179.97 ,$9.72 ,$189.97 ,$21.87 ,$183.97 ,$10.63 ,$181.97 ,$9.72 ,$123.06 ,$128.78 ,$123.06 ,$179.97 ,$38.59 ,$149.98 ,$48.76 ,$9.82 ,$10.53 ,$186.97 ,$10.21 ,$10.03 ,$173.97 ,$9.72 ,$179.97 ,$9.72 ,$179.97 ,$179.97 ,$179.97 ,$193.97 ,$161.98 ,$179.97 ,$179.97 ,$179.97 ,$179.97 ST. JOSEPH'S - CHIPPEWA FALLS,30500332,85520,HC HEPARIN ASSAY,305,1 ,$157.49 ,$118.12 ,$13.09 ,$157.49 ,$101.42 ,$13.09 ,$110.24 ,$13.53 ,$26.83 ,$13.94 ,$21.46 ,$149.62 , N/A ,$125.99 ,$143.32 ,$13.53 ,$148.04 ,$149.62 ,$141.74 ,$133.87 ,$13.53 ,$13.53 ,$13.53 ,$114.97 ,$13.09 ,$140.17 ,$141.74 ,$141.74 ,$125.99 ,$13.48 ,$86.62 ,$141.74 ,$13.09 ,$141.74 ,$13.09 ,$149.62 ,$29.45 ,$144.89 ,$14.34 ,$143.32 ,$13.09 ,$96.92 ,$101.42 ,$96.92 ,$141.74 ,$84.12 ,$118.12 ,$81.07 ,$13.22 ,$14.21 ,$147.25 ,$13.74 ,$13.53 ,$137.02 ,$13.09 ,$141.74 ,$13.09 ,$141.74 ,$141.74 ,$141.74 ,$152.77 ,$127.57 ,$141.74 ,$141.74 ,$141.74 ,$141.74 ST. JOSEPH'S - CHIPPEWA FALLS,30500333,85555,HC OSMOTIC FAGILITY RBC INCUB,305,1 ,$43.91 ,$32.93 ,$7.47 ,$43.91 ,$28.28 ,$7.47 ,$30.74 ,$7.72 ,$16.05 ,$7.95 ,$12.84 ,$41.71 , N/A ,$35.13 ,$39.96 ,$7.72 ,$41.28 ,$41.71 ,$39.52 ,$37.32 ,$7.72 ,$7.72 ,$7.72 ,$32.05 ,$7.47 ,$39.08 ,$39.52 ,$39.52 ,$35.13 ,$7.69 ,$24.15 ,$39.52 ,$7.47 ,$39.52 ,$7.47 ,$41.71 ,$16.81 ,$40.40 ,$8.18 ,$39.96 ,$7.47 ,$27.02 ,$28.28 ,$27.02 ,$39.52 ,$43.91 ,$32.93 ,$39.52 ,$7.54 ,$8.11 ,$41.06 ,$7.84 ,$7.72 ,$38.20 ,$7.47 ,$39.52 ,$7.47 ,$39.52 ,$39.52 ,$39.52 ,$42.59 ,$35.57 ,$39.52 ,$39.52 ,$39.52 ,$39.52 ST. JOSEPH'S - CHIPPEWA FALLS,30500334,85635,HC REPTILASE TEST,305,1 ,$94.69 ,$71.02 ,$9.85 ,$94.69 ,$60.98 ,$9.85 ,$66.28 ,$10.18 ,$23.64 ,$10.49 ,$18.91 ,$89.96 , N/A ,$75.75 ,$86.17 ,$10.18 ,$89.01 ,$89.96 ,$85.22 ,$80.49 ,$10.18 ,$10.18 ,$10.18 ,$69.12 ,$9.85 ,$84.27 ,$85.22 ,$85.22 ,$75.75 ,$10.15 ,$52.08 ,$85.22 ,$9.85 ,$85.22 ,$9.85 ,$89.96 ,$22.16 ,$87.11 ,$10.79 ,$86.17 ,$9.85 ,$58.27 ,$60.98 ,$58.27 ,$85.22 ,$94.69 ,$71.02 ,$61.00 ,$9.95 ,$10.69 ,$88.54 ,$10.34 ,$10.18 ,$82.38 ,$9.85 ,$85.22 ,$9.85 ,$85.22 ,$85.22 ,$85.22 ,$91.85 ,$76.70 ,$85.22 ,$85.22 ,$85.22 ,$85.22 ST. JOSEPH'S - CHIPPEWA FALLS,30500335,85670,HC THROMBIN TIME PLASMA,305,1 ,$151.87 ,$113.90 ,$1.21 ,$151.87 ,$97.80 ,$5.77 ,$106.31 ,$1.21 ,$13.84 ,$1.25 ,$11.07 ,$144.28 , N/A ,$121.50 ,$138.20 ,$1.21 ,$142.76 ,$144.28 ,$136.68 ,$129.09 ,$1.21 ,$1.21 ,$1.21 ,$110.87 ,$5.77 ,$135.16 ,$136.68 ,$136.68 ,$121.50 ,$5.94 ,$83.53 ,$136.68 ,$5.77 ,$136.68 ,$5.77 ,$144.28 ,$12.98 ,$139.72 ,$1.28 ,$138.20 ,$5.77 ,$93.46 ,$97.80 ,$93.46 ,$136.68 ,$52.72 ,$113.90 ,$35.72 ,$5.83 ,$1.27 ,$142.00 ,$6.06 ,$1.21 ,$132.13 ,$5.77 ,$136.68 ,$5.77 ,$136.68 ,$136.68 ,$136.68 ,$147.31 ,$123.01 ,$136.68 ,$136.68 ,$136.68 ,$136.68 ST. JOSEPH'S - CHIPPEWA FALLS,30500336,85810,HC VISCOSITY,305,1 ,$77.50 ,$58.13 ,$11.67 ,$77.50 ,$49.91 ,$11.67 ,$54.25 ,$12.06 ,$28.02 ,$12.42 ,$22.41 ,$73.63 , N/A ,$62.00 ,$70.53 ,$12.06 ,$72.85 ,$73.63 ,$69.75 ,$65.88 ,$12.06 ,$12.06 ,$12.06 ,$56.58 ,$11.67 ,$68.98 ,$69.75 ,$69.75 ,$62.00 ,$12.02 ,$42.63 ,$69.75 ,$11.67 ,$69.75 ,$11.67 ,$73.63 ,$26.26 ,$71.30 ,$12.78 ,$70.53 ,$11.67 ,$47.69 ,$49.91 ,$47.69 ,$69.75 ,$69.42 ,$58.13 ,$69.75 ,$11.79 ,$12.66 ,$72.46 ,$12.25 ,$12.06 ,$67.43 ,$11.67 ,$69.75 ,$11.67 ,$69.75 ,$69.75 ,$69.75 ,$75.18 ,$62.78 ,$69.75 ,$69.75 ,$69.75 ,$69.75 ST. JOSEPH'S - CHIPPEWA FALLS,30500337,85999,HC HEPARIN DOSE RESPONSE,305,1 ,$84.00 ,$63.00 ,$1.98 ,$84.00 ,$54.10 , N/A ,$58.80 ,$1.98 ,$69.72 ,$2.04 ,$55.44 ,$79.80 , N/A ,$67.20 ,$76.44 ,$1.98 ,$78.96 ,$79.80 ,$75.60 ,$71.40 ,$1.98 ,$1.98 ,$1.98 ,$61.32 , N/A ,$74.76 ,$75.60 ,$75.60 ,$67.20 , N/A ,$46.20 ,$75.60 , N/A ,$75.60 , N/A ,$79.80 ,$50.40 ,$77.28 ,$2.10 ,$76.44 , N/A ,$51.69 ,$54.10 ,$51.69 ,$75.60 ,$75.60 ,$63.00 ,$58.80 ,$68.88 ,$2.08 ,$78.54 , N/A ,$1.98 ,$73.08 , N/A ,$75.60 , N/A ,$75.60 ,$75.60 ,$75.60 ,$81.48 ,$68.04 ,$75.60 ,$75.60 ,$75.60 ,$75.60 ST. JOSEPH'S - CHIPPEWA FALLS,30500338,85999,HC PLATELET MAPPING,305,1 ,$679.22 ,$509.42 ,$1.98 ,$679.22 ,$437.42 , N/A ,$475.45 ,$1.98 ,$563.75 ,$2.04 ,$448.29 ,$645.26 , N/A ,$543.38 ,$618.09 ,$1.98 ,$638.47 ,$645.26 ,$611.30 ,$577.34 ,$1.98 ,$1.98 ,$1.98 ,$495.83 , N/A ,$604.51 ,$611.30 ,$611.30 ,$543.38 , N/A ,$373.57 ,$611.30 , N/A ,$611.30 , N/A ,$645.26 ,$407.53 ,$624.88 ,$2.10 ,$618.09 , N/A ,$417.99 ,$437.42 ,$417.99 ,$611.30 ,$611.30 ,$509.42 ,$475.45 ,$556.96 ,$2.08 ,$635.07 , N/A ,$1.98 ,$590.92 , N/A ,$611.30 , N/A ,$611.30 ,$611.30 ,$611.30 ,$658.84 ,$550.17 ,$611.30 ,$611.30 ,$611.30 ,$611.30 ST. JOSEPH'S - CHIPPEWA FALLS,30500339,85999,HC THROMBOELASTOGRAPHY,305,1 ,$264.69 ,$198.52 ,$1.98 ,$264.69 ,$170.46 , N/A ,$185.28 ,$1.98 ,$219.69 ,$2.04 ,$174.70 ,$251.46 , N/A ,$211.75 ,$240.87 ,$1.98 ,$248.81 ,$251.46 ,$238.22 ,$224.99 ,$1.98 ,$1.98 ,$1.98 ,$193.22 , N/A ,$235.57 ,$238.22 ,$238.22 ,$211.75 , N/A ,$145.58 ,$238.22 , N/A ,$238.22 , N/A ,$251.46 ,$158.81 ,$243.51 ,$2.10 ,$240.87 , N/A ,$162.89 ,$170.46 ,$162.89 ,$238.22 ,$238.22 ,$198.52 ,$185.28 ,$217.05 ,$2.08 ,$247.49 , N/A ,$1.98 ,$230.28 , N/A ,$238.22 , N/A ,$238.22 ,$238.22 ,$238.22 ,$256.75 ,$214.40 ,$238.22 ,$238.22 ,$238.22 ,$238.22 ST. JOSEPH'S - CHIPPEWA FALLS,30500340,85018,HC HEMOGLOBIN - QW,305,1 ,$29.12 ,$21.84 ,$2.37 ,$29.12 ,$18.75 ,$2.37 ,$20.38 ,$2.45 ,$5.69 ,$2.52 ,$4.55 ,$27.66 , N/A ,$23.30 ,$26.50 ,$2.45 ,$27.37 ,$27.66 ,$26.21 ,$24.75 ,$2.45 ,$2.45 ,$2.45 ,$21.26 ,$2.37 ,$25.92 ,$26.21 ,$26.21 ,$23.30 ,$2.44 ,$16.02 ,$26.21 ,$2.37 ,$26.21 ,$2.37 ,$27.66 ,$5.33 ,$26.79 ,$2.60 ,$26.50 ,$2.37 ,$17.92 ,$18.75 ,$17.92 ,$26.21 ,$29.12 ,$21.84 ,$14.70 ,$2.39 ,$2.57 ,$27.23 ,$2.49 ,$2.45 ,$25.33 ,$2.37 ,$26.21 ,$2.37 ,$26.21 ,$26.21 ,$26.21 ,$28.25 ,$23.59 ,$26.21 ,$26.21 ,$26.21 ,$26.21 ST. JOSEPH'S - CHIPPEWA FALLS,30500342,85597,HC PLATELET NEUTRALIZATION,305,1 ,$55.48 ,$41.61 ,$17.98 ,$55.48 ,$35.73 ,$17.98 ,$38.84 ,$18.58 ,$43.16 ,$19.14 ,$34.52 ,$52.71 , N/A ,$44.38 ,$50.49 ,$18.58 ,$52.15 ,$52.71 ,$49.93 ,$47.16 ,$18.58 ,$18.58 ,$18.58 ,$40.50 ,$17.98 ,$49.38 ,$49.93 ,$49.93 ,$44.38 ,$18.52 ,$30.51 ,$49.93 ,$17.98 ,$49.93 ,$17.98 ,$52.71 ,$40.46 ,$51.04 ,$19.69 ,$50.49 ,$17.98 ,$34.14 ,$35.73 ,$34.14 ,$49.93 ,$55.48 ,$41.61 ,$49.93 ,$18.16 ,$19.51 ,$51.87 ,$18.88 ,$18.58 ,$48.27 ,$17.98 ,$49.93 ,$17.98 ,$49.93 ,$49.93 ,$49.93 ,$53.82 ,$44.94 ,$49.93 ,$49.93 ,$49.93 ,$49.93 ST. JOSEPH'S - CHIPPEWA FALLS,30600101,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$47.78 ,$35.84 ,$5.25 ,$47.78 ,$30.77 ,$6.68 ,$33.45 ,$5.25 ,$8.98 ,$5.41 ,$7.18 ,$45.39 , N/A ,$38.22 ,$43.48 ,$5.25 ,$44.91 ,$45.39 ,$43.00 ,$40.61 ,$5.25 ,$5.25 ,$5.25 ,$34.88 ,$6.68 ,$42.52 ,$43.00 ,$43.00 ,$38.22 ,$6.88 ,$26.28 ,$43.00 ,$6.68 ,$43.00 ,$6.68 ,$45.39 ,$15.03 ,$43.96 ,$5.57 ,$43.48 ,$6.68 ,$29.40 ,$30.77 ,$29.40 ,$43.00 ,$47.78 ,$35.84 ,$41.34 ,$6.75 ,$5.51 ,$44.67 ,$7.01 ,$5.25 ,$41.57 ,$6.68 ,$43.00 ,$6.68 ,$43.00 ,$43.00 ,$43.00 ,$46.35 ,$38.70 ,$43.00 ,$43.00 ,$43.00 ,$43.00 ST. JOSEPH'S - CHIPPEWA FALLS,30600102,87040,HC BLOOD CULTURE,306,1 ,$253.44 ,$190.08 ,$10.32 ,$253.44 ,$163.22 ,$10.32 ,$177.41 ,$10.66 ,$24.78 ,$10.98 ,$19.82 ,$240.77 , N/A ,$202.75 ,$230.63 ,$10.66 ,$238.23 ,$240.77 ,$228.10 ,$215.42 ,$10.66 ,$10.66 ,$10.66 ,$185.01 ,$10.32 ,$225.56 ,$228.10 ,$228.10 ,$202.75 ,$10.63 ,$139.39 ,$228.10 ,$10.32 ,$228.10 ,$10.32 ,$240.77 ,$23.22 ,$233.16 ,$11.30 ,$230.63 ,$10.32 ,$155.97 ,$163.22 ,$155.97 ,$228.10 ,$81.28 ,$190.08 ,$63.91 ,$10.42 ,$11.19 ,$236.97 ,$10.84 ,$10.66 ,$220.49 ,$10.32 ,$228.10 ,$10.32 ,$228.10 ,$228.10 ,$228.10 ,$245.84 ,$205.29 ,$228.10 ,$228.10 ,$228.10 ,$228.10 ST. JOSEPH'S - CHIPPEWA FALLS,30600103,87045,HC STOOL CULTURE,306,1 ,$130.04 ,$97.53 ,$9.44 ,$130.04 ,$83.75 ,$9.44 ,$91.03 ,$9.75 ,$22.66 ,$10.04 ,$18.13 ,$123.54 , N/A ,$104.03 ,$118.34 ,$9.75 ,$122.24 ,$123.54 ,$117.04 ,$110.53 ,$9.75 ,$9.75 ,$9.75 ,$94.93 ,$9.44 ,$115.74 ,$117.04 ,$117.04 ,$104.03 ,$9.72 ,$71.52 ,$117.04 ,$9.44 ,$117.04 ,$9.44 ,$123.54 ,$21.24 ,$119.64 ,$10.34 ,$118.34 ,$9.44 ,$80.03 ,$83.75 ,$80.03 ,$117.04 ,$92.92 ,$97.53 ,$58.49 ,$9.53 ,$10.24 ,$121.59 ,$9.91 ,$9.75 ,$113.13 ,$9.44 ,$117.04 ,$9.44 ,$117.04 ,$117.04 ,$117.04 ,$126.14 ,$105.33 ,$117.04 ,$117.04 ,$117.04 ,$117.04 ST. JOSEPH'S - CHIPPEWA FALLS,30600104,87046,HC STOOL CULTURE ADD ISO,306,1 ,$103.46 ,$77.60 ,$3.40 ,$103.46 ,$66.63 ,$9.44 ,$72.42 ,$3.40 ,$22.66 ,$3.50 ,$18.13 ,$98.29 , N/A ,$82.77 ,$94.15 ,$3.40 ,$97.25 ,$98.29 ,$93.11 ,$87.94 ,$3.40 ,$3.40 ,$3.40 ,$75.53 ,$9.44 ,$92.08 ,$93.11 ,$93.11 ,$82.77 ,$9.72 ,$56.90 ,$93.11 ,$9.44 ,$93.11 ,$9.44 ,$98.29 ,$21.24 ,$95.18 ,$3.60 ,$94.15 ,$9.44 ,$63.67 ,$66.63 ,$63.67 ,$93.11 ,$36.72 ,$77.60 ,$58.49 ,$9.53 ,$3.57 ,$96.74 ,$9.91 ,$3.40 ,$90.01 ,$9.44 ,$93.11 ,$9.44 ,$93.11 ,$93.11 ,$93.11 ,$100.36 ,$83.80 ,$93.11 ,$93.11 ,$93.11 ,$93.11 ST. JOSEPH'S - CHIPPEWA FALLS,30600109,87070,HC BODY FLUID CULTURE,306,1 ,$183.34 ,$137.51 ,$8.62 ,$183.34 ,$118.07 ,$8.62 ,$128.34 ,$8.91 ,$20.69 ,$9.18 ,$16.55 ,$174.17 , N/A ,$146.67 ,$166.84 ,$8.91 ,$172.34 ,$174.17 ,$165.01 ,$155.84 ,$8.91 ,$8.91 ,$8.91 ,$133.84 ,$8.62 ,$163.17 ,$165.01 ,$165.01 ,$146.67 ,$8.88 ,$100.84 ,$165.01 ,$8.62 ,$165.01 ,$8.62 ,$174.17 ,$19.40 ,$168.67 ,$9.44 ,$166.84 ,$8.62 ,$112.83 ,$118.07 ,$112.83 ,$165.01 ,$90.06 ,$137.51 ,$53.37 ,$8.71 ,$9.36 ,$171.42 ,$9.05 ,$8.91 ,$159.51 ,$8.62 ,$165.01 ,$8.62 ,$165.01 ,$165.01 ,$165.01 ,$177.84 ,$148.51 ,$165.01 ,$165.01 ,$165.01 ,$165.01 ST. JOSEPH'S - CHIPPEWA FALLS,30600119,87075,HC CULTURE ANAEROBIC,306,1 ,$199.63 ,$149.72 ,$9.47 ,$199.63 ,$128.56 ,$9.47 ,$139.74 ,$9.79 ,$22.73 ,$10.08 ,$18.19 ,$189.65 , N/A ,$159.70 ,$181.66 ,$9.79 ,$187.65 ,$189.65 ,$179.67 ,$169.69 ,$9.79 ,$9.79 ,$9.79 ,$145.73 ,$9.47 ,$177.67 ,$179.67 ,$179.67 ,$159.70 ,$9.75 ,$109.80 ,$179.67 ,$9.47 ,$179.67 ,$9.47 ,$189.65 ,$21.31 ,$183.66 ,$10.38 ,$181.66 ,$9.47 ,$122.85 ,$128.56 ,$122.85 ,$179.67 ,$87.89 ,$149.72 ,$58.64 ,$9.56 ,$10.28 ,$186.65 ,$9.94 ,$9.79 ,$173.68 ,$9.47 ,$179.67 ,$9.47 ,$179.67 ,$179.67 ,$179.67 ,$193.64 ,$161.70 ,$179.67 ,$179.67 ,$179.67 ,$179.67 ST. JOSEPH'S - CHIPPEWA FALLS,30600121,87076,HC CULTURE ANAEROBIC ID,306,1 ,$145.97 ,$109.48 ,$8.08 ,$145.97 ,$94.00 ,$8.08 ,$102.18 ,$8.35 ,$19.39 ,$8.60 ,$15.51 ,$138.67 , N/A ,$116.78 ,$132.83 ,$8.35 ,$137.21 ,$138.67 ,$131.37 ,$124.07 ,$8.35 ,$8.35 ,$8.35 ,$106.56 ,$8.08 ,$129.91 ,$131.37 ,$131.37 ,$116.78 ,$8.32 ,$80.28 ,$131.37 ,$8.08 ,$131.37 ,$8.08 ,$138.67 ,$18.18 ,$134.29 ,$8.85 ,$132.83 ,$8.08 ,$89.83 ,$94.00 ,$89.83 ,$131.37 ,$92.26 ,$109.48 ,$50.01 ,$8.16 ,$8.77 ,$136.48 ,$8.48 ,$8.35 ,$126.99 ,$8.08 ,$131.37 ,$8.08 ,$131.37 ,$131.37 ,$131.37 ,$141.59 ,$118.24 ,$131.37 ,$131.37 ,$131.37 ,$131.37 ST. JOSEPH'S - CHIPPEWA FALLS,30600123,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$76.50 ,$57.38 ,$8.08 ,$76.50 ,$49.27 ,$8.08 ,$53.55 ,$8.35 ,$19.39 ,$8.60 ,$15.51 ,$72.68 , N/A ,$61.20 ,$69.62 ,$8.35 ,$71.91 ,$72.68 ,$68.85 ,$65.03 ,$8.35 ,$8.35 ,$8.35 ,$55.85 ,$8.08 ,$68.09 ,$68.85 ,$68.85 ,$61.20 ,$8.32 ,$42.08 ,$68.85 ,$8.08 ,$68.85 ,$8.08 ,$72.68 ,$18.18 ,$70.38 ,$8.85 ,$69.62 ,$8.08 ,$47.08 ,$49.27 ,$47.08 ,$68.85 ,$40.59 ,$57.38 ,$50.01 ,$8.16 ,$8.77 ,$71.53 ,$8.48 ,$8.35 ,$66.56 ,$8.08 ,$68.85 ,$8.08 ,$68.85 ,$68.85 ,$68.85 ,$74.21 ,$61.97 ,$68.85 ,$68.85 ,$68.85 ,$68.85 ST. JOSEPH'S - CHIPPEWA FALLS,30600134,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$125.03 ,$93.77 ,$8.07 ,$125.03 ,$80.52 ,$8.07 ,$87.52 ,$8.34 ,$19.37 ,$8.59 ,$15.50 ,$118.78 , N/A ,$100.02 ,$113.78 ,$8.34 ,$117.53 ,$118.78 ,$112.53 ,$106.28 ,$8.34 ,$8.34 ,$8.34 ,$91.27 ,$8.07 ,$111.28 ,$112.53 ,$112.53 ,$100.02 ,$8.31 ,$68.77 ,$112.53 ,$8.07 ,$112.53 ,$8.07 ,$118.78 ,$18.16 ,$115.03 ,$8.84 ,$113.78 ,$8.07 ,$76.94 ,$80.52 ,$76.94 ,$112.53 ,$70.29 ,$93.77 ,$49.96 ,$8.15 ,$8.76 ,$116.90 ,$8.47 ,$8.34 ,$108.78 ,$8.07 ,$112.53 ,$8.07 ,$112.53 ,$112.53 ,$112.53 ,$121.28 ,$101.27 ,$112.53 ,$112.53 ,$112.53 ,$112.53 ST. JOSEPH'S - CHIPPEWA FALLS,30600135,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$131.56 ,$98.67 ,$8.09 ,$131.56 ,$84.72 ,$8.09 ,$92.09 ,$8.36 ,$19.43 ,$8.61 ,$15.54 ,$124.98 , N/A ,$105.25 ,$119.72 ,$8.36 ,$123.67 ,$124.98 ,$118.40 ,$111.83 ,$8.36 ,$8.36 ,$8.36 ,$96.04 ,$8.09 ,$117.09 ,$118.40 ,$118.40 ,$105.25 ,$8.33 ,$72.36 ,$118.40 ,$8.09 ,$118.40 ,$8.09 ,$124.98 ,$18.20 ,$121.04 ,$8.86 ,$119.72 ,$8.09 ,$80.96 ,$84.72 ,$80.96 ,$118.40 ,$57.99 ,$98.67 ,$50.11 ,$8.17 ,$8.78 ,$123.01 ,$8.49 ,$8.36 ,$114.46 ,$8.09 ,$118.40 ,$8.09 ,$118.40 ,$118.40 ,$118.40 ,$127.61 ,$106.56 ,$118.40 ,$118.40 ,$118.40 ,$118.40 ST. JOSEPH'S - CHIPPEWA FALLS,30600136,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$115.50 ,$86.63 ,$7.71 ,$115.50 ,$74.38 ,$7.71 ,$80.85 ,$7.97 ,$18.50 ,$8.21 ,$14.80 ,$109.73 , N/A ,$92.40 ,$105.11 ,$7.97 ,$108.57 ,$109.73 ,$103.95 ,$98.18 ,$7.97 ,$7.97 ,$7.97 ,$84.32 ,$7.71 ,$102.80 ,$103.95 ,$103.95 ,$92.40 ,$7.94 ,$63.53 ,$103.95 ,$7.71 ,$103.95 ,$7.71 ,$109.73 ,$17.35 ,$106.26 ,$8.45 ,$105.11 ,$7.71 ,$71.08 ,$74.38 ,$71.08 ,$103.95 ,$74.04 ,$86.63 ,$47.71 ,$7.79 ,$8.37 ,$107.99 ,$8.10 ,$7.97 ,$100.49 ,$7.71 ,$103.95 ,$7.71 ,$103.95 ,$103.95 ,$103.95 ,$112.04 ,$93.56 ,$103.95 ,$103.95 ,$103.95 ,$103.95 ST. JOSEPH'S - CHIPPEWA FALLS,30600138,87102,HC CULTURE FUNGUS OTHER,306,1 ,$123.53 ,$92.65 ,$8.41 ,$123.53 ,$79.55 ,$8.41 ,$86.47 ,$8.69 ,$20.18 ,$8.95 ,$16.14 ,$117.35 , N/A ,$98.82 ,$112.41 ,$8.69 ,$116.12 ,$117.35 ,$111.18 ,$105.00 ,$8.69 ,$8.69 ,$8.69 ,$90.18 ,$8.41 ,$109.94 ,$111.18 ,$111.18 ,$98.82 ,$8.66 ,$67.94 ,$111.18 ,$8.41 ,$111.18 ,$8.41 ,$117.35 ,$18.92 ,$113.65 ,$9.21 ,$112.41 ,$8.41 ,$76.02 ,$79.55 ,$76.02 ,$111.18 ,$74.04 ,$92.65 ,$52.07 ,$8.49 ,$9.12 ,$115.50 ,$8.83 ,$8.69 ,$107.47 ,$8.41 ,$111.18 ,$8.41 ,$111.18 ,$111.18 ,$111.18 ,$119.82 ,$100.06 ,$111.18 ,$111.18 ,$111.18 ,$111.18 ST. JOSEPH'S - CHIPPEWA FALLS,30600140,87103,HC CULTURE FUNGUS BLOOD,306,1 ,$180.96 ,$135.72 ,$12.68 ,$180.96 ,$116.54 ,$20.46 ,$126.67 ,$12.68 ,$21.65 ,$13.06 ,$17.32 ,$171.91 , N/A ,$144.77 ,$164.67 ,$12.68 ,$170.10 ,$171.91 ,$162.86 ,$153.82 ,$12.68 ,$12.68 ,$12.68 ,$132.10 ,$20.46 ,$161.05 ,$162.86 ,$162.86 ,$144.77 ,$21.07 ,$99.53 ,$162.86 ,$20.46 ,$162.86 ,$20.46 ,$171.91 ,$46.04 ,$166.48 ,$13.44 ,$164.67 ,$20.46 ,$111.36 ,$116.54 ,$111.36 ,$162.86 ,$46.55 ,$135.72 ,$102.64 ,$20.66 ,$13.31 ,$169.20 ,$21.48 ,$12.68 ,$157.44 ,$20.46 ,$162.86 ,$20.46 ,$162.86 ,$162.86 ,$162.86 ,$175.53 ,$146.58 ,$162.86 ,$162.86 ,$162.86 ,$162.86 ST. JOSEPH'S - CHIPPEWA FALLS,30600141,87106,HC CULTURE FUNGUS ID (ORGANISM),306,1 ,$99.82 ,$74.87 ,$10.32 ,$99.82 ,$64.28 ,$10.32 ,$69.87 ,$10.66 ,$24.78 ,$10.98 ,$19.82 ,$94.83 , N/A ,$79.86 ,$90.84 ,$10.66 ,$93.83 ,$94.83 ,$89.84 ,$84.85 ,$10.66 ,$10.66 ,$10.66 ,$72.87 ,$10.32 ,$88.84 ,$89.84 ,$89.84 ,$79.86 ,$10.63 ,$54.90 ,$89.84 ,$10.32 ,$89.84 ,$10.32 ,$94.83 ,$23.22 ,$91.83 ,$11.30 ,$90.84 ,$10.32 ,$61.43 ,$64.28 ,$61.43 ,$89.84 ,$98.81 ,$74.87 ,$63.91 ,$10.42 ,$11.19 ,$93.33 ,$10.84 ,$10.66 ,$86.84 ,$10.32 ,$89.84 ,$10.32 ,$89.84 ,$89.84 ,$89.84 ,$96.83 ,$80.85 ,$89.84 ,$89.84 ,$89.84 ,$89.84 ST. JOSEPH'S - CHIPPEWA FALLS,30600145,87107,HC CULTURE FUNGUS ID MOLD,306,1 ,$123.14 ,$92.36 ,$10.32 ,$123.14 ,$79.30 ,$10.32 ,$86.20 ,$10.66 ,$24.78 ,$10.98 ,$19.82 ,$116.98 , N/A ,$98.51 ,$112.06 ,$10.66 ,$115.75 ,$116.98 ,$110.83 ,$104.67 ,$10.66 ,$10.66 ,$10.66 ,$89.89 ,$10.32 ,$109.59 ,$110.83 ,$110.83 ,$98.51 ,$10.63 ,$67.73 ,$110.83 ,$10.32 ,$110.83 ,$10.32 ,$116.98 ,$23.22 ,$113.29 ,$11.30 ,$112.06 ,$10.32 ,$75.78 ,$79.30 ,$75.78 ,$110.83 ,$35.74 ,$92.36 ,$63.91 ,$10.42 ,$11.19 ,$115.14 ,$10.84 ,$10.66 ,$107.13 ,$10.32 ,$110.83 ,$10.32 ,$110.83 ,$110.83 ,$110.83 ,$119.45 ,$99.74 ,$110.83 ,$110.83 ,$110.83 ,$110.83 ST. JOSEPH'S - CHIPPEWA FALLS,30600146,87109,HC CULTURE MYCOPLASMA,306,1 ,$186.60 ,$139.95 ,$14.01 ,$186.60 ,$120.17 ,$15.39 ,$130.62 ,$14.01 ,$23.91 ,$14.43 ,$19.12 ,$177.27 , N/A ,$149.28 ,$169.81 ,$14.01 ,$175.40 ,$177.27 ,$167.94 ,$158.61 ,$14.01 ,$14.01 ,$14.01 ,$136.22 ,$15.39 ,$166.07 ,$167.94 ,$167.94 ,$149.28 ,$15.85 ,$102.63 ,$167.94 ,$15.39 ,$167.94 ,$15.39 ,$177.27 ,$34.63 ,$171.67 ,$14.85 ,$169.81 ,$15.39 ,$114.83 ,$120.17 ,$114.83 ,$167.94 ,$83.44 ,$139.95 ,$95.31 ,$15.54 ,$14.71 ,$174.47 ,$16.16 ,$14.01 ,$162.34 ,$15.39 ,$167.94 ,$15.39 ,$167.94 ,$167.94 ,$167.94 ,$181.00 ,$151.15 ,$167.94 ,$167.94 ,$167.94 ,$167.94 ST. JOSEPH'S - CHIPPEWA FALLS,30600147,87110,HC CULTURE CHLAMYDIA,306,1 ,$169.67 ,$127.25 ,$19.60 ,$169.67 ,$109.27 ,$19.60 ,$118.77 ,$20.25 ,$47.04 ,$20.86 ,$37.63 ,$161.19 , N/A ,$135.74 ,$154.40 ,$20.25 ,$159.49 ,$161.19 ,$152.70 ,$144.22 ,$20.25 ,$20.25 ,$20.25 ,$123.86 ,$19.60 ,$151.01 ,$152.70 ,$152.70 ,$135.74 ,$20.19 ,$93.32 ,$152.70 ,$19.60 ,$152.70 ,$19.60 ,$161.19 ,$44.10 ,$156.10 ,$21.47 ,$154.40 ,$19.60 ,$104.41 ,$109.27 ,$104.41 ,$152.70 ,$98.81 ,$127.25 ,$121.35 ,$19.80 ,$21.26 ,$158.64 ,$20.58 ,$20.25 ,$147.61 ,$19.60 ,$152.70 ,$19.60 ,$152.70 ,$152.70 ,$152.70 ,$164.58 ,$137.43 ,$152.70 ,$152.70 ,$152.70 ,$152.70 ST. JOSEPH'S - CHIPPEWA FALLS,30600148,87116,HC CULTURE AFB/TB/MYCOBACT,306,1 ,$244.28 ,$183.21 ,$10.80 ,$244.28 ,$157.32 ,$10.80 ,$171.00 ,$11.16 ,$25.94 ,$11.49 ,$20.75 ,$232.07 , N/A ,$195.42 ,$222.29 ,$11.16 ,$229.62 ,$232.07 ,$219.85 ,$207.64 ,$11.16 ,$11.16 ,$11.16 ,$178.32 ,$10.80 ,$217.41 ,$219.85 ,$219.85 ,$195.42 ,$11.12 ,$134.35 ,$219.85 ,$10.80 ,$219.85 ,$10.80 ,$232.07 ,$24.30 ,$224.74 ,$11.83 ,$222.29 ,$10.80 ,$150.33 ,$157.32 ,$150.33 ,$219.85 ,$76.87 ,$183.21 ,$66.92 ,$10.91 ,$11.72 ,$228.40 ,$11.34 ,$11.16 ,$212.52 ,$10.80 ,$219.85 ,$10.80 ,$219.85 ,$219.85 ,$219.85 ,$236.95 ,$197.87 ,$219.85 ,$219.85 ,$219.85 ,$219.85 ST. JOSEPH'S - CHIPPEWA FALLS,30600159,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$35.36 ,$26.52 ,$5.18 ,$35.36 ,$22.77 ,$5.18 ,$24.75 ,$5.35 ,$12.43 ,$5.51 ,$9.94 ,$33.59 , N/A ,$28.29 ,$32.18 ,$5.35 ,$33.24 ,$33.59 ,$31.82 ,$30.06 ,$5.35 ,$5.35 ,$5.35 ,$25.81 ,$5.18 ,$31.47 ,$31.82 ,$31.82 ,$28.29 ,$5.34 ,$19.45 ,$31.82 ,$5.18 ,$31.82 ,$5.18 ,$33.59 ,$11.66 ,$32.53 ,$5.67 ,$32.18 ,$5.18 ,$21.76 ,$22.77 ,$21.76 ,$31.82 ,$35.36 ,$26.52 ,$31.82 ,$5.23 ,$5.62 ,$33.06 ,$5.44 ,$5.35 ,$30.76 ,$5.18 ,$31.82 ,$5.18 ,$31.82 ,$31.82 ,$31.82 ,$34.30 ,$28.64 ,$31.82 ,$31.82 ,$31.82 ,$31.82 ST. JOSEPH'S - CHIPPEWA FALLS,30600160,87150,HC ID NUCLEAR ACID PROBE,306,1 ,$136.50 ,$102.38 ,$35.09 ,$136.50 ,$87.91 ,$35.09 ,$95.55 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$129.68 , N/A ,$109.20 ,$124.22 ,$36.26 ,$128.31 ,$129.68 ,$122.85 ,$116.03 ,$36.26 ,$36.26 ,$36.26 ,$99.65 ,$35.09 ,$121.49 ,$122.85 ,$122.85 ,$109.20 ,$36.14 ,$75.08 ,$122.85 ,$35.09 ,$122.85 ,$35.09 ,$129.68 ,$78.95 ,$125.58 ,$38.44 ,$124.22 ,$35.09 ,$84.00 ,$87.91 ,$84.00 ,$122.85 ,$57.50 ,$102.38 ,$122.85 ,$35.44 ,$38.07 ,$127.63 ,$36.84 ,$36.26 ,$118.76 ,$35.09 ,$122.85 ,$35.09 ,$122.85 ,$122.85 ,$122.85 ,$132.41 ,$110.57 ,$122.85 ,$122.85 ,$122.85 ,$122.85 ST. JOSEPH'S - CHIPPEWA FALLS,30600161,87168,HC EXAM ARTHROPOD,306,1 ,$61.85 ,$46.39 ,$4.27 ,$61.85 ,$39.83 ,$4.27 ,$43.30 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$58.76 , N/A ,$49.48 ,$56.28 ,$4.41 ,$58.14 ,$58.76 ,$55.67 ,$52.57 ,$4.41 ,$4.41 ,$4.41 ,$45.15 ,$4.27 ,$55.05 ,$55.67 ,$55.67 ,$49.48 ,$4.40 ,$34.02 ,$55.67 ,$4.27 ,$55.67 ,$4.27 ,$58.76 ,$9.61 ,$56.90 ,$4.67 ,$56.28 ,$4.27 ,$38.06 ,$39.83 ,$38.06 ,$55.67 ,$10.63 ,$46.39 ,$26.44 ,$4.31 ,$4.63 ,$57.83 ,$4.48 ,$4.41 ,$53.81 ,$4.27 ,$55.67 ,$4.27 ,$55.67 ,$55.67 ,$55.67 ,$59.99 ,$50.10 ,$55.67 ,$55.67 ,$55.67 ,$55.67 ST. JOSEPH'S - CHIPPEWA FALLS,30600162,87169,HC PARASITE ID,306,1 ,$61.82 ,$46.37 ,$4.31 ,$61.82 ,$39.81 ,$4.31 ,$43.27 ,$4.45 ,$10.26 ,$4.58 ,$8.20 ,$58.73 , N/A ,$49.46 ,$56.26 ,$4.45 ,$58.11 ,$58.73 ,$55.64 ,$52.55 ,$4.45 ,$4.45 ,$4.45 ,$45.13 ,$4.31 ,$55.02 ,$55.64 ,$55.64 ,$49.46 ,$4.44 ,$34.00 ,$55.64 ,$4.31 ,$55.64 ,$4.31 ,$58.73 ,$9.70 ,$56.87 ,$4.72 ,$56.26 ,$4.31 ,$38.04 ,$39.81 ,$38.04 ,$55.64 ,$10.63 ,$46.37 ,$26.44 ,$4.35 ,$4.67 ,$57.80 ,$4.53 ,$4.45 ,$53.78 ,$4.31 ,$55.64 ,$4.31 ,$55.64 ,$55.64 ,$55.64 ,$59.97 ,$50.07 ,$55.64 ,$55.64 ,$55.64 ,$55.64 ST. JOSEPH'S - CHIPPEWA FALLS,30600163,87172,HC PINWORM EXAM,306,1 ,$76.99 ,$57.74 ,$4.27 ,$76.99 ,$49.58 ,$4.27 ,$53.89 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$73.14 , N/A ,$61.59 ,$70.06 ,$4.41 ,$72.37 ,$73.14 ,$69.29 ,$65.44 ,$4.41 ,$4.41 ,$4.41 ,$56.20 ,$4.27 ,$68.52 ,$69.29 ,$69.29 ,$61.59 ,$4.40 ,$42.34 ,$69.29 ,$4.27 ,$69.29 ,$4.27 ,$73.14 ,$9.61 ,$70.83 ,$4.67 ,$70.06 ,$4.27 ,$47.38 ,$49.58 ,$47.38 ,$69.29 ,$10.63 ,$57.74 ,$26.44 ,$4.31 ,$4.63 ,$71.99 ,$4.48 ,$4.41 ,$66.98 ,$4.27 ,$69.29 ,$4.27 ,$69.29 ,$69.29 ,$69.29 ,$74.68 ,$62.36 ,$69.29 ,$69.29 ,$69.29 ,$69.29 ST. JOSEPH'S - CHIPPEWA FALLS,30600164,87177,HC SMEAR OVA PARASITE CONC/ID,306,1 ,$135.30 ,$101.48 ,$8.90 ,$135.30 ,$87.13 ,$8.90 ,$94.71 ,$9.20 ,$21.37 ,$9.48 ,$17.09 ,$128.54 , N/A ,$108.24 ,$123.12 ,$9.20 ,$127.18 ,$128.54 ,$121.77 ,$115.01 ,$9.20 ,$9.20 ,$9.20 ,$98.77 ,$8.90 ,$120.42 ,$121.77 ,$121.77 ,$108.24 ,$9.17 ,$74.42 ,$121.77 ,$8.90 ,$121.77 ,$8.90 ,$128.54 ,$20.03 ,$124.48 ,$9.75 ,$123.12 ,$8.90 ,$83.26 ,$87.13 ,$83.26 ,$121.77 ,$83.44 ,$101.48 ,$55.13 ,$8.99 ,$9.66 ,$126.51 ,$9.35 ,$9.20 ,$117.71 ,$8.90 ,$121.77 ,$8.90 ,$121.77 ,$121.77 ,$121.77 ,$131.24 ,$109.59 ,$121.77 ,$121.77 ,$121.77 ,$121.77 ST. JOSEPH'S - CHIPPEWA FALLS,30600166,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$78.61 ,$58.96 ,$4.75 ,$78.61 ,$50.62 ,$4.75 ,$55.03 ,$4.91 ,$11.39 ,$5.06 ,$9.11 ,$74.68 , N/A ,$62.89 ,$71.54 ,$4.91 ,$73.89 ,$74.68 ,$70.75 ,$66.82 ,$4.91 ,$4.91 ,$4.91 ,$57.39 ,$4.75 ,$69.96 ,$70.75 ,$70.75 ,$62.89 ,$4.89 ,$43.24 ,$70.75 ,$4.75 ,$70.75 ,$4.75 ,$74.68 ,$10.69 ,$72.32 ,$5.20 ,$71.54 ,$4.75 ,$48.38 ,$50.62 ,$48.38 ,$70.75 ,$49.41 ,$58.96 ,$29.40 ,$4.80 ,$5.16 ,$73.50 ,$4.99 ,$4.91 ,$68.39 ,$4.75 ,$70.75 ,$4.75 ,$70.75 ,$70.75 ,$70.75 ,$76.25 ,$63.67 ,$70.75 ,$70.75 ,$70.75 ,$70.75 ST. JOSEPH'S - CHIPPEWA FALLS,30600169,87184,HC SENSITIVITY DISK KB,306,1 ,$108.85 ,$81.64 ,$7.48 ,$108.85 ,$70.10 ,$7.48 ,$76.20 ,$7.73 ,$16.56 ,$7.96 ,$13.24 ,$103.41 , N/A ,$87.08 ,$99.05 ,$7.73 ,$102.32 ,$103.41 ,$97.97 ,$92.52 ,$7.73 ,$7.73 ,$7.73 ,$79.46 ,$7.48 ,$96.88 ,$97.97 ,$97.97 ,$87.08 ,$7.70 ,$59.87 ,$97.97 ,$7.48 ,$97.97 ,$7.48 ,$103.41 ,$16.83 ,$100.14 ,$8.19 ,$99.05 ,$7.48 ,$66.99 ,$70.10 ,$66.99 ,$97.97 ,$57.99 ,$81.64 ,$42.69 ,$7.55 ,$8.12 ,$101.77 ,$7.85 ,$7.73 ,$94.70 ,$7.48 ,$97.97 ,$7.48 ,$97.97 ,$97.97 ,$97.97 ,$105.58 ,$88.17 ,$97.97 ,$97.97 ,$97.97 ,$97.97 ST. JOSEPH'S - CHIPPEWA FALLS,30600171,87185,HC BETA LACTAMASE,306,1 ,$79.75 ,$59.81 ,$4.75 ,$79.75 ,$51.36 ,$4.75 ,$55.83 ,$4.91 ,$11.39 ,$5.06 ,$9.11 ,$75.76 , N/A ,$63.80 ,$72.57 ,$4.91 ,$74.97 ,$75.76 ,$71.78 ,$67.79 ,$4.91 ,$4.91 ,$4.91 ,$58.22 ,$4.75 ,$70.98 ,$71.78 ,$71.78 ,$63.80 ,$4.89 ,$43.86 ,$71.78 ,$4.75 ,$71.78 ,$4.75 ,$75.76 ,$10.69 ,$73.37 ,$5.20 ,$72.57 ,$4.75 ,$49.08 ,$51.36 ,$49.08 ,$71.78 ,$26.09 ,$59.81 ,$29.40 ,$4.80 ,$5.16 ,$74.57 ,$4.99 ,$4.91 ,$69.38 ,$4.75 ,$71.78 ,$4.75 ,$71.78 ,$71.78 ,$71.78 ,$77.36 ,$64.60 ,$71.78 ,$71.78 ,$71.78 ,$71.78 ST. JOSEPH'S - CHIPPEWA FALLS,30600172,87186,HC SENSITIVITY MIC,306,1 ,$144.71 ,$108.53 ,$8.65 ,$144.71 ,$93.19 ,$8.65 ,$101.30 ,$8.94 ,$20.76 ,$9.21 ,$16.60 ,$137.47 , N/A ,$115.77 ,$131.69 ,$8.94 ,$136.03 ,$137.47 ,$130.24 ,$123.00 ,$8.94 ,$8.94 ,$8.94 ,$105.64 ,$8.65 ,$128.79 ,$130.24 ,$130.24 ,$115.77 ,$8.91 ,$79.59 ,$130.24 ,$8.65 ,$130.24 ,$8.65 ,$137.47 ,$19.46 ,$133.13 ,$9.48 ,$131.69 ,$8.65 ,$89.05 ,$93.19 ,$89.05 ,$130.24 ,$79.70 ,$108.53 ,$53.52 ,$8.74 ,$9.39 ,$135.30 ,$9.08 ,$8.94 ,$125.90 ,$8.65 ,$130.24 ,$8.65 ,$130.24 ,$130.24 ,$130.24 ,$140.37 ,$117.22 ,$130.24 ,$130.24 ,$130.24 ,$130.24 ST. JOSEPH'S - CHIPPEWA FALLS,30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$100.07 ,$75.05 ,$4.27 ,$100.07 ,$64.45 ,$4.27 ,$70.05 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$95.07 , N/A ,$80.06 ,$91.06 ,$4.41 ,$94.07 ,$95.07 ,$90.06 ,$85.06 ,$4.41 ,$4.41 ,$4.41 ,$73.05 ,$4.27 ,$89.06 ,$90.06 ,$90.06 ,$80.06 ,$4.40 ,$55.04 ,$90.06 ,$4.27 ,$90.06 ,$4.27 ,$95.07 ,$9.61 ,$92.06 ,$4.67 ,$91.06 ,$4.27 ,$61.58 ,$64.45 ,$61.58 ,$90.06 ,$36.04 ,$75.05 ,$26.44 ,$4.31 ,$4.63 ,$93.57 ,$4.48 ,$4.41 ,$87.06 ,$4.27 ,$90.06 ,$4.27 ,$90.06 ,$90.06 ,$90.06 ,$97.07 ,$81.06 ,$90.06 ,$90.06 ,$90.06 ,$90.06 ST. JOSEPH'S - CHIPPEWA FALLS,30600176,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$66.10 ,$49.58 ,$5.39 ,$66.10 ,$42.57 ,$5.39 ,$46.27 ,$5.57 ,$12.93 ,$5.74 ,$10.35 ,$62.80 , N/A ,$52.88 ,$60.15 ,$5.57 ,$62.13 ,$62.80 ,$59.49 ,$56.19 ,$5.57 ,$5.57 ,$5.57 ,$48.25 ,$5.39 ,$58.83 ,$59.49 ,$59.49 ,$52.88 ,$5.55 ,$36.36 ,$59.49 ,$5.39 ,$59.49 ,$5.39 ,$62.80 ,$12.13 ,$60.81 ,$5.90 ,$60.15 ,$5.39 ,$40.68 ,$42.57 ,$40.68 ,$59.49 ,$62.87 ,$49.58 ,$33.36 ,$5.44 ,$5.85 ,$61.80 ,$5.66 ,$5.57 ,$57.51 ,$5.39 ,$59.49 ,$5.39 ,$59.49 ,$59.49 ,$59.49 ,$64.12 ,$53.54 ,$59.49 ,$59.49 ,$59.49 ,$59.49 ST. JOSEPH'S - CHIPPEWA FALLS,30600182,87209,HC OVA AND PARASITE W/STAIN,306,1 ,$55.48 ,$41.61 ,$17.98 ,$55.48 ,$35.73 ,$17.98 ,$38.84 ,$18.58 ,$43.16 ,$19.14 ,$34.52 ,$52.71 , N/A ,$44.38 ,$50.49 ,$18.58 ,$52.15 ,$52.71 ,$49.93 ,$47.16 ,$18.58 ,$18.58 ,$18.58 ,$40.50 ,$17.98 ,$49.38 ,$49.93 ,$49.93 ,$44.38 ,$18.52 ,$30.51 ,$49.93 ,$17.98 ,$49.93 ,$17.98 ,$52.71 ,$40.46 ,$51.04 ,$19.69 ,$50.49 ,$17.98 ,$34.14 ,$35.73 ,$34.14 ,$49.93 ,$53.13 ,$41.61 ,$49.93 ,$18.16 ,$19.51 ,$51.87 ,$18.88 ,$18.58 ,$48.27 ,$17.98 ,$49.93 ,$17.98 ,$49.93 ,$49.93 ,$49.93 ,$53.82 ,$44.94 ,$49.93 ,$49.93 ,$49.93 ,$49.93 ST. JOSEPH'S - CHIPPEWA FALLS,30600183,87210,HC SMEAR WET MOUNT,306,1 ,$91.43 ,$68.57 ,$5.82 ,$91.43 ,$58.88 ,$5.82 ,$64.00 ,$6.00 ,$10.26 ,$6.18 ,$8.20 ,$86.86 , N/A ,$73.14 ,$83.20 ,$6.00 ,$85.94 ,$86.86 ,$82.29 ,$77.72 ,$6.00 ,$6.00 ,$6.00 ,$66.74 ,$5.82 ,$81.37 ,$82.29 ,$82.29 ,$73.14 ,$5.99 ,$50.29 ,$82.29 ,$5.82 ,$82.29 ,$5.82 ,$86.86 ,$13.10 ,$84.12 ,$6.36 ,$83.20 ,$5.82 ,$56.27 ,$58.88 ,$56.27 ,$82.29 ,$48.30 ,$68.57 ,$29.20 ,$5.88 ,$6.30 ,$85.49 ,$6.11 ,$6.00 ,$79.54 ,$5.82 ,$82.29 ,$5.82 ,$82.29 ,$82.29 ,$82.29 ,$88.69 ,$74.06 ,$82.29 ,$82.29 ,$82.29 ,$82.29 ST. JOSEPH'S - CHIPPEWA FALLS,30600185,87220,HC TISSUE KOH PREP,306,1 ,$121.39 ,$91.04 ,$4.27 ,$121.39 ,$78.18 ,$4.27 ,$84.97 ,$4.41 ,$10.26 ,$4.54 ,$8.20 ,$115.32 , N/A ,$97.11 ,$110.46 ,$4.41 ,$114.11 ,$115.32 ,$109.25 ,$103.18 ,$4.41 ,$4.41 ,$4.41 ,$88.61 ,$4.27 ,$108.04 ,$109.25 ,$109.25 ,$97.11 ,$4.40 ,$66.76 ,$109.25 ,$4.27 ,$109.25 ,$4.27 ,$115.32 ,$9.61 ,$111.68 ,$4.67 ,$110.46 ,$4.27 ,$74.70 ,$78.18 ,$74.70 ,$109.25 ,$34.07 ,$91.04 ,$26.44 ,$4.31 ,$4.63 ,$113.50 ,$4.48 ,$4.41 ,$105.61 ,$4.27 ,$109.25 ,$4.27 ,$109.25 ,$109.25 ,$109.25 ,$117.75 ,$98.33 ,$109.25 ,$109.25 ,$109.25 ,$109.25 ST. JOSEPH'S - CHIPPEWA FALLS,30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$57.20 ,$42.90 ,$11.98 ,$57.20 ,$36.84 ,$11.98 ,$40.04 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$54.34 , N/A ,$45.76 ,$52.05 ,$12.38 ,$53.77 ,$54.34 ,$51.48 ,$48.62 ,$12.38 ,$12.38 ,$12.38 ,$41.76 ,$11.98 ,$50.91 ,$51.48 ,$51.48 ,$45.76 ,$12.34 ,$31.46 ,$51.48 ,$11.98 ,$51.48 ,$11.98 ,$54.34 ,$26.96 ,$52.62 ,$13.12 ,$52.05 ,$11.98 ,$35.20 ,$36.84 ,$35.20 ,$51.48 ,$51.16 ,$42.90 ,$51.48 ,$12.10 ,$13.00 ,$53.48 ,$12.58 ,$12.38 ,$49.76 ,$11.98 ,$51.48 ,$11.98 ,$51.48 ,$51.48 ,$51.48 ,$55.48 ,$46.33 ,$51.48 ,$51.48 ,$51.48 ,$51.48 ST. JOSEPH'S - CHIPPEWA FALLS,30600215,87328,HC EIA QL CRYPTOSPORIDIUM AG,306,1 ,$202.52 ,$151.89 ,$13.82 ,$202.52 ,$130.42 ,$13.82 ,$141.76 ,$14.28 ,$28.77 ,$14.71 ,$23.02 ,$192.39 , N/A ,$162.02 ,$184.29 ,$14.28 ,$190.37 ,$192.39 ,$182.27 ,$172.14 ,$14.28 ,$14.28 ,$14.28 ,$147.84 ,$13.82 ,$180.24 ,$182.27 ,$182.27 ,$162.02 ,$14.23 ,$111.39 ,$182.27 ,$13.82 ,$182.27 ,$13.82 ,$192.39 ,$31.10 ,$186.32 ,$15.14 ,$184.29 ,$13.82 ,$124.63 ,$130.42 ,$124.63 ,$182.27 ,$51.16 ,$151.89 ,$74.24 ,$13.96 ,$14.99 ,$189.36 ,$14.51 ,$14.28 ,$176.19 ,$13.82 ,$182.27 ,$13.82 ,$182.27 ,$182.27 ,$182.27 ,$196.44 ,$164.04 ,$182.27 ,$182.27 ,$182.27 ,$182.27 ST. JOSEPH'S - CHIPPEWA FALLS,30600216,87329,HC EIA QL GIARDIA AG,306,1 ,$189.24 ,$141.93 ,$11.98 ,$189.24 ,$121.87 ,$11.98 ,$132.47 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$179.78 , N/A ,$151.39 ,$172.21 ,$12.38 ,$177.89 ,$179.78 ,$170.32 ,$160.85 ,$12.38 ,$12.38 ,$12.38 ,$138.15 ,$11.98 ,$168.42 ,$170.32 ,$170.32 ,$151.39 ,$12.34 ,$104.08 ,$170.32 ,$11.98 ,$170.32 ,$11.98 ,$179.78 ,$26.96 ,$174.10 ,$13.12 ,$172.21 ,$11.98 ,$116.46 ,$121.87 ,$116.46 ,$170.32 ,$36.23 ,$141.93 ,$74.24 ,$12.10 ,$13.00 ,$176.94 ,$12.58 ,$12.38 ,$164.64 ,$11.98 ,$170.32 ,$11.98 ,$170.32 ,$170.32 ,$170.32 ,$183.56 ,$153.28 ,$170.32 ,$170.32 ,$170.32 ,$170.32 ST. JOSEPH'S - CHIPPEWA FALLS,30600217,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$450.60 ,$337.95 ,$14.38 ,$450.60 ,$290.19 ,$14.38 ,$315.42 ,$14.86 ,$34.53 ,$15.31 ,$27.62 ,$428.07 , N/A ,$360.48 ,$410.05 ,$14.86 ,$423.56 ,$428.07 ,$405.54 ,$383.01 ,$14.86 ,$14.86 ,$14.86 ,$328.94 ,$14.38 ,$401.03 ,$405.54 ,$405.54 ,$360.48 ,$14.81 ,$247.83 ,$405.54 ,$14.38 ,$405.54 ,$14.38 ,$428.07 ,$32.36 ,$414.55 ,$15.75 ,$410.05 ,$14.38 ,$277.30 ,$290.19 ,$277.30 ,$405.54 ,$49.72 ,$337.95 ,$89.09 ,$14.52 ,$15.60 ,$421.31 ,$15.10 ,$14.86 ,$392.02 ,$14.38 ,$405.54 ,$14.38 ,$405.54 ,$405.54 ,$405.54 ,$437.08 ,$364.99 ,$405.54 ,$405.54 ,$405.54 ,$405.54 ST. JOSEPH'S - CHIPPEWA FALLS,30600222,87385,HC EIA QL HISTOPLASMA AG,306,1 ,$181.72 ,$136.29 ,$13.25 ,$181.72 ,$117.03 ,$13.25 ,$127.20 ,$13.69 ,$28.77 ,$14.10 ,$23.02 ,$172.63 , N/A ,$145.38 ,$165.37 ,$13.69 ,$170.82 ,$172.63 ,$163.55 ,$154.46 ,$13.69 ,$13.69 ,$13.69 ,$132.66 ,$13.25 ,$161.73 ,$163.55 ,$163.55 ,$145.38 ,$13.65 ,$99.95 ,$163.55 ,$13.25 ,$163.55 ,$13.25 ,$172.63 ,$29.81 ,$167.18 ,$14.51 ,$165.37 ,$13.25 ,$111.83 ,$117.03 ,$111.83 ,$163.55 ,$51.16 ,$136.29 ,$74.24 ,$13.38 ,$14.37 ,$169.91 ,$13.91 ,$13.69 ,$158.10 ,$13.25 ,$163.55 ,$13.25 ,$163.55 ,$163.55 ,$163.55 ,$176.27 ,$147.19 ,$163.55 ,$163.55 ,$163.55 ,$163.55 ST. JOSEPH'S - CHIPPEWA FALLS,30600225,87400,HC EIA QL INFLUENZA A/B AG,306,1 ,$197.02 ,$147.77 ,$8.66 ,$197.02 ,$126.88 ,$14.13 ,$137.91 ,$8.66 ,$28.77 ,$8.92 ,$23.02 ,$187.17 , N/A ,$157.62 ,$179.29 ,$8.66 ,$185.20 ,$187.17 ,$177.32 ,$167.47 ,$8.66 ,$8.66 ,$8.66 ,$143.82 ,$14.13 ,$175.35 ,$177.32 ,$177.32 ,$157.62 ,$14.55 ,$108.36 ,$177.32 ,$14.13 ,$177.32 ,$14.13 ,$187.17 ,$31.79 ,$181.26 ,$9.18 ,$179.29 ,$14.13 ,$121.25 ,$126.88 ,$121.25 ,$177.32 ,$28.98 ,$147.77 ,$74.24 ,$14.27 ,$9.09 ,$184.21 ,$14.84 ,$8.66 ,$171.41 ,$14.13 ,$177.32 ,$14.13 ,$177.32 ,$177.32 ,$177.32 ,$191.11 ,$159.59 ,$177.32 ,$177.32 ,$177.32 ,$177.32 ST. JOSEPH'S - CHIPPEWA FALLS,30600226,87420,HC RSV AG QL,306,1 ,$260.21 ,$195.16 ,$13.91 ,$260.21 ,$167.58 ,$13.91 ,$182.15 ,$14.37 ,$28.77 ,$14.80 ,$23.02 ,$247.20 , N/A ,$208.17 ,$236.79 ,$14.37 ,$244.60 ,$247.20 ,$234.19 ,$221.18 ,$14.37 ,$14.37 ,$14.37 ,$189.95 ,$13.91 ,$231.59 ,$234.19 ,$234.19 ,$208.17 ,$14.33 ,$143.12 ,$234.19 ,$13.91 ,$234.19 ,$13.91 ,$247.20 ,$31.30 ,$239.39 ,$15.23 ,$236.79 ,$13.91 ,$160.13 ,$167.58 ,$160.13 ,$234.19 ,$51.16 ,$195.16 ,$74.24 ,$14.05 ,$15.09 ,$243.30 ,$14.61 ,$14.37 ,$226.38 ,$13.91 ,$234.19 ,$13.91 ,$234.19 ,$234.19 ,$234.19 ,$252.40 ,$210.77 ,$234.19 ,$234.19 ,$234.19 ,$234.19 ST. JOSEPH'S - CHIPPEWA FALLS,30600227,87425,HC EIA QL ROTAVIRUS AG,306,1 ,$258.83 ,$194.12 ,$11.98 ,$258.83 ,$166.69 ,$11.98 ,$181.18 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$245.89 , N/A ,$207.06 ,$235.54 ,$12.38 ,$243.30 ,$245.89 ,$232.95 ,$220.01 ,$12.38 ,$12.38 ,$12.38 ,$188.95 ,$11.98 ,$230.36 ,$232.95 ,$232.95 ,$207.06 ,$12.34 ,$142.36 ,$232.95 ,$11.98 ,$232.95 ,$11.98 ,$245.89 ,$26.96 ,$238.12 ,$13.12 ,$235.54 ,$11.98 ,$159.28 ,$166.69 ,$159.28 ,$232.95 ,$51.16 ,$194.12 ,$74.24 ,$12.10 ,$13.00 ,$242.01 ,$12.58 ,$12.38 ,$225.18 ,$11.98 ,$232.95 ,$11.98 ,$232.95 ,$232.95 ,$232.95 ,$251.07 ,$209.65 ,$232.95 ,$232.95 ,$232.95 ,$232.95 ST. JOSEPH'S - CHIPPEWA FALLS,30600228,87430,HC RAPID STREP,306,1 ,$61.82 ,$46.37 ,$16.81 ,$61.82 ,$39.81 ,$16.81 ,$43.27 ,$16.86 ,$28.77 ,$17.37 ,$23.02 ,$58.73 , N/A ,$49.46 ,$56.26 ,$16.86 ,$58.11 ,$58.73 ,$55.64 ,$52.55 ,$16.86 ,$16.86 ,$16.86 ,$45.13 ,$16.81 ,$55.02 ,$55.64 ,$55.64 ,$49.46 ,$17.31 ,$34.00 ,$55.64 ,$16.81 ,$55.64 ,$16.81 ,$58.73 ,$37.82 ,$56.87 ,$17.87 ,$56.26 ,$16.81 ,$38.04 ,$39.81 ,$38.04 ,$55.64 ,$24.36 ,$46.37 ,$55.64 ,$16.98 ,$17.70 ,$57.80 ,$17.65 ,$16.86 ,$53.78 ,$16.81 ,$55.64 ,$16.81 ,$55.64 ,$55.64 ,$55.64 ,$59.97 ,$50.07 ,$55.64 ,$55.64 ,$55.64 ,$55.64 ST. JOSEPH'S - CHIPPEWA FALLS,30600236,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$200.64 ,$150.48 ,$35.09 ,$200.64 ,$129.21 ,$35.09 ,$140.45 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$190.61 , N/A ,$160.51 ,$182.58 ,$36.26 ,$188.60 ,$190.61 ,$180.58 ,$170.54 ,$36.26 ,$36.26 ,$36.26 ,$146.47 ,$35.09 ,$178.57 ,$180.58 ,$180.58 ,$160.51 ,$36.14 ,$110.35 ,$180.58 ,$35.09 ,$180.58 ,$35.09 ,$190.61 ,$78.95 ,$184.59 ,$38.44 ,$182.58 ,$35.09 ,$123.47 ,$129.21 ,$123.47 ,$180.58 ,$149.23 ,$150.48 ,$180.58 ,$35.44 ,$38.07 ,$187.60 ,$36.84 ,$36.26 ,$174.56 ,$35.09 ,$180.58 ,$35.09 ,$180.58 ,$180.58 ,$180.58 ,$194.62 ,$162.52 ,$180.58 ,$180.58 ,$180.58 ,$180.58 ST. JOSEPH'S - CHIPPEWA FALLS,30600237,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$129.17 ,$96.88 ,$37.27 ,$129.17 ,$83.19 ,$37.27 ,$90.42 ,$38.51 ,$84.25 ,$39.67 ,$67.40 ,$122.71 , N/A ,$103.34 ,$117.54 ,$38.51 ,$121.42 ,$122.71 ,$116.25 ,$109.79 ,$38.51 ,$38.51 ,$38.51 ,$94.29 ,$37.27 ,$114.96 ,$116.25 ,$116.25 ,$103.34 ,$38.39 ,$71.04 ,$116.25 ,$37.27 ,$116.25 ,$37.27 ,$122.71 ,$83.86 ,$118.84 ,$40.82 ,$117.54 ,$37.27 ,$79.49 ,$83.19 ,$79.49 ,$116.25 ,$104.04 ,$96.88 ,$116.25 ,$37.64 ,$40.44 ,$120.77 ,$39.13 ,$38.51 ,$112.38 ,$37.27 ,$116.25 ,$37.27 ,$116.25 ,$116.25 ,$116.25 ,$125.29 ,$104.63 ,$116.25 ,$116.25 ,$116.25 ,$116.25 ST. JOSEPH'S - CHIPPEWA FALLS,30600238,87497,HC CMV QN,306,1 ,$346.74 ,$260.06 ,$42.84 ,$346.74 ,$223.30 ,$42.84 ,$242.72 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$329.40 , N/A ,$277.39 ,$315.53 ,$44.27 ,$325.94 ,$329.40 ,$312.07 ,$294.73 ,$44.27 ,$44.27 ,$44.27 ,$253.12 ,$42.84 ,$308.60 ,$312.07 ,$312.07 ,$277.39 ,$44.13 ,$190.71 ,$312.07 ,$42.84 ,$312.07 ,$42.84 ,$329.40 ,$96.39 ,$319.00 ,$46.93 ,$315.53 ,$42.84 ,$213.38 ,$223.30 ,$213.38 ,$312.07 ,$181.23 ,$260.06 ,$265.27 ,$43.27 ,$46.48 ,$324.20 ,$44.98 ,$44.27 ,$301.66 ,$42.84 ,$312.07 ,$42.84 ,$312.07 ,$312.07 ,$312.07 ,$336.34 ,$280.86 ,$312.07 ,$312.07 ,$312.07 ,$312.07 ST. JOSEPH'S - CHIPPEWA FALLS,30600244,87529,HC HERPES SIMPLEX AMP,306,1 ,$49.00 ,$36.75 ,$26.95 ,$78.95 ,$31.56 ,$35.09 ,$34.30 ,$36.26 ,$49.00 ,$37.35 ,$49.00 ,$46.55 , N/A ,$39.20 ,$44.59 ,$36.26 ,$46.06 ,$46.55 ,$44.10 ,$41.65 ,$36.26 ,$36.26 ,$36.26 ,$35.77 ,$35.09 ,$43.61 ,$44.10 ,$44.10 ,$39.20 ,$36.14 ,$26.95 ,$44.10 ,$35.09 ,$44.10 ,$35.09 ,$46.55 ,$78.95 ,$45.08 ,$38.44 ,$44.59 ,$35.09 ,$30.15 ,$31.56 ,$30.15 ,$44.10 ,$49.00 ,$36.75 ,$44.10 ,$35.44 ,$38.07 ,$45.82 ,$36.84 ,$36.26 ,$42.63 ,$35.09 ,$44.10 ,$35.09 ,$44.10 ,$44.10 ,$44.10 ,$47.53 ,$39.69 ,$44.10 ,$44.10 ,$44.10 ,$44.10 ST. JOSEPH'S - CHIPPEWA FALLS,30600249,87591,HC NEISSERIA AMP,306,1 ,$200.64 ,$150.48 ,$35.09 ,$200.64 ,$129.21 ,$35.09 ,$140.45 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$190.61 , N/A ,$160.51 ,$182.58 ,$36.26 ,$188.60 ,$190.61 ,$180.58 ,$170.54 ,$36.26 ,$36.26 ,$36.26 ,$146.47 ,$35.09 ,$178.57 ,$180.58 ,$180.58 ,$160.51 ,$36.14 ,$110.35 ,$180.58 ,$35.09 ,$180.58 ,$35.09 ,$190.61 ,$78.95 ,$184.59 ,$38.44 ,$182.58 ,$35.09 ,$123.47 ,$129.21 ,$123.47 ,$180.58 ,$149.23 ,$150.48 ,$180.58 ,$35.44 ,$38.07 ,$187.60 ,$36.84 ,$36.26 ,$174.56 ,$35.09 ,$180.58 ,$35.09 ,$180.58 ,$180.58 ,$180.58 ,$194.62 ,$162.52 ,$180.58 ,$180.58 ,$180.58 ,$180.58 ST. JOSEPH'S - CHIPPEWA FALLS,30600252,87624,HC HPV AMP,306,1 ,$136.69 ,$102.52 ,$35.09 ,$136.69 ,$88.03 ,$35.09 ,$95.68 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$129.86 , N/A ,$109.35 ,$124.39 ,$36.26 ,$128.49 ,$129.86 ,$123.02 ,$116.19 ,$36.26 ,$36.26 ,$36.26 ,$99.78 ,$35.09 ,$121.65 ,$123.02 ,$123.02 ,$109.35 ,$36.14 ,$75.18 ,$123.02 ,$35.09 ,$123.02 ,$35.09 ,$129.86 ,$78.95 ,$125.75 ,$38.44 ,$124.39 ,$35.09 ,$84.12 ,$88.03 ,$84.12 ,$123.02 ,$91.72 ,$102.52 ,$123.02 ,$35.44 ,$38.07 ,$127.81 ,$36.84 ,$36.26 ,$118.92 ,$35.09 ,$123.02 ,$35.09 ,$123.02 ,$123.02 ,$123.02 ,$132.59 ,$110.72 ,$123.02 ,$123.02 ,$123.02 ,$123.02 ST. JOSEPH'S - CHIPPEWA FALLS,30600255,87641,HC MRSA AMP,306,1 ,$369.56 ,$277.17 ,$35.09 ,$369.56 ,$238.00 ,$35.09 ,$258.69 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$351.08 , N/A ,$295.65 ,$336.30 ,$36.26 ,$347.39 ,$351.08 ,$332.60 ,$314.13 ,$36.26 ,$36.26 ,$36.26 ,$269.78 ,$35.09 ,$328.91 ,$332.60 ,$332.60 ,$295.65 ,$36.14 ,$203.26 ,$332.60 ,$35.09 ,$332.60 ,$35.09 ,$351.08 ,$78.95 ,$340.00 ,$38.44 ,$336.30 ,$35.09 ,$227.43 ,$238.00 ,$227.43 ,$332.60 ,$94.47 ,$277.17 ,$217.36 ,$35.44 ,$38.07 ,$345.54 ,$36.84 ,$36.26 ,$321.52 ,$35.09 ,$332.60 ,$35.09 ,$332.60 ,$332.60 ,$332.60 ,$358.47 ,$299.34 ,$332.60 ,$332.60 ,$332.60 ,$332.60 ST. JOSEPH'S - CHIPPEWA FALLS,30600257,87653,HC INFECT AMP (GRP B STREP),306,1 ,$152.87 ,$114.65 ,$35.09 ,$152.87 ,$98.45 ,$35.09 ,$107.01 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$145.23 , N/A ,$122.30 ,$139.11 ,$36.26 ,$143.70 ,$145.23 ,$137.58 ,$129.94 ,$36.26 ,$36.26 ,$36.26 ,$111.60 ,$35.09 ,$136.05 ,$137.58 ,$137.58 ,$122.30 ,$36.14 ,$84.08 ,$137.58 ,$35.09 ,$137.58 ,$35.09 ,$145.23 ,$78.95 ,$140.64 ,$38.44 ,$139.11 ,$35.09 ,$94.08 ,$98.45 ,$94.08 ,$137.58 ,$94.47 ,$114.65 ,$137.58 ,$35.44 ,$38.07 ,$142.93 ,$36.84 ,$36.26 ,$133.00 ,$35.09 ,$137.58 ,$35.09 ,$137.58 ,$137.58 ,$137.58 ,$148.28 ,$123.82 ,$137.58 ,$137.58 ,$137.58 ,$137.58 ST. JOSEPH'S - CHIPPEWA FALLS,30600258,87798,HC INFECT AMP (PNEUMO),306,1 ,$190.90 ,$143.18 ,$35.09 ,$190.90 ,$122.94 ,$35.09 ,$133.63 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$181.36 , N/A ,$152.72 ,$173.72 ,$36.26 ,$179.45 ,$181.36 ,$171.81 ,$162.27 ,$36.26 ,$36.26 ,$36.26 ,$139.36 ,$35.09 ,$169.90 ,$171.81 ,$171.81 ,$152.72 ,$36.14 ,$105.00 ,$171.81 ,$35.09 ,$171.81 ,$35.09 ,$181.36 ,$78.95 ,$175.63 ,$38.44 ,$173.72 ,$35.09 ,$117.48 ,$122.94 ,$117.48 ,$171.81 ,$149.23 ,$143.18 ,$171.81 ,$35.44 ,$38.07 ,$178.49 ,$36.84 ,$36.26 ,$166.08 ,$35.09 ,$171.81 ,$35.09 ,$171.81 ,$171.81 ,$171.81 ,$185.17 ,$154.63 ,$171.81 ,$171.81 ,$171.81 ,$171.81 ST. JOSEPH'S - CHIPPEWA FALLS,30600259,87798,HC INFECT AMP (WEST NILE),306,1 ,$258.80 ,$194.10 ,$35.09 ,$258.80 ,$166.67 ,$35.09 ,$181.16 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$245.86 , N/A ,$207.04 ,$235.51 ,$36.26 ,$243.27 ,$245.86 ,$232.92 ,$219.98 ,$36.26 ,$36.26 ,$36.26 ,$188.92 ,$35.09 ,$230.33 ,$232.92 ,$232.92 ,$207.04 ,$36.14 ,$142.34 ,$232.92 ,$35.09 ,$232.92 ,$35.09 ,$245.86 ,$78.95 ,$238.10 ,$38.44 ,$235.51 ,$35.09 ,$159.27 ,$166.67 ,$159.27 ,$232.92 ,$149.23 ,$194.10 ,$217.36 ,$35.44 ,$38.07 ,$241.98 ,$36.84 ,$36.26 ,$225.16 ,$35.09 ,$232.92 ,$35.09 ,$232.92 ,$232.92 ,$232.92 ,$251.04 ,$209.63 ,$232.92 ,$232.92 ,$232.92 ,$232.92 ST. JOSEPH'S - CHIPPEWA FALLS,30600266,87798,HC INFECT AMP,306,1 ,$108.33 ,$81.25 ,$35.09 ,$108.33 ,$69.76 ,$35.09 ,$75.83 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$102.91 , N/A ,$86.66 ,$98.58 ,$36.26 ,$101.83 ,$102.91 ,$97.50 ,$92.08 ,$36.26 ,$36.26 ,$36.26 ,$79.08 ,$35.09 ,$96.41 ,$97.50 ,$97.50 ,$86.66 ,$36.14 ,$59.58 ,$97.50 ,$35.09 ,$97.50 ,$35.09 ,$102.91 ,$78.95 ,$99.66 ,$38.44 ,$98.58 ,$35.09 ,$66.67 ,$69.76 ,$66.67 ,$97.50 ,$108.33 ,$81.25 ,$97.50 ,$35.44 ,$38.07 ,$101.29 ,$36.84 ,$36.26 ,$94.25 ,$35.09 ,$97.50 ,$35.09 ,$97.50 ,$97.50 ,$97.50 ,$105.08 ,$87.75 ,$97.50 ,$97.50 ,$97.50 ,$97.50 ST. JOSEPH'S - CHIPPEWA FALLS,30600267,87799,HC INFECT AGENT QN,306,1 ,$384.98 ,$288.74 ,$42.84 ,$384.98 ,$247.93 ,$42.84 ,$269.49 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$365.73 , N/A ,$307.98 ,$350.33 ,$44.27 ,$361.88 ,$365.73 ,$346.48 ,$327.23 ,$44.27 ,$44.27 ,$44.27 ,$281.04 ,$42.84 ,$342.63 ,$346.48 ,$346.48 ,$307.98 ,$44.13 ,$211.74 ,$346.48 ,$42.84 ,$346.48 ,$42.84 ,$365.73 ,$96.39 ,$354.18 ,$46.93 ,$350.33 ,$42.84 ,$236.92 ,$247.93 ,$236.92 ,$346.48 ,$181.23 ,$288.74 ,$265.27 ,$43.27 ,$46.48 ,$359.96 ,$44.98 ,$44.27 ,$334.93 ,$42.84 ,$346.48 ,$42.84 ,$346.48 ,$346.48 ,$346.48 ,$373.43 ,$311.83 ,$346.48 ,$346.48 ,$346.48 ,$346.48 ST. JOSEPH'S - CHIPPEWA FALLS,30600268,87802,HC OPTICAL STREP B,306,1 ,$493.20 ,$369.90 ,$12.73 ,$493.20 ,$317.62 ,$12.73 ,$345.24 ,$13.15 ,$28.77 ,$13.54 ,$23.02 ,$468.54 , N/A ,$394.56 ,$448.81 ,$13.15 ,$463.61 ,$468.54 ,$443.88 ,$419.22 ,$13.15 ,$13.15 ,$13.15 ,$360.04 ,$12.73 ,$438.95 ,$443.88 ,$443.88 ,$394.56 ,$13.11 ,$271.26 ,$443.88 ,$12.73 ,$443.88 ,$12.73 ,$468.54 ,$28.64 ,$453.74 ,$13.94 ,$448.81 ,$12.73 ,$303.52 ,$317.62 ,$303.52 ,$443.88 ,$65.98 ,$369.90 ,$74.24 ,$12.86 ,$13.81 ,$461.14 ,$13.37 ,$13.15 ,$429.08 ,$12.73 ,$443.88 ,$12.73 ,$443.88 ,$443.88 ,$443.88 ,$478.40 ,$399.49 ,$443.88 ,$443.88 ,$443.88 ,$443.88 ST. JOSEPH'S - CHIPPEWA FALLS,30600269,87807,HC QL RSV,306,1 ,$123.01 ,$92.26 ,$13.10 ,$123.01 ,$79.22 ,$13.10 ,$86.11 ,$13.54 ,$28.77 ,$13.95 ,$23.02 ,$116.86 , N/A ,$98.41 ,$111.94 ,$13.54 ,$115.63 ,$116.86 ,$110.71 ,$104.56 ,$13.54 ,$13.54 ,$13.54 ,$89.80 ,$13.10 ,$109.48 ,$110.71 ,$110.71 ,$98.41 ,$13.49 ,$67.66 ,$110.71 ,$13.10 ,$110.71 ,$13.10 ,$116.86 ,$29.48 ,$113.17 ,$14.35 ,$111.94 ,$13.10 ,$75.70 ,$79.22 ,$75.70 ,$110.71 ,$53.13 ,$92.26 ,$74.24 ,$13.23 ,$14.22 ,$115.01 ,$13.76 ,$13.54 ,$107.02 ,$13.10 ,$110.71 ,$13.10 ,$110.71 ,$110.71 ,$110.71 ,$119.32 ,$99.64 ,$110.71 ,$110.71 ,$110.71 ,$110.71 ST. JOSEPH'S - CHIPPEWA FALLS,30600271,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$91.32 ,$68.49 ,$16.07 ,$91.32 ,$58.81 ,$16.07 ,$63.92 ,$16.61 ,$28.77 ,$17.11 ,$23.02 ,$86.75 , N/A ,$73.06 ,$83.10 ,$16.61 ,$85.84 ,$86.75 ,$82.19 ,$77.62 ,$16.61 ,$16.61 ,$16.61 ,$66.66 ,$16.07 ,$81.27 ,$82.19 ,$82.19 ,$73.06 ,$16.55 ,$50.23 ,$82.19 ,$16.07 ,$82.19 ,$16.07 ,$86.75 ,$36.16 ,$84.01 ,$17.61 ,$83.10 ,$16.07 ,$56.20 ,$58.81 ,$56.20 ,$82.19 ,$51.16 ,$68.49 ,$80.61 ,$16.23 ,$17.44 ,$85.38 ,$16.87 ,$16.61 ,$79.45 ,$16.07 ,$82.19 ,$16.07 ,$82.19 ,$82.19 ,$82.19 ,$88.58 ,$73.97 ,$82.19 ,$82.19 ,$82.19 ,$82.19 ST. JOSEPH'S - CHIPPEWA FALLS,30600275,87153,HC MYCOBACTERIA ID BY DNA SEQUENCING,306,1 ,$186.90 ,$140.18 ,$60.92 ,$259.56 ,$120.36 ,$115.36 ,$130.83 ,$119.20 ,$186.90 ,$122.78 ,$186.90 ,$177.56 , N/A ,$149.52 ,$170.08 ,$119.20 ,$175.69 ,$177.56 ,$168.21 ,$158.87 ,$119.20 ,$119.20 ,$119.20 ,$136.44 ,$115.36 ,$166.34 ,$168.21 ,$168.21 ,$149.52 ,$118.82 ,$102.80 ,$168.21 ,$115.36 ,$168.21 ,$115.36 ,$177.56 ,$259.56 ,$171.95 ,$126.35 ,$170.08 ,$115.36 ,$115.02 ,$120.36 ,$115.02 ,$168.21 ,$60.92 ,$140.18 ,$168.21 ,$116.51 ,$125.16 ,$174.75 ,$121.13 ,$119.20 ,$162.60 ,$115.36 ,$168.21 ,$115.36 ,$168.21 ,$168.21 ,$168.21 ,$181.29 ,$151.39 ,$168.21 ,$168.21 ,$168.21 ,$168.21 ST. JOSEPH'S - CHIPPEWA FALLS,30600286,87625,HC HPV GENOTYPE 16 18/45,306,1 ,$136.69 ,$102.52 ,$38.30 ,$136.69 ,$88.03 ,$40.55 ,$95.68 ,$38.30 ,$84.25 ,$39.45 ,$67.40 ,$129.86 , N/A ,$109.35 ,$124.39 ,$38.30 ,$128.49 ,$129.86 ,$123.02 ,$116.19 ,$38.30 ,$38.30 ,$38.30 ,$99.78 ,$40.55 ,$121.65 ,$123.02 ,$123.02 ,$109.35 ,$41.77 ,$75.18 ,$123.02 ,$40.55 ,$123.02 ,$40.55 ,$129.86 ,$91.24 ,$125.75 ,$40.60 ,$124.39 ,$40.55 ,$84.12 ,$88.03 ,$84.12 ,$123.02 ,$91.72 ,$102.52 ,$123.02 ,$40.96 ,$40.22 ,$127.81 ,$42.58 ,$38.30 ,$118.92 ,$40.55 ,$123.02 ,$40.55 ,$123.02 ,$123.02 ,$123.02 ,$132.59 ,$110.72 ,$123.02 ,$123.02 ,$123.02 ,$123.02 ST. JOSEPH'S - CHIPPEWA FALLS,30600299,87071,HC CULTURE AEROBIC OTHER SOURCE QN,306,1 ,$136.93 ,$102.70 ,$6.81 ,$136.93 ,$88.18 ,$9.89 ,$95.85 ,$6.81 ,$22.66 ,$7.01 ,$18.13 ,$130.08 , N/A ,$109.54 ,$124.61 ,$6.81 ,$128.71 ,$130.08 ,$123.24 ,$116.39 ,$6.81 ,$6.81 ,$6.81 ,$99.96 ,$9.89 ,$121.87 ,$123.24 ,$123.24 ,$109.54 ,$10.19 ,$75.31 ,$123.24 ,$9.89 ,$123.24 ,$9.89 ,$130.08 ,$22.25 ,$125.98 ,$7.22 ,$124.61 ,$9.89 ,$84.27 ,$88.18 ,$84.27 ,$123.24 ,$36.72 ,$102.70 ,$58.49 ,$9.99 ,$7.15 ,$128.03 ,$10.38 ,$6.81 ,$119.13 ,$9.89 ,$123.24 ,$9.89 ,$123.24 ,$123.24 ,$123.24 ,$132.82 ,$110.91 ,$123.24 ,$123.24 ,$123.24 ,$123.24 ST. JOSEPH'S - CHIPPEWA FALLS,30600300,87081,HC CULTURE SCR PRESUMP PATHOGENS,306,1 ,$136.90 ,$102.68 ,$6.63 ,$136.90 ,$88.16 ,$6.63 ,$95.83 ,$6.85 ,$15.91 ,$7.06 ,$12.73 ,$130.06 , N/A ,$109.52 ,$124.58 ,$6.85 ,$128.69 ,$130.06 ,$123.21 ,$116.37 ,$6.85 ,$6.85 ,$6.85 ,$99.94 ,$6.63 ,$121.84 ,$123.21 ,$123.21 ,$109.52 ,$6.83 ,$75.30 ,$123.21 ,$6.63 ,$123.21 ,$6.63 ,$130.06 ,$14.92 ,$125.95 ,$7.26 ,$124.58 ,$6.63 ,$84.25 ,$88.16 ,$84.25 ,$123.21 ,$53.35 ,$102.68 ,$41.03 ,$6.70 ,$7.19 ,$128.00 ,$6.96 ,$6.85 ,$119.10 ,$6.63 ,$123.21 ,$6.63 ,$123.21 ,$123.21 ,$123.21 ,$132.79 ,$110.89 ,$123.21 ,$123.21 ,$123.21 ,$123.21 ST. JOSEPH'S - CHIPPEWA FALLS,30600301,87118,HC CULTURE MYCOBACTERIA ID,306,1 ,$248.29 ,$186.22 ,$14.61 ,$248.29 ,$159.90 ,$14.61 ,$173.80 ,$15.10 ,$26.27 ,$15.55 ,$21.01 ,$235.88 , N/A ,$198.63 ,$225.94 ,$15.10 ,$233.39 ,$235.88 ,$223.46 ,$211.05 ,$15.10 ,$15.10 ,$15.10 ,$181.25 ,$14.61 ,$220.98 ,$223.46 ,$223.46 ,$198.63 ,$15.05 ,$136.56 ,$223.46 ,$14.61 ,$223.46 ,$14.61 ,$235.88 ,$32.87 ,$228.43 ,$16.01 ,$225.94 ,$14.61 ,$152.80 ,$159.90 ,$152.80 ,$223.46 ,$98.81 ,$186.22 ,$73.29 ,$14.76 ,$15.86 ,$232.15 ,$15.34 ,$15.10 ,$216.01 ,$14.61 ,$223.46 ,$14.61 ,$223.46 ,$223.46 ,$223.46 ,$240.84 ,$201.11 ,$223.46 ,$223.46 ,$223.46 ,$223.46 ST. JOSEPH'S - CHIPPEWA FALLS,30600302,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$130.14 ,$97.61 ,$20.05 ,$130.14 ,$83.81 ,$20.05 ,$91.10 ,$20.72 ,$48.14 ,$21.34 ,$38.51 ,$123.63 , N/A ,$104.11 ,$118.43 ,$20.72 ,$122.33 ,$123.63 ,$117.13 ,$110.62 ,$20.72 ,$20.72 ,$20.72 ,$95.00 ,$20.05 ,$115.82 ,$117.13 ,$117.13 ,$104.11 ,$20.65 ,$71.58 ,$117.13 ,$20.05 ,$117.13 ,$20.05 ,$123.63 ,$45.11 ,$119.73 ,$21.96 ,$118.43 ,$20.05 ,$80.09 ,$83.81 ,$80.09 ,$117.13 ,$52.19 ,$97.61 ,$117.13 ,$20.25 ,$21.76 ,$121.68 ,$21.05 ,$20.72 ,$113.22 ,$20.05 ,$117.13 ,$20.05 ,$117.13 ,$117.13 ,$117.13 ,$126.24 ,$105.41 ,$117.13 ,$117.13 ,$117.13 ,$117.13 ST. JOSEPH'S - CHIPPEWA FALLS,30600303,87176,HC HOMOGENIZATION TISSUE,306,1 ,$49.04 ,$36.78 ,$5.88 ,$49.04 ,$31.58 ,$5.88 ,$34.33 ,$6.08 ,$14.12 ,$6.26 ,$11.30 ,$46.59 , N/A ,$39.23 ,$44.63 ,$6.08 ,$46.10 ,$46.59 ,$44.14 ,$41.68 ,$6.08 ,$6.08 ,$6.08 ,$35.80 ,$5.88 ,$43.65 ,$44.14 ,$44.14 ,$39.23 ,$6.06 ,$26.97 ,$44.14 ,$5.88 ,$44.14 ,$5.88 ,$46.59 ,$13.23 ,$45.12 ,$6.44 ,$44.63 ,$5.88 ,$30.18 ,$31.58 ,$30.18 ,$44.14 ,$49.04 ,$36.78 ,$36.42 ,$5.94 ,$6.38 ,$45.85 ,$6.17 ,$6.08 ,$42.66 ,$5.88 ,$44.14 ,$5.88 ,$44.14 ,$44.14 ,$44.14 ,$47.57 ,$39.72 ,$44.14 ,$44.14 ,$44.14 ,$44.14 ST. JOSEPH'S - CHIPPEWA FALLS,30600304,87188,HC TB SUS MACROBROTH,306,1 ,$133.56 ,$100.17 ,$6.64 ,$133.56 ,$86.01 ,$6.64 ,$93.49 ,$6.86 ,$15.94 ,$7.07 ,$12.75 ,$126.88 , N/A ,$106.85 ,$121.54 ,$6.86 ,$125.55 ,$126.88 ,$120.20 ,$113.53 ,$6.86 ,$6.86 ,$6.86 ,$97.50 ,$6.64 ,$118.87 ,$120.20 ,$120.20 ,$106.85 ,$6.84 ,$73.46 ,$120.20 ,$6.64 ,$120.20 ,$6.64 ,$126.88 ,$14.94 ,$122.88 ,$7.27 ,$121.54 ,$6.64 ,$82.19 ,$86.01 ,$82.19 ,$120.20 ,$84.12 ,$100.17 ,$41.13 ,$6.71 ,$7.20 ,$124.88 ,$6.97 ,$6.86 ,$116.20 ,$6.64 ,$120.20 ,$6.64 ,$120.20 ,$120.20 ,$120.20 ,$129.55 ,$108.18 ,$120.20 ,$120.20 ,$120.20 ,$120.20 ST. JOSEPH'S - CHIPPEWA FALLS,30600305,87207,HC SPECIAL STAIN EHRLICHIA,306,1 ,$37.37 ,$28.03 ,$5.99 ,$37.37 ,$24.07 ,$5.99 ,$26.16 ,$6.19 ,$14.39 ,$6.38 ,$11.51 ,$35.50 , N/A ,$29.90 ,$34.01 ,$6.19 ,$35.13 ,$35.50 ,$33.63 ,$31.76 ,$6.19 ,$6.19 ,$6.19 ,$27.28 ,$5.99 ,$33.26 ,$33.63 ,$33.63 ,$29.90 ,$6.17 ,$20.55 ,$33.63 ,$5.99 ,$33.63 ,$5.99 ,$35.50 ,$13.48 ,$34.38 ,$6.56 ,$34.01 ,$5.99 ,$23.00 ,$24.07 ,$23.00 ,$33.63 ,$37.37 ,$28.03 ,$33.63 ,$6.05 ,$6.50 ,$34.94 ,$6.29 ,$6.19 ,$32.51 ,$5.99 ,$33.63 ,$5.99 ,$33.63 ,$33.63 ,$33.63 ,$36.25 ,$30.27 ,$33.63 ,$33.63 ,$33.63 ,$33.63 ST. JOSEPH'S - CHIPPEWA FALLS,30600306,87207,HC SPECIAL STAIN INCL BODIES/PARASITES,306,1 ,$110.48 ,$82.86 ,$5.99 ,$110.48 ,$71.15 ,$5.99 ,$77.34 ,$6.19 ,$14.39 ,$6.38 ,$11.51 ,$104.96 , N/A ,$88.38 ,$100.54 ,$6.19 ,$103.85 ,$104.96 ,$99.43 ,$93.91 ,$6.19 ,$6.19 ,$6.19 ,$80.65 ,$5.99 ,$98.33 ,$99.43 ,$99.43 ,$88.38 ,$6.17 ,$60.76 ,$99.43 ,$5.99 ,$99.43 ,$5.99 ,$104.96 ,$13.48 ,$101.64 ,$6.56 ,$100.54 ,$5.99 ,$67.99 ,$71.15 ,$67.99 ,$99.43 ,$52.72 ,$82.86 ,$37.12 ,$6.05 ,$6.50 ,$103.30 ,$6.29 ,$6.19 ,$96.12 ,$5.99 ,$99.43 ,$5.99 ,$99.43 ,$99.43 ,$99.43 ,$107.17 ,$89.49 ,$99.43 ,$99.43 ,$99.43 ,$99.43 ST. JOSEPH'S - CHIPPEWA FALLS,30600307,87250,HC VIRUS ISOLATION CMV CULTURE,306,1 ,$234.13 ,$175.60 ,$19.56 ,$234.13 ,$150.78 ,$19.56 ,$163.89 ,$20.21 ,$46.95 ,$20.82 ,$37.56 ,$222.42 , N/A ,$187.30 ,$213.06 ,$20.21 ,$220.08 ,$222.42 ,$210.72 ,$199.01 ,$20.21 ,$20.21 ,$20.21 ,$170.91 ,$19.56 ,$208.38 ,$210.72 ,$210.72 ,$187.30 ,$20.15 ,$128.77 ,$210.72 ,$19.56 ,$210.72 ,$19.56 ,$222.42 ,$44.01 ,$215.40 ,$21.42 ,$213.06 ,$19.56 ,$144.08 ,$150.78 ,$144.08 ,$210.72 ,$89.19 ,$175.60 ,$121.15 ,$19.76 ,$21.22 ,$218.91 ,$20.54 ,$20.21 ,$203.69 ,$19.56 ,$210.72 ,$19.56 ,$210.72 ,$210.72 ,$210.72 ,$227.11 ,$189.65 ,$210.72 ,$210.72 ,$210.72 ,$210.72 ST. JOSEPH'S - CHIPPEWA FALLS,30600308,87252,HC CULTURE VIRUS ID TISSUE,306,1 ,$199.52 ,$149.64 ,$26.07 ,$199.52 ,$128.49 ,$26.07 ,$139.66 ,$26.94 ,$62.58 ,$27.75 ,$50.06 ,$189.54 , N/A ,$159.62 ,$181.56 ,$26.94 ,$187.55 ,$189.54 ,$179.57 ,$169.59 ,$26.94 ,$26.94 ,$26.94 ,$145.65 ,$26.07 ,$177.57 ,$179.57 ,$179.57 ,$159.62 ,$26.85 ,$109.74 ,$179.57 ,$26.07 ,$179.57 ,$26.07 ,$189.54 ,$58.66 ,$183.56 ,$28.56 ,$181.56 ,$26.07 ,$122.78 ,$128.49 ,$122.78 ,$179.57 ,$149.34 ,$149.64 ,$161.43 ,$26.33 ,$28.29 ,$186.55 ,$27.37 ,$26.94 ,$173.58 ,$26.07 ,$179.57 ,$26.07 ,$179.57 ,$179.57 ,$179.57 ,$193.53 ,$161.61 ,$179.57 ,$179.57 ,$179.57 ,$179.57 ST. JOSEPH'S - CHIPPEWA FALLS,30600309,87269,HC IF GIARDIA AG,306,1 ,$144.31 ,$108.23 ,$13.61 ,$144.31 ,$92.94 ,$13.61 ,$101.02 ,$14.06 ,$28.77 ,$14.48 ,$23.02 ,$137.09 , N/A ,$115.45 ,$131.32 ,$14.06 ,$135.65 ,$137.09 ,$129.88 ,$122.66 ,$14.06 ,$14.06 ,$14.06 ,$105.35 ,$13.61 ,$128.44 ,$129.88 ,$129.88 ,$115.45 ,$14.02 ,$79.37 ,$129.88 ,$13.61 ,$129.88 ,$13.61 ,$137.09 ,$30.62 ,$132.77 ,$14.90 ,$131.32 ,$13.61 ,$88.81 ,$92.94 ,$88.81 ,$129.88 ,$36.23 ,$108.23 ,$74.24 ,$13.75 ,$14.76 ,$134.93 ,$14.29 ,$14.06 ,$125.55 ,$13.61 ,$129.88 ,$13.61 ,$129.88 ,$129.88 ,$129.88 ,$139.98 ,$116.89 ,$129.88 ,$129.88 ,$129.88 ,$129.88 ST. JOSEPH'S - CHIPPEWA FALLS,30600310,87273,HC IF HERPES SIMPLEX 2 AG,306,1 ,$51.55 ,$38.66 ,$11.98 ,$51.55 ,$33.20 ,$11.98 ,$36.09 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$48.97 , N/A ,$41.24 ,$46.91 ,$12.38 ,$48.46 ,$48.97 ,$46.40 ,$43.82 ,$12.38 ,$12.38 ,$12.38 ,$37.63 ,$11.98 ,$45.88 ,$46.40 ,$46.40 ,$41.24 ,$12.34 ,$28.35 ,$46.40 ,$11.98 ,$46.40 ,$11.98 ,$48.97 ,$26.96 ,$47.43 ,$13.12 ,$46.91 ,$11.98 ,$31.72 ,$33.20 ,$31.72 ,$46.40 ,$51.55 ,$38.66 ,$46.40 ,$12.10 ,$13.00 ,$48.20 ,$12.58 ,$12.38 ,$44.85 ,$11.98 ,$46.40 ,$11.98 ,$46.40 ,$46.40 ,$46.40 ,$50.00 ,$41.76 ,$46.40 ,$46.40 ,$46.40 ,$46.40 ST. JOSEPH'S - CHIPPEWA FALLS,30600311,87274,HC IF HERPES SIMPLEX 1 AG,306,1 ,$51.55 ,$38.66 ,$11.98 ,$51.55 ,$33.20 ,$11.98 ,$36.09 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$48.97 , N/A ,$41.24 ,$46.91 ,$12.38 ,$48.46 ,$48.97 ,$46.40 ,$43.82 ,$12.38 ,$12.38 ,$12.38 ,$37.63 ,$11.98 ,$45.88 ,$46.40 ,$46.40 ,$41.24 ,$12.34 ,$28.35 ,$46.40 ,$11.98 ,$46.40 ,$11.98 ,$48.97 ,$26.96 ,$47.43 ,$13.12 ,$46.91 ,$11.98 ,$31.72 ,$33.20 ,$31.72 ,$46.40 ,$51.16 ,$38.66 ,$46.40 ,$12.10 ,$13.00 ,$48.20 ,$12.58 ,$12.38 ,$44.85 ,$11.98 ,$46.40 ,$11.98 ,$46.40 ,$46.40 ,$46.40 ,$50.00 ,$41.76 ,$46.40 ,$46.40 ,$46.40 ,$46.40 ST. JOSEPH'S - CHIPPEWA FALLS,30600312,87290,HC IF VARICELLA ZOETER AG,306,1 ,$95.18 ,$71.39 ,$13.42 ,$95.18 ,$61.30 ,$13.42 ,$66.63 ,$13.87 ,$28.77 ,$14.29 ,$23.02 ,$90.42 , N/A ,$76.14 ,$86.61 ,$13.87 ,$89.47 ,$90.42 ,$85.66 ,$80.90 ,$13.87 ,$13.87 ,$13.87 ,$69.48 ,$13.42 ,$84.71 ,$85.66 ,$85.66 ,$76.14 ,$13.82 ,$52.35 ,$85.66 ,$13.42 ,$85.66 ,$13.42 ,$90.42 ,$30.20 ,$87.57 ,$14.70 ,$86.61 ,$13.42 ,$58.57 ,$61.30 ,$58.57 ,$85.66 ,$51.16 ,$71.39 ,$74.24 ,$13.55 ,$14.56 ,$88.99 ,$14.09 ,$13.87 ,$82.81 ,$13.42 ,$85.66 ,$13.42 ,$85.66 ,$85.66 ,$85.66 ,$92.32 ,$77.10 ,$85.66 ,$85.66 ,$85.66 ,$85.66 ST. JOSEPH'S - CHIPPEWA FALLS,30600313,87305,HC EIA QL ASPERGILLUS AG,306,1 ,$261.97 ,$196.48 ,$11.98 ,$261.97 ,$168.71 ,$11.98 ,$183.38 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$248.87 , N/A ,$209.58 ,$238.39 ,$12.38 ,$246.25 ,$248.87 ,$235.77 ,$222.67 ,$12.38 ,$12.38 ,$12.38 ,$191.24 ,$11.98 ,$233.15 ,$235.77 ,$235.77 ,$209.58 ,$12.34 ,$144.08 ,$235.77 ,$11.98 ,$235.77 ,$11.98 ,$248.87 ,$26.96 ,$241.01 ,$13.12 ,$238.39 ,$11.98 ,$161.22 ,$168.71 ,$161.22 ,$235.77 ,$32.23 ,$196.48 ,$74.24 ,$12.10 ,$13.00 ,$244.94 ,$12.58 ,$12.38 ,$227.91 ,$11.98 ,$235.77 ,$11.98 ,$235.77 ,$235.77 ,$235.77 ,$254.11 ,$212.20 ,$235.77 ,$235.77 ,$235.77 ,$235.77 ST. JOSEPH'S - CHIPPEWA FALLS,30600314,87340,HC EIA QL HEPATITIS B AG,306,1 ,$107.84 ,$80.88 ,$10.33 ,$107.84 ,$69.45 ,$10.33 ,$75.49 ,$10.67 ,$24.80 ,$10.99 ,$19.84 ,$102.45 , N/A ,$86.27 ,$98.13 ,$10.67 ,$101.37 ,$102.45 ,$97.06 ,$91.66 ,$10.67 ,$10.67 ,$10.67 ,$78.72 ,$10.33 ,$95.98 ,$97.06 ,$97.06 ,$86.27 ,$10.64 ,$59.31 ,$97.06 ,$10.33 ,$97.06 ,$10.33 ,$102.45 ,$23.24 ,$99.21 ,$11.31 ,$98.13 ,$10.33 ,$66.36 ,$69.45 ,$66.36 ,$97.06 ,$43.72 ,$80.88 ,$63.96 ,$10.43 ,$11.20 ,$100.83 ,$10.85 ,$10.67 ,$93.82 ,$10.33 ,$97.06 ,$10.33 ,$97.06 ,$97.06 ,$97.06 ,$104.60 ,$87.35 ,$97.06 ,$97.06 ,$97.06 ,$97.06 ST. JOSEPH'S - CHIPPEWA FALLS,30600315,87350,HC HEPATITIS BE AG QL,306,1 ,$79.88 ,$59.91 ,$11.53 ,$79.88 ,$51.44 ,$11.53 ,$55.92 ,$11.91 ,$27.67 ,$12.27 ,$22.13 ,$75.89 , N/A ,$63.90 ,$72.69 ,$11.91 ,$75.09 ,$75.89 ,$71.89 ,$67.90 ,$11.91 ,$11.91 ,$11.91 ,$58.31 ,$11.53 ,$71.09 ,$71.89 ,$71.89 ,$63.90 ,$11.88 ,$43.93 ,$71.89 ,$11.53 ,$71.89 ,$11.53 ,$75.89 ,$25.94 ,$73.49 ,$12.62 ,$72.69 ,$11.53 ,$49.16 ,$51.44 ,$49.16 ,$71.89 ,$49.02 ,$59.91 ,$71.38 ,$11.65 ,$12.51 ,$74.69 ,$12.11 ,$11.91 ,$69.50 ,$11.53 ,$71.89 ,$11.53 ,$71.89 ,$71.89 ,$71.89 ,$77.48 ,$64.70 ,$71.89 ,$71.89 ,$71.89 ,$71.89 ST. JOSEPH'S - CHIPPEWA FALLS,30600316,87389,HC HIV-1 AG W/HIV-1 AND HIV-2 AB,306,1 ,$74.33 ,$55.75 ,$24.08 ,$74.33 ,$47.87 ,$24.08 ,$52.03 ,$24.88 ,$57.80 ,$25.63 ,$46.24 ,$70.61 , N/A ,$59.46 ,$67.64 ,$24.88 ,$69.87 ,$70.61 ,$66.90 ,$63.18 ,$24.88 ,$24.88 ,$24.88 ,$54.26 ,$24.08 ,$66.15 ,$66.90 ,$66.90 ,$59.46 ,$24.80 ,$40.88 ,$66.90 ,$24.08 ,$66.90 ,$24.08 ,$70.61 ,$54.18 ,$68.38 ,$26.37 ,$67.64 ,$24.08 ,$45.74 ,$47.87 ,$45.74 ,$66.90 ,$68.45 ,$55.75 ,$66.90 ,$24.32 ,$26.12 ,$69.50 ,$25.28 ,$24.88 ,$64.67 ,$24.08 ,$66.90 ,$24.08 ,$66.90 ,$66.90 ,$66.90 ,$72.10 ,$60.21 ,$66.90 ,$66.90 ,$66.90 ,$66.90 ST. JOSEPH'S - CHIPPEWA FALLS,30600317,87427,HC SHIGELLA LIKE TOXIN AG,306,1 ,$189.36 ,$142.02 ,$11.98 ,$189.36 ,$121.95 ,$11.98 ,$132.55 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$179.89 , N/A ,$151.49 ,$172.32 ,$12.38 ,$178.00 ,$179.89 ,$170.42 ,$160.96 ,$12.38 ,$12.38 ,$12.38 ,$138.23 ,$11.98 ,$168.53 ,$170.42 ,$170.42 ,$151.49 ,$12.34 ,$104.15 ,$170.42 ,$11.98 ,$170.42 ,$11.98 ,$179.89 ,$26.96 ,$174.21 ,$13.12 ,$172.32 ,$11.98 ,$116.53 ,$121.95 ,$116.53 ,$170.42 ,$28.98 ,$142.02 ,$74.24 ,$12.10 ,$13.00 ,$177.05 ,$12.58 ,$12.38 ,$164.74 ,$11.98 ,$170.42 ,$11.98 ,$170.42 ,$170.42 ,$170.42 ,$183.68 ,$153.38 ,$170.42 ,$170.42 ,$170.42 ,$170.42 ST. JOSEPH'S - CHIPPEWA FALLS,30600318,87449,HC EIA QL MLT AG INF,306,1 ,$57.20 ,$42.90 ,$11.98 ,$57.20 ,$36.84 ,$11.98 ,$40.04 ,$12.38 ,$28.77 ,$12.75 ,$23.02 ,$54.34 , N/A ,$45.76 ,$52.05 ,$12.38 ,$53.77 ,$54.34 ,$51.48 ,$48.62 ,$12.38 ,$12.38 ,$12.38 ,$41.76 ,$11.98 ,$50.91 ,$51.48 ,$51.48 ,$45.76 ,$12.34 ,$31.46 ,$51.48 ,$11.98 ,$51.48 ,$11.98 ,$54.34 ,$26.96 ,$52.62 ,$13.12 ,$52.05 ,$11.98 ,$35.20 ,$36.84 ,$35.20 ,$51.48 ,$51.16 ,$42.90 ,$51.48 ,$12.10 ,$13.00 ,$53.48 ,$12.58 ,$12.38 ,$49.76 ,$11.98 ,$51.48 ,$11.98 ,$51.48 ,$51.48 ,$51.48 ,$55.48 ,$46.33 ,$51.48 ,$51.48 ,$51.48 ,$51.48 ST. JOSEPH'S - CHIPPEWA FALLS,30600319,87450,HC EIA QL SGL AG,306,1 ,$56.57 ,$42.43 ,$18.42 ,$56.57 ,$36.43 , N/A ,$39.60 , N/A ,$23.03 , N/A ,$18.42 ,$53.74 , N/A ,$45.26 ,$51.48 , N/A ,$53.18 ,$53.74 ,$50.91 ,$48.08 , N/A , N/A , N/A ,$41.30 , N/A ,$50.35 ,$50.91 ,$50.91 ,$45.26 , N/A ,$31.11 ,$50.91 , N/A ,$50.91 , N/A ,$53.74 , N/A ,$52.04 , N/A ,$51.48 , N/A ,$34.81 ,$36.43 ,$34.81 ,$50.91 ,$40.52 ,$42.43 ,$50.91 , N/A , N/A ,$52.89 , N/A , N/A ,$49.22 , N/A ,$50.91 , N/A ,$50.91 ,$50.91 ,$50.91 ,$54.87 ,$45.82 ,$50.91 ,$50.91 ,$50.91 ,$50.91 ST. JOSEPH'S - CHIPPEWA FALLS,30600320,87476,HC LYMES DNA DETECT PCR,306,1 ,$310.37 ,$232.78 ,$35.09 ,$310.37 ,$199.88 ,$35.09 ,$217.26 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$294.85 , N/A ,$248.30 ,$282.44 ,$36.26 ,$291.75 ,$294.85 ,$279.33 ,$263.81 ,$36.26 ,$36.26 ,$36.26 ,$226.57 ,$35.09 ,$276.23 ,$279.33 ,$279.33 ,$248.30 ,$36.14 ,$170.70 ,$279.33 ,$35.09 ,$279.33 ,$35.09 ,$294.85 ,$78.95 ,$285.54 ,$38.44 ,$282.44 ,$35.09 ,$191.00 ,$199.88 ,$191.00 ,$279.33 ,$149.23 ,$232.78 ,$217.36 ,$35.44 ,$38.07 ,$290.20 ,$36.84 ,$36.26 ,$270.02 ,$35.09 ,$279.33 ,$35.09 ,$279.33 ,$279.33 ,$279.33 ,$301.06 ,$251.40 ,$279.33 ,$279.33 ,$279.33 ,$279.33 ST. JOSEPH'S - CHIPPEWA FALLS,30600321,87502,HC INFLUENZA VIRUS MULTIPLE DNA/RNA,306,1 ,$419.98 ,$314.99 ,$95.80 ,$419.98 ,$270.47 ,$95.80 ,$293.99 ,$98.99 ,$204.28 ,$101.96 ,$163.42 ,$398.98 , N/A ,$335.98 ,$382.18 ,$98.99 ,$394.78 ,$398.98 ,$377.98 ,$356.98 ,$98.99 ,$98.99 ,$98.99 ,$306.59 ,$95.80 ,$373.78 ,$377.98 ,$377.98 ,$335.98 ,$98.67 ,$230.99 ,$377.98 ,$95.80 ,$377.98 ,$95.80 ,$398.98 ,$215.55 ,$386.38 ,$104.93 ,$382.18 ,$95.80 ,$258.46 ,$270.47 ,$258.46 ,$377.98 ,$240.94 ,$314.99 ,$377.98 ,$96.76 ,$103.94 ,$392.68 ,$100.59 ,$98.99 ,$365.38 ,$95.80 ,$377.98 ,$95.80 ,$377.98 ,$377.98 ,$377.98 ,$407.38 ,$340.18 ,$377.98 ,$377.98 ,$377.98 ,$377.98 ST. JOSEPH'S - CHIPPEWA FALLS,30600322,87502,HC INFLUENZA VIRUS MULTIPLE DNA/RNA,306,1 ,$419.98 ,$314.99 ,$95.80 ,$419.98 ,$270.47 ,$95.80 ,$293.99 ,$98.99 ,$204.28 ,$101.96 ,$163.42 ,$398.98 , N/A ,$335.98 ,$382.18 ,$98.99 ,$394.78 ,$398.98 ,$377.98 ,$356.98 ,$98.99 ,$98.99 ,$98.99 ,$306.59 ,$95.80 ,$373.78 ,$377.98 ,$377.98 ,$335.98 ,$98.67 ,$230.99 ,$377.98 ,$95.80 ,$377.98 ,$95.80 ,$398.98 ,$215.55 ,$386.38 ,$104.93 ,$382.18 ,$95.80 ,$258.46 ,$270.47 ,$258.46 ,$377.98 ,$240.94 ,$314.99 ,$377.98 ,$96.76 ,$103.94 ,$392.68 ,$100.59 ,$98.99 ,$365.38 ,$95.80 ,$377.98 ,$95.80 ,$377.98 ,$377.98 ,$377.98 ,$407.38 ,$340.18 ,$377.98 ,$377.98 ,$377.98 ,$377.98 ST. JOSEPH'S - CHIPPEWA FALLS,30600323,87503,HC INFLUENZA VIRUS MULT DNA/RNA >2 EA ADDL,306,1 ,$96.94 ,$72.71 ,$29.20 ,$96.94 ,$62.43 ,$29.22 ,$67.86 ,$29.20 ,$49.86 ,$30.08 ,$39.89 ,$92.09 , N/A ,$77.55 ,$88.22 ,$29.20 ,$91.12 ,$92.09 ,$87.25 ,$82.40 ,$29.20 ,$29.20 ,$29.20 ,$70.77 ,$29.22 ,$86.28 ,$87.25 ,$87.25 ,$77.55 ,$30.10 ,$53.32 ,$87.25 ,$29.22 ,$87.25 ,$29.22 ,$92.09 ,$65.75 ,$89.18 ,$30.95 ,$88.22 ,$29.22 ,$59.66 ,$62.43 ,$59.66 ,$87.25 ,$58.87 ,$72.71 ,$87.25 ,$29.51 ,$30.66 ,$90.64 ,$30.68 ,$29.20 ,$84.34 ,$29.22 ,$87.25 ,$29.22 ,$87.25 ,$87.25 ,$87.25 ,$94.03 ,$78.52 ,$87.25 ,$87.25 ,$87.25 ,$87.25 ST. JOSEPH'S - CHIPPEWA FALLS,30600324,87517,HC HEPATITIS B QN,306,1 ,$275.26 ,$206.45 ,$42.84 ,$275.26 ,$177.27 ,$42.84 ,$192.68 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$261.50 , N/A ,$220.21 ,$250.49 ,$44.27 ,$258.74 ,$261.50 ,$247.73 ,$233.97 ,$44.27 ,$44.27 ,$44.27 ,$200.94 ,$42.84 ,$244.98 ,$247.73 ,$247.73 ,$220.21 ,$44.13 ,$151.39 ,$247.73 ,$42.84 ,$247.73 ,$42.84 ,$261.50 ,$96.39 ,$253.24 ,$46.93 ,$250.49 ,$42.84 ,$169.40 ,$177.27 ,$169.40 ,$247.73 ,$181.23 ,$206.45 ,$247.73 ,$43.27 ,$46.48 ,$257.37 ,$44.98 ,$44.27 ,$239.48 ,$42.84 ,$247.73 ,$42.84 ,$247.73 ,$247.73 ,$247.73 ,$267.00 ,$222.96 ,$247.73 ,$247.73 ,$247.73 ,$247.73 ST. JOSEPH'S - CHIPPEWA FALLS,30600325,87521,HC HEPATITIS C PROBE AND RVRS TRNSC,306,1 ,$354.13 ,$265.60 ,$35.09 ,$354.13 ,$228.06 ,$35.09 ,$247.89 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$336.42 , N/A ,$283.30 ,$322.26 ,$36.26 ,$332.88 ,$336.42 ,$318.72 ,$301.01 ,$36.26 ,$36.26 ,$36.26 ,$258.51 ,$35.09 ,$315.18 ,$318.72 ,$318.72 ,$283.30 ,$36.14 ,$194.77 ,$318.72 ,$35.09 ,$318.72 ,$35.09 ,$336.42 ,$78.95 ,$325.80 ,$38.44 ,$322.26 ,$35.09 ,$217.93 ,$228.06 ,$217.93 ,$318.72 ,$149.23 ,$265.60 ,$217.36 ,$35.44 ,$38.07 ,$331.11 ,$36.84 ,$36.26 ,$308.09 ,$35.09 ,$318.72 ,$35.09 ,$318.72 ,$318.72 ,$318.72 ,$343.51 ,$286.85 ,$318.72 ,$318.72 ,$318.72 ,$318.72 ST. JOSEPH'S - CHIPPEWA FALLS,30600326,87522,HC HEPATITIS C QN,306,1 ,$481.79 ,$361.34 ,$42.84 ,$481.79 ,$310.27 ,$42.84 ,$337.25 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$457.70 , N/A ,$385.43 ,$438.43 ,$44.27 ,$452.88 ,$457.70 ,$433.61 ,$409.52 ,$44.27 ,$44.27 ,$44.27 ,$351.71 ,$42.84 ,$428.79 ,$433.61 ,$433.61 ,$385.43 ,$44.13 ,$264.98 ,$433.61 ,$42.84 ,$433.61 ,$42.84 ,$457.70 ,$96.39 ,$443.25 ,$46.93 ,$438.43 ,$42.84 ,$296.49 ,$310.27 ,$296.49 ,$433.61 ,$181.23 ,$361.34 ,$265.27 ,$43.27 ,$46.48 ,$450.47 ,$44.98 ,$44.27 ,$419.16 ,$42.84 ,$433.61 ,$42.84 ,$433.61 ,$433.61 ,$433.61 ,$467.34 ,$390.25 ,$433.61 ,$433.61 ,$433.61 ,$433.61 ST. JOSEPH'S - CHIPPEWA FALLS,30600327,87529,HC HERPES SIMPLEX AMP,306,1 ,$238.90 ,$179.18 ,$35.09 ,$238.90 ,$153.85 ,$35.09 ,$167.23 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$226.96 , N/A ,$191.12 ,$217.40 ,$36.26 ,$224.57 ,$226.96 ,$215.01 ,$203.07 ,$36.26 ,$36.26 ,$36.26 ,$174.40 ,$35.09 ,$212.62 ,$215.01 ,$215.01 ,$191.12 ,$36.14 ,$131.40 ,$215.01 ,$35.09 ,$215.01 ,$35.09 ,$226.96 ,$78.95 ,$219.79 ,$38.44 ,$217.40 ,$35.09 ,$147.02 ,$153.85 ,$147.02 ,$215.01 ,$149.23 ,$179.18 ,$215.01 ,$35.44 ,$38.07 ,$223.37 ,$36.84 ,$36.26 ,$207.84 ,$35.09 ,$215.01 ,$35.09 ,$215.01 ,$215.01 ,$215.01 ,$231.73 ,$193.51 ,$215.01 ,$215.01 ,$215.01 ,$215.01 ST. JOSEPH'S - CHIPPEWA FALLS,30600328,87530,HC HSV QUANT,306,1 ,$244.67 ,$183.50 ,$42.84 ,$244.67 ,$157.57 ,$42.84 ,$171.27 ,$44.27 ,$102.83 ,$45.60 ,$82.26 ,$232.44 , N/A ,$195.74 ,$222.65 ,$44.27 ,$229.99 ,$232.44 ,$220.20 ,$207.97 ,$44.27 ,$44.27 ,$44.27 ,$178.61 ,$42.84 ,$217.76 ,$220.20 ,$220.20 ,$195.74 ,$44.13 ,$134.57 ,$220.20 ,$42.84 ,$220.20 ,$42.84 ,$232.44 ,$96.39 ,$225.10 ,$46.93 ,$222.65 ,$42.84 ,$150.57 ,$157.57 ,$150.57 ,$220.20 ,$181.23 ,$183.50 ,$220.20 ,$43.27 ,$46.48 ,$228.77 ,$44.98 ,$44.27 ,$212.86 ,$42.84 ,$220.20 ,$42.84 ,$220.20 ,$220.20 ,$220.20 ,$237.33 ,$198.18 ,$220.20 ,$220.20 ,$220.20 ,$220.20 ST. JOSEPH'S - CHIPPEWA FALLS,30600329,87535,HC PROBE HIV-1 AMP,306,1 ,$470.75 ,$353.06 ,$35.09 ,$470.75 ,$303.16 ,$35.09 ,$329.53 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$447.21 , N/A ,$376.60 ,$428.38 ,$36.26 ,$442.51 ,$447.21 ,$423.68 ,$400.14 ,$36.26 ,$36.26 ,$36.26 ,$343.65 ,$35.09 ,$418.97 ,$423.68 ,$423.68 ,$376.60 ,$36.14 ,$258.91 ,$423.68 ,$35.09 ,$423.68 ,$35.09 ,$447.21 ,$78.95 ,$433.09 ,$38.44 ,$428.38 ,$35.09 ,$289.70 ,$303.16 ,$289.70 ,$423.68 ,$149.23 ,$353.06 ,$217.36 ,$35.44 ,$38.07 ,$440.15 ,$36.84 ,$36.26 ,$409.55 ,$35.09 ,$423.68 ,$35.09 ,$423.68 ,$423.68 ,$423.68 ,$456.63 ,$381.31 ,$423.68 ,$423.68 ,$423.68 ,$423.68 ST. JOSEPH'S - CHIPPEWA FALLS,30600330,87536,HC HIV-1 QN,306,1 ,$262.65 ,$196.99 ,$85.10 ,$262.65 ,$169.15 ,$85.10 ,$183.86 ,$87.93 ,$204.28 ,$90.57 ,$163.42 ,$249.52 , N/A ,$210.12 ,$239.01 ,$87.93 ,$246.89 ,$249.52 ,$236.39 ,$223.25 ,$87.93 ,$87.93 ,$87.93 ,$191.73 ,$85.10 ,$233.76 ,$236.39 ,$236.39 ,$210.12 ,$87.65 ,$144.46 ,$236.39 ,$85.10 ,$236.39 ,$85.10 ,$249.52 ,$191.48 ,$241.64 ,$93.21 ,$239.01 ,$85.10 ,$161.63 ,$169.15 ,$161.63 ,$236.39 ,$157.75 ,$196.99 ,$236.39 ,$85.95 ,$92.33 ,$245.58 ,$89.36 ,$87.93 ,$228.51 ,$85.10 ,$236.39 ,$85.10 ,$236.39 ,$236.39 ,$236.39 ,$254.77 ,$212.75 ,$236.39 ,$236.39 ,$236.39 ,$236.39 ST. JOSEPH'S - CHIPPEWA FALLS,30600331,87540,HC LEGIONELLA DIRECT PROBE,306,1 ,$538.97 ,$404.23 ,$20.05 ,$538.97 ,$347.10 ,$20.05 ,$377.28 ,$20.72 ,$48.14 ,$21.34 ,$38.51 ,$512.02 , N/A ,$431.18 ,$490.46 ,$20.72 ,$506.63 ,$512.02 ,$485.07 ,$458.12 ,$20.72 ,$20.72 ,$20.72 ,$393.45 ,$20.05 ,$479.68 ,$485.07 ,$485.07 ,$431.18 ,$20.65 ,$296.43 ,$485.07 ,$20.05 ,$485.07 ,$20.05 ,$512.02 ,$45.11 ,$495.85 ,$21.96 ,$490.46 ,$20.05 ,$331.68 ,$347.10 ,$331.68 ,$485.07 ,$85.27 ,$404.23 ,$124.21 ,$20.25 ,$21.76 ,$503.94 ,$21.05 ,$20.72 ,$468.90 ,$20.05 ,$485.07 ,$20.05 ,$485.07 ,$485.07 ,$485.07 ,$522.80 ,$436.57 ,$485.07 ,$485.07 ,$485.07 ,$485.07 ST. JOSEPH'S - CHIPPEWA FALLS,30600332,87651,HC INFECT AMP (GRP A STREP),306,1 ,$140.95 ,$105.71 ,$35.09 ,$140.95 ,$90.77 ,$35.09 ,$98.67 ,$36.26 ,$84.25 ,$37.35 ,$67.40 ,$133.90 , N/A ,$112.76 ,$128.26 ,$36.26 ,$132.49 ,$133.90 ,$126.86 ,$119.81 ,$36.26 ,$36.26 ,$36.26 ,$102.89 ,$35.09 ,$125.45 ,$126.86 ,$126.86 ,$112.76 ,$36.14 ,$77.52 ,$126.86 ,$35.09 ,$126.86 ,$35.09 ,$133.90 ,$78.95 ,$129.67 ,$38.44 ,$128.26 ,$35.09 ,$86.74 ,$90.77 ,$86.74 ,$126.86 ,$140.95 ,$105.71 ,$126.86 ,$35.44 ,$38.07 ,$131.79 ,$36.84 ,$36.26 ,$122.63 ,$35.09 ,$126.86 ,$35.09 ,$126.86 ,$126.86 ,$126.86 ,$136.72 ,$114.17 ,$126.86 ,$126.86 ,$126.86 ,$126.86 ST. JOSEPH'S - CHIPPEWA FALLS,30600333,87808,HC TRICHOMONAS VAGINITIS OPTICAL,306,1 ,$38.23 ,$28.67 ,$15.29 ,$38.23 ,$24.62 ,$15.29 ,$26.76 ,$15.80 ,$28.77 ,$16.27 ,$23.02 ,$36.32 , N/A ,$30.58 ,$34.79 ,$15.80 ,$35.94 ,$36.32 ,$34.41 ,$32.50 ,$15.80 ,$15.80 ,$15.80 ,$27.91 ,$15.29 ,$34.02 ,$34.41 ,$34.41 ,$30.58 ,$15.75 ,$21.03 ,$34.41 ,$15.29 ,$34.41 ,$15.29 ,$36.32 ,$34.40 ,$35.17 ,$16.75 ,$34.79 ,$15.29 ,$23.53 ,$24.62 ,$23.53 ,$34.41 ,$32.23 ,$28.67 ,$34.41 ,$15.44 ,$16.59 ,$35.75 ,$16.05 ,$15.80 ,$33.26 ,$15.29 ,$34.41 ,$15.29 ,$34.41 ,$34.41 ,$34.41 ,$37.08 ,$30.97 ,$34.41 ,$34.41 ,$34.41 ,$34.41 ST. JOSEPH'S - CHIPPEWA FALLS,30600334,87902,HC GENTOYPE HEP C,306,1 ,$794.03 ,$595.52 ,$257.45 ,$794.03 ,$511.36 ,$257.45 ,$555.82 ,$266.02 ,$618.01 ,$274.00 ,$494.41 ,$754.33 , N/A ,$635.22 ,$722.57 ,$266.02 ,$746.39 ,$754.33 ,$714.63 ,$674.93 ,$266.02 ,$266.02 ,$266.02 ,$579.64 ,$257.45 ,$706.69 ,$714.63 ,$714.63 ,$635.22 ,$265.17 ,$436.72 ,$714.63 ,$257.45 ,$714.63 ,$257.45 ,$754.33 ,$579.26 ,$730.51 ,$281.98 ,$722.57 ,$257.45 ,$488.65 ,$511.36 ,$488.65 ,$714.63 ,$794.03 ,$595.52 ,$714.63 ,$260.02 ,$279.32 ,$742.42 ,$270.32 ,$266.02 ,$690.81 ,$257.45 ,$714.63 ,$257.45 ,$714.63 ,$714.63 ,$714.63 ,$770.21 ,$643.16 ,$714.63 ,$714.63 ,$714.63 ,$714.63 ST. JOSEPH'S - CHIPPEWA FALLS,30600336,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,$900.00 ,$675.00 ,$416.78 ,$937.76 ,$579.60 ,$416.78 ,$630.00 ,$430.66 ,$900.00 ,$443.58 ,$800.41 ,$855.00 , N/A ,$720.00 ,$819.00 ,$430.66 ,$846.00 ,$855.00 ,$810.00 ,$765.00 ,$430.66 ,$430.66 ,$430.66 ,$657.00 ,$416.78 ,$801.00 ,$810.00 ,$810.00 ,$720.00 ,$429.28 ,$495.00 ,$810.00 ,$416.78 ,$810.00 ,$416.78 ,$855.00 ,$937.76 ,$828.00 ,$456.50 ,$819.00 ,$416.78 ,$553.86 ,$579.60 ,$553.86 ,$810.00 ,$900.00 ,$675.00 ,$810.00 ,$420.95 ,$452.19 ,$841.50 ,$437.62 ,$430.66 ,$783.00 ,$416.78 ,$810.00 ,$416.78 ,$810.00 ,$810.00 ,$810.00 ,$873.00 ,$729.00 ,$810.00 ,$810.00 ,$810.00 ,$810.00 ST. JOSEPH'S - CHIPPEWA FALLS,30600348,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,"$1,286.38 ",$964.79 ,$333.42 ,"$1,286.38 ",$828.43 ,$416.78 ,$900.47 ,$333.42 ,"$1,000.51 ",$343.42 ,$800.41 ,"$1,222.06 ", N/A ,"$1,029.10 ","$1,170.61 ",$333.42 ,"$1,209.20 ","$1,222.06 ","$1,157.74 ","$1,093.42 ",$333.42 ,$333.42 ,$333.42 ,$939.06 ,$416.78 ,"$1,144.88 ","$1,157.74 ","$1,157.74 ","$1,029.10 ",$429.28 ,$707.51 ,"$1,157.74 ",$416.78 ,"$1,157.74 ",$416.78 ,"$1,222.06 ",$937.76 ,"$1,183.47 ",$353.43 ,"$1,170.61 ",$416.78 ,$791.64 ,$828.43 ,$791.64 ,"$1,157.74 ","$1,090.41 ",$964.79 ,$900.47 ,$420.95 ,$350.09 ,"$1,202.77 ",$437.62 ,$333.42 ,"$1,119.15 ",$416.78 ,"$1,157.74 ",$416.78 ,"$1,157.74 ","$1,157.74 ","$1,157.74 ","$1,247.79 ","$1,041.97 ","$1,157.74 ","$1,157.74 ","$1,157.74 ","$1,157.74 " ST. JOSEPH'S - CHIPPEWA FALLS,30600500,87254,HC VIRUS ISOL SHELL RESP RAPID CULTURE W/REFLEX,306,1 ,$109.25 ,$81.94 ,$7.06 ,$109.25 ,$70.36 ,$19.56 ,$76.48 ,$7.06 ,$46.95 ,$7.27 ,$37.56 ,$103.79 , N/A ,$87.40 ,$99.42 ,$7.06 ,$102.70 ,$103.79 ,$98.33 ,$92.86 ,$7.06 ,$7.06 ,$7.06 ,$79.75 ,$19.56 ,$97.23 ,$98.33 ,$98.33 ,$87.40 ,$20.15 ,$60.09 ,$98.33 ,$19.56 ,$98.33 ,$19.56 ,$103.79 ,$44.01 ,$100.51 ,$7.48 ,$99.42 ,$19.56 ,$67.23 ,$70.36 ,$67.23 ,$98.33 ,$65.70 ,$81.94 ,$98.33 ,$19.76 ,$7.41 ,$102.15 ,$20.54 ,$7.06 ,$95.05 ,$19.56 ,$98.33 ,$19.56 ,$98.33 ,$98.33 ,$98.33 ,$105.97 ,$88.49 ,$98.33 ,$98.33 ,$98.33 ,$98.33 ST. JOSEPH'S - CHIPPEWA FALLS,30640252,87621,HC HPV AMP (DNA HYBRID)-REF,306,1 ,$157.19 ,$117.89 ,$86.45 ,$157.19 ,$101.23 , N/A ,$110.03 , N/A ,$130.47 , N/A ,$103.75 ,$149.33 , N/A ,$125.75 ,$143.04 , N/A ,$147.76 ,$149.33 ,$141.47 ,$133.61 , N/A , N/A , N/A ,$114.75 , N/A ,$139.90 ,$141.47 ,$141.47 ,$125.75 , N/A ,$86.45 ,$141.47 , N/A ,$141.47 , N/A ,$149.33 , N/A ,$144.61 , N/A ,$143.04 , N/A ,$96.73 ,$101.23 ,$96.73 ,$141.47 ,$149.23 ,$117.89 ,$110.03 , N/A , N/A ,$146.97 , N/A , N/A ,$136.76 , N/A ,$141.47 , N/A ,$141.47 ,$141.47 ,$141.47 ,$152.47 ,$127.32 ,$141.47 ,$141.47 ,$141.47 ,$141.47 ST. JOSEPH'S - CHIPPEWA FALLS,30682011,87635,HC COVID-19 LAB TEST NON-CDC,306,1 ,$143.00 ,$107.25 ,$51.31 ,$143.00 ,$92.09 ,$51.31 ,$100.10 ,$51.31 ,$96.48 ,$52.85 ,$77.18 ,$135.85 , N/A ,$114.40 ,$130.13 ,$51.31 ,$134.42 ,$135.85 ,$128.70 ,$121.55 ,$51.31 ,$51.31 ,$51.31 ,$104.39 ,$51.31 ,$127.27 ,$128.70 ,$128.70 ,$114.40 ,$52.85 ,$78.65 ,$128.70 ,$51.31 ,$128.70 ,$51.31 ,$135.85 ,$115.45 ,$131.56 ,$54.39 ,$130.13 ,$51.31 ,$88.00 ,$92.09 ,$88.00 ,$128.70 ,$128.70 ,$107.25 ,$100.10 ,$51.82 ,$53.88 ,$133.71 ,$53.88 ,$51.31 ,$124.41 ,$51.31 ,$128.70 ,$51.31 ,$128.70 ,$128.70 ,$128.70 ,$138.71 ,$115.83 ,$128.70 ,$128.70 ,$128.70 ,$128.70 ST. JOSEPH'S - CHIPPEWA FALLS,30682013,87635,HC COVID-19 LAB TEST,306,1 ,$143.00 ,$107.25 ,$51.31 ,$143.00 ,$92.09 ,$51.31 ,$100.10 ,$51.31 ,$96.48 ,$52.85 ,$77.18 ,$135.85 , N/A ,$114.40 ,$130.13 ,$51.31 ,$134.42 ,$135.85 ,$128.70 ,$121.55 ,$51.31 ,$51.31 ,$51.31 ,$104.39 ,$51.31 ,$127.27 ,$128.70 ,$128.70 ,$114.40 ,$52.85 ,$78.65 ,$128.70 ,$51.31 ,$128.70 ,$51.31 ,$135.85 ,$115.45 ,$131.56 ,$54.39 ,$130.13 ,$51.31 ,$88.00 ,$92.09 ,$88.00 ,$128.70 ,$128.70 ,$107.25 ,$100.10 ,$51.82 ,$53.88 ,$133.71 ,$53.88 ,$51.31 ,$124.41 ,$51.31 ,$128.70 ,$51.31 ,$128.70 ,$128.70 ,$128.70 ,$138.71 ,$115.83 ,$128.70 ,$128.70 ,$128.70 ,$128.70 ST. JOSEPH'S - CHIPPEWA FALLS,30682014,86769,HC SARS-COV-2 COVID-19 ANTIBODY,306,1 ,$104.00 ,$78.00 ,$42.13 ,$104.00 ,$66.98 ,$42.13 ,$72.80 ,$42.13 ,$79.38 ,$43.39 ,$63.50 ,$98.80 , N/A ,$83.20 ,$94.64 ,$42.13 ,$97.76 ,$98.80 ,$93.60 ,$88.40 ,$42.13 ,$42.13 ,$42.13 ,$75.92 ,$42.13 ,$92.56 ,$93.60 ,$93.60 ,$83.20 ,$43.39 ,$57.20 ,$93.60 ,$42.13 ,$93.60 ,$42.13 ,$98.80 ,$94.79 ,$95.68 ,$44.66 ,$94.64 ,$42.13 ,$64.00 ,$66.98 ,$64.00 ,$93.60 ,$93.60 ,$78.00 ,$72.80 ,$42.55 ,$44.24 ,$97.24 ,$44.24 ,$42.13 ,$90.48 ,$42.13 ,$93.60 ,$42.13 ,$93.60 ,$93.60 ,$93.60 ,$100.88 ,$84.24 ,$93.60 ,$93.60 ,$93.60 ,$93.60 ST. JOSEPH'S - CHIPPEWA FALLS,30682021,86769,HC SARS-COV-2 COVID-19 ANTIBODY IN-HOUSE,306,1 ,$78.00 ,$58.50 ,$42.13 ,$94.79 ,$50.23 ,$42.13 ,$54.60 ,$42.13 ,$78.00 ,$43.39 ,$63.50 ,$74.10 , N/A ,$62.40 ,$70.98 ,$42.13 ,$73.32 ,$74.10 ,$70.20 ,$66.30 ,$42.13 ,$42.13 ,$42.13 ,$56.94 ,$42.13 ,$69.42 ,$70.20 ,$70.20 ,$62.40 ,$43.39 ,$42.90 ,$70.20 ,$42.13 ,$70.20 ,$42.13 ,$74.10 ,$94.79 ,$71.76 ,$44.66 ,$70.98 ,$42.13 ,$48.00 ,$50.23 ,$48.00 ,$70.20 ,$70.20 ,$58.50 ,$54.60 ,$42.55 ,$44.24 ,$72.93 ,$44.24 ,$42.13 ,$67.86 ,$42.13 ,$70.20 ,$42.13 ,$70.20 ,$70.20 ,$70.20 ,$75.66 ,$63.18 ,$70.20 ,$70.20 ,$70.20 ,$70.20 ST. JOSEPH'S - CHIPPEWA FALLS,30700101,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$100.04 ,$75.03 ,$3.17 ,$100.04 ,$64.43 ,$3.17 ,$70.03 ,$3.28 ,$7.61 ,$3.38 ,$6.09 ,$95.04 , N/A ,$80.03 ,$91.04 ,$3.28 ,$94.04 ,$95.04 ,$90.04 ,$85.03 ,$3.28 ,$3.28 ,$3.28 ,$73.03 ,$3.17 ,$89.04 ,$90.04 ,$90.04 ,$80.03 ,$3.27 ,$55.02 ,$90.04 ,$3.17 ,$90.04 ,$3.17 ,$95.04 ,$7.13 ,$92.04 ,$3.48 ,$91.04 ,$3.17 ,$61.56 ,$64.43 ,$61.56 ,$90.04 ,$19.77 ,$75.03 ,$19.66 ,$3.20 ,$3.44 ,$93.54 ,$3.33 ,$3.28 ,$87.03 ,$3.17 ,$90.04 ,$3.17 ,$90.04 ,$90.04 ,$90.04 ,$97.04 ,$81.03 ,$90.04 ,$90.04 ,$90.04 ,$90.04 ST. JOSEPH'S - CHIPPEWA FALLS,30700104,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$42.60 ,$31.95 ,$2.25 ,$42.60 ,$27.43 ,$2.25 ,$29.82 ,$2.32 ,$5.39 ,$2.39 ,$4.31 ,$40.47 , N/A ,$34.08 ,$38.77 ,$2.32 ,$40.04 ,$40.47 ,$38.34 ,$36.21 ,$2.32 ,$2.32 ,$2.32 ,$31.10 ,$2.25 ,$37.91 ,$38.34 ,$38.34 ,$34.08 ,$2.32 ,$23.43 ,$38.34 ,$2.25 ,$38.34 ,$2.25 ,$40.47 ,$5.06 ,$39.19 ,$2.46 ,$38.77 ,$2.25 ,$26.22 ,$27.43 ,$26.22 ,$38.34 ,$41.31 ,$31.95 ,$13.90 ,$2.27 ,$2.44 ,$39.83 ,$2.36 ,$2.32 ,$37.06 ,$2.25 ,$38.34 ,$2.25 ,$38.34 ,$38.34 ,$38.34 ,$41.32 ,$34.51 ,$38.34 ,$38.34 ,$38.34 ,$38.34 ST. JOSEPH'S - CHIPPEWA FALLS,30700116,81025,HC URINE PREGNANCY TEST,307,1 ,$126.50 ,$94.88 ,$8.61 ,$126.50 ,$81.47 ,$8.61 ,$88.55 ,$8.90 ,$15.17 ,$9.17 ,$12.14 ,$120.18 , N/A ,$101.20 ,$115.12 ,$8.90 ,$118.91 ,$120.18 ,$113.85 ,$107.53 ,$8.90 ,$8.90 ,$8.90 ,$92.35 ,$8.61 ,$112.59 ,$113.85 ,$113.85 ,$101.20 ,$8.87 ,$69.58 ,$113.85 ,$8.61 ,$113.85 ,$8.61 ,$120.18 ,$19.37 ,$116.38 ,$9.43 ,$115.12 ,$8.61 ,$77.85 ,$81.47 ,$77.85 ,$113.85 ,$39.09 ,$94.88 ,$43.19 ,$8.70 ,$9.35 ,$118.28 ,$9.04 ,$8.90 ,$110.06 ,$8.61 ,$113.85 ,$8.61 ,$113.85 ,$113.85 ,$113.85 ,$122.71 ,$102.47 ,$113.85 ,$113.85 ,$113.85 ,$113.85 ST. JOSEPH'S - CHIPPEWA FALLS,30700118,81000,HC URINALYSIS W/MICRO NON AUTO,307,1 ,$87.97 ,$65.98 ,$4.02 ,$87.97 ,$56.65 ,$4.02 ,$61.58 ,$4.15 ,$7.61 ,$4.27 ,$6.09 ,$83.57 , N/A ,$70.38 ,$80.05 ,$4.15 ,$82.69 ,$83.57 ,$79.17 ,$74.77 ,$4.15 ,$4.15 ,$4.15 ,$64.22 ,$4.02 ,$78.29 ,$79.17 ,$79.17 ,$70.38 ,$4.14 ,$48.38 ,$79.17 ,$4.02 ,$79.17 ,$4.02 ,$83.57 ,$9.05 ,$80.93 ,$4.40 ,$80.05 ,$4.02 ,$54.14 ,$56.65 ,$54.14 ,$79.17 ,$29.66 ,$65.98 ,$20.17 ,$4.06 ,$4.36 ,$82.25 ,$4.22 ,$4.15 ,$76.53 ,$4.02 ,$79.17 ,$4.02 ,$79.17 ,$79.17 ,$79.17 ,$85.33 ,$71.26 ,$79.17 ,$79.17 ,$79.17 ,$79.17 ST. JOSEPH'S - CHIPPEWA FALLS,30700119,81005,HC URINALYSIS QL/SEMI QN,307,1 ,$58.84 ,$44.13 ,$2.17 ,$58.84 ,$37.89 ,$2.17 ,$41.19 ,$2.24 ,$5.20 ,$2.31 ,$4.16 ,$55.90 , N/A ,$47.07 ,$53.54 ,$2.24 ,$55.31 ,$55.90 ,$52.96 ,$50.01 ,$2.24 ,$2.24 ,$2.24 ,$42.95 ,$2.17 ,$52.37 ,$52.96 ,$52.96 ,$47.07 ,$2.24 ,$32.36 ,$52.96 ,$2.17 ,$52.96 ,$2.17 ,$55.90 ,$4.88 ,$54.13 ,$2.37 ,$53.54 ,$2.17 ,$36.21 ,$37.89 ,$36.21 ,$52.96 ,$29.85 ,$44.13 ,$13.39 ,$2.19 ,$2.35 ,$55.02 ,$2.28 ,$2.24 ,$51.19 ,$2.17 ,$52.96 ,$2.17 ,$52.96 ,$52.96 ,$52.96 ,$57.07 ,$47.66 ,$52.96 ,$52.96 ,$52.96 ,$52.96 ST. JOSEPH'S - CHIPPEWA FALLS,30700120,81002,HC URANALYSIS NON AUTO W/O MICRO,307,1 ,$42.60 ,$31.95 ,$3.48 ,$42.60 ,$27.43 ,$3.48 ,$29.82 ,$3.60 ,$6.13 ,$3.71 ,$4.90 ,$40.47 , N/A ,$34.08 ,$38.77 ,$3.60 ,$40.04 ,$40.47 ,$38.34 ,$36.21 ,$3.60 ,$3.60 ,$3.60 ,$31.10 ,$3.48 ,$37.91 ,$38.34 ,$38.34 ,$34.08 ,$3.58 ,$23.43 ,$38.34 ,$3.48 ,$38.34 ,$3.48 ,$40.47 ,$7.83 ,$39.19 ,$3.82 ,$38.77 ,$3.48 ,$26.22 ,$27.43 ,$26.22 ,$38.34 ,$24.57 ,$31.95 ,$17.46 ,$3.51 ,$3.78 ,$39.83 ,$3.65 ,$3.60 ,$37.06 ,$3.48 ,$38.34 ,$3.48 ,$38.34 ,$38.34 ,$38.34 ,$41.32 ,$34.51 ,$38.34 ,$38.34 ,$38.34 ,$38.34 ST. JOSEPH'S - CHIPPEWA FALLS,31000021,81275,HC KRAS GENE,310,1 ,$801.44 ,$601.08 ,$157.98 ,$801.44 ,$516.13 ,$193.25 ,$561.01 ,$157.98 ,$347.50 ,$162.72 ,$278.00 ,$761.37 , N/A ,$641.15 ,$729.31 ,$157.98 ,$753.35 ,$761.37 ,$721.30 ,$681.22 ,$157.98 ,$157.98 ,$157.98 ,$585.05 ,$193.25 ,$713.28 ,$721.30 ,$721.30 ,$641.15 ,$199.05 ,$440.79 ,$721.30 ,$193.25 ,$721.30 ,$193.25 ,$761.37 ,$434.81 ,$737.32 ,$167.46 ,$729.31 ,$193.25 ,$493.21 ,$516.13 ,$493.21 ,$721.30 ,$377.16 ,$601.08 ,$721.30 ,$195.18 ,$165.88 ,$749.35 ,$202.91 ,$157.98 ,$697.25 ,$193.25 ,$721.30 ,$193.25 ,$721.30 ,$721.30 ,$721.30 ,$777.40 ,$649.17 ,$721.30 ,$721.30 ,$721.30 ,$721.30 ST. JOSEPH'S - CHIPPEWA FALLS,31000022,81291,HC MTHFR ISOLATION,310,1 ,$458.06 ,$343.55 ,$10.83 ,$458.06 ,$294.99 ,$65.34 ,$320.64 ,$10.83 ,$104.79 ,$11.15 ,$83.83 ,$435.16 , N/A ,$366.45 ,$416.83 ,$10.83 ,$430.58 ,$435.16 ,$412.25 ,$389.35 ,$10.83 ,$10.83 ,$10.83 ,$334.38 ,$65.34 ,$407.67 ,$412.25 ,$412.25 ,$366.45 ,$67.30 ,$251.93 ,$412.25 ,$65.34 ,$412.25 ,$65.34 ,$435.16 ,$147.02 ,$421.42 ,$11.48 ,$416.83 ,$65.34 ,$281.89 ,$294.99 ,$281.89 ,$412.25 ,$113.63 ,$343.55 ,$327.77 ,$65.99 ,$11.37 ,$428.29 ,$68.61 ,$10.83 ,$398.51 ,$65.34 ,$412.25 ,$65.34 ,$412.25 ,$412.25 ,$412.25 ,$444.32 ,$371.03 ,$412.25 ,$412.25 ,$412.25 ,$412.25 ST. JOSEPH'S - CHIPPEWA FALLS,31000031,81401,HC HUNT MOPATH PROCEDURE L2,310,1 ,$393.88 ,$295.41 ,$109.60 ,$393.88 ,$253.66 , N/A ,$275.72 ,$109.60 ,$393.88 ,$112.89 ,$393.88 ,$374.19 , N/A ,$315.10 ,$358.43 ,$109.60 ,$370.25 ,$374.19 ,$354.49 ,$334.80 ,$109.60 ,$109.60 ,$109.60 ,$287.53 , N/A ,$350.55 ,$354.49 ,$354.49 ,$315.10 , N/A ,$216.63 ,$354.49 , N/A ,$354.49 , N/A ,$374.19 ,$236.33 ,$362.37 ,$116.18 ,$358.43 , N/A ,$242.39 ,$253.66 ,$242.39 ,$354.49 ,$260.79 ,$295.41 ,$354.49 ,$322.98 ,$115.08 ,$368.28 , N/A ,$109.60 ,$342.68 , N/A ,$354.49 ,$137.00 ,$354.49 ,$354.49 ,$354.49 ,$382.06 ,$319.04 ,$354.49 ,$354.49 ,$354.49 ,$354.49 ST. JOSEPH'S - CHIPPEWA FALLS,31000057,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN,310,1 ,$581.96 ,$436.47 ,$163.96 ,$581.96 ,$374.78 ,$163.96 ,$407.37 ,$169.42 ,$393.59 ,$174.50 ,$314.87 ,$552.86 , N/A ,$465.57 ,$529.58 ,$169.42 ,$547.04 ,$552.86 ,$523.76 ,$494.67 ,$169.42 ,$169.42 ,$169.42 ,$424.83 ,$163.96 ,$517.94 ,$523.76 ,$523.76 ,$465.57 ,$168.88 ,$320.08 ,$523.76 ,$163.96 ,$523.76 ,$163.96 ,$552.86 ,$368.91 ,$535.40 ,$179.59 ,$529.58 ,$163.96 ,$358.14 ,$374.78 ,$358.14 ,$523.76 ,$427.13 ,$436.47 ,$523.76 ,$165.60 ,$177.89 ,$544.13 ,$172.16 ,$169.42 ,$506.31 ,$163.96 ,$523.76 ,$163.96 ,$523.76 ,$523.76 ,$523.76 ,$564.50 ,$471.39 ,$523.76 ,$523.76 ,$523.76 ,$523.76 ST. JOSEPH'S - CHIPPEWA FALLS,31000058,81220,HC CFTR GENE ANALYSIS,310,1 ,"$1,600.23 ","$1,200.17 ",$210.00 ,"$1,600.23 ","$1,030.55 ",$556.60 ,"$1,120.16 ",$210.00 ,"$1,600.23 ",$216.30 ,"$1,600.23 ","$1,520.22 ", N/A ,"$1,280.18 ","$1,456.21 ",$210.00 ,"$1,504.22 ","$1,520.22 ","$1,440.21 ","$1,360.20 ",$210.00 ,$210.00 ,$210.00 ,"$1,168.17 ",$556.60 ,"$1,424.20 ","$1,440.21 ","$1,440.21 ","$1,280.18 ",$573.30 ,$880.13 ,"$1,440.21 ",$556.60 ,"$1,440.21 ",$556.60 ,"$1,520.22 ","$1,252.35 ","$1,472.21 ",$222.60 ,"$1,456.21 ",$556.60 ,$984.78 ,"$1,030.55 ",$984.78 ,"$1,440.21 ","$1,058.24 ","$1,200.17 ","$1,440.21 ",$562.17 ,$220.50 ,"$1,496.22 ",$584.43 ,$210.00 ,"$1,392.20 ",$556.60 ,"$1,440.21 ",$556.60 ,"$1,440.21 ","$1,440.21 ","$1,440.21 ","$1,552.22 ","$1,296.19 ","$1,440.21 ","$1,440.21 ","$1,440.21 ","$1,440.21 " ST. JOSEPH'S - CHIPPEWA FALLS,31000059,81240,HC F2 GENE ANAL 20210G A VAR,310,1 ,$407.92 ,$305.94 ,$53.70 ,$407.92 ,$262.70 ,$65.69 ,$285.54 ,$53.70 ,$118.13 ,$55.31 ,$94.50 ,$387.52 , N/A ,$326.34 ,$371.21 ,$53.70 ,$383.44 ,$387.52 ,$367.13 ,$346.73 ,$53.70 ,$53.70 ,$53.70 ,$297.78 ,$65.69 ,$363.05 ,$367.13 ,$367.13 ,$326.34 ,$67.66 ,$224.36 ,$367.13 ,$65.69 ,$367.13 ,$65.69 ,$387.52 ,$147.80 ,$375.29 ,$56.92 ,$371.21 ,$65.69 ,$251.03 ,$262.70 ,$251.03 ,$367.13 ,$128.00 ,$305.94 ,$329.53 ,$66.35 ,$56.39 ,$381.41 ,$68.97 ,$53.70 ,$354.89 ,$65.69 ,$367.13 ,$65.69 ,$367.13 ,$367.13 ,$367.13 ,$395.68 ,$330.42 ,$367.13 ,$367.13 ,$367.13 ,$367.13 ST. JOSEPH'S - CHIPPEWA FALLS,31000060,81241,HC F5 GENE ANAL LEIDEN VAR,310,1 ,$242.58 ,$181.94 ,$66.70 ,$242.58 ,$156.22 ,$73.37 ,$169.81 ,$66.70 ,$146.69 ,$68.70 ,$117.35 ,$230.45 , N/A ,$194.06 ,$220.75 ,$66.70 ,$228.03 ,$230.45 ,$218.32 ,$206.19 ,$66.70 ,$66.70 ,$66.70 ,$177.08 ,$73.37 ,$215.90 ,$218.32 ,$218.32 ,$194.06 ,$75.57 ,$133.42 ,$218.32 ,$73.37 ,$218.32 ,$73.37 ,$230.45 ,$165.08 ,$223.17 ,$70.70 ,$220.75 ,$73.37 ,$149.28 ,$156.22 ,$149.28 ,$218.32 ,$159.49 ,$181.94 ,$218.32 ,$74.10 ,$70.04 ,$226.81 ,$77.04 ,$66.70 ,$211.04 ,$73.37 ,$218.32 ,$73.37 ,$218.32 ,$218.32 ,$218.32 ,$235.30 ,$196.49 ,$218.32 ,$218.32 ,$218.32 ,$218.32 ST. JOSEPH'S - CHIPPEWA FALLS,31000061,81256,HC HFE GENE ANALYSIS,310,1 ,$304.50 ,$228.38 ,$65.36 ,$304.50 ,$196.10 ,$65.36 ,$213.15 ,$67.54 ,$156.91 ,$69.57 ,$125.52 ,$289.28 , N/A ,$243.60 ,$277.10 ,$67.54 ,$286.23 ,$289.28 ,$274.05 ,$258.83 ,$67.54 ,$67.54 ,$67.54 ,$222.29 ,$65.36 ,$271.01 ,$274.05 ,$274.05 ,$243.60 ,$67.32 ,$167.48 ,$274.05 ,$65.36 ,$274.05 ,$65.36 ,$289.28 ,$147.06 ,$280.14 ,$71.59 ,$277.10 ,$65.36 ,$187.39 ,$196.10 ,$187.39 ,$274.05 ,$170.44 ,$228.38 ,$274.05 ,$66.01 ,$70.92 ,$284.71 ,$68.63 ,$67.54 ,$264.92 ,$65.36 ,$274.05 ,$65.36 ,$274.05 ,$274.05 ,$274.05 ,$295.37 ,$246.65 ,$274.05 ,$274.05 ,$274.05 ,$274.05 ST. JOSEPH'S - CHIPPEWA FALLS,31000062,81270,HC JAK2 GENE ANALYSIS,310,1 ,$447.20 ,$335.40 ,$91.66 ,$447.20 ,$288.00 ,$91.66 ,$313.04 ,$94.71 ,$220.05 ,$97.55 ,$176.04 ,$424.84 , N/A ,$357.76 ,$406.95 ,$94.71 ,$420.37 ,$424.84 ,$402.48 ,$380.12 ,$94.71 ,$94.71 ,$94.71 ,$326.46 ,$91.66 ,$398.01 ,$402.48 ,$402.48 ,$357.76 ,$94.41 ,$245.96 ,$402.48 ,$91.66 ,$402.48 ,$91.66 ,$424.84 ,$206.24 ,$411.42 ,$100.39 ,$406.95 ,$91.66 ,$275.21 ,$288.00 ,$275.21 ,$402.48 ,$238.89 ,$335.40 ,$402.48 ,$92.58 ,$99.45 ,$418.13 ,$96.24 ,$94.71 ,$389.06 ,$91.66 ,$402.48 ,$91.66 ,$402.48 ,$402.48 ,$402.48 ,$433.78 ,$362.23 ,$402.48 ,$402.48 ,$402.48 ,$402.48 ST. JOSEPH'S - CHIPPEWA FALLS,31000063,81315,HC PML/RARAL COM BRKPNTS,310,1 ,"$1,050.42 ",$787.82 ,$207.31 ,"$1,050.42 ",$676.47 ,$207.31 ,$735.29 ,$214.21 ,$497.67 ,$220.64 ,$398.13 ,$997.90 , N/A ,$840.34 ,$955.88 ,$214.21 ,$987.39 ,$997.90 ,$945.38 ,$892.86 ,$214.21 ,$214.21 ,$214.21 ,$766.81 ,$207.31 ,$934.87 ,$945.38 ,$945.38 ,$840.34 ,$213.53 ,$577.73 ,$945.38 ,$207.31 ,$945.38 ,$207.31 ,$997.90 ,$466.45 ,$966.39 ,$227.06 ,$955.88 ,$207.31 ,$646.43 ,$676.47 ,$646.43 ,$945.38 ,$540.07 ,$787.82 ,$945.38 ,$209.38 ,$224.92 ,$982.14 ,$217.68 ,$214.21 ,$913.87 ,$207.31 ,$945.38 ,$207.31 ,$945.38 ,$945.38 ,$945.38 ,"$1,018.91 ",$850.84 ,$945.38 ,$945.38 ,$945.38 ,$945.38 ST. JOSEPH'S - CHIPPEWA FALLS,31000064,81370,HC HLA CLASS 1 AND 2 LOW RESOLUTION,310,1 ,"$1,427.30 ","$1,070.48 ",$402.12 ,"$1,427.30 ",$919.18 ,$402.12 ,$999.11 ,$415.51 ,$965.32 ,$427.98 ,$772.25 ,"$1,355.94 ", N/A ,"$1,141.84 ","$1,298.84 ",$415.51 ,"$1,341.66 ","$1,355.94 ","$1,284.57 ","$1,213.21 ",$415.51 ,$415.51 ,$415.51 ,"$1,041.93 ",$402.12 ,"$1,270.30 ","$1,284.57 ","$1,284.57 ","$1,141.84 ",$414.18 ,$785.02 ,"$1,284.57 ",$402.12 ,"$1,284.57 ",$402.12 ,"$1,355.94 ",$904.77 ,"$1,313.12 ",$440.44 ,"$1,298.84 ",$402.12 ,$878.36 ,$919.18 ,$878.36 ,"$1,284.57 ","$1,047.97 ","$1,070.48 ","$1,284.57 ",$406.14 ,$436.29 ,"$1,334.53 ",$422.23 ,$415.51 ,"$1,241.75 ",$402.12 ,"$1,284.57 ",$402.12 ,"$1,284.57 ","$1,284.57 ","$1,284.57 ","$1,384.48 ","$1,156.11 ","$1,284.57 ","$1,284.57 ","$1,284.57 ","$1,284.57 " ST. JOSEPH'S - CHIPPEWA FALLS,31000065,81372,HC CLASS 1 TYPING COMPLETE LOW RESOLUTION,310,1 ,"$1,160.33 ",$870.25 ,$241.09 ,"$1,160.33 ",$747.25 ,$403.59 ,$812.23 ,$241.09 ,$530.29 ,$248.32 ,$424.23 ,"$1,102.31 ", N/A ,$928.26 ,"$1,055.90 ",$241.09 ,"$1,090.71 ","$1,102.31 ","$1,044.30 ",$986.28 ,$241.09 ,$241.09 ,$241.09 ,$847.04 ,$403.59 ,"$1,032.69 ","$1,044.30 ","$1,044.30 ",$928.26 ,$415.70 ,$638.18 ,"$1,044.30 ",$403.59 ,"$1,044.30 ",$403.59 ,"$1,102.31 ",$908.08 ,"$1,067.50 ",$255.56 ,"$1,055.90 ",$403.59 ,$714.07 ,$747.25 ,$714.07 ,"$1,044.30 ",$575.66 ,$870.25 ,"$1,044.30 ",$407.63 ,$253.14 ,"$1,084.91 ",$423.77 ,$241.09 ,"$1,009.49 ",$403.59 ,"$1,044.30 ",$403.59 ,"$1,044.30 ","$1,044.30 ","$1,044.30 ","$1,125.52 ",$939.87 ,"$1,044.30 ","$1,044.30 ","$1,044.30 ","$1,044.30 " ST. JOSEPH'S - CHIPPEWA FALLS,31000066,81406,HC MOLECULAR PATH PROC LEVEL 7,310,1 ,"$3,843.25 ","$2,882.44 ",$226.30 ,"$3,843.25 ","$2,475.05 ", N/A ,"$2,690.28 ",$226.30 ,"$1,237.60 ",$233.09 ,$990.08 ,"$3,651.09 ", N/A ,"$3,074.60 ","$3,497.36 ",$226.30 ,"$3,612.66 ","$3,651.09 ","$3,458.93 ","$3,266.76 ",$226.30 ,$226.30 ,$226.30 ,"$2,805.57 ", N/A ,"$3,420.49 ","$3,458.93 ","$3,458.93 ","$3,074.60 ", N/A ,"$2,113.79 ","$3,458.93 ", N/A ,"$3,458.93 ", N/A ,"$3,651.09 ","$2,305.95 ","$3,535.79 ",$239.88 ,"$3,497.36 ", N/A ,"$2,365.14 ","$2,475.05 ","$2,365.14 ","$3,458.93 ",$538.02 ,"$2,882.44 ","$1,419.04 ","$3,151.47 ",$237.62 ,"$3,593.44 ", N/A ,$226.30 ,"$3,343.63 ", N/A ,"$3,458.93 ",$282.88 ,"$3,458.93 ","$3,458.93 ","$3,458.93 ","$3,727.95 ","$3,113.03 ","$3,458.93 ","$3,458.93 ","$3,458.93 ","$3,458.93 " ST. JOSEPH'S - CHIPPEWA FALLS,31000067,88341,HC IMMUNOHISTOCHEM AB EACH ADDL,310,1 ,$289.49 ,$217.12 ,$11.95 ,$289.49 ,$186.43 , N/A ,$202.64 ,$11.95 ,$104.48 ,$12.31 ,$83.58 ,$275.02 , N/A ,$231.59 ,$263.44 ,$11.95 ,$272.12 ,$275.02 ,$260.54 ,$246.07 ,$11.95 ,$11.95 ,$11.95 ,$211.33 , N/A ,$257.65 ,$260.54 ,$260.54 ,$231.59 , N/A ,$159.22 ,$260.54 , N/A ,$260.54 , N/A ,$275.02 , N/A ,$266.33 ,$12.67 ,$263.44 , N/A ,$178.15 ,$186.43 ,$178.15 ,$260.54 ,$129.37 ,$217.12 ,$260.54 , N/A ,$12.55 ,$270.67 , N/A ,$11.95 ,$251.86 , N/A ,$260.54 , N/A ,$260.54 ,$260.54 ,$260.54 ,$280.81 ,$234.49 ,$260.54 ,$260.54 ,$260.54 ,$260.54 ST. JOSEPH'S - CHIPPEWA FALLS,31000068,88341,HC IMMUNOHISTOCHEM AB EA ADDL REPEAT,310,1 ,$289.49 ,$217.12 ,$11.95 ,$289.49 ,$186.43 , N/A ,$202.64 ,$11.95 ,$104.48 ,$12.31 ,$83.58 ,$275.02 , N/A ,$231.59 ,$263.44 ,$11.95 ,$272.12 ,$275.02 ,$260.54 ,$246.07 ,$11.95 ,$11.95 ,$11.95 ,$211.33 , N/A ,$257.65 ,$260.54 ,$260.54 ,$231.59 , N/A ,$159.22 ,$260.54 , N/A ,$260.54 , N/A ,$275.02 , N/A ,$266.33 ,$12.67 ,$263.44 , N/A ,$178.15 ,$186.43 ,$178.15 ,$260.54 ,$129.37 ,$217.12 ,$260.54 , N/A ,$12.55 ,$270.67 , N/A ,$11.95 ,$251.86 , N/A ,$260.54 , N/A ,$260.54 ,$260.54 ,$260.54 ,$280.81 ,$234.49 ,$260.54 ,$260.54 ,$260.54 ,$260.54 ST. JOSEPH'S - CHIPPEWA FALLS,31000069,88342,HC IMMUNOHISTOCHEM AB-INITIAL,310,1 ,$570.22 ,$427.67 ,$11.38 ,$570.22 ,$367.22 ,$144.46 ,$399.15 ,$11.38 ,$118.56 ,$11.72 ,$94.85 ,$541.71 , N/A ,$456.18 ,$518.90 ,$11.38 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$11.38 ,$11.38 ,$11.38 ,$416.26 ,$144.46 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$148.80 ,$313.62 ,$513.20 ,$144.46 ,$513.20 ,$144.46 ,$541.71 ,$325.04 ,$524.60 ,$12.06 ,$518.90 ,$144.46 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$87.89 ,$427.67 ,$354.91 ,$145.91 ,$11.95 ,$533.16 ,$151.68 ,$11.38 ,$496.09 ,$144.46 ,$513.20 ,$144.46 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 ST. JOSEPH'S - CHIPPEWA FALLS,31000070,88367,HC FISH HER-2NEU,310,1 ,$570.22 ,$427.67 ,$11.95 ,$634.69 ,$367.22 ,$282.09 ,$399.15 ,$11.95 ,$118.56 ,$12.31 ,$94.85 ,$541.71 , N/A ,$456.18 ,$518.90 ,$11.95 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$11.95 ,$11.95 ,$11.95 ,$416.26 ,$282.09 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$290.55 ,$313.62 ,$513.20 ,$282.09 ,$513.20 ,$282.09 ,$541.71 ,$634.69 ,$524.60 ,$12.67 ,$518.90 ,$282.09 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$284.89 ,$427.67 ,$349.74 ,$284.91 ,$12.55 ,$533.16 ,$296.19 ,$11.95 ,$496.09 ,$282.09 ,$513.20 ,$282.09 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 ST. JOSEPH'S - CHIPPEWA FALLS,31000071,88367,HC MORPHO ANALYSIS INSITU HYBRID,310,1 ,$570.22 ,$427.67 ,$11.95 ,$634.69 ,$367.22 ,$282.09 ,$399.15 ,$11.95 ,$118.56 ,$12.31 ,$94.85 ,$541.71 , N/A ,$456.18 ,$518.90 ,$11.95 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$11.95 ,$11.95 ,$11.95 ,$416.26 ,$282.09 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$290.55 ,$313.62 ,$513.20 ,$282.09 ,$513.20 ,$282.09 ,$541.71 ,$634.69 ,$524.60 ,$12.67 ,$518.90 ,$282.09 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$284.89 ,$427.67 ,$349.74 ,$284.91 ,$12.55 ,$533.16 ,$296.19 ,$11.95 ,$496.09 ,$282.09 ,$513.20 ,$282.09 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 ST. JOSEPH'S - CHIPPEWA FALLS,31000072,88285,HC CHROMOSOME ADDL CELLS COUNTED EA STUDY,310,1 ,$67.28 ,$50.46 ,$26.72 ,$67.28 ,$43.33 ,$26.91 ,$47.10 ,$26.72 ,$45.61 ,$27.52 ,$36.48 ,$63.92 , N/A ,$53.82 ,$61.22 ,$26.72 ,$63.24 ,$63.92 ,$60.55 ,$57.19 ,$26.72 ,$26.72 ,$26.72 ,$49.11 ,$26.91 ,$59.88 ,$60.55 ,$60.55 ,$53.82 ,$27.72 ,$37.00 ,$60.55 ,$26.91 ,$60.55 ,$26.91 ,$63.92 ,$60.55 ,$61.90 ,$28.32 ,$61.22 ,$26.91 ,$41.40 ,$43.33 ,$41.40 ,$60.55 ,$49.41 ,$50.46 ,$60.55 ,$27.18 ,$28.06 ,$62.91 ,$28.26 ,$26.72 ,$58.53 ,$26.91 ,$60.55 ,$26.91 ,$60.55 ,$60.55 ,$60.55 ,$65.26 ,$54.50 ,$60.55 ,$60.55 ,$60.55 ,$60.55 ST. JOSEPH'S - CHIPPEWA FALLS,31100101,88104,HC CYTOPATH FLD SMEAR,311,1 ,$140.05 ,$105.04 ,$5.22 ,$140.05 ,$90.19 ,$32.77 ,$98.04 ,$5.22 ,$75.34 ,$5.38 ,$60.27 ,$133.05 , N/A ,$112.04 ,$127.45 ,$5.22 ,$131.65 ,$133.05 ,$126.05 ,$119.04 ,$5.22 ,$5.22 ,$5.22 ,$102.24 ,$32.77 ,$124.64 ,$126.05 ,$126.05 ,$112.04 ,$33.76 ,$77.03 ,$126.05 ,$32.77 ,$126.05 ,$32.77 ,$133.05 ,$73.74 ,$128.85 ,$5.53 ,$127.45 ,$32.77 ,$86.19 ,$90.19 ,$86.19 ,$126.05 ,$126.59 ,$105.04 ,$126.05 ,$33.10 ,$5.48 ,$130.95 ,$34.41 ,$5.22 ,$121.84 ,$32.77 ,$126.05 ,$32.77 ,$126.05 ,$126.05 ,$126.05 ,$135.85 ,$113.44 ,$126.05 ,$126.05 ,$126.05 ,$126.05 ST. JOSEPH'S - CHIPPEWA FALLS,31100102,88108,HC CYTOPATH CONCENTRATION,311,1 ,$223.69 ,$167.77 ,$5.22 ,$223.69 ,$144.06 ,$32.77 ,$156.58 ,$5.22 ,$66.33 ,$5.38 ,$53.06 ,$212.51 , N/A ,$178.95 ,$203.56 ,$5.22 ,$210.27 ,$212.51 ,$201.32 ,$190.14 ,$5.22 ,$5.22 ,$5.22 ,$163.29 ,$32.77 ,$199.08 ,$201.32 ,$201.32 ,$178.95 ,$33.76 ,$123.03 ,$201.32 ,$32.77 ,$201.32 ,$32.77 ,$212.51 ,$73.74 ,$205.79 ,$5.53 ,$203.56 ,$32.77 ,$137.66 ,$144.06 ,$137.66 ,$201.32 ,$131.77 ,$167.77 ,$183.80 ,$33.10 ,$5.48 ,$209.15 ,$34.41 ,$5.22 ,$194.61 ,$32.77 ,$201.32 ,$32.77 ,$201.32 ,$201.32 ,$201.32 ,$216.98 ,$181.19 ,$201.32 ,$201.32 ,$201.32 ,$201.32 ST. JOSEPH'S - CHIPPEWA FALLS,31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$141.13 ,$105.85 ,$11.38 ,$141.13 ,$90.89 ,$48.19 ,$98.79 ,$11.38 ,$66.33 ,$11.72 ,$53.06 ,$134.07 , N/A ,$112.90 ,$128.43 ,$11.38 ,$132.66 ,$134.07 ,$127.02 ,$119.96 ,$11.38 ,$11.38 ,$11.38 ,$103.02 ,$48.19 ,$125.61 ,$127.02 ,$127.02 ,$112.90 ,$49.64 ,$77.62 ,$127.02 ,$48.19 ,$127.02 ,$48.19 ,$134.07 ,$108.43 ,$129.84 ,$12.06 ,$128.43 ,$48.19 ,$86.85 ,$90.89 ,$86.85 ,$127.02 ,$140.92 ,$105.85 ,$127.02 ,$48.67 ,$11.95 ,$131.96 ,$50.60 ,$11.38 ,$122.78 ,$48.19 ,$127.02 ,$48.19 ,$127.02 ,$127.02 ,$127.02 ,$136.90 ,$114.32 ,$127.02 ,$127.02 ,$127.02 ,$127.02 ST. JOSEPH'S - CHIPPEWA FALLS,31100107,88142,HC THINPREP PAP,311,1 ,$192.24 ,$144.18 ,$20.26 ,$192.24 ,$123.80 ,$20.26 ,$134.57 ,$20.93 ,$48.63 ,$21.56 ,$38.91 ,$182.63 , N/A ,$153.79 ,$174.94 ,$20.93 ,$180.71 ,$182.63 ,$173.02 ,$163.40 ,$20.93 ,$20.93 ,$20.93 ,$140.34 ,$20.26 ,$171.09 ,$173.02 ,$173.02 ,$153.79 ,$20.87 ,$105.73 ,$173.02 ,$20.26 ,$173.02 ,$20.26 ,$182.63 ,$45.59 ,$176.86 ,$22.19 ,$174.94 ,$20.26 ,$118.30 ,$123.80 ,$118.30 ,$173.02 ,$51.87 ,$144.18 ,$125.46 ,$20.46 ,$21.98 ,$179.74 ,$21.27 ,$20.93 ,$167.25 ,$20.26 ,$173.02 ,$20.26 ,$173.02 ,$173.02 ,$173.02 ,$186.47 ,$155.71 ,$173.02 ,$173.02 ,$173.02 ,$173.02 ST. JOSEPH'S - CHIPPEWA FALLS,31100110,88160,HC CYTOPATH SMEAR NON GYN,311,1 ,$107.39 ,$80.54 ,$5.22 ,$107.39 ,$69.16 ,$23.89 ,$75.17 ,$5.22 ,$77.14 ,$5.38 ,$61.71 ,$102.02 , N/A ,$85.91 ,$97.72 ,$5.22 ,$100.95 ,$102.02 ,$96.65 ,$91.28 ,$5.22 ,$5.22 ,$5.22 ,$78.39 ,$23.89 ,$95.58 ,$96.65 ,$96.65 ,$85.91 ,$24.61 ,$59.06 ,$96.65 ,$23.89 ,$96.65 ,$23.89 ,$102.02 ,$53.76 ,$98.80 ,$5.53 ,$97.72 ,$23.89 ,$66.09 ,$69.16 ,$66.09 ,$96.65 ,$104.33 ,$80.54 ,$96.65 ,$24.13 ,$5.48 ,$100.41 ,$25.08 ,$5.22 ,$93.43 ,$23.89 ,$96.65 ,$23.89 ,$96.65 ,$96.65 ,$96.65 ,$104.17 ,$86.99 ,$96.65 ,$96.65 ,$96.65 ,$96.65 ST. JOSEPH'S - CHIPPEWA FALLS,31100113,88164,HC CYTOPATH SCR BETHESDA,311,1 ,$93.51 ,$70.13 ,$14.86 ,$93.51 ,$60.22 ,$15.15 ,$65.46 ,$14.86 ,$25.36 ,$15.31 ,$20.29 ,$88.83 , N/A ,$74.81 ,$85.09 ,$14.86 ,$87.90 ,$88.83 ,$84.16 ,$79.48 ,$14.86 ,$14.86 ,$14.86 ,$68.26 ,$15.15 ,$83.22 ,$84.16 ,$84.16 ,$74.81 ,$15.60 ,$51.43 ,$84.16 ,$15.15 ,$84.16 ,$15.15 ,$88.83 ,$34.09 ,$86.03 ,$15.75 ,$85.09 ,$15.15 ,$57.55 ,$60.22 ,$57.55 ,$84.16 ,$22.38 ,$70.13 ,$73.49 ,$15.30 ,$15.60 ,$87.43 ,$15.91 ,$14.86 ,$81.35 ,$15.15 ,$84.16 ,$15.15 ,$84.16 ,$84.16 ,$84.16 ,$90.70 ,$75.74 ,$84.16 ,$84.16 ,$84.16 ,$84.16 ST. JOSEPH'S - CHIPPEWA FALLS,31100114,88172,HC FINE NEEDLE EVAL,311,1 ,$341.92 ,$256.44 ,$11.38 ,$341.92 ,$220.20 ,$144.46 ,$239.34 ,$11.38 ,$33.30 ,$11.72 ,$26.64 ,$324.82 , N/A ,$273.54 ,$311.15 ,$11.38 ,$321.40 ,$324.82 ,$307.73 ,$290.63 ,$11.38 ,$11.38 ,$11.38 ,$249.60 ,$144.46 ,$304.31 ,$307.73 ,$307.73 ,$273.54 ,$148.80 ,$188.06 ,$307.73 ,$144.46 ,$307.73 ,$144.46 ,$324.82 ,$325.04 ,$314.57 ,$12.06 ,$311.15 ,$144.46 ,$210.42 ,$220.20 ,$210.42 ,$307.73 ,$186.68 ,$256.44 ,$99.12 ,$145.91 ,$11.95 ,$319.70 ,$151.68 ,$11.38 ,$297.47 ,$144.46 ,$307.73 ,$144.46 ,$307.73 ,$307.73 ,$307.73 ,$331.66 ,$276.96 ,$307.73 ,$307.73 ,$307.73 ,$307.73 ST. JOSEPH'S - CHIPPEWA FALLS,31100115,88173,HC FINE NEEDLE INTERP,311,1 ,$245.86 ,$184.40 ,$11.38 ,$245.86 ,$158.33 ,$48.19 ,$172.10 ,$11.38 ,$135.66 ,$11.72 ,$108.53 ,$233.57 , N/A ,$196.69 ,$223.73 ,$11.38 ,$231.11 ,$233.57 ,$221.27 ,$208.98 ,$11.38 ,$11.38 ,$11.38 ,$179.48 ,$48.19 ,$218.82 ,$221.27 ,$221.27 ,$196.69 ,$49.64 ,$135.22 ,$221.27 ,$48.19 ,$221.27 ,$48.19 ,$233.57 ,$108.43 ,$226.19 ,$12.06 ,$223.73 ,$48.19 ,$151.30 ,$158.33 ,$151.30 ,$221.27 ,$197.64 ,$184.40 ,$221.27 ,$48.67 ,$11.95 ,$229.88 ,$50.60 ,$11.38 ,$213.90 ,$48.19 ,$221.27 ,$48.19 ,$221.27 ,$221.27 ,$221.27 ,$238.48 ,$199.15 ,$221.27 ,$221.27 ,$221.27 ,$221.27 ST. JOSEPH'S - CHIPPEWA FALLS,31100121,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$570.22 ,$427.67 ,$11.38 ,$634.69 ,$367.22 ,$282.09 ,$399.15 ,$11.38 ,$102.95 ,$11.72 ,$82.36 ,$541.71 , N/A ,$456.18 ,$518.90 ,$11.38 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$11.38 ,$11.38 ,$11.38 ,$416.26 ,$282.09 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$290.55 ,$313.62 ,$513.20 ,$282.09 ,$513.20 ,$282.09 ,$541.71 ,$634.69 ,$524.60 ,$12.06 ,$518.90 ,$282.09 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$103.17 ,$427.67 ,$324.41 ,$284.91 ,$11.95 ,$533.16 ,$296.19 ,$11.38 ,$496.09 ,$282.09 ,$513.20 ,$282.09 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 ST. JOSEPH'S - CHIPPEWA FALLS,31100126,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$56.89 ,$42.67 ,$11.95 ,$56.89 ,$36.64 , N/A ,$39.82 ,$11.95 ,$56.89 ,$12.31 ,$50.44 ,$54.05 , N/A ,$45.51 ,$51.77 ,$11.95 ,$53.48 ,$54.05 ,$51.20 ,$48.36 ,$11.95 ,$11.95 ,$11.95 ,$41.53 , N/A ,$50.63 ,$51.20 ,$51.20 ,$45.51 , N/A ,$31.29 ,$51.20 , N/A ,$51.20 , N/A ,$54.05 , N/A ,$52.34 ,$12.67 ,$51.77 , N/A ,$35.01 ,$36.64 ,$35.01 ,$51.20 ,$50.82 ,$42.67 ,$51.20 , N/A ,$12.55 ,$53.19 , N/A ,$11.95 ,$49.49 , N/A ,$51.20 , N/A ,$51.20 ,$51.20 ,$51.20 ,$55.18 ,$46.08 ,$51.20 ,$51.20 ,$51.20 ,$51.20 ST. JOSEPH'S - CHIPPEWA FALLS,31100137,88233,HC TISSUE CULT SKIN/OTH SOLID,311,1 ,$434.35 ,$325.76 ,$70.04 ,$434.35 ,$279.72 ,$140.73 ,$304.05 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$412.63 , N/A ,$347.48 ,$395.26 ,$70.04 ,$408.29 ,$412.63 ,$390.92 ,$369.20 ,$70.04 ,$70.04 ,$70.04 ,$317.08 ,$140.73 ,$386.57 ,$390.92 ,$390.92 ,$347.48 ,$144.95 ,$238.89 ,$390.92 ,$140.73 ,$390.92 ,$140.73 ,$412.63 ,$316.64 ,$399.60 ,$74.24 ,$395.26 ,$140.73 ,$267.30 ,$279.72 ,$267.30 ,$390.92 ,$175.71 ,$325.76 ,$390.92 ,$142.14 ,$73.54 ,$406.12 ,$147.77 ,$70.04 ,$377.88 ,$140.73 ,$390.92 ,$140.73 ,$390.92 ,$390.92 ,$390.92 ,$421.32 ,$351.82 ,$390.92 ,$390.92 ,$390.92 ,$390.92 ST. JOSEPH'S - CHIPPEWA FALLS,31100143,88237,HC TISSUE CULT BONE/BLD (CHROMO),311,1 ,$389.83 ,$292.37 ,$70.04 ,$389.83 ,$251.05 ,$143.75 ,$272.88 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$370.34 , N/A ,$311.86 ,$354.75 ,$70.04 ,$366.44 ,$370.34 ,$350.85 ,$331.36 ,$70.04 ,$70.04 ,$70.04 ,$284.58 ,$143.75 ,$346.95 ,$350.85 ,$350.85 ,$311.86 ,$148.06 ,$214.41 ,$350.85 ,$143.75 ,$350.85 ,$143.75 ,$370.34 ,$323.44 ,$358.64 ,$74.24 ,$354.75 ,$143.75 ,$239.90 ,$251.05 ,$239.90 ,$350.85 ,$98.81 ,$292.37 ,$350.85 ,$145.19 ,$73.54 ,$364.49 ,$150.94 ,$70.04 ,$339.15 ,$143.75 ,$350.85 ,$143.75 ,$350.85 ,$350.85 ,$350.85 ,$378.14 ,$315.76 ,$350.85 ,$350.85 ,$350.85 ,$350.85 ST. JOSEPH'S - CHIPPEWA FALLS,31100144,88237,HC TISSUE CULT BONE/BLD,311,1 ,$394.38 ,$295.79 ,$70.04 ,$394.38 ,$253.98 ,$143.75 ,$276.07 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$374.66 , N/A ,$315.50 ,$358.89 ,$70.04 ,$370.72 ,$374.66 ,$354.94 ,$335.22 ,$70.04 ,$70.04 ,$70.04 ,$287.90 ,$143.75 ,$351.00 ,$354.94 ,$354.94 ,$315.50 ,$148.06 ,$216.91 ,$354.94 ,$143.75 ,$354.94 ,$143.75 ,$374.66 ,$323.44 ,$362.83 ,$74.24 ,$358.89 ,$143.75 ,$242.70 ,$253.98 ,$242.70 ,$354.94 ,$98.81 ,$295.79 ,$354.94 ,$145.19 ,$73.54 ,$368.75 ,$150.94 ,$70.04 ,$343.11 ,$143.75 ,$354.94 ,$143.75 ,$354.94 ,$354.94 ,$354.94 ,$382.55 ,$319.45 ,$354.94 ,$354.94 ,$354.94 ,$354.94 ST. JOSEPH'S - CHIPPEWA FALLS,31100148,88239,HC TISSUE CULT TUMOR,311,1 ,$525.48 ,$394.11 ,$70.04 ,$525.48 ,$338.41 ,$147.52 ,$367.84 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$499.21 , N/A ,$420.38 ,$478.19 ,$70.04 ,$493.95 ,$499.21 ,$472.93 ,$446.66 ,$70.04 ,$70.04 ,$70.04 ,$383.60 ,$147.52 ,$467.68 ,$472.93 ,$472.93 ,$420.38 ,$151.95 ,$289.01 ,$472.93 ,$147.52 ,$472.93 ,$147.52 ,$499.21 ,$331.92 ,$483.44 ,$74.24 ,$478.19 ,$147.52 ,$323.38 ,$338.41 ,$323.38 ,$472.93 ,$490.32 ,$394.11 ,$472.93 ,$149.00 ,$73.54 ,$491.32 ,$154.90 ,$70.04 ,$457.17 ,$147.52 ,$472.93 ,$147.52 ,$472.93 ,$472.93 ,$472.93 ,$509.72 ,$425.64 ,$472.93 ,$472.93 ,$472.93 ,$472.93 ST. JOSEPH'S - CHIPPEWA FALLS,31100151,88240,HC CRYOPRESERVATION,311,1 ,$32.68 ,$24.51 ,$9.83 ,$32.68 ,$21.05 ,$13.07 ,$22.88 ,$9.83 ,$16.78 ,$10.12 ,$13.43 ,$31.05 , N/A ,$26.14 ,$29.74 ,$9.83 ,$30.72 ,$31.05 ,$29.41 ,$27.78 ,$9.83 ,$9.83 ,$9.83 ,$23.86 ,$13.07 ,$29.09 ,$29.41 ,$29.41 ,$26.14 ,$13.46 ,$17.97 ,$29.41 ,$13.07 ,$29.41 ,$13.07 ,$31.05 ,$29.41 ,$30.07 ,$10.42 ,$29.74 ,$13.07 ,$20.11 ,$21.05 ,$20.11 ,$29.41 ,$32.68 ,$24.51 ,$29.41 ,$13.20 ,$10.32 ,$30.56 ,$13.72 ,$9.83 ,$28.43 ,$13.07 ,$29.41 ,$13.07 ,$29.41 ,$29.41 ,$29.41 ,$31.70 ,$26.47 ,$29.41 ,$29.41 ,$29.41 ,$29.41 ST. JOSEPH'S - CHIPPEWA FALLS,31100161,88262,HC CHROM COUNT 15-20/2,311,1 ,$565.91 ,$424.43 ,$125.49 ,$565.91 ,$364.45 ,$125.49 ,$396.14 ,$129.67 ,$299.22 ,$133.56 ,$239.37 ,$537.61 , N/A ,$452.73 ,$514.98 ,$129.67 ,$531.96 ,$537.61 ,$509.32 ,$481.02 ,$129.67 ,$129.67 ,$129.67 ,$413.11 ,$125.49 ,$503.66 ,$509.32 ,$509.32 ,$452.73 ,$129.25 ,$311.25 ,$509.32 ,$125.49 ,$509.32 ,$125.49 ,$537.61 ,$282.35 ,$520.64 ,$137.45 ,$514.98 ,$125.49 ,$348.26 ,$364.45 ,$348.26 ,$509.32 ,$565.91 ,$424.43 ,$509.32 ,$126.74 ,$136.15 ,$529.13 ,$131.76 ,$129.67 ,$492.34 ,$125.49 ,$509.32 ,$125.49 ,$509.32 ,$509.32 ,$509.32 ,$548.93 ,$458.39 ,$509.32 ,$509.32 ,$509.32 ,$509.32 ST. JOSEPH'S - CHIPPEWA FALLS,31100166,88264,HC CHROM ANLYS ANALYZE 20,311,1 ,$568.00 ,$426.00 ,$144.61 ,$568.00 ,$365.79 ,$144.61 ,$397.60 ,$149.43 ,$299.22 ,$153.91 ,$239.37 ,$539.60 , N/A ,$454.40 ,$516.88 ,$149.43 ,$533.92 ,$539.60 ,$511.20 ,$482.80 ,$149.43 ,$149.43 ,$149.43 ,$414.64 ,$144.61 ,$505.52 ,$511.20 ,$511.20 ,$454.40 ,$148.95 ,$312.40 ,$511.20 ,$144.61 ,$511.20 ,$144.61 ,$539.60 ,$325.37 ,$522.56 ,$158.40 ,$516.88 ,$144.61 ,$349.55 ,$365.79 ,$349.55 ,$511.20 ,$528.72 ,$426.00 ,$511.20 ,$146.06 ,$156.90 ,$531.08 ,$151.84 ,$149.43 ,$494.16 ,$144.61 ,$511.20 ,$144.61 ,$511.20 ,$511.20 ,$511.20 ,$550.96 ,$460.08 ,$511.20 ,$511.20 ,$511.20 ,$511.20 ST. JOSEPH'S - CHIPPEWA FALLS,31100171,88269,HC CHROM CT AMNIOTIC INSITU,311,1 ,$732.06 ,$549.05 ,$173.66 ,$732.06 ,$471.45 ,$173.66 ,$512.44 ,$179.44 ,$399.28 ,$184.82 ,$319.42 ,$695.46 , N/A ,$585.65 ,$666.17 ,$179.44 ,$688.14 ,$695.46 ,$658.85 ,$622.25 ,$179.44 ,$179.44 ,$179.44 ,$534.40 ,$173.66 ,$651.53 ,$658.85 ,$658.85 ,$585.65 ,$178.87 ,$402.63 ,$658.85 ,$173.66 ,$658.85 ,$173.66 ,$695.46 ,$390.74 ,$673.50 ,$190.21 ,$666.17 ,$173.66 ,$450.51 ,$471.45 ,$450.51 ,$658.85 ,$327.27 ,$549.05 ,$658.85 ,$175.40 ,$188.41 ,$684.48 ,$182.34 ,$179.44 ,$636.89 ,$173.66 ,$658.85 ,$173.66 ,$658.85 ,$658.85 ,$658.85 ,$710.10 ,$592.97 ,$658.85 ,$658.85 ,$658.85 ,$658.85 ST. JOSEPH'S - CHIPPEWA FALLS,31100183,88271,HC MCG DNA PROBE (EACH),311,1 ,$66.10 ,$49.58 ,$20.36 ,$66.10 ,$42.57 ,$21.42 ,$46.27 ,$20.36 ,$34.76 ,$20.97 ,$27.80 ,$62.80 , N/A ,$52.88 ,$60.15 ,$20.36 ,$62.13 ,$62.80 ,$59.49 ,$56.19 ,$20.36 ,$20.36 ,$20.36 ,$48.25 ,$21.42 ,$58.83 ,$59.49 ,$59.49 ,$52.88 ,$22.06 ,$36.36 ,$59.49 ,$21.42 ,$59.49 ,$21.42 ,$62.80 ,$48.20 ,$60.81 ,$21.58 ,$60.15 ,$21.42 ,$40.68 ,$42.57 ,$40.68 ,$59.49 ,$66.10 ,$49.58 ,$59.49 ,$21.63 ,$21.38 ,$61.80 ,$22.49 ,$20.36 ,$57.51 ,$21.42 ,$59.49 ,$21.42 ,$59.49 ,$59.49 ,$59.49 ,$64.12 ,$53.54 ,$59.49 ,$59.49 ,$59.49 ,$59.49 ST. JOSEPH'S - CHIPPEWA FALLS,31100197,88275,HC MCG INTERPH INSITU 100 ADDITIONAL,311,1 ,$322.18 ,$241.64 ,$51.19 ,$322.18 ,$207.48 ,$51.19 ,$225.53 ,$52.89 ,$96.41 ,$54.48 ,$77.13 ,$306.07 , N/A ,$257.74 ,$293.18 ,$52.89 ,$302.85 ,$306.07 ,$289.96 ,$273.85 ,$52.89 ,$52.89 ,$52.89 ,$235.19 ,$51.19 ,$286.74 ,$289.96 ,$289.96 ,$257.74 ,$52.73 ,$177.20 ,$289.96 ,$51.19 ,$289.96 ,$51.19 ,$306.07 ,$115.18 ,$296.41 ,$56.06 ,$293.18 ,$51.19 ,$198.27 ,$207.48 ,$198.27 ,$289.96 ,$155.11 ,$241.64 ,$256.79 ,$51.70 ,$55.53 ,$301.24 ,$53.75 ,$52.89 ,$280.30 ,$51.19 ,$289.96 ,$51.19 ,$289.96 ,$289.96 ,$289.96 ,$312.51 ,$260.97 ,$289.96 ,$289.96 ,$289.96 ,$289.96 ST. JOSEPH'S - CHIPPEWA FALLS,31100211,88280,HC CHROM ADDL KARYO,311,1 ,$110.58 ,$82.94 ,$33.47 ,$110.58 ,$71.21 ,$33.47 ,$77.41 ,$34.58 ,$60.24 ,$35.62 ,$48.19 ,$105.05 , N/A ,$88.46 ,$100.63 ,$34.58 ,$103.95 ,$105.05 ,$99.52 ,$93.99 ,$34.58 ,$34.58 ,$34.58 ,$80.72 ,$33.47 ,$98.42 ,$99.52 ,$99.52 ,$88.46 ,$34.47 ,$60.82 ,$99.52 ,$33.47 ,$99.52 ,$33.47 ,$105.05 ,$75.31 ,$101.73 ,$36.65 ,$100.63 ,$33.47 ,$68.05 ,$71.21 ,$68.05 ,$99.52 ,$110.58 ,$82.94 ,$99.52 ,$33.80 ,$36.31 ,$103.39 ,$35.14 ,$34.58 ,$96.20 ,$33.47 ,$99.52 ,$33.47 ,$99.52 ,$99.52 ,$99.52 ,$107.26 ,$89.57 ,$99.52 ,$99.52 ,$99.52 ,$99.52 ST. JOSEPH'S - CHIPPEWA FALLS,31100216,88291,HC INTERPRETATION,311,1 ,$133.41 ,$100.06 ,$10.83 ,$133.41 ,$85.92 , N/A ,$93.39 ,$10.83 ,$56.05 ,$11.15 ,$44.84 ,$126.74 , N/A ,$106.73 ,$121.40 ,$10.83 ,$125.41 ,$126.74 ,$120.07 ,$113.40 ,$10.83 ,$10.83 ,$10.83 ,$97.39 , N/A ,$118.73 ,$120.07 ,$120.07 ,$106.73 , N/A ,$73.38 ,$120.07 , N/A ,$120.07 , N/A ,$126.74 , N/A ,$122.74 ,$11.48 ,$121.40 , N/A ,$82.10 ,$85.92 ,$82.10 ,$120.07 ,$78.89 ,$100.06 ,$120.07 , N/A ,$11.37 ,$124.74 , N/A ,$10.83 ,$116.07 , N/A ,$120.07 , N/A ,$120.07 ,$120.07 ,$120.07 ,$129.41 ,$108.06 ,$120.07 ,$120.07 ,$120.07 ,$120.07 ST. JOSEPH'S - CHIPPEWA FALLS,31100224,88161,HC CYTOPATH SMEAR OTHER SOURCE W/PREP,311,1 ,$178.14 ,$133.61 ,$5.22 ,$178.14 ,$114.72 ,$23.89 ,$124.70 ,$5.22 ,$66.94 ,$5.38 ,$53.55 ,$169.23 , N/A ,$142.51 ,$162.11 ,$5.22 ,$167.45 ,$169.23 ,$160.33 ,$151.42 ,$5.22 ,$5.22 ,$5.22 ,$130.04 ,$23.89 ,$158.54 ,$160.33 ,$160.33 ,$142.51 ,$24.61 ,$97.98 ,$160.33 ,$23.89 ,$160.33 ,$23.89 ,$169.23 ,$53.76 ,$163.89 ,$5.53 ,$162.11 ,$23.89 ,$109.63 ,$114.72 ,$109.63 ,$160.33 ,$114.22 ,$133.61 ,$160.33 ,$24.13 ,$5.48 ,$166.56 ,$25.08 ,$5.22 ,$154.98 ,$23.89 ,$160.33 ,$23.89 ,$160.33 ,$160.33 ,$160.33 ,$172.80 ,$144.29 ,$160.33 ,$160.33 ,$160.33 ,$160.33 ST. JOSEPH'S - CHIPPEWA FALLS,31100225,88187,HC FLOW CYTO INT 2-8 MARKERS,311,1 ,$249.48 ,$187.11 ,$5.22 ,$249.48 ,$160.67 , N/A ,$174.64 ,$5.22 ,$99.86 ,$5.38 ,$79.88 ,$237.01 , N/A ,$199.58 ,$227.03 ,$5.22 ,$234.51 ,$237.01 ,$224.53 ,$212.06 ,$5.22 ,$5.22 ,$5.22 ,$182.12 , N/A ,$222.04 ,$224.53 ,$224.53 ,$199.58 , N/A ,$137.21 ,$224.53 , N/A ,$224.53 , N/A ,$237.01 , N/A ,$229.52 ,$5.53 ,$227.03 , N/A ,$153.53 ,$160.67 ,$153.53 ,$224.53 ,$140.12 ,$187.11 ,$224.53 , N/A ,$5.48 ,$233.26 , N/A ,$5.22 ,$217.05 , N/A ,$224.53 , N/A ,$224.53 ,$224.53 ,$224.53 ,$242.00 ,$202.08 ,$224.53 ,$224.53 ,$224.53 ,$224.53 ST. JOSEPH'S - CHIPPEWA FALLS,31100226,88188,HC FLOW CYTO INT 9-15 MARKERS,311,1 ,$314.81 ,$236.11 ,$5.22 ,$314.81 ,$202.74 , N/A ,$220.37 ,$5.22 ,$127.52 ,$5.38 ,$102.02 ,$299.07 , N/A ,$251.85 ,$286.48 ,$5.22 ,$295.92 ,$299.07 ,$283.33 ,$267.59 ,$5.22 ,$5.22 ,$5.22 ,$229.81 , N/A ,$280.18 ,$283.33 ,$283.33 ,$251.85 , N/A ,$173.15 ,$283.33 , N/A ,$283.33 , N/A ,$299.07 , N/A ,$289.63 ,$5.53 ,$286.48 , N/A ,$193.73 ,$202.74 ,$193.73 ,$283.33 ,$174.76 ,$236.11 ,$283.33 , N/A ,$5.48 ,$294.35 , N/A ,$5.22 ,$273.88 , N/A ,$283.33 , N/A ,$283.33 ,$283.33 ,$283.33 ,$305.37 ,$255.00 ,$283.33 ,$283.33 ,$283.33 ,$283.33 ST. JOSEPH'S - CHIPPEWA FALLS,31100227,88189,HC FLOW CYTO INT >16 MARKERS,311,1 ,$416.88 ,$312.66 ,$5.22 ,$416.88 ,$268.47 , N/A ,$291.82 ,$5.22 ,$157.10 ,$5.38 ,$125.68 ,$396.04 , N/A ,$333.50 ,$379.36 ,$5.22 ,$391.87 ,$396.04 ,$375.19 ,$354.35 ,$5.22 ,$5.22 ,$5.22 ,$304.32 , N/A ,$371.02 ,$375.19 ,$375.19 ,$333.50 , N/A ,$229.28 ,$375.19 , N/A ,$375.19 , N/A ,$396.04 , N/A ,$383.53 ,$5.53 ,$379.36 , N/A ,$256.55 ,$268.47 ,$256.55 ,$375.19 ,$230.20 ,$312.66 ,$375.19 , N/A ,$5.48 ,$389.78 , N/A ,$5.22 ,$362.69 , N/A ,$375.19 , N/A ,$375.19 ,$375.19 ,$375.19 ,$404.37 ,$337.67 ,$375.19 ,$375.19 ,$375.19 ,$375.19 ST. JOSEPH'S - CHIPPEWA FALLS,31100228,88199,HC UNLISTED CYTOPATH PROCEDURE,311,1 ,$187.05 ,$140.29 ,$5.22 ,$187.05 ,$120.46 ,$48.19 ,$130.94 ,$5.22 ,$155.25 ,$5.38 ,$123.45 ,$177.70 , N/A ,$149.64 ,$170.22 ,$5.22 ,$175.83 ,$177.70 ,$168.35 ,$158.99 ,$5.22 ,$5.22 ,$5.22 ,$136.55 ,$48.19 ,$166.47 ,$168.35 ,$168.35 ,$149.64 ,$49.64 ,$102.88 ,$168.35 ,$48.19 ,$168.35 ,$48.19 ,$177.70 ,$108.43 ,$172.09 ,$5.53 ,$170.22 ,$48.19 ,$115.11 ,$120.46 ,$115.11 ,$168.35 ,$168.35 ,$140.29 ,$130.94 ,$48.67 ,$5.48 ,$174.89 ,$50.60 ,$5.22 ,$162.73 ,$48.19 ,$168.35 ,$48.19 ,$168.35 ,$168.35 ,$168.35 ,$181.44 ,$151.51 ,$168.35 ,$168.35 ,$168.35 ,$168.35 ST. JOSEPH'S - CHIPPEWA FALLS,31100229,88230,HC TISSUE CULT NONNEO LYMPHOCYTE,311,1 ,$359.55 ,$269.66 ,$70.04 ,$359.55 ,$231.55 ,$116.49 ,$251.69 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$341.57 , N/A ,$287.64 ,$327.19 ,$70.04 ,$337.98 ,$341.57 ,$323.60 ,$305.62 ,$70.04 ,$70.04 ,$70.04 ,$262.47 ,$116.49 ,$320.00 ,$323.60 ,$323.60 ,$287.64 ,$119.98 ,$197.75 ,$323.60 ,$116.49 ,$323.60 ,$116.49 ,$341.57 ,$262.10 ,$330.79 ,$74.24 ,$327.19 ,$116.49 ,$221.27 ,$231.55 ,$221.27 ,$323.60 ,$175.71 ,$269.66 ,$323.60 ,$117.65 ,$73.54 ,$336.18 ,$122.31 ,$70.04 ,$312.81 ,$116.49 ,$323.60 ,$116.49 ,$323.60 ,$323.60 ,$323.60 ,$348.76 ,$291.24 ,$323.60 ,$323.60 ,$323.60 ,$323.60 ST. JOSEPH'S - CHIPPEWA FALLS,31100230,88235,HC TISSUE CULT AMNIO/CHORION,311,1 ,$454.53 ,$340.90 ,$70.04 ,$454.53 ,$292.72 ,$150.30 ,$318.17 ,$70.04 ,$119.56 ,$72.14 ,$95.65 ,$431.80 , N/A ,$363.62 ,$413.62 ,$70.04 ,$427.26 ,$431.80 ,$409.08 ,$386.35 ,$70.04 ,$70.04 ,$70.04 ,$331.81 ,$150.30 ,$404.53 ,$409.08 ,$409.08 ,$363.62 ,$154.81 ,$249.99 ,$409.08 ,$150.30 ,$409.08 ,$150.30 ,$431.80 ,$338.18 ,$418.17 ,$74.24 ,$413.62 ,$150.30 ,$279.72 ,$292.72 ,$279.72 ,$409.08 ,$162.51 ,$340.90 ,$409.08 ,$151.80 ,$73.54 ,$424.99 ,$157.82 ,$70.04 ,$395.44 ,$150.30 ,$409.08 ,$150.30 ,$409.08 ,$409.08 ,$409.08 ,$440.89 ,$368.17 ,$409.08 ,$409.08 ,$409.08 ,$409.08 ST. JOSEPH'S - CHIPPEWA FALLS,31100231,P3000,HC PAP SMEAR SCREEN (UP TO 3),311,1 ,$77.00 ,$57.75 ,$14.86 ,$77.00 ,$49.59 ,$15.15 ,$53.90 ,$14.86 ,$25.36 ,$15.31 ,$20.29 ,$73.15 , N/A ,$61.60 ,$70.07 ,$14.86 ,$72.38 ,$73.15 ,$69.30 ,$65.45 ,$14.86 ,$14.86 ,$14.86 ,$56.21 ,$15.15 ,$68.53 ,$69.30 ,$69.30 ,$61.60 ,$15.60 ,$42.35 ,$69.30 ,$15.15 ,$69.30 ,$15.15 ,$73.15 ,$34.09 ,$70.84 ,$15.75 ,$70.07 ,$15.15 ,$47.39 ,$49.59 ,$47.39 ,$69.30 ,$69.30 ,$57.75 ,$69.30 ,$15.30 ,$15.60 ,$72.00 ,$15.91 ,$14.86 ,$66.99 ,$15.15 ,$69.30 ,$15.15 ,$69.30 ,$69.30 ,$69.30 ,$74.69 ,$62.37 ,$69.30 ,$69.30 ,$69.30 ,$69.30 ST. JOSEPH'S - CHIPPEWA FALLS,31200101,88300,HC GROSS ONLY LEVEL I,312,1 ,$91.96 ,$68.97 ,$5.22 ,$91.96 ,$59.22 ,$23.89 ,$64.37 ,$5.22 ,$19.50 ,$5.38 ,$15.60 ,$87.36 , N/A ,$73.57 ,$83.68 ,$5.22 ,$86.44 ,$87.36 ,$82.76 ,$78.17 ,$5.22 ,$5.22 ,$5.22 ,$67.13 ,$23.89 ,$81.84 ,$82.76 ,$82.76 ,$73.57 ,$24.61 ,$50.58 ,$82.76 ,$23.89 ,$82.76 ,$23.89 ,$87.36 ,$53.76 ,$84.60 ,$5.53 ,$83.68 ,$23.89 ,$56.59 ,$59.22 ,$56.59 ,$82.76 ,$91.96 ,$68.97 ,$57.64 ,$24.13 ,$5.48 ,$85.98 ,$25.08 ,$5.22 ,$80.01 ,$23.89 ,$82.76 ,$23.89 ,$82.76 ,$82.76 ,$82.76 ,$89.20 ,$74.49 ,$82.76 ,$82.76 ,$82.76 ,$82.76 ST. JOSEPH'S - CHIPPEWA FALLS,31200102,88302,HC GROSS AND MICRO LEVEL II,312,1 ,$238.40 ,$178.80 ,$5.22 ,$238.40 ,$153.53 ,$23.89 ,$166.88 ,$5.22 ,$39.32 ,$5.38 ,$31.46 ,$226.48 , N/A ,$190.72 ,$216.94 ,$5.22 ,$224.10 ,$226.48 ,$214.56 ,$202.64 ,$5.22 ,$5.22 ,$5.22 ,$174.03 ,$23.89 ,$212.18 ,$214.56 ,$214.56 ,$190.72 ,$24.61 ,$131.12 ,$214.56 ,$23.89 ,$214.56 ,$23.89 ,$226.48 ,$53.76 ,$219.33 ,$5.53 ,$216.94 ,$23.89 ,$146.71 ,$153.53 ,$146.71 ,$214.56 ,$208.67 ,$178.80 ,$114.67 ,$24.13 ,$5.48 ,$222.90 ,$25.08 ,$5.22 ,$207.41 ,$23.89 ,$214.56 ,$23.89 ,$214.56 ,$214.56 ,$214.56 ,$231.25 ,$193.10 ,$214.56 ,$214.56 ,$214.56 ,$214.56 ST. JOSEPH'S - CHIPPEWA FALLS,31200103,88304,HC GROSS AND MICRO LEVEL III,312,1 ,$249.84 ,$187.38 ,$11.38 ,$249.84 ,$160.90 ,$48.19 ,$174.89 ,$11.38 ,$48.91 ,$11.72 ,$39.13 ,$237.35 , N/A ,$199.87 ,$227.35 ,$11.38 ,$234.85 ,$237.35 ,$224.86 ,$212.36 ,$11.38 ,$11.38 ,$11.38 ,$182.38 ,$48.19 ,$222.36 ,$224.86 ,$224.86 ,$199.87 ,$49.64 ,$137.41 ,$224.86 ,$48.19 ,$224.86 ,$48.19 ,$237.35 ,$108.43 ,$229.85 ,$12.06 ,$227.35 ,$48.19 ,$153.75 ,$160.90 ,$153.75 ,$224.86 ,$219.64 ,$187.38 ,$140.61 ,$48.67 ,$11.95 ,$233.60 ,$50.60 ,$11.38 ,$217.36 ,$48.19 ,$224.86 ,$48.19 ,$224.86 ,$224.86 ,$224.86 ,$242.34 ,$202.37 ,$224.86 ,$224.86 ,$224.86 ,$224.86 ST. JOSEPH'S - CHIPPEWA FALLS,31200105,88305,HC CELLIENT CELL BLOCK,312,1 ,$343.03 ,$257.27 ,$11.38 ,$343.03 ,$220.91 ,$48.19 ,$240.12 ,$11.38 ,$49.53 ,$11.72 ,$39.62 ,$325.88 , N/A ,$274.42 ,$312.16 ,$11.38 ,$322.45 ,$325.88 ,$308.73 ,$291.58 ,$11.38 ,$11.38 ,$11.38 ,$250.41 ,$48.19 ,$305.30 ,$308.73 ,$308.73 ,$274.42 ,$49.64 ,$188.67 ,$308.73 ,$48.19 ,$308.73 ,$48.19 ,$325.88 ,$108.43 ,$315.59 ,$12.06 ,$312.16 ,$48.19 ,$211.10 ,$220.91 ,$211.10 ,$308.73 ,$296.47 ,$257.27 ,$144.07 ,$48.67 ,$11.95 ,$320.73 ,$50.60 ,$11.38 ,$298.44 ,$48.19 ,$308.73 ,$48.19 ,$308.73 ,$308.73 ,$308.73 ,$332.74 ,$277.85 ,$308.73 ,$308.73 ,$308.73 ,$308.73 ST. JOSEPH'S - CHIPPEWA FALLS,31200108,88305,HC GROSS AND MICRO LEVEL IV,312,1 ,$343.00 ,$257.25 ,$11.38 ,$343.00 ,$220.89 ,$48.19 ,$240.10 ,$11.38 ,$49.53 ,$11.72 ,$39.62 ,$325.85 , N/A ,$274.40 ,$312.13 ,$11.38 ,$322.42 ,$325.85 ,$308.70 ,$291.55 ,$11.38 ,$11.38 ,$11.38 ,$250.39 ,$48.19 ,$305.27 ,$308.70 ,$308.70 ,$274.40 ,$49.64 ,$188.65 ,$308.70 ,$48.19 ,$308.70 ,$48.19 ,$325.85 ,$108.43 ,$315.56 ,$12.06 ,$312.13 ,$48.19 ,$211.08 ,$220.89 ,$211.08 ,$308.70 ,$296.47 ,$257.25 ,$144.07 ,$48.67 ,$11.95 ,$320.71 ,$50.60 ,$11.38 ,$298.41 ,$48.19 ,$308.70 ,$48.19 ,$308.70 ,$308.70 ,$308.70 ,$332.71 ,$277.83 ,$308.70 ,$308.70 ,$308.70 ,$308.70 ST. JOSEPH'S - CHIPPEWA FALLS,31200110,88307,HC GROSS AND MICRO LEVEL V,312,1 ,$570.22 ,$427.67 ,$11.95 ,$634.69 ,$367.22 ,$282.09 ,$399.15 ,$11.95 ,$303.78 ,$12.31 ,$243.03 ,$541.71 , N/A ,$456.18 ,$518.90 ,$11.95 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$11.95 ,$11.95 ,$11.95 ,$416.26 ,$282.09 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$290.55 ,$313.62 ,$513.20 ,$282.09 ,$513.20 ,$282.09 ,$541.71 ,$634.69 ,$524.60 ,$12.67 ,$518.90 ,$282.09 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$461.20 ,$427.67 ,$513.20 ,$284.91 ,$12.55 ,$533.16 ,$296.19 ,$11.95 ,$496.09 ,$282.09 ,$513.20 ,$282.09 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 ST. JOSEPH'S - CHIPPEWA FALLS,31200113,88309,HC GROSS AND MICRO LEVEL VI,312,1 ,"$1,431.86 ","$1,073.90 ",$11.95 ,"$1,431.86 ",$922.12 ,$635.48 ,"$1,002.30 ",$11.95 ,$431.36 ,$12.31 ,$345.09 ,"$1,360.27 ", N/A ,"$1,145.49 ","$1,302.99 ",$11.95 ,"$1,345.95 ","$1,360.27 ","$1,288.67 ","$1,217.08 ",$11.95 ,$11.95 ,$11.95 ,"$1,045.26 ",$635.48 ,"$1,274.36 ","$1,288.67 ","$1,288.67 ","$1,145.49 ",$654.55 ,$787.52 ,"$1,288.67 ",$635.48 ,"$1,288.67 ",$635.48 ,"$1,360.27 ","$1,429.83 ","$1,317.31 ",$12.67 ,"$1,302.99 ",$635.48 ,$881.17 ,$922.12 ,$881.17 ,"$1,288.67 ",$603.96 ,"$1,073.90 ","$1,216.83 ",$641.84 ,$12.55 ,"$1,338.79 ",$667.25 ,$11.95 ,"$1,245.72 ",$635.48 ,"$1,288.67 ",$635.48 ,"$1,288.67 ","$1,288.67 ","$1,288.67 ","$1,388.90 ","$1,159.81 ","$1,288.67 ","$1,288.67 ","$1,288.67 ","$1,288.67 " ST. JOSEPH'S - CHIPPEWA FALLS,31200116,88311,HC DECALCIFICATION,312,1 ,$78.09 ,$58.57 ,$5.22 ,$78.09 ,$50.29 , N/A ,$54.66 ,$5.22 ,$15.30 ,$5.38 ,$12.24 ,$74.19 , N/A ,$62.47 ,$71.06 ,$5.22 ,$73.40 ,$74.19 ,$70.28 ,$66.38 ,$5.22 ,$5.22 ,$5.22 ,$57.01 , N/A ,$69.50 ,$70.28 ,$70.28 ,$62.47 , N/A ,$42.95 ,$70.28 , N/A ,$70.28 , N/A ,$74.19 , N/A ,$71.84 ,$5.53 ,$71.06 , N/A ,$48.06 ,$50.29 ,$48.06 ,$70.28 ,$49.41 ,$58.57 ,$43.84 , N/A ,$5.48 ,$73.01 , N/A ,$5.22 ,$67.94 , N/A ,$70.28 , N/A ,$70.28 ,$70.28 ,$70.28 ,$75.75 ,$63.25 ,$70.28 ,$70.28 ,$70.28 ,$70.28 ST. JOSEPH'S - CHIPPEWA FALLS,31200173,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$354.10 ,$265.58 ,$11.38 ,$354.10 ,$228.04 ,$144.46 ,$247.87 ,$11.38 ,$54.32 ,$11.72 ,$43.46 ,$336.40 , N/A ,$283.28 ,$322.23 ,$11.38 ,$332.85 ,$336.40 ,$318.69 ,$300.99 ,$11.38 ,$11.38 ,$11.38 ,$258.49 ,$144.46 ,$315.15 ,$318.69 ,$318.69 ,$283.28 ,$148.80 ,$194.76 ,$318.69 ,$144.46 ,$318.69 ,$144.46 ,$336.40 ,$325.04 ,$325.77 ,$12.06 ,$322.23 ,$144.46 ,$217.91 ,$228.04 ,$217.91 ,$318.69 ,$209.55 ,$265.58 ,$157.92 ,$145.91 ,$11.95 ,$331.08 ,$151.68 ,$11.38 ,$308.07 ,$144.46 ,$318.69 ,$144.46 ,$318.69 ,$318.69 ,$318.69 ,$343.48 ,$286.82 ,$318.69 ,$318.69 ,$318.69 ,$318.69 ST. JOSEPH'S - CHIPPEWA FALLS,31200174,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$141.85 ,$106.39 ,$11.38 ,$141.85 ,$91.35 , N/A ,$99.30 ,$11.38 ,$34.51 ,$11.72 ,$27.61 ,$134.76 , N/A ,$113.48 ,$129.08 ,$11.38 ,$133.34 ,$134.76 ,$127.67 ,$120.57 ,$11.38 ,$11.38 ,$11.38 ,$103.55 , N/A ,$126.25 ,$127.67 ,$127.67 ,$113.48 , N/A ,$78.02 ,$127.67 , N/A ,$127.67 , N/A ,$134.76 , N/A ,$130.50 ,$12.06 ,$129.08 , N/A ,$87.29 ,$91.35 ,$87.29 ,$127.67 ,$87.89 ,$106.39 ,$102.59 , N/A ,$11.95 ,$132.63 , N/A ,$11.38 ,$123.41 , N/A ,$127.67 , N/A ,$127.67 ,$127.67 ,$127.67 ,$137.59 ,$114.90 ,$127.67 ,$127.67 ,$127.67 ,$127.67 ST. JOSEPH'S - CHIPPEWA FALLS,31200175,88333,HC CONSULT PATH SURG CYTO INIT,312,1 ,"$1,431.86 ","$1,073.90 ",$11.38 ,"$1,431.86 ",$922.12 ,$635.48 ,"$1,002.30 ",$11.38 ,$48.32 ,$11.72 ,$38.65 ,"$1,360.27 ", N/A ,"$1,145.49 ","$1,302.99 ",$11.38 ,"$1,345.95 ","$1,360.27 ","$1,288.67 ","$1,217.08 ",$11.38 ,$11.38 ,$11.38 ,"$1,045.26 ",$635.48 ,"$1,274.36 ","$1,288.67 ","$1,288.67 ","$1,145.49 ",$654.55 ,$787.52 ,"$1,288.67 ",$635.48 ,"$1,288.67 ",$635.48 ,"$1,360.27 ","$1,429.83 ","$1,317.31 ",$12.06 ,"$1,302.99 ",$635.48 ,$881.17 ,$922.12 ,$881.17 ,"$1,288.67 ",$45.42 ,"$1,073.90 ",$119.89 ,$641.84 ,$11.95 ,"$1,338.79 ",$667.25 ,$11.38 ,"$1,245.72 ",$635.48 ,"$1,288.67 ",$635.48 ,"$1,288.67 ","$1,288.67 ","$1,288.67 ","$1,388.90 ","$1,159.81 ","$1,288.67 ","$1,288.67 ","$1,288.67 ","$1,288.67 " ST. JOSEPH'S - CHIPPEWA FALLS,31200176,88334,HC CONSULT PATH SURG EA ADDL,312,1 ,$74.48 ,$55.86 ,$11.38 ,$74.48 ,$47.97 , N/A ,$52.14 ,$11.38 ,$32.71 ,$11.72 ,$26.17 ,$70.76 , N/A ,$59.58 ,$67.78 ,$11.38 ,$70.01 ,$70.76 ,$67.03 ,$63.31 ,$11.38 ,$11.38 ,$11.38 ,$54.37 , N/A ,$66.29 ,$67.03 ,$67.03 ,$59.58 , N/A ,$40.96 ,$67.03 , N/A ,$67.03 , N/A ,$70.76 , N/A ,$68.52 ,$12.06 ,$67.78 , N/A ,$45.84 ,$47.97 ,$45.84 ,$67.03 ,$27.72 ,$55.86 ,$67.03 , N/A ,$11.95 ,$69.64 , N/A ,$11.38 ,$64.80 , N/A ,$67.03 , N/A ,$67.03 ,$67.03 ,$67.03 ,$72.25 ,$60.33 ,$67.03 ,$67.03 ,$67.03 ,$67.03 ST. JOSEPH'S - CHIPPEWA FALLS,31200186,88346,HC IF DIRECT,312,1 ,$570.22 ,$427.67 ,$11.38 ,$634.69 ,$367.22 ,$282.09 ,$399.15 ,$11.38 ,$96.36 ,$11.72 ,$77.08 ,$541.71 , N/A ,$456.18 ,$518.90 ,$11.38 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$11.38 ,$11.38 ,$11.38 ,$416.26 ,$282.09 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$290.55 ,$313.62 ,$513.20 ,$282.09 ,$513.20 ,$282.09 ,$541.71 ,$634.69 ,$524.60 ,$12.06 ,$518.90 ,$282.09 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$87.89 ,$427.67 ,$277.16 ,$284.91 ,$11.95 ,$533.16 ,$296.19 ,$11.38 ,$496.09 ,$282.09 ,$513.20 ,$282.09 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 ST. JOSEPH'S - CHIPPEWA FALLS,31200204,88365,HC IN SITU HYBRID (FISH),312,1 ,$341.92 ,$256.44 ,$11.95 ,$341.92 ,$220.20 ,$144.46 ,$239.34 ,$11.95 ,$223.04 ,$12.31 ,$178.43 ,$324.82 , N/A ,$273.54 ,$311.15 ,$11.95 ,$321.40 ,$324.82 ,$307.73 ,$290.63 ,$11.95 ,$11.95 ,$11.95 ,$249.60 ,$144.46 ,$304.31 ,$307.73 ,$307.73 ,$273.54 ,$148.80 ,$188.06 ,$307.73 ,$144.46 ,$307.73 ,$144.46 ,$324.82 ,$325.04 ,$314.57 ,$12.67 ,$311.15 ,$144.46 ,$210.42 ,$220.20 ,$210.42 ,$307.73 ,$196.33 ,$256.44 ,$307.73 ,$145.91 ,$12.55 ,$319.70 ,$151.68 ,$11.95 ,$297.47 ,$144.46 ,$307.73 ,$144.46 ,$307.73 ,$307.73 ,$307.73 ,$331.66 ,$276.96 ,$307.73 ,$307.73 ,$307.73 ,$307.73 ST. JOSEPH'S - CHIPPEWA FALLS,31200245,88350,HC IMMUNOFLUOR PER SPEC EA ADDN SINGLE STAIN,312,1 ,$34.52 ,$25.89 ,$11.95 ,$34.52 ,$22.23 , N/A ,$24.16 ,$11.95 ,$34.52 ,$12.31 ,$34.52 ,$32.79 , N/A ,$27.62 ,$31.41 ,$11.95 ,$32.45 ,$32.79 ,$31.07 ,$29.34 ,$11.95 ,$11.95 ,$11.95 ,$25.20 , N/A ,$30.72 ,$31.07 ,$31.07 ,$27.62 , N/A ,$18.99 ,$31.07 , N/A ,$31.07 , N/A ,$32.79 , N/A ,$31.76 ,$12.67 ,$31.41 , N/A ,$21.24 ,$22.23 ,$21.24 ,$31.07 ,$34.52 ,$25.89 ,$31.07 , N/A ,$12.55 ,$32.28 , N/A ,$11.95 ,$30.03 , N/A ,$31.07 , N/A ,$31.07 ,$31.07 ,$31.07 ,$33.48 ,$27.96 ,$31.07 ,$31.07 ,$31.07 ,$31.07 ST. JOSEPH'S - CHIPPEWA FALLS,31200246,88312,HC SPECIAL STAIN I,312,1 ,$134.02 ,$100.52 ,$11.38 ,$134.02 ,$86.31 ,$48.19 ,$93.81 ,$11.38 ,$119.18 ,$11.72 ,$95.34 ,$127.32 , N/A ,$107.22 ,$121.96 ,$11.38 ,$125.98 ,$127.32 ,$120.62 ,$113.92 ,$11.38 ,$11.38 ,$11.38 ,$97.83 ,$48.19 ,$119.28 ,$120.62 ,$120.62 ,$107.22 ,$49.64 ,$73.71 ,$120.62 ,$48.19 ,$120.62 ,$48.19 ,$127.32 ,$108.43 ,$123.30 ,$12.06 ,$121.96 ,$48.19 ,$82.48 ,$86.31 ,$82.48 ,$120.62 ,$87.89 ,$100.52 ,$120.62 ,$48.67 ,$11.95 ,$125.31 ,$50.60 ,$11.38 ,$116.60 ,$48.19 ,$120.62 ,$48.19 ,$120.62 ,$120.62 ,$120.62 ,$130.00 ,$108.56 ,$120.62 ,$120.62 ,$120.62 ,$120.62 ST. JOSEPH'S - CHIPPEWA FALLS,31200247,88313,HC SPECIAL STAIN II,312,1 ,$84.49 ,$63.37 ,$5.22 ,$84.49 ,$54.41 ,$32.77 ,$59.14 ,$5.22 ,$84.49 ,$5.38 ,$77.56 ,$80.27 , N/A ,$67.59 ,$76.89 ,$5.22 ,$79.42 ,$80.27 ,$76.04 ,$71.82 ,$5.22 ,$5.22 ,$5.22 ,$61.68 ,$32.77 ,$75.20 ,$76.04 ,$76.04 ,$67.59 ,$33.76 ,$46.47 ,$76.04 ,$32.77 ,$76.04 ,$32.77 ,$80.27 ,$73.74 ,$77.73 ,$5.53 ,$76.89 ,$32.77 ,$52.00 ,$54.41 ,$52.00 ,$76.04 ,$74.67 ,$63.37 ,$76.04 ,$33.10 ,$5.48 ,$79.00 ,$34.41 ,$5.22 ,$73.51 ,$32.77 ,$76.04 ,$32.77 ,$76.04 ,$76.04 ,$76.04 ,$81.96 ,$68.44 ,$76.04 ,$76.04 ,$76.04 ,$76.04 ST. JOSEPH'S - CHIPPEWA FALLS,31200248,88360,HC MORPHO ANALYSIS TUMOR MANUAL,312,1 ,$570.22 ,$427.67 ,$11.95 ,$570.22 ,$367.22 ,$144.46 ,$399.15 ,$11.95 ,$141.38 ,$12.31 ,$113.11 ,$541.71 , N/A ,$456.18 ,$518.90 ,$11.95 ,$536.01 ,$541.71 ,$513.20 ,$484.69 ,$11.95 ,$11.95 ,$11.95 ,$416.26 ,$144.46 ,$507.50 ,$513.20 ,$513.20 ,$456.18 ,$148.80 ,$313.62 ,$513.20 ,$144.46 ,$513.20 ,$144.46 ,$541.71 ,$325.04 ,$524.60 ,$12.67 ,$518.90 ,$144.46 ,$350.91 ,$367.22 ,$350.91 ,$513.20 ,$100.46 ,$427.67 ,$429.20 ,$145.91 ,$12.55 ,$533.16 ,$151.68 ,$11.95 ,$496.09 ,$144.46 ,$513.20 ,$144.46 ,$513.20 ,$513.20 ,$513.20 ,$553.11 ,$461.88 ,$513.20 ,$513.20 ,$513.20 ,$513.20 ST. JOSEPH'S - CHIPPEWA FALLS,31200292,88377,HC MORPH ANLZ INST HYB EA MTPL,312,1 ,$261.78 ,$196.34 ,$11.38 ,$325.04 ,$168.59 ,$144.46 ,$183.25 ,$11.38 ,$261.78 ,$11.72 ,$261.78 ,$248.69 , N/A ,$209.42 ,$238.22 ,$11.38 ,$246.07 ,$248.69 ,$235.60 ,$222.51 ,$11.38 ,$11.38 ,$11.38 ,$191.10 ,$144.46 ,$232.98 ,$235.60 ,$235.60 ,$209.42 ,$148.80 ,$143.98 ,$235.60 ,$144.46 ,$235.60 ,$144.46 ,$248.69 ,$325.04 ,$240.84 ,$12.06 ,$238.22 ,$144.46 ,$161.10 ,$168.59 ,$161.10 ,$235.60 ,$261.78 ,$196.34 ,$235.60 ,$145.91 ,$11.95 ,$244.76 ,$151.68 ,$11.38 ,$227.75 ,$144.46 ,$235.60 ,$144.46 ,$235.60 ,$235.60 ,$235.60 ,$253.93 ,$212.04 ,$235.60 ,$235.60 ,$235.60 ,$235.60 ST. JOSEPH'S - CHIPPEWA FALLS,32000003,22510,HC VERTEBROPLASTY INJ PERC THOR,320,1 ,"$7,215.93 ","$5,411.95 ","$1,424.58 ","$7,215.93 ","$4,647.06 ","$2,741.24 ","$5,051.15 ","$1,424.58 ","$5,989.22 ","$1,467.32 ","$4,762.51 ","$6,855.13 ", N/A ,"$5,772.74 ","$6,566.50 ","$1,424.58 ","$6,782.97 ","$6,855.13 ","$6,494.34 ","$6,133.54 ","$1,424.58 ","$1,424.58 ","$1,424.58 ","$5,267.63 ","$2,741.24 ","$6,422.18 ","$6,494.34 ","$6,494.34 ","$5,772.74 ","$2,823.48 ","$3,968.76 ","$6,494.34 ","$2,741.24 ","$6,494.34 ","$2,741.24 ","$6,855.13 ","$6,167.80 ","$6,638.66 ","$1,510.05 ","$6,566.50 ","$2,741.24 ","$4,440.68 ","$4,647.06 ","$4,440.68 ","$6,494.34 ","$6,494.34 ","$5,411.95 ","$5,051.15 ","$2,768.65 ","$1,495.81 ","$6,746.89 ","$2,878.30 ","$1,424.58 ","$6,277.86 ","$2,741.24 ","$6,494.34 ","$2,741.24 ","$6,494.34 ","$6,494.34 ","$6,494.34 ","$6,999.45 ","$5,844.90 ","$6,494.34 ","$6,494.34 ","$6,494.34 ","$6,494.34 " ST. JOSEPH'S - CHIPPEWA FALLS,32000004,22511,HC VERTEBROPLASTY INJ PERC LUMBAR,320,1 ,"$7,052.73 ","$5,289.55 ","$1,424.58 ","$7,052.73 ","$4,541.96 ","$2,741.24 ","$4,936.91 ","$1,424.58 ","$5,853.77 ","$1,467.32 ","$4,654.80 ","$6,700.09 ", N/A ,"$5,642.18 ","$6,417.98 ","$1,424.58 ","$6,629.57 ","$6,700.09 ","$6,347.46 ","$5,994.82 ","$1,424.58 ","$1,424.58 ","$1,424.58 ","$5,148.49 ","$2,741.24 ","$6,276.93 ","$6,347.46 ","$6,347.46 ","$5,642.18 ","$2,823.48 ","$3,879.00 ","$6,347.46 ","$2,741.24 ","$6,347.46 ","$2,741.24 ","$6,700.09 ","$6,167.80 ","$6,488.51 ","$1,510.05 ","$6,417.98 ","$2,741.24 ","$4,340.25 ","$4,541.96 ","$4,340.25 ","$6,347.46 ","$6,347.46 ","$5,289.55 ","$4,936.91 ","$2,768.65 ","$1,495.81 ","$6,594.30 ","$2,878.30 ","$1,424.58 ","$6,135.88 ","$2,741.24 ","$6,347.46 ","$2,741.24 ","$6,347.46 ","$6,347.46 ","$6,347.46 ","$6,841.15 ","$5,712.71 ","$6,347.46 ","$6,347.46 ","$6,347.46 ","$6,347.46 " ST. JOSEPH'S - CHIPPEWA FALLS,32000005,22512,HC VERTEBROPLASTY INJ PERC ADDL,320,1 ,"$3,384.04 ","$2,538.03 ","$1,424.58 ","$3,384.04 ","$2,179.32 ", N/A ,"$2,368.83 ","$1,424.58 ","$2,808.75 ","$1,467.32 ","$2,233.47 ","$3,214.84 ", N/A ,"$2,707.23 ","$3,079.48 ","$1,424.58 ","$3,181.00 ","$3,214.84 ","$3,045.64 ","$2,876.43 ","$1,424.58 ","$1,424.58 ","$1,424.58 ","$2,470.35 ", N/A ,"$3,011.80 ","$3,045.64 ","$3,045.64 ","$2,707.23 ", N/A ,"$1,861.22 ","$3,045.64 ", N/A ,"$3,045.64 ", N/A ,"$3,214.84 ", N/A ,"$3,113.32 ","$1,510.05 ","$3,079.48 ", N/A ,"$2,082.54 ","$2,179.32 ","$2,082.54 ","$3,045.64 ","$3,045.64 ","$2,538.03 ","$2,368.83 ", N/A ,"$1,495.81 ","$3,164.08 ", N/A ,"$1,424.58 ","$2,944.11 ", N/A ,"$3,045.64 ", N/A ,"$3,045.64 ","$3,045.64 ","$3,045.64 ","$3,282.52 ","$2,741.07 ","$3,045.64 ","$3,045.64 ","$3,045.64 ","$3,045.64 " ST. JOSEPH'S - CHIPPEWA FALLS,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$565.32 ,$423.99 ,$86.58 ,$565.32 ,$364.07 , N/A ,$395.72 ,$86.58 ,$469.22 ,$89.18 ,$373.11 ,$537.05 , N/A ,$452.26 ,$514.44 ,$86.58 ,$531.40 ,$537.05 ,$508.79 ,$480.52 ,$86.58 ,$86.58 ,$86.58 ,$412.68 , N/A ,$503.13 ,$508.79 ,$508.79 ,$452.26 , N/A ,$310.93 ,$508.79 , N/A ,$508.79 , N/A ,$537.05 , N/A ,$520.09 ,$91.77 ,$514.44 , N/A ,$347.90 ,$364.07 ,$347.90 ,$508.79 ,$508.79 ,$423.99 ,$395.72 , N/A ,$90.91 ,$528.57 , N/A ,$86.58 ,$491.83 , N/A ,$508.79 , N/A ,$508.79 ,$508.79 ,$508.79 ,$548.36 ,$457.91 ,$508.79 ,$508.79 ,$508.79 ,$508.79 ST. JOSEPH'S - CHIPPEWA FALLS,32000010,24220,HC ARTHROGRAM INJ ELBOW,320,1 ,$400.39 ,$300.29 ,$86.58 ,$400.39 ,$257.85 , N/A ,$280.27 ,$86.58 ,$332.32 ,$89.18 ,$264.26 ,$380.37 , N/A ,$320.31 ,$364.35 ,$86.58 ,$376.37 ,$380.37 ,$360.35 ,$340.33 ,$86.58 ,$86.58 ,$86.58 ,$292.28 , N/A ,$356.35 ,$360.35 ,$360.35 ,$320.31 , N/A ,$220.21 ,$360.35 , N/A ,$360.35 , N/A ,$380.37 , N/A ,$368.36 ,$91.77 ,$364.35 , N/A ,$246.40 ,$257.85 ,$246.40 ,$360.35 ,$360.35 ,$300.29 ,$280.27 , N/A ,$90.91 ,$374.36 , N/A ,$86.58 ,$348.34 , N/A ,$360.35 , N/A ,$360.35 ,$360.35 ,$360.35 ,$388.38 ,$324.32 ,$360.35 ,$360.35 ,$360.35 ,$360.35 ST. JOSEPH'S - CHIPPEWA FALLS,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$651.90 ,$488.93 ,$86.58 ,$651.90 ,$419.82 , N/A ,$456.33 ,$86.58 ,$541.08 ,$89.18 ,$430.25 ,$619.31 , N/A ,$521.52 ,$593.23 ,$86.58 ,$612.79 ,$619.31 ,$586.71 ,$554.12 ,$86.58 ,$86.58 ,$86.58 ,$475.89 , N/A ,$580.19 ,$586.71 ,$586.71 ,$521.52 , N/A ,$358.55 ,$586.71 , N/A ,$586.71 , N/A ,$619.31 , N/A ,$599.75 ,$91.77 ,$593.23 , N/A ,$401.18 ,$419.82 ,$401.18 ,$586.71 ,$586.71 ,$488.93 ,$456.33 , N/A ,$90.91 ,$609.53 , N/A ,$86.58 ,$567.15 , N/A ,$586.71 , N/A ,$586.71 ,$586.71 ,$586.71 ,$632.34 ,$528.04 ,$586.71 ,$586.71 ,$586.71 ,$586.71 ST. JOSEPH'S - CHIPPEWA FALLS,32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$554.14 ,$415.61 ,$86.58 ,$554.14 ,$356.87 , N/A ,$387.90 ,$86.58 ,$459.94 ,$89.18 ,$365.73 ,$526.43 , N/A ,$443.31 ,$504.27 ,$86.58 ,$520.89 ,$526.43 ,$498.73 ,$471.02 ,$86.58 ,$86.58 ,$86.58 ,$404.52 , N/A ,$493.18 ,$498.73 ,$498.73 ,$443.31 , N/A ,$304.78 ,$498.73 , N/A ,$498.73 , N/A ,$526.43 , N/A ,$509.81 ,$91.77 ,$504.27 , N/A ,$341.02 ,$356.87 ,$341.02 ,$498.73 ,$498.73 ,$415.61 ,$387.90 , N/A ,$90.91 ,$518.12 , N/A ,$86.58 ,$482.10 , N/A ,$498.73 , N/A ,$498.73 ,$498.73 ,$498.73 ,$537.52 ,$448.85 ,$498.73 ,$498.73 ,$498.73 ,$498.73 ST. JOSEPH'S - CHIPPEWA FALLS,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$632.72 ,$474.54 ,$86.58 ,$632.72 ,$407.47 , N/A ,$442.90 ,$86.58 ,$525.16 ,$89.18 ,$417.60 ,$601.08 , N/A ,$506.18 ,$575.78 ,$86.58 ,$594.76 ,$601.08 ,$569.45 ,$537.81 ,$86.58 ,$86.58 ,$86.58 ,$461.89 , N/A ,$563.12 ,$569.45 ,$569.45 ,$506.18 , N/A ,$348.00 ,$569.45 , N/A ,$569.45 , N/A ,$601.08 , N/A ,$582.10 ,$91.77 ,$575.78 , N/A ,$389.38 ,$407.47 ,$389.38 ,$569.45 ,$569.45 ,$474.54 ,$442.90 , N/A ,$90.91 ,$591.59 , N/A ,$86.58 ,$550.47 , N/A ,$569.45 , N/A ,$569.45 ,$569.45 ,$569.45 ,$613.74 ,$512.50 ,$569.45 ,$569.45 ,$569.45 ,$569.45 ST. JOSEPH'S - CHIPPEWA FALLS,32000016,27648,HC ARTHROGRAM INJ ANKLE,320,1 ,$336.06 ,$252.05 ,$86.58 ,$336.06 ,$216.42 , N/A ,$235.24 ,$86.58 ,$278.93 ,$89.18 ,$221.80 ,$319.26 , N/A ,$268.85 ,$305.81 ,$86.58 ,$315.90 ,$319.26 ,$302.45 ,$285.65 ,$86.58 ,$86.58 ,$86.58 ,$245.32 , N/A ,$299.09 ,$302.45 ,$302.45 ,$268.85 , N/A ,$184.83 ,$302.45 , N/A ,$302.45 , N/A ,$319.26 , N/A ,$309.18 ,$91.77 ,$305.81 , N/A ,$206.81 ,$216.42 ,$206.81 ,$302.45 ,$302.45 ,$252.05 ,$235.24 , N/A ,$90.91 ,$314.22 , N/A ,$86.58 ,$292.37 , N/A ,$302.45 , N/A ,$302.45 ,$302.45 ,$302.45 ,$325.98 ,$272.21 ,$302.45 ,$302.45 ,$302.45 ,$302.45 ST. JOSEPH'S - CHIPPEWA FALLS,32000018,32550,HC INSERT CATH PLEURAL INDWELL W/,320,1 ,"$5,953.94 ","$4,465.46 ",$258.10 ,"$6,937.05 ","$3,834.34 ","$3,083.13 ","$4,167.76 ",$258.10 ,"$4,941.77 ",$265.84 ,"$3,929.60 ","$5,656.24 ", N/A ,"$4,763.15 ","$5,418.09 ",$258.10 ,"$5,596.70 ","$5,656.24 ","$5,358.55 ","$5,060.85 ",$258.10 ,$258.10 ,$258.10 ,"$4,346.38 ","$3,083.13 ","$5,299.01 ","$5,358.55 ","$5,358.55 ","$4,763.15 ","$3,175.63 ","$3,274.67 ","$5,358.55 ","$3,083.13 ","$5,358.55 ","$3,083.13 ","$5,656.24 ","$6,937.05 ","$5,477.62 ",$273.59 ,"$5,418.09 ","$3,083.13 ","$3,664.05 ","$3,834.34 ","$3,664.05 ","$5,358.55 ","$5,358.55 ","$4,465.46 ","$4,167.76 ","$3,113.96 ",$271.01 ,"$5,566.93 ","$3,237.29 ",$258.10 ,"$5,179.93 ","$3,083.13 ","$5,358.55 ","$3,083.13 ","$5,358.55 ","$5,358.55 ","$5,358.55 ","$5,775.32 ","$4,822.69 ","$5,358.55 ","$5,358.55 ","$5,358.55 ","$5,358.55 " ST. JOSEPH'S - CHIPPEWA FALLS,32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,$764.20 ,$573.15 ,$258.10 ,"$3,064.15 ",$492.14 ,"$1,361.85 ",$534.94 ,$258.10 ,$634.29 ,$265.84 ,$504.37 ,$725.99 , N/A ,$611.36 ,$695.42 ,$258.10 ,$718.35 ,$725.99 ,$687.78 ,$649.57 ,$258.10 ,$258.10 ,$258.10 ,$557.87 ,"$1,361.85 ",$680.14 ,$687.78 ,$687.78 ,$611.36 ,"$1,402.70 ",$420.31 ,$687.78 ,"$1,361.85 ",$687.78 ,"$1,361.85 ",$725.99 ,"$3,064.15 ",$703.06 ,$273.59 ,$695.42 ,"$1,361.85 ",$470.29 ,$492.14 ,$470.29 ,$687.78 ,$687.78 ,$573.15 ,$534.94 ,"$1,375.47 ",$271.01 ,$714.53 ,"$1,429.94 ",$258.10 ,$664.85 ,"$1,361.85 ",$687.78 ,"$1,361.85 ",$687.78 ,$687.78 ,$687.78 ,$741.27 ,$619.00 ,$687.78 ,$687.78 ,$687.78 ,$687.78 ST. JOSEPH'S - CHIPPEWA FALLS,32000020,32552,HC REMOVAL TUNNELED PLEURAL CATH,320,1 ,"$2,190.25 ","$1,642.69 ",$258.10 ,"$2,190.25 ","$1,410.52 ",$524.56 ,"$1,533.18 ",$258.10 ,"$1,817.91 ",$265.84 ,"$1,445.57 ","$2,080.74 ", N/A ,"$1,752.20 ","$1,993.13 ",$258.10 ,"$2,058.84 ","$2,080.74 ","$1,971.23 ","$1,861.71 ",$258.10 ,$258.10 ,$258.10 ,"$1,598.88 ",$524.56 ,"$1,949.32 ","$1,971.23 ","$1,971.23 ","$1,752.20 ",$540.30 ,"$1,204.64 ","$1,971.23 ",$524.56 ,"$1,971.23 ",$524.56 ,"$2,080.74 ","$1,180.26 ","$2,015.03 ",$273.59 ,"$1,993.13 ",$524.56 ,"$1,347.88 ","$1,410.52 ","$1,347.88 ","$1,971.23 ","$1,971.23 ","$1,642.69 ","$1,533.18 ",$529.80 ,$271.01 ,"$2,047.88 ",$550.79 ,$258.10 ,"$1,905.52 ",$524.56 ,"$1,971.23 ",$524.56 ,"$1,971.23 ","$1,971.23 ","$1,971.23 ","$2,124.54 ","$1,774.10 ","$1,971.23 ","$1,971.23 ","$1,971.23 ","$1,971.23 " ST. JOSEPH'S - CHIPPEWA FALLS,32000027,36002,HC INJ PSEUDOANEURYSM (THROMBIN),320,1 ,"$1,048.97 ",$786.73 ,$265.78 ,"$1,180.26 ",$675.54 ,$524.56 ,$734.28 ,$265.78 ,$870.65 ,$273.75 ,$692.32 ,$996.52 , N/A ,$839.18 ,$954.56 ,$265.78 ,$986.03 ,$996.52 ,$944.07 ,$891.62 ,$265.78 ,$265.78 ,$265.78 ,$765.75 ,$524.56 ,$933.58 ,$944.07 ,$944.07 ,$839.18 ,$540.30 ,$576.93 ,$944.07 ,$524.56 ,$944.07 ,$524.56 ,$996.52 ,"$1,180.26 ",$965.05 ,$281.73 ,$954.56 ,$524.56 ,$645.54 ,$675.54 ,$645.54 ,$944.07 ,$944.07 ,$786.73 ,$734.28 ,$529.80 ,$279.07 ,$980.79 ,$550.79 ,$265.78 ,$912.60 ,$524.56 ,$944.07 ,$524.56 ,$944.07 ,$944.07 ,$944.07 ,"$1,017.50 ",$849.67 ,$944.07 ,$944.07 ,$944.07 ,$944.07 ST. JOSEPH'S - CHIPPEWA FALLS,32000028,36005,HC VENOGRAM INJECTION 36005,320,1 ,$625.65 ,$469.24 ,$202.63 ,$625.65 ,$402.92 , N/A ,$437.96 ,$202.63 ,$519.29 ,$208.71 ,$412.93 ,$594.37 , N/A ,$500.52 ,$569.34 ,$202.63 ,$588.11 ,$594.37 ,$563.09 ,$531.80 ,$202.63 ,$202.63 ,$202.63 ,$456.72 , N/A ,$556.83 ,$563.09 ,$563.09 ,$500.52 , N/A ,$344.11 ,$563.09 , N/A ,$563.09 , N/A ,$594.37 , N/A ,$575.60 ,$214.79 ,$569.34 , N/A ,$385.03 ,$402.92 ,$385.03 ,$563.09 ,$563.09 ,$469.24 ,$437.96 , N/A ,$212.76 ,$584.98 , N/A ,$202.63 ,$544.32 , N/A ,$563.09 , N/A ,$563.09 ,$563.09 ,$563.09 ,$606.88 ,$506.78 ,$563.09 ,$563.09 ,$563.09 ,$563.09 ST. JOSEPH'S - CHIPPEWA FALLS,32000030,36598,HC CONTRAST INJ CV CATH W/FLUORO,320,1 ,$301.03 ,$225.77 ,$86.58 ,$443.45 ,$193.86 ,$197.09 ,$210.72 ,$86.58 ,$249.85 ,$89.18 ,$198.68 ,$285.98 , N/A ,$240.82 ,$273.94 ,$86.58 ,$282.97 ,$285.98 ,$270.93 ,$255.88 ,$86.58 ,$86.58 ,$86.58 ,$219.75 ,$197.09 ,$267.92 ,$270.93 ,$270.93 ,$240.82 ,$203.00 ,$165.57 ,$270.93 ,$197.09 ,$270.93 ,$197.09 ,$285.98 ,$443.45 ,$276.95 ,$91.77 ,$273.94 ,$197.09 ,$185.25 ,$193.86 ,$185.25 ,$270.93 ,$270.93 ,$225.77 ,$210.72 ,$199.06 ,$90.91 ,$281.46 ,$206.94 ,$86.58 ,$261.90 ,$197.09 ,$270.93 ,$197.09 ,$270.93 ,$270.93 ,$270.93 ,$292.00 ,$243.83 ,$270.93 ,$270.93 ,$270.93 ,$270.93 ST. JOSEPH'S - CHIPPEWA FALLS,32000032,42400,HC BX GLAND SALIVARY NEEDLE,320,1 ,"$1,042.44 ",$781.83 ,$280.78 ,"$1,355.35 ",$671.33 ,$602.38 ,$729.71 ,$280.78 ,$865.23 ,$289.20 ,$688.01 ,$990.32 , N/A ,$833.95 ,$948.62 ,$280.78 ,$979.89 ,$990.32 ,$938.20 ,$886.07 ,$280.78 ,$280.78 ,$280.78 ,$760.98 ,$602.38 ,$927.77 ,$938.20 ,$938.20 ,$833.95 ,$620.45 ,$573.34 ,$938.20 ,$602.38 ,$938.20 ,$602.38 ,$990.32 ,"$1,355.35 ",$959.04 ,$297.63 ,$948.62 ,$602.38 ,$641.52 ,$671.33 ,$641.52 ,$938.20 ,$938.20 ,$781.83 ,$729.71 ,$608.40 ,$294.82 ,$974.68 ,$632.50 ,$280.78 ,$906.92 ,$602.38 ,$938.20 ,$602.38 ,$938.20 ,$938.20 ,$938.20 ,"$1,011.17 ",$844.38 ,$938.20 ,$938.20 ,$938.20 ,$938.20 ST. JOSEPH'S - CHIPPEWA FALLS,32000033,42550,HC SIALOGRAM INJECTION,320,1 ,$522.68 ,$392.01 ,$86.58 ,$522.68 ,$336.61 , N/A ,$365.88 ,$86.58 ,$433.82 ,$89.18 ,$344.97 ,$496.55 , N/A ,$418.14 ,$475.64 ,$86.58 ,$491.32 ,$496.55 ,$470.41 ,$444.28 ,$86.58 ,$86.58 ,$86.58 ,$381.56 , N/A ,$465.19 ,$470.41 ,$470.41 ,$418.14 , N/A ,$287.47 ,$470.41 , N/A ,$470.41 , N/A ,$496.55 , N/A ,$480.87 ,$91.77 ,$475.64 , N/A ,$321.66 ,$336.61 ,$321.66 ,$470.41 ,$470.41 ,$392.01 ,$365.88 , N/A ,$90.91 ,$488.71 , N/A ,$86.58 ,$454.73 , N/A ,$470.41 , N/A ,$470.41 ,$470.41 ,$470.41 ,$507.00 ,$423.37 ,$470.41 ,$470.41 ,$470.41 ,$470.41 ST. JOSEPH'S - CHIPPEWA FALLS,32000035,43752,HC PLACE TUBE NASOGASTRIC,320,1 ,$510.02 ,$382.52 ,$199.12 ,$588.84 ,$328.45 ,$261.71 ,$357.01 ,$199.12 ,$423.32 ,$205.09 ,$336.61 ,$484.52 , N/A ,$408.02 ,$464.12 ,$199.12 ,$479.42 ,$484.52 ,$459.02 ,$433.52 ,$199.12 ,$199.12 ,$199.12 ,$372.31 ,$261.71 ,$453.92 ,$459.02 ,$459.02 ,$408.02 ,$269.56 ,$280.51 ,$459.02 ,$261.71 ,$459.02 ,$261.71 ,$484.52 ,$588.84 ,$469.22 ,$211.07 ,$464.12 ,$261.71 ,$313.87 ,$328.45 ,$313.87 ,$459.02 ,$459.02 ,$382.52 ,$357.01 ,$264.33 ,$209.08 ,$476.87 ,$274.80 ,$199.12 ,$443.72 ,$261.71 ,$459.02 ,$261.71 ,$459.02 ,$459.02 ,$459.02 ,$494.72 ,$413.12 ,$459.02 ,$459.02 ,$459.02 ,$459.02 ST. JOSEPH'S - CHIPPEWA FALLS,32000036,43761,HC REPOSITION G-TUBE,320,1 ,$698.43 ,$523.82 ,$60.28 ,$698.43 ,$449.79 ,$257.76 ,$488.90 ,$60.28 ,$579.70 ,$62.09 ,$460.96 ,$663.51 , N/A ,$558.74 ,$635.57 ,$60.28 ,$656.52 ,$663.51 ,$628.59 ,$593.67 ,$60.28 ,$60.28 ,$60.28 ,$509.85 ,$257.76 ,$621.60 ,$628.59 ,$628.59 ,$558.74 ,$265.49 ,$384.14 ,$628.59 ,$257.76 ,$628.59 ,$257.76 ,$663.51 ,$579.95 ,$642.56 ,$63.90 ,$635.57 ,$257.76 ,$429.81 ,$449.79 ,$429.81 ,$628.59 ,$628.59 ,$523.82 ,$488.90 ,$260.33 ,$63.29 ,$653.03 ,$270.65 ,$60.28 ,$607.63 ,$257.76 ,$628.59 ,$257.76 ,$628.59 ,$628.59 ,$628.59 ,$677.48 ,$565.73 ,$628.59 ,$628.59 ,$628.59 ,$628.59 ST. JOSEPH'S - CHIPPEWA FALLS,32000038,44500,HC INTRO TUBE GI LONG,320,1 ,$545.67 ,$409.25 ,$199.12 ,"$1,764.22 ",$351.41 ,$784.10 ,$381.97 ,$199.12 ,$452.91 ,$205.09 ,$360.14 ,$518.39 , N/A ,$436.54 ,$496.56 ,$199.12 ,$512.93 ,$518.39 ,$491.10 ,$463.82 ,$199.12 ,$199.12 ,$199.12 ,$398.34 ,$784.10 ,$485.65 ,$491.10 ,$491.10 ,$436.54 ,$807.62 ,$300.12 ,$491.10 ,$784.10 ,$491.10 ,$784.10 ,$518.39 ,"$1,764.22 ",$502.02 ,$211.07 ,$496.56 ,$784.10 ,$335.81 ,$351.41 ,$335.81 ,$491.10 ,$491.10 ,$409.25 ,$381.97 ,$791.94 ,$209.08 ,$510.20 ,$823.31 ,$199.12 ,$474.73 ,$784.10 ,$491.10 ,$784.10 ,$491.10 ,$491.10 ,$491.10 ,$529.30 ,$441.99 ,$491.10 ,$491.10 ,$491.10 ,$491.10 ST. JOSEPH'S - CHIPPEWA FALLS,32000043,47536,HC CHG PERC BIL DRAIN CATH,320,1 ,"$4,252.78 ","$3,189.59 ",$703.19 ,"$6,937.05 ","$2,738.79 ","$3,083.13 ","$2,976.95 ",$703.19 ,"$3,529.81 ",$724.29 ,"$2,806.83 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ",$703.19 ,"$3,997.61 ","$4,040.14 ","$3,827.50 ","$3,614.86 ",$703.19 ,$703.19 ,$703.19 ,"$3,104.53 ","$3,083.13 ","$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ","$3,175.63 ","$2,339.03 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$4,040.14 ","$6,937.05 ","$3,912.56 ",$745.38 ,"$3,870.03 ","$3,083.13 ","$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$2,976.95 ","$3,113.96 ",$738.35 ,"$3,976.35 ","$3,237.29 ",$703.19 ,"$3,699.92 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,32000044,47535,HC REVISE/REINSERT TUBE TRNSHEPAT,320,1 ,"$4,252.78 ","$3,189.59 ",$703.19 ,"$6,937.05 ","$2,738.79 ","$3,083.13 ","$2,976.95 ",$703.19 ,"$3,529.81 ",$724.29 ,"$2,806.83 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ",$703.19 ,"$3,997.61 ","$4,040.14 ","$3,827.50 ","$3,614.86 ",$703.19 ,$703.19 ,$703.19 ,"$3,104.53 ","$3,083.13 ","$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ","$3,175.63 ","$2,339.03 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$4,040.14 ","$6,937.05 ","$3,912.56 ",$745.38 ,"$3,870.03 ","$3,083.13 ","$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$2,976.95 ","$3,113.96 ",$738.35 ,"$3,976.35 ","$3,237.29 ",$703.19 ,"$3,699.92 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,32000045,47542,HC ENDO BILIARY W/DIL BILI DUCT,320,1 ,"$2,157.74 ","$1,618.31 ",$703.19 ,"$2,157.74 ","$1,389.58 ", N/A ,"$1,510.42 ",$703.19 ,"$1,790.92 ",$724.29 ,"$1,424.11 ","$2,049.85 ", N/A ,"$1,726.19 ","$1,963.54 ",$703.19 ,"$2,028.28 ","$2,049.85 ","$1,941.97 ","$1,834.08 ",$703.19 ,$703.19 ,$703.19 ,"$1,575.15 ", N/A ,"$1,920.39 ","$1,941.97 ","$1,941.97 ","$1,726.19 ", N/A ,"$1,186.76 ","$1,941.97 ", N/A ,"$1,941.97 ", N/A ,"$2,049.85 ", N/A ,"$1,985.12 ",$745.38 ,"$1,963.54 ", N/A ,"$1,327.87 ","$1,389.58 ","$1,327.87 ","$1,941.97 ","$1,941.97 ","$1,618.31 ","$1,510.42 ", N/A ,$738.35 ,"$2,017.49 ", N/A ,$703.19 ,"$1,877.23 ", N/A ,"$1,941.97 ", N/A ,"$1,941.97 ","$1,941.97 ","$1,941.97 ","$2,093.01 ","$1,747.77 ","$1,941.97 ","$1,941.97 ","$1,941.97 ","$1,941.97 " ST. JOSEPH'S - CHIPPEWA FALLS,32000046,47539,HC ENDO BILIARY DIL DUCT W/STENT,320,1 ,"$4,252.78 ","$3,189.59 ",$703.19 ,"$11,027.33 ","$2,738.79 ","$4,901.04 ","$2,976.95 ",$703.19 ,"$3,529.81 ",$724.29 ,"$2,806.83 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ",$703.19 ,"$3,997.61 ","$4,040.14 ","$3,827.50 ","$3,614.86 ",$703.19 ,$703.19 ,$703.19 ,"$3,104.53 ","$4,901.04 ","$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ","$5,048.07 ","$2,339.03 ","$3,827.50 ","$4,901.04 ","$3,827.50 ","$4,901.04 ","$4,040.14 ","$11,027.33 ","$3,912.56 ",$745.38 ,"$3,870.03 ","$4,901.04 ","$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$2,976.95 ","$4,950.05 ",$738.35 ,"$3,976.35 ","$5,146.09 ",$703.19 ,"$3,699.92 ","$4,901.04 ","$3,827.50 ","$4,901.04 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,32000051,49406,HC DRN ABSC RETROPERITONEAL PERC,320,1 ,"$2,728.51 ","$2,046.38 ",$202.63 ,"$3,066.03 ","$1,757.16 ","$1,362.68 ","$1,909.96 ",$202.63 ,"$2,264.66 ",$208.71 ,"$1,800.82 ","$2,592.08 ", N/A ,"$2,182.81 ","$2,482.94 ",$202.63 ,"$2,564.80 ","$2,592.08 ","$2,455.66 ","$2,319.23 ",$202.63 ,$202.63 ,$202.63 ,"$1,991.81 ","$1,362.68 ","$2,428.37 ","$2,455.66 ","$2,455.66 ","$2,182.81 ","$1,403.56 ","$1,500.68 ","$2,455.66 ","$1,362.68 ","$2,455.66 ","$1,362.68 ","$2,592.08 ","$3,066.03 ","$2,510.23 ",$214.79 ,"$2,482.94 ","$1,362.68 ","$1,679.13 ","$1,757.16 ","$1,679.13 ","$2,455.66 ","$2,455.66 ","$2,046.38 ","$1,909.96 ","$1,376.31 ",$212.76 ,"$2,551.16 ","$1,430.81 ",$202.63 ,"$2,373.80 ","$1,362.68 ","$2,455.66 ","$1,362.68 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,646.65 ","$2,210.09 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,455.66 " ST. JOSEPH'S - CHIPPEWA FALLS,32000053,49423,HC EXCHG CATH ABSC/CYST DRAIN,320,1 ,$666.41 ,$499.81 ,$202.63 ,"$3,541.12 ",$429.17 ,"$1,573.83 ",$466.49 ,$202.63 ,$553.12 ,$208.71 ,$439.83 ,$633.09 , N/A ,$533.13 ,$606.43 ,$202.63 ,$626.43 ,$633.09 ,$599.77 ,$566.45 ,$202.63 ,$202.63 ,$202.63 ,$486.48 ,"$1,573.83 ",$593.10 ,$599.77 ,$599.77 ,$533.13 ,"$1,621.05 ",$366.53 ,$599.77 ,"$1,573.83 ",$599.77 ,"$1,573.83 ",$633.09 ,"$3,541.12 ",$613.10 ,$214.79 ,$606.43 ,"$1,573.83 ",$410.11 ,$429.17 ,$410.11 ,$599.77 ,$599.77 ,$499.81 ,$466.49 ,"$1,589.57 ",$212.76 ,$623.09 ,"$1,652.52 ",$202.63 ,$579.78 ,"$1,573.83 ",$599.77 ,"$1,573.83 ",$599.77 ,$599.77 ,$599.77 ,$646.42 ,$539.79 ,$599.77 ,$599.77 ,$599.77 ,$599.77 ST. JOSEPH'S - CHIPPEWA FALLS,32000054,49424,HC INJ CONTRAST ABSC/CYST,320,1 ,$474.27 ,$355.70 ,$86.58 ,$474.27 ,$305.43 , N/A ,$331.99 ,$86.58 ,$393.64 ,$89.18 ,$313.02 ,$450.56 , N/A ,$379.42 ,$431.59 ,$86.58 ,$445.81 ,$450.56 ,$426.84 ,$403.13 ,$86.58 ,$86.58 ,$86.58 ,$346.22 , N/A ,$422.10 ,$426.84 ,$426.84 ,$379.42 , N/A ,$260.85 ,$426.84 , N/A ,$426.84 , N/A ,$450.56 , N/A ,$436.33 ,$91.77 ,$431.59 , N/A ,$291.87 ,$305.43 ,$291.87 ,$426.84 ,$426.84 ,$355.70 ,$331.99 , N/A ,$90.91 ,$443.44 , N/A ,$86.58 ,$412.61 , N/A ,$426.84 , N/A ,$426.84 ,$426.84 ,$426.84 ,$460.04 ,$384.16 ,$426.84 ,$426.84 ,$426.84 ,$426.84 ST. JOSEPH'S - CHIPPEWA FALLS,32000056,49440,HC INSERT GASTRO TUBE FLUORO,320,1 ,"$1,949.63 ","$1,462.22 ",$199.12 ,"$3,541.12 ","$1,255.56 ","$1,573.83 ","$1,364.74 ",$199.12 ,"$1,618.19 ",$205.09 ,"$1,286.76 ","$1,852.15 ", N/A ,"$1,559.70 ","$1,774.16 ",$199.12 ,"$1,832.65 ","$1,852.15 ","$1,754.67 ","$1,657.19 ",$199.12 ,$199.12 ,$199.12 ,"$1,423.23 ","$1,573.83 ","$1,735.17 ","$1,754.67 ","$1,754.67 ","$1,559.70 ","$1,621.05 ","$1,072.30 ","$1,754.67 ","$1,573.83 ","$1,754.67 ","$1,573.83 ","$1,852.15 ","$3,541.12 ","$1,793.66 ",$211.07 ,"$1,774.16 ","$1,573.83 ","$1,199.80 ","$1,255.56 ","$1,199.80 ","$1,754.67 ","$1,754.67 ","$1,462.22 ","$1,364.74 ","$1,589.57 ",$209.08 ,"$1,822.90 ","$1,652.52 ",$199.12 ,"$1,696.18 ","$1,573.83 ","$1,754.67 ","$1,573.83 ","$1,754.67 ","$1,754.67 ","$1,754.67 ","$1,891.14 ","$1,579.20 ","$1,754.67 ","$1,754.67 ","$1,754.67 ","$1,754.67 " ST. JOSEPH'S - CHIPPEWA FALLS,32000057,49441,HC INSERT DUODEN/JEJUN TBE FLUORO,320,1 ,"$1,278.82 ",$959.12 ,$199.12 ,"$3,541.12 ",$823.56 ,"$1,573.83 ",$895.17 ,$199.12 ,"$1,061.42 ",$205.09 ,$844.02 ,"$1,214.88 ", N/A ,"$1,023.06 ","$1,163.73 ",$199.12 ,"$1,202.09 ","$1,214.88 ","$1,150.94 ","$1,087.00 ",$199.12 ,$199.12 ,$199.12 ,$933.54 ,"$1,573.83 ","$1,138.15 ","$1,150.94 ","$1,150.94 ","$1,023.06 ","$1,621.05 ",$703.35 ,"$1,150.94 ","$1,573.83 ","$1,150.94 ","$1,573.83 ","$1,214.88 ","$3,541.12 ","$1,176.51 ",$211.07 ,"$1,163.73 ","$1,573.83 ",$786.99 ,$823.56 ,$786.99 ,"$1,150.94 ","$1,150.94 ",$959.12 ,$895.17 ,"$1,589.57 ",$209.08 ,"$1,195.70 ","$1,652.52 ",$199.12 ,"$1,112.57 ","$1,573.83 ","$1,150.94 ","$1,573.83 ","$1,150.94 ","$1,150.94 ","$1,150.94 ","$1,240.46 ","$1,035.84 ","$1,150.94 ","$1,150.94 ","$1,150.94 ","$1,150.94 " ST. JOSEPH'S - CHIPPEWA FALLS,32000059,49446,HC CHG G-TB TO GJ-TB PERC FLUORO,320,1 ,"$1,488.55 ","$1,116.41 ",$199.12 ,"$3,541.12 ",$958.63 ,"$1,573.83 ","$1,041.99 ",$199.12 ,"$1,235.50 ",$205.09 ,$982.44 ,"$1,414.12 ", N/A ,"$1,190.84 ","$1,354.58 ",$199.12 ,"$1,399.24 ","$1,414.12 ","$1,339.70 ","$1,265.27 ",$199.12 ,$199.12 ,$199.12 ,"$1,086.64 ","$1,573.83 ","$1,324.81 ","$1,339.70 ","$1,339.70 ","$1,190.84 ","$1,621.05 ",$818.70 ,"$1,339.70 ","$1,573.83 ","$1,339.70 ","$1,573.83 ","$1,414.12 ","$3,541.12 ","$1,369.47 ",$211.07 ,"$1,354.58 ","$1,573.83 ",$916.05 ,$958.63 ,$916.05 ,"$1,339.70 ","$1,339.70 ","$1,116.41 ","$1,041.99 ","$1,589.57 ",$209.08 ,"$1,391.79 ","$1,652.52 ",$199.12 ,"$1,295.04 ","$1,573.83 ","$1,339.70 ","$1,573.83 ","$1,339.70 ","$1,339.70 ","$1,339.70 ","$1,443.89 ","$1,205.73 ","$1,339.70 ","$1,339.70 ","$1,339.70 ","$1,339.70 " ST. JOSEPH'S - CHIPPEWA FALLS,32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,$927.96 ,$695.97 ,$199.12 ,"$1,764.22 ",$597.61 ,$784.10 ,$649.57 ,$199.12 ,$770.21 ,$205.09 ,$612.45 ,$881.56 , N/A ,$742.37 ,$844.44 ,$199.12 ,$872.28 ,$881.56 ,$835.16 ,$788.77 ,$199.12 ,$199.12 ,$199.12 ,$677.41 ,$784.10 ,$825.88 ,$835.16 ,$835.16 ,$742.37 ,$807.62 ,$510.38 ,$835.16 ,$784.10 ,$835.16 ,$784.10 ,$881.56 ,"$1,764.22 ",$853.72 ,$211.07 ,$844.44 ,$784.10 ,$571.07 ,$597.61 ,$571.07 ,$835.16 ,$835.16 ,$695.97 ,$649.57 ,$791.94 ,$209.08 ,$867.64 ,$823.31 ,$199.12 ,$807.33 ,$784.10 ,$835.16 ,$784.10 ,$835.16 ,$835.16 ,$835.16 ,$900.12 ,$751.65 ,$835.16 ,$835.16 ,$835.16 ,$835.16 ST. JOSEPH'S - CHIPPEWA FALLS,32000061,49451,HC RPLC DUODEN/JEJUN TB FLUORO,320,1 ,"$1,548.10 ","$1,161.08 ",$199.12 ,"$1,764.22 ",$996.98 ,$784.10 ,"$1,083.67 ",$199.12 ,"$1,284.92 ",$205.09 ,"$1,021.75 ","$1,470.70 ", N/A ,"$1,238.48 ","$1,408.77 ",$199.12 ,"$1,455.21 ","$1,470.70 ","$1,393.29 ","$1,315.89 ",$199.12 ,$199.12 ,$199.12 ,"$1,130.11 ",$784.10 ,"$1,377.81 ","$1,393.29 ","$1,393.29 ","$1,238.48 ",$807.62 ,$851.46 ,"$1,393.29 ",$784.10 ,"$1,393.29 ",$784.10 ,"$1,470.70 ","$1,764.22 ","$1,424.25 ",$211.07 ,"$1,408.77 ",$784.10 ,$952.70 ,$996.98 ,$952.70 ,"$1,393.29 ","$1,393.29 ","$1,161.08 ","$1,083.67 ",$791.94 ,$209.08 ,"$1,447.47 ",$823.31 ,$199.12 ,"$1,346.85 ",$784.10 ,"$1,393.29 ",$784.10 ,"$1,393.29 ","$1,393.29 ","$1,393.29 ","$1,501.66 ","$1,253.96 ","$1,393.29 ","$1,393.29 ","$1,393.29 ","$1,393.29 " ST. JOSEPH'S - CHIPPEWA FALLS,32000062,49452,HC RPLC GASTRO-JEJUN TB FLUORO,361,1 ,"$1,163.12 ",$872.34 ,$199.12 ,"$1,764.22 ",$749.05 ,$784.10 ,$814.18 ,$199.12 ,"$1,163.12 ",$205.09 ,"$1,163.12 ","$1,104.96 ", N/A ,$930.50 ,"$1,058.44 ",$199.12 , N/A ,"$1,104.96 ","$1,046.81 ",$988.65 ,$199.12 ,$199.12 ,$199.12 ,$849.08 ,$784.10 ,"$1,035.18 ","$1,046.81 ","$1,046.81 ",$930.50 ,$807.62 ,$639.72 ,"$1,046.81 ",$784.10 ,"$1,046.81 ",$784.10 ,"$1,104.96 ","$1,764.22 ","$1,070.07 ",$211.07 ,"$1,058.44 ",$784.10 ,$715.78 ,$749.05 ,$715.78 ,"$1,046.81 ","$1,046.81 ",$872.34 ,"$1,046.81 ",$791.94 ,$209.08 ,"$1,087.52 ",$823.31 ,$199.12 ,"$1,011.91 ",$784.10 ,"$1,046.81 ",$784.10 ,"$1,046.81 ","$1,046.81 ","$1,046.81 ","$1,128.23 ",$942.13 ,"$1,046.81 ","$1,046.81 ","$1,046.81 ","$1,046.81 " ST. JOSEPH'S - CHIPPEWA FALLS,32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$315.48 ,$236.61 ,$37.66 ,$501.48 ,$203.17 ,$222.88 ,$220.84 ,$37.66 ,$261.85 ,$38.79 ,$208.22 ,$299.71 , N/A ,$252.38 ,$287.09 ,$37.66 ,$296.55 ,$299.71 ,$283.93 ,$268.16 ,$37.66 ,$37.66 ,$37.66 ,$230.30 ,$222.88 ,$280.78 ,$283.93 ,$283.93 ,$252.38 ,$229.57 ,$173.51 ,$283.93 ,$222.88 ,$283.93 ,$222.88 ,$299.71 ,$501.48 ,$290.24 ,$39.92 ,$287.09 ,$222.88 ,$194.15 ,$203.17 ,$194.15 ,$283.93 ,$283.93 ,$236.61 ,$220.84 ,$225.11 ,$39.54 ,$294.97 ,$234.02 ,$37.66 ,$274.47 ,$222.88 ,$283.93 ,$222.88 ,$283.93 ,$283.93 ,$283.93 ,$306.02 ,$255.54 ,$283.93 ,$283.93 ,$283.93 ,$283.93 ST. JOSEPH'S - CHIPPEWA FALLS,32000066,49405,HC DRN ABSC PERIRENAL PERC,320,1 ,"$2,242.48 ","$1,681.86 ",$202.63 ,"$3,066.03 ","$1,444.16 ","$1,362.68 ","$1,569.74 ",$202.63 ,"$1,861.26 ",$208.71 ,"$1,480.04 ","$2,130.36 ", N/A ,"$1,793.98 ","$2,040.66 ",$202.63 ,"$2,107.93 ","$2,130.36 ","$2,018.23 ","$1,906.11 ",$202.63 ,$202.63 ,$202.63 ,"$1,637.01 ","$1,362.68 ","$1,995.81 ","$2,018.23 ","$2,018.23 ","$1,793.98 ","$1,403.56 ","$1,233.36 ","$2,018.23 ","$1,362.68 ","$2,018.23 ","$1,362.68 ","$2,130.36 ","$3,066.03 ","$2,063.08 ",$214.79 ,"$2,040.66 ","$1,362.68 ","$1,380.02 ","$1,444.16 ","$1,380.02 ","$2,018.23 ","$2,018.23 ","$1,681.86 ","$1,569.74 ","$1,376.31 ",$212.76 ,"$2,096.72 ","$1,430.81 ",$202.63 ,"$1,950.96 ","$1,362.68 ","$2,018.23 ","$1,362.68 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,175.21 ","$1,816.41 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,018.23 " ST. JOSEPH'S - CHIPPEWA FALLS,32000067,50382,HC CHANGE URETERAL STENT PERCU,320,1 ,"$2,739.82 ","$2,054.87 ",$430.16 ,"$3,907.15 ","$1,764.44 ","$1,736.51 ","$1,917.87 ",$430.16 ,"$2,274.05 ",$443.06 ,"$1,808.28 ","$2,602.83 ", N/A ,"$2,191.86 ","$2,493.24 ",$430.16 ,"$2,575.43 ","$2,602.83 ","$2,465.84 ","$2,328.85 ",$430.16 ,$430.16 ,$430.16 ,"$2,000.07 ","$1,736.51 ","$2,438.44 ","$2,465.84 ","$2,465.84 ","$2,191.86 ","$1,788.61 ","$1,506.90 ","$2,465.84 ","$1,736.51 ","$2,465.84 ","$1,736.51 ","$2,602.83 ","$3,907.15 ","$2,520.63 ",$455.97 ,"$2,493.24 ","$1,736.51 ","$1,686.09 ","$1,764.44 ","$1,686.09 ","$2,465.84 ","$2,465.84 ","$2,054.87 ","$1,917.87 ","$1,753.88 ",$451.67 ,"$2,561.73 ","$1,823.34 ",$430.16 ,"$2,383.64 ","$1,736.51 ","$2,465.84 ","$1,736.51 ","$2,465.84 ","$2,465.84 ","$2,465.84 ","$2,657.63 ","$2,219.25 ","$2,465.84 ","$2,465.84 ","$2,465.84 ","$2,465.84 " ST. JOSEPH'S - CHIPPEWA FALLS,32000068,50384,HC REM URETERAL STENT PERCU,320,1 ,"$2,465.25 ","$1,848.94 ",$430.16 ,"$3,907.15 ","$1,587.62 ","$1,736.51 ","$1,725.68 ",$430.16 ,"$2,046.16 ",$443.06 ,"$1,627.07 ","$2,341.99 ", N/A ,"$1,972.20 ","$2,243.38 ",$430.16 ,"$2,317.34 ","$2,341.99 ","$2,218.73 ","$2,095.46 ",$430.16 ,$430.16 ,$430.16 ,"$1,799.63 ","$1,736.51 ","$2,194.07 ","$2,218.73 ","$2,218.73 ","$1,972.20 ","$1,788.61 ","$1,355.89 ","$2,218.73 ","$1,736.51 ","$2,218.73 ","$1,736.51 ","$2,341.99 ","$3,907.15 ","$2,268.03 ",$455.97 ,"$2,243.38 ","$1,736.51 ","$1,517.11 ","$1,587.62 ","$1,517.11 ","$2,218.73 ","$2,218.73 ","$1,848.94 ","$1,725.68 ","$1,753.88 ",$451.67 ,"$2,305.01 ","$1,823.34 ",$430.16 ,"$2,144.77 ","$1,736.51 ","$2,218.73 ","$1,736.51 ","$2,218.73 ","$2,218.73 ","$2,218.73 ","$2,391.29 ","$1,996.85 ","$2,218.73 ","$2,218.73 ","$2,218.73 ","$2,218.73 " ST. JOSEPH'S - CHIPPEWA FALLS,32000071,50387,HC CHANGE EXT/INT URET STENT,320,1 ,"$1,822.51 ","$1,366.88 ",$430.16 ,"$3,907.15 ","$1,173.70 ","$1,736.51 ","$1,275.76 ",$430.16 ,"$1,512.68 ",$443.06 ,"$1,202.86 ","$1,731.38 ", N/A ,"$1,458.01 ","$1,658.48 ",$430.16 ,"$1,713.16 ","$1,731.38 ","$1,640.26 ","$1,549.13 ",$430.16 ,$430.16 ,$430.16 ,"$1,330.43 ","$1,736.51 ","$1,622.03 ","$1,640.26 ","$1,640.26 ","$1,458.01 ","$1,788.61 ","$1,002.38 ","$1,640.26 ","$1,736.51 ","$1,640.26 ","$1,736.51 ","$1,731.38 ","$3,907.15 ","$1,676.71 ",$455.97 ,"$1,658.48 ","$1,736.51 ","$1,121.57 ","$1,173.70 ","$1,121.57 ","$1,640.26 ","$1,640.26 ","$1,366.88 ","$1,275.76 ","$1,753.88 ",$451.67 ,"$1,704.05 ","$1,823.34 ",$430.16 ,"$1,585.58 ","$1,736.51 ","$1,640.26 ","$1,736.51 ","$1,640.26 ","$1,640.26 ","$1,640.26 ","$1,767.83 ","$1,476.23 ","$1,640.26 ","$1,640.26 ","$1,640.26 ","$1,640.26 " ST. JOSEPH'S - CHIPPEWA FALLS,32000072,50389,HC REM NEPHRO TUBE FLUORO,320,1 ,"$1,939.98 ","$1,454.99 ",$125.13 ,"$1,939.98 ","$1,249.35 ",$556.66 ,"$1,357.99 ",$125.13 ,"$1,610.18 ",$128.88 ,"$1,280.39 ","$1,842.98 ", N/A ,"$1,551.98 ","$1,765.38 ",$125.13 ,"$1,823.58 ","$1,842.98 ","$1,745.98 ","$1,648.98 ",$125.13 ,$125.13 ,$125.13 ,"$1,416.19 ",$556.66 ,"$1,726.58 ","$1,745.98 ","$1,745.98 ","$1,551.98 ",$573.36 ,"$1,066.99 ","$1,745.98 ",$556.66 ,"$1,745.98 ",$556.66 ,"$1,842.98 ","$1,252.50 ","$1,784.78 ",$132.64 ,"$1,765.38 ",$556.66 ,"$1,193.86 ","$1,249.35 ","$1,193.86 ","$1,745.98 ","$1,745.98 ","$1,454.99 ","$1,357.99 ",$562.23 ,$131.39 ,"$1,813.88 ",$584.49 ,$125.13 ,"$1,687.78 ",$556.66 ,"$1,745.98 ",$556.66 ,"$1,745.98 ","$1,745.98 ","$1,745.98 ","$1,881.78 ","$1,571.38 ","$1,745.98 ","$1,745.98 ","$1,745.98 ","$1,745.98 " ST. JOSEPH'S - CHIPPEWA FALLS,32000077,50693,HC INTRO GUIDE RENAL PELVIS URET DIL,320,1 ,"$2,190.56 ","$1,642.92 ",$898.01 ,"$6,703.73 ","$1,410.72 ","$2,979.44 ","$1,533.39 ",$898.01 ,"$1,818.16 ",$924.95 ,"$1,445.77 ","$2,081.03 ", N/A ,"$1,752.45 ","$1,993.41 ",$898.01 ,"$2,059.13 ","$2,081.03 ","$1,971.50 ","$1,861.98 ",$898.01 ,$898.01 ,$898.01 ,"$1,599.11 ","$2,979.44 ","$1,949.60 ","$1,971.50 ","$1,971.50 ","$1,752.45 ","$3,068.82 ","$1,204.81 ","$1,971.50 ","$2,979.44 ","$1,971.50 ","$2,979.44 ","$2,081.03 ","$6,703.73 ","$2,015.32 ",$951.89 ,"$1,993.41 ","$2,979.44 ","$1,348.07 ","$1,410.72 ","$1,348.07 ","$1,971.50 ","$1,971.50 ","$1,642.92 ","$1,533.39 ","$3,009.23 ",$942.91 ,"$2,048.17 ","$3,128.41 ",$898.01 ,"$1,905.79 ","$2,979.44 ","$1,971.50 ","$2,979.44 ","$1,971.50 ","$1,971.50 ","$1,971.50 ","$2,124.84 ","$1,774.35 ","$1,971.50 ","$1,971.50 ","$1,971.50 ","$1,971.50 " ST. JOSEPH'S - CHIPPEWA FALLS,32000079,50435,HC CHANGE NEPHROSTOMY TUBE,320,1 ,"$3,789.97 ","$2,842.48 ",$430.16 ,"$3,907.15 ","$2,440.74 ","$1,736.51 ","$2,652.98 ",$430.16 ,"$3,145.68 ",$443.06 ,"$2,501.38 ","$3,600.47 ", N/A ,"$3,031.98 ","$3,448.87 ",$430.16 ,"$3,562.57 ","$3,600.47 ","$3,410.97 ","$3,221.47 ",$430.16 ,$430.16 ,$430.16 ,"$2,766.68 ","$1,736.51 ","$3,373.07 ","$3,410.97 ","$3,410.97 ","$3,031.98 ","$1,788.61 ","$2,084.48 ","$3,410.97 ","$1,736.51 ","$3,410.97 ","$1,736.51 ","$3,600.47 ","$3,907.15 ","$3,486.77 ",$455.97 ,"$3,448.87 ","$1,736.51 ","$2,332.35 ","$2,440.74 ","$2,332.35 ","$3,410.97 ","$3,410.97 ","$2,842.48 ","$2,652.98 ","$1,753.88 ",$451.67 ,"$3,543.62 ","$1,823.34 ",$430.16 ,"$3,297.27 ","$1,736.51 ","$3,410.97 ","$1,736.51 ","$3,410.97 ","$3,410.97 ","$3,410.97 ","$3,676.27 ","$3,069.88 ","$3,410.97 ","$3,410.97 ","$3,410.97 ","$3,410.97 " ST. JOSEPH'S - CHIPPEWA FALLS,32000081,50684,HC INJ URETEROGRAPHY,320,1 ,$870.66 ,$653.00 ,$86.58 ,$870.66 ,$560.71 , N/A ,$609.46 ,$86.58 ,$722.65 ,$89.18 ,$574.64 ,$827.13 , N/A ,$696.53 ,$792.30 ,$86.58 ,$818.42 ,$827.13 ,$783.59 ,$740.06 ,$86.58 ,$86.58 ,$86.58 ,$635.58 , N/A ,$774.89 ,$783.59 ,$783.59 ,$696.53 , N/A ,$478.86 ,$783.59 , N/A ,$783.59 , N/A ,$827.13 , N/A ,$801.01 ,$91.77 ,$792.30 , N/A ,$535.80 ,$560.71 ,$535.80 ,$783.59 ,$783.59 ,$653.00 ,$609.46 , N/A ,$90.91 ,$814.07 , N/A ,$86.58 ,$757.47 , N/A ,$783.59 , N/A ,$783.59 ,$783.59 ,$783.59 ,$844.54 ,$705.23 ,$783.59 ,$783.59 ,$783.59 ,$783.59 ST. JOSEPH'S - CHIPPEWA FALLS,32000082,50688,HC CHG TUBE URETEROSTOMY,320,1 ,$528.25 ,$396.19 ,$290.54 ,"$3,907.15 ",$340.19 ,"$1,736.51 ",$369.78 ,$430.16 ,$438.45 ,$443.06 ,$348.65 ,$501.84 , N/A ,$422.60 ,$480.71 ,$430.16 ,$496.56 ,$501.84 ,$475.43 ,$449.01 ,$430.16 ,$430.16 ,$430.16 ,$385.62 ,"$1,736.51 ",$470.14 ,$475.43 ,$475.43 ,$422.60 ,"$1,788.61 ",$290.54 ,$475.43 ,"$1,736.51 ",$475.43 ,"$1,736.51 ",$501.84 ,"$3,907.15 ",$485.99 ,$455.97 ,$480.71 ,"$1,736.51 ",$325.09 ,$340.19 ,$325.09 ,$475.43 ,$475.43 ,$396.19 ,$369.78 ,"$1,753.88 ",$451.67 ,$493.91 ,"$1,823.34 ",$430.16 ,$459.58 ,"$1,736.51 ",$475.43 ,"$1,736.51 ",$475.43 ,$475.43 ,$475.43 ,$512.40 ,$427.88 ,$475.43 ,$475.43 ,$475.43 ,$475.43 ST. JOSEPH'S - CHIPPEWA FALLS,32000083,50690,HC INJ ILEAL CONDUIT,320,1 ,$309.21 ,$231.91 ,$86.58 ,$309.21 ,$199.13 , N/A ,$216.45 ,$86.58 ,$256.64 ,$89.18 ,$204.08 ,$293.75 , N/A ,$247.37 ,$281.38 ,$86.58 ,$290.66 ,$293.75 ,$278.29 ,$262.83 ,$86.58 ,$86.58 ,$86.58 ,$225.72 , N/A ,$275.20 ,$278.29 ,$278.29 ,$247.37 , N/A ,$170.07 ,$278.29 , N/A ,$278.29 , N/A ,$293.75 , N/A ,$284.47 ,$91.77 ,$281.38 , N/A ,$190.29 ,$199.13 ,$190.29 ,$278.29 ,$278.29 ,$231.91 ,$216.45 , N/A ,$90.91 ,$289.11 , N/A ,$86.58 ,$269.01 , N/A ,$278.29 , N/A ,$278.29 ,$278.29 ,$278.29 ,$299.93 ,$250.46 ,$278.29 ,$278.29 ,$278.29 ,$278.29 ST. JOSEPH'S - CHIPPEWA FALLS,32000085,51600,HC INJ CYSTOGRAM,320,1 ,$257.40 ,$193.05 ,$86.58 ,$257.40 ,$165.77 , N/A ,$180.18 ,$86.58 ,$213.64 ,$89.18 ,$169.88 ,$244.53 , N/A ,$205.92 ,$234.23 ,$86.58 ,$241.96 ,$244.53 ,$231.66 ,$218.79 ,$86.58 ,$86.58 ,$86.58 ,$187.90 , N/A ,$229.09 ,$231.66 ,$231.66 ,$205.92 , N/A ,$141.57 ,$231.66 , N/A ,$231.66 , N/A ,$244.53 , N/A ,$236.81 ,$91.77 ,$234.23 , N/A ,$158.40 ,$165.77 ,$158.40 ,$231.66 ,$231.66 ,$193.05 ,$180.18 , N/A ,$90.91 ,$240.67 , N/A ,$86.58 ,$223.94 , N/A ,$231.66 , N/A ,$231.66 ,$231.66 ,$231.66 ,$249.68 ,$208.49 ,$231.66 ,$231.66 ,$231.66 ,$231.66 ST. JOSEPH'S - CHIPPEWA FALLS,32000086,51610,HC INJ URETHROCYSTOGRAM RETRO,320,1 ,$400.81 ,$300.61 ,$86.58 ,$400.81 ,$258.12 , N/A ,$280.57 ,$86.58 ,$332.67 ,$89.18 ,$264.53 ,$380.77 , N/A ,$320.65 ,$364.74 ,$86.58 ,$376.76 ,$380.77 ,$360.73 ,$340.69 ,$86.58 ,$86.58 ,$86.58 ,$292.59 , N/A ,$356.72 ,$360.73 ,$360.73 ,$320.65 , N/A ,$220.45 ,$360.73 , N/A ,$360.73 , N/A ,$380.77 , N/A ,$368.75 ,$91.77 ,$364.74 , N/A ,$246.66 ,$258.12 ,$246.66 ,$360.73 ,$360.73 ,$300.61 ,$280.57 , N/A ,$90.91 ,$374.76 , N/A ,$86.58 ,$348.70 , N/A ,$360.73 , N/A ,$360.73 ,$360.73 ,$360.73 ,$388.79 ,$324.66 ,$360.73 ,$360.73 ,$360.73 ,$360.73 ST. JOSEPH'S - CHIPPEWA FALLS,32000087,58340,HC CATH/INTRO SALINE/CONTRAST SIS,320,1 ,$541.27 ,$405.95 ,$86.58 ,$541.27 ,$348.58 , N/A ,$378.89 ,$86.58 ,$449.25 ,$89.18 ,$357.24 ,$514.21 , N/A ,$433.02 ,$492.56 ,$86.58 ,$508.79 ,$514.21 ,$487.14 ,$460.08 ,$86.58 ,$86.58 ,$86.58 ,$395.13 , N/A ,$481.73 ,$487.14 ,$487.14 ,$433.02 , N/A ,$297.70 ,$487.14 , N/A ,$487.14 , N/A ,$514.21 , N/A ,$497.97 ,$91.77 ,$492.56 , N/A ,$333.10 ,$348.58 ,$333.10 ,$487.14 ,$487.14 ,$405.95 ,$378.89 , N/A ,$90.91 ,$506.09 , N/A ,$86.58 ,$470.90 , N/A ,$487.14 , N/A ,$487.14 ,$487.14 ,$487.14 ,$525.03 ,$438.43 ,$487.14 ,$487.14 ,$487.14 ,$487.14 ST. JOSEPH'S - CHIPPEWA FALLS,32000089,61070,HC PUNCT ASP/INJ SHUNT TUBE,320,1 ,$826.26 ,$619.70 ,$121.61 ,"$1,382.85 ",$532.11 ,$614.60 ,$578.38 ,$121.61 ,$685.80 ,$125.26 ,$545.33 ,$784.95 , N/A ,$661.01 ,$751.90 ,$121.61 ,$776.68 ,$784.95 ,$743.63 ,$702.32 ,$121.61 ,$121.61 ,$121.61 ,$603.17 ,$614.60 ,$735.37 ,$743.63 ,$743.63 ,$661.01 ,$633.04 ,$454.44 ,$743.63 ,$614.60 ,$743.63 ,$614.60 ,$784.95 ,"$1,382.85 ",$760.16 ,$128.91 ,$751.90 ,$614.60 ,$508.48 ,$532.11 ,$508.48 ,$743.63 ,$743.63 ,$619.70 ,$578.38 ,$620.75 ,$127.69 ,$772.55 ,$645.33 ,$121.61 ,$718.85 ,$614.60 ,$743.63 ,$614.60 ,$743.63 ,$743.63 ,$743.63 ,$801.47 ,$669.27 ,$743.63 ,$743.63 ,$743.63 ,$743.63 ST. JOSEPH'S - CHIPPEWA FALLS,32000090,62272,HC LUMBAR PUNCTURE DRAIN,320,1 ,$376.55 ,$282.41 ,$207.10 ,"$1,382.85 ",$242.50 ,$614.60 ,$263.59 ,$263.02 ,$312.54 ,$270.91 ,$248.52 ,$357.72 , N/A ,$301.24 ,$342.66 ,$263.02 ,$353.96 ,$357.72 ,$338.90 ,$320.07 ,$263.02 ,$263.02 ,$263.02 ,$274.88 ,$614.60 ,$335.13 ,$338.90 ,$338.90 ,$301.24 ,$633.04 ,$207.10 ,$338.90 ,$614.60 ,$338.90 ,$614.60 ,$357.72 ,"$1,382.85 ",$346.43 ,$278.80 ,$342.66 ,$614.60 ,$231.73 ,$242.50 ,$231.73 ,$338.90 ,$338.90 ,$282.41 ,$263.59 ,$620.75 ,$276.17 ,$352.07 ,$645.33 ,$263.02 ,$327.60 ,$614.60 ,$338.90 ,$614.60 ,$338.90 ,$338.90 ,$338.90 ,$365.25 ,$305.01 ,$338.90 ,$338.90 ,$338.90 ,$338.90 ST. JOSEPH'S - CHIPPEWA FALLS,32000091,62284,HC INJ MYELOGRAM,320,1 ,$607.88 ,$455.91 ,$86.58 ,$607.88 ,$391.47 , N/A ,$425.52 ,$86.58 ,$504.54 ,$89.18 ,$401.20 ,$577.49 , N/A ,$486.30 ,$553.17 ,$86.58 ,$571.41 ,$577.49 ,$547.09 ,$516.70 ,$86.58 ,$86.58 ,$86.58 ,$443.75 , N/A ,$541.01 ,$547.09 ,$547.09 ,$486.30 , N/A ,$334.33 ,$547.09 , N/A ,$547.09 , N/A ,$577.49 , N/A ,$559.25 ,$91.77 ,$553.17 , N/A ,$374.09 ,$391.47 ,$374.09 ,$547.09 ,$547.09 ,$455.91 ,$425.52 , N/A ,$90.91 ,$568.37 , N/A ,$86.58 ,$528.86 , N/A ,$547.09 , N/A ,$547.09 ,$547.09 ,$547.09 ,$589.64 ,$492.38 ,$547.09 ,$547.09 ,$547.09 ,$547.09 ST. JOSEPH'S - CHIPPEWA FALLS,32000092,62287,HC DECOMP DISC LUMBAR PERC,320,1 ,"$4,168.15 ","$3,126.11 ","$1,424.58 ","$4,168.15 ","$2,684.29 ","$1,699.13 ","$2,917.71 ","$1,424.58 ","$3,459.56 ","$1,467.32 ","$2,750.98 ","$3,959.74 ", N/A ,"$3,334.52 ","$3,793.02 ","$1,424.58 ","$3,918.06 ","$3,959.74 ","$3,751.34 ","$3,542.93 ","$1,424.58 ","$1,424.58 ","$1,424.58 ","$3,042.75 ","$1,699.13 ","$3,709.65 ","$3,751.34 ","$3,751.34 ","$3,334.52 ","$1,750.10 ","$2,292.48 ","$3,751.34 ","$1,699.13 ","$3,751.34 ","$1,699.13 ","$3,959.74 ","$3,823.04 ","$3,834.70 ","$1,510.05 ","$3,793.02 ","$1,699.13 ","$2,565.08 ","$2,684.29 ","$2,565.08 ","$3,751.34 ","$3,751.34 ","$3,126.11 ","$2,917.71 ","$1,716.12 ","$1,495.81 ","$3,897.22 ","$1,784.09 ","$1,424.58 ","$3,626.29 ","$1,699.13 ","$3,751.34 ","$1,699.13 ","$3,751.34 ","$3,751.34 ","$3,751.34 ","$4,043.11 ","$3,376.20 ","$3,751.34 ","$3,751.34 ","$3,751.34 ","$3,751.34 " ST. JOSEPH'S - CHIPPEWA FALLS,32000093,62290,HC INJ DISKOGRAM LUMBAR EA LEVEL,320,1 ,"$1,388.42 ","$1,041.32 ",$86.58 ,"$1,388.42 ",$894.14 , N/A ,$971.89 ,$86.58 ,"$1,152.39 ",$89.18 ,$916.36 ,"$1,319.00 ", N/A ,"$1,110.74 ","$1,263.46 ",$86.58 ,"$1,305.11 ","$1,319.00 ","$1,249.58 ","$1,180.16 ",$86.58 ,$86.58 ,$86.58 ,"$1,013.55 ", N/A ,"$1,235.69 ","$1,249.58 ","$1,249.58 ","$1,110.74 ", N/A ,$763.63 ,"$1,249.58 ", N/A ,"$1,249.58 ", N/A ,"$1,319.00 ", N/A ,"$1,277.35 ",$91.77 ,"$1,263.46 ", N/A ,$854.43 ,$894.14 ,$854.43 ,"$1,249.58 ","$1,249.58 ","$1,041.32 ",$971.89 , N/A ,$90.91 ,"$1,298.17 ", N/A ,$86.58 ,"$1,207.93 ", N/A ,"$1,249.58 ", N/A ,"$1,249.58 ","$1,249.58 ","$1,249.58 ","$1,346.77 ","$1,124.62 ","$1,249.58 ","$1,249.58 ","$1,249.58 ","$1,249.58 " ST. JOSEPH'S - CHIPPEWA FALLS,32000094,62291,HC INJ DISKOGRAM CERVICAL EA LVL,320,1 ,"$1,666.66 ","$1,250.00 ",$86.58 ,"$1,666.66 ","$1,073.33 ", N/A ,"$1,166.66 ",$86.58 ,"$1,383.33 ",$89.18 ,"$1,100.00 ","$1,583.33 ", N/A ,"$1,333.33 ","$1,516.66 ",$86.58 ,"$1,566.66 ","$1,583.33 ","$1,499.99 ","$1,416.66 ",$86.58 ,$86.58 ,$86.58 ,"$1,216.66 ", N/A ,"$1,483.33 ","$1,499.99 ","$1,499.99 ","$1,333.33 ", N/A ,$916.66 ,"$1,499.99 ", N/A ,"$1,499.99 ", N/A ,"$1,583.33 ", N/A ,"$1,533.33 ",$91.77 ,"$1,516.66 ", N/A ,"$1,025.66 ","$1,073.33 ","$1,025.66 ","$1,499.99 ","$1,499.99 ","$1,250.00 ","$1,166.66 ", N/A ,$90.91 ,"$1,558.33 ", N/A ,$86.58 ,"$1,449.99 ", N/A ,"$1,499.99 ", N/A ,"$1,499.99 ","$1,499.99 ","$1,499.99 ","$1,616.66 ","$1,349.99 ","$1,499.99 ","$1,499.99 ","$1,499.99 ","$1,499.99 " ST. JOSEPH'S - CHIPPEWA FALLS,32000097,62350,HC IMPLANT/REVISE SPINAL CATHETER,320,1 ,"$7,792.07 ","$5,844.05 ","$1,555.18 ","$12,421.64 ","$5,018.09 ","$5,520.73 ","$5,454.45 ","$1,555.18 ","$6,467.42 ","$1,601.84 ","$5,142.77 ","$7,402.47 ", N/A ,"$6,233.66 ","$7,090.78 ","$1,555.18 ","$7,324.55 ","$7,402.47 ","$7,012.86 ","$6,623.26 ","$1,555.18 ","$1,555.18 ","$1,555.18 ","$5,688.21 ","$5,520.73 ","$6,934.94 ","$7,012.86 ","$7,012.86 ","$6,233.66 ","$5,686.35 ","$4,285.64 ","$7,012.86 ","$5,520.73 ","$7,012.86 ","$5,520.73 ","$7,402.47 ","$12,421.64 ","$7,168.70 ","$1,648.49 ","$7,090.78 ","$5,520.73 ","$4,795.24 ","$5,018.09 ","$4,795.24 ","$7,012.86 ","$7,012.86 ","$5,844.05 ","$5,454.45 ","$5,575.94 ","$1,632.94 ","$7,285.59 ","$5,796.77 ","$1,555.18 ","$6,779.10 ","$5,520.73 ","$7,012.86 ","$5,520.73 ","$7,012.86 ","$7,012.86 ","$7,012.86 ","$7,558.31 ","$6,311.58 ","$7,012.86 ","$7,012.86 ","$7,012.86 ","$7,012.86 " ST. JOSEPH'S - CHIPPEWA FALLS,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$296.38 ,$222.29 ,$17.72 ,$296.38 ,$190.87 ,$78.35 ,$207.47 ,$17.72 ,$32.11 ,$18.25 ,$25.69 ,$281.56 , N/A ,$237.10 ,$269.71 ,$17.72 ,$278.60 ,$281.56 ,$266.74 ,$251.92 ,$17.72 ,$17.72 ,$17.72 ,$216.36 ,$78.35 ,$263.78 ,$266.74 ,$266.74 ,$237.10 ,$80.70 ,$163.01 ,$266.74 ,$78.35 ,$266.74 ,$78.35 ,$281.56 ,$176.29 ,$272.67 ,$18.78 ,$269.71 ,$78.35 ,$182.39 ,$190.87 ,$182.39 ,$266.74 ,$119.22 ,$222.29 ,$93.96 ,$79.14 ,$18.61 ,$277.12 ,$82.27 ,$17.72 ,$257.85 ,$78.35 ,$266.74 ,$78.35 ,$266.74 ,$266.74 ,$266.74 ,$287.49 ,$240.07 ,$266.74 ,$266.74 ,$266.74 ,$266.74 ST. JOSEPH'S - CHIPPEWA FALLS,32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$334.70 ,$251.03 ,$17.72 ,$334.70 ,$215.55 ,$105.54 ,$234.29 ,$17.72 ,$42.32 ,$18.25 ,$33.85 ,$317.97 , N/A ,$267.76 ,$304.58 ,$17.72 ,$314.62 ,$317.97 ,$301.23 ,$284.50 ,$17.72 ,$17.72 ,$17.72 ,$244.33 ,$105.54 ,$297.88 ,$301.23 ,$301.23 ,$267.76 ,$108.70 ,$184.09 ,$301.23 ,$105.54 ,$301.23 ,$105.54 ,$317.97 ,$237.46 ,$307.92 ,$18.78 ,$304.58 ,$105.54 ,$205.97 ,$215.55 ,$205.97 ,$301.23 ,$196.00 ,$251.03 ,$121.60 ,$106.59 ,$18.61 ,$312.94 ,$110.82 ,$17.72 ,$291.19 ,$105.54 ,$301.23 ,$105.54 ,$301.23 ,$301.23 ,$301.23 ,$324.66 ,$271.11 ,$301.23 ,$301.23 ,$301.23 ,$301.23 ST. JOSEPH'S - CHIPPEWA FALLS,32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$279.70 ,$209.78 ,$17.72 ,$279.70 ,$180.13 ,$78.35 ,$195.79 ,$17.72 ,$32.11 ,$18.25 ,$25.69 ,$265.72 , N/A ,$223.76 ,$254.53 ,$17.72 ,$262.92 ,$265.72 ,$251.73 ,$237.75 ,$17.72 ,$17.72 ,$17.72 ,$204.18 ,$78.35 ,$248.93 ,$251.73 ,$251.73 ,$223.76 ,$80.70 ,$153.84 ,$251.73 ,$78.35 ,$251.73 ,$78.35 ,$265.72 ,$176.29 ,$257.32 ,$18.78 ,$254.53 ,$78.35 ,$172.13 ,$180.13 ,$172.13 ,$251.73 ,$120.46 ,$209.78 ,$92.20 ,$79.14 ,$18.61 ,$261.52 ,$82.27 ,$17.72 ,$243.34 ,$78.35 ,$251.73 ,$78.35 ,$251.73 ,$251.73 ,$251.73 ,$271.31 ,$226.56 ,$251.73 ,$251.73 ,$251.73 ,$251.73 ST. JOSEPH'S - CHIPPEWA FALLS,32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$320.70 ,$240.53 ,$17.72 ,$320.70 ,$206.53 ,$105.54 ,$224.49 ,$17.72 ,$47.13 ,$18.25 ,$37.70 ,$304.67 , N/A ,$256.56 ,$291.84 ,$17.72 ,$301.46 ,$304.67 ,$288.63 ,$272.60 ,$17.72 ,$17.72 ,$17.72 ,$234.11 ,$105.54 ,$285.42 ,$288.63 ,$288.63 ,$256.56 ,$108.70 ,$176.39 ,$288.63 ,$105.54 ,$288.63 ,$105.54 ,$304.67 ,$237.46 ,$295.04 ,$18.78 ,$291.84 ,$105.54 ,$197.36 ,$206.53 ,$197.36 ,$288.63 ,$211.73 ,$240.53 ,$135.44 ,$106.59 ,$18.61 ,$299.85 ,$110.82 ,$17.72 ,$279.01 ,$105.54 ,$288.63 ,$105.54 ,$288.63 ,$288.63 ,$288.63 ,$311.08 ,$259.77 ,$288.63 ,$288.63 ,$288.63 ,$288.63 ST. JOSEPH'S - CHIPPEWA FALLS,32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$199.80 ,$149.85 ,$17.72 ,$199.80 ,$128.67 ,$78.35 ,$139.86 ,$17.72 ,$39.92 ,$18.25 ,$31.93 ,$189.81 , N/A ,$159.84 ,$181.82 ,$17.72 ,$187.81 ,$189.81 ,$179.82 ,$169.83 ,$17.72 ,$17.72 ,$17.72 ,$145.85 ,$78.35 ,$177.82 ,$179.82 ,$179.82 ,$159.84 ,$80.70 ,$109.89 ,$179.82 ,$78.35 ,$179.82 ,$78.35 ,$189.81 ,$176.29 ,$183.82 ,$18.78 ,$181.82 ,$78.35 ,$122.96 ,$128.67 ,$122.96 ,$179.82 ,$136.43 ,$149.85 ,$116.43 ,$79.14 ,$18.61 ,$186.81 ,$82.27 ,$17.72 ,$173.83 ,$78.35 ,$179.82 ,$78.35 ,$179.82 ,$179.82 ,$179.82 ,$193.81 ,$161.84 ,$179.82 ,$179.82 ,$179.82 ,$179.82 ST. JOSEPH'S - CHIPPEWA FALLS,32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$170.10 ,$127.58 ,$17.72 ,$237.46 ,$109.54 ,$105.54 ,$119.07 ,$17.72 ,$47.13 ,$18.25 ,$37.70 ,$161.60 , N/A ,$136.08 ,$154.79 ,$17.72 ,$159.89 ,$161.60 ,$153.09 ,$144.59 ,$17.72 ,$17.72 ,$17.72 ,$124.17 ,$105.54 ,$151.39 ,$153.09 ,$153.09 ,$136.08 ,$108.70 ,$93.56 ,$153.09 ,$105.54 ,$153.09 ,$105.54 ,$161.60 ,$237.46 ,$156.49 ,$18.78 ,$154.79 ,$105.54 ,$104.68 ,$109.54 ,$104.68 ,$153.09 ,$168.14 ,$127.58 ,$135.44 ,$106.59 ,$18.61 ,$159.04 ,$110.82 ,$17.72 ,$147.99 ,$105.54 ,$153.09 ,$105.54 ,$153.09 ,$153.09 ,$153.09 ,$165.00 ,$137.78 ,$153.09 ,$153.09 ,$153.09 ,$153.09 ST. JOSEPH'S - CHIPPEWA FALLS,32000107,70210,HC XRAY SINUS WATERS VIEW,320,1 ,$192.40 ,$144.30 ,$17.72 ,$192.40 ,$123.91 ,$78.35 ,$134.68 ,$17.72 ,$35.11 ,$18.25 ,$28.08 ,$182.78 , N/A ,$153.92 ,$175.08 ,$17.72 ,$180.86 ,$182.78 ,$173.16 ,$163.54 ,$17.72 ,$17.72 ,$17.72 ,$140.45 ,$78.35 ,$171.24 ,$173.16 ,$173.16 ,$153.92 ,$80.70 ,$105.82 ,$173.16 ,$78.35 ,$173.16 ,$78.35 ,$182.78 ,$176.29 ,$177.01 ,$18.78 ,$175.08 ,$78.35 ,$118.40 ,$123.91 ,$118.40 ,$173.16 ,$108.82 ,$144.30 ,$100.88 ,$79.14 ,$18.61 ,$179.89 ,$82.27 ,$17.72 ,$167.39 ,$78.35 ,$173.16 ,$78.35 ,$173.16 ,$173.16 ,$173.16 ,$186.63 ,$155.84 ,$173.16 ,$173.16 ,$173.16 ,$173.16 ST. JOSEPH'S - CHIPPEWA FALLS,32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$311.23 ,$233.42 ,$17.72 ,$311.23 ,$200.43 ,$78.35 ,$217.86 ,$17.72 ,$41.72 ,$18.25 ,$33.38 ,$295.67 , N/A ,$248.98 ,$283.22 ,$17.72 ,$292.56 ,$295.67 ,$280.11 ,$264.55 ,$17.72 ,$17.72 ,$17.72 ,$227.20 ,$78.35 ,$276.99 ,$280.11 ,$280.11 ,$248.98 ,$80.70 ,$171.18 ,$280.11 ,$78.35 ,$280.11 ,$78.35 ,$295.67 ,$176.29 ,$286.33 ,$18.78 ,$283.22 ,$78.35 ,$191.53 ,$200.43 ,$191.53 ,$280.11 ,$163.88 ,$233.42 ,$119.89 ,$79.14 ,$18.61 ,$291.00 ,$82.27 ,$17.72 ,$270.77 ,$78.35 ,$280.11 ,$78.35 ,$280.11 ,$280.11 ,$280.11 ,$301.89 ,$252.10 ,$280.11 ,$280.11 ,$280.11 ,$280.11 ST. JOSEPH'S - CHIPPEWA FALLS,32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$190.30 ,$142.73 ,$17.72 ,$237.46 ,$122.55 ,$105.54 ,$133.21 ,$17.72 ,$39.32 ,$18.25 ,$31.46 ,$180.79 , N/A ,$152.24 ,$173.17 ,$17.72 ,$178.88 ,$180.79 ,$171.27 ,$161.76 ,$17.72 ,$17.72 ,$17.72 ,$138.92 ,$105.54 ,$169.37 ,$171.27 ,$171.27 ,$152.24 ,$108.70 ,$104.67 ,$171.27 ,$105.54 ,$171.27 ,$105.54 ,$180.79 ,$237.46 ,$175.08 ,$18.78 ,$173.17 ,$105.54 ,$117.11 ,$122.55 ,$117.11 ,$171.27 ,$121.17 ,$142.73 ,$114.67 ,$106.59 ,$18.61 ,$177.93 ,$110.82 ,$17.72 ,$165.56 ,$105.54 ,$171.27 ,$105.54 ,$171.27 ,$171.27 ,$171.27 ,$184.59 ,$154.14 ,$171.27 ,$171.27 ,$171.27 ,$171.27 ST. JOSEPH'S - CHIPPEWA FALLS,32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$275.68 ,$206.76 ,$17.72 ,$275.68 ,$177.54 ,$105.54 ,$192.98 ,$17.72 ,$47.13 ,$18.25 ,$37.70 ,$261.90 , N/A ,$220.54 ,$250.87 ,$17.72 ,$259.14 ,$261.90 ,$248.11 ,$234.33 ,$17.72 ,$17.72 ,$17.72 ,$201.25 ,$105.54 ,$245.36 ,$248.11 ,$248.11 ,$220.54 ,$108.70 ,$151.62 ,$248.11 ,$105.54 ,$248.11 ,$105.54 ,$261.90 ,$237.46 ,$253.63 ,$18.78 ,$250.87 ,$105.54 ,$169.65 ,$177.54 ,$169.65 ,$248.11 ,$261.76 ,$206.76 ,$135.44 ,$106.59 ,$18.61 ,$257.76 ,$110.82 ,$17.72 ,$239.84 ,$105.54 ,$248.11 ,$105.54 ,$248.11 ,$248.11 ,$248.11 ,$267.41 ,$223.30 ,$248.11 ,$248.11 ,$248.11 ,$248.11 ST. JOSEPH'S - CHIPPEWA FALLS,32000114,70336,HC MRI TMJ,320,1 ,"$3,365.47 ","$2,524.10 ",$76.81 ,"$3,365.47 ","$2,167.36 ",$222.88 ,"$2,355.83 ",$76.81 ,$418.46 ,$79.11 ,$334.77 ,"$3,197.20 ", N/A ,"$2,692.38 ","$3,062.58 ",$76.81 ,"$3,163.54 ","$3,197.20 ","$3,028.92 ","$2,860.65 ",$76.81 ,$76.81 ,$76.81 ,"$2,456.79 ",$222.88 ,"$2,995.27 ","$3,028.92 ","$3,028.92 ","$2,692.38 ",$229.57 ,"$1,851.01 ","$3,028.92 ",$222.88 ,"$3,028.92 ",$222.88 ,"$3,197.20 ",$501.48 ,"$3,096.23 ",$81.42 ,"$3,062.58 ",$222.88 ,"$2,071.11 ","$2,167.36 ","$2,071.11 ","$3,028.92 ","$1,236.87 ","$2,524.10 ","$1,212.76 ",$225.11 ,$80.65 ,"$3,146.71 ",$234.02 ,$76.81 ,"$2,927.96 ",$222.88 ,"$3,028.92 ",$222.88 ,"$3,028.92 ","$3,028.92 ","$3,028.92 ","$3,264.51 ","$2,726.03 ","$3,028.92 ","$3,028.92 ","$3,028.92 ","$3,028.92 " ST. JOSEPH'S - CHIPPEWA FALLS,32000115,70355,HC XRAY PAN MANDIBLE/MAXLA,320,1 ,$184.70 ,$138.53 ,$12.71 ,$184.70 ,$118.95 ,$78.35 ,$129.29 ,$17.72 ,$15.89 ,$18.25 ,$12.71 ,$175.47 , N/A ,$147.76 ,$168.08 ,$17.72 ,$173.62 ,$175.47 ,$166.23 ,$157.00 ,$17.72 ,$17.72 ,$17.72 ,$134.83 ,$78.35 ,$164.38 ,$166.23 ,$166.23 ,$147.76 ,$80.70 ,$101.59 ,$166.23 ,$78.35 ,$166.23 ,$78.35 ,$175.47 ,$176.29 ,$169.92 ,$18.78 ,$168.08 ,$78.35 ,$113.66 ,$118.95 ,$113.66 ,$166.23 ,$184.70 ,$138.53 ,$45.55 ,$79.14 ,$18.61 ,$172.69 ,$82.27 ,$17.72 ,$160.69 ,$78.35 ,$166.23 ,$78.35 ,$166.23 ,$166.23 ,$166.23 ,$179.16 ,$149.61 ,$166.23 ,$166.23 ,$166.23 ,$166.23 ST. JOSEPH'S - CHIPPEWA FALLS,32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$219.90 ,$164.93 ,$17.72 ,$219.90 ,$141.62 ,$78.35 ,$153.93 ,$17.72 ,$32.71 ,$18.25 ,$26.17 ,$208.91 , N/A ,$175.92 ,$200.11 ,$17.72 ,$206.71 ,$208.91 ,$197.91 ,$186.92 ,$17.72 ,$17.72 ,$17.72 ,$160.53 ,$78.35 ,$195.71 ,$197.91 ,$197.91 ,$175.92 ,$80.70 ,$120.95 ,$197.91 ,$78.35 ,$197.91 ,$78.35 ,$208.91 ,$176.29 ,$202.31 ,$18.78 ,$200.11 ,$78.35 ,$135.33 ,$141.62 ,$135.33 ,$197.91 ,$118.95 ,$164.93 ,$95.66 ,$79.14 ,$18.61 ,$205.61 ,$82.27 ,$17.72 ,$191.31 ,$78.35 ,$197.91 ,$78.35 ,$197.91 ,$197.91 ,$197.91 ,$213.30 ,$178.12 ,$197.91 ,$197.91 ,$197.91 ,$197.91 ST. JOSEPH'S - CHIPPEWA FALLS,32000121,71045,HC XR CHEST 1V,320,1 ,$271.52 ,$203.64 ,$14.13 ,$271.52 ,$174.86 ,$78.35 ,$190.06 ,$17.72 ,$17.66 ,$18.25 ,$14.13 ,$257.94 , N/A ,$217.22 ,$247.08 ,$17.72 ,$255.23 ,$257.94 ,$244.37 ,$230.79 ,$17.72 ,$17.72 ,$17.72 ,$198.21 ,$78.35 ,$241.65 ,$244.37 ,$244.37 ,$217.22 ,$80.70 ,$149.34 ,$244.37 ,$78.35 ,$244.37 ,$78.35 ,$257.94 ,$176.29 ,$249.80 ,$18.78 ,$247.08 ,$78.35 ,$167.09 ,$174.86 ,$167.09 ,$244.37 ,$38.33 ,$203.64 ,$190.06 ,$79.14 ,$18.61 ,$253.87 ,$82.27 ,$17.72 ,$236.22 ,$78.35 ,$244.37 ,$78.35 ,$244.37 ,$244.37 ,$244.37 ,$263.37 ,$219.93 ,$244.37 ,$244.37 ,$244.37 ,$244.37 ST. JOSEPH'S - CHIPPEWA FALLS,32000127,71046,HC XR CHEST 2V,320,1 ,$302.70 ,$227.03 ,$17.72 ,$302.70 ,$194.94 ,$78.35 ,$211.89 ,$17.72 ,$32.67 ,$18.25 ,$26.14 ,$287.57 , N/A ,$242.16 ,$275.46 ,$17.72 ,$284.54 ,$287.57 ,$272.43 ,$257.30 ,$17.72 ,$17.72 ,$17.72 ,$220.97 ,$78.35 ,$269.40 ,$272.43 ,$272.43 ,$242.16 ,$80.70 ,$166.49 ,$272.43 ,$78.35 ,$272.43 ,$78.35 ,$287.57 ,$176.29 ,$278.48 ,$18.78 ,$275.46 ,$78.35 ,$186.28 ,$194.94 ,$186.28 ,$272.43 ,$58.87 ,$227.03 ,$272.43 ,$79.14 ,$18.61 ,$283.02 ,$82.27 ,$17.72 ,$263.35 ,$78.35 ,$272.43 ,$78.35 ,$272.43 ,$272.43 ,$272.43 ,$293.62 ,$245.19 ,$272.43 ,$272.43 ,$272.43 ,$272.43 ST. JOSEPH'S - CHIPPEWA FALLS,32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$310.25 ,$232.69 ,$17.72 ,$310.25 ,$199.80 ,$78.35 ,$217.18 ,$17.72 ,$41.69 ,$18.25 ,$33.35 ,$294.74 , N/A ,$248.20 ,$282.33 ,$17.72 ,$291.64 ,$294.74 ,$279.23 ,$263.71 ,$17.72 ,$17.72 ,$17.72 ,$226.48 ,$78.35 ,$276.12 ,$279.23 ,$279.23 ,$248.20 ,$80.70 ,$170.64 ,$279.23 ,$78.35 ,$279.23 ,$78.35 ,$294.74 ,$176.29 ,$285.43 ,$18.78 ,$282.33 ,$78.35 ,$190.93 ,$199.80 ,$190.93 ,$279.23 ,$75.30 ,$232.69 ,$217.18 ,$79.14 ,$18.61 ,$290.08 ,$82.27 ,$17.72 ,$269.92 ,$78.35 ,$279.23 ,$78.35 ,$279.23 ,$279.23 ,$279.23 ,$300.94 ,$251.30 ,$279.23 ,$279.23 ,$279.23 ,$279.23 ST. JOSEPH'S - CHIPPEWA FALLS,32000131,71048,HC XR CHEST PA/LAT W/OBLIQUES,320,1 ,$315.72 ,$236.79 ,$17.72 ,$315.72 ,$203.32 ,$105.54 ,$221.00 ,$17.72 ,$42.89 ,$18.25 ,$34.31 ,$299.93 , N/A ,$252.58 ,$287.31 ,$17.72 ,$296.78 ,$299.93 ,$284.15 ,$268.36 ,$17.72 ,$17.72 ,$17.72 ,$230.48 ,$105.54 ,$280.99 ,$284.15 ,$284.15 ,$252.58 ,$108.70 ,$173.65 ,$284.15 ,$105.54 ,$284.15 ,$105.54 ,$299.93 ,$237.46 ,$290.46 ,$18.78 ,$287.31 ,$105.54 ,$194.29 ,$203.32 ,$194.29 ,$284.15 ,$80.77 ,$236.79 ,$221.00 ,$106.59 ,$18.61 ,$295.20 ,$110.82 ,$17.72 ,$274.68 ,$105.54 ,$284.15 ,$105.54 ,$284.15 ,$284.15 ,$284.15 ,$306.25 ,$255.73 ,$284.15 ,$284.15 ,$284.15 ,$284.15 ST. JOSEPH'S - CHIPPEWA FALLS,32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$295.26 ,$221.45 ,$17.72 ,$295.26 ,$190.15 ,$78.35 ,$206.68 ,$17.72 ,$32.67 ,$18.25 ,$26.14 ,$280.50 , N/A ,$236.21 ,$268.69 ,$17.72 ,$277.54 ,$280.50 ,$265.73 ,$250.97 ,$17.72 ,$17.72 ,$17.72 ,$215.54 ,$78.35 ,$262.78 ,$265.73 ,$265.73 ,$236.21 ,$80.70 ,$162.39 ,$265.73 ,$78.35 ,$265.73 ,$78.35 ,$280.50 ,$176.29 ,$271.64 ,$18.78 ,$268.69 ,$78.35 ,$181.70 ,$190.15 ,$181.70 ,$265.73 ,$58.87 ,$221.45 ,$265.73 ,$79.14 ,$18.61 ,$276.07 ,$82.27 ,$17.72 ,$256.88 ,$78.35 ,$265.73 ,$78.35 ,$265.73 ,$265.73 ,$265.73 ,$286.40 ,$239.16 ,$265.73 ,$265.73 ,$265.73 ,$265.73 ST. JOSEPH'S - CHIPPEWA FALLS,32000137,71100,HC XR RIBS 2V UNI,320,1 ,$197.80 ,$148.35 ,$17.72 ,$197.80 ,$127.38 ,$78.35 ,$138.46 ,$17.72 ,$36.31 ,$18.25 ,$29.05 ,$187.91 , N/A ,$158.24 ,$180.00 ,$17.72 ,$185.93 ,$187.91 ,$178.02 ,$168.13 ,$17.72 ,$17.72 ,$17.72 ,$144.39 ,$78.35 ,$176.04 ,$178.02 ,$178.02 ,$158.24 ,$80.70 ,$108.79 ,$178.02 ,$78.35 ,$178.02 ,$78.35 ,$187.91 ,$176.29 ,$181.98 ,$18.78 ,$180.00 ,$78.35 ,$121.73 ,$127.38 ,$121.73 ,$178.02 ,$176.68 ,$148.35 ,$106.05 ,$79.14 ,$18.61 ,$184.94 ,$82.27 ,$17.72 ,$172.09 ,$78.35 ,$178.02 ,$78.35 ,$178.02 ,$178.02 ,$178.02 ,$191.87 ,$160.22 ,$178.02 ,$178.02 ,$178.02 ,$178.02 ST. JOSEPH'S - CHIPPEWA FALLS,32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$228.00 ,$171.00 ,$17.72 ,$237.46 ,$146.83 ,$105.54 ,$159.60 ,$17.72 ,$38.12 ,$18.25 ,$30.49 ,$216.60 , N/A ,$182.40 ,$207.48 ,$17.72 ,$214.32 ,$216.60 ,$205.20 ,$193.80 ,$17.72 ,$17.72 ,$17.72 ,$166.44 ,$105.54 ,$202.92 ,$205.20 ,$205.20 ,$182.40 ,$108.70 ,$125.40 ,$205.20 ,$105.54 ,$205.20 ,$105.54 ,$216.60 ,$237.46 ,$209.76 ,$18.78 ,$207.48 ,$105.54 ,$140.31 ,$146.83 ,$140.31 ,$205.20 ,$163.46 ,$171.00 ,$118.14 ,$106.59 ,$18.61 ,$213.18 ,$110.82 ,$17.72 ,$198.36 ,$105.54 ,$205.20 ,$105.54 ,$205.20 ,$205.20 ,$205.20 ,$221.16 ,$184.68 ,$205.20 ,$205.20 ,$205.20 ,$205.20 ST. JOSEPH'S - CHIPPEWA FALLS,32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$273.30 ,$204.98 ,$17.72 ,$273.30 ,$176.01 ,$105.54 ,$191.31 ,$17.72 ,$39.92 ,$18.25 ,$31.93 ,$259.64 , N/A ,$218.64 ,$248.70 ,$17.72 ,$256.90 ,$259.64 ,$245.97 ,$232.31 ,$17.72 ,$17.72 ,$17.72 ,$199.51 ,$105.54 ,$243.24 ,$245.97 ,$245.97 ,$218.64 ,$108.70 ,$150.32 ,$245.97 ,$105.54 ,$245.97 ,$105.54 ,$259.64 ,$237.46 ,$251.44 ,$18.78 ,$248.70 ,$105.54 ,$168.19 ,$176.01 ,$168.19 ,$245.97 ,$186.20 ,$204.98 ,$121.60 ,$106.59 ,$18.61 ,$255.54 ,$110.82 ,$17.72 ,$237.77 ,$105.54 ,$245.97 ,$105.54 ,$245.97 ,$245.97 ,$245.97 ,$265.10 ,$221.37 ,$245.97 ,$245.97 ,$245.97 ,$245.97 ST. JOSEPH'S - CHIPPEWA FALLS,32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$386.00 ,$289.50 ,$17.72 ,$386.00 ,$248.58 ,$105.54 ,$270.20 ,$17.72 ,$53.13 ,$18.25 ,$42.50 ,$366.70 , N/A ,$308.80 ,$351.26 ,$17.72 ,$362.84 ,$366.70 ,$347.40 ,$328.10 ,$17.72 ,$17.72 ,$17.72 ,$281.78 ,$105.54 ,$343.54 ,$347.40 ,$347.40 ,$308.80 ,$108.70 ,$212.30 ,$347.40 ,$105.54 ,$347.40 ,$105.54 ,$366.70 ,$237.46 ,$355.12 ,$18.78 ,$351.26 ,$105.54 ,$237.54 ,$248.58 ,$237.54 ,$347.40 ,$180.86 ,$289.50 ,$147.53 ,$106.59 ,$18.61 ,$360.91 ,$110.82 ,$17.72 ,$335.82 ,$105.54 ,$347.40 ,$105.54 ,$347.40 ,$347.40 ,$347.40 ,$374.42 ,$312.66 ,$347.40 ,$347.40 ,$347.40 ,$347.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000141,71120,HC XR STERNUM 2+V,320,1 ,$228.80 ,$171.60 ,$17.72 ,$228.80 ,$147.35 ,$78.35 ,$160.16 ,$17.72 ,$32.11 ,$18.25 ,$25.69 ,$217.36 , N/A ,$183.04 ,$208.21 ,$17.72 ,$215.07 ,$217.36 ,$205.92 ,$194.48 ,$17.72 ,$17.72 ,$17.72 ,$167.02 ,$78.35 ,$203.63 ,$205.92 ,$205.92 ,$183.04 ,$80.70 ,$125.84 ,$205.92 ,$78.35 ,$205.92 ,$78.35 ,$217.36 ,$176.29 ,$210.50 ,$18.78 ,$208.21 ,$78.35 ,$140.80 ,$147.35 ,$140.80 ,$205.92 ,$129.23 ,$171.60 ,$93.96 ,$79.14 ,$18.61 ,$213.93 ,$82.27 ,$17.72 ,$199.06 ,$78.35 ,$205.92 ,$78.35 ,$205.92 ,$205.92 ,$205.92 ,$221.94 ,$185.33 ,$205.92 ,$205.92 ,$205.92 ,$205.92 ST. JOSEPH'S - CHIPPEWA FALLS,32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$296.64 ,$222.48 ,$17.72 ,$296.64 ,$191.04 ,$78.35 ,$207.65 ,$17.72 ,$41.11 ,$18.25 ,$32.89 ,$281.81 , N/A ,$237.31 ,$269.94 ,$17.72 ,$278.84 ,$281.81 ,$266.98 ,$252.14 ,$17.72 ,$17.72 ,$17.72 ,$216.55 ,$78.35 ,$264.01 ,$266.98 ,$266.98 ,$237.31 ,$80.70 ,$163.15 ,$266.98 ,$78.35 ,$266.98 ,$78.35 ,$281.81 ,$176.29 ,$272.91 ,$18.78 ,$269.94 ,$78.35 ,$182.55 ,$191.04 ,$182.55 ,$266.98 ,$118.29 ,$222.48 ,$119.89 ,$79.14 ,$18.61 ,$277.36 ,$82.27 ,$17.72 ,$258.08 ,$78.35 ,$266.98 ,$78.35 ,$266.98 ,$266.98 ,$266.98 ,$287.74 ,$240.28 ,$266.98 ,$266.98 ,$266.98 ,$266.98 ST. JOSEPH'S - CHIPPEWA FALLS,32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$1,764.28 ","$1,323.21 ",$34.16 ,"$1,764.28 ","$1,136.20 ",$105.54 ,"$1,235.00 ",$34.16 ,"$1,764.28 ",$35.18 ,"$1,764.28 ","$1,676.07 ", N/A ,"$1,411.42 ","$1,605.49 ",$34.16 ,"$1,658.42 ","$1,676.07 ","$1,587.85 ","$1,499.64 ",$34.16 ,$34.16 ,$34.16 ,"$1,287.92 ",$105.54 ,"$1,570.21 ","$1,587.85 ","$1,587.85 ","$1,411.42 ",$108.70 ,$970.35 ,"$1,587.85 ",$105.54 ,"$1,587.85 ",$105.54 ,"$1,676.07 ",$237.46 ,"$1,623.14 ",$36.21 ,"$1,605.49 ",$105.54 ,"$1,085.74 ","$1,136.20 ","$1,085.74 ","$1,587.85 ",$960.34 ,"$1,323.21 ","$1,587.85 ",$106.59 ,$35.87 ,"$1,649.60 ",$110.82 ,$34.16 ,"$1,534.92 ",$105.54 ,"$1,587.85 ",$105.54 ,"$1,587.85 ","$1,587.85 ","$1,587.85 ","$1,711.35 ","$1,429.07 ","$1,587.85 ","$1,587.85 ","$1,587.85 ","$1,587.85 " ST. JOSEPH'S - CHIPPEWA FALLS,32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$2,285.38 ","$1,714.04 ",$90.16 ,"$2,285.38 ","$1,471.78 ",$172.93 ,"$1,599.77 ",$90.16 ,"$2,285.38 ",$92.86 ,"$1,910.00 ","$2,171.11 ", N/A ,"$1,828.30 ","$2,079.70 ",$90.16 ,"$2,148.26 ","$2,171.11 ","$2,056.84 ","$1,942.57 ",$90.16 ,$90.16 ,$90.16 ,"$1,668.33 ",$172.93 ,"$2,033.99 ","$2,056.84 ","$2,056.84 ","$1,828.30 ",$178.11 ,"$1,256.96 ","$2,056.84 ",$172.93 ,"$2,056.84 ",$172.93 ,"$2,171.11 ",$389.08 ,"$2,102.55 ",$95.57 ,"$2,079.70 ",$172.93 ,"$1,406.42 ","$1,471.78 ","$1,406.42 ","$2,056.84 ","$1,117.16 ","$1,714.04 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,136.83 ",$181.58 ,$90.16 ,"$1,988.28 ",$172.93 ,"$2,056.84 ",$172.93 ,"$2,056.84 ","$2,056.84 ","$2,056.84 ","$2,216.82 ","$1,851.16 ","$2,056.84 ","$2,056.84 ","$2,056.84 ","$2,056.84 " ST. JOSEPH'S - CHIPPEWA FALLS,32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$2,339.64 ","$1,754.73 ",$90.16 ,"$2,339.64 ","$1,506.73 ",$172.93 ,"$1,637.75 ",$90.16 ,"$2,339.64 ",$92.86 ,"$1,910.00 ","$2,222.66 ", N/A ,"$1,871.71 ","$2,129.07 ",$90.16 ,"$2,199.26 ","$2,222.66 ","$2,105.68 ","$1,988.69 ",$90.16 ,$90.16 ,$90.16 ,"$1,707.94 ",$172.93 ,"$2,082.28 ","$2,105.68 ","$2,105.68 ","$1,871.71 ",$178.11 ,"$1,286.80 ","$2,105.68 ",$172.93 ,"$2,105.68 ",$172.93 ,"$2,222.66 ",$389.08 ,"$2,152.47 ",$95.57 ,"$2,129.07 ",$172.93 ,"$1,439.81 ","$1,506.73 ","$1,439.81 ","$2,105.68 ","$1,376.12 ","$1,754.73 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,187.56 ",$181.58 ,$90.16 ,"$2,035.49 ",$172.93 ,"$2,105.68 ",$172.93 ,"$2,105.68 ","$2,105.68 ","$2,105.68 ","$2,269.45 ","$1,895.11 ","$2,105.68 ","$2,105.68 ","$2,105.68 ","$2,105.68 " ST. JOSEPH'S - CHIPPEWA FALLS,32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$4,746.70 ","$3,560.03 ",$99.42 ,"$4,746.70 ","$3,056.87 ",$172.93 ,"$3,322.69 ",$99.42 ,"$2,388.00 ",$102.40 ,"$1,910.00 ","$4,509.37 ", N/A ,"$3,797.36 ","$4,319.50 ",$99.42 ,"$4,461.90 ","$4,509.37 ","$4,272.03 ","$4,034.70 ",$99.42 ,$99.42 ,$99.42 ,"$3,465.09 ",$172.93 ,"$4,224.56 ","$4,272.03 ","$4,272.03 ","$3,797.36 ",$178.11 ,"$2,610.69 ","$4,272.03 ",$172.93 ,"$4,272.03 ",$172.93 ,"$4,509.37 ",$389.08 ,"$4,366.96 ",$105.39 ,"$4,319.50 ",$172.93 ,"$2,921.12 ","$3,056.87 ","$2,921.12 ","$4,272.03 ",$879.36 ,"$3,560.03 ","$1,900.81 ",$174.65 ,$104.39 ,"$4,438.16 ",$181.58 ,$99.42 ,"$4,129.63 ",$172.93 ,"$4,272.03 ",$172.93 ,"$4,272.03 ","$4,272.03 ","$4,272.03 ","$4,604.30 ","$3,844.83 ","$4,272.03 ","$4,272.03 ","$4,272.03 ","$4,272.03 " ST. JOSEPH'S - CHIPPEWA FALLS,32000151,71550,HC MRI CHEST W/O CON,610,1 ,"$3,702.87 ","$2,777.15 ",$76.81 ,"$3,702.87 ","$2,384.65 ",$222.88 ,"$2,592.01 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$3,517.73 ", N/A ,"$2,962.30 ","$3,369.61 ",$76.81 ,"$3,480.70 ","$3,517.73 ","$3,332.58 ","$3,147.44 ",$76.81 ,$76.81 ,$76.81 ,"$2,703.10 ",$222.88 ,"$3,295.55 ","$3,332.58 ","$3,332.58 ","$2,962.30 ",$229.57 ,"$2,036.58 ","$3,332.58 ",$222.88 ,"$3,332.58 ",$222.88 ,"$3,517.73 ",$501.48 ,"$3,406.64 ",$81.42 ,"$3,369.61 ",$222.88 ,"$2,278.75 ","$2,384.65 ","$2,278.75 ","$3,332.58 ","$2,080.29 ","$2,777.15 ","$2,112.01 ",$225.11 ,$80.65 ,"$3,462.18 ",$234.02 ,$76.81 ,"$3,221.50 ",$222.88 ,"$3,332.58 ",$222.88 ,"$3,332.58 ","$3,332.58 ","$3,332.58 ","$3,591.78 ","$2,999.32 ","$3,332.58 ","$3,332.58 ","$3,332.58 ","$3,332.58 " ST. JOSEPH'S - CHIPPEWA FALLS,32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$3,764.09 ","$2,823.07 ",$136.33 ,"$3,764.09 ","$2,424.07 ",$692.65 ,"$2,634.86 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,575.89 ", N/A ,"$3,011.27 ","$3,425.32 ",$136.33 ,"$3,538.24 ","$3,575.89 ","$3,387.68 ","$3,199.48 ",$136.33 ,$136.33 ,$136.33 ,"$2,747.79 ",$692.65 ,"$3,350.04 ","$3,387.68 ","$3,387.68 ","$3,011.27 ",$713.43 ,"$2,070.25 ","$3,387.68 ",$692.65 ,"$3,387.68 ",$692.65 ,"$3,575.89 ","$1,558.47 ","$3,462.96 ",$144.51 ,"$3,425.32 ",$692.65 ,"$2,316.42 ","$2,424.07 ","$2,316.42 ","$3,387.68 ","$1,330.66 ","$2,823.07 ","$2,112.01 ",$699.58 ,$143.15 ,"$3,519.42 ",$727.28 ,$136.33 ,"$3,274.76 ",$692.65 ,"$3,387.68 ",$692.65 ,"$3,387.68 ","$3,387.68 ","$3,387.68 ","$3,651.17 ","$3,048.91 ","$3,387.68 ","$3,387.68 ","$3,387.68 ","$3,387.68 " ST. JOSEPH'S - CHIPPEWA FALLS,32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$4,158.82 ","$3,119.12 ",$136.33 ,"$4,158.82 ","$2,678.28 ",$356.52 ,"$2,911.17 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,950.88 ", N/A ,"$3,327.06 ","$3,784.53 ",$136.33 ,"$3,909.29 ","$3,950.88 ","$3,742.94 ","$3,535.00 ",$136.33 ,$136.33 ,$136.33 ,"$3,035.94 ",$356.52 ,"$3,701.35 ","$3,742.94 ","$3,742.94 ","$3,327.06 ",$367.22 ,"$2,287.35 ","$3,742.94 ",$356.52 ,"$3,742.94 ",$356.52 ,"$3,950.88 ",$802.18 ,"$3,826.11 ",$144.51 ,"$3,784.53 ",$356.52 ,"$2,559.34 ","$2,678.28 ","$2,559.34 ","$3,742.94 ","$2,441.93 ","$3,119.12 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,888.50 ",$374.35 ,$136.33 ,"$3,618.17 ",$356.52 ,"$3,742.94 ",$356.52 ,"$3,742.94 ","$3,742.94 ","$3,742.94 ","$4,034.06 ","$3,368.64 ","$3,742.94 ","$3,742.94 ","$3,742.94 ","$3,742.94 " ST. JOSEPH'S - CHIPPEWA FALLS,32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$348.40 ,$261.30 ,$17.72 ,$348.40 ,$224.37 ,$78.35 ,$243.88 ,$17.72 ,$23.70 ,$18.25 ,$18.96 ,$330.98 , N/A ,$278.72 ,$317.04 ,$17.72 ,$327.50 ,$330.98 ,$313.56 ,$296.14 ,$17.72 ,$17.72 ,$17.72 ,$254.33 ,$78.35 ,$310.08 ,$313.56 ,$313.56 ,$278.72 ,$80.70 ,$191.62 ,$313.56 ,$78.35 ,$313.56 ,$78.35 ,$330.98 ,$176.29 ,$320.53 ,$18.78 ,$317.04 ,$78.35 ,$214.41 ,$224.37 ,$214.41 ,$313.56 ,$106.75 ,$261.30 ,$69.78 ,$79.14 ,$18.61 ,$325.75 ,$82.27 ,$17.72 ,$303.11 ,$78.35 ,$313.56 ,$78.35 ,$313.56 ,$313.56 ,$313.56 ,$337.95 ,$282.20 ,$313.56 ,$313.56 ,$313.56 ,$313.56 ST. JOSEPH'S - CHIPPEWA FALLS,32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$320.70 ,$240.53 ,$17.72 ,$320.70 ,$206.53 ,$78.35 ,$224.49 ,$17.72 ,$36.31 ,$18.25 ,$29.05 ,$304.67 , N/A ,$256.56 ,$291.84 ,$17.72 ,$301.46 ,$304.67 ,$288.63 ,$272.60 ,$17.72 ,$17.72 ,$17.72 ,$234.11 ,$78.35 ,$285.42 ,$288.63 ,$288.63 ,$256.56 ,$80.70 ,$176.39 ,$288.63 ,$78.35 ,$288.63 ,$78.35 ,$304.67 ,$176.29 ,$295.04 ,$18.78 ,$291.84 ,$78.35 ,$197.36 ,$206.53 ,$197.36 ,$288.63 ,$197.66 ,$240.53 ,$106.05 ,$79.14 ,$18.61 ,$299.85 ,$82.27 ,$17.72 ,$279.01 ,$78.35 ,$288.63 ,$78.35 ,$288.63 ,$288.63 ,$288.63 ,$311.08 ,$259.77 ,$288.63 ,$288.63 ,$288.63 ,$288.63 ST. JOSEPH'S - CHIPPEWA FALLS,32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$376.30 ,$282.23 ,$17.72 ,$376.30 ,$242.34 ,$105.54 ,$263.41 ,$17.72 ,$49.53 ,$18.25 ,$39.62 ,$357.49 , N/A ,$301.04 ,$342.43 ,$17.72 ,$353.72 ,$357.49 ,$338.67 ,$319.86 ,$17.72 ,$17.72 ,$17.72 ,$274.70 ,$105.54 ,$334.91 ,$338.67 ,$338.67 ,$301.04 ,$108.70 ,$206.97 ,$338.67 ,$105.54 ,$338.67 ,$105.54 ,$357.49 ,$237.46 ,$346.20 ,$18.78 ,$342.43 ,$105.54 ,$231.58 ,$242.34 ,$231.58 ,$338.67 ,$198.42 ,$282.23 ,$142.37 ,$106.59 ,$18.61 ,$351.84 ,$110.82 ,$17.72 ,$327.38 ,$105.54 ,$338.67 ,$105.54 ,$338.67 ,$338.67 ,$338.67 ,$365.01 ,$304.80 ,$338.67 ,$338.67 ,$338.67 ,$338.67 ST. JOSEPH'S - CHIPPEWA FALLS,32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,$528.10 ,$396.08 ,$17.72 ,$528.10 ,$340.10 ,$105.54 ,$369.67 ,$17.72 ,$63.33 ,$18.25 ,$50.67 ,$501.70 , N/A ,$422.48 ,$480.57 ,$17.72 ,$496.41 ,$501.70 ,$475.29 ,$448.89 ,$17.72 ,$17.72 ,$17.72 ,$385.51 ,$105.54 ,$470.01 ,$475.29 ,$475.29 ,$422.48 ,$108.70 ,$290.46 ,$475.29 ,$105.54 ,$475.29 ,$105.54 ,$501.70 ,$237.46 ,$485.85 ,$18.78 ,$480.57 ,$105.54 ,$324.99 ,$340.10 ,$324.99 ,$475.29 ,$211.40 ,$396.08 ,$182.10 ,$106.59 ,$18.61 ,$493.77 ,$110.82 ,$17.72 ,$459.45 ,$105.54 ,$475.29 ,$105.54 ,$475.29 ,$475.29 ,$475.29 ,$512.26 ,$427.76 ,$475.29 ,$475.29 ,$475.29 ,$475.29 ST. JOSEPH'S - CHIPPEWA FALLS,32000172,72070,HC XR T-SPINE 2V,320,1 ,$179.10 ,$134.33 ,$17.72 ,$237.46 ,$115.34 ,$105.54 ,$125.37 ,$17.72 ,$38.12 ,$18.25 ,$30.49 ,$170.15 , N/A ,$143.28 ,$162.98 ,$17.72 ,$168.35 ,$170.15 ,$161.19 ,$152.24 ,$17.72 ,$17.72 ,$17.72 ,$130.74 ,$105.54 ,$159.40 ,$161.19 ,$161.19 ,$143.28 ,$108.70 ,$98.51 ,$161.19 ,$105.54 ,$161.19 ,$105.54 ,$170.15 ,$237.46 ,$164.77 ,$18.78 ,$162.98 ,$105.54 ,$110.22 ,$115.34 ,$110.22 ,$161.19 ,$179.10 ,$134.33 ,$109.51 ,$106.59 ,$18.61 ,$167.46 ,$110.82 ,$17.72 ,$155.82 ,$105.54 ,$161.19 ,$105.54 ,$161.19 ,$161.19 ,$161.19 ,$173.73 ,$145.07 ,$161.19 ,$161.19 ,$161.19 ,$161.19 ST. JOSEPH'S - CHIPPEWA FALLS,32000174,72072,HC XR T-SPINE 3V,320,1 ,$272.60 ,$204.45 ,$17.72 ,$272.60 ,$175.55 ,$105.54 ,$190.82 ,$17.72 ,$39.32 ,$18.25 ,$31.46 ,$258.97 , N/A ,$218.08 ,$248.07 ,$17.72 ,$256.24 ,$258.97 ,$245.34 ,$231.71 ,$17.72 ,$17.72 ,$17.72 ,$199.00 ,$105.54 ,$242.61 ,$245.34 ,$245.34 ,$218.08 ,$108.70 ,$149.93 ,$245.34 ,$105.54 ,$245.34 ,$105.54 ,$258.97 ,$237.46 ,$250.79 ,$18.78 ,$248.07 ,$105.54 ,$167.76 ,$175.55 ,$167.76 ,$245.34 ,$169.75 ,$204.45 ,$114.67 ,$106.59 ,$18.61 ,$254.88 ,$110.82 ,$17.72 ,$237.16 ,$105.54 ,$245.34 ,$105.54 ,$245.34 ,$245.34 ,$245.34 ,$264.42 ,$220.81 ,$245.34 ,$245.34 ,$245.34 ,$245.34 ST. JOSEPH'S - CHIPPEWA FALLS,32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$226.60 ,$169.95 ,$17.72 ,$237.46 ,$145.93 ,$105.54 ,$158.62 ,$17.72 ,$39.92 ,$18.25 ,$31.93 ,$215.27 , N/A ,$181.28 ,$206.21 ,$17.72 ,$213.00 ,$215.27 ,$203.94 ,$192.61 ,$17.72 ,$17.72 ,$17.72 ,$165.42 ,$105.54 ,$201.67 ,$203.94 ,$203.94 ,$181.28 ,$108.70 ,$124.63 ,$203.94 ,$105.54 ,$203.94 ,$105.54 ,$215.27 ,$237.46 ,$208.47 ,$18.78 ,$206.21 ,$105.54 ,$139.45 ,$145.93 ,$139.45 ,$203.94 ,$198.89 ,$169.95 ,$114.67 ,$106.59 ,$18.61 ,$211.87 ,$110.82 ,$17.72 ,$197.14 ,$105.54 ,$203.94 ,$105.54 ,$203.94 ,$203.94 ,$203.94 ,$219.80 ,$183.55 ,$203.94 ,$203.94 ,$203.94 ,$203.94 ST. JOSEPH'S - CHIPPEWA FALLS,32000181,72110,HC XR L-SPINE 4+V,320,1 ,$330.40 ,$247.80 ,$17.72 ,$330.40 ,$212.78 ,$105.54 ,$231.28 ,$17.72 ,$55.53 ,$18.25 ,$44.42 ,$313.88 , N/A ,$264.32 ,$300.66 ,$17.72 ,$310.58 ,$313.88 ,$297.36 ,$280.84 ,$17.72 ,$17.72 ,$17.72 ,$241.19 ,$105.54 ,$294.06 ,$297.36 ,$297.36 ,$264.32 ,$108.70 ,$181.72 ,$297.36 ,$105.54 ,$297.36 ,$105.54 ,$313.88 ,$237.46 ,$303.97 ,$18.78 ,$300.66 ,$105.54 ,$203.33 ,$212.78 ,$203.33 ,$297.36 ,$230.21 ,$247.80 ,$159.62 ,$106.59 ,$18.61 ,$308.92 ,$110.82 ,$17.72 ,$287.45 ,$105.54 ,$297.36 ,$105.54 ,$297.36 ,$297.36 ,$297.36 ,$320.49 ,$267.62 ,$297.36 ,$297.36 ,$297.36 ,$297.36 ST. JOSEPH'S - CHIPPEWA FALLS,32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,$399.80 ,$299.85 ,$17.72 ,$399.80 ,$257.47 ,$105.54 ,$279.86 ,$17.72 ,$76.55 ,$18.25 ,$61.24 ,$379.81 , N/A ,$319.84 ,$363.82 ,$17.72 ,$375.81 ,$379.81 ,$359.82 ,$339.83 ,$17.72 ,$17.72 ,$17.72 ,$291.85 ,$105.54 ,$355.82 ,$359.82 ,$359.82 ,$319.84 ,$108.70 ,$219.89 ,$359.82 ,$105.54 ,$359.82 ,$105.54 ,$379.81 ,$237.46 ,$367.82 ,$18.78 ,$363.82 ,$105.54 ,$246.04 ,$257.47 ,$246.04 ,$359.82 ,$256.15 ,$299.85 ,$218.36 ,$106.59 ,$18.61 ,$373.81 ,$110.82 ,$17.72 ,$347.83 ,$105.54 ,$359.82 ,$105.54 ,$359.82 ,$359.82 ,$359.82 ,$387.81 ,$323.84 ,$359.82 ,$359.82 ,$359.82 ,$359.82 ST. JOSEPH'S - CHIPPEWA FALLS,32000186,72170,HC XR PELVIS 1-2V,320,1 ,$231.40 ,$173.55 ,$17.72 ,$237.46 ,$149.02 ,$105.54 ,$161.98 ,$17.72 ,$38.71 ,$18.25 ,$30.97 ,$219.83 , N/A ,$185.12 ,$210.57 ,$17.72 ,$217.52 ,$219.83 ,$208.26 ,$196.69 ,$17.72 ,$17.72 ,$17.72 ,$168.92 ,$105.54 ,$205.95 ,$208.26 ,$208.26 ,$185.12 ,$108.70 ,$127.27 ,$208.26 ,$105.54 ,$208.26 ,$105.54 ,$219.83 ,$237.46 ,$212.89 ,$18.78 ,$210.57 ,$105.54 ,$142.40 ,$149.02 ,$142.40 ,$208.26 ,$132.52 ,$173.55 ,$111.21 ,$106.59 ,$18.61 ,$216.36 ,$110.82 ,$17.72 ,$201.32 ,$105.54 ,$208.26 ,$105.54 ,$208.26 ,$208.26 ,$208.26 ,$224.46 ,$187.43 ,$208.26 ,$208.26 ,$208.26 ,$208.26 ST. JOSEPH'S - CHIPPEWA FALLS,32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$256.50 ,$192.38 ,$17.72 ,$256.50 ,$165.19 ,$105.54 ,$179.55 ,$17.72 ,$45.33 ,$18.25 ,$36.26 ,$243.68 , N/A ,$205.20 ,$233.42 ,$17.72 ,$241.11 ,$243.68 ,$230.85 ,$218.03 ,$17.72 ,$17.72 ,$17.72 ,$187.25 ,$105.54 ,$228.29 ,$230.85 ,$230.85 ,$205.20 ,$108.70 ,$141.08 ,$230.85 ,$105.54 ,$230.85 ,$105.54 ,$243.68 ,$237.46 ,$235.98 ,$18.78 ,$233.42 ,$105.54 ,$157.85 ,$165.19 ,$157.85 ,$230.85 ,$189.95 ,$192.38 ,$130.23 ,$106.59 ,$18.61 ,$239.83 ,$110.82 ,$17.72 ,$223.16 ,$105.54 ,$230.85 ,$105.54 ,$230.85 ,$230.85 ,$230.85 ,$248.81 ,$207.77 ,$230.85 ,$230.85 ,$230.85 ,$230.85 ST. JOSEPH'S - CHIPPEWA FALLS,32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$223.20 ,$167.40 ,$17.72 ,$237.46 ,$143.74 ,$105.54 ,$156.24 ,$17.72 ,$39.32 ,$18.25 ,$31.46 ,$212.04 , N/A ,$178.56 ,$203.11 ,$17.72 ,$209.81 ,$212.04 ,$200.88 ,$189.72 ,$17.72 ,$17.72 ,$17.72 ,$162.94 ,$105.54 ,$198.65 ,$200.88 ,$200.88 ,$178.56 ,$108.70 ,$122.76 ,$200.88 ,$105.54 ,$200.88 ,$105.54 ,$212.04 ,$237.46 ,$205.34 ,$18.78 ,$203.11 ,$105.54 ,$137.36 ,$143.74 ,$137.36 ,$200.88 ,$139.72 ,$167.40 ,$112.97 ,$106.59 ,$18.61 ,$208.69 ,$110.82 ,$17.72 ,$194.18 ,$105.54 ,$200.88 ,$105.54 ,$200.88 ,$200.88 ,$200.88 ,$216.50 ,$180.79 ,$200.88 ,$200.88 ,$200.88 ,$200.88 ST. JOSEPH'S - CHIPPEWA FALLS,32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$254.50 ,$190.88 ,$17.72 ,$254.50 ,$163.90 ,$78.35 ,$178.15 ,$17.72 ,$32.11 ,$18.25 ,$25.69 ,$241.78 , N/A ,$203.60 ,$231.60 ,$17.72 ,$239.23 ,$241.78 ,$229.05 ,$216.33 ,$17.72 ,$17.72 ,$17.72 ,$185.79 ,$78.35 ,$226.51 ,$229.05 ,$229.05 ,$203.60 ,$80.70 ,$139.98 ,$229.05 ,$78.35 ,$229.05 ,$78.35 ,$241.78 ,$176.29 ,$234.14 ,$18.78 ,$231.60 ,$78.35 ,$156.62 ,$163.90 ,$156.62 ,$229.05 ,$121.03 ,$190.88 ,$93.96 ,$79.14 ,$18.61 ,$237.96 ,$82.27 ,$17.72 ,$221.42 ,$78.35 ,$229.05 ,$78.35 ,$229.05 ,$229.05 ,$229.05 ,$246.87 ,$206.15 ,$229.05 ,$229.05 ,$229.05 ,$229.05 ST. JOSEPH'S - CHIPPEWA FALLS,32000194,62302,HC XR MYELOGRAM C-SPINE,320,1 ,"$2,424.23 ","$1,818.17 ",$193.81 ,"$2,424.23 ","$1,561.20 ",$692.65 ,"$1,696.96 ",$193.81 ,"$2,012.11 ",$199.62 ,"$1,599.99 ","$2,303.02 ", N/A ,"$1,939.38 ","$2,206.05 ",$193.81 ,"$2,278.78 ","$2,303.02 ","$2,181.81 ","$2,060.60 ",$193.81 ,$193.81 ,$193.81 ,"$1,769.69 ",$692.65 ,"$2,157.56 ","$2,181.81 ","$2,181.81 ","$1,939.38 ",$713.43 ,"$1,333.33 ","$2,181.81 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,303.02 ","$1,558.47 ","$2,230.29 ",$205.44 ,"$2,206.05 ",$692.65 ,"$1,491.87 ","$1,561.20 ","$1,491.87 ","$2,181.81 ","$2,181.81 ","$1,818.17 ","$1,696.96 ",$699.58 ,$203.50 ,"$2,266.66 ",$727.28 ,$193.81 ,"$2,109.08 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,351.50 ","$1,963.63 ","$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,181.81 " ST. JOSEPH'S - CHIPPEWA FALLS,32000195,62303,HC XR MYELOGRAM T-SPINE,320,1 ,"$2,424.23 ","$1,818.17 ",$193.81 ,"$2,424.23 ","$1,561.20 ",$692.65 ,"$1,696.96 ",$193.81 ,"$2,012.11 ",$199.62 ,"$1,599.99 ","$2,303.02 ", N/A ,"$1,939.38 ","$2,206.05 ",$193.81 ,"$2,278.78 ","$2,303.02 ","$2,181.81 ","$2,060.60 ",$193.81 ,$193.81 ,$193.81 ,"$1,769.69 ",$692.65 ,"$2,157.56 ","$2,181.81 ","$2,181.81 ","$1,939.38 ",$713.43 ,"$1,333.33 ","$2,181.81 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,303.02 ","$1,558.47 ","$2,230.29 ",$205.44 ,"$2,206.05 ",$692.65 ,"$1,491.87 ","$1,561.20 ","$1,491.87 ","$2,181.81 ","$2,181.81 ","$1,818.17 ","$1,696.96 ",$699.58 ,$203.50 ,"$2,266.66 ",$727.28 ,$193.81 ,"$2,109.08 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,351.50 ","$1,963.63 ","$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,181.81 " ST. JOSEPH'S - CHIPPEWA FALLS,32000196,62304,HC XR MYELOGRAM L-SPINE,320,1 ,"$2,424.23 ","$1,818.17 ",$193.81 ,"$2,424.23 ","$1,561.20 ",$692.65 ,"$1,696.96 ",$193.81 ,"$2,012.11 ",$199.62 ,"$1,599.99 ","$2,303.02 ", N/A ,"$1,939.38 ","$2,206.05 ",$193.81 ,"$2,278.78 ","$2,303.02 ","$2,181.81 ","$2,060.60 ",$193.81 ,$193.81 ,$193.81 ,"$1,769.69 ",$692.65 ,"$2,157.56 ","$2,181.81 ","$2,181.81 ","$1,939.38 ",$713.43 ,"$1,333.33 ","$2,181.81 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,303.02 ","$1,558.47 ","$2,230.29 ",$205.44 ,"$2,206.05 ",$692.65 ,"$1,491.87 ","$1,561.20 ","$1,491.87 ","$2,181.81 ","$2,181.81 ","$1,818.17 ","$1,696.96 ",$699.58 ,$203.50 ,"$2,266.66 ",$727.28 ,$193.81 ,"$2,109.08 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,351.50 ","$1,963.63 ","$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,181.81 " ST. JOSEPH'S - CHIPPEWA FALLS,32000197,62305,HC XR MYELOGRAM >2 REGIONS,320,1 ,"$2,424.23 ","$1,818.17 ",$193.81 ,"$2,424.23 ","$1,561.20 ",$692.65 ,"$1,696.96 ",$193.81 ,"$2,012.11 ",$199.62 ,"$1,599.99 ","$2,303.02 ", N/A ,"$1,939.38 ","$2,206.05 ",$193.81 ,"$2,278.78 ","$2,303.02 ","$2,181.81 ","$2,060.60 ",$193.81 ,$193.81 ,$193.81 ,"$1,769.69 ",$692.65 ,"$2,157.56 ","$2,181.81 ","$2,181.81 ","$1,939.38 ",$713.43 ,"$1,333.33 ","$2,181.81 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,303.02 ","$1,558.47 ","$2,230.29 ",$205.44 ,"$2,206.05 ",$692.65 ,"$1,491.87 ","$1,561.20 ","$1,491.87 ","$2,181.81 ","$2,181.81 ","$1,818.17 ","$1,696.96 ",$699.58 ,$203.50 ,"$2,266.66 ",$727.28 ,$193.81 ,"$2,109.08 ",$692.65 ,"$2,181.81 ",$692.65 ,"$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,351.50 ","$1,963.63 ","$2,181.81 ","$2,181.81 ","$2,181.81 ","$2,181.81 " ST. JOSEPH'S - CHIPPEWA FALLS,32000198,72285,HC XR DISKOGRAM C- OR T-SPINE,320,1 ,$852.33 ,$639.25 ,$70.36 ,"$3,823.04 ",$548.90 ,"$1,699.13 ",$596.63 ,$193.81 ,$87.96 ,$199.62 ,$70.36 ,$809.71 , N/A ,$681.86 ,$775.62 ,$193.81 ,$801.19 ,$809.71 ,$767.10 ,$724.48 ,$193.81 ,$193.81 ,$193.81 ,$622.20 ,"$1,699.13 ",$758.57 ,$767.10 ,$767.10 ,$681.86 ,"$1,750.10 ",$468.78 ,$767.10 ,"$1,699.13 ",$767.10 ,"$1,699.13 ",$809.71 ,"$3,823.04 ",$784.14 ,$205.44 ,$775.62 ,"$1,699.13 ",$524.52 ,$548.90 ,$524.52 ,$767.10 ,$852.33 ,$639.25 ,$252.93 ,"$1,716.12 ",$203.50 ,$796.93 ,"$1,784.09 ",$193.81 ,$741.53 ,"$1,699.13 ",$767.10 ,"$1,699.13 ",$767.10 ,$767.10 ,$767.10 ,$826.76 ,$690.39 ,$767.10 ,$767.10 ,$767.10 ,$767.10 ST. JOSEPH'S - CHIPPEWA FALLS,32000200,72295,HC XR DISKOGRAM L-SPINE,320,1 ,"$1,667.10 ","$1,250.33 ",$73.23 ,"$3,823.04 ","$1,073.61 ","$1,699.13 ","$1,166.97 ",$193.81 ,$91.54 ,$199.62 ,$73.23 ,"$1,583.75 ", N/A ,"$1,333.68 ","$1,517.06 ",$193.81 ,"$1,567.07 ","$1,583.75 ","$1,500.39 ","$1,417.04 ",$193.81 ,$193.81 ,$193.81 ,"$1,216.98 ","$1,699.13 ","$1,483.72 ","$1,500.39 ","$1,500.39 ","$1,333.68 ","$1,750.10 ",$916.91 ,"$1,500.39 ","$1,699.13 ","$1,500.39 ","$1,699.13 ","$1,583.75 ","$3,823.04 ","$1,533.73 ",$205.44 ,"$1,517.06 ","$1,699.13 ","$1,025.93 ","$1,073.61 ","$1,025.93 ","$1,500.39 ","$1,519.70 ","$1,250.33 ",$261.61 ,"$1,716.12 ",$203.50 ,"$1,558.74 ","$1,784.09 ",$193.81 ,"$1,450.38 ","$1,699.13 ","$1,500.39 ","$1,699.13 ","$1,500.39 ","$1,500.39 ","$1,500.39 ","$1,617.09 ","$1,350.35 ","$1,500.39 ","$1,500.39 ","$1,500.39 ","$1,500.39 " ST. JOSEPH'S - CHIPPEWA FALLS,32000201,73000,HC XRAY CLAVICLE,320,1 ,$224.50 ,$168.38 ,$17.72 ,$224.50 ,$144.58 ,$78.35 ,$157.15 ,$17.72 ,$32.11 ,$18.25 ,$25.69 ,$213.28 , N/A ,$179.60 ,$204.30 ,$17.72 ,$211.03 ,$213.28 ,$202.05 ,$190.83 ,$17.72 ,$17.72 ,$17.72 ,$163.89 ,$78.35 ,$199.81 ,$202.05 ,$202.05 ,$179.60 ,$80.70 ,$123.48 ,$202.05 ,$78.35 ,$202.05 ,$78.35 ,$213.28 ,$176.29 ,$206.54 ,$18.78 ,$204.30 ,$78.35 ,$138.16 ,$144.58 ,$138.16 ,$202.05 ,$113.22 ,$168.38 ,$93.96 ,$79.14 ,$18.61 ,$209.91 ,$82.27 ,$17.72 ,$195.32 ,$78.35 ,$202.05 ,$78.35 ,$202.05 ,$202.05 ,$202.05 ,$217.77 ,$181.85 ,$202.05 ,$202.05 ,$202.05 ,$202.05 ST. JOSEPH'S - CHIPPEWA FALLS,32000204,73010,HC XRAY SCAPULA,320,1 ,$224.50 ,$168.38 ,$17.72 ,$237.46 ,$144.58 ,$105.54 ,$157.15 ,$17.72 ,$35.11 ,$18.25 ,$28.08 ,$213.28 , N/A ,$179.60 ,$204.30 ,$17.72 ,$211.03 ,$213.28 ,$202.05 ,$190.83 ,$17.72 ,$17.72 ,$17.72 ,$163.89 ,$105.54 ,$199.81 ,$202.05 ,$202.05 ,$179.60 ,$108.70 ,$123.48 ,$202.05 ,$105.54 ,$202.05 ,$105.54 ,$213.28 ,$237.46 ,$206.54 ,$18.78 ,$204.30 ,$105.54 ,$138.16 ,$144.58 ,$138.16 ,$202.05 ,$137.31 ,$168.38 ,$102.59 ,$106.59 ,$18.61 ,$209.91 ,$110.82 ,$17.72 ,$195.32 ,$105.54 ,$202.05 ,$105.54 ,$202.05 ,$202.05 ,$202.05 ,$217.77 ,$181.85 ,$202.05 ,$202.05 ,$202.05 ,$202.05 ST. JOSEPH'S - CHIPPEWA FALLS,32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$192.40 ,$144.30 ,$17.72 ,$192.40 ,$123.91 ,$78.35 ,$134.68 ,$17.72 ,$24.90 ,$18.25 ,$19.92 ,$182.78 , N/A ,$153.92 ,$175.08 ,$17.72 ,$180.86 ,$182.78 ,$173.16 ,$163.54 ,$17.72 ,$17.72 ,$17.72 ,$140.45 ,$78.35 ,$171.24 ,$173.16 ,$173.16 ,$153.92 ,$80.70 ,$105.82 ,$173.16 ,$78.35 ,$173.16 ,$78.35 ,$182.78 ,$176.29 ,$177.01 ,$18.78 ,$175.08 ,$78.35 ,$118.40 ,$123.91 ,$118.40 ,$173.16 ,$92.22 ,$144.30 ,$71.48 ,$79.14 ,$18.61 ,$179.89 ,$82.27 ,$17.72 ,$167.39 ,$78.35 ,$173.16 ,$78.35 ,$173.16 ,$173.16 ,$173.16 ,$186.63 ,$155.84 ,$173.16 ,$173.16 ,$173.16 ,$173.16 ST. JOSEPH'S - CHIPPEWA FALLS,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$228.80 ,$171.60 ,$17.72 ,$228.80 ,$147.35 ,$78.35 ,$160.16 ,$17.72 ,$32.71 ,$18.25 ,$26.17 ,$217.36 , N/A ,$183.04 ,$208.21 ,$17.72 ,$215.07 ,$217.36 ,$205.92 ,$194.48 ,$17.72 ,$17.72 ,$17.72 ,$167.02 ,$78.35 ,$203.63 ,$205.92 ,$205.92 ,$183.04 ,$80.70 ,$125.84 ,$205.92 ,$78.35 ,$205.92 ,$78.35 ,$217.36 ,$176.29 ,$210.50 ,$18.78 ,$208.21 ,$78.35 ,$140.80 ,$147.35 ,$140.80 ,$205.92 ,$137.87 ,$171.60 ,$95.66 ,$79.14 ,$18.61 ,$213.93 ,$82.27 ,$17.72 ,$199.06 ,$78.35 ,$205.92 ,$78.35 ,$205.92 ,$205.92 ,$205.92 ,$221.94 ,$185.33 ,$205.92 ,$205.92 ,$205.92 ,$205.92 ST. JOSEPH'S - CHIPPEWA FALLS,32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,$887.59 ,$665.69 ,$37.66 ,$887.59 ,$571.61 ,$356.52 ,$621.31 ,$37.66 ,$122.17 ,$38.79 ,$97.73 ,$843.21 , N/A ,$710.07 ,$807.71 ,$37.66 ,$834.33 ,$843.21 ,$798.83 ,$754.45 ,$37.66 ,$37.66 ,$37.66 ,$647.94 ,$356.52 ,$789.96 ,$798.83 ,$798.83 ,$710.07 ,$367.22 ,$488.17 ,$798.83 ,$356.52 ,$798.83 ,$356.52 ,$843.21 ,$802.18 ,$816.58 ,$39.92 ,$807.71 ,$356.52 ,$546.22 ,$571.61 ,$546.22 ,$798.83 ,$388.94 ,$665.69 ,$358.37 ,$360.09 ,$39.54 ,$829.90 ,$374.35 ,$37.66 ,$772.20 ,$356.52 ,$798.83 ,$356.52 ,$798.83 ,$798.83 ,$798.83 ,$860.96 ,$718.95 ,$798.83 ,$798.83 ,$798.83 ,$798.83 ST. JOSEPH'S - CHIPPEWA FALLS,32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$311.30 ,$233.48 ,$17.72 ,$311.30 ,$200.48 ,$78.35 ,$217.91 ,$17.72 ,$41.72 ,$18.25 ,$33.38 ,$295.74 , N/A ,$249.04 ,$283.28 ,$17.72 ,$292.62 ,$295.74 ,$280.17 ,$264.61 ,$17.72 ,$17.72 ,$17.72 ,$227.25 ,$78.35 ,$277.06 ,$280.17 ,$280.17 ,$249.04 ,$80.70 ,$171.22 ,$280.17 ,$78.35 ,$280.17 ,$78.35 ,$295.74 ,$176.29 ,$286.40 ,$18.78 ,$283.28 ,$78.35 ,$191.57 ,$200.48 ,$191.57 ,$280.17 ,$128.79 ,$233.48 ,$121.60 ,$79.14 ,$18.61 ,$291.07 ,$82.27 ,$17.72 ,$270.83 ,$78.35 ,$280.17 ,$78.35 ,$280.17 ,$280.17 ,$280.17 ,$301.96 ,$252.15 ,$280.17 ,$280.17 ,$280.17 ,$280.17 ST. JOSEPH'S - CHIPPEWA FALLS,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$206.30 ,$154.73 ,$17.72 ,$206.30 ,$132.86 ,$78.35 ,$144.41 ,$17.72 ,$34.51 ,$18.25 ,$27.61 ,$195.99 , N/A ,$165.04 ,$187.73 ,$17.72 ,$193.92 ,$195.99 ,$185.67 ,$175.36 ,$17.72 ,$17.72 ,$17.72 ,$150.60 ,$78.35 ,$183.61 ,$185.67 ,$185.67 ,$165.04 ,$80.70 ,$113.47 ,$185.67 ,$78.35 ,$185.67 ,$78.35 ,$195.99 ,$176.29 ,$189.80 ,$18.78 ,$187.73 ,$78.35 ,$126.96 ,$132.86 ,$126.96 ,$185.67 ,$129.80 ,$154.73 ,$99.12 ,$79.14 ,$18.61 ,$192.89 ,$82.27 ,$17.72 ,$179.48 ,$78.35 ,$185.67 ,$78.35 ,$185.67 ,$185.67 ,$185.67 ,$200.11 ,$167.10 ,$185.67 ,$185.67 ,$185.67 ,$185.67 ST. JOSEPH'S - CHIPPEWA FALLS,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$186.00 ,$139.50 ,$17.72 ,$186.00 ,$119.78 ,$78.35 ,$130.20 ,$17.72 ,$32.11 ,$18.25 ,$25.69 ,$176.70 , N/A ,$148.80 ,$169.26 ,$17.72 ,$174.84 ,$176.70 ,$167.40 ,$158.10 ,$17.72 ,$17.72 ,$17.72 ,$135.78 ,$78.35 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$80.70 ,$102.30 ,$167.40 ,$78.35 ,$167.40 ,$78.35 ,$176.70 ,$176.29 ,$171.12 ,$18.78 ,$169.26 ,$78.35 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$93.90 ,$139.50 ,$92.20 ,$79.14 ,$18.61 ,$173.91 ,$82.27 ,$17.72 ,$161.82 ,$78.35 ,$167.40 ,$78.35 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$204.20 ,$153.15 ,$17.72 ,$204.20 ,$131.50 ,$78.35 ,$142.94 ,$17.72 ,$37.52 ,$18.25 ,$30.02 ,$193.99 , N/A ,$163.36 ,$185.82 ,$17.72 ,$191.95 ,$193.99 ,$183.78 ,$173.57 ,$17.72 ,$17.72 ,$17.72 ,$149.07 ,$78.35 ,$181.74 ,$183.78 ,$183.78 ,$163.36 ,$80.70 ,$112.31 ,$183.78 ,$78.35 ,$183.78 ,$78.35 ,$193.99 ,$176.29 ,$187.86 ,$18.78 ,$185.82 ,$78.35 ,$125.66 ,$131.50 ,$125.66 ,$183.78 ,$120.08 ,$153.15 ,$109.51 ,$79.14 ,$18.61 ,$190.93 ,$82.27 ,$17.72 ,$177.65 ,$78.35 ,$183.78 ,$78.35 ,$183.78 ,$183.78 ,$183.78 ,$198.07 ,$165.40 ,$183.78 ,$183.78 ,$183.78 ,$183.78 ST. JOSEPH'S - CHIPPEWA FALLS,32000222,73085,HC XRAY ELBOW ARTHRO,320,1 ,$361.16 ,$270.87 ,$37.66 ,$802.18 ,$232.59 ,$356.52 ,$252.81 ,$37.66 ,$112.56 ,$38.79 ,$90.05 ,$343.10 , N/A ,$288.93 ,$328.66 ,$37.66 ,$339.49 ,$343.10 ,$325.04 ,$306.99 ,$37.66 ,$37.66 ,$37.66 ,$263.65 ,$356.52 ,$321.43 ,$325.04 ,$325.04 ,$288.93 ,$367.22 ,$198.64 ,$325.04 ,$356.52 ,$325.04 ,$356.52 ,$343.10 ,$802.18 ,$332.27 ,$39.92 ,$328.66 ,$356.52 ,$222.26 ,$232.59 ,$222.26 ,$325.04 ,$312.92 ,$270.87 ,$325.04 ,$360.09 ,$39.54 ,$337.68 ,$374.35 ,$37.66 ,$314.21 ,$356.52 ,$325.04 ,$356.52 ,$325.04 ,$325.04 ,$325.04 ,$350.33 ,$292.54 ,$325.04 ,$325.04 ,$325.04 ,$325.04 ST. JOSEPH'S - CHIPPEWA FALLS,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$186.00 ,$139.50 ,$17.72 ,$186.00 ,$119.78 ,$78.35 ,$130.20 ,$17.72 ,$29.10 ,$18.25 ,$23.28 ,$176.70 , N/A ,$148.80 ,$169.26 ,$17.72 ,$174.84 ,$176.70 ,$167.40 ,$158.10 ,$17.72 ,$17.72 ,$17.72 ,$135.78 ,$78.35 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$80.70 ,$102.30 ,$167.40 ,$78.35 ,$167.40 ,$78.35 ,$176.70 ,$176.29 ,$171.12 ,$18.78 ,$169.26 ,$78.35 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$114.13 ,$139.50 ,$83.57 ,$79.14 ,$18.61 ,$173.91 ,$82.27 ,$17.72 ,$161.82 ,$78.35 ,$167.40 ,$78.35 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$238.00 ,$178.50 ,$17.72 ,$238.00 ,$153.27 ,$105.54 ,$166.60 ,$17.72 ,$32.71 ,$18.25 ,$26.17 ,$226.10 , N/A ,$190.40 ,$216.58 ,$17.72 ,$223.72 ,$226.10 ,$214.20 ,$202.30 ,$17.72 ,$17.72 ,$17.72 ,$173.74 ,$105.54 ,$211.82 ,$214.20 ,$214.20 ,$190.40 ,$108.70 ,$130.90 ,$214.20 ,$105.54 ,$214.20 ,$105.54 ,$226.10 ,$237.46 ,$218.96 ,$18.78 ,$216.58 ,$105.54 ,$146.47 ,$153.27 ,$146.47 ,$214.20 ,$107.95 ,$178.50 ,$92.20 ,$106.59 ,$18.61 ,$222.53 ,$110.82 ,$17.72 ,$207.06 ,$105.54 ,$214.20 ,$105.54 ,$214.20 ,$214.20 ,$214.20 ,$230.86 ,$192.78 ,$214.20 ,$214.20 ,$214.20 ,$214.20 ST. JOSEPH'S - CHIPPEWA FALLS,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$140.00 ,$105.00 ,$17.72 ,$176.29 ,$90.16 ,$78.35 ,$98.00 ,$17.72 ,$34.51 ,$18.25 ,$27.61 ,$133.00 , N/A ,$112.00 ,$127.40 ,$17.72 ,$131.60 ,$133.00 ,$126.00 ,$119.00 ,$17.72 ,$17.72 ,$17.72 ,$102.20 ,$78.35 ,$124.60 ,$126.00 ,$126.00 ,$112.00 ,$80.70 ,$77.00 ,$126.00 ,$78.35 ,$126.00 ,$78.35 ,$133.00 ,$176.29 ,$128.80 ,$18.78 ,$127.40 ,$78.35 ,$86.16 ,$90.16 ,$86.16 ,$126.00 ,$87.40 ,$105.00 ,$109.51 ,$79.14 ,$18.61 ,$130.90 ,$82.27 ,$17.72 ,$121.80 ,$78.35 ,$126.00 ,$78.35 ,$126.00 ,$126.00 ,$126.00 ,$135.80 ,$113.40 ,$126.00 ,$126.00 ,$126.00 ,$126.00 ST. JOSEPH'S - CHIPPEWA FALLS,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$186.00 ,$139.50 ,$17.72 ,$186.00 ,$119.78 ,$78.35 ,$130.20 ,$17.72 ,$44.71 ,$18.25 ,$35.77 ,$176.70 , N/A ,$148.80 ,$169.26 ,$17.72 ,$174.84 ,$176.70 ,$167.40 ,$158.10 ,$17.72 ,$17.72 ,$17.72 ,$135.78 ,$78.35 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$80.70 ,$102.30 ,$167.40 ,$78.35 ,$167.40 ,$78.35 ,$176.70 ,$176.29 ,$171.12 ,$18.78 ,$169.26 ,$78.35 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$122.57 ,$139.50 ,$126.76 ,$79.14 ,$18.61 ,$173.91 ,$82.27 ,$17.72 ,$161.82 ,$78.35 ,$167.40 ,$78.35 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,$739.64 ,$554.73 ,$37.66 ,$802.18 ,$476.33 ,$356.52 ,$517.75 ,$37.66 ,$131.18 ,$38.79 ,$104.94 ,$702.66 , N/A ,$591.71 ,$673.07 ,$37.66 ,$695.26 ,$702.66 ,$665.68 ,$628.69 ,$37.66 ,$37.66 ,$37.66 ,$539.94 ,$356.52 ,$658.28 ,$665.68 ,$665.68 ,$591.71 ,$367.22 ,$406.80 ,$665.68 ,$356.52 ,$665.68 ,$356.52 ,$702.66 ,$802.18 ,$680.47 ,$39.92 ,$673.07 ,$356.52 ,$455.17 ,$476.33 ,$455.17 ,$665.68 ,$236.70 ,$554.73 ,$380.85 ,$360.09 ,$39.54 ,$691.56 ,$374.35 ,$37.66 ,$643.49 ,$356.52 ,$665.68 ,$356.52 ,$665.68 ,$665.68 ,$665.68 ,$717.45 ,$599.11 ,$665.68 ,$665.68 ,$665.68 ,$665.68 ST. JOSEPH'S - CHIPPEWA FALLS,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$115.60 ,$86.70 ,$17.72 ,$237.46 ,$74.45 ,$105.54 ,$80.92 ,$17.72 ,$29.72 ,$18.25 ,$23.77 ,$109.82 , N/A ,$92.48 ,$105.20 ,$17.72 ,$108.66 ,$109.82 ,$104.04 ,$98.26 ,$17.72 ,$17.72 ,$17.72 ,$84.39 ,$105.54 ,$102.88 ,$104.04 ,$104.04 ,$92.48 ,$108.70 ,$63.58 ,$104.04 ,$105.54 ,$104.04 ,$105.54 ,$109.82 ,$237.46 ,$106.35 ,$18.78 ,$105.20 ,$105.54 ,$71.14 ,$74.45 ,$71.14 ,$104.04 ,$79.37 ,$86.70 ,$95.66 ,$106.59 ,$18.61 ,$108.09 ,$110.82 ,$17.72 ,$100.57 ,$105.54 ,$104.04 ,$105.54 ,$104.04 ,$104.04 ,$104.04 ,$112.13 ,$93.64 ,$104.04 ,$104.04 ,$104.04 ,$104.04 ST. JOSEPH'S - CHIPPEWA FALLS,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$186.00 ,$139.50 ,$17.72 ,$186.00 ,$119.78 ,$78.35 ,$130.20 ,$17.72 ,$36.91 ,$18.25 ,$29.53 ,$176.70 , N/A ,$148.80 ,$169.26 ,$17.72 ,$174.84 ,$176.70 ,$167.40 ,$158.10 ,$17.72 ,$17.72 ,$17.72 ,$135.78 ,$78.35 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$80.70 ,$102.30 ,$167.40 ,$78.35 ,$167.40 ,$78.35 ,$176.70 ,$176.29 ,$171.12 ,$18.78 ,$169.26 ,$78.35 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$124.65 ,$139.50 ,$111.21 ,$79.14 ,$18.61 ,$173.91 ,$82.27 ,$17.72 ,$161.82 ,$78.35 ,$167.40 ,$78.35 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$186.00 ,$139.50 ,$17.72 ,$186.00 ,$119.78 ,$78.35 ,$130.20 ,$17.72 ,$41.11 ,$18.25 ,$32.89 ,$176.70 , N/A ,$148.80 ,$169.26 ,$17.72 ,$174.84 ,$176.70 ,$167.40 ,$158.10 ,$17.72 ,$17.72 ,$17.72 ,$135.78 ,$78.35 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$80.70 ,$102.30 ,$167.40 ,$78.35 ,$167.40 ,$78.35 ,$176.70 ,$176.29 ,$171.12 ,$18.78 ,$169.26 ,$78.35 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$97.88 ,$139.50 ,$121.60 ,$79.14 ,$18.61 ,$173.91 ,$82.27 ,$17.72 ,$161.82 ,$78.35 ,$167.40 ,$78.35 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000243,73140,HC XRAY FINGER MIN 2 VIEWS MULTI,320,1 ,$186.00 ,$139.50 ,$17.72 ,$186.00 ,$119.78 ,$78.35 ,$130.20 ,$17.72 ,$41.11 ,$18.25 ,$32.89 ,$176.70 , N/A ,$148.80 ,$169.26 ,$17.72 ,$174.84 ,$176.70 ,$167.40 ,$158.10 ,$17.72 ,$17.72 ,$17.72 ,$135.78 ,$78.35 ,$165.54 ,$167.40 ,$167.40 ,$148.80 ,$80.70 ,$102.30 ,$167.40 ,$78.35 ,$167.40 ,$78.35 ,$176.70 ,$176.29 ,$171.12 ,$18.78 ,$169.26 ,$78.35 ,$114.46 ,$119.78 ,$114.46 ,$167.40 ,$97.88 ,$139.50 ,$121.60 ,$79.14 ,$18.61 ,$173.91 ,$82.27 ,$17.72 ,$161.82 ,$78.35 ,$167.40 ,$78.35 ,$167.40 ,$167.40 ,$167.40 ,$180.42 ,$150.66 ,$167.40 ,$167.40 ,$167.40 ,$167.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,$416.69 ,$312.52 ,$37.66 ,$802.18 ,$268.35 ,$356.52 ,$291.68 ,$37.66 ,$122.78 ,$38.79 ,$98.22 ,$395.86 , N/A ,$333.35 ,$379.19 ,$37.66 ,$391.69 ,$395.86 ,$375.02 ,$354.19 ,$37.66 ,$37.66 ,$37.66 ,$304.18 ,$356.52 ,$370.85 ,$375.02 ,$375.02 ,$333.35 ,$367.22 ,$229.18 ,$375.02 ,$356.52 ,$375.02 ,$356.52 ,$395.86 ,$802.18 ,$383.35 ,$39.92 ,$379.19 ,$356.52 ,$256.43 ,$268.35 ,$256.43 ,$375.02 ,$323.03 ,$312.52 ,$360.08 ,$360.09 ,$39.54 ,$389.61 ,$374.35 ,$37.66 ,$362.52 ,$356.52 ,$375.02 ,$356.52 ,$375.02 ,$375.02 ,$375.02 ,$404.19 ,$337.52 ,$375.02 ,$375.02 ,$375.02 ,$375.02 ST. JOSEPH'S - CHIPPEWA FALLS,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$168.90 ,$126.68 ,$17.72 ,$176.29 ,$108.77 ,$78.35 ,$118.23 ,$17.72 ,$37.52 ,$18.25 ,$30.02 ,$160.46 , N/A ,$135.12 ,$153.70 ,$17.72 ,$158.77 ,$160.46 ,$152.01 ,$143.57 ,$17.72 ,$17.72 ,$17.72 ,$123.30 ,$78.35 ,$150.32 ,$152.01 ,$152.01 ,$135.12 ,$80.70 ,$92.90 ,$152.01 ,$78.35 ,$152.01 ,$78.35 ,$160.46 ,$176.29 ,$155.39 ,$18.78 ,$153.70 ,$78.35 ,$103.94 ,$108.77 ,$103.94 ,$152.01 ,$111.79 ,$126.68 ,$109.51 ,$79.14 ,$18.61 ,$157.92 ,$82.27 ,$17.72 ,$146.94 ,$78.35 ,$152.01 ,$78.35 ,$152.01 ,$152.01 ,$152.01 ,$163.83 ,$136.81 ,$152.01 ,$152.01 ,$152.01 ,$152.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$196.80 ,$147.60 ,$17.72 ,$196.80 ,$126.74 ,$78.35 ,$137.76 ,$17.72 ,$44.12 ,$18.25 ,$35.29 ,$186.96 , N/A ,$157.44 ,$179.09 ,$17.72 ,$184.99 ,$186.96 ,$177.12 ,$167.28 ,$17.72 ,$17.72 ,$17.72 ,$143.66 ,$78.35 ,$175.15 ,$177.12 ,$177.12 ,$157.44 ,$80.70 ,$108.24 ,$177.12 ,$78.35 ,$177.12 ,$78.35 ,$186.96 ,$176.29 ,$181.06 ,$18.78 ,$179.09 ,$78.35 ,$121.11 ,$126.74 ,$121.11 ,$177.12 ,$120.15 ,$147.60 ,$126.76 ,$79.14 ,$18.61 ,$184.01 ,$82.27 ,$17.72 ,$171.22 ,$78.35 ,$177.12 ,$78.35 ,$177.12 ,$177.12 ,$177.12 ,$190.90 ,$159.41 ,$177.12 ,$177.12 ,$177.12 ,$177.12 ST. JOSEPH'S - CHIPPEWA FALLS,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$246.90 ,$185.18 ,$17.72 ,$246.90 ,$159.00 ,$105.54 ,$172.83 ,$17.72 ,$47.72 ,$18.25 ,$38.18 ,$234.56 , N/A ,$197.52 ,$224.68 ,$17.72 ,$232.09 ,$234.56 ,$222.21 ,$209.87 ,$17.72 ,$17.72 ,$17.72 ,$180.24 ,$105.54 ,$219.74 ,$222.21 ,$222.21 ,$197.52 ,$108.70 ,$135.80 ,$222.21 ,$105.54 ,$222.21 ,$105.54 ,$234.56 ,$237.46 ,$227.15 ,$18.78 ,$224.68 ,$105.54 ,$151.94 ,$159.00 ,$151.94 ,$222.21 ,$127.08 ,$185.18 ,$137.15 ,$106.59 ,$18.61 ,$230.85 ,$110.82 ,$17.72 ,$214.80 ,$105.54 ,$222.21 ,$105.54 ,$222.21 ,$222.21 ,$222.21 ,$239.49 ,$199.99 ,$222.21 ,$222.21 ,$222.21 ,$222.21 ST. JOSEPH'S - CHIPPEWA FALLS,32000267,73565,HC XR KNEE STAND,320,1 ,$161.93 ,$121.45 ,$17.72 ,$176.29 ,$104.28 ,$78.35 ,$113.35 ,$17.72 ,$45.33 ,$18.25 ,$36.26 ,$153.83 , N/A ,$129.54 ,$147.36 ,$17.72 ,$152.21 ,$153.83 ,$145.74 ,$137.64 ,$17.72 ,$17.72 ,$17.72 ,$118.21 ,$78.35 ,$144.12 ,$145.74 ,$145.74 ,$129.54 ,$80.70 ,$89.06 ,$145.74 ,$78.35 ,$145.74 ,$78.35 ,$153.83 ,$176.29 ,$148.98 ,$18.78 ,$147.36 ,$78.35 ,$99.65 ,$104.28 ,$99.65 ,$145.74 ,$140.99 ,$121.45 ,$130.23 ,$79.14 ,$18.61 ,$151.40 ,$82.27 ,$17.72 ,$140.88 ,$78.35 ,$145.74 ,$78.35 ,$145.74 ,$145.74 ,$145.74 ,$157.07 ,$131.16 ,$145.74 ,$145.74 ,$145.74 ,$145.74 ST. JOSEPH'S - CHIPPEWA FALLS,32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,$814.91 ,$611.18 ,$37.66 ,$814.91 ,$524.80 ,$356.52 ,$570.44 ,$37.66 ,$144.39 ,$38.79 ,$115.51 ,$774.16 , N/A ,$651.93 ,$741.57 ,$37.66 ,$766.02 ,$774.16 ,$733.42 ,$692.67 ,$37.66 ,$37.66 ,$37.66 ,$594.88 ,$356.52 ,$725.27 ,$733.42 ,$733.42 ,$651.93 ,$367.22 ,$448.20 ,$733.42 ,$356.52 ,$733.42 ,$356.52 ,$774.16 ,$802.18 ,$749.72 ,$39.92 ,$741.57 ,$356.52 ,$501.50 ,$524.80 ,$501.50 ,$733.42 ,$394.40 ,$611.18 ,$429.20 ,$360.09 ,$39.54 ,$761.94 ,$374.35 ,$37.66 ,$708.97 ,$356.52 ,$733.42 ,$356.52 ,$733.42 ,$733.42 ,$733.42 ,$790.46 ,$660.08 ,$733.42 ,$733.42 ,$733.42 ,$733.42 ST. JOSEPH'S - CHIPPEWA FALLS,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$183.80 ,$137.85 ,$17.72 ,$183.80 ,$118.37 ,$78.35 ,$128.66 ,$17.72 ,$33.92 ,$18.25 ,$27.13 ,$174.61 , N/A ,$147.04 ,$167.26 ,$17.72 ,$172.77 ,$174.61 ,$165.42 ,$156.23 ,$17.72 ,$17.72 ,$17.72 ,$134.17 ,$78.35 ,$163.58 ,$165.42 ,$165.42 ,$147.04 ,$80.70 ,$101.09 ,$165.42 ,$78.35 ,$165.42 ,$78.35 ,$174.61 ,$176.29 ,$169.10 ,$18.78 ,$167.26 ,$78.35 ,$113.11 ,$118.37 ,$113.11 ,$165.42 ,$117.61 ,$137.85 ,$97.42 ,$79.14 ,$18.61 ,$171.85 ,$82.27 ,$17.72 ,$159.91 ,$78.35 ,$165.42 ,$78.35 ,$165.42 ,$165.42 ,$165.42 ,$178.29 ,$148.88 ,$165.42 ,$165.42 ,$165.42 ,$165.42 ST. JOSEPH'S - CHIPPEWA FALLS,32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$351.70 ,$263.78 ,$17.72 ,$351.70 ,$226.49 ,$78.35 ,$246.19 ,$17.72 ,$32.71 ,$18.25 ,$26.17 ,$334.12 , N/A ,$281.36 ,$320.05 ,$17.72 ,$330.60 ,$334.12 ,$316.53 ,$298.95 ,$17.72 ,$17.72 ,$17.72 ,$256.74 ,$78.35 ,$313.01 ,$316.53 ,$316.53 ,$281.36 ,$80.70 ,$193.44 ,$316.53 ,$78.35 ,$316.53 ,$78.35 ,$334.12 ,$176.29 ,$323.56 ,$18.78 ,$320.05 ,$78.35 ,$216.44 ,$226.49 ,$216.44 ,$316.53 ,$116.95 ,$263.78 ,$92.20 ,$79.14 ,$18.61 ,$328.84 ,$82.27 ,$17.72 ,$305.98 ,$78.35 ,$316.53 ,$78.35 ,$316.53 ,$316.53 ,$316.53 ,$341.15 ,$284.88 ,$316.53 ,$316.53 ,$316.53 ,$316.53 ST. JOSEPH'S - CHIPPEWA FALLS,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$248.40 ,$186.30 ,$17.72 ,$248.40 ,$159.97 ,$78.35 ,$173.88 ,$17.72 ,$35.72 ,$18.25 ,$28.57 ,$235.98 , N/A ,$198.72 ,$226.04 ,$17.72 ,$233.50 ,$235.98 ,$223.56 ,$211.14 ,$17.72 ,$17.72 ,$17.72 ,$181.33 ,$78.35 ,$221.08 ,$223.56 ,$223.56 ,$198.72 ,$80.70 ,$136.62 ,$223.56 ,$78.35 ,$223.56 ,$78.35 ,$235.98 ,$176.29 ,$228.53 ,$18.78 ,$226.04 ,$78.35 ,$152.87 ,$159.97 ,$152.87 ,$223.56 ,$90.50 ,$186.30 ,$102.59 ,$79.14 ,$18.61 ,$232.25 ,$82.27 ,$17.72 ,$216.11 ,$78.35 ,$223.56 ,$78.35 ,$223.56 ,$223.56 ,$223.56 ,$240.95 ,$201.20 ,$223.56 ,$223.56 ,$223.56 ,$223.56 ST. JOSEPH'S - CHIPPEWA FALLS,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$240.20 ,$180.15 ,$17.72 ,$240.20 ,$154.69 ,$78.35 ,$168.14 ,$17.72 ,$38.12 ,$18.25 ,$30.49 ,$228.19 , N/A ,$192.16 ,$218.58 ,$17.72 ,$225.79 ,$228.19 ,$216.18 ,$204.17 ,$17.72 ,$17.72 ,$17.72 ,$175.35 ,$78.35 ,$213.78 ,$216.18 ,$216.18 ,$192.16 ,$80.70 ,$132.11 ,$216.18 ,$78.35 ,$216.18 ,$78.35 ,$228.19 ,$176.29 ,$220.98 ,$18.78 ,$218.58 ,$78.35 ,$147.82 ,$154.69 ,$147.82 ,$216.18 ,$116.80 ,$180.15 ,$109.51 ,$79.14 ,$18.61 ,$224.59 ,$82.27 ,$17.72 ,$208.97 ,$78.35 ,$216.18 ,$78.35 ,$216.18 ,$216.18 ,$216.18 ,$232.99 ,$194.56 ,$216.18 ,$216.18 ,$216.18 ,$216.18 ST. JOSEPH'S - CHIPPEWA FALLS,32000278,73615,HC XRAY ARTHRO ANKLE,320,1 ,$347.93 ,$260.95 ,$37.66 ,$802.18 ,$224.07 ,$356.52 ,$243.55 ,$37.66 ,$129.38 ,$38.79 ,$103.50 ,$330.53 , N/A ,$278.34 ,$316.62 ,$37.66 ,$327.05 ,$330.53 ,$313.14 ,$295.74 ,$37.66 ,$37.66 ,$37.66 ,$253.99 ,$356.52 ,$309.66 ,$313.14 ,$313.14 ,$278.34 ,$367.22 ,$191.36 ,$313.14 ,$356.52 ,$313.14 ,$356.52 ,$330.53 ,$802.18 ,$320.10 ,$39.92 ,$316.62 ,$356.52 ,$214.12 ,$224.07 ,$214.12 ,$313.14 ,$321.31 ,$260.95 ,$313.14 ,$360.09 ,$39.54 ,$325.31 ,$374.35 ,$37.66 ,$302.70 ,$356.52 ,$313.14 ,$356.52 ,$313.14 ,$313.14 ,$313.14 ,$337.49 ,$281.82 ,$313.14 ,$313.14 ,$313.14 ,$313.14 ST. JOSEPH'S - CHIPPEWA FALLS,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$133.80 ,$100.35 ,$17.72 ,$176.29 ,$86.17 ,$78.35 ,$93.66 ,$17.72 ,$30.31 ,$18.25 ,$24.25 ,$127.11 , N/A ,$107.04 ,$121.76 ,$17.72 ,$125.77 ,$127.11 ,$120.42 ,$113.73 ,$17.72 ,$17.72 ,$17.72 ,$97.67 ,$78.35 ,$119.08 ,$120.42 ,$120.42 ,$107.04 ,$80.70 ,$73.59 ,$120.42 ,$78.35 ,$120.42 ,$78.35 ,$127.11 ,$176.29 ,$123.10 ,$18.78 ,$121.76 ,$78.35 ,$82.34 ,$86.17 ,$82.34 ,$120.42 ,$91.12 ,$100.35 ,$88.79 ,$79.14 ,$18.61 ,$125.10 ,$82.27 ,$17.72 ,$116.41 ,$78.35 ,$120.42 ,$78.35 ,$120.42 ,$120.42 ,$120.42 ,$129.79 ,$108.38 ,$120.42 ,$120.42 ,$120.42 ,$120.42 ST. JOSEPH'S - CHIPPEWA FALLS,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$228.80 ,$171.60 ,$17.72 ,$228.80 ,$147.35 ,$78.35 ,$160.16 ,$17.72 ,$34.51 ,$18.25 ,$27.61 ,$217.36 , N/A ,$183.04 ,$208.21 ,$17.72 ,$215.07 ,$217.36 ,$205.92 ,$194.48 ,$17.72 ,$17.72 ,$17.72 ,$167.02 ,$78.35 ,$203.63 ,$205.92 ,$205.92 ,$183.04 ,$80.70 ,$125.84 ,$205.92 ,$78.35 ,$205.92 ,$78.35 ,$217.36 ,$176.29 ,$210.50 ,$18.78 ,$208.21 ,$78.35 ,$140.80 ,$147.35 ,$140.80 ,$205.92 ,$116.54 ,$171.60 ,$100.88 ,$79.14 ,$18.61 ,$213.93 ,$82.27 ,$17.72 ,$199.06 ,$78.35 ,$205.92 ,$78.35 ,$205.92 ,$205.92 ,$205.92 ,$221.94 ,$185.33 ,$205.92 ,$205.92 ,$205.92 ,$205.92 ST. JOSEPH'S - CHIPPEWA FALLS,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$269.00 ,$201.75 ,$17.72 ,$269.00 ,$173.24 ,$78.35 ,$188.30 ,$17.72 ,$31.52 ,$18.25 ,$25.21 ,$255.55 , N/A ,$215.20 ,$244.79 ,$17.72 ,$252.86 ,$255.55 ,$242.10 ,$228.65 ,$17.72 ,$17.72 ,$17.72 ,$196.37 ,$78.35 ,$239.41 ,$242.10 ,$242.10 ,$215.20 ,$80.70 ,$147.95 ,$242.10 ,$78.35 ,$242.10 ,$78.35 ,$255.55 ,$176.29 ,$247.48 ,$18.78 ,$244.79 ,$78.35 ,$165.54 ,$173.24 ,$165.54 ,$242.10 ,$115.08 ,$201.75 ,$92.20 ,$79.14 ,$18.61 ,$251.52 ,$82.27 ,$17.72 ,$234.03 ,$78.35 ,$242.10 ,$78.35 ,$242.10 ,$242.10 ,$242.10 ,$260.93 ,$217.89 ,$242.10 ,$242.10 ,$242.10 ,$242.10 ST. JOSEPH'S - CHIPPEWA FALLS,32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$204.20 ,$153.15 ,$17.72 ,$204.20 ,$131.50 ,$78.35 ,$142.94 ,$17.72 ,$35.72 ,$18.25 ,$28.57 ,$193.99 , N/A ,$163.36 ,$185.82 ,$17.72 ,$191.95 ,$193.99 ,$183.78 ,$173.57 ,$17.72 ,$17.72 ,$17.72 ,$149.07 ,$78.35 ,$181.74 ,$183.78 ,$183.78 ,$163.36 ,$80.70 ,$112.31 ,$183.78 ,$78.35 ,$183.78 ,$78.35 ,$193.99 ,$176.29 ,$187.86 ,$18.78 ,$185.82 ,$78.35 ,$125.66 ,$131.50 ,$125.66 ,$183.78 ,$107.80 ,$153.15 ,$104.34 ,$79.14 ,$18.61 ,$190.93 ,$82.27 ,$17.72 ,$177.65 ,$78.35 ,$183.78 ,$78.35 ,$183.78 ,$183.78 ,$183.78 ,$198.07 ,$165.40 ,$183.78 ,$183.78 ,$183.78 ,$183.78 ST. JOSEPH'S - CHIPPEWA FALLS,32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$269.24 ,$201.93 ,$17.72 ,$269.24 ,$173.39 ,$78.35 ,$188.47 ,$17.72 ,$30.28 ,$18.25 ,$24.22 ,$255.78 , N/A ,$215.39 ,$245.01 ,$17.72 ,$253.09 ,$255.78 ,$242.32 ,$228.85 ,$17.72 ,$17.72 ,$17.72 ,$196.55 ,$78.35 ,$239.62 ,$242.32 ,$242.32 ,$215.39 ,$80.70 ,$148.08 ,$242.32 ,$78.35 ,$242.32 ,$78.35 ,$255.78 ,$176.29 ,$247.70 ,$18.78 ,$245.01 ,$78.35 ,$165.69 ,$173.39 ,$165.69 ,$242.32 ,$52.71 ,$201.93 ,$242.32 ,$79.14 ,$18.61 ,$251.74 ,$82.27 ,$17.72 ,$234.24 ,$78.35 ,$242.32 ,$78.35 ,$242.32 ,$242.32 ,$242.32 ,$261.16 ,$218.08 ,$242.32 ,$242.32 ,$242.32 ,$242.32 ST. JOSEPH'S - CHIPPEWA FALLS,32000294,74019,HC XRAY ABDOMEN AP AND LAT (2 V OR 3 V),320,1 ,$443.46 ,$332.60 ,$17.72 ,$443.46 ,$285.59 ,$105.54 ,$310.42 ,$17.72 ,$36.28 ,$18.25 ,$29.02 ,$421.29 , N/A ,$354.77 ,$403.55 ,$17.72 ,$416.85 ,$421.29 ,$399.11 ,$376.94 ,$17.72 ,$17.72 ,$17.72 ,$323.73 ,$105.54 ,$394.68 ,$399.11 ,$399.11 ,$354.77 ,$108.70 ,$243.90 ,$399.11 ,$105.54 ,$399.11 ,$105.54 ,$421.29 ,$237.46 ,$407.98 ,$18.78 ,$403.55 ,$105.54 ,$272.91 ,$285.59 ,$272.91 ,$399.11 ,$64.34 ,$332.60 ,$310.42 ,$106.59 ,$18.61 ,$414.64 ,$110.82 ,$17.72 ,$385.81 ,$105.54 ,$399.11 ,$105.54 ,$399.11 ,$399.11 ,$399.11 ,$430.16 ,$359.20 ,$399.11 ,$399.11 ,$399.11 ,$399.11 ST. JOSEPH'S - CHIPPEWA FALLS,32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$467.82 ,$350.87 ,$17.72 ,$467.82 ,$301.28 ,$105.54 ,$327.47 ,$17.72 ,$47.72 ,$18.25 ,$38.18 ,$444.43 , N/A ,$374.26 ,$425.72 ,$17.72 ,$439.75 ,$444.43 ,$421.04 ,$397.65 ,$17.72 ,$17.72 ,$17.72 ,$341.51 ,$105.54 ,$416.36 ,$421.04 ,$421.04 ,$374.26 ,$108.70 ,$257.30 ,$421.04 ,$105.54 ,$421.04 ,$105.54 ,$444.43 ,$237.46 ,$430.39 ,$18.78 ,$425.72 ,$105.54 ,$287.90 ,$301.28 ,$287.90 ,$421.04 ,$179.07 ,$350.87 ,$137.15 ,$106.59 ,$18.61 ,$437.41 ,$110.82 ,$17.72 ,$407.00 ,$105.54 ,$421.04 ,$105.54 ,$421.04 ,$421.04 ,$421.04 ,$453.79 ,$378.93 ,$421.04 ,$421.04 ,$421.04 ,$421.04 ST. JOSEPH'S - CHIPPEWA FALLS,32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$448.97 ,$336.73 ,$17.72 ,$448.97 ,$289.14 ,$172.93 ,$314.28 ,$17.72 ,$109.57 ,$18.25 ,$87.65 ,$426.52 , N/A ,$359.18 ,$408.56 ,$17.72 ,$422.03 ,$426.52 ,$404.07 ,$381.62 ,$17.72 ,$17.72 ,$17.72 ,$327.75 ,$172.93 ,$399.58 ,$404.07 ,$404.07 ,$359.18 ,$178.11 ,$246.93 ,$404.07 ,$172.93 ,$404.07 ,$172.93 ,$426.52 ,$389.08 ,$413.05 ,$18.78 ,$408.56 ,$172.93 ,$276.30 ,$289.14 ,$276.30 ,$404.07 ,$195.85 ,$336.73 ,$316.89 ,$174.65 ,$18.61 ,$419.79 ,$181.58 ,$17.72 ,$390.60 ,$172.93 ,$404.07 ,$172.93 ,$404.07 ,$404.07 ,$404.07 ,$435.50 ,$363.67 ,$404.07 ,$404.07 ,$404.07 ,$404.07 ST. JOSEPH'S - CHIPPEWA FALLS,32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,$393.87 ,$295.40 ,$37.66 ,$393.87 ,$253.65 ,$172.93 ,$275.71 ,$37.66 ,$170.80 ,$38.79 ,$136.64 ,$374.18 , N/A ,$315.10 ,$358.42 ,$37.66 ,$370.24 ,$374.18 ,$354.48 ,$334.79 ,$37.66 ,$37.66 ,$37.66 ,$287.53 ,$172.93 ,$350.54 ,$354.48 ,$354.48 ,$315.10 ,$178.11 ,$216.63 ,$354.48 ,$172.93 ,$354.48 ,$172.93 ,$374.18 ,$389.08 ,$362.36 ,$39.92 ,$358.42 ,$172.93 ,$242.39 ,$253.65 ,$242.39 ,$354.48 ,$226.07 ,$295.40 ,$354.48 ,$174.65 ,$39.54 ,$368.27 ,$181.58 ,$37.66 ,$342.67 ,$172.93 ,$354.48 ,$172.93 ,$354.48 ,$354.48 ,$354.48 ,$382.05 ,$319.03 ,$354.48 ,$354.48 ,$354.48 ,$354.48 ST. JOSEPH'S - CHIPPEWA FALLS,32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,$697.76 ,$523.32 ,$37.66 ,$697.76 ,$449.36 ,$172.93 ,$488.43 ,$37.66 ,$131.18 ,$38.79 ,$104.94 ,$662.87 , N/A ,$558.21 ,$634.96 ,$37.66 ,$655.89 ,$662.87 ,$627.98 ,$593.10 ,$37.66 ,$37.66 ,$37.66 ,$509.36 ,$172.93 ,$621.01 ,$627.98 ,$627.98 ,$558.21 ,$178.11 ,$383.77 ,$627.98 ,$172.93 ,$627.98 ,$172.93 ,$662.87 ,$389.08 ,$641.94 ,$39.92 ,$634.96 ,$172.93 ,$429.40 ,$449.36 ,$429.40 ,$627.98 ,$239.70 ,$523.32 ,$379.09 ,$174.65 ,$39.54 ,$652.41 ,$181.58 ,$37.66 ,$607.05 ,$172.93 ,$627.98 ,$172.93 ,$627.98 ,$627.98 ,$627.98 ,$676.83 ,$565.19 ,$627.98 ,$627.98 ,$627.98 ,$627.98 ST. JOSEPH'S - CHIPPEWA FALLS,32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,$800.96 ,$600.72 ,$37.66 ,$800.96 ,$515.82 ,$172.93 ,$560.67 ,$37.66 ,$155.19 ,$38.79 ,$124.15 ,$760.91 , N/A ,$640.77 ,$728.87 ,$37.66 ,$752.90 ,$760.91 ,$720.86 ,$680.82 ,$37.66 ,$37.66 ,$37.66 ,$584.70 ,$172.93 ,$712.85 ,$720.86 ,$720.86 ,$640.77 ,$178.11 ,$440.53 ,$720.86 ,$172.93 ,$720.86 ,$172.93 ,$760.91 ,$389.08 ,$736.88 ,$39.92 ,$728.87 ,$172.93 ,$492.91 ,$515.82 ,$492.91 ,$720.86 ,$324.84 ,$600.72 ,$446.51 ,$174.65 ,$39.54 ,$748.90 ,$181.58 ,$37.66 ,$696.84 ,$172.93 ,$720.86 ,$172.93 ,$720.86 ,$720.86 ,$720.86 ,$776.93 ,$648.78 ,$720.86 ,$720.86 ,$720.86 ,$720.86 ST. JOSEPH'S - CHIPPEWA FALLS,32000307,74246,HC XRAY ESOPHAGUS/UGI W AIR,320,1 ,$800.96 ,$600.72 ,$37.66 ,$800.96 ,$515.82 ,$172.93 ,$560.67 ,$37.66 ,$155.19 ,$38.79 ,$124.15 ,$760.91 , N/A ,$640.77 ,$728.87 ,$37.66 ,$752.90 ,$760.91 ,$720.86 ,$680.82 ,$37.66 ,$37.66 ,$37.66 ,$584.70 ,$172.93 ,$712.85 ,$720.86 ,$720.86 ,$640.77 ,$178.11 ,$440.53 ,$720.86 ,$172.93 ,$720.86 ,$172.93 ,$760.91 ,$389.08 ,$736.88 ,$39.92 ,$728.87 ,$172.93 ,$492.91 ,$515.82 ,$492.91 ,$720.86 ,$324.84 ,$600.72 ,$446.51 ,$174.65 ,$39.54 ,$748.90 ,$181.58 ,$37.66 ,$696.84 ,$172.93 ,$720.86 ,$172.93 ,$720.86 ,$720.86 ,$720.86 ,$776.93 ,$648.78 ,$720.86 ,$720.86 ,$720.86 ,$720.86 ST. JOSEPH'S - CHIPPEWA FALLS,32000311,74250,HC XRAY SMALL BOWEL,320,1 ,$448.97 ,$336.73 ,$37.66 ,$448.97 ,$289.14 ,$172.93 ,$314.28 ,$37.66 ,$134.79 ,$38.79 ,$107.83 ,$426.52 , N/A ,$359.18 ,$408.56 ,$37.66 ,$422.03 ,$426.52 ,$404.07 ,$381.62 ,$37.66 ,$37.66 ,$37.66 ,$327.75 ,$172.93 ,$399.58 ,$404.07 ,$404.07 ,$359.18 ,$178.11 ,$246.93 ,$404.07 ,$172.93 ,$404.07 ,$172.93 ,$426.52 ,$389.08 ,$413.05 ,$39.92 ,$408.56 ,$172.93 ,$276.30 ,$289.14 ,$276.30 ,$404.07 ,$327.04 ,$336.73 ,$387.77 ,$174.65 ,$39.54 ,$419.79 ,$181.58 ,$37.66 ,$390.60 ,$172.93 ,$404.07 ,$172.93 ,$404.07 ,$404.07 ,$404.07 ,$435.50 ,$363.67 ,$404.07 ,$404.07 ,$404.07 ,$404.07 ST. JOSEPH'S - CHIPPEWA FALLS,32000312,74018,HC SITZ MARKER STUDY,320,1 ,$448.97 ,$336.73 ,$17.72 ,$448.97 ,$289.14 ,$78.35 ,$314.28 ,$17.72 ,$30.28 ,$18.25 ,$24.22 ,$426.52 , N/A ,$359.18 ,$408.56 ,$17.72 ,$422.03 ,$426.52 ,$404.07 ,$381.62 ,$17.72 ,$17.72 ,$17.72 ,$327.75 ,$78.35 ,$399.58 ,$404.07 ,$404.07 ,$359.18 ,$80.70 ,$246.93 ,$404.07 ,$78.35 ,$404.07 ,$78.35 ,$426.52 ,$176.29 ,$413.05 ,$18.78 ,$408.56 ,$78.35 ,$276.30 ,$289.14 ,$276.30 ,$404.07 ,$52.71 ,$336.73 ,$404.07 ,$79.14 ,$18.61 ,$419.79 ,$82.27 ,$17.72 ,$390.60 ,$78.35 ,$404.07 ,$78.35 ,$404.07 ,$404.07 ,$404.07 ,$435.50 ,$363.67 ,$404.07 ,$404.07 ,$404.07 ,$404.07 ST. JOSEPH'S - CHIPPEWA FALLS,32000314,74251,HC SMALL BOWEL VIA ENTEROCLY TUBE,320,1 ,$520.94 ,$390.71 ,$37.66 ,$520.94 ,$335.49 ,$172.93 ,$364.66 ,$37.66 ,$520.94 ,$38.79 ,$520.44 ,$494.89 , N/A ,$416.75 ,$474.06 ,$37.66 ,$489.68 ,$494.89 ,$468.85 ,$442.80 ,$37.66 ,$37.66 ,$37.66 ,$380.29 ,$172.93 ,$463.64 ,$468.85 ,$468.85 ,$416.75 ,$178.11 ,$286.52 ,$468.85 ,$172.93 ,$468.85 ,$172.93 ,$494.89 ,$389.08 ,$479.26 ,$39.92 ,$474.06 ,$172.93 ,$320.59 ,$335.49 ,$320.59 ,$468.85 ,$149.82 ,$390.71 ,$468.85 ,$174.65 ,$39.54 ,$487.08 ,$181.58 ,$37.66 ,$453.22 ,$172.93 ,$468.85 ,$172.93 ,$468.85 ,$468.85 ,$468.85 ,$505.31 ,$421.96 ,$468.85 ,$468.85 ,$468.85 ,$468.85 ST. JOSEPH'S - CHIPPEWA FALLS,32000315,74270,HC XRAY COLON BARIUM,320,1 ,$632.13 ,$474.10 ,$37.66 ,$632.13 ,$407.09 ,$172.93 ,$442.49 ,$37.66 ,$194.22 ,$38.79 ,$155.37 ,$600.52 , N/A ,$505.70 ,$575.24 ,$37.66 ,$594.20 ,$600.52 ,$568.92 ,$537.31 ,$37.66 ,$37.66 ,$37.66 ,$461.45 ,$172.93 ,$562.60 ,$568.92 ,$568.92 ,$505.70 ,$178.11 ,$347.67 ,$568.92 ,$172.93 ,$568.92 ,$172.93 ,$600.52 ,$389.08 ,$581.56 ,$39.92 ,$575.24 ,$172.93 ,$389.01 ,$407.09 ,$389.01 ,$568.92 ,$364.16 ,$474.10 ,$562.29 ,$174.65 ,$39.54 ,$591.04 ,$181.58 ,$37.66 ,$549.95 ,$172.93 ,$568.92 ,$172.93 ,$568.92 ,$568.92 ,$568.92 ,$613.17 ,$512.03 ,$568.92 ,$568.92 ,$568.92 ,$568.92 ST. JOSEPH'S - CHIPPEWA FALLS,32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,$632.13 ,$474.10 ,$37.66 ,$632.13 ,$407.09 ,$172.93 ,$442.49 ,$37.66 ,$194.22 ,$38.79 ,$155.37 ,$600.52 , N/A ,$505.70 ,$575.24 ,$37.66 ,$594.20 ,$600.52 ,$568.92 ,$537.31 ,$37.66 ,$37.66 ,$37.66 ,$461.45 ,$172.93 ,$562.60 ,$568.92 ,$568.92 ,$505.70 ,$178.11 ,$347.67 ,$568.92 ,$172.93 ,$568.92 ,$172.93 ,$600.52 ,$389.08 ,$581.56 ,$39.92 ,$575.24 ,$172.93 ,$389.01 ,$407.09 ,$389.01 ,$568.92 ,$364.16 ,$474.10 ,$562.29 ,$174.65 ,$39.54 ,$591.04 ,$181.58 ,$37.66 ,$549.95 ,$172.93 ,$568.92 ,$172.93 ,$568.92 ,$568.92 ,$568.92 ,$613.17 ,$512.03 ,$568.92 ,$568.92 ,$568.92 ,$568.92 ST. JOSEPH'S - CHIPPEWA FALLS,32000320,74280,HC XRAY COLON BARIUM AIR CONTRAST,320,1 ,$769.62 ,$577.22 ,$37.66 ,$769.62 ,$495.64 ,$172.93 ,$538.73 ,$37.66 ,$275.89 ,$38.79 ,$220.71 ,$731.14 , N/A ,$615.70 ,$700.35 ,$37.66 ,$723.44 ,$731.14 ,$692.66 ,$654.18 ,$37.66 ,$37.66 ,$37.66 ,$561.82 ,$172.93 ,$684.96 ,$692.66 ,$692.66 ,$615.70 ,$178.11 ,$423.29 ,$692.66 ,$172.93 ,$692.66 ,$172.93 ,$731.14 ,$389.08 ,$708.05 ,$39.92 ,$700.35 ,$172.93 ,$473.62 ,$495.64 ,$473.62 ,$692.66 ,$440.63 ,$577.22 ,$692.66 ,$174.65 ,$39.54 ,$719.59 ,$181.58 ,$37.66 ,$669.57 ,$172.93 ,$692.66 ,$172.93 ,$692.66 ,$692.66 ,$692.66 ,$746.53 ,$623.39 ,$692.66 ,$692.66 ,$692.66 ,$692.66 ST. JOSEPH'S - CHIPPEWA FALLS,32000322,74283,HC THERAPEUTIC COLON,320,1 ,$319.10 ,$239.33 ,$37.66 ,$389.08 ,$205.50 ,$172.93 ,$223.37 ,$37.66 ,$177.42 ,$38.79 ,$141.93 ,$303.15 , N/A ,$255.28 ,$290.38 ,$37.66 ,$299.95 ,$303.15 ,$287.19 ,$271.24 ,$37.66 ,$37.66 ,$37.66 ,$232.94 ,$172.93 ,$284.00 ,$287.19 ,$287.19 ,$255.28 ,$178.11 ,$175.51 ,$287.19 ,$172.93 ,$287.19 ,$172.93 ,$303.15 ,$389.08 ,$293.57 ,$39.92 ,$290.38 ,$172.93 ,$196.37 ,$205.50 ,$196.37 ,$287.19 ,$233.17 ,$239.33 ,$287.19 ,$174.65 ,$39.54 ,$298.36 ,$181.58 ,$37.66 ,$277.62 ,$172.93 ,$287.19 ,$172.93 ,$287.19 ,$287.19 ,$287.19 ,$309.53 ,$258.47 ,$287.19 ,$287.19 ,$287.19 ,$287.19 ST. JOSEPH'S - CHIPPEWA FALLS,32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,$484.34 ,$363.26 ,$45.33 ,$484.34 ,$311.92 , N/A ,$339.04 ,$53.35 ,$56.67 ,$54.95 ,$45.33 ,$460.12 , N/A ,$387.47 ,$440.75 ,$53.35 ,$455.28 ,$460.12 ,$435.91 ,$411.69 ,$53.35 ,$53.35 ,$53.35 ,$353.57 , N/A ,$431.06 ,$435.91 ,$435.91 ,$387.47 , N/A ,$266.39 ,$435.91 , N/A ,$435.91 , N/A ,$460.12 , N/A ,$445.59 ,$56.55 ,$440.75 , N/A ,$298.06 ,$311.92 ,$298.06 ,$435.91 ,$137.45 ,$363.26 ,$89.34 , N/A ,$56.02 ,$452.86 , N/A ,$53.35 ,$421.38 , N/A ,$435.91 , N/A ,$435.91 ,$435.91 ,$435.91 ,$469.81 ,$392.32 ,$435.91 ,$435.91 ,$435.91 ,$435.91 ST. JOSEPH'S - CHIPPEWA FALLS,32000325,47531,HC XRAY CHOLANGIOGRAM THRU CATH,320,1 ,$399.76 ,$299.82 ,$219.87 ,"$6,937.05 ",$257.45 ,"$3,083.13 ",$279.83 ,$399.76 ,$331.80 ,$550.04 ,$263.84 ,$379.77 , N/A ,$319.81 ,$363.78 ,$399.76 ,$375.77 ,$379.77 ,$359.78 ,$339.80 ,$534.02 ,$534.02 ,$534.02 ,$291.82 ,"$3,083.13 ",$355.79 ,$359.78 ,$359.78 ,$319.81 ,"$3,175.63 ",$219.87 ,$359.78 ,"$3,083.13 ",$359.78 ,"$3,083.13 ",$379.77 ,"$6,937.05 ",$367.78 ,$566.06 ,$363.78 ,"$3,083.13 ",$246.01 ,$257.45 ,$246.01 ,$359.78 ,$359.78 ,$299.82 ,$279.83 ,"$3,113.96 ",$560.72 ,$373.78 ,"$3,237.29 ",$399.76 ,$347.79 ,"$3,083.13 ",$359.78 ,"$3,083.13 ",$359.78 ,$359.78 ,$359.78 ,$387.77 ,$323.81 ,$359.78 ,$359.78 ,$359.78 ,$359.78 ST. JOSEPH'S - CHIPPEWA FALLS,32000326,47532,HC PERCUTAN CHOLANGIOGRAM,320,1 ,"$1,804.93 ","$1,353.70 ",$534.02 ,"$6,937.05 ","$1,162.37 ","$3,083.13 ","$1,263.45 ",$534.02 ,"$1,498.09 ",$550.04 ,"$1,191.25 ","$1,714.68 ", N/A ,"$1,443.94 ","$1,642.49 ",$534.02 ,"$1,696.63 ","$1,714.68 ","$1,624.44 ","$1,534.19 ",$534.02 ,$534.02 ,$534.02 ,"$1,317.60 ","$3,083.13 ","$1,606.39 ","$1,624.44 ","$1,624.44 ","$1,443.94 ","$3,175.63 ",$992.71 ,"$1,624.44 ","$3,083.13 ","$1,624.44 ","$3,083.13 ","$1,714.68 ","$6,937.05 ","$1,660.54 ",$566.06 ,"$1,642.49 ","$3,083.13 ","$1,110.75 ","$1,162.37 ","$1,110.75 ","$1,624.44 ","$1,624.44 ","$1,353.70 ","$1,263.45 ","$3,113.96 ",$560.72 ,"$1,687.61 ","$3,237.29 ",$534.02 ,"$1,570.29 ","$3,083.13 ","$1,624.44 ","$3,083.13 ","$1,624.44 ","$1,624.44 ","$1,624.44 ","$1,750.78 ","$1,461.99 ","$1,624.44 ","$1,624.44 ","$1,624.44 ","$1,624.44 " ST. JOSEPH'S - CHIPPEWA FALLS,32000327,47544,HC XRAY REM BILE DUCT STONE,320,1 ,"$3,008.18 ","$2,256.14 ",$703.19 ,"$3,008.18 ","$1,937.27 ", N/A ,"$2,105.73 ",$703.19 ,"$2,496.79 ",$724.29 ,"$1,985.40 ","$2,857.77 ", N/A ,"$2,406.54 ","$2,737.44 ",$703.19 ,"$2,827.69 ","$2,857.77 ","$2,707.36 ","$2,556.95 ",$703.19 ,$703.19 ,$703.19 ,"$2,195.97 ", N/A ,"$2,677.28 ","$2,707.36 ","$2,707.36 ","$2,406.54 ", N/A ,"$1,654.50 ","$2,707.36 ", N/A ,"$2,707.36 ", N/A ,"$2,857.77 ", N/A ,"$2,767.53 ",$745.38 ,"$2,737.44 ", N/A ,"$1,851.23 ","$1,937.27 ","$1,851.23 ","$2,707.36 ","$2,707.36 ","$2,256.14 ","$2,105.73 ", N/A ,$738.35 ,"$2,812.65 ", N/A ,$703.19 ,"$2,617.12 ", N/A ,"$2,707.36 ", N/A ,"$2,707.36 ","$2,707.36 ","$2,707.36 ","$2,917.93 ","$2,436.63 ","$2,707.36 ","$2,707.36 ","$2,707.36 ","$2,707.36 " ST. JOSEPH'S - CHIPPEWA FALLS,32000328,74328,HC XRAY ERCP BILIARY ONLY,320,1 ,"$1,028.09 ",$771.07 ,$53.35 ,"$1,028.09 ",$662.09 , N/A ,$719.66 ,$53.35 ,$139.14 ,$54.95 ,$111.31 ,$976.69 , N/A ,$822.47 ,$935.56 ,$53.35 ,$966.40 ,$976.69 ,$925.28 ,$873.88 ,$53.35 ,$53.35 ,$53.35 ,$750.51 , N/A ,$915.00 ,$925.28 ,$925.28 ,$822.47 , N/A ,$565.45 ,$925.28 , N/A ,$925.28 , N/A ,$976.69 , N/A ,$945.84 ,$56.55 ,$935.56 , N/A ,$632.69 ,$662.09 ,$632.69 ,$925.28 ,$468.03 ,$771.07 ,$175.57 , N/A ,$56.02 ,$961.26 , N/A ,$53.35 ,$894.44 , N/A ,$925.28 , N/A ,$925.28 ,$925.28 ,$925.28 ,$997.25 ,$832.75 ,$925.28 ,$925.28 ,$925.28 ,$925.28 ST. JOSEPH'S - CHIPPEWA FALLS,32000329,74329,HC ERCP PANCREATIC,320,1 ,$851.65 ,$638.74 ,$53.35 ,$851.65 ,$548.46 , N/A ,$596.16 ,$53.35 ,$110.65 ,$54.95 ,$88.52 ,$809.07 , N/A ,$681.32 ,$775.00 ,$53.35 ,$800.55 ,$809.07 ,$766.49 ,$723.90 ,$53.35 ,$53.35 ,$53.35 ,$621.70 , N/A ,$757.97 ,$766.49 ,$766.49 ,$681.32 , N/A ,$468.41 ,$766.49 , N/A ,$766.49 , N/A ,$809.07 , N/A ,$783.52 ,$56.55 ,$775.00 , N/A ,$524.11 ,$548.46 ,$524.11 ,$766.49 ,$468.03 ,$638.74 ,$177.33 , N/A ,$56.02 ,$796.29 , N/A ,$53.35 ,$740.94 , N/A ,$766.49 , N/A ,$766.49 ,$766.49 ,$766.49 ,$826.10 ,$689.84 ,$766.49 ,$766.49 ,$766.49 ,$766.49 ST. JOSEPH'S - CHIPPEWA FALLS,32000330,74330,HC XRAY ERCP CATH BILIARY AND PANCREAS,320,1 ,"$1,029.06 ",$771.80 ,$53.35 ,"$1,029.06 ",$662.71 , N/A ,$720.34 ,$53.35 ,$205.10 ,$54.95 ,$164.08 ,$977.61 , N/A ,$823.25 ,$936.44 ,$53.35 ,$967.32 ,$977.61 ,$926.15 ,$874.70 ,$53.35 ,$53.35 ,$53.35 ,$751.21 , N/A ,$915.86 ,$926.15 ,$926.15 ,$823.25 , N/A ,$565.98 ,$926.15 , N/A ,$926.15 , N/A ,$977.61 , N/A ,$946.74 ,$56.55 ,$936.44 , N/A ,$633.28 ,$662.71 ,$633.28 ,$926.15 ,$447.07 ,$771.80 ,$226.14 , N/A ,$56.02 ,$962.17 , N/A ,$53.35 ,$895.28 , N/A ,$926.15 , N/A ,$926.15 ,$926.15 ,$926.15 ,$998.19 ,$833.54 ,$926.15 ,$926.15 ,$926.15 ,$926.15 ST. JOSEPH'S - CHIPPEWA FALLS,32000331,74340,HC INTRODUCTION LONG GI TUBE,320,1 ,"$1,418.76 ","$1,064.07 ",$53.35 ,"$1,418.76 ",$913.68 , N/A ,$993.13 ,$53.35 ,$134.94 ,$54.95 ,$107.95 ,"$1,347.82 ", N/A ,"$1,135.01 ","$1,291.07 ",$53.35 ,"$1,333.63 ","$1,347.82 ","$1,276.88 ","$1,205.95 ",$53.35 ,$53.35 ,$53.35 ,"$1,035.69 ", N/A ,"$1,262.70 ","$1,276.88 ","$1,276.88 ","$1,135.01 ", N/A ,$780.32 ,"$1,276.88 ", N/A ,"$1,276.88 ", N/A ,"$1,347.82 ", N/A ,"$1,305.26 ",$56.55 ,"$1,291.07 ", N/A ,$873.10 ,$913.68 ,$873.10 ,"$1,276.88 ",$342.29 ,"$1,064.07 ",$133.94 , N/A ,$56.02 ,"$1,326.54 ", N/A ,$53.35 ,"$1,234.32 ", N/A ,"$1,276.88 ", N/A ,"$1,276.88 ","$1,276.88 ","$1,276.88 ","$1,376.20 ","$1,149.20 ","$1,276.88 ","$1,276.88 ","$1,276.88 ","$1,276.88 " ST. JOSEPH'S - CHIPPEWA FALLS,32000333,74363,HC BILIARY DILITAT W OR W/O STENT,320,1 ,"$1,299.65 ",$974.74 ,$53.35 ,"$1,299.65 ",$836.97 , N/A ,$909.76 ,$53.35 ,$132.84 ,$54.95 ,$106.27 ,"$1,234.67 ", N/A ,"$1,039.72 ","$1,182.68 ",$53.35 ,"$1,221.67 ","$1,234.67 ","$1,169.69 ","$1,104.70 ",$53.35 ,$53.35 ,$53.35 ,$948.74 , N/A ,"$1,156.69 ","$1,169.69 ","$1,169.69 ","$1,039.72 ", N/A ,$714.81 ,"$1,169.69 ", N/A ,"$1,169.69 ", N/A ,"$1,234.67 ", N/A ,"$1,195.68 ",$56.55 ,"$1,182.68 ", N/A ,$799.80 ,$836.97 ,$799.80 ,"$1,169.69 ",$701.39 ,$974.74 ,$210.44 , N/A ,$56.02 ,"$1,215.17 ", N/A ,$53.35 ,"$1,130.70 ", N/A ,"$1,169.69 ", N/A ,"$1,169.69 ","$1,169.69 ","$1,169.69 ","$1,260.66 ","$1,052.72 ","$1,169.69 ","$1,169.69 ","$1,169.69 ","$1,169.69 " ST. JOSEPH'S - CHIPPEWA FALLS,32000335,74400,HC XRAY IVP W OR W/O TOMO,320,1 ,"$1,032.10 ",$774.08 ,$37.66 ,"$1,032.10 ",$664.67 ,$172.93 ,$722.47 ,$37.66 ,$144.39 ,$38.79 ,$115.51 ,$980.50 , N/A ,$825.68 ,$939.21 ,$37.66 ,$970.17 ,$980.50 ,$928.89 ,$877.29 ,$37.66 ,$37.66 ,$37.66 ,$753.43 ,$172.93 ,$918.57 ,$928.89 ,$928.89 ,$825.68 ,$178.11 ,$567.66 ,$928.89 ,$172.93 ,$928.89 ,$172.93 ,$980.50 ,$389.08 ,$949.53 ,$39.92 ,$939.21 ,$172.93 ,$635.15 ,$664.67 ,$635.15 ,$928.89 ,$400.08 ,$774.08 ,$413.65 ,$174.65 ,$39.54 ,$965.01 ,$181.58 ,$37.66 ,$897.93 ,$172.93 ,$928.89 ,$172.93 ,$928.89 ,$928.89 ,$928.89 ,"$1,001.14 ",$836.00 ,$928.89 ,$928.89 ,$928.89 ,$928.89 ST. JOSEPH'S - CHIPPEWA FALLS,32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,$615.23 ,$461.42 ,$37.66 ,$802.18 ,$396.21 ,$356.52 ,$430.66 ,$37.66 ,$615.23 ,$38.79 ,$601.13 ,$584.47 , N/A ,$492.18 ,$559.86 ,$37.66 ,$578.32 ,$584.47 ,$553.71 ,$522.95 ,$37.66 ,$37.66 ,$37.66 ,$449.12 ,$356.52 ,$547.55 ,$553.71 ,$553.71 ,$492.18 ,$367.22 ,$338.38 ,$553.71 ,$356.52 ,$553.71 ,$356.52 ,$584.47 ,$802.18 ,$566.01 ,$39.92 ,$559.86 ,$356.52 ,$378.61 ,$396.21 ,$378.61 ,$553.71 ,$367.38 ,$461.42 ,$88.09 ,$360.09 ,$39.54 ,$575.24 ,$374.35 ,$37.66 ,$535.25 ,$356.52 ,$553.71 ,$356.52 ,$553.71 ,$553.71 ,$553.71 ,$596.77 ,$498.34 ,$553.71 ,$553.71 ,$553.71 ,$553.71 ST. JOSEPH'S - CHIPPEWA FALLS,32000340,74425,HC XRAY UROGRAM ANTEGRADE,320,1 ,"$1,542.06 ","$1,156.55 ",$37.66 ,"$1,542.06 ",$993.09 ,$356.52 ,"$1,079.44 ",$37.66 ,$751.42 ,$38.79 ,$601.13 ,"$1,464.96 ", N/A ,"$1,233.65 ","$1,403.27 ",$37.66 ,"$1,449.54 ","$1,464.96 ","$1,387.85 ","$1,310.75 ",$37.66 ,$37.66 ,$37.66 ,"$1,125.70 ",$356.52 ,"$1,372.43 ","$1,387.85 ","$1,387.85 ","$1,233.65 ",$367.22 ,$848.13 ,"$1,387.85 ",$356.52 ,"$1,387.85 ",$356.52 ,"$1,464.96 ",$802.18 ,"$1,418.70 ",$39.92 ,"$1,403.27 ",$356.52 ,$948.98 ,$993.09 ,$948.98 ,"$1,387.85 ",$224.91 ,"$1,156.55 ",$86.98 ,$360.09 ,$39.54 ,"$1,441.83 ",$374.35 ,$37.66 ,"$1,341.59 ",$356.52 ,"$1,387.85 ",$356.52 ,"$1,387.85 ","$1,387.85 ","$1,387.85 ","$1,495.80 ","$1,249.07 ","$1,387.85 ","$1,387.85 ","$1,387.85 ","$1,387.85 " ST. JOSEPH'S - CHIPPEWA FALLS,32000341,50431,HC ANGIO NEPHROSTGRAM,320,1 ,"$2,498.89 ","$1,874.17 ",$125.13 ,"$2,498.89 ","$1,609.29 ",$556.66 ,"$1,749.22 ",$125.13 ,"$2,074.08 ",$128.88 ,"$1,649.27 ","$2,373.95 ", N/A ,"$1,999.11 ","$2,273.99 ",$125.13 ,"$2,348.96 ","$2,373.95 ","$2,249.00 ","$2,124.06 ",$125.13 ,$125.13 ,$125.13 ,"$1,824.19 ",$556.66 ,"$2,224.01 ","$2,249.00 ","$2,249.00 ","$1,999.11 ",$573.36 ,"$1,374.39 ","$2,249.00 ",$556.66 ,"$2,249.00 ",$556.66 ,"$2,373.95 ","$1,252.50 ","$2,298.98 ",$132.64 ,"$2,273.99 ",$556.66 ,"$1,537.82 ","$1,609.29 ","$1,537.82 ","$2,249.00 ","$2,249.00 ","$1,874.17 ","$1,749.22 ",$562.23 ,$131.39 ,"$2,336.46 ",$584.49 ,$125.13 ,"$2,174.03 ",$556.66 ,"$2,249.00 ",$556.66 ,"$2,249.00 ","$2,249.00 ","$2,249.00 ","$2,423.92 ","$2,024.10 ","$2,249.00 ","$2,249.00 ","$2,249.00 ","$2,249.00 " ST. JOSEPH'S - CHIPPEWA FALLS,32000342,74425,HC XR UROGRAM ANTE (LOOPOGRAM SVG),320,1 ,"$1,542.06 ","$1,156.55 ",$37.66 ,"$1,542.06 ",$993.09 ,$356.52 ,"$1,079.44 ",$37.66 ,$751.42 ,$38.79 ,$601.13 ,"$1,464.96 ", N/A ,"$1,233.65 ","$1,403.27 ",$37.66 ,"$1,449.54 ","$1,464.96 ","$1,387.85 ","$1,310.75 ",$37.66 ,$37.66 ,$37.66 ,"$1,125.70 ",$356.52 ,"$1,372.43 ","$1,387.85 ","$1,387.85 ","$1,233.65 ",$367.22 ,$848.13 ,"$1,387.85 ",$356.52 ,"$1,387.85 ",$356.52 ,"$1,464.96 ",$802.18 ,"$1,418.70 ",$39.92 ,"$1,403.27 ",$356.52 ,$948.98 ,$993.09 ,$948.98 ,"$1,387.85 ",$224.91 ,"$1,156.55 ",$86.98 ,$360.09 ,$39.54 ,"$1,441.83 ",$374.35 ,$37.66 ,"$1,341.59 ",$356.52 ,"$1,387.85 ",$356.52 ,"$1,387.85 ","$1,387.85 ","$1,387.85 ","$1,495.80 ","$1,249.07 ","$1,387.85 ","$1,387.85 ","$1,387.85 ","$1,387.85 " ST. JOSEPH'S - CHIPPEWA FALLS,32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,$615.23 ,$461.42 ,$29.05 ,$802.18 ,$396.21 ,$356.52 ,$430.66 ,$37.66 ,$36.31 ,$38.79 ,$29.05 ,$584.47 , N/A ,$492.18 ,$559.86 ,$37.66 ,$578.32 ,$584.47 ,$553.71 ,$522.95 ,$37.66 ,$37.66 ,$37.66 ,$449.12 ,$356.52 ,$547.55 ,$553.71 ,$553.71 ,$492.18 ,$367.22 ,$338.38 ,$553.71 ,$356.52 ,$553.71 ,$356.52 ,$584.47 ,$802.18 ,$566.01 ,$39.92 ,$559.86 ,$356.52 ,$378.61 ,$396.21 ,$378.61 ,$553.71 ,$177.32 ,$461.42 ,$106.05 ,$360.09 ,$39.54 ,$575.24 ,$374.35 ,$37.66 ,$535.25 ,$356.52 ,$553.71 ,$356.52 ,$553.71 ,$553.71 ,$553.71 ,$596.77 ,$498.34 ,$553.71 ,$553.71 ,$553.71 ,$553.71 ST. JOSEPH'S - CHIPPEWA FALLS,32000344,74450,HC CYSTOURETHROGRAM RETROGRADE,320,1 ,$692.37 ,$519.28 ,$37.66 ,$692.37 ,$445.89 ,$222.88 ,$484.66 ,$37.66 ,$377.35 ,$38.79 ,$301.88 ,$657.75 , N/A ,$553.90 ,$630.06 ,$37.66 ,$650.83 ,$657.75 ,$623.13 ,$588.51 ,$37.66 ,$37.66 ,$37.66 ,$505.43 ,$222.88 ,$616.21 ,$623.13 ,$623.13 ,$553.90 ,$229.57 ,$380.80 ,$623.13 ,$222.88 ,$623.13 ,$222.88 ,$657.75 ,$501.48 ,$636.98 ,$39.92 ,$630.06 ,$222.88 ,$426.08 ,$445.89 ,$426.08 ,$623.13 ,$217.86 ,$519.28 ,$81.57 ,$225.11 ,$39.54 ,$647.37 ,$234.02 ,$37.66 ,$602.36 ,$222.88 ,$623.13 ,$222.88 ,$623.13 ,$623.13 ,$623.13 ,$671.60 ,$560.82 ,$623.13 ,$623.13 ,$623.13 ,$623.13 ST. JOSEPH'S - CHIPPEWA FALLS,32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,$709.39 ,$532.04 ,$37.66 ,$709.39 ,$456.85 ,$222.88 ,$496.57 ,$37.66 ,$110.16 ,$38.79 ,$88.13 ,$673.92 , N/A ,$567.51 ,$645.54 ,$37.66 ,$666.83 ,$673.92 ,$638.45 ,$602.98 ,$37.66 ,$37.66 ,$37.66 ,$517.85 ,$222.88 ,$631.36 ,$638.45 ,$638.45 ,$567.51 ,$229.57 ,$390.16 ,$638.45 ,$222.88 ,$638.45 ,$222.88 ,$673.92 ,$501.48 ,$652.64 ,$39.92 ,$645.54 ,$222.88 ,$436.56 ,$456.85 ,$436.56 ,$638.45 ,$243.48 ,$532.04 ,$320.35 ,$225.11 ,$39.54 ,$663.28 ,$234.02 ,$37.66 ,$617.17 ,$222.88 ,$638.45 ,$222.88 ,$638.45 ,$638.45 ,$638.45 ,$688.11 ,$574.61 ,$638.45 ,$638.45 ,$638.45 ,$638.45 ST. JOSEPH'S - CHIPPEWA FALLS,32000348,74470,HC RENAL CYST STUDY S AND I,320,1 ,$648.41 ,$486.31 ,$37.66 ,"$1,052.28 ",$417.58 ,$467.68 ,$453.89 ,$37.66 ,$377.35 ,$38.79 ,$301.88 ,$615.99 , N/A ,$518.73 ,$590.05 ,$37.66 ,$609.51 ,$615.99 ,$583.57 ,$551.15 ,$37.66 ,$37.66 ,$37.66 ,$473.34 ,$467.68 ,$577.08 ,$583.57 ,$583.57 ,$518.73 ,$481.71 ,$356.63 ,$583.57 ,$467.68 ,$583.57 ,$467.68 ,$615.99 ,"$1,052.28 ",$596.54 ,$39.92 ,$590.05 ,$467.68 ,$399.03 ,$417.58 ,$399.03 ,$583.57 ,$255.13 ,$486.31 ,$130.53 ,$472.36 ,$39.54 ,$606.26 ,$491.06 ,$37.66 ,$564.12 ,$467.68 ,$583.57 ,$467.68 ,$583.57 ,$583.57 ,$583.57 ,$628.96 ,$525.21 ,$583.57 ,$583.57 ,$583.57 ,$583.57 ST. JOSEPH'S - CHIPPEWA FALLS,32000349,50432,HC PERCUTANEOUS NEPHRO CATH PLCMT,320,1 ,"$4,168.46 ","$3,126.35 ",$430.16 ,"$4,168.46 ","$2,684.49 ","$1,736.51 ","$2,917.92 ",$430.16 ,"$3,459.82 ",$443.06 ,"$2,751.18 ","$3,960.04 ", N/A ,"$3,334.77 ","$3,793.30 ",$430.16 ,"$3,918.35 ","$3,960.04 ","$3,751.61 ","$3,543.19 ",$430.16 ,$430.16 ,$430.16 ,"$3,042.98 ","$1,736.51 ","$3,709.93 ","$3,751.61 ","$3,751.61 ","$3,334.77 ","$1,788.61 ","$2,292.65 ","$3,751.61 ","$1,736.51 ","$3,751.61 ","$1,736.51 ","$3,960.04 ","$3,907.15 ","$3,834.98 ",$455.97 ,"$3,793.30 ","$1,736.51 ","$2,565.27 ","$2,684.49 ","$2,565.27 ","$3,751.61 ","$3,751.61 ","$3,126.35 ","$2,917.92 ","$1,753.88 ",$451.67 ,"$3,897.51 ","$1,823.34 ",$430.16 ,"$3,626.56 ","$1,736.51 ","$3,751.61 ","$1,736.51 ","$3,751.61 ","$3,751.61 ","$3,751.61 ","$4,043.41 ","$3,376.45 ","$3,751.61 ","$3,751.61 ","$3,751.61 ","$3,751.61 " ST. JOSEPH'S - CHIPPEWA FALLS,32000352,74485,"HC DILITATN NEPHRO,URETER,URETHRA",320,1 ,"$1,801.49 ","$1,351.12 ",$53.35 ,"$3,907.15 ","$1,160.16 ","$1,736.51 ","$1,261.04 ",$53.35 ,$110.76 ,$54.95 ,$88.61 ,"$1,711.42 ", N/A ,"$1,441.19 ","$1,639.36 ",$53.35 ,"$1,693.40 ","$1,711.42 ","$1,621.34 ","$1,531.27 ",$53.35 ,$53.35 ,$53.35 ,"$1,315.09 ","$1,736.51 ","$1,603.33 ","$1,621.34 ","$1,621.34 ","$1,441.19 ","$1,788.61 ",$990.82 ,"$1,621.34 ","$1,736.51 ","$1,621.34 ","$1,736.51 ","$1,711.42 ","$3,907.15 ","$1,657.37 ",$56.55 ,"$1,639.36 ","$1,736.51 ","$1,108.64 ","$1,160.16 ","$1,108.64 ","$1,621.34 ",$469.86 ,"$1,351.12 ",$323.81 ,"$1,753.88 ",$56.02 ,"$1,684.39 ","$1,823.34 ",$53.35 ,"$1,567.30 ","$1,736.51 ","$1,621.34 ","$1,736.51 ","$1,621.34 ","$1,621.34 ","$1,621.34 ","$1,747.45 ","$1,459.21 ","$1,621.34 ","$1,621.34 ","$1,621.34 ","$1,621.34 " ST. JOSEPH'S - CHIPPEWA FALLS,32000354,74740,HC XRAY HYSTEROSALPINGOGRAP,320,1 ,"$1,349.35 ","$1,012.01 ",$37.66 ,"$1,349.35 ",$868.98 ,$222.88 ,$944.55 ,$37.66 ,$93.96 ,$38.79 ,$75.17 ,"$1,281.88 ", N/A ,"$1,079.48 ","$1,227.91 ",$37.66 ,"$1,268.39 ","$1,281.88 ","$1,214.42 ","$1,146.95 ",$37.66 ,$37.66 ,$37.66 ,$985.03 ,$222.88 ,"$1,200.92 ","$1,214.42 ","$1,214.42 ","$1,079.48 ",$229.57 ,$742.14 ,"$1,214.42 ",$222.88 ,"$1,214.42 ",$222.88 ,"$1,281.88 ",$501.48 ,"$1,241.40 ",$39.92 ,"$1,227.91 ",$222.88 ,$830.39 ,$868.98 ,$830.39 ,"$1,214.42 ",$277.54 ,"$1,012.01 ",$270.23 ,$225.11 ,$39.54 ,"$1,261.64 ",$234.02 ,$37.66 ,"$1,173.93 ",$222.88 ,"$1,214.42 ",$222.88 ,"$1,214.42 ","$1,214.42 ","$1,214.42 ","$1,308.87 ","$1,092.97 ","$1,214.42 ","$1,214.42 ","$1,214.42 ","$1,214.42 " ST. JOSEPH'S - CHIPPEWA FALLS,32000355,75605,HC THORACIC AORTA,320,1 ,$862.12 ,$646.59 ,$110.71 ,"$10,395.23 ",$555.21 ,"$4,620.10 ",$603.48 ,$862.12 ,$138.39 ,"$1,099.29 ",$110.71 ,$819.01 , N/A ,$689.70 ,$784.53 ,$862.12 ,$810.39 ,$819.01 ,$775.91 ,$732.80 ,"$1,067.27 ","$1,067.27 ","$1,067.27 ",$629.35 ,"$4,620.10 ",$767.29 ,$775.91 ,$775.91 ,$689.70 ,"$4,758.71 ",$474.17 ,$775.91 ,"$4,620.10 ",$775.91 ,"$4,620.10 ",$819.01 ,"$10,395.23 ",$793.15 ,"$1,131.31 ",$784.53 ,"$4,620.10 ",$530.55 ,$555.21 ,$530.55 ,$775.91 ,$596.51 ,$646.59 ,$399.86 ,"$4,666.30 ","$1,120.63 ",$806.08 ,"$4,851.11 ",$862.12 ,$750.04 ,"$4,620.10 ",$775.91 ,"$4,620.10 ",$775.91 ,$775.91 ,$775.91 ,$836.26 ,$698.32 ,$775.91 ,$775.91 ,$775.91 ,$775.91 ST. JOSEPH'S - CHIPPEWA FALLS,32000356,75625,HC ABDOMINAL AORTAGRAM 75625,320,1 ,"$4,241.32 ","$3,180.99 ",$109.75 ,"$6,235.91 ","$2,731.41 ","$2,771.52 ","$2,968.92 ",$534.02 ,$137.18 ,$550.04 ,$109.75 ,"$4,029.25 ", N/A ,"$3,393.06 ","$3,859.60 ",$534.02 ,"$3,986.84 ","$4,029.25 ","$3,817.19 ","$3,605.12 ",$534.02 ,$534.02 ,$534.02 ,"$3,096.16 ","$2,771.52 ","$3,774.77 ","$3,817.19 ","$3,817.19 ","$3,393.06 ","$2,854.66 ","$2,332.73 ","$3,817.19 ","$2,771.52 ","$3,817.19 ","$2,771.52 ","$4,029.25 ","$6,235.91 ","$3,902.01 ",$566.06 ,"$3,859.60 ","$2,771.52 ","$2,610.11 ","$2,731.41 ","$2,610.11 ","$3,817.19 ",$828.31 ,"$3,180.99 ",$394.64 ,"$2,799.23 ",$560.72 ,"$3,965.63 ","$2,910.10 ",$534.02 ,"$3,689.95 ","$2,771.52 ","$3,817.19 ","$2,771.52 ","$3,817.19 ","$3,817.19 ","$3,817.19 ","$4,114.08 ","$3,435.47 ","$3,817.19 ","$3,817.19 ","$3,817.19 ","$3,817.19 " ST. JOSEPH'S - CHIPPEWA FALLS,32000357,75630,HC AORTA WITH RUNOFF 75630,320,1 ,"$2,424.10 ","$1,818.08 ",$110.71 ,"$6,235.91 ","$1,561.12 ","$2,771.52 ","$1,696.87 ",$534.02 ,$138.39 ,$550.04 ,$110.71 ,"$2,302.90 ", N/A ,"$1,939.28 ","$2,205.93 ",$534.02 ,"$2,278.65 ","$2,302.90 ","$2,181.69 ","$2,060.49 ",$534.02 ,$534.02 ,$534.02 ,"$1,769.59 ","$2,771.52 ","$2,157.45 ","$2,181.69 ","$2,181.69 ","$1,939.28 ","$2,854.66 ","$1,333.26 ","$2,181.69 ","$2,771.52 ","$2,181.69 ","$2,771.52 ","$2,302.90 ","$6,235.91 ","$2,230.17 ",$566.06 ,"$2,205.93 ","$2,771.52 ","$1,491.79 ","$1,561.12 ","$1,491.79 ","$2,181.69 ","$1,189.90 ","$1,818.08 ",$399.86 ,"$2,799.23 ",$560.72 ,"$2,266.53 ","$2,910.10 ",$534.02 ,"$2,108.97 ","$2,771.52 ","$2,181.69 ","$2,771.52 ","$2,181.69 ","$2,181.69 ","$2,181.69 ","$2,351.38 ","$1,963.52 ","$2,181.69 ","$2,181.69 ","$2,181.69 ","$2,181.69 " ST. JOSEPH'S - CHIPPEWA FALLS,32000370,75705,HC ANGIO SPINAL,320,1 ,"$2,501.96 ","$1,876.47 ",$178.18 ,"$10,395.23 ","$1,611.26 ","$4,620.10 ","$1,751.37 ","$1,067.27 ",$222.72 ,"$1,099.29 ",$178.18 ,"$2,376.86 ", N/A ,"$2,001.57 ","$2,276.78 ","$1,067.27 ","$2,351.84 ","$2,376.86 ","$2,251.76 ","$2,126.67 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$1,826.43 ","$4,620.10 ","$2,226.74 ","$2,251.76 ","$2,251.76 ","$2,001.57 ","$4,758.71 ","$1,376.08 ","$2,251.76 ","$4,620.10 ","$2,251.76 ","$4,620.10 ","$2,376.86 ","$10,395.23 ","$2,301.80 ","$1,131.31 ","$2,276.78 ","$4,620.10 ","$1,539.71 ","$1,611.26 ","$1,539.71 ","$2,251.76 ","$1,324.83 ","$1,876.47 ",$670.09 ,"$4,666.30 ","$1,120.63 ","$2,339.33 ","$4,851.11 ","$1,067.27 ","$2,176.71 ","$4,620.10 ","$2,251.76 ","$4,620.10 ","$2,251.76 ","$2,251.76 ","$2,251.76 ","$2,426.90 ","$2,026.59 ","$2,251.76 ","$2,251.76 ","$2,251.76 ","$2,251.76 " ST. JOSEPH'S - CHIPPEWA FALLS,32000371,75710,HC ANGIO EXTREMITY UNI 75710,320,1 ,"$3,235.83 ","$2,426.87 ",$142.63 ,"$6,235.91 ","$2,083.87 ","$2,771.52 ","$2,265.08 ",$534.02 ,$178.29 ,$550.04 ,$142.63 ,"$3,074.04 ", N/A ,"$2,588.66 ","$2,944.61 ",$534.02 ,"$3,041.68 ","$3,074.04 ","$2,912.25 ","$2,750.46 ",$534.02 ,$534.02 ,$534.02 ,"$2,362.16 ","$2,771.52 ","$2,879.89 ","$2,912.25 ","$2,912.25 ","$2,588.66 ","$2,854.66 ","$1,779.71 ","$2,912.25 ","$2,771.52 ","$2,912.25 ","$2,771.52 ","$3,074.04 ","$6,235.91 ","$2,976.96 ",$566.06 ,"$2,944.61 ","$2,771.52 ","$1,991.33 ","$2,083.87 ","$1,991.33 ","$2,912.25 ",$869.77 ,"$2,426.87 ",$417.11 ,"$2,799.23 ",$560.72 ,"$3,025.50 ","$2,910.10 ",$534.02 ,"$2,815.17 ","$2,771.52 ","$2,912.25 ","$2,771.52 ","$2,912.25 ","$2,912.25 ","$2,912.25 ","$3,138.76 ","$2,621.02 ","$2,912.25 ","$2,912.25 ","$2,912.25 ","$2,912.25 " ST. JOSEPH'S - CHIPPEWA FALLS,32000373,75716,HC ANGIO EXTREMITY BILAT 75716,320,1 ,"$3,497.23 ","$2,622.92 ",$164.96 ,"$6,235.91 ","$2,252.22 ","$2,771.52 ","$2,448.06 ",$534.02 ,$206.20 ,$550.04 ,$164.96 ,"$3,322.37 ", N/A ,"$2,797.78 ","$3,182.48 ",$534.02 ,"$3,287.40 ","$3,322.37 ","$3,147.51 ","$2,972.65 ",$534.02 ,$534.02 ,$534.02 ,"$2,552.98 ","$2,771.52 ","$3,112.53 ","$3,147.51 ","$3,147.51 ","$2,797.78 ","$2,854.66 ","$1,923.48 ","$3,147.51 ","$2,771.52 ","$3,147.51 ","$2,771.52 ","$3,322.37 ","$6,235.91 ","$3,217.45 ",$566.06 ,"$3,182.48 ","$2,771.52 ","$2,152.20 ","$2,252.22 ","$2,152.20 ","$3,147.51 ","$1,220.58 ","$2,622.92 ",$481.07 ,"$2,799.23 ",$560.72 ,"$3,269.91 ","$2,910.10 ",$534.02 ,"$3,042.59 ","$2,771.52 ","$3,147.51 ","$2,771.52 ","$3,147.51 ","$3,147.51 ","$3,147.51 ","$3,392.31 ","$2,832.76 ","$3,147.51 ","$3,147.51 ","$3,147.51 ","$3,147.51 " ST. JOSEPH'S - CHIPPEWA FALLS,32000375,36251,HC ANGIO SEL RENAL UNILA 36251,320,1 ,"$7,118.98 ","$5,339.24 ","$1,067.27 ","$7,118.98 ","$4,584.62 ","$2,771.52 ","$4,983.29 ","$1,067.27 ","$5,908.75 ","$1,099.29 ","$4,698.53 ","$6,763.03 ", N/A ,"$5,695.18 ","$6,478.27 ","$1,067.27 ","$6,691.84 ","$6,763.03 ","$6,407.08 ","$6,051.13 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$5,196.86 ","$2,771.52 ","$6,335.89 ","$6,407.08 ","$6,407.08 ","$5,695.18 ","$2,854.66 ","$3,915.44 ","$6,407.08 ","$2,771.52 ","$6,407.08 ","$2,771.52 ","$6,763.03 ","$6,235.91 ","$6,549.46 ","$1,131.31 ","$6,478.27 ","$2,771.52 ","$4,381.02 ","$4,584.62 ","$4,381.02 ","$6,407.08 ","$6,407.08 ","$5,339.24 ","$4,983.29 ","$2,799.23 ","$1,120.63 ","$6,656.25 ","$2,910.10 ","$1,067.27 ","$6,193.51 ","$2,771.52 ","$6,407.08 ","$2,771.52 ","$6,407.08 ","$6,407.08 ","$6,407.08 ","$6,905.41 ","$5,766.37 ","$6,407.08 ","$6,407.08 ","$6,407.08 ","$6,407.08 " ST. JOSEPH'S - CHIPPEWA FALLS,32000376,36252,HC ANGIO SEL RENAL BILAT 36252,320,1 ,"$7,980.59 ","$5,985.44 ","$1,067.27 ","$7,980.59 ","$5,139.50 ","$2,771.52 ","$5,586.41 ","$1,067.27 ","$6,623.89 ","$1,099.29 ","$5,267.19 ","$7,581.56 ", N/A ,"$6,384.47 ","$7,262.34 ","$1,067.27 ","$7,501.75 ","$7,581.56 ","$7,182.53 ","$6,783.50 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$5,825.83 ","$2,771.52 ","$7,102.73 ","$7,182.53 ","$7,182.53 ","$6,384.47 ","$2,854.66 ","$4,389.32 ","$7,182.53 ","$2,771.52 ","$7,182.53 ","$2,771.52 ","$7,581.56 ","$6,235.91 ","$7,342.14 ","$1,131.31 ","$7,262.34 ","$2,771.52 ","$4,911.26 ","$5,139.50 ","$4,911.26 ","$7,182.53 ","$7,182.53 ","$5,985.44 ","$5,586.41 ","$2,799.23 ","$1,120.63 ","$7,461.85 ","$2,910.10 ","$1,067.27 ","$6,943.11 ","$2,771.52 ","$7,182.53 ","$2,771.52 ","$7,182.53 ","$7,182.53 ","$7,182.53 ","$7,741.17 ","$6,464.28 ","$7,182.53 ","$7,182.53 ","$7,182.53 ","$7,182.53 " ST. JOSEPH'S - CHIPPEWA FALLS,32000378,75726,"HC ANGIO VISERAL, SEL, OR SUPRASEL 75726",320,1 ,"$3,733.41 ","$2,800.06 ",$126.56 ,"$10,395.23 ","$2,404.32 ","$4,620.10 ","$2,613.39 ","$1,067.27 ",$158.20 ,"$1,099.29 ",$126.56 ,"$3,546.74 ", N/A ,"$2,986.73 ","$3,397.40 ","$1,067.27 ","$3,509.41 ","$3,546.74 ","$3,360.07 ","$3,173.40 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$2,725.39 ","$4,620.10 ","$3,322.73 ","$3,360.07 ","$3,360.07 ","$2,986.73 ","$4,758.71 ","$2,053.38 ","$3,360.07 ","$4,620.10 ","$3,360.07 ","$4,620.10 ","$3,546.74 ","$10,395.23 ","$3,434.74 ","$1,131.31 ","$3,397.40 ","$4,620.10 ","$2,297.54 ","$2,404.32 ","$2,297.54 ","$3,360.07 ","$1,294.35 ","$2,800.06 ",$456.89 ,"$4,666.30 ","$1,120.63 ","$3,490.74 ","$4,851.11 ","$1,067.27 ","$3,248.07 ","$4,620.10 ","$3,360.07 ","$4,620.10 ","$3,360.07 ","$3,360.07 ","$3,360.07 ","$3,621.41 ","$3,024.06 ","$3,360.07 ","$3,360.07 ","$3,360.07 ","$3,360.07 " ST. JOSEPH'S - CHIPPEWA FALLS,32000382,75731,HC ANGIO ADRENAL UNILATERAL,320,1 ,"$1,211.60 ",$908.70 ,$154.17 ,"$6,235.91 ",$780.27 ,"$2,771.52 ",$848.12 ,$534.02 ,$192.71 ,$550.04 ,$154.17 ,"$1,151.02 ", N/A ,$969.28 ,"$1,102.56 ",$534.02 ,"$1,138.90 ","$1,151.02 ","$1,090.44 ","$1,029.86 ",$534.02 ,$534.02 ,$534.02 ,$884.47 ,"$2,771.52 ","$1,078.32 ","$1,090.44 ","$1,090.44 ",$969.28 ,"$2,854.66 ",$666.38 ,"$1,090.44 ","$2,771.52 ","$1,090.44 ","$2,771.52 ","$1,151.02 ","$6,235.91 ","$1,114.67 ",$566.06 ,"$1,102.56 ","$2,771.52 ",$745.62 ,$780.27 ,$745.62 ,"$1,090.44 ","$1,211.60 ",$908.70 ,$557.72 ,"$2,799.23 ",$560.72 ,"$1,132.85 ","$2,910.10 ",$534.02 ,"$1,054.09 ","$2,771.52 ","$1,090.44 ","$2,771.52 ","$1,090.44 ","$1,090.44 ","$1,090.44 ","$1,175.25 ",$981.40 ,"$1,090.44 ","$1,090.44 ","$1,090.44 ","$1,090.44 " ST. JOSEPH'S - CHIPPEWA FALLS,32000383,75733,HC ANGIO ADRENAL BILATERAL,320,1 ,"$1,282.06 ",$961.55 ,$164.49 ,"$6,235.91 ",$825.65 ,"$2,771.52 ",$897.44 ,$534.02 ,$205.61 ,$550.04 ,$164.49 ,"$1,217.96 ", N/A ,"$1,025.65 ","$1,166.67 ",$534.02 ,"$1,205.14 ","$1,217.96 ","$1,153.85 ","$1,089.75 ",$534.02 ,$534.02 ,$534.02 ,$935.90 ,"$2,771.52 ","$1,141.03 ","$1,153.85 ","$1,153.85 ","$1,025.65 ","$2,854.66 ",$705.13 ,"$1,153.85 ","$2,771.52 ","$1,153.85 ","$2,771.52 ","$1,217.96 ","$6,235.91 ","$1,179.50 ",$566.06 ,"$1,166.67 ","$2,771.52 ",$788.98 ,$825.65 ,$788.98 ,"$1,153.85 ","$1,282.06 ",$961.55 ,$587.77 ,"$2,799.23 ",$560.72 ,"$1,198.73 ","$2,910.10 ",$534.02 ,"$1,115.39 ","$2,771.52 ","$1,153.85 ","$2,771.52 ","$1,153.85 ","$1,153.85 ","$1,153.85 ","$1,243.60 ","$1,038.47 ","$1,153.85 ","$1,153.85 ","$1,153.85 ","$1,153.85 " ST. JOSEPH'S - CHIPPEWA FALLS,32000384,75736,HC ANGIO PELVIC SELECT,320,1 ,"$2,804.66 ","$2,103.50 ",$141.20 ,"$10,395.23 ","$1,806.20 ","$4,620.10 ","$1,963.26 ","$1,067.27 ",$176.51 ,"$1,099.29 ",$141.20 ,"$2,664.43 ", N/A ,"$2,243.73 ","$2,552.24 ","$1,067.27 ","$2,636.38 ","$2,664.43 ","$2,524.19 ","$2,383.96 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$2,047.40 ","$4,620.10 ","$2,496.15 ","$2,524.19 ","$2,524.19 ","$2,243.73 ","$4,758.71 ","$1,542.56 ","$2,524.19 ","$4,620.10 ","$2,524.19 ","$4,620.10 ","$2,664.43 ","$10,395.23 ","$2,580.29 ","$1,131.31 ","$2,552.24 ","$4,620.10 ","$1,725.99 ","$1,806.20 ","$1,725.99 ","$2,524.19 ","$1,294.35 ","$2,103.50 ",$509.37 ,"$4,666.30 ","$1,120.63 ","$2,622.36 ","$4,851.11 ","$1,067.27 ","$2,440.05 ","$4,620.10 ","$2,524.19 ","$4,620.10 ","$2,524.19 ","$2,524.19 ","$2,524.19 ","$2,720.52 ","$2,271.77 ","$2,524.19 ","$2,524.19 ","$2,524.19 ","$2,524.19 " ST. JOSEPH'S - CHIPPEWA FALLS,32000385,75741,HC ANGIO PULMONARY UNILAT,320,1 ,"$2,239.31 ","$1,679.48 ",$117.43 ,"$6,235.91 ","$1,442.12 ","$2,771.52 ","$1,567.52 ",$534.02 ,$146.79 ,$550.04 ,$117.43 ,"$2,127.34 ", N/A ,"$1,791.45 ","$2,037.77 ",$534.02 ,"$2,104.95 ","$2,127.34 ","$2,015.38 ","$1,903.41 ",$534.02 ,$534.02 ,$534.02 ,"$1,634.70 ","$2,771.52 ","$1,992.99 ","$2,015.38 ","$2,015.38 ","$1,791.45 ","$2,854.66 ","$1,231.62 ","$2,015.38 ","$2,771.52 ","$2,015.38 ","$2,771.52 ","$2,127.34 ","$6,235.91 ","$2,060.17 ",$566.06 ,"$2,037.77 ","$2,771.52 ","$1,378.07 ","$1,442.12 ","$1,378.07 ","$2,015.38 ","$1,139.22 ","$1,679.48 ",$422.33 ,"$2,799.23 ",$560.72 ,"$2,093.75 ","$2,910.10 ",$534.02 ,"$1,948.20 ","$2,771.52 ","$2,015.38 ","$2,771.52 ","$2,015.38 ","$2,015.38 ","$2,015.38 ","$2,172.13 ","$1,813.84 ","$2,015.38 ","$2,015.38 ","$2,015.38 ","$2,015.38 " ST. JOSEPH'S - CHIPPEWA FALLS,32000386,75743,HC ANGIO PULMONARY BILAT,320,1 ,"$2,413.88 ","$1,810.41 ",$118.87 ,"$6,235.91 ","$1,554.54 ","$2,771.52 ","$1,689.72 ",$534.02 ,$148.59 ,$550.04 ,$118.87 ,"$2,293.19 ", N/A ,"$1,931.10 ","$2,196.63 ",$534.02 ,"$2,269.05 ","$2,293.19 ","$2,172.49 ","$2,051.80 ",$534.02 ,$534.02 ,$534.02 ,"$1,762.13 ","$2,771.52 ","$2,148.35 ","$2,172.49 ","$2,172.49 ","$1,931.10 ","$2,854.66 ","$1,327.63 ","$2,172.49 ","$2,771.52 ","$2,172.49 ","$2,771.52 ","$2,293.19 ","$6,235.91 ","$2,220.77 ",$566.06 ,"$2,196.63 ","$2,771.52 ","$1,485.50 ","$1,554.54 ","$1,485.50 ","$2,172.49 ","$1,335.32 ","$1,810.41 ",$427.50 ,"$2,799.23 ",$560.72 ,"$2,256.98 ","$2,910.10 ",$534.02 ,"$2,100.08 ","$2,771.52 ","$2,172.49 ","$2,771.52 ","$2,172.49 ","$2,172.49 ","$2,172.49 ","$2,341.46 ","$1,955.24 ","$2,172.49 ","$2,172.49 ","$2,172.49 ","$2,172.49 " ST. JOSEPH'S - CHIPPEWA FALLS,32000387,75746,HC ANGIO PULMONARY NONSELECT,320,1 ,"$1,629.87 ","$1,222.40 ",$130.89 ,"$6,235.91 ","$1,049.64 ","$2,771.52 ","$1,140.91 ",$534.02 ,$163.61 ,$550.04 ,$130.89 ,"$1,548.38 ", N/A ,"$1,303.90 ","$1,483.18 ",$534.02 ,"$1,532.08 ","$1,548.38 ","$1,466.88 ","$1,385.39 ",$534.02 ,$534.02 ,$534.02 ,"$1,189.81 ","$2,771.52 ","$1,450.58 ","$1,466.88 ","$1,466.88 ","$1,303.90 ","$2,854.66 ",$896.43 ,"$1,466.88 ","$2,771.52 ","$1,466.88 ","$2,771.52 ","$1,548.38 ","$6,235.91 ","$1,499.48 ",$566.06 ,"$1,483.18 ","$2,771.52 ","$1,003.02 ","$1,049.64 ","$1,003.02 ","$1,466.88 ",$828.31 ,"$1,222.40 ",$466.12 ,"$2,799.23 ",$560.72 ,"$1,523.93 ","$2,910.10 ",$534.02 ,"$1,417.99 ","$2,771.52 ","$1,466.88 ","$2,771.52 ","$1,466.88 ","$1,466.88 ","$1,466.88 ","$1,580.97 ","$1,320.19 ","$1,466.88 ","$1,466.88 ","$1,466.88 ","$1,466.88 " ST. JOSEPH'S - CHIPPEWA FALLS,32000389,75774,HC ANGIO EA VESSEL ADDL 75774,320,1 ,"$2,104.68 ","$1,578.51 ",$92.93 ,"$2,104.68 ","$1,355.41 ", N/A ,"$1,473.28 ","$1,067.27 ",$116.17 ,"$1,099.29 ",$92.93 ,"$1,999.45 ", N/A ,"$1,683.74 ","$1,915.26 ","$1,067.27 ","$1,978.40 ","$1,999.45 ","$1,894.21 ","$1,788.98 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$1,536.42 ", N/A ,"$1,873.17 ","$1,894.21 ","$1,894.21 ","$1,683.74 ", N/A ,"$1,157.57 ","$1,894.21 ", N/A ,"$1,894.21 ", N/A ,"$1,999.45 ", N/A ,"$1,936.31 ","$1,131.31 ","$1,915.26 ", N/A ,"$1,295.22 ","$1,355.41 ","$1,295.22 ","$1,894.21 ",$518.56 ,"$1,578.51 ",$337.65 , N/A ,"$1,120.63 ","$1,967.88 ", N/A ,"$1,067.27 ","$1,831.07 ", N/A ,"$1,894.21 ", N/A ,"$1,894.21 ","$1,894.21 ","$1,894.21 ","$2,041.54 ","$1,704.79 ","$1,894.21 ","$1,894.21 ","$1,894.21 ","$1,894.21 " ST. JOSEPH'S - CHIPPEWA FALLS,32000394,75810,HC SPLENOPORTOGRAPHY,320,1 ,$667.57 ,$500.68 ,$265.78 ,"$6,235.91 ",$429.92 ,"$2,771.52 ",$467.30 ,$265.78 ,$667.57 ,$273.75 ,$667.57 ,$634.19 , N/A ,$534.06 ,$607.49 ,$265.78 ,$627.52 ,$634.19 ,$600.81 ,$567.43 ,$265.78 ,$265.78 ,$265.78 ,$487.33 ,"$2,771.52 ",$594.14 ,$600.81 ,$600.81 ,$534.06 ,"$2,854.66 ",$367.16 ,$600.81 ,"$2,771.52 ",$600.81 ,"$2,771.52 ",$634.19 ,"$6,235.91 ",$614.16 ,$281.73 ,$607.49 ,"$2,771.52 ",$410.82 ,$429.92 ,$410.82 ,$600.81 ,$667.57 ,$500.68 ,$269.03 ,"$2,799.23 ",$279.07 ,$624.18 ,"$2,910.10 ",$265.78 ,$580.79 ,"$2,771.52 ",$600.81 ,"$2,771.52 ",$600.81 ,$600.81 ,$600.81 ,$647.54 ,$540.73 ,$600.81 ,$600.81 ,$600.81 ,$600.81 ST. JOSEPH'S - CHIPPEWA FALLS,32000395,75820,HC VENOGRAM EXTREMITY UNI 75820,320,1 ,"$1,006.84 ",$755.13 ,$108.78 ,"$3,064.15 ",$648.41 ,"$1,361.85 ",$704.79 ,$265.78 ,$135.98 ,$273.75 ,$108.78 ,$956.50 , N/A ,$805.47 ,$916.22 ,$265.78 ,$946.43 ,$956.50 ,$906.16 ,$855.81 ,$265.78 ,$265.78 ,$265.78 ,$734.99 ,"$1,361.85 ",$896.09 ,$906.16 ,$906.16 ,$805.47 ,"$1,402.70 ",$553.76 ,$906.16 ,"$1,361.85 ",$906.16 ,"$1,361.85 ",$956.50 ,"$3,064.15 ",$926.29 ,$281.73 ,$916.22 ,"$1,361.85 ",$619.61 ,$648.41 ,$619.61 ,$906.16 ,$300.06 ,$755.13 ,$392.93 ,"$1,375.47 ",$279.07 ,$941.40 ,"$1,429.94 ",$265.78 ,$875.95 ,"$1,361.85 ",$906.16 ,"$1,361.85 ",$906.16 ,$906.16 ,$906.16 ,$976.63 ,$815.54 ,$906.16 ,$906.16 ,$906.16 ,$906.16 ST. JOSEPH'S - CHIPPEWA FALLS,32000397,75822,HC VENOGRAM EXTREMITY BILAT,320,1 ,"$1,577.24 ","$1,182.93 ",$114.07 ,"$3,064.15 ","$1,015.74 ","$1,361.85 ","$1,104.07 ",$265.78 ,$142.59 ,$273.75 ,$114.07 ,"$1,498.38 ", N/A ,"$1,261.79 ","$1,435.29 ",$265.78 ,"$1,482.61 ","$1,498.38 ","$1,419.52 ","$1,340.65 ",$265.78 ,$265.78 ,$265.78 ,"$1,151.39 ","$1,361.85 ","$1,403.74 ","$1,419.52 ","$1,419.52 ","$1,261.79 ","$1,402.70 ",$867.48 ,"$1,419.52 ","$1,361.85 ","$1,419.52 ","$1,361.85 ","$1,498.38 ","$3,064.15 ","$1,451.06 ",$281.73 ,"$1,435.29 ","$1,361.85 ",$970.63 ,"$1,015.74 ",$970.63 ,"$1,419.52 ",$454.83 ,"$1,182.93 ",$406.78 ,"$1,375.47 ",$279.07 ,"$1,474.72 ","$1,429.94 ",$265.78 ,"$1,372.20 ","$1,361.85 ","$1,419.52 ","$1,361.85 ","$1,419.52 ","$1,419.52 ","$1,419.52 ","$1,529.92 ","$1,277.56 ","$1,419.52 ","$1,419.52 ","$1,419.52 ","$1,419.52 " ST. JOSEPH'S - CHIPPEWA FALLS,32000398,75825,HC VENOGRAPHY CAVAL INFERIOR,320,1 ,"$3,651.63 ","$2,738.72 ",$106.86 ,"$6,235.91 ","$2,351.65 ","$2,771.52 ","$2,556.14 ",$534.02 ,$133.58 ,$550.04 ,$106.86 ,"$3,469.05 ", N/A ,"$2,921.30 ","$3,322.98 ",$534.02 ,"$3,432.53 ","$3,469.05 ","$3,286.47 ","$3,103.89 ",$534.02 ,$534.02 ,$534.02 ,"$2,665.69 ","$2,771.52 ","$3,249.95 ","$3,286.47 ","$3,286.47 ","$2,921.30 ","$2,854.66 ","$2,008.40 ","$3,286.47 ","$2,771.52 ","$3,286.47 ","$2,771.52 ","$3,469.05 ","$6,235.91 ","$3,359.50 ",$566.06 ,"$3,322.98 ","$2,771.52 ","$2,247.21 ","$2,351.65 ","$2,247.21 ","$3,286.47 ",$880.19 ,"$2,738.72 ",$382.55 ,"$2,799.23 ",$560.72 ,"$3,414.27 ","$2,910.10 ",$534.02 ,"$3,176.92 ","$2,771.52 ","$3,286.47 ","$2,771.52 ","$3,286.47 ","$3,286.47 ","$3,286.47 ","$3,542.08 ","$2,957.82 ","$3,286.47 ","$3,286.47 ","$3,286.47 ","$3,286.47 " ST. JOSEPH'S - CHIPPEWA FALLS,32000399,75827,HC VENOGRAPHY CAVAL SUPERIOR,320,1 ,"$2,565.81 ","$1,924.36 ",$110.71 ,"$3,064.15 ","$1,652.38 ","$1,361.85 ","$1,796.07 ",$265.78 ,$138.39 ,$273.75 ,$110.71 ,"$2,437.52 ", N/A ,"$2,052.65 ","$2,334.89 ",$265.78 ,"$2,411.86 ","$2,437.52 ","$2,309.23 ","$2,180.94 ",$265.78 ,$265.78 ,$265.78 ,"$1,873.04 ","$1,361.85 ","$2,283.57 ","$2,309.23 ","$2,309.23 ","$2,052.65 ","$1,402.70 ","$1,411.20 ","$2,309.23 ","$1,361.85 ","$2,309.23 ","$1,361.85 ","$2,437.52 ","$3,064.15 ","$2,360.55 ",$281.73 ,"$2,334.89 ","$1,361.85 ","$1,579.00 ","$1,652.38 ","$1,579.00 ","$2,309.23 ",$880.19 ,"$1,924.36 ",$401.56 ,"$1,375.47 ",$279.07 ,"$2,399.03 ","$1,429.94 ",$265.78 ,"$2,232.25 ","$1,361.85 ","$2,309.23 ","$1,361.85 ","$2,309.23 ","$2,309.23 ","$2,309.23 ","$2,488.84 ","$2,078.31 ","$2,309.23 ","$2,309.23 ","$2,309.23 ","$2,309.23 " ST. JOSEPH'S - CHIPPEWA FALLS,32000400,75831,HC VENOGRAM RENAL UNILAT,320,1 ,"$1,885.90 ","$1,414.43 ",$114.55 ,"$6,235.91 ","$1,214.52 ","$2,771.52 ","$1,320.13 ",$534.02 ,$143.19 ,$550.04 ,$114.55 ,"$1,791.61 ", N/A ,"$1,508.72 ","$1,716.17 ",$534.02 ,"$1,772.75 ","$1,791.61 ","$1,697.31 ","$1,603.02 ",$534.02 ,$534.02 ,$534.02 ,"$1,376.71 ","$2,771.52 ","$1,678.45 ","$1,697.31 ","$1,697.31 ","$1,508.72 ","$2,854.66 ","$1,037.25 ","$1,697.31 ","$2,771.52 ","$1,697.31 ","$2,771.52 ","$1,791.61 ","$6,235.91 ","$1,735.03 ",$566.06 ,"$1,716.17 ","$2,771.52 ","$1,160.58 ","$1,214.52 ","$1,160.58 ","$1,697.31 ",$851.02 ,"$1,414.43 ",$413.65 ,"$2,799.23 ",$560.72 ,"$1,763.32 ","$2,910.10 ",$534.02 ,"$1,640.73 ","$2,771.52 ","$1,697.31 ","$2,771.52 ","$1,697.31 ","$1,697.31 ","$1,697.31 ","$1,829.32 ","$1,527.58 ","$1,697.31 ","$1,697.31 ","$1,697.31 ","$1,697.31 " ST. JOSEPH'S - CHIPPEWA FALLS,32000401,75833,HC VENOGRAM RENAL BILAT,320,1 ,"$2,221.24 ","$1,665.93 ",$124.39 ,"$6,235.91 ","$1,430.48 ","$2,771.52 ","$1,554.87 ",$534.02 ,$155.49 ,$550.04 ,$124.39 ,"$2,110.18 ", N/A ,"$1,776.99 ","$2,021.33 ",$534.02 ,"$2,087.97 ","$2,110.18 ","$1,999.12 ","$1,888.05 ",$534.02 ,$534.02 ,$534.02 ,"$1,621.51 ","$2,771.52 ","$1,976.90 ","$1,999.12 ","$1,999.12 ","$1,776.99 ","$2,854.66 ","$1,221.68 ","$1,999.12 ","$2,771.52 ","$1,999.12 ","$2,771.52 ","$2,110.18 ","$6,235.91 ","$2,043.54 ",$566.06 ,"$2,021.33 ","$2,771.52 ","$1,366.95 ","$1,430.48 ","$1,366.95 ","$1,999.12 ",$984.86 ,"$1,665.93 ",$452.33 ,"$2,799.23 ",$560.72 ,"$2,076.86 ","$2,910.10 ",$534.02 ,"$1,932.48 ","$2,771.52 ","$1,999.12 ","$2,771.52 ","$1,999.12 ","$1,999.12 ","$1,999.12 ","$2,154.60 ","$1,799.20 ","$1,999.12 ","$1,999.12 ","$1,999.12 ","$1,999.12 " ST. JOSEPH'S - CHIPPEWA FALLS,32000402,75840,HC VENOGRAM ADRENAL UNILAT,320,1 ,$999.88 ,$749.91 ,$123.68 ,"$6,235.91 ",$643.92 ,"$2,771.52 ",$699.92 ,$534.02 ,$154.60 ,$550.04 ,$123.68 ,$949.89 , N/A ,$799.90 ,$909.89 ,$534.02 ,$939.89 ,$949.89 ,$899.89 ,$849.90 ,$534.02 ,$534.02 ,$534.02 ,$729.91 ,"$2,771.52 ",$889.89 ,$899.89 ,$899.89 ,$799.90 ,"$2,854.66 ",$549.93 ,$899.89 ,"$2,771.52 ",$899.89 ,"$2,771.52 ",$949.89 ,"$6,235.91 ",$919.89 ,$566.06 ,$909.89 ,"$2,771.52 ",$615.33 ,$643.92 ,$615.33 ,$899.89 ,$880.19 ,$749.91 ,$443.05 ,"$2,799.23 ",$560.72 ,$934.89 ,"$2,910.10 ",$534.02 ,$869.90 ,"$2,771.52 ",$899.89 ,"$2,771.52 ",$899.89 ,$899.89 ,$899.89 ,$969.88 ,$809.90 ,$899.89 ,$899.89 ,$899.89 ,$899.89 ST. JOSEPH'S - CHIPPEWA FALLS,32000403,75842,HC VENOGRAM ADRENAL BILAT,320,1 ,$999.88 ,$749.91 ,$143.12 ,"$10,395.23 ",$643.92 ,"$4,620.10 ",$699.92 ,$999.88 ,$178.90 ,"$1,099.29 ",$143.12 ,$949.89 , N/A ,$799.90 ,$909.89 ,$999.88 ,$939.89 ,$949.89 ,$899.89 ,$849.90 ,"$1,067.27 ","$1,067.27 ","$1,067.27 ",$729.91 ,"$4,620.10 ",$889.89 ,$899.89 ,$899.89 ,$799.90 ,"$4,758.71 ",$549.93 ,$899.89 ,"$4,620.10 ",$899.89 ,"$4,620.10 ",$949.89 ,"$10,395.23 ",$919.89 ,"$1,131.31 ",$909.89 ,"$4,620.10 ",$615.33 ,$643.92 ,$615.33 ,$899.89 ,$984.86 ,$749.91 ,$498.98 ,"$4,666.30 ","$1,120.63 ",$934.89 ,"$4,851.11 ",$999.88 ,$869.90 ,"$4,620.10 ",$899.89 ,"$4,620.10 ",$899.89 ,$899.89 ,$899.89 ,$969.88 ,$809.90 ,$899.89 ,$899.89 ,$899.89 ,$899.89 ST. JOSEPH'S - CHIPPEWA FALLS,32000404,75860,HC VENOGRAPHY SINUS/ JUGULAR,320,1 ,$999.88 ,$749.91 ,$118.40 ,"$6,235.91 ",$643.92 ,"$2,771.52 ",$699.92 ,$534.02 ,$148.00 ,$550.04 ,$118.40 ,$949.89 , N/A ,$799.90 ,$909.89 ,$534.02 ,$939.89 ,$949.89 ,$899.89 ,$849.90 ,$534.02 ,$534.02 ,$534.02 ,$729.91 ,"$2,771.52 ",$889.89 ,$899.89 ,$899.89 ,$799.90 ,"$2,854.66 ",$549.93 ,$899.89 ,"$2,771.52 ",$899.89 ,"$2,771.52 ",$949.89 ,"$6,235.91 ",$919.89 ,$566.06 ,$909.89 ,"$2,771.52 ",$615.33 ,$643.92 ,$615.33 ,$899.89 ,$880.19 ,$749.91 ,$429.20 ,"$2,799.23 ",$560.72 ,$934.89 ,"$2,910.10 ",$534.02 ,$869.90 ,"$2,771.52 ",$899.89 ,"$2,771.52 ",$899.89 ,$899.89 ,$899.89 ,$969.88 ,$809.90 ,$899.89 ,$899.89 ,$899.89 ,$899.89 ST. JOSEPH'S - CHIPPEWA FALLS,32000406,75870,HC VENOGRAM SUPERIOR SAGITTAL,320,1 ,$862.68 ,$647.01 ,$123.68 ,"$6,235.91 ",$555.57 ,"$2,771.52 ",$603.88 ,$265.78 ,$154.60 ,$273.75 ,$123.68 ,$819.55 , N/A ,$690.14 ,$785.04 ,$265.78 ,$810.92 ,$819.55 ,$776.41 ,$733.28 ,$265.78 ,$265.78 ,$265.78 ,$629.76 ,"$2,771.52 ",$767.79 ,$776.41 ,$776.41 ,$690.14 ,"$2,854.66 ",$474.47 ,$776.41 ,"$2,771.52 ",$776.41 ,"$2,771.52 ",$819.55 ,"$6,235.91 ",$793.67 ,$281.73 ,$785.04 ,"$2,771.52 ",$530.89 ,$555.57 ,$530.89 ,$776.41 ,$862.68 ,$647.01 ,$443.05 ,"$2,799.23 ",$279.07 ,$806.61 ,"$2,910.10 ",$265.78 ,$750.53 ,"$2,771.52 ",$776.41 ,"$2,771.52 ",$776.41 ,$776.41 ,$776.41 ,$836.80 ,$698.77 ,$776.41 ,$776.41 ,$776.41 ,$776.41 ST. JOSEPH'S - CHIPPEWA FALLS,32000409,75885,HC TRANSHEPATIC PORTOGRAPHY W/ HEMO,320,1 ,$862.56 ,$646.92 ,$118.87 ,"$6,235.91 ",$555.49 ,"$2,771.52 ",$603.79 ,$534.02 ,$148.59 ,$550.04 ,$118.87 ,$819.43 , N/A ,$690.05 ,$784.93 ,$534.02 ,$810.81 ,$819.43 ,$776.30 ,$733.18 ,$534.02 ,$534.02 ,$534.02 ,$629.67 ,"$2,771.52 ",$767.68 ,$776.30 ,$776.30 ,$690.05 ,"$2,854.66 ",$474.41 ,$776.30 ,"$2,771.52 ",$776.30 ,"$2,771.52 ",$819.43 ,"$6,235.91 ",$793.56 ,$566.06 ,$784.93 ,"$2,771.52 ",$530.82 ,$555.49 ,$530.82 ,$776.30 ,$862.56 ,$646.92 ,$429.20 ,"$2,799.23 ",$560.72 ,$806.49 ,"$2,910.10 ",$534.02 ,$750.43 ,"$2,771.52 ",$776.30 ,"$2,771.52 ",$776.30 ,$776.30 ,$776.30 ,$836.68 ,$698.67 ,$776.30 ,$776.30 ,$776.30 ,$776.30 ST. JOSEPH'S - CHIPPEWA FALLS,32000411,75889,HC VENOGRAM HEPATIC W/HEMO,320,1 ,$862.68 ,$647.01 ,$119.83 ,"$6,235.91 ",$555.57 ,"$2,771.52 ",$603.88 ,$534.02 ,$149.78 ,$550.04 ,$119.83 ,$819.55 , N/A ,$690.14 ,$785.04 ,$534.02 ,$810.92 ,$819.55 ,$776.41 ,$733.28 ,$534.02 ,$534.02 ,$534.02 ,$629.76 ,"$2,771.52 ",$767.79 ,$776.41 ,$776.41 ,$690.14 ,"$2,854.66 ",$474.47 ,$776.41 ,"$2,771.52 ",$776.41 ,"$2,771.52 ",$819.55 ,"$6,235.91 ",$793.67 ,$566.06 ,$785.04 ,"$2,771.52 ",$530.89 ,$555.57 ,$530.89 ,$776.41 ,$862.68 ,$647.01 ,$432.66 ,"$2,799.23 ",$560.72 ,$806.61 ,"$2,910.10 ",$534.02 ,$750.53 ,"$2,771.52 ",$776.41 ,"$2,771.52 ",$776.41 ,$776.41 ,$776.41 ,$836.80 ,$698.77 ,$776.41 ,$776.41 ,$776.41 ,$776.41 ST. JOSEPH'S - CHIPPEWA FALLS,32000412,75891,HC VENOGRAM HEPATIC W/O HEMO,320,1 ,$897.11 ,$672.83 ,$120.79 ,"$6,235.91 ",$577.74 ,"$2,771.52 ",$627.98 ,$534.02 ,$150.99 ,$550.04 ,$120.79 ,$852.25 , N/A ,$717.69 ,$816.37 ,$534.02 ,$843.28 ,$852.25 ,$807.40 ,$762.54 ,$534.02 ,$534.02 ,$534.02 ,$654.89 ,"$2,771.52 ",$798.43 ,$807.40 ,$807.40 ,$717.69 ,"$2,854.66 ",$493.41 ,$807.40 ,"$2,771.52 ",$807.40 ,"$2,771.52 ",$852.25 ,"$6,235.91 ",$825.34 ,$566.06 ,$816.37 ,"$2,771.52 ",$552.08 ,$577.74 ,$552.08 ,$807.40 ,$880.19 ,$672.83 ,$434.42 ,"$2,799.23 ",$560.72 ,$838.80 ,"$2,910.10 ",$534.02 ,$780.49 ,"$2,771.52 ",$807.40 ,"$2,771.52 ",$807.40 ,$807.40 ,$807.40 ,$870.20 ,$726.66 ,$807.40 ,$807.40 ,$807.40 ,$807.40 ST. JOSEPH'S - CHIPPEWA FALLS,32000413,75893,HC VENOGRAM SAMPLING CATH,320,1 ,"$1,651.40 ","$1,238.55 ",$124.15 ,"$10,395.23 ","$1,063.50 ","$4,620.10 ","$1,155.98 ","$1,067.27 ",$155.19 ,"$1,099.29 ",$124.15 ,"$1,568.83 ", N/A ,"$1,321.12 ","$1,502.77 ","$1,067.27 ","$1,552.32 ","$1,568.83 ","$1,486.26 ","$1,403.69 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$1,205.52 ","$4,620.10 ","$1,469.75 ","$1,486.26 ","$1,486.26 ","$1,321.12 ","$4,758.71 ",$908.27 ,"$1,486.26 ","$4,620.10 ","$1,486.26 ","$4,620.10 ","$1,568.83 ","$10,395.23 ","$1,519.29 ","$1,131.31 ","$1,502.77 ","$4,620.10 ","$1,016.27 ","$1,063.50 ","$1,016.27 ","$1,486.26 ","$1,544.48 ","$1,238.55 ",$453.43 ,"$4,666.30 ","$1,120.63 ","$1,544.06 ","$4,851.11 ","$1,067.27 ","$1,436.72 ","$4,620.10 ","$1,486.26 ","$4,620.10 ","$1,486.26 ","$1,486.26 ","$1,486.26 ","$1,601.86 ","$1,337.63 ","$1,486.26 ","$1,486.26 ","$1,486.26 ","$1,486.26 " ST. JOSEPH'S - CHIPPEWA FALLS,32000414,75894,HC TRANSCATH EMBOLIZATION 75894,320,1 ,"$1,963.72 ","$1,472.79 ",$53.35 ,"$1,963.72 ","$1,264.64 ", N/A ,"$1,374.60 ",$53.35 ,"$1,506.86 ",$54.95 ,"$1,205.48 ","$1,865.53 ", N/A ,"$1,570.98 ","$1,786.99 ",$53.35 ,"$1,845.90 ","$1,865.53 ","$1,767.35 ","$1,669.16 ",$53.35 ,$53.35 ,$53.35 ,"$1,433.52 ", N/A ,"$1,747.71 ","$1,767.35 ","$1,767.35 ","$1,570.98 ", N/A ,"$1,080.05 ","$1,767.35 ", N/A ,"$1,767.35 ", N/A ,"$1,865.53 ", N/A ,"$1,806.62 ",$56.55 ,"$1,786.99 ", N/A ,"$1,208.47 ","$1,264.64 ","$1,208.47 ","$1,767.35 ","$1,478.22 ","$1,472.79 ",$338.01 , N/A ,$56.02 ,"$1,836.08 ", N/A ,$53.35 ,"$1,708.44 ", N/A ,"$1,767.35 ", N/A ,"$1,767.35 ","$1,767.35 ","$1,767.35 ","$1,904.81 ","$1,590.61 ","$1,767.35 ","$1,767.35 ","$1,767.35 ","$1,767.35 " ST. JOSEPH'S - CHIPPEWA FALLS,32000417,75898,HC TRANSCATH ANGIO EXIST 75898,320,1 ,$900.37 ,$675.28 ,$239.48 ,"$6,235.91 ",$579.84 ,"$2,771.52 ",$630.26 ,$265.78 ,$900.37 ,$273.75 ,$900.37 ,$855.35 , N/A ,$720.30 ,$819.34 ,$265.78 ,$846.35 ,$855.35 ,$810.33 ,$765.31 ,$265.78 ,$265.78 ,$265.78 ,$657.27 ,"$2,771.52 ",$801.33 ,$810.33 ,$810.33 ,$720.30 ,"$2,854.66 ",$495.20 ,$810.33 ,"$2,771.52 ",$810.33 ,"$2,771.52 ",$855.35 ,"$6,235.91 ",$828.34 ,$281.73 ,$819.34 ,"$2,771.52 ",$554.09 ,$579.84 ,$554.09 ,$810.33 ,$239.48 ,$675.28 ,$423.28 ,"$2,799.23 ",$279.07 ,$841.85 ,"$2,910.10 ",$265.78 ,$783.32 ,"$2,771.52 ",$810.33 ,"$2,771.52 ",$810.33 ,$810.33 ,$810.33 ,$873.36 ,$729.30 ,$810.33 ,$810.33 ,$810.33 ,$810.33 ST. JOSEPH'S - CHIPPEWA FALLS,32000421,75901,HC REMOVE PERICATH OBST CV CATH,320,1 ,"$1,131.95 ",$848.96 ,$53.35 ,"$1,131.95 ",$728.98 , N/A ,$792.37 ,$53.35 ,$259.67 ,$54.95 ,$207.73 ,"$1,075.35 ", N/A ,$905.56 ,"$1,030.07 ",$53.35 ,"$1,064.03 ","$1,075.35 ","$1,018.76 ",$962.16 ,$53.35 ,$53.35 ,$53.35 ,$826.32 , N/A ,"$1,007.44 ","$1,018.76 ","$1,018.76 ",$905.56 , N/A ,$622.57 ,"$1,018.76 ", N/A ,"$1,018.76 ", N/A ,"$1,075.35 ", N/A ,"$1,041.39 ",$56.55 ,"$1,030.07 ", N/A ,$696.60 ,$728.98 ,$696.60 ,"$1,018.76 ",$172.29 ,$848.96 ,$759.33 , N/A ,$56.02 ,"$1,058.37 ", N/A ,$53.35 ,$984.80 , N/A ,"$1,018.76 ", N/A ,"$1,018.76 ","$1,018.76 ","$1,018.76 ","$1,097.99 ",$916.88 ,"$1,018.76 ","$1,018.76 ","$1,018.76 ","$1,018.76 " ST. JOSEPH'S - CHIPPEWA FALLS,32000422,75902,HC REMOVE INTRALUMN OBST CV CATH,320,1 ,$597.90 ,$448.43 ,$53.35 ,$597.90 ,$385.05 , N/A ,$418.53 ,$53.35 ,$89.76 ,$54.95 ,$71.81 ,$568.01 , N/A ,$478.32 ,$544.09 ,$53.35 ,$562.03 ,$568.01 ,$538.11 ,$508.22 ,$53.35 ,$53.35 ,$53.35 ,$436.47 , N/A ,$532.13 ,$538.11 ,$538.11 ,$478.32 , N/A ,$328.85 ,$538.11 , N/A ,$538.11 , N/A ,$568.01 , N/A ,$550.07 ,$56.55 ,$544.09 , N/A ,$367.95 ,$385.05 ,$367.95 ,$538.11 ,$172.29 ,$448.43 ,$258.14 , N/A ,$56.02 ,$559.04 , N/A ,$53.35 ,$520.17 , N/A ,$538.11 , N/A ,$538.11 ,$538.11 ,$538.11 ,$579.96 ,$484.30 ,$538.11 ,$538.11 ,$538.11 ,$538.11 ST. JOSEPH'S - CHIPPEWA FALLS,32000423,37191,HC IVC FILTER PLACEMENT 37191,320,1 ,"$3,588.73 ","$2,691.55 ","$1,095.68 ","$10,395.23 ","$2,311.14 ","$4,620.10 ","$2,512.11 ","$1,095.68 ","$2,978.65 ","$1,128.55 ","$2,368.56 ","$3,409.29 ", N/A ,"$2,870.98 ","$3,265.74 ","$1,095.68 ","$3,373.41 ","$3,409.29 ","$3,229.86 ","$3,050.42 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$2,619.77 ","$4,620.10 ","$3,193.97 ","$3,229.86 ","$3,229.86 ","$2,870.98 ","$4,758.71 ","$1,973.80 ","$3,229.86 ","$4,620.10 ","$3,229.86 ","$4,620.10 ","$3,409.29 ","$10,395.23 ","$3,301.63 ","$1,161.42 ","$3,265.74 ","$4,620.10 ","$2,208.50 ","$2,311.14 ","$2,208.50 ","$3,229.86 ","$3,229.86 ","$2,691.55 ","$2,512.11 ","$4,666.30 ","$1,150.46 ","$3,355.46 ","$4,851.11 ","$1,095.68 ","$3,122.20 ","$4,620.10 ","$3,229.86 ","$4,620.10 ","$3,229.86 ","$3,229.86 ","$3,229.86 ","$3,481.07 ","$2,906.87 ","$3,229.86 ","$3,229.86 ","$3,229.86 ","$3,229.86 " ST. JOSEPH'S - CHIPPEWA FALLS,32000435,75970,HC TRANSCATH BX,320,1 ,"$1,783.74 ","$1,337.81 ",$53.35 ,"$1,783.74 ","$1,148.73 ", N/A ,"$1,248.62 ",$53.35 ,$674.10 ,$54.95 ,$539.28 ,"$1,694.55 ", N/A ,"$1,426.99 ","$1,623.20 ",$53.35 ,"$1,676.72 ","$1,694.55 ","$1,605.37 ","$1,516.18 ",$53.35 ,$53.35 ,$53.35 ,"$1,302.13 ", N/A ,"$1,587.53 ","$1,605.37 ","$1,605.37 ","$1,426.99 ", N/A ,$981.06 ,"$1,605.37 ", N/A ,"$1,605.37 ", N/A ,"$1,694.55 ", N/A ,"$1,641.04 ",$56.55 ,"$1,623.20 ", N/A ,"$1,097.71 ","$1,148.73 ","$1,097.71 ","$1,605.37 ",$720.70 ,"$1,337.81 ",$196.24 , N/A ,$56.02 ,"$1,667.80 ", N/A ,$53.35 ,"$1,551.85 ", N/A ,"$1,605.37 ", N/A ,"$1,605.37 ","$1,605.37 ","$1,605.37 ","$1,730.23 ","$1,444.83 ","$1,605.37 ","$1,605.37 ","$1,605.37 ","$1,605.37 " ST. JOSEPH'S - CHIPPEWA FALLS,32000438,47533,HC TRANSHEPATIC DRAINAGE,320,1 ,"$4,252.78 ","$3,189.59 ",$703.19 ,"$6,937.05 ","$2,738.79 ","$3,083.13 ","$2,976.95 ",$703.19 ,"$3,529.81 ",$724.29 ,"$2,806.83 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ",$703.19 ,"$3,997.61 ","$4,040.14 ","$3,827.50 ","$3,614.86 ",$703.19 ,$703.19 ,$703.19 ,"$3,104.53 ","$3,083.13 ","$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ","$3,175.63 ","$2,339.03 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$4,040.14 ","$6,937.05 ","$3,912.56 ",$745.38 ,"$3,870.03 ","$3,083.13 ","$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$2,976.95 ","$3,113.96 ",$738.35 ,"$3,976.35 ","$3,237.29 ",$703.19 ,"$3,699.92 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,32000439,47534,HC PLACE BILIARY DRAINAGE CATH,320,1 ,"$4,252.78 ","$3,189.59 ",$703.19 ,"$6,937.05 ","$2,738.79 ","$3,083.13 ","$2,976.95 ",$703.19 ,"$3,529.81 ",$724.29 ,"$2,806.83 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ",$703.19 ,"$3,997.61 ","$4,040.14 ","$3,827.50 ","$3,614.86 ",$703.19 ,$703.19 ,$703.19 ,"$3,104.53 ","$3,083.13 ","$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ","$3,175.63 ","$2,339.03 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$4,040.14 ","$6,937.05 ","$3,912.56 ",$745.38 ,"$3,870.03 ","$3,083.13 ","$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$2,976.95 ","$3,113.96 ",$738.35 ,"$3,976.35 ","$3,237.29 ",$703.19 ,"$3,699.92 ","$3,083.13 ","$3,827.50 ","$3,083.13 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,32000440,75984,HC CHANGE PERC DRAINAGE TUBE OR CATH,320,1 ,"$2,239.31 ","$1,679.48 ",$53.35 ,"$2,239.31 ","$1,442.12 ", N/A ,"$1,567.52 ",$53.35 ,$119.77 ,$54.95 ,$95.82 ,"$2,127.34 ", N/A ,"$1,791.45 ","$2,037.77 ",$53.35 ,"$2,104.95 ","$2,127.34 ","$2,015.38 ","$1,903.41 ",$53.35 ,$53.35 ,$53.35 ,"$1,634.70 ", N/A ,"$1,992.99 ","$2,015.38 ","$2,015.38 ","$1,791.45 ", N/A ,"$1,231.62 ","$2,015.38 ", N/A ,"$2,015.38 ", N/A ,"$2,127.34 ", N/A ,"$2,060.17 ",$56.55 ,"$2,037.77 ", N/A ,"$1,378.07 ","$1,442.12 ","$1,378.07 ","$2,015.38 ",$302.16 ,"$1,679.48 ",$346.28 , N/A ,$56.02 ,"$2,093.75 ", N/A ,$53.35 ,"$1,948.20 ", N/A ,"$2,015.38 ", N/A ,"$2,015.38 ","$2,015.38 ","$2,015.38 ","$2,172.13 ","$1,813.84 ","$2,015.38 ","$2,015.38 ","$2,015.38 ","$2,015.38 " ST. JOSEPH'S - CHIPPEWA FALLS,32000444,49406,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER,320,1 ,"$2,728.51 ","$2,046.38 ",$202.63 ,"$3,066.03 ","$1,757.16 ","$1,362.68 ","$1,909.96 ",$202.63 ,"$2,264.66 ",$208.71 ,"$1,800.82 ","$2,592.08 ", N/A ,"$2,182.81 ","$2,482.94 ",$202.63 ,"$2,564.80 ","$2,592.08 ","$2,455.66 ","$2,319.23 ",$202.63 ,$202.63 ,$202.63 ,"$1,991.81 ","$1,362.68 ","$2,428.37 ","$2,455.66 ","$2,455.66 ","$2,182.81 ","$1,403.56 ","$1,500.68 ","$2,455.66 ","$1,362.68 ","$2,455.66 ","$1,362.68 ","$2,592.08 ","$3,066.03 ","$2,510.23 ",$214.79 ,"$2,482.94 ","$1,362.68 ","$1,679.13 ","$1,757.16 ","$1,679.13 ","$2,455.66 ","$2,455.66 ","$2,046.38 ","$1,909.96 ","$1,376.31 ",$212.76 ,"$2,551.16 ","$1,430.81 ",$202.63 ,"$2,373.80 ","$1,362.68 ","$2,455.66 ","$1,362.68 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,646.65 ","$2,210.09 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,455.66 " ST. JOSEPH'S - CHIPPEWA FALLS,32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,$887.64 ,$665.73 ,$53.35 ,$887.64 ,$571.64 , N/A ,$621.35 ,$53.35 ,$105.37 ,$54.95 ,$84.29 ,$843.26 , N/A ,$710.11 ,$807.75 ,$53.35 ,$834.38 ,$843.26 ,$798.88 ,$754.49 ,$53.35 ,$53.35 ,$53.35 ,$647.98 , N/A ,$790.00 ,$798.88 ,$798.88 ,$710.11 , N/A ,$488.20 ,$798.88 , N/A ,$798.88 , N/A ,$843.26 , N/A ,$816.63 ,$56.55 ,$807.75 , N/A ,$546.25 ,$571.64 ,$546.25 ,$798.88 ,$632.22 ,$665.73 ,$306.50 , N/A ,$56.02 ,$829.94 , N/A ,$53.35 ,$772.25 , N/A ,$798.88 , N/A ,$798.88 ,$798.88 ,$798.88 ,$861.01 ,$718.99 ,$798.88 ,$798.88 ,$798.88 ,$798.88 ST. JOSEPH'S - CHIPPEWA FALLS,32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,$560.50 ,$420.38 ,$37.66 ,$560.50 ,$360.96 ,$222.88 ,$392.35 ,$37.66 ,$65.14 ,$38.79 ,$52.11 ,$532.48 , N/A ,$448.40 ,$510.06 ,$37.66 ,$526.87 ,$532.48 ,$504.45 ,$476.43 ,$37.66 ,$37.66 ,$37.66 ,$409.17 ,$222.88 ,$498.85 ,$504.45 ,$504.45 ,$448.40 ,$229.57 ,$308.28 ,$504.45 ,$222.88 ,$504.45 ,$222.88 ,$532.48 ,$501.48 ,$515.66 ,$39.92 ,$510.06 ,$222.88 ,$344.93 ,$360.96 ,$344.93 ,$504.45 ,$245.01 ,$420.38 ,$189.02 ,$225.11 ,$39.54 ,$524.07 ,$234.02 ,$37.66 ,$487.64 ,$222.88 ,$504.45 ,$222.88 ,$504.45 ,$504.45 ,$504.45 ,$543.69 ,$454.01 ,$504.45 ,$504.45 ,$504.45 ,$504.45 ST. JOSEPH'S - CHIPPEWA FALLS,32000450,76000,HC FLUORO CARM < 1 HR,320,1 ,$560.50 ,$420.38 ,$37.66 ,$560.50 ,$360.96 ,$222.88 ,$392.35 ,$37.66 ,$65.14 ,$38.79 ,$52.11 ,$532.48 , N/A ,$448.40 ,$510.06 ,$37.66 ,$526.87 ,$532.48 ,$504.45 ,$476.43 ,$37.66 ,$37.66 ,$37.66 ,$409.17 ,$222.88 ,$498.85 ,$504.45 ,$504.45 ,$448.40 ,$229.57 ,$308.28 ,$504.45 ,$222.88 ,$504.45 ,$222.88 ,$532.48 ,$501.48 ,$515.66 ,$39.92 ,$510.06 ,$222.88 ,$344.93 ,$360.96 ,$344.93 ,$504.45 ,$245.01 ,$420.38 ,$189.02 ,$225.11 ,$39.54 ,$524.07 ,$234.02 ,$37.66 ,$487.64 ,$222.88 ,$504.45 ,$222.88 ,$504.45 ,$504.45 ,$504.45 ,$543.69 ,$454.01 ,$504.45 ,$504.45 ,$504.45 ,$504.45 ST. JOSEPH'S - CHIPPEWA FALLS,32000465,76080,HC ABSCESS FISTULA OR SINUS TRACT,320,1 ,$778.67 ,$584.00 ,$37.66 ,"$1,052.28 ",$501.46 ,$467.68 ,$545.07 ,$37.66 ,$48.32 ,$38.79 ,$38.65 ,$739.74 , N/A ,$622.94 ,$708.59 ,$37.66 ,$731.95 ,$739.74 ,$700.80 ,$661.87 ,$37.66 ,$37.66 ,$37.66 ,$568.43 ,$467.68 ,$693.02 ,$700.80 ,$700.80 ,$622.94 ,$481.71 ,$428.27 ,$700.80 ,$467.68 ,$700.80 ,$467.68 ,$739.74 ,"$1,052.28 ",$716.38 ,$39.92 ,$708.59 ,$467.68 ,$479.19 ,$501.46 ,$479.19 ,$700.80 ,$191.94 ,$584.00 ,$138.90 ,$472.36 ,$39.54 ,$728.06 ,$491.06 ,$37.66 ,$677.44 ,$467.68 ,$700.80 ,$467.68 ,$700.80 ,$700.80 ,$700.80 ,$755.31 ,$630.72 ,$700.80 ,$700.80 ,$700.80 ,$700.80 ST. JOSEPH'S - CHIPPEWA FALLS,32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$97.21 ,$72.91 ,$11.28 ,"$1,052.28 ",$62.60 ,$467.68 ,$68.05 ,$37.66 ,$14.11 ,$38.79 ,$11.28 ,$92.35 , N/A ,$77.77 ,$88.46 ,$37.66 ,$91.38 ,$92.35 ,$87.49 ,$82.63 ,$37.66 ,$37.66 ,$37.66 ,$70.96 ,$467.68 ,$86.52 ,$87.49 ,$87.49 ,$77.77 ,$481.71 ,$53.47 ,$87.49 ,$467.68 ,$87.49 ,$467.68 ,$92.35 ,"$1,052.28 ",$89.43 ,$39.92 ,$88.46 ,$467.68 ,$59.82 ,$62.60 ,$59.82 ,$87.49 ,$95.01 ,$72.91 ,$42.09 ,$472.36 ,$39.54 ,$90.89 ,$491.06 ,$37.66 ,$84.57 ,$467.68 ,$87.49 ,$467.68 ,$87.49 ,$87.49 ,$87.49 ,$94.29 ,$78.74 ,$87.49 ,$87.49 ,$87.49 ,$87.49 ST. JOSEPH'S - CHIPPEWA FALLS,32000468,76100,HC RADIOLOGICAL EXAM TOMOGRAPHY SINGL,320,1 ,$767.29 ,$575.47 ,$17.72 ,$767.29 ,$494.13 ,$105.54 ,$537.10 ,$17.72 ,$101.15 ,$18.25 ,$80.92 ,$728.93 , N/A ,$613.83 ,$698.23 ,$17.72 ,$721.25 ,$728.93 ,$690.56 ,$652.20 ,$17.72 ,$17.72 ,$17.72 ,$560.12 ,$105.54 ,$682.89 ,$690.56 ,$690.56 ,$613.83 ,$108.70 ,$422.01 ,$690.56 ,$105.54 ,$690.56 ,$105.54 ,$728.93 ,$237.46 ,$705.91 ,$18.78 ,$698.23 ,$105.54 ,$472.19 ,$494.13 ,$472.19 ,$690.56 ,$197.54 ,$575.47 ,$290.95 ,$106.59 ,$18.61 ,$717.42 ,$110.82 ,$17.72 ,$667.54 ,$105.54 ,$690.56 ,$105.54 ,$690.56 ,$690.56 ,$690.56 ,$744.27 ,$621.50 ,$690.56 ,$690.56 ,$690.56 ,$690.56 ST. JOSEPH'S - CHIPPEWA FALLS,32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,"$1,469.88 ","$1,102.41 ",$53.35 ,"$1,469.88 ",$946.60 , N/A ,"$1,028.92 ",$53.35 ,$110.16 ,$54.95 ,$88.13 ,"$1,396.39 ", N/A ,"$1,175.90 ","$1,337.59 ",$53.35 ,"$1,381.69 ","$1,396.39 ","$1,322.89 ","$1,249.40 ",$53.35 ,$53.35 ,$53.35 ,"$1,073.01 ", N/A ,"$1,308.19 ","$1,322.89 ","$1,322.89 ","$1,175.90 ", N/A ,$808.43 ,"$1,322.89 ", N/A ,"$1,322.89 ", N/A ,"$1,396.39 ", N/A ,"$1,352.29 ",$56.55 ,"$1,337.59 ", N/A ,$904.56 ,$946.60 ,$904.56 ,"$1,322.89 ",$124.51 ,"$1,102.41 ",$318.64 , N/A ,$56.02 ,"$1,374.34 ", N/A ,$53.35 ,"$1,278.80 ", N/A ,"$1,322.89 ", N/A ,"$1,322.89 ","$1,322.89 ","$1,322.89 ","$1,425.78 ","$1,190.60 ","$1,322.89 ","$1,322.89 ","$1,322.89 ","$1,322.89 " ST. JOSEPH'S - CHIPPEWA FALLS,32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$383.83 ,$287.87 ,$53.35 ,$383.83 ,$247.19 , N/A ,$268.68 ,$53.35 ,$109.57 ,$54.95 ,$87.65 ,$364.64 , N/A ,$307.06 ,$349.29 ,$53.35 ,$360.80 ,$364.64 ,$345.45 ,$326.26 ,$53.35 ,$53.35 ,$53.35 ,$280.20 , N/A ,$341.61 ,$345.45 ,$345.45 ,$307.06 , N/A ,$211.11 ,$345.45 , N/A ,$345.45 , N/A ,$364.64 , N/A ,$353.12 ,$56.55 ,$349.29 , N/A ,$236.21 ,$247.19 ,$236.21 ,$345.45 ,$95.93 ,$287.87 ,$322.05 , N/A ,$56.02 ,$358.88 , N/A ,$53.35 ,$333.93 , N/A ,$345.45 , N/A ,$345.45 ,$345.45 ,$345.45 ,$372.32 ,$310.90 ,$345.45 ,$345.45 ,$345.45 ,$345.45 ST. JOSEPH'S - CHIPPEWA FALLS,32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,$357.46 ,$268.10 ,$53.35 ,$357.46 ,$230.20 , N/A ,$250.22 ,$53.35 ,$108.36 ,$54.95 ,$86.69 ,$339.59 , N/A ,$285.97 ,$325.29 ,$53.35 ,$336.01 ,$339.59 ,$321.71 ,$303.84 ,$53.35 ,$53.35 ,$53.35 ,$260.95 , N/A ,$318.14 ,$321.71 ,$321.71 ,$285.97 , N/A ,$196.60 ,$321.71 , N/A ,$321.71 , N/A ,$339.59 , N/A ,$328.86 ,$56.55 ,$325.29 , N/A ,$219.98 ,$230.20 ,$219.98 ,$321.71 ,$87.88 ,$268.10 ,$313.42 , N/A ,$56.02 ,$334.23 , N/A ,$53.35 ,$310.99 , N/A ,$321.71 , N/A ,$321.71 ,$321.71 ,$321.71 ,$346.74 ,$289.54 ,$321.71 ,$321.71 ,$321.71 ,$321.71 ST. JOSEPH'S - CHIPPEWA FALLS,32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$2,726.73 ","$2,045.05 ",$405.89 ,"$3,066.03 ","$1,756.01 ","$1,362.68 ","$1,908.71 ",$405.89 ,"$2,263.19 ",$418.07 ,"$1,799.64 ","$2,590.39 ", N/A ,"$2,181.38 ","$2,481.32 ",$405.89 ,"$2,563.13 ","$2,590.39 ","$2,454.06 ","$2,317.72 ",$405.89 ,$405.89 ,$405.89 ,"$1,990.51 ","$1,362.68 ","$2,426.79 ","$2,454.06 ","$2,454.06 ","$2,181.38 ","$1,403.56 ","$1,499.70 ","$2,454.06 ","$1,362.68 ","$2,454.06 ","$1,362.68 ","$2,590.39 ","$3,066.03 ","$2,508.59 ",$430.24 ,"$2,481.32 ","$1,362.68 ","$1,678.03 ","$1,756.01 ","$1,678.03 ","$2,454.06 ","$2,454.06 ","$2,045.05 ","$1,908.71 ","$1,376.31 ",$426.18 ,"$2,549.49 ","$1,430.81 ",$405.89 ,"$2,372.26 ","$1,362.68 ","$2,454.06 ","$1,362.68 ","$2,454.06 ","$2,454.06 ","$2,454.06 ","$2,644.93 ","$2,208.65 ","$2,454.06 ","$2,454.06 ","$2,454.06 ","$2,454.06 " ST. JOSEPH'S - CHIPPEWA FALLS,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,717.16 ","$1,287.87 ",$205.01 ,"$1,717.16 ","$1,105.85 ",$602.38 ,"$1,202.01 ",$205.01 ,"$1,425.24 ",$211.16 ,"$1,133.33 ","$1,631.30 ", N/A ,"$1,373.73 ","$1,562.62 ",$205.01 ,"$1,614.13 ","$1,631.30 ","$1,545.44 ","$1,459.59 ",$205.01 ,$205.01 ,$205.01 ,"$1,253.53 ",$602.38 ,"$1,528.27 ","$1,545.44 ","$1,545.44 ","$1,373.73 ",$620.45 ,$944.44 ,"$1,545.44 ",$602.38 ,"$1,545.44 ",$602.38 ,"$1,631.30 ","$1,355.35 ","$1,579.79 ",$217.31 ,"$1,562.62 ",$602.38 ,"$1,056.74 ","$1,105.85 ","$1,056.74 ","$1,545.44 ","$1,545.44 ","$1,287.87 ","$1,202.01 ",$608.40 ,$215.26 ,"$1,605.54 ",$632.50 ,$205.01 ,"$1,493.93 ",$602.38 ,"$1,545.44 ",$602.38 ,"$1,545.44 ","$1,545.44 ","$1,545.44 ","$1,665.65 ","$1,390.90 ","$1,545.44 ","$1,545.44 ","$1,545.44 ","$1,545.44 " ST. JOSEPH'S - CHIPPEWA FALLS,32000490,77053,HC GALACTOGRAM SINGLE DUCT,320,1 ,$767.54 ,$575.66 ,$37.66 ,$767.54 ,$494.30 ,$222.88 ,$537.28 ,$37.66 ,$68.13 ,$38.79 ,$54.50 ,$729.16 , N/A ,$614.03 ,$698.46 ,$37.66 ,$721.49 ,$729.16 ,$690.79 ,$652.41 ,$37.66 ,$37.66 ,$37.66 ,$560.30 ,$222.88 ,$683.11 ,$690.79 ,$690.79 ,$614.03 ,$229.57 ,$422.15 ,$690.79 ,$222.88 ,$690.79 ,$222.88 ,$729.16 ,$501.48 ,$706.14 ,$39.92 ,$698.46 ,$222.88 ,$472.34 ,$494.30 ,$472.34 ,$690.79 ,$163.31 ,$575.66 ,$195.94 ,$225.11 ,$39.54 ,$717.65 ,$234.02 ,$37.66 ,$667.76 ,$222.88 ,$690.79 ,$222.88 ,$690.79 ,$690.79 ,$690.79 ,$744.51 ,$621.71 ,$690.79 ,$690.79 ,$690.79 ,$690.79 ST. JOSEPH'S - CHIPPEWA FALLS,32000491,77054,HC GALACTOGRAM MULTI DUCT,320,1 ,"$1,173.87 ",$880.40 ,$37.66 ,"$1,173.87 ",$755.97 ,$222.88 ,$821.71 ,$37.66 ,$92.16 ,$38.79 ,$73.72 ,"$1,115.18 ", N/A ,$939.10 ,"$1,068.22 ",$37.66 ,"$1,103.44 ","$1,115.18 ","$1,056.48 ",$997.79 ,$37.66 ,$37.66 ,$37.66 ,$856.93 ,$222.88 ,"$1,044.74 ","$1,056.48 ","$1,056.48 ",$939.10 ,$229.57 ,$645.63 ,"$1,056.48 ",$222.88 ,"$1,056.48 ",$222.88 ,"$1,115.18 ",$501.48 ,"$1,079.96 ",$39.92 ,"$1,068.22 ",$222.88 ,$722.40 ,$755.97 ,$722.40 ,"$1,056.48 ",$240.95 ,$880.40 ,$259.85 ,$225.11 ,$39.54 ,"$1,097.57 ",$234.02 ,$37.66 ,"$1,021.27 ",$222.88 ,"$1,056.48 ",$222.88 ,"$1,056.48 ","$1,056.48 ","$1,056.48 ","$1,138.65 ",$950.83 ,"$1,056.48 ","$1,056.48 ","$1,056.48 ","$1,056.48 " ST. JOSEPH'S - CHIPPEWA FALLS,32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$213.90 ,$160.43 ,$17.72 ,$237.46 ,$137.75 ,$105.54 ,$149.73 ,$17.72 ,$35.72 ,$18.25 ,$28.57 ,$203.21 , N/A ,$171.12 ,$194.65 ,$17.72 ,$201.07 ,$203.21 ,$192.51 ,$181.82 ,$17.72 ,$17.72 ,$17.72 ,$156.15 ,$105.54 ,$190.37 ,$192.51 ,$192.51 ,$171.12 ,$108.70 ,$117.65 ,$192.51 ,$105.54 ,$192.51 ,$105.54 ,$203.21 ,$237.46 ,$196.79 ,$18.78 ,$194.65 ,$105.54 ,$131.63 ,$137.75 ,$131.63 ,$192.51 ,$56.39 ,$160.43 ,$104.34 ,$106.59 ,$18.61 ,$200.00 ,$110.82 ,$17.72 ,$186.09 ,$105.54 ,$192.51 ,$105.54 ,$192.51 ,$192.51 ,$192.51 ,$207.48 ,$173.26 ,$192.51 ,$192.51 ,$192.51 ,$192.51 ST. JOSEPH'S - CHIPPEWA FALLS,32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,$832.80 ,$624.60 ,$37.66 ,$832.80 ,$536.32 ,$105.54 ,$582.96 ,$37.66 ,$101.15 ,$38.79 ,$80.92 ,$791.16 , N/A ,$666.24 ,$757.85 ,$37.66 ,$782.83 ,$791.16 ,$749.52 ,$707.88 ,$37.66 ,$37.66 ,$37.66 ,$607.94 ,$105.54 ,$741.19 ,$749.52 ,$749.52 ,$666.24 ,$108.70 ,$458.04 ,$749.52 ,$105.54 ,$749.52 ,$105.54 ,$791.16 ,$237.46 ,$766.18 ,$39.92 ,$757.85 ,$105.54 ,$512.51 ,$536.32 ,$512.51 ,$749.52 ,$121.57 ,$624.60 ,$292.71 ,$106.59 ,$39.54 ,$778.67 ,$110.82 ,$37.66 ,$724.54 ,$105.54 ,$749.52 ,$105.54 ,$749.52 ,$749.52 ,$749.52 ,$807.82 ,$674.57 ,$749.52 ,$749.52 ,$749.52 ,$749.52 ST. JOSEPH'S - CHIPPEWA FALLS,32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,$194.90 ,$146.18 ,$17.72 ,$237.46 ,$125.52 ,$105.54 ,$136.43 ,$17.72 ,$103.57 ,$18.25 ,$82.85 ,$185.16 , N/A ,$155.92 ,$177.36 ,$17.72 ,$183.21 ,$185.16 ,$175.41 ,$165.67 ,$17.72 ,$17.72 ,$17.72 ,$142.28 ,$105.54 ,$173.46 ,$175.41 ,$175.41 ,$155.92 ,$108.70 ,$107.20 ,$175.41 ,$105.54 ,$175.41 ,$105.54 ,$185.16 ,$237.46 ,$179.31 ,$18.78 ,$177.36 ,$105.54 ,$119.94 ,$125.52 ,$119.94 ,$175.41 ,$75.43 ,$146.18 ,$175.41 ,$106.59 ,$18.61 ,$182.23 ,$110.82 ,$17.72 ,$169.56 ,$105.54 ,$175.41 ,$105.54 ,$175.41 ,$175.41 ,$175.41 ,$189.05 ,$157.87 ,$175.41 ,$175.41 ,$175.41 ,$175.41 ST. JOSEPH'S - CHIPPEWA FALLS,32000496,77080,HC BONE DENSITY DXA,320,1 ,$443.60 ,$332.70 ,$28.36 ,$443.60 ,$285.68 ,$105.54 ,$310.52 ,$28.36 ,$51.92 ,$29.21 ,$41.54 ,$421.42 , N/A ,$354.88 ,$403.68 ,$28.36 ,$416.98 ,$421.42 ,$399.24 ,$377.06 ,$28.36 ,$28.36 ,$28.36 ,$323.83 ,$105.54 ,$394.80 ,$399.24 ,$399.24 ,$354.88 ,$108.70 ,$243.98 ,$399.24 ,$105.54 ,$399.24 ,$105.54 ,$421.42 ,$237.46 ,$408.11 ,$30.06 ,$403.68 ,$105.54 ,$272.99 ,$285.68 ,$272.99 ,$399.24 ,$195.54 ,$332.70 ,$154.45 ,$106.59 ,$29.78 ,$414.77 ,$110.82 ,$28.36 ,$385.93 ,$105.54 ,$399.24 ,$105.54 ,$399.24 ,$399.24 ,$399.24 ,$430.29 ,$359.32 ,$399.24 ,$399.24 ,$399.24 ,$399.24 ST. JOSEPH'S - CHIPPEWA FALLS,32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,$445.75 ,$334.31 ,$37.66 ,$501.48 ,$287.06 ,$222.88 ,$312.03 ,$37.66 ,$65.14 ,$38.79 ,$52.11 ,$423.46 , N/A ,$356.60 ,$405.63 ,$37.66 ,$419.01 ,$423.46 ,$401.18 ,$378.89 ,$37.66 ,$37.66 ,$37.66 ,$325.40 ,$222.88 ,$396.72 ,$401.18 ,$401.18 ,$356.60 ,$229.57 ,$245.16 ,$401.18 ,$222.88 ,$401.18 ,$222.88 ,$423.46 ,$501.48 ,$410.09 ,$39.92 ,$405.63 ,$222.88 ,$274.31 ,$287.06 ,$274.31 ,$401.18 ,$245.01 ,$334.31 ,$189.02 ,$225.11 ,$39.54 ,$416.78 ,$234.02 ,$37.66 ,$387.80 ,$222.88 ,$401.18 ,$222.88 ,$401.18 ,$401.18 ,$401.18 ,$432.38 ,$361.06 ,$401.18 ,$401.18 ,$401.18 ,$401.18 ST. JOSEPH'S - CHIPPEWA FALLS,32000503,20501,HC INJ TRACT SINOGRAM DIAG,320,1 ,$534.84 ,$401.13 ,$86.58 ,$534.84 ,$344.44 , N/A ,$374.39 ,$86.58 ,$443.92 ,$89.18 ,$352.99 ,$508.10 , N/A ,$427.87 ,$486.70 ,$86.58 ,$502.75 ,$508.10 ,$481.36 ,$454.61 ,$86.58 ,$86.58 ,$86.58 ,$390.43 , N/A ,$476.01 ,$481.36 ,$481.36 ,$427.87 , N/A ,$294.16 ,$481.36 , N/A ,$481.36 , N/A ,$508.10 , N/A ,$492.05 ,$91.77 ,$486.70 , N/A ,$329.14 ,$344.44 ,$329.14 ,$481.36 ,$481.36 ,$401.13 ,$374.39 , N/A ,$90.91 ,$500.08 , N/A ,$86.58 ,$465.31 , N/A ,$481.36 , N/A ,$481.36 ,$481.36 ,$481.36 ,$518.79 ,$433.22 ,$481.36 ,$481.36 ,$481.36 ,$481.36 ST. JOSEPH'S - CHIPPEWA FALLS,32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$391.82 ,$293.87 ,$101.56 ,$569.12 ,$252.33 ,$252.94 ,$274.27 ,$101.56 ,$325.21 ,$104.61 ,$258.60 ,$372.23 , N/A ,$313.46 ,$356.56 ,$101.56 ,$368.31 ,$372.23 ,$352.64 ,$333.05 ,$101.56 ,$101.56 ,$101.56 ,$286.03 ,$252.94 ,$348.72 ,$352.64 ,$352.64 ,$313.46 ,$260.53 ,$215.50 ,$352.64 ,$252.94 ,$352.64 ,$252.94 ,$372.23 ,$569.12 ,$360.47 ,$107.65 ,$356.56 ,$252.94 ,$241.13 ,$252.33 ,$241.13 ,$352.64 ,$352.64 ,$293.87 ,$274.27 ,$255.47 ,$106.64 ,$366.35 ,$265.59 ,$101.56 ,$340.88 ,$252.94 ,$352.64 ,$252.94 ,$352.64 ,$352.64 ,$352.64 ,$380.07 ,$317.37 ,$352.64 ,$352.64 ,$352.64 ,$352.64 ST. JOSEPH'S - CHIPPEWA FALLS,32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$648.83 ,$486.62 ,$101.56 ,$648.83 ,$417.85 ,$252.94 ,$454.18 ,$101.56 ,$538.53 ,$104.61 ,$428.23 ,$616.39 , N/A ,$519.06 ,$590.44 ,$101.56 ,$609.90 ,$616.39 ,$583.95 ,$551.51 ,$101.56 ,$101.56 ,$101.56 ,$473.65 ,$252.94 ,$577.46 ,$583.95 ,$583.95 ,$519.06 ,$260.53 ,$356.86 ,$583.95 ,$252.94 ,$583.95 ,$252.94 ,$616.39 ,$569.12 ,$596.92 ,$107.65 ,$590.44 ,$252.94 ,$399.29 ,$417.85 ,$399.29 ,$583.95 ,$583.95 ,$486.62 ,$454.18 ,$255.47 ,$106.64 ,$606.66 ,$265.59 ,$101.56 ,$564.48 ,$252.94 ,$583.95 ,$252.94 ,$583.95 ,$583.95 ,$583.95 ,$629.37 ,$525.55 ,$583.95 ,$583.95 ,$583.95 ,$583.95 ST. JOSEPH'S - CHIPPEWA FALLS,32000506,20553,HC INJ TRIGGER PT 3+ MUSC GROUP,320,1 ,$397.60 ,$298.20 ,$101.56 ,$569.12 ,$256.05 ,$252.94 ,$278.32 ,$101.56 ,$330.01 ,$104.61 ,$262.42 ,$377.72 , N/A ,$318.08 ,$361.82 ,$101.56 ,$373.74 ,$377.72 ,$357.84 ,$337.96 ,$101.56 ,$101.56 ,$101.56 ,$290.25 ,$252.94 ,$353.86 ,$357.84 ,$357.84 ,$318.08 ,$260.53 ,$218.68 ,$357.84 ,$252.94 ,$357.84 ,$252.94 ,$377.72 ,$569.12 ,$365.79 ,$107.65 ,$361.82 ,$252.94 ,$244.68 ,$256.05 ,$244.68 ,$357.84 ,$357.84 ,$298.20 ,$278.32 ,$255.47 ,$106.64 ,$371.76 ,$265.59 ,$101.56 ,$345.91 ,$252.94 ,$357.84 ,$252.94 ,$357.84 ,$357.84 ,$357.84 ,$385.67 ,$322.06 ,$357.84 ,$357.84 ,$357.84 ,$357.84 ST. JOSEPH'S - CHIPPEWA FALLS,32000509,77072,HC BONE AGE STUDIES,320,1 ,$293.45 ,$220.09 ,$17.72 ,$293.45 ,$188.98 ,$105.54 ,$205.42 ,$17.72 ,$22.51 ,$18.25 ,$18.00 ,$278.78 , N/A ,$234.76 ,$267.04 ,$17.72 ,$275.84 ,$278.78 ,$264.11 ,$249.43 ,$17.72 ,$17.72 ,$17.72 ,$214.22 ,$105.54 ,$261.17 ,$264.11 ,$264.11 ,$234.76 ,$108.70 ,$161.40 ,$264.11 ,$105.54 ,$264.11 ,$105.54 ,$278.78 ,$237.46 ,$269.97 ,$18.78 ,$267.04 ,$105.54 ,$180.59 ,$188.98 ,$180.59 ,$264.11 ,$26.37 ,$220.09 ,$64.56 ,$106.59 ,$18.61 ,$274.38 ,$110.82 ,$17.72 ,$255.30 ,$105.54 ,$264.11 ,$105.54 ,$264.11 ,$264.11 ,$264.11 ,$284.65 ,$237.69 ,$264.11 ,$264.11 ,$264.11 ,$264.11 ST. JOSEPH'S - CHIPPEWA FALLS,32000523,72020,HC XR SPINE 1V (C SPINE CLEAR LAT),320,1 ,$348.40 ,$261.30 ,$17.72 ,$348.40 ,$224.37 ,$78.35 ,$243.88 ,$17.72 ,$23.70 ,$18.25 ,$18.96 ,$330.98 , N/A ,$278.72 ,$317.04 ,$17.72 ,$327.50 ,$330.98 ,$313.56 ,$296.14 ,$17.72 ,$17.72 ,$17.72 ,$254.33 ,$78.35 ,$310.08 ,$313.56 ,$313.56 ,$278.72 ,$80.70 ,$191.62 ,$313.56 ,$78.35 ,$313.56 ,$78.35 ,$330.98 ,$176.29 ,$320.53 ,$18.78 ,$317.04 ,$78.35 ,$214.41 ,$224.37 ,$214.41 ,$313.56 ,$106.75 ,$261.30 ,$69.78 ,$79.14 ,$18.61 ,$325.75 ,$82.27 ,$17.72 ,$303.11 ,$78.35 ,$313.56 ,$78.35 ,$313.56 ,$313.56 ,$313.56 ,$337.95 ,$282.20 ,$313.56 ,$313.56 ,$313.56 ,$313.56 ST. JOSEPH'S - CHIPPEWA FALLS,32000528,47543,HC ENDO BILIARY PERC DX WITH SPECIMEN,320,1 ,"$5,436.47 ","$4,077.35 ",$703.19 ,"$5,436.47 ","$3,501.09 ", N/A ,"$3,805.53 ",$703.19 ,"$4,512.27 ",$724.29 ,"$3,588.07 ","$5,164.65 ", N/A ,"$4,349.18 ","$4,947.19 ",$703.19 ,"$5,110.28 ","$5,164.65 ","$4,892.82 ","$4,621.00 ",$703.19 ,$703.19 ,$703.19 ,"$3,968.62 ", N/A ,"$4,838.46 ","$4,892.82 ","$4,892.82 ","$4,349.18 ", N/A ,"$2,990.06 ","$4,892.82 ", N/A ,"$4,892.82 ", N/A ,"$5,164.65 ", N/A ,"$5,001.55 ",$745.38 ,"$4,947.19 ", N/A ,"$3,345.60 ","$3,501.09 ","$3,345.60 ","$4,892.82 ","$4,892.82 ","$4,077.35 ","$3,805.53 ", N/A ,$738.35 ,"$5,083.10 ", N/A ,$703.19 ,"$4,729.73 ", N/A ,"$4,892.82 ", N/A ,"$4,892.82 ","$4,892.82 ","$4,892.82 ","$5,273.38 ","$4,403.54 ","$4,892.82 ","$4,892.82 ","$4,892.82 ","$4,892.82 " ST. JOSEPH'S - CHIPPEWA FALLS,32000530,32554,HC THORACENTESIS W/O IMAGING 32554,320,1 ,"$1,382.70 ","$1,037.03 ",$258.10 ,"$1,382.70 ",$890.46 ,$524.56 ,$967.89 ,$258.10 ,"$1,147.64 ",$265.84 ,$912.58 ,"$1,313.57 ", N/A ,"$1,106.16 ","$1,258.26 ",$258.10 ,"$1,299.74 ","$1,313.57 ","$1,244.43 ","$1,175.30 ",$258.10 ,$258.10 ,$258.10 ,"$1,009.37 ",$524.56 ,"$1,230.60 ","$1,244.43 ","$1,244.43 ","$1,106.16 ",$540.30 ,$760.49 ,"$1,244.43 ",$524.56 ,"$1,244.43 ",$524.56 ,"$1,313.57 ","$1,180.26 ","$1,272.08 ",$273.59 ,"$1,258.26 ",$524.56 ,$850.91 ,$890.46 ,$850.91 ,"$1,244.43 ","$1,244.43 ","$1,037.03 ",$967.89 ,$529.80 ,$271.01 ,"$1,292.82 ",$550.79 ,$258.10 ,"$1,202.95 ",$524.56 ,"$1,244.43 ",$524.56 ,"$1,244.43 ","$1,244.43 ","$1,244.43 ","$1,341.22 ","$1,119.99 ","$1,244.43 ","$1,244.43 ","$1,244.43 ","$1,244.43 " ST. JOSEPH'S - CHIPPEWA FALLS,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,"$2,168.55 ","$1,626.41 ",$258.10 ,"$2,168.55 ","$1,396.55 ",$524.56 ,"$1,517.99 ",$258.10 ,"$1,799.90 ",$265.84 ,"$1,431.24 ","$2,060.12 ", N/A ,"$1,734.84 ","$1,973.38 ",$258.10 ,"$2,038.44 ","$2,060.12 ","$1,951.70 ","$1,843.27 ",$258.10 ,$258.10 ,$258.10 ,"$1,583.04 ",$524.56 ,"$1,930.01 ","$1,951.70 ","$1,951.70 ","$1,734.84 ",$540.30 ,"$1,192.70 ","$1,951.70 ",$524.56 ,"$1,951.70 ",$524.56 ,"$2,060.12 ","$1,180.26 ","$1,995.07 ",$273.59 ,"$1,973.38 ",$524.56 ,"$1,334.53 ","$1,396.55 ","$1,334.53 ","$1,951.70 ","$1,951.70 ","$1,626.41 ","$1,517.99 ",$529.80 ,$271.01 ,"$2,027.59 ",$550.79 ,$258.10 ,"$1,886.64 ",$524.56 ,"$1,951.70 ",$524.56 ,"$1,951.70 ","$1,951.70 ","$1,951.70 ","$2,103.49 ","$1,756.53 ","$1,951.70 ","$1,951.70 ","$1,951.70 ","$1,951.70 " ST. JOSEPH'S - CHIPPEWA FALLS,32000533,32557,HC PLEURAL DRAINAGE W/IMAGING 32557,320,1 ,"$1,625.54 ","$1,219.16 ",$258.10 ,"$3,064.15 ","$1,046.85 ","$1,361.85 ","$1,137.88 ",$258.10 ,"$1,349.20 ",$265.84 ,"$1,072.86 ","$1,544.26 ", N/A ,"$1,300.43 ","$1,479.24 ",$258.10 ,"$1,528.01 ","$1,544.26 ","$1,462.99 ","$1,381.71 ",$258.10 ,$258.10 ,$258.10 ,"$1,186.64 ","$1,361.85 ","$1,446.73 ","$1,462.99 ","$1,462.99 ","$1,300.43 ","$1,402.70 ",$894.05 ,"$1,462.99 ","$1,361.85 ","$1,462.99 ","$1,361.85 ","$1,544.26 ","$3,064.15 ","$1,495.50 ",$273.59 ,"$1,479.24 ","$1,361.85 ","$1,000.36 ","$1,046.85 ","$1,000.36 ","$1,462.99 ","$1,462.99 ","$1,219.16 ","$1,137.88 ","$1,375.47 ",$271.01 ,"$1,519.88 ","$1,429.94 ",$258.10 ,"$1,414.22 ","$1,361.85 ","$1,462.99 ","$1,361.85 ","$1,462.99 ","$1,462.99 ","$1,462.99 ","$1,576.77 ","$1,316.69 ","$1,462.99 ","$1,462.99 ","$1,462.99 ","$1,462.99 " ST. JOSEPH'S - CHIPPEWA FALLS,32000543,72074,HC XR T-SPINE 4 + VIEWS,320,1 ,$273.60 ,$205.20 ,$17.72 ,$273.60 ,$176.20 ,$105.54 ,$191.52 ,$17.72 ,$47.13 ,$18.25 ,$37.70 ,$259.92 , N/A ,$218.88 ,$248.98 ,$17.72 ,$257.18 ,$259.92 ,$246.24 ,$232.56 ,$17.72 ,$17.72 ,$17.72 ,$199.73 ,$105.54 ,$243.50 ,$246.24 ,$246.24 ,$218.88 ,$108.70 ,$150.48 ,$246.24 ,$105.54 ,$246.24 ,$105.54 ,$259.92 ,$237.46 ,$251.71 ,$18.78 ,$248.98 ,$105.54 ,$168.37 ,$176.20 ,$168.37 ,$246.24 ,$211.37 ,$205.20 ,$135.44 ,$106.59 ,$18.61 ,$255.82 ,$110.82 ,$17.72 ,$238.03 ,$105.54 ,$246.24 ,$105.54 ,$246.24 ,$246.24 ,$246.24 ,$265.39 ,$221.62 ,$246.24 ,$246.24 ,$246.24 ,$246.24 ST. JOSEPH'S - CHIPPEWA FALLS,32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$142.30 ,$106.73 ,$17.72 ,$237.46 ,$91.64 ,$105.54 ,$99.61 ,$17.72 ,$35.11 ,$18.25 ,$28.08 ,$135.19 , N/A ,$113.84 ,$129.49 ,$17.72 ,$133.76 ,$135.19 ,$128.07 ,$120.96 ,$17.72 ,$17.72 ,$17.72 ,$103.88 ,$105.54 ,$126.65 ,$128.07 ,$128.07 ,$113.84 ,$108.70 ,$78.27 ,$128.07 ,$105.54 ,$128.07 ,$105.54 ,$135.19 ,$237.46 ,$130.92 ,$18.78 ,$129.49 ,$105.54 ,$87.57 ,$91.64 ,$87.57 ,$128.07 ,$75.43 ,$106.73 ,$100.88 ,$106.59 ,$18.61 ,$133.05 ,$110.82 ,$17.72 ,$123.80 ,$105.54 ,$128.07 ,$105.54 ,$128.07 ,$128.07 ,$128.07 ,$138.03 ,$115.26 ,$128.07 ,$128.07 ,$128.07 ,$128.07 ST. JOSEPH'S - CHIPPEWA FALLS,32000560,49460,HC MECHAN REMOVAL OF OBSTRUCT MATERIAL FROM G/J/D TUBE FLUOR/CONT,320,1 ,"$1,155.04 ",$866.28 ,$199.12 ,"$1,764.22 ",$743.85 ,$784.10 ,$808.53 ,$199.12 ,$958.68 ,$205.09 ,$762.33 ,"$1,097.29 ", N/A ,$924.03 ,"$1,051.09 ",$199.12 ,"$1,085.74 ","$1,097.29 ","$1,039.54 ",$981.78 ,$199.12 ,$199.12 ,$199.12 ,$843.18 ,$784.10 ,"$1,027.99 ","$1,039.54 ","$1,039.54 ",$924.03 ,$807.62 ,$635.27 ,"$1,039.54 ",$784.10 ,"$1,039.54 ",$784.10 ,"$1,097.29 ","$1,764.22 ","$1,062.64 ",$211.07 ,"$1,051.09 ",$784.10 ,$710.81 ,$743.85 ,$710.81 ,"$1,039.54 ","$1,039.54 ",$866.28 ,$808.53 ,$791.94 ,$209.08 ,"$1,079.96 ",$823.31 ,$199.12 ,"$1,004.88 ",$784.10 ,"$1,039.54 ",$784.10 ,"$1,039.54 ","$1,039.54 ","$1,039.54 ","$1,120.39 ",$935.58 ,"$1,039.54 ","$1,039.54 ","$1,039.54 ","$1,039.54 " ST. JOSEPH'S - CHIPPEWA FALLS,32000561,49405,HC ABSCESS DRAIN KIDN/LIV/SPLN/LUNG VISERAL 49405,320,1 ,"$2,242.48 ","$1,681.86 ",$202.63 ,"$3,066.03 ","$1,444.16 ","$1,362.68 ","$1,569.74 ",$202.63 ,"$1,861.26 ",$208.71 ,"$1,480.04 ","$2,130.36 ", N/A ,"$1,793.98 ","$2,040.66 ",$202.63 ,"$2,107.93 ","$2,130.36 ","$2,018.23 ","$1,906.11 ",$202.63 ,$202.63 ,$202.63 ,"$1,637.01 ","$1,362.68 ","$1,995.81 ","$2,018.23 ","$2,018.23 ","$1,793.98 ","$1,403.56 ","$1,233.36 ","$2,018.23 ","$1,362.68 ","$2,018.23 ","$1,362.68 ","$2,130.36 ","$3,066.03 ","$2,063.08 ",$214.79 ,"$2,040.66 ","$1,362.68 ","$1,380.02 ","$1,444.16 ","$1,380.02 ","$2,018.23 ","$2,018.23 ","$1,681.86 ","$1,569.74 ","$1,376.31 ",$212.76 ,"$2,096.72 ","$1,430.81 ",$202.63 ,"$1,950.96 ","$1,362.68 ","$2,018.23 ","$1,362.68 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,175.21 ","$1,816.41 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,018.23 " ST. JOSEPH'S - CHIPPEWA FALLS,32000562,49406,HC ABSCESS DRAIN PERI/ RETROPER PERC 49406,320,1 ,"$2,728.51 ","$2,046.38 ",$202.63 ,"$3,066.03 ","$1,757.16 ","$1,362.68 ","$1,909.96 ",$202.63 ,"$2,264.66 ",$208.71 ,"$1,800.82 ","$2,592.08 ", N/A ,"$2,182.81 ","$2,482.94 ",$202.63 ,"$2,564.80 ","$2,592.08 ","$2,455.66 ","$2,319.23 ",$202.63 ,$202.63 ,$202.63 ,"$1,991.81 ","$1,362.68 ","$2,428.37 ","$2,455.66 ","$2,455.66 ","$2,182.81 ","$1,403.56 ","$1,500.68 ","$2,455.66 ","$1,362.68 ","$2,455.66 ","$1,362.68 ","$2,592.08 ","$3,066.03 ","$2,510.23 ",$214.79 ,"$2,482.94 ","$1,362.68 ","$1,679.13 ","$1,757.16 ","$1,679.13 ","$2,455.66 ","$2,455.66 ","$2,046.38 ","$1,909.96 ","$1,376.31 ",$212.76 ,"$2,551.16 ","$1,430.81 ",$202.63 ,"$2,373.80 ","$1,362.68 ","$2,455.66 ","$1,362.68 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,646.65 ","$2,210.09 ","$2,455.66 ","$2,455.66 ","$2,455.66 ","$2,455.66 " ST. JOSEPH'S - CHIPPEWA FALLS,32000563,49407,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER TV OR TR,320,1 ,"$2,202.11 ","$1,651.58 ",$202.63 ,"$3,066.03 ","$1,418.16 ","$1,362.68 ","$1,541.48 ",$202.63 ,"$1,827.75 ",$208.71 ,"$1,453.39 ","$2,092.00 ", N/A ,"$1,761.69 ","$2,003.92 ",$202.63 ,"$2,069.98 ","$2,092.00 ","$1,981.90 ","$1,871.79 ",$202.63 ,$202.63 ,$202.63 ,"$1,607.54 ","$1,362.68 ","$1,959.88 ","$1,981.90 ","$1,981.90 ","$1,761.69 ","$1,403.56 ","$1,211.16 ","$1,981.90 ","$1,362.68 ","$1,981.90 ","$1,362.68 ","$2,092.00 ","$3,066.03 ","$2,025.94 ",$214.79 ,"$2,003.92 ","$1,362.68 ","$1,355.18 ","$1,418.16 ","$1,355.18 ","$1,981.90 ","$1,981.90 ","$1,651.58 ","$1,541.48 ","$1,376.31 ",$212.76 ,"$2,058.97 ","$1,430.81 ",$202.63 ,"$1,915.84 ","$1,362.68 ","$1,981.90 ","$1,362.68 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$2,136.05 ","$1,783.71 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$1,981.90 " ST. JOSEPH'S - CHIPPEWA FALLS,32000564,0075T,HC STENT VERTEBRAL EXTRACRANIAL 0075T,320,1 ,"$1,307.27 ",$980.45 ,$719.00 ,"$1,910.42 ",$841.88 , N/A ,$915.09 ,"$1,307.27 ","$1,085.03 ","$1,856.35 ",$862.80 ,"$1,241.91 ", N/A ,"$1,045.82 ","$1,189.62 ","$1,307.27 ","$1,228.83 ","$1,241.91 ","$1,176.54 ","$1,111.18 ","$1,802.28 ","$1,802.28 ","$1,802.28 ",$954.31 , N/A ,"$1,163.47 ","$1,176.54 ","$1,176.54 ","$1,045.82 ", N/A ,$719.00 ,"$1,176.54 ", N/A ,"$1,176.54 ", N/A ,"$1,241.91 ", N/A ,"$1,202.69 ","$1,910.42 ","$1,189.62 ", N/A ,$804.49 ,$841.88 ,$804.49 ,"$1,176.54 ","$1,176.54 ",$980.45 ,$915.09 , N/A ,"$1,892.39 ","$1,222.30 ", N/A ,"$1,307.27 ","$1,137.32 ", N/A ,"$1,176.54 ", N/A ,"$1,176.54 ","$1,176.54 ","$1,176.54 ","$1,268.05 ","$1,058.89 ","$1,176.54 ","$1,176.54 ","$1,176.54 ","$1,176.54 " ST. JOSEPH'S - CHIPPEWA FALLS,32000565,37218,HC STENT CAROTID INTRATHORACIC 37218,320,1 ,"$2,231.81 ","$1,673.86 ","$1,227.50 ","$2,231.81 ","$1,437.29 ", N/A ,"$1,562.27 ","$1,802.28 ","$1,852.40 ","$1,856.35 ","$1,472.99 ","$2,120.22 ", N/A ,"$1,785.45 ","$2,030.95 ","$1,802.28 ","$2,097.90 ","$2,120.22 ","$2,008.63 ","$1,897.04 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,629.22 ", N/A ,"$1,986.31 ","$2,008.63 ","$2,008.63 ","$1,785.45 ", N/A ,"$1,227.50 ","$2,008.63 ", N/A ,"$2,008.63 ", N/A ,"$2,120.22 ", N/A ,"$2,053.27 ","$1,910.42 ","$2,030.95 ", N/A ,"$1,373.46 ","$1,437.29 ","$1,373.46 ","$2,008.63 ","$2,008.63 ","$1,673.86 ","$1,562.27 ", N/A ,"$1,892.39 ","$2,086.74 ", N/A ,"$1,802.28 ","$1,941.67 ", N/A ,"$2,008.63 ", N/A ,"$2,008.63 ","$2,008.63 ","$2,008.63 ","$2,164.86 ","$1,807.77 ","$2,008.63 ","$2,008.63 ","$2,008.63 ","$2,008.63 " ST. JOSEPH'S - CHIPPEWA FALLS,32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$229.50 ,$172.13 ,$17.72 ,$229.50 ,$147.80 ,$78.35 ,$160.65 ,$17.72 ,$39.92 ,$18.25 ,$31.93 ,$218.03 , N/A ,$183.60 ,$208.85 ,$17.72 ,$215.73 ,$218.03 ,$206.55 ,$195.08 ,$17.72 ,$17.72 ,$17.72 ,$167.54 ,$78.35 ,$204.26 ,$206.55 ,$206.55 ,$183.60 ,$80.70 ,$126.23 ,$206.55 ,$78.35 ,$206.55 ,$78.35 ,$218.03 ,$176.29 ,$211.14 ,$18.78 ,$208.85 ,$78.35 ,$141.23 ,$147.80 ,$141.23 ,$206.55 ,$127.61 ,$172.13 ,$114.67 ,$79.14 ,$18.61 ,$214.58 ,$82.27 ,$17.72 ,$199.67 ,$78.35 ,$206.55 ,$78.35 ,$206.55 ,$206.55 ,$206.55 ,$222.62 ,$185.90 ,$206.55 ,$206.55 ,$206.55 ,$206.55 ST. JOSEPH'S - CHIPPEWA FALLS,32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$231.20 ,$173.40 ,$17.72 ,$231.20 ,$148.89 ,$78.35 ,$161.84 ,$17.72 ,$42.91 ,$18.25 ,$34.33 ,$219.64 , N/A ,$184.96 ,$210.39 ,$17.72 ,$217.33 ,$219.64 ,$208.08 ,$196.52 ,$17.72 ,$17.72 ,$17.72 ,$168.78 ,$78.35 ,$205.77 ,$208.08 ,$208.08 ,$184.96 ,$80.70 ,$127.16 ,$208.08 ,$78.35 ,$208.08 ,$78.35 ,$219.64 ,$176.29 ,$212.70 ,$18.78 ,$210.39 ,$78.35 ,$142.28 ,$148.89 ,$142.28 ,$208.08 ,$48.60 ,$173.40 ,$121.60 ,$79.14 ,$18.61 ,$216.17 ,$82.27 ,$17.72 ,$201.14 ,$78.35 ,$208.08 ,$78.35 ,$208.08 ,$208.08 ,$208.08 ,$224.26 ,$187.27 ,$208.08 ,$208.08 ,$208.08 ,$208.08 ST. JOSEPH'S - CHIPPEWA FALLS,32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$363.50 ,$272.63 ,$17.72 ,$363.50 ,$234.09 ,$105.54 ,$254.45 ,$17.72 ,$77.74 ,$18.25 ,$62.19 ,$345.33 , N/A ,$290.80 ,$330.79 ,$17.72 ,$341.69 ,$345.33 ,$327.15 ,$308.98 ,$17.72 ,$17.72 ,$17.72 ,$265.36 ,$105.54 ,$323.52 ,$327.15 ,$327.15 ,$290.80 ,$108.70 ,$199.93 ,$327.15 ,$105.54 ,$327.15 ,$105.54 ,$345.33 ,$237.46 ,$334.42 ,$18.78 ,$330.79 ,$105.54 ,$223.70 ,$234.09 ,$223.70 ,$327.15 ,$88.30 ,$272.63 ,$223.58 ,$106.59 ,$18.61 ,$339.87 ,$110.82 ,$17.72 ,$316.25 ,$105.54 ,$327.15 ,$105.54 ,$327.15 ,$327.15 ,$327.15 ,$352.60 ,$294.44 ,$327.15 ,$327.15 ,$327.15 ,$327.15 ST. JOSEPH'S - CHIPPEWA FALLS,32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$177.10 ,$132.83 ,$17.72 ,$177.10 ,$114.05 ,$78.35 ,$123.97 ,$17.72 ,$33.92 ,$18.25 ,$27.13 ,$168.25 , N/A ,$141.68 ,$161.16 ,$17.72 ,$166.47 ,$168.25 ,$159.39 ,$150.54 ,$17.72 ,$17.72 ,$17.72 ,$129.28 ,$78.35 ,$157.62 ,$159.39 ,$159.39 ,$141.68 ,$80.70 ,$97.41 ,$159.39 ,$78.35 ,$159.39 ,$78.35 ,$168.25 ,$176.29 ,$162.93 ,$18.78 ,$161.16 ,$78.35 ,$108.99 ,$114.05 ,$108.99 ,$159.39 ,$38.33 ,$132.83 ,$99.12 ,$79.14 ,$18.61 ,$165.59 ,$82.27 ,$17.72 ,$154.08 ,$78.35 ,$159.39 ,$78.35 ,$159.39 ,$159.39 ,$159.39 ,$171.79 ,$143.45 ,$159.39 ,$159.39 ,$159.39 ,$159.39 ST. JOSEPH'S - CHIPPEWA FALLS,32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$237.90 ,$178.43 ,$17.72 ,$237.90 ,$153.21 ,$78.35 ,$166.53 ,$17.72 ,$50.72 ,$18.25 ,$40.57 ,$226.01 , N/A ,$190.32 ,$216.49 ,$17.72 ,$223.63 ,$226.01 ,$214.11 ,$202.22 ,$17.72 ,$17.72 ,$17.72 ,$173.67 ,$78.35 ,$211.73 ,$214.11 ,$214.11 ,$190.32 ,$80.70 ,$130.85 ,$214.11 ,$78.35 ,$214.11 ,$78.35 ,$226.01 ,$176.29 ,$218.87 ,$18.78 ,$216.49 ,$78.35 ,$146.40 ,$153.21 ,$146.40 ,$214.11 ,$57.50 ,$178.43 ,$145.78 ,$79.14 ,$18.61 ,$222.44 ,$82.27 ,$17.72 ,$206.97 ,$78.35 ,$214.11 ,$78.35 ,$214.11 ,$214.11 ,$214.11 ,$230.76 ,$192.70 ,$214.11 ,$214.11 ,$214.11 ,$214.11 ST. JOSEPH'S - CHIPPEWA FALLS,32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$237.90 ,$178.43 ,$17.72 ,$237.90 ,$153.21 ,$105.54 ,$166.53 ,$17.72 ,$47.13 ,$18.25 ,$37.70 ,$226.01 , N/A ,$190.32 ,$216.49 ,$17.72 ,$223.63 ,$226.01 ,$214.11 ,$202.22 ,$17.72 ,$17.72 ,$17.72 ,$173.67 ,$105.54 ,$211.73 ,$214.11 ,$214.11 ,$190.32 ,$108.70 ,$130.85 ,$214.11 ,$105.54 ,$214.11 ,$105.54 ,$226.01 ,$237.46 ,$218.87 ,$18.78 ,$216.49 ,$105.54 ,$146.40 ,$153.21 ,$146.40 ,$214.11 ,$53.39 ,$178.43 ,$126.76 ,$106.59 ,$18.61 ,$222.44 ,$110.82 ,$17.72 ,$206.97 ,$105.54 ,$214.11 ,$105.54 ,$214.11 ,$214.11 ,$214.11 ,$230.76 ,$192.70 ,$214.11 ,$214.11 ,$214.11 ,$214.11 ST. JOSEPH'S - CHIPPEWA FALLS,32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$281.20 ,$210.90 ,$17.72 ,$281.20 ,$181.09 ,$105.54 ,$196.84 ,$17.72 ,$56.74 ,$18.25 ,$45.39 ,$267.14 , N/A ,$224.96 ,$255.89 ,$17.72 ,$264.33 ,$267.14 ,$253.08 ,$239.02 ,$17.72 ,$17.72 ,$17.72 ,$205.28 ,$105.54 ,$250.27 ,$253.08 ,$253.08 ,$224.96 ,$108.70 ,$154.66 ,$253.08 ,$105.54 ,$253.08 ,$105.54 ,$267.14 ,$237.46 ,$258.70 ,$18.78 ,$255.89 ,$105.54 ,$173.05 ,$181.09 ,$173.05 ,$253.08 ,$64.34 ,$210.90 ,$163.08 ,$106.59 ,$18.61 ,$262.92 ,$110.82 ,$17.72 ,$244.64 ,$105.54 ,$253.08 ,$105.54 ,$253.08 ,$253.08 ,$253.08 ,$272.76 ,$227.77 ,$253.08 ,$253.08 ,$253.08 ,$253.08 ST. JOSEPH'S - CHIPPEWA FALLS,32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,$281.20 ,$210.90 ,$17.72 ,$281.20 ,$181.09 ,$105.54 ,$196.84 ,$17.72 ,$68.13 ,$18.25 ,$54.50 ,$267.14 , N/A ,$224.96 ,$255.89 ,$17.72 ,$264.33 ,$267.14 ,$253.08 ,$239.02 ,$17.72 ,$17.72 ,$17.72 ,$205.28 ,$105.54 ,$250.27 ,$253.08 ,$253.08 ,$224.96 ,$108.70 ,$154.66 ,$253.08 ,$105.54 ,$253.08 ,$105.54 ,$267.14 ,$237.46 ,$258.70 ,$18.78 ,$255.89 ,$105.54 ,$173.05 ,$181.09 ,$173.05 ,$253.08 ,$77.35 ,$210.90 ,$195.94 ,$106.59 ,$18.61 ,$262.92 ,$110.82 ,$17.72 ,$244.64 ,$105.54 ,$253.08 ,$105.54 ,$253.08 ,$253.08 ,$253.08 ,$272.76 ,$227.77 ,$253.08 ,$253.08 ,$253.08 ,$253.08 ST. JOSEPH'S - CHIPPEWA FALLS,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$211.80 ,$158.85 ,$17.72 ,$211.80 ,$136.40 ,$78.35 ,$148.26 ,$17.72 ,$38.71 ,$18.25 ,$30.97 ,$201.21 , N/A ,$169.44 ,$192.74 ,$17.72 ,$199.09 ,$201.21 ,$190.62 ,$180.03 ,$17.72 ,$17.72 ,$17.72 ,$154.61 ,$78.35 ,$188.50 ,$190.62 ,$190.62 ,$169.44 ,$80.70 ,$116.49 ,$190.62 ,$78.35 ,$190.62 ,$78.35 ,$201.21 ,$176.29 ,$194.86 ,$18.78 ,$192.74 ,$78.35 ,$130.34 ,$136.40 ,$130.34 ,$190.62 ,$43.81 ,$158.85 ,$112.97 ,$79.14 ,$18.61 ,$198.03 ,$82.27 ,$17.72 ,$184.27 ,$78.35 ,$190.62 ,$78.35 ,$190.62 ,$190.62 ,$190.62 ,$205.45 ,$171.56 ,$190.62 ,$190.62 ,$190.62 ,$190.62 ST. JOSEPH'S - CHIPPEWA FALLS,32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$288.70 ,$216.53 ,$17.72 ,$288.70 ,$185.92 ,$105.54 ,$202.09 ,$17.72 ,$32.71 ,$18.25 ,$26.17 ,$274.27 , N/A ,$230.96 ,$262.72 ,$17.72 ,$271.38 ,$274.27 ,$259.83 ,$245.40 ,$17.72 ,$17.72 ,$17.72 ,$210.75 ,$105.54 ,$256.94 ,$259.83 ,$259.83 ,$230.96 ,$108.70 ,$158.79 ,$259.83 ,$105.54 ,$259.83 ,$105.54 ,$274.27 ,$237.46 ,$265.60 ,$18.78 ,$262.72 ,$105.54 ,$177.67 ,$185.92 ,$177.67 ,$259.83 ,$117.13 ,$216.53 ,$93.96 ,$106.59 ,$18.61 ,$269.93 ,$110.82 ,$17.72 ,$251.17 ,$105.54 ,$259.83 ,$105.54 ,$259.83 ,$259.83 ,$259.83 ,$280.04 ,$233.85 ,$259.83 ,$259.83 ,$259.83 ,$259.83 ST. JOSEPH'S - CHIPPEWA FALLS,32000586,72265,HC XR MYELOGRAPHY L-SPINE,320,1 ,"$1,124.09 ",$843.07 ,$68.43 ,"$1,558.47 ",$723.91 ,$692.65 ,$786.86 ,$193.81 ,$85.54 ,$199.62 ,$68.43 ,"$1,067.89 ", N/A ,$899.27 ,"$1,022.92 ",$193.81 ,"$1,056.64 ","$1,067.89 ","$1,011.68 ",$955.48 ,$193.81 ,$193.81 ,$193.81 ,$820.59 ,$692.65 ,"$1,000.44 ","$1,011.68 ","$1,011.68 ",$899.27 ,$713.43 ,$618.25 ,"$1,011.68 ",$692.65 ,"$1,011.68 ",$692.65 ,"$1,067.89 ","$1,558.47 ","$1,034.16 ",$205.44 ,"$1,022.92 ",$692.65 ,$691.77 ,$723.91 ,$691.77 ,"$1,011.68 ",$871.76 ,$843.07 ,$246.05 ,$699.58 ,$203.50 ,"$1,051.02 ",$727.28 ,$193.81 ,$977.96 ,$692.65 ,"$1,011.68 ",$692.65 ,"$1,011.68 ","$1,011.68 ","$1,011.68 ","$1,090.37 ",$910.51 ,"$1,011.68 ","$1,011.68 ","$1,011.68 ","$1,011.68 " ST. JOSEPH'S - CHIPPEWA FALLS,32000588,72275,HC XR EPIDUROGRAPHY,320,1 ,$260.90 ,$195.68 ,$53.35 ,$260.90 ,$168.02 , N/A ,$182.63 ,$53.35 ,$128.78 ,$54.95 ,$103.03 ,$247.86 , N/A ,$208.72 ,$237.42 ,$53.35 ,$245.25 ,$247.86 ,$234.81 ,$221.77 ,$53.35 ,$53.35 ,$53.35 ,$190.46 , N/A ,$232.20 ,$234.81 ,$234.81 ,$208.72 , N/A ,$143.50 ,$234.81 , N/A ,$234.81 , N/A ,$247.86 , N/A ,$240.03 ,$56.55 ,$237.42 , N/A ,$160.56 ,$168.02 ,$160.56 ,$234.81 ,$234.69 ,$195.68 ,$234.81 , N/A ,$56.02 ,$243.94 , N/A ,$53.35 ,$226.98 , N/A ,$234.81 , N/A ,$234.81 ,$234.81 ,$234.81 ,$253.07 ,$211.33 ,$234.81 ,$234.81 ,$234.81 ,$234.81 ST. JOSEPH'S - CHIPPEWA FALLS,32000589,74019,HC XR ABDOMEN 2V,320,1 ,$337.07 ,$252.80 ,$17.72 ,$337.07 ,$217.07 ,$105.54 ,$235.95 ,$17.72 ,$36.28 ,$18.25 ,$29.02 ,$320.22 , N/A ,$269.66 ,$306.73 ,$17.72 ,$316.85 ,$320.22 ,$303.36 ,$286.51 ,$17.72 ,$17.72 ,$17.72 ,$246.06 ,$105.54 ,$299.99 ,$303.36 ,$303.36 ,$269.66 ,$108.70 ,$185.39 ,$303.36 ,$105.54 ,$303.36 ,$105.54 ,$320.22 ,$237.46 ,$310.10 ,$18.78 ,$306.73 ,$105.54 ,$207.43 ,$217.07 ,$207.43 ,$303.36 ,$64.34 ,$252.80 ,$235.95 ,$106.59 ,$18.61 ,$315.16 ,$110.82 ,$17.72 ,$293.25 ,$105.54 ,$303.36 ,$105.54 ,$303.36 ,$303.36 ,$303.36 ,$326.96 ,$273.03 ,$303.36 ,$303.36 ,$303.36 ,$303.36 ST. JOSEPH'S - CHIPPEWA FALLS,32000590,74360,HC XR ESOPHAGEAL DILATION INTRALUMINAL,320,1 ,"$1,302.94 ",$977.21 ,$53.35 ,"$1,302.94 ",$839.09 , N/A ,$912.06 ,$53.35 ,$147.84 ,$54.95 ,$118.27 ,"$1,237.79 ", N/A ,"$1,042.35 ","$1,185.68 ",$53.35 ,"$1,224.76 ","$1,237.79 ","$1,172.65 ","$1,107.50 ",$53.35 ,$53.35 ,$53.35 ,$951.15 , N/A ,"$1,159.62 ","$1,172.65 ","$1,172.65 ","$1,042.35 ", N/A ,$716.62 ,"$1,172.65 ", N/A ,"$1,172.65 ", N/A ,"$1,237.79 ", N/A ,"$1,198.70 ",$56.55 ,"$1,185.68 ", N/A ,$801.83 ,$839.09 ,$801.83 ,"$1,172.65 ",$362.03 ,$977.21 ,$136.95 , N/A ,$56.02 ,"$1,218.25 ", N/A ,$53.35 ,"$1,133.56 ", N/A ,"$1,172.65 ", N/A ,"$1,172.65 ","$1,172.65 ","$1,172.65 ","$1,263.85 ","$1,055.38 ","$1,172.65 ","$1,172.65 ","$1,172.65 ","$1,172.65 " ST. JOSEPH'S - CHIPPEWA FALLS,32000591,75956,HC ENDOVASC REPR THOR AORTA W/SUBCL S AND I,320,1 ,"$3,474.59 ","$2,605.94 ",$53.35 ,"$3,474.59 ","$2,237.64 ", N/A ,"$2,432.21 ",$53.35 ,$575.19 ,$54.95 ,$460.15 ,"$3,300.86 ", N/A ,"$2,779.67 ","$3,161.88 ",$53.35 ,"$3,266.11 ","$3,300.86 ","$3,127.13 ","$2,953.40 ",$53.35 ,$53.35 ,$53.35 ,"$2,536.45 ", N/A ,"$3,092.39 ","$3,127.13 ","$3,127.13 ","$2,779.67 ", N/A ,"$1,911.02 ","$3,127.13 ", N/A ,"$3,127.13 ", N/A ,"$3,300.86 ", N/A ,"$3,196.62 ",$56.55 ,"$3,161.88 ", N/A ,"$2,138.26 ","$2,237.64 ","$2,138.26 ","$3,127.13 ",$800.67 ,"$2,605.94 ","$1,620.20 ", N/A ,$56.02 ,"$3,248.74 ", N/A ,$53.35 ,"$3,022.89 ", N/A ,"$3,127.13 ", N/A ,"$3,127.13 ","$3,127.13 ","$3,127.13 ","$3,370.35 ","$2,814.42 ","$3,127.13 ","$3,127.13 ","$3,127.13 ","$3,127.13 " ST. JOSEPH'S - CHIPPEWA FALLS,32000592,75957,HC ENDOVASC REPR THOR AORTA W/O SUBCL S AND I,320,1 ,"$1,620.67 ","$1,215.50 ",$53.35 ,"$1,620.67 ","$1,043.71 ", N/A ,"$1,134.47 ",$53.35 ,$493.69 ,$54.95 ,$394.95 ,"$1,539.64 ", N/A ,"$1,296.54 ","$1,474.81 ",$53.35 ,"$1,523.43 ","$1,539.64 ","$1,458.60 ","$1,377.57 ",$53.35 ,$53.35 ,$53.35 ,"$1,183.09 ", N/A ,"$1,442.40 ","$1,458.60 ","$1,458.60 ","$1,296.54 ", N/A ,$891.37 ,"$1,458.60 ", N/A ,"$1,458.60 ", N/A ,"$1,539.64 ", N/A ,"$1,491.02 ",$56.55 ,"$1,474.81 ", N/A ,$997.36 ,"$1,043.71 ",$997.36 ,"$1,458.60 ",$685.97 ,"$1,215.50 ","$1,389.69 ", N/A ,$56.02 ,"$1,515.33 ", N/A ,$53.35 ,"$1,409.98 ", N/A ,"$1,458.60 ", N/A ,"$1,458.60 ","$1,458.60 ","$1,458.60 ","$1,572.05 ","$1,312.74 ","$1,458.60 ","$1,458.60 ","$1,458.60 ","$1,458.60 " ST. JOSEPH'S - CHIPPEWA FALLS,32000594,75959,HC PLACE DISTAL EXT PROSTH POST RPR THOR AORTA S AND I,320,1 ,"$2,067.36 ","$1,550.52 ",$53.35 ,"$2,067.36 ","$1,331.38 ", N/A ,"$1,447.15 ",$53.35 ,$278.65 ,$54.95 ,$222.92 ,"$1,963.99 ", N/A ,"$1,653.89 ","$1,881.30 ",$53.35 ,"$1,943.32 ","$1,963.99 ","$1,860.62 ","$1,757.26 ",$53.35 ,$53.35 ,$53.35 ,"$1,509.17 ", N/A ,"$1,839.95 ","$1,860.62 ","$1,860.62 ","$1,653.89 ", N/A ,"$1,137.05 ","$1,860.62 ", N/A ,"$1,860.62 ", N/A ,"$1,963.99 ", N/A ,"$1,901.97 ",$56.55 ,"$1,881.30 ", N/A ,"$1,272.25 ","$1,331.38 ","$1,272.25 ","$1,860.62 ",$400.34 ,"$1,550.52 ",$810.40 , N/A ,$56.02 ,"$1,932.98 ", N/A ,$53.35 ,"$1,798.60 ", N/A ,"$1,860.62 ", N/A ,"$1,860.62 ","$1,860.62 ","$1,860.62 ","$2,005.34 ","$1,674.56 ","$1,860.62 ","$1,860.62 ","$1,860.62 ","$1,860.62 " ST. JOSEPH'S - CHIPPEWA FALLS,32000600,77061,HC DIGITAL BREAST TOMOSYNTHESIS UNI,320,1 ,$40.00 ,$30.00 ,$22.00 ,$40.00 ,$25.76 , N/A ,$28.00 ,$24.55 ,$40.00 ,$25.29 ,$40.00 ,$38.00 , N/A ,$32.00 ,$36.40 ,$24.55 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$24.55 ,$24.55 ,$24.55 ,$29.20 , N/A ,$35.60 ,$36.00 ,$36.00 ,$32.00 , N/A ,$22.00 ,$36.00 , N/A ,$36.00 , N/A ,$38.00 , N/A ,$36.80 ,$26.02 ,$36.40 , N/A ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$40.00 ,$30.00 ,$28.00 , N/A ,$25.78 ,$37.40 , N/A ,$24.55 ,$34.80 , N/A ,$36.00 , N/A ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 ST. JOSEPH'S - CHIPPEWA FALLS,32000601,77062,HC DIGITAL BREAST TOMOSYNTHESIS BIL,320,1 ,$40.00 ,$30.00 ,$22.00 ,$40.00 ,$25.76 , N/A ,$28.00 ,$24.55 ,$40.00 ,$25.29 ,$40.00 ,$38.00 , N/A ,$32.00 ,$36.40 ,$24.55 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$24.55 ,$24.55 ,$24.55 ,$29.20 , N/A ,$35.60 ,$36.00 ,$36.00 ,$32.00 , N/A ,$22.00 ,$36.00 , N/A ,$36.00 , N/A ,$38.00 , N/A ,$36.80 ,$26.02 ,$36.40 , N/A ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$40.00 ,$30.00 ,$28.00 , N/A ,$25.78 ,$37.40 , N/A ,$24.55 ,$34.80 , N/A ,$36.00 , N/A ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 ST. JOSEPH'S - CHIPPEWA FALLS,32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,$774.41 ,$580.81 ,$37.66 ,$774.41 ,$498.72 , N/A ,$542.09 ,$37.66 ,$79.29 ,$38.79 ,$63.43 ,$735.69 , N/A ,$619.53 ,$704.71 ,$37.66 ,$727.95 ,$735.69 ,$696.97 ,$658.25 ,$37.66 ,$37.66 ,$37.66 ,$565.32 , N/A ,$689.22 ,$696.97 ,$696.97 ,$619.53 , N/A ,$425.93 ,$696.97 , N/A ,$696.97 , N/A ,$735.69 , N/A ,$712.46 ,$39.92 ,$704.71 , N/A ,$476.57 ,$498.72 ,$476.57 ,$696.97 ,$696.97 ,$580.81 ,$542.09 , N/A ,$39.54 ,$724.07 , N/A ,$37.66 ,$673.74 , N/A ,$696.97 , N/A ,$696.97 ,$696.97 ,$696.97 ,$751.18 ,$627.27 ,$696.97 ,$696.97 ,$696.97 ,$696.97 ST. JOSEPH'S - CHIPPEWA FALLS,32000613,G1002,HC RAD AUC CDSM MEDCURRENT,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000614,G1003,HC RAD AUC CDSM MEDICALIS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000615,G1005,HC RAD AUC CDSM NATIONAL IMAGING ASSOCIATES,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000616,G1006,HC RAD AUC CDSM TEST APPROPRIATE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000617,G1007,HC RAD AUC CDSM AIM SPECIALTY HEALTH,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000618,G1008,HC RAD AUC CDSM CRANBERRY PEAK,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000619,G1009,HC RAD AUC CDSM SAGE HEALTH MGMT SOLUTIONS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000620,G1010,HC RAD AUC CDSM STANSON,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000621,G1011,HC RAD AUC CDSM QUALIFIED TOOL NOS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000622,G1000,HC RAD AUC CDSM APPLIED PATHWAYS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,32000623,G1001,HC RAD AUC CDSM EVICORE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ST. JOSEPH'S - CHIPPEWA FALLS,33100003,96420,HC CHEMO IV INTRA ART PUSH TECH,331,1 ,"$2,093.86 ","$1,570.40 ",$14.00 ,"$2,093.86 ","$1,348.45 ",$300.96 ,"$1,465.70 ",$14.00 ,"$1,737.90 ",$14.42 ,"$1,381.95 ","$1,989.17 ", N/A ,"$1,675.09 ","$1,905.41 ",$14.00 ,"$1,968.23 ","$1,989.17 ","$1,884.47 ","$1,779.78 ",$14.00 ,$14.00 ,$14.00 ,"$1,528.52 ",$300.96 ,"$1,863.54 ","$1,884.47 ","$1,884.47 ","$1,675.09 ",$309.99 ,"$1,151.62 ","$1,884.47 ",$300.96 ,"$1,884.47 ",$300.96 ,"$1,989.17 ",$677.16 ,"$1,926.35 ",$14.84 ,"$1,905.41 ",$300.96 ,"$1,288.56 ","$1,348.45 ","$1,288.56 ","$1,884.47 ","$1,884.47 ","$1,570.40 ","$1,465.70 ",$303.97 ,$14.70 ,"$1,957.76 ",$316.01 ,$14.00 ,"$1,821.66 ",$300.96 ,"$1,884.47 ",$300.96 ,"$1,884.47 ","$1,884.47 ","$1,884.47 ","$2,031.04 ","$1,696.03 ","$1,884.47 ","$1,884.47 ","$1,884.47 ","$1,884.47 " ST. JOSEPH'S - CHIPPEWA FALLS,33300009,77285,HC SIMULATION INTERMED,333,1 ,"$1,332.51 ",$999.38 ,$60.87 ,"$1,332.51 ",$858.14 ,$328.01 ,$932.76 ,$60.87 ,$649.93 ,$62.70 ,$519.95 ,"$1,265.88 ", N/A ,"$1,066.01 ","$1,212.58 ",$60.87 ,"$1,252.56 ","$1,265.88 ","$1,199.26 ","$1,132.63 ",$60.87 ,$60.87 ,$60.87 ,$972.73 ,$328.01 ,"$1,185.93 ","$1,199.26 ","$1,199.26 ","$1,066.01 ",$337.85 ,$732.88 ,"$1,199.26 ",$328.01 ,"$1,199.26 ",$328.01 ,"$1,265.88 ",$738.03 ,"$1,225.91 ",$64.52 ,"$1,212.58 ",$328.01 ,$820.03 ,$858.14 ,$820.03 ,"$1,199.26 ",$679.02 ,$999.38 ,"$1,199.26 ",$331.29 ,$63.91 ,"$1,245.90 ",$344.41 ,$60.87 ,"$1,159.28 ",$328.01 ,"$1,199.26 ",$328.01 ,"$1,199.26 ","$1,199.26 ","$1,199.26 ","$1,292.53 ","$1,079.33 ","$1,199.26 ","$1,199.26 ","$1,199.26 ","$1,199.26 " ST. JOSEPH'S - CHIPPEWA FALLS,33300010,77290,HC SIMULATION COMPLEX,333,1 ,"$3,376.41 ","$2,532.31 ",$60.87 ,"$3,376.41 ","$2,174.41 ",$328.01 ,"$2,363.49 ",$60.87 ,$740.60 ,$62.70 ,$592.48 ,"$3,207.59 ", N/A ,"$2,701.13 ","$3,072.53 ",$60.87 ,"$3,173.83 ","$3,207.59 ","$3,038.77 ","$2,869.95 ",$60.87 ,$60.87 ,$60.87 ,"$2,464.78 ",$328.01 ,"$3,005.00 ","$3,038.77 ","$3,038.77 ","$2,701.13 ",$337.85 ,"$1,857.03 ","$3,038.77 ",$328.01 ,"$3,038.77 ",$328.01 ,"$3,207.59 ",$738.03 ,"$3,106.30 ",$64.52 ,"$3,072.53 ",$328.01 ,"$2,077.84 ","$2,174.41 ","$2,077.84 ","$3,038.77 ",$817.35 ,"$2,532.31 ",$405.38 ,$331.29 ,$63.91 ,"$3,156.94 ",$344.41 ,$60.87 ,"$2,937.48 ",$328.01 ,"$3,038.77 ",$328.01 ,"$3,038.77 ","$3,038.77 ","$3,038.77 ","$3,275.12 ","$2,734.89 ","$3,038.77 ","$3,038.77 ","$3,038.77 ","$3,038.77 " ST. JOSEPH'S - CHIPPEWA FALLS,33300011,77295,HC SIMULATION 3-D,333,1 ,"$6,301.75 ","$4,726.31 ",$347.06 ,"$6,301.75 ","$4,058.33 ","$1,222.42 ","$4,411.23 ",$347.06 ,$456.56 ,$357.47 ,$365.25 ,"$5,986.66 ", N/A ,"$5,041.40 ","$5,734.59 ",$347.06 ,"$5,923.65 ","$5,986.66 ","$5,671.58 ","$5,356.49 ",$347.06 ,$347.06 ,$347.06 ,"$4,600.28 ","$1,222.42 ","$5,608.56 ","$5,671.58 ","$5,671.58 ","$5,041.40 ","$1,259.09 ","$3,465.96 ","$5,671.58 ","$1,222.42 ","$5,671.58 ","$1,222.42 ","$5,986.66 ","$2,750.45 ","$5,797.61 ",$367.88 ,"$5,734.59 ","$1,222.42 ","$3,878.10 ","$4,058.33 ","$3,878.10 ","$5,671.58 ","$3,214.13 ","$4,726.31 ","$1,340.78 ","$1,234.65 ",$364.41 ,"$5,892.14 ","$1,283.54 ",$347.06 ,"$5,482.52 ","$1,222.42 ","$5,671.58 ","$1,222.42 ","$5,671.58 ","$5,671.58 ","$5,671.58 ","$6,112.70 ","$5,104.42 ","$5,671.58 ","$5,671.58 ","$5,671.58 ","$5,671.58 " ST. JOSEPH'S - CHIPPEWA FALLS,33300016,77300,HC DOSIMETRY CALCULATION,333,1 ,$514.97 ,$386.23 ,$46.34 ,$514.97 ,$331.64 ,$122.87 ,$360.48 ,$60.87 ,$57.93 ,$62.70 ,$46.34 ,$489.22 , N/A ,$411.98 ,$468.62 ,$60.87 ,$484.07 ,$489.22 ,$463.47 ,$437.72 ,$60.87 ,$60.87 ,$60.87 ,$375.93 ,$122.87 ,$458.32 ,$463.47 ,$463.47 ,$411.98 ,$126.56 ,$283.23 ,$463.47 ,$122.87 ,$463.47 ,$122.87 ,$489.22 ,$276.47 ,$473.77 ,$64.52 ,$468.62 ,$122.87 ,$316.91 ,$331.64 ,$316.91 ,$463.47 ,$218.17 ,$386.23 ,$170.01 ,$124.10 ,$63.91 ,$481.50 ,$129.01 ,$60.87 ,$448.02 ,$122.87 ,$463.47 ,$122.87 ,$463.47 ,$463.47 ,$463.47 ,$499.52 ,$417.13 ,$463.47 ,$463.47 ,$463.47 ,$463.47 ST. JOSEPH'S - CHIPPEWA FALLS,33300017,77301,HC IMRT TX PLAN,333,1 ,"$9,524.61 ","$7,143.46 ",$347.06 ,"$9,524.61 ","$6,133.85 ","$1,222.42 ","$6,667.23 ",$347.06 ,"$2,616.90 ",$357.47 ,"$2,093.52 ","$9,048.38 ", N/A ,"$7,619.69 ","$8,667.40 ",$347.06 ,"$8,953.13 ","$9,048.38 ","$8,572.15 ","$8,095.92 ",$347.06 ,$347.06 ,$347.06 ,"$6,952.97 ","$1,222.42 ","$8,476.90 ","$8,572.15 ","$8,572.15 ","$7,619.69 ","$1,259.09 ","$5,238.54 ","$8,572.15 ","$1,222.42 ","$8,572.15 ","$1,222.42 ","$9,048.38 ","$2,750.45 ","$8,762.64 ",$367.88 ,"$8,667.40 ","$1,222.42 ","$5,861.45 ","$6,133.85 ","$5,861.45 ","$8,572.15 ","$2,509.39 ","$7,143.46 ","$7,692.45 ","$1,234.65 ",$364.41 ,"$8,905.51 ","$1,283.54 ",$347.06 ,"$8,286.41 ","$1,222.42 ","$8,572.15 ","$1,222.42 ","$8,572.15 ","$8,572.15 ","$8,572.15 ","$9,238.87 ","$7,714.93 ","$8,572.15 ","$8,572.15 ","$8,572.15 ","$8,572.15 " ST. JOSEPH'S - CHIPPEWA FALLS,33300018,77306,HC ISODOSE PLAN SIMPLE,333,1 ,$541.80 ,$406.35 ,$39.10 ,$738.03 ,$348.92 ,$328.01 ,$379.26 ,$39.10 ,$130.27 ,$40.27 ,$104.22 ,$514.71 , N/A ,$433.44 ,$493.04 ,$39.10 ,$509.29 ,$514.71 ,$487.62 ,$460.53 ,$39.10 ,$39.10 ,$39.10 ,$395.51 ,$328.01 ,$482.20 ,$487.62 ,$487.62 ,$433.44 ,$337.85 ,$297.99 ,$487.62 ,$328.01 ,$487.62 ,$328.01 ,$514.71 ,$738.03 ,$498.46 ,$41.45 ,$493.04 ,$328.01 ,$333.42 ,$348.92 ,$333.42 ,$487.62 ,$278.59 ,$406.35 ,$383.20 ,$331.29 ,$41.06 ,$506.58 ,$344.41 ,$39.10 ,$471.37 ,$328.01 ,$487.62 ,$328.01 ,$487.62 ,$487.62 ,$487.62 ,$525.55 ,$438.86 ,$487.62 ,$487.62 ,$487.62 ,$487.62 ST. JOSEPH'S - CHIPPEWA FALLS,33300022,77307,HC ISODOSE PLAN COMPLEX,333,1 ,"$1,824.49 ","$1,368.37 ",$60.87 ,"$1,824.49 ","$1,174.97 ",$328.01 ,"$1,277.14 ",$60.87 ,$235.62 ,$62.70 ,$188.50 ,"$1,733.27 ", N/A ,"$1,459.59 ","$1,660.29 ",$60.87 ,"$1,715.02 ","$1,733.27 ","$1,642.04 ","$1,550.82 ",$60.87 ,$60.87 ,$60.87 ,"$1,331.88 ",$328.01 ,"$1,623.80 ","$1,642.04 ","$1,642.04 ","$1,459.59 ",$337.85 ,"$1,003.47 ","$1,642.04 ",$328.01 ,"$1,642.04 ",$328.01 ,"$1,733.27 ",$738.03 ,"$1,678.53 ",$64.52 ,"$1,660.29 ",$328.01 ,"$1,122.79 ","$1,174.97 ","$1,122.79 ","$1,642.04 ",$545.55 ,"$1,368.37 ",$693.17 ,$331.29 ,$63.91 ,"$1,705.90 ",$344.41 ,$60.87 ,"$1,587.31 ",$328.01 ,"$1,642.04 ",$328.01 ,"$1,642.04 ","$1,642.04 ","$1,642.04 ","$1,769.76 ","$1,477.84 ","$1,642.04 ","$1,642.04 ","$1,642.04 ","$1,642.04 " ST. JOSEPH'S - CHIPPEWA FALLS,33300024,77321,HC PORT PLAN SPECIAL,333,1 ,"$1,078.27 ",$808.70 ,$59.30 ,"$1,078.27 ",$694.41 ,$328.01 ,$754.79 ,$60.87 ,$74.13 ,$62.70 ,$59.30 ,"$1,024.36 ", N/A ,$862.62 ,$981.23 ,$60.87 ,"$1,013.57 ","$1,024.36 ",$970.44 ,$916.53 ,$60.87 ,$60.87 ,$60.87 ,$787.14 ,$328.01 ,$959.66 ,$970.44 ,$970.44 ,$862.62 ,$337.85 ,$593.05 ,$970.44 ,$328.01 ,$970.44 ,$328.01 ,"$1,024.36 ",$738.03 ,$992.01 ,$64.52 ,$981.23 ,$328.01 ,$663.57 ,$694.41 ,$663.57 ,$970.44 ,$629.43 ,$808.70 ,$218.36 ,$331.29 ,$63.91 ,"$1,008.18 ",$344.41 ,$60.87 ,$938.09 ,$328.01 ,$970.44 ,$328.01 ,$970.44 ,$970.44 ,$970.44 ,"$1,045.92 ",$873.40 ,$970.44 ,$970.44 ,$970.44 ,$970.44 ST. JOSEPH'S - CHIPPEWA FALLS,33300027,77318,HC BRACHY ISODOSE PLAN COMPLEX,333,1 ,"$1,338.22 ","$1,003.67 ",$60.87 ,"$1,338.22 ",$861.81 ,$328.01 ,$936.75 ,$60.87 ,$346.96 ,$62.70 ,$277.56 ,"$1,271.31 ", N/A ,"$1,070.58 ","$1,217.78 ",$60.87 ,"$1,257.93 ","$1,271.31 ","$1,204.40 ","$1,137.49 ",$60.87 ,$60.87 ,$60.87 ,$976.90 ,$328.01 ,"$1,191.02 ","$1,204.40 ","$1,204.40 ","$1,070.58 ",$337.85 ,$736.02 ,"$1,204.40 ",$328.01 ,"$1,204.40 ",$328.01 ,"$1,271.31 ",$738.03 ,"$1,231.16 ",$64.52 ,"$1,217.78 ",$328.01 ,$823.54 ,$861.81 ,$823.54 ,"$1,204.40 ",$675.60 ,"$1,003.67 ","$1,021.69 ",$331.29 ,$63.91 ,"$1,251.24 ",$344.41 ,$60.87 ,"$1,164.25 ",$328.01 ,"$1,204.40 ",$328.01 ,"$1,204.40 ","$1,204.40 ","$1,204.40 ","$1,298.07 ","$1,083.96 ","$1,204.40 ","$1,204.40 ","$1,204.40 ","$1,204.40 " ST. JOSEPH'S - CHIPPEWA FALLS,33300029,77331,HC DOSIMETRY CALCULATION SPECIAL,333,1 ,$605.29 ,$453.97 ,$25.69 ,$605.29 ,$389.81 ,$122.87 ,$423.70 ,$39.10 ,$32.11 ,$40.27 ,$25.69 ,$575.03 , N/A ,$484.23 ,$550.81 ,$39.10 ,$568.97 ,$575.03 ,$544.76 ,$514.50 ,$39.10 ,$39.10 ,$39.10 ,$441.86 ,$122.87 ,$538.71 ,$544.76 ,$544.76 ,$484.23 ,$126.56 ,$332.91 ,$544.76 ,$122.87 ,$544.76 ,$122.87 ,$575.03 ,$276.47 ,$556.87 ,$41.45 ,$550.81 ,$122.87 ,$372.50 ,$389.81 ,$372.50 ,$544.76 ,$94.85 ,$453.97 ,$93.96 ,$124.10 ,$41.06 ,$565.95 ,$129.01 ,$39.10 ,$526.60 ,$122.87 ,$544.76 ,$122.87 ,$544.76 ,$544.76 ,$544.76 ,$587.13 ,$490.28 ,$544.76 ,$544.76 ,$544.76 ,$544.76 ST. JOSEPH'S - CHIPPEWA FALLS,33300030,77332,HC TREATMENT DEVICE SIMPLE,333,1 ,$387.46 ,$290.60 ,$39.10 ,$387.46 ,$249.52 ,$122.87 ,$271.22 ,$39.10 ,$74.13 ,$40.27 ,$59.30 ,$368.09 , N/A ,$309.97 ,$352.59 ,$39.10 ,$364.21 ,$368.09 ,$348.71 ,$329.34 ,$39.10 ,$39.10 ,$39.10 ,$282.85 ,$122.87 ,$344.84 ,$348.71 ,$348.71 ,$309.97 ,$126.56 ,$213.10 ,$348.71 ,$122.87 ,$348.71 ,$122.87 ,$368.09 ,$276.47 ,$356.46 ,$41.45 ,$352.59 ,$122.87 ,$238.44 ,$249.52 ,$238.44 ,$348.71 ,$224.35 ,$290.60 ,$171.71 ,$124.10 ,$41.06 ,$362.28 ,$129.01 ,$39.10 ,$337.09 ,$122.87 ,$348.71 ,$122.87 ,$348.71 ,$348.71 ,$348.71 ,$375.84 ,$313.84 ,$348.71 ,$348.71 ,$348.71 ,$348.71 ST. JOSEPH'S - CHIPPEWA FALLS,33300031,77333,HC TREATMENT DEVICE INTERM,333,1 ,$398.71 ,$299.03 ,$39.10 ,$398.71 ,$256.77 ,$122.87 ,$279.10 ,$39.10 ,$98.16 ,$40.27 ,$78.53 ,$378.77 , N/A ,$318.97 ,$362.83 ,$39.10 ,$374.79 ,$378.77 ,$358.84 ,$338.90 ,$39.10 ,$39.10 ,$39.10 ,$291.06 ,$122.87 ,$354.85 ,$358.84 ,$358.84 ,$318.97 ,$126.56 ,$219.29 ,$358.84 ,$122.87 ,$358.84 ,$122.87 ,$378.77 ,$276.47 ,$366.81 ,$41.45 ,$362.83 ,$122.87 ,$245.37 ,$256.77 ,$245.37 ,$358.84 ,$313.61 ,$299.03 ,$289.25 ,$124.10 ,$41.06 ,$372.79 ,$129.01 ,$39.10 ,$346.88 ,$122.87 ,$358.84 ,$122.87 ,$358.84 ,$358.84 ,$358.84 ,$386.75 ,$322.96 ,$358.84 ,$358.84 ,$358.84 ,$358.84 ST. JOSEPH'S - CHIPPEWA FALLS,33300032,77334,HC TREATMENT DEVICE COMPLEX,333,1 ,"$1,269.81 ",$952.36 ,$60.87 ,"$1,269.81 ",$817.76 ,$328.01 ,$888.87 ,$60.87 ,$120.98 ,$62.70 ,$96.78 ,"$1,206.32 ", N/A ,"$1,015.85 ","$1,155.53 ",$60.87 ,"$1,193.62 ","$1,206.32 ","$1,142.83 ","$1,079.34 ",$60.87 ,$60.87 ,$60.87 ,$926.96 ,$328.01 ,"$1,130.13 ","$1,142.83 ","$1,142.83 ","$1,015.85 ",$337.85 ,$698.40 ,"$1,142.83 ",$328.01 ,"$1,142.83 ",$328.01 ,"$1,206.32 ",$738.03 ,"$1,168.23 ",$64.52 ,"$1,155.53 ",$328.01 ,$781.44 ,$817.76 ,$781.44 ,"$1,142.83 ",$543.69 ,$952.36 ,$341.07 ,$331.29 ,$63.91 ,"$1,187.27 ",$344.41 ,$60.87 ,"$1,104.73 ",$328.01 ,"$1,142.83 ",$328.01 ,"$1,142.83 ","$1,142.83 ","$1,142.83 ","$1,231.72 ","$1,028.55 ","$1,142.83 ","$1,142.83 ","$1,142.83 ","$1,142.83 " ST. JOSEPH'S - CHIPPEWA FALLS,33300033,77336,HC MEDICAL PHYSICS CONTINUING,333,1 ,$821.39 ,$616.04 ,$39.10 ,$821.39 ,$528.98 ,$122.87 ,$574.97 ,$39.10 ,$132.90 ,$40.27 ,$106.32 ,$780.32 , N/A ,$657.11 ,$747.46 ,$39.10 ,$772.11 ,$780.32 ,$739.25 ,$698.18 ,$39.10 ,$39.10 ,$39.10 ,$599.61 ,$122.87 ,$731.04 ,$739.25 ,$739.25 ,$657.11 ,$126.56 ,$451.76 ,$739.25 ,$122.87 ,$739.25 ,$122.87 ,$780.32 ,$276.47 ,$755.68 ,$41.45 ,$747.46 ,$122.87 ,$505.48 ,$528.98 ,$505.48 ,$739.25 ,$208.67 ,$616.04 ,$389.77 ,$124.10 ,$41.06 ,$768.00 ,$129.01 ,$39.10 ,$714.61 ,$122.87 ,$739.25 ,$122.87 ,$739.25 ,$739.25 ,$739.25 ,$796.75 ,$665.33 ,$739.25 ,$739.25 ,$739.25 ,$739.25 ST. JOSEPH'S - CHIPPEWA FALLS,33300034,77338,HC MLC DEVICE FOR IMRT,333,1 ,"$3,152.08 ","$2,364.06 ",$60.87 ,"$3,152.08 ","$2,029.94 ",$328.01 ,"$2,206.46 ",$60.87 ,$485.07 ,$62.70 ,$388.05 ,"$2,994.48 ", N/A ,"$2,521.66 ","$2,868.39 ",$60.87 ,"$2,962.96 ","$2,994.48 ","$2,836.87 ","$2,679.27 ",$60.87 ,$60.87 ,$60.87 ,"$2,301.02 ",$328.01 ,"$2,805.35 ","$2,836.87 ","$2,836.87 ","$2,521.66 ",$337.85 ,"$1,733.64 ","$2,836.87 ",$328.01 ,"$2,836.87 ",$328.01 ,"$2,994.48 ",$738.03 ,"$2,899.91 ",$64.52 ,"$2,868.39 ",$328.01 ,"$1,939.79 ","$2,029.94 ","$1,939.79 ","$2,836.87 ",$478.47 ,"$2,364.06 ","$1,427.82 ",$331.29 ,$63.91 ,"$2,947.19 ",$344.41 ,$60.87 ,"$2,742.31 ",$328.01 ,"$2,836.87 ",$328.01 ,"$2,836.87 ","$2,836.87 ","$2,836.87 ","$3,057.52 ","$2,553.18 ","$2,836.87 ","$2,836.87 ","$2,836.87 ","$2,836.87 " ST. JOSEPH'S - CHIPPEWA FALLS,33300036,77370,HC SPECIAL MED PHYSICS CONSULT,333,1 ,$760.29 ,$570.22 ,$39.10 ,$760.29 ,$489.63 ,$122.87 ,$532.20 ,$39.10 ,$203.98 ,$40.27 ,$163.18 ,$722.28 , N/A ,$608.23 ,$691.86 ,$39.10 ,$714.67 ,$722.28 ,$684.26 ,$646.25 ,$39.10 ,$39.10 ,$39.10 ,$555.01 ,$122.87 ,$676.66 ,$684.26 ,$684.26 ,$608.23 ,$126.56 ,$418.16 ,$684.26 ,$122.87 ,$684.26 ,$122.87 ,$722.28 ,$276.47 ,$699.47 ,$41.45 ,$691.86 ,$122.87 ,$467.88 ,$489.63 ,$467.88 ,$684.26 ,$417.26 ,$570.22 ,$598.56 ,$124.10 ,$41.06 ,$710.87 ,$129.01 ,$39.10 ,$661.45 ,$122.87 ,$684.26 ,$122.87 ,$684.26 ,$684.26 ,$684.26 ,$737.48 ,$615.83 ,$684.26 ,$684.26 ,$684.26 ,$684.26 ST. JOSEPH'S - CHIPPEWA FALLS,33300037,77402,HC RAD THRPY SIMPLE >1MEV,333,1 ,$454.79 ,$341.09 ,$58.54 ,$454.79 ,$292.88 ,$116.74 ,$318.35 ,$58.54 ,$244.65 ,$60.30 ,$195.72 ,$432.05 , N/A ,$363.83 ,$413.86 ,$58.54 ,$427.50 ,$432.05 ,$409.31 ,$386.57 ,$58.54 ,$58.54 ,$58.54 ,$332.00 ,$116.74 ,$404.76 ,$409.31 ,$409.31 ,$363.83 ,$120.25 ,$250.13 ,$409.31 ,$116.74 ,$409.31 ,$116.74 ,$432.05 ,$262.67 ,$418.41 ,$62.05 ,$413.86 ,$116.74 ,$279.88 ,$292.88 ,$279.88 ,$409.31 ,$285.49 ,$341.09 ,$318.35 ,$117.91 ,$61.47 ,$425.23 ,$122.58 ,$58.54 ,$395.67 ,$116.74 ,$409.31 ,$116.74 ,$409.31 ,$409.31 ,$409.31 ,$441.15 ,$368.38 ,$409.31 ,$409.31 ,$409.31 ,$409.31 ST. JOSEPH'S - CHIPPEWA FALLS,33300041,77407,HC RAD THRPY INTERMEDIATE,333,1 ,$491.86 ,$368.90 ,$58.54 ,$526.65 ,$316.76 ,$234.07 ,$344.30 ,$58.54 ,$336.53 ,$60.30 ,$269.22 ,$467.27 , N/A ,$393.49 ,$447.59 ,$58.54 ,$462.35 ,$467.27 ,$442.67 ,$418.08 ,$58.54 ,$58.54 ,$58.54 ,$359.06 ,$234.07 ,$437.76 ,$442.67 ,$442.67 ,$393.49 ,$241.09 ,$270.52 ,$442.67 ,$234.07 ,$442.67 ,$234.07 ,$467.27 ,$526.65 ,$452.51 ,$62.05 ,$447.59 ,$234.07 ,$302.69 ,$316.76 ,$302.69 ,$442.67 ,$465.59 ,$368.90 ,$344.30 ,$236.41 ,$61.47 ,$459.89 ,$245.77 ,$58.54 ,$427.92 ,$234.07 ,$442.67 ,$234.07 ,$442.67 ,$442.67 ,$442.67 ,$477.10 ,$398.41 ,$442.67 ,$442.67 ,$442.67 ,$442.67 ST. JOSEPH'S - CHIPPEWA FALLS,33300045,77412,HC RAD THRPY COMPLEX,333,1 ,"$1,005.49 ",$754.12 ,$58.54 ,"$1,005.49 ",$647.54 ,$234.07 ,$703.84 ,$58.54 ,$458.41 ,$60.30 ,$366.73 ,$955.22 , N/A ,$804.39 ,$915.00 ,$58.54 ,$945.16 ,$955.22 ,$904.94 ,$854.67 ,$58.54 ,$58.54 ,$58.54 ,$734.01 ,$234.07 ,$894.89 ,$904.94 ,$904.94 ,$804.39 ,$241.09 ,$553.02 ,$904.94 ,$234.07 ,$904.94 ,$234.07 ,$955.22 ,$526.65 ,$925.05 ,$62.05 ,$915.00 ,$234.07 ,$618.78 ,$647.54 ,$618.78 ,$904.94 ,$523.79 ,$754.12 ,$904.94 ,$236.41 ,$61.47 ,$940.13 ,$245.77 ,$58.54 ,$874.78 ,$234.07 ,$904.94 ,$234.07 ,$904.94 ,$904.94 ,$904.94 ,$975.33 ,$814.45 ,$904.94 ,$904.94 ,$904.94 ,$904.94 ST. JOSEPH'S - CHIPPEWA FALLS,33300051,77386,HC IMRT TREATMENT COMPLEX,333,1 ,"$2,390.86 ","$1,793.15 ",$153.16 ,"$2,390.86 ","$1,539.71 ",$525.46 ,"$1,673.60 ",$153.16 ,$584.15 ,$157.75 ,$467.32 ,"$2,271.32 ", N/A ,"$1,912.69 ","$2,175.68 ",$153.16 ,"$2,247.41 ","$2,271.32 ","$2,151.77 ","$2,032.23 ",$153.16 ,$153.16 ,$153.16 ,"$1,745.33 ",$525.46 ,"$2,127.87 ","$2,151.77 ","$2,151.77 ","$1,912.69 ",$541.22 ,"$1,314.97 ","$2,151.77 ",$525.46 ,"$2,151.77 ",$525.46 ,"$2,271.32 ","$1,182.28 ","$2,199.59 ",$162.35 ,"$2,175.68 ",$525.46 ,"$1,471.34 ","$1,539.71 ","$1,471.34 ","$2,151.77 ",$765.96 ,"$1,793.15 ","$1,673.60 ",$530.71 ,$160.82 ,"$2,235.45 ",$551.73 ,$153.16 ,"$2,080.05 ",$525.46 ,"$2,151.77 ",$525.46 ,"$2,151.77 ","$2,151.77 ","$2,151.77 ","$2,319.13 ","$1,936.60 ","$2,151.77 ","$2,151.77 ","$2,151.77 ","$2,151.77 " ST. JOSEPH'S - CHIPPEWA FALLS,33300052,77417,HC PORT FILMS,333,1 ,$261.91 ,$196.43 ,$14.64 ,$261.91 ,$168.67 , N/A ,$183.34 ,$17.72 ,$18.31 ,$18.25 ,$14.64 ,$248.81 , N/A ,$209.53 ,$238.34 ,$17.72 ,$246.20 ,$248.81 ,$235.72 ,$222.62 ,$17.72 ,$17.72 ,$17.72 ,$191.19 , N/A ,$233.10 ,$235.72 ,$235.72 ,$209.53 , N/A ,$144.05 ,$235.72 , N/A ,$235.72 , N/A ,$248.81 , N/A ,$240.96 ,$18.78 ,$238.34 , N/A ,$161.18 ,$168.67 ,$161.18 ,$235.72 ,$118.58 ,$196.43 ,$54.18 , N/A ,$18.61 ,$244.89 , N/A ,$17.72 ,$227.86 , N/A ,$235.72 , N/A ,$235.72 ,$235.72 ,$235.72 ,$254.05 ,$212.15 ,$235.72 ,$235.72 ,$235.72 ,$235.72 ST. JOSEPH'S - CHIPPEWA FALLS,33300054,77385,HC IMRT TREATMENT SIMPLE,333,1 ,"$2,390.86 ","$1,793.15 ",$153.16 ,"$2,390.86 ","$1,539.71 ",$525.46 ,"$1,673.60 ",$153.16 ,$583.29 ,$157.75 ,$466.63 ,"$2,271.32 ", N/A ,"$1,912.69 ","$2,175.68 ",$153.16 ,"$2,247.41 ","$2,271.32 ","$2,151.77 ","$2,032.23 ",$153.16 ,$153.16 ,$153.16 ,"$1,745.33 ",$525.46 ,"$2,127.87 ","$2,151.77 ","$2,151.77 ","$1,912.69 ",$541.22 ,"$1,314.97 ","$2,151.77 ",$525.46 ,"$2,151.77 ",$525.46 ,"$2,271.32 ","$1,182.28 ","$2,199.59 ",$162.35 ,"$2,175.68 ",$525.46 ,"$1,471.34 ","$1,539.71 ","$1,471.34 ","$2,151.77 ",$763.90 ,"$1,793.15 ","$2,151.77 ",$530.71 ,$160.82 ,"$2,235.45 ",$551.73 ,$153.16 ,"$2,080.05 ",$525.46 ,"$2,151.77 ",$525.46 ,"$2,151.77 ","$2,151.77 ","$2,151.77 ","$2,319.13 ","$1,936.60 ","$2,151.77 ","$2,151.77 ","$2,151.77 ","$2,151.77 " ST. JOSEPH'S - CHIPPEWA FALLS,33300055,77387,HC STEREOSCOPIC X RAY GUIDANCE,333,1 ,$228.07 ,$171.05 ,$39.10 ,$228.07 ,$146.88 , N/A ,$159.65 ,$39.10 ,$109.69 ,$40.27 ,$87.75 ,$216.67 , N/A ,$182.46 ,$207.54 ,$39.10 ,$214.39 ,$216.67 ,$205.26 ,$193.86 ,$39.10 ,$39.10 ,$39.10 ,$166.49 , N/A ,$202.98 ,$205.26 ,$205.26 ,$182.46 , N/A ,$125.44 ,$205.26 , N/A ,$205.26 , N/A ,$216.67 , N/A ,$209.82 ,$41.45 ,$207.54 , N/A ,$140.35 ,$146.88 ,$140.35 ,$205.26 ,$121.16 ,$171.05 ,$159.65 , N/A ,$41.06 ,$213.25 , N/A ,$39.10 ,$198.42 , N/A ,$205.26 , N/A ,$205.26 ,$205.26 ,$205.26 ,$221.23 ,$184.74 ,$205.26 ,$205.26 ,$205.26 ,$205.26 ST. JOSEPH'S - CHIPPEWA FALLS,33300057,77470,HC SPECIAL TREATMENT PROCEDURE,333,1 ,"$2,084.82 ","$1,563.62 ",$52.58 ,"$2,084.82 ","$1,342.62 ",$525.46 ,"$1,459.37 ",$153.16 ,$65.73 ,$157.75 ,$52.58 ,"$1,980.58 ", N/A ,"$1,667.86 ","$1,897.19 ",$153.16 ,"$1,959.73 ","$1,980.58 ","$1,876.34 ","$1,772.10 ",$153.16 ,$153.16 ,$153.16 ,"$1,521.92 ",$525.46 ,"$1,855.49 ","$1,876.34 ","$1,876.34 ","$1,667.86 ",$541.22 ,"$1,146.65 ","$1,876.34 ",$525.46 ,"$1,876.34 ",$525.46 ,"$1,980.58 ","$1,182.28 ","$1,918.03 ",$162.35 ,"$1,897.19 ",$525.46 ,"$1,283.00 ","$1,342.62 ","$1,283.00 ","$1,876.34 ","$1,280.20 ","$1,563.62 ",$152.70 ,$530.71 ,$160.82 ,"$1,949.31 ",$551.73 ,$153.16 ,"$1,813.79 ",$525.46 ,"$1,876.34 ",$525.46 ,"$1,876.34 ","$1,876.34 ","$1,876.34 ","$2,022.28 ","$1,688.70 ","$1,876.34 ","$1,876.34 ","$1,876.34 ","$1,876.34 " ST. JOSEPH'S - CHIPPEWA FALLS,33300065,77778,HC INTERSTITIAL APPL-COMPLE,333,1 ,"$3,633.44 ","$2,725.08 ",$473.35 ,"$3,633.44 ","$2,339.94 ",$686.14 ,"$2,543.41 ",$473.35 ,$624.00 ,$487.55 ,$499.20 ,"$3,451.77 ", N/A ,"$2,906.75 ","$3,306.43 ",$473.35 ,"$3,415.43 ","$3,451.77 ","$3,270.10 ","$3,088.42 ",$473.35 ,$473.35 ,$473.35 ,"$2,652.41 ",$686.14 ,"$3,233.76 ","$3,270.10 ","$3,270.10 ","$2,906.75 ",$706.73 ,"$1,998.39 ","$3,270.10 ",$686.14 ,"$3,270.10 ",$686.14 ,"$3,451.77 ","$1,543.82 ","$3,342.76 ",$501.75 ,"$3,306.43 ",$686.14 ,"$2,236.02 ","$2,339.94 ","$2,236.02 ","$3,270.10 ",$570.36 ,"$2,725.08 ","$1,832.54 ",$693.00 ,$497.02 ,"$3,397.27 ",$720.45 ,$473.35 ,"$3,161.09 ",$686.14 ,"$3,270.10 ",$686.14 ,"$3,270.10 ","$3,270.10 ","$3,270.10 ","$3,524.44 ","$2,943.09 ","$3,270.10 ","$3,270.10 ","$3,270.10 ","$3,270.10 " ST. JOSEPH'S - CHIPPEWA FALLS,33300070,C9728,HC PLCMNT FIDUCIAL MARKERS OTHER,333,1 ,"$1,023.94 ",$767.96 ,$347.06 ,"$2,750.45 ",$659.42 ,"$1,222.42 ",$716.76 ,$347.06 ,$849.87 ,$357.47 ,$675.80 ,$972.74 , N/A ,$819.15 ,$931.79 ,$347.06 ,$962.50 ,$972.74 ,$921.55 ,$870.35 ,$347.06 ,$347.06 ,$347.06 ,$747.48 ,"$1,222.42 ",$911.31 ,$921.55 ,$921.55 ,$819.15 ,"$1,259.09 ",$563.17 ,$921.55 ,"$1,222.42 ",$921.55 ,"$1,222.42 ",$972.74 ,"$2,750.45 ",$942.02 ,$367.88 ,$931.79 ,"$1,222.42 ",$630.13 ,$659.42 ,$630.13 ,$921.55 ,$921.55 ,$767.96 ,$716.76 ,"$1,234.65 ",$364.41 ,$957.38 ,"$1,283.54 ",$347.06 ,$890.83 ,"$1,222.42 ",$921.55 ,"$1,222.42 ",$921.55 ,$921.55 ,$921.55 ,$993.22 ,$829.39 ,$921.55 ,$921.55 ,$921.55 ,$921.55 ST. JOSEPH'S - CHIPPEWA FALLS,33300071,77372,HC SRS TREATMENT,333,1 ,"$13,749.52 ","$10,312.14 ","$1,458.60 ","$16,937.82 ","$8,854.69 ","$7,527.92 ","$9,624.66 ","$1,496.39 ","$1,823.26 ","$1,541.28 ","$1,458.60 ","$13,062.04 ", N/A ,"$10,999.62 ","$12,512.06 ","$1,496.39 ","$12,924.55 ","$13,062.04 ","$12,374.57 ","$11,687.09 ","$1,496.39 ","$1,496.39 ","$1,496.39 ","$10,037.15 ","$7,527.92 ","$12,237.07 ","$12,374.57 ","$12,374.57 ","$10,999.62 ","$7,753.76 ","$7,562.24 ","$12,374.57 ","$7,527.92 ","$12,374.57 ","$7,527.92 ","$13,062.04 ","$16,937.82 ","$12,649.56 ","$1,586.17 ","$12,512.06 ","$7,527.92 ","$8,461.45 ","$8,854.69 ","$8,461.45 ","$12,374.57 ","$1,688.81 ","$10,312.14 ","$5,352.00 ","$7,603.20 ","$1,571.21 ","$12,855.80 ","$7,904.32 ","$1,496.39 ","$11,962.08 ","$7,527.92 ","$12,374.57 ","$7,527.92 ","$12,374.57 ","$12,374.57 ","$12,374.57 ","$13,337.03 ","$11,137.11 ","$12,374.57 ","$12,374.57 ","$12,374.57 ","$12,374.57 " ST. JOSEPH'S - CHIPPEWA FALLS,33300072,77373,HC SRT TREATMENT,333,1 ,"$5,611.47 ","$4,208.60 ",$473.35 ,"$5,611.47 ","$3,613.79 ","$1,679.13 ","$3,928.03 ",$473.35 ,"$2,314.34 ",$487.55 ,"$1,851.47 ","$5,330.90 ", N/A ,"$4,489.18 ","$5,106.44 ",$473.35 ,"$5,274.78 ","$5,330.90 ","$5,050.32 ","$4,769.75 ",$473.35 ,$473.35 ,$473.35 ,"$4,096.37 ","$1,679.13 ","$4,994.21 ","$5,050.32 ","$5,050.32 ","$4,489.18 ","$1,729.50 ","$3,086.31 ","$5,050.32 ","$1,679.13 ","$5,050.32 ","$1,679.13 ","$5,330.90 ","$3,778.04 ","$5,162.55 ",$501.75 ,"$5,106.44 ","$1,679.13 ","$3,453.30 ","$3,613.79 ","$3,453.30 ","$5,050.32 ","$3,149.14 ","$4,208.60 ","$5,050.32 ","$1,695.92 ",$497.02 ,"$5,246.72 ","$1,763.09 ",$473.35 ,"$4,881.98 ","$1,679.13 ","$5,050.32 ","$1,679.13 ","$5,050.32 ","$5,050.32 ","$5,050.32 ","$5,443.13 ","$4,545.29 ","$5,050.32 ","$5,050.32 ","$5,050.32 ","$5,050.32 " ST. JOSEPH'S - CHIPPEWA FALLS,33300084,77293,HC RESPIRATORY MOTION MGMT SIM,333,1 ,$443.23 ,$332.42 ,$39.10 ,$443.23 ,$285.44 , N/A ,$310.26 ,$39.10 ,$443.23 ,$40.27 ,$443.23 ,$421.07 , N/A ,$354.58 ,$403.34 ,$39.10 ,$416.64 ,$421.07 ,$398.91 ,$376.75 ,$39.10 ,$39.10 ,$39.10 ,$323.56 , N/A ,$394.47 ,$398.91 ,$398.91 ,$354.58 , N/A ,$243.78 ,$398.91 , N/A ,$398.91 , N/A ,$421.07 , N/A ,$407.77 ,$41.45 ,$403.34 , N/A ,$272.76 ,$285.44 ,$272.76 ,$398.91 ,$443.23 ,$332.42 ,$398.91 , N/A ,$41.06 ,$414.42 , N/A ,$39.10 ,$385.61 , N/A ,$398.91 , N/A ,$398.91 ,$398.91 ,$398.91 ,$429.93 ,$359.02 ,$398.91 ,$398.91 ,$398.91 ,$398.91 ST. JOSEPH'S - CHIPPEWA FALLS,33300085,C2638,HC IODINE 125 PER SOURCE STRANDED,333,1 ,$64.96 ,$48.72 ,$35.73 ,$882.47 ,$41.83 ,$37.40 ,$45.47 ,$64.96 ,$53.92 ,$857.50 ,$42.87 ,$61.71 , N/A ,$51.97 ,$59.11 ,$64.96 ,$61.06 ,$61.71 ,$58.46 ,$55.22 ,$832.52 ,$832.52 ,$832.52 ,$47.42 ,$37.40 ,$57.81 ,$58.46 ,$58.46 ,$51.97 ,$38.52 ,$35.73 ,$58.46 ,$37.40 ,$58.46 ,$37.40 ,$61.71 ,$84.15 ,$59.76 ,$882.47 ,$59.11 ,$37.40 ,$39.98 ,$41.83 ,$39.98 ,$58.46 ,$58.46 ,$48.72 ,$45.47 ,$37.77 ,$874.15 ,$60.74 ,$39.27 ,$64.96 ,$56.52 ,$37.40 ,$58.46 ,$37.40 ,$58.46 ,$58.46 ,$58.46 ,$63.01 ,$52.62 ,$58.46 ,$58.46 ,$58.46 ,$58.46 ST. JOSEPH'S - CHIPPEWA FALLS,33301005,77280,HC SIMULATION SMP,333,1 ,"$1,097.54 ",$823.16 ,$39.10 ,"$1,097.54 ",$706.82 ,$122.87 ,$768.28 ,$39.10 ,$404.37 ,$40.27 ,$323.50 ,"$1,042.66 ", N/A ,$878.03 ,$998.76 ,$39.10 ,"$1,031.69 ","$1,042.66 ",$987.79 ,$932.91 ,$39.10 ,$39.10 ,$39.10 ,$801.20 ,$122.87 ,$976.81 ,$987.79 ,$987.79 ,$878.03 ,$126.56 ,$603.65 ,$987.79 ,$122.87 ,$987.79 ,$122.87 ,"$1,042.66 ",$276.47 ,"$1,009.74 ",$41.45 ,$998.76 ,$122.87 ,$675.43 ,$706.82 ,$675.43 ,$987.79 ,$434.53 ,$823.16 ,$987.79 ,$124.10 ,$41.06 ,"$1,026.20 ",$129.01 ,$39.10 ,$954.86 ,$122.87 ,$987.79 ,$122.87 ,$987.79 ,$987.79 ,$987.79 ,"$1,064.61 ",$889.01 ,$987.79 ,$987.79 ,$987.79 ,$987.79 ST. JOSEPH'S - CHIPPEWA FALLS,33301006,77401,HC RAD THERAPY SUPER/ORTHOVOLT PER DAY,333,1 ,$346.55 ,$259.91 ,$33.38 ,$346.55 ,$223.18 ,$116.74 ,$242.59 ,$58.54 ,$41.72 ,$60.30 ,$33.38 ,$329.22 , N/A ,$277.24 ,$315.36 ,$58.54 ,$325.76 ,$329.22 ,$311.90 ,$294.57 ,$58.54 ,$58.54 ,$58.54 ,$252.98 ,$116.74 ,$308.43 ,$311.90 ,$311.90 ,$277.24 ,$120.25 ,$190.60 ,$311.90 ,$116.74 ,$311.90 ,$116.74 ,$329.22 ,$262.67 ,$318.83 ,$62.05 ,$315.36 ,$116.74 ,$213.27 ,$223.18 ,$213.27 ,$311.90 ,$285.49 ,$259.91 ,$121.60 ,$117.91 ,$61.47 ,$324.02 ,$122.58 ,$58.54 ,$301.50 ,$116.74 ,$311.90 ,$116.74 ,$311.90 ,$311.90 ,$311.90 ,$336.15 ,$280.71 ,$311.90 ,$311.90 ,$311.90 ,$311.90 ST. JOSEPH'S - CHIPPEWA FALLS,33301007,77790,HC RADIOELEMENT HANDLING/LOADING,333,1 ,$490.13 ,$367.60 ,$19.92 ,$490.13 ,$315.64 , N/A ,$343.09 ,$39.10 ,$24.90 ,$40.27 ,$19.92 ,$465.62 , N/A ,$392.10 ,$446.02 ,$39.10 ,$460.72 ,$465.62 ,$441.12 ,$416.61 ,$39.10 ,$39.10 ,$39.10 ,$357.79 , N/A ,$436.22 ,$441.12 ,$441.12 ,$392.10 , N/A ,$269.57 ,$441.12 , N/A ,$441.12 , N/A ,$465.62 , N/A ,$450.92 ,$41.45 ,$446.02 , N/A ,$301.63 ,$315.64 ,$301.63 ,$441.12 ,$57.88 ,$367.60 ,$73.19 , N/A ,$41.06 ,$458.27 , N/A ,$39.10 ,$426.41 , N/A ,$441.12 , N/A ,$441.12 ,$441.12 ,$441.12 ,$475.43 ,$397.01 ,$441.12 ,$441.12 ,$441.12 ,$441.12 ST. JOSEPH'S - CHIPPEWA FALLS,33500002,96401,HC CHEMO SQ/IM NON ANTI-NEOPLAST,335,1 ,$267.35 ,$200.51 ,$14.00 ,$267.35 ,$172.17 ,$60.02 ,$187.15 ,$14.00 ,$221.90 ,$14.42 ,$176.45 ,$253.98 , N/A ,$213.88 ,$243.29 ,$14.00 ,$251.31 ,$253.98 ,$240.62 ,$227.25 ,$14.00 ,$14.00 ,$14.00 ,$195.17 ,$60.02 ,$237.94 ,$240.62 ,$240.62 ,$213.88 ,$61.82 ,$147.04 ,$240.62 ,$60.02 ,$240.62 ,$60.02 ,$253.98 ,$135.04 ,$245.96 ,$14.84 ,$243.29 ,$60.02 ,$164.53 ,$172.17 ,$164.53 ,$240.62 ,$240.62 ,$200.51 ,$187.15 ,$60.62 ,$14.70 ,$249.97 ,$63.02 ,$14.00 ,$232.59 ,$60.02 ,$240.62 ,$60.02 ,$240.62 ,$240.62 ,$240.62 ,$259.33 ,$216.55 ,$240.62 ,$240.62 ,$240.62 ,$240.62 ST. JOSEPH'S - CHIPPEWA FALLS,33500003,96409,HC CHEMO IV PUSH SINGLE/INIT,335,1 ,$352.26 ,$264.20 ,$14.00 ,$443.45 ,$226.86 ,$197.09 ,$246.58 ,$14.00 ,$292.38 ,$14.42 ,$232.49 ,$334.65 , N/A ,$281.81 ,$320.56 ,$14.00 ,$331.12 ,$334.65 ,$317.03 ,$299.42 ,$14.00 ,$14.00 ,$14.00 ,$257.15 ,$197.09 ,$313.51 ,$317.03 ,$317.03 ,$281.81 ,$203.00 ,$193.74 ,$317.03 ,$197.09 ,$317.03 ,$197.09 ,$334.65 ,$443.45 ,$324.08 ,$14.84 ,$320.56 ,$197.09 ,$216.78 ,$226.86 ,$216.78 ,$317.03 ,$317.03 ,$264.20 ,$246.58 ,$199.06 ,$14.70 ,$329.36 ,$206.94 ,$14.00 ,$306.47 ,$197.09 ,$317.03 ,$197.09 ,$317.03 ,$317.03 ,$317.03 ,$341.69 ,$285.33 ,$317.03 ,$317.03 ,$317.03 ,$317.03 ST. JOSEPH'S - CHIPPEWA FALLS,33500004,96411,HC CHEMO IV PUSH ADDL DRUG,335,1 ,$201.78 ,$151.34 ,$14.00 ,$201.78 ,$129.95 ,$60.02 ,$141.25 ,$14.00 ,$167.48 ,$14.42 ,$133.17 ,$191.69 , N/A ,$161.42 ,$183.62 ,$14.00 ,$189.67 ,$191.69 ,$181.60 ,$171.51 ,$14.00 ,$14.00 ,$14.00 ,$147.30 ,$60.02 ,$179.58 ,$181.60 ,$181.60 ,$161.42 ,$61.82 ,$110.98 ,$181.60 ,$60.02 ,$181.60 ,$60.02 ,$191.69 ,$135.04 ,$185.64 ,$14.84 ,$183.62 ,$60.02 ,$124.18 ,$129.95 ,$124.18 ,$181.60 ,$181.60 ,$151.34 ,$141.25 ,$60.62 ,$14.70 ,$188.66 ,$63.02 ,$14.00 ,$175.55 ,$60.02 ,$181.60 ,$60.02 ,$181.60 ,$181.60 ,$181.60 ,$195.73 ,$163.44 ,$181.60 ,$181.60 ,$181.60 ,$181.60 ST. JOSEPH'S - CHIPPEWA FALLS,33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$675.02 ,$506.27 ,$100.19 ,$677.16 ,$434.71 ,$300.96 ,$472.51 ,$100.19 ,$560.27 ,$103.20 ,$445.51 ,$641.27 , N/A ,$540.02 ,$614.27 ,$100.19 ,$634.52 ,$641.27 ,$607.52 ,$573.77 ,$100.19 ,$100.19 ,$100.19 ,$492.76 ,$300.96 ,$600.77 ,$607.52 ,$607.52 ,$540.02 ,$309.99 ,$371.26 ,$607.52 ,$300.96 ,$607.52 ,$300.96 ,$641.27 ,$677.16 ,$621.02 ,$106.20 ,$614.27 ,$300.96 ,$415.41 ,$434.71 ,$415.41 ,$607.52 ,$607.52 ,$506.27 ,$472.51 ,$303.97 ,$105.20 ,$631.14 ,$316.01 ,$100.19 ,$587.27 ,$300.96 ,$607.52 ,$300.96 ,$607.52 ,$607.52 ,$607.52 ,$654.77 ,$546.77 ,$607.52 ,$607.52 ,$607.52 ,$607.52 ST. JOSEPH'S - CHIPPEWA FALLS,33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$232.24 ,$174.18 ,$60.02 ,$232.24 ,$149.56 ,$60.02 ,$162.57 ,$145.88 ,$192.76 ,$150.26 ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$145.88 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$145.88 ,$145.88 ,$145.88 ,$169.54 ,$60.02 ,$206.69 ,$209.02 ,$209.02 ,$185.79 ,$61.82 ,$127.73 ,$209.02 ,$60.02 ,$209.02 ,$60.02 ,$220.63 ,$135.04 ,$213.66 ,$154.63 ,$211.34 ,$60.02 ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,$174.18 ,$162.57 ,$60.62 ,$153.17 ,$217.14 ,$63.02 ,$145.88 ,$202.05 ,$60.02 ,$209.02 ,$60.02 ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 ST. JOSEPH'S - CHIPPEWA FALLS,33500007,96416,HC CHEMO ADMIN INTRAV INFUS >8HR,335,1 ,$489.31 ,$366.98 ,$145.88 ,$677.16 ,$315.12 ,$300.96 ,$342.52 ,$145.88 ,$406.13 ,$150.26 ,$322.94 ,$464.84 , N/A ,$391.45 ,$445.27 ,$145.88 ,$459.95 ,$464.84 ,$440.38 ,$415.91 ,$145.88 ,$145.88 ,$145.88 ,$357.20 ,$300.96 ,$435.49 ,$440.38 ,$440.38 ,$391.45 ,$309.99 ,$269.12 ,$440.38 ,$300.96 ,$440.38 ,$300.96 ,$464.84 ,$677.16 ,$450.17 ,$154.63 ,$445.27 ,$300.96 ,$301.12 ,$315.12 ,$301.12 ,$440.38 ,$440.38 ,$366.98 ,$342.52 ,$303.97 ,$153.17 ,$457.50 ,$316.01 ,$145.88 ,$425.70 ,$300.96 ,$440.38 ,$300.96 ,$440.38 ,$440.38 ,$440.38 ,$474.63 ,$396.34 ,$440.38 ,$440.38 ,$440.38 ,$440.38 ST. JOSEPH'S - CHIPPEWA FALLS,33500008,96417,HC CHEMO IV INFUSION EA ADDL <1H,335,1 ,$232.24 ,$174.18 ,$60.02 ,$232.24 ,$149.56 ,$60.02 ,$162.57 ,$100.19 ,$192.76 ,$103.20 ,$153.28 ,$220.63 , N/A ,$185.79 ,$211.34 ,$100.19 ,$218.31 ,$220.63 ,$209.02 ,$197.40 ,$100.19 ,$100.19 ,$100.19 ,$169.54 ,$60.02 ,$206.69 ,$209.02 ,$209.02 ,$185.79 ,$61.82 ,$127.73 ,$209.02 ,$60.02 ,$209.02 ,$60.02 ,$220.63 ,$135.04 ,$213.66 ,$106.20 ,$211.34 ,$60.02 ,$142.92 ,$149.56 ,$142.92 ,$209.02 ,$209.02 ,$174.18 ,$162.57 ,$60.62 ,$105.20 ,$217.14 ,$63.02 ,$100.19 ,$202.05 ,$60.02 ,$209.02 ,$60.02 ,$209.02 ,$209.02 ,$209.02 ,$225.27 ,$188.11 ,$209.02 ,$209.02 ,$209.02 ,$209.02 ST. JOSEPH'S - CHIPPEWA FALLS,33500012,96450,HC CHEMO CNS,335,1 ,$592.64 ,$444.48 ,$145.88 ,$677.16 ,$381.66 ,$300.96 ,$414.85 ,$145.88 ,$491.89 ,$150.26 ,$391.14 ,$563.01 , N/A ,$474.11 ,$539.30 ,$145.88 ,$557.08 ,$563.01 ,$533.38 ,$503.74 ,$145.88 ,$145.88 ,$145.88 ,$432.63 ,$300.96 ,$527.45 ,$533.38 ,$533.38 ,$474.11 ,$309.99 ,$325.95 ,$533.38 ,$300.96 ,$533.38 ,$300.96 ,$563.01 ,$677.16 ,$545.23 ,$154.63 ,$539.30 ,$300.96 ,$364.71 ,$381.66 ,$364.71 ,$533.38 ,$533.38 ,$444.48 ,$414.85 ,$303.97 ,$153.17 ,$554.12 ,$316.01 ,$145.88 ,$515.60 ,$300.96 ,$533.38 ,$300.96 ,$533.38 ,$533.38 ,$533.38 ,$574.86 ,$480.04 ,$533.38 ,$533.38 ,$533.38 ,$533.38 ST. JOSEPH'S - CHIPPEWA FALLS,33500013,96402,HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO,335,1 ,$267.35 ,$200.51 ,$14.00 ,$267.35 ,$172.17 ,$60.02 ,$187.15 ,$14.00 ,$221.90 ,$14.42 ,$176.45 ,$253.98 , N/A ,$213.88 ,$243.29 ,$14.00 ,$251.31 ,$253.98 ,$240.62 ,$227.25 ,$14.00 ,$14.00 ,$14.00 ,$195.17 ,$60.02 ,$237.94 ,$240.62 ,$240.62 ,$213.88 ,$61.82 ,$147.04 ,$240.62 ,$60.02 ,$240.62 ,$60.02 ,$253.98 ,$135.04 ,$245.96 ,$14.84 ,$243.29 ,$60.02 ,$164.53 ,$172.17 ,$164.53 ,$240.62 ,$240.62 ,$200.51 ,$187.15 ,$60.62 ,$14.70 ,$249.97 ,$63.02 ,$14.00 ,$232.59 ,$60.02 ,$240.62 ,$60.02 ,$240.62 ,$240.62 ,$240.62 ,$259.33 ,$216.55 ,$240.62 ,$240.62 ,$240.62 ,$240.62 ST. JOSEPH'S - CHIPPEWA FALLS,33500026,96549,HC CHEMO ADMIN PROLONGED WITH PUMP,335,1 ,$755.00 ,$566.25 ,$38.74 ,$755.00 ,$486.22 ,$38.74 ,$528.50 ,$100.19 ,$626.65 ,$103.20 ,$498.30 ,$717.25 , N/A ,$604.00 ,$687.05 ,$100.19 ,$709.70 ,$717.25 ,$679.50 ,$641.75 ,$100.19 ,$100.19 ,$100.19 ,$551.15 ,$38.74 ,$671.95 ,$679.50 ,$679.50 ,$604.00 ,$39.90 ,$415.25 ,$679.50 ,$38.74 ,$679.50 ,$38.74 ,$717.25 ,$87.17 ,$694.60 ,$106.20 ,$687.05 ,$38.74 ,$464.63 ,$486.22 ,$464.63 ,$679.50 ,$679.50 ,$566.25 ,$528.50 ,$39.13 ,$105.20 ,$705.93 ,$40.68 ,$100.19 ,$656.85 ,$38.74 ,$679.50 ,$38.74 ,$679.50 ,$679.50 ,$679.50 ,$732.35 ,$611.55 ,$679.50 ,$679.50 ,$679.50 ,$679.50 ST. JOSEPH'S - CHIPPEWA FALLS,34000002,78012,HC THYROID UPTAKE SGL/MULT 78012,340,1 ,$643.83 ,$482.87 ,$99.41 ,$821.79 ,$414.63 ,$365.24 ,$450.68 ,$117.70 ,$124.27 ,$121.23 ,$99.41 ,$611.64 , N/A ,$515.06 ,$585.89 ,$117.70 ,$605.20 ,$611.64 ,$579.45 ,$547.26 ,$117.70 ,$117.70 ,$117.70 ,$470.00 ,$365.24 ,$573.01 ,$579.45 ,$579.45 ,$515.06 ,$376.20 ,$354.11 ,$579.45 ,$365.24 ,$579.45 ,$365.24 ,$611.64 ,$821.79 ,$592.32 ,$124.76 ,$585.89 ,$365.24 ,$396.21 ,$414.63 ,$396.21 ,$579.45 ,$148.54 ,$482.87 ,$360.73 ,$368.89 ,$123.59 ,$601.98 ,$383.50 ,$117.70 ,$560.13 ,$365.24 ,$579.45 ,$365.24 ,$579.45 ,$579.45 ,$579.45 ,$624.52 ,$521.50 ,$579.45 ,$579.45 ,$579.45 ,$579.45 ST. JOSEPH'S - CHIPPEWA FALLS,34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$1,227.89 ",$920.92 ,$117.70 ,"$1,227.89 ",$790.76 ,$365.24 ,$859.52 ,$117.70 ,$380.92 ,$121.23 ,$304.74 ,"$1,166.50 ", N/A ,$982.31 ,"$1,117.38 ",$117.70 ,"$1,154.22 ","$1,166.50 ","$1,105.10 ","$1,043.71 ",$117.70 ,$117.70 ,$117.70 ,$896.36 ,$365.24 ,"$1,092.82 ","$1,105.10 ","$1,105.10 ",$982.31 ,$376.20 ,$675.34 ,"$1,105.10 ",$365.24 ,"$1,105.10 ",$365.24 ,"$1,166.50 ",$821.79 ,"$1,129.66 ",$124.76 ,"$1,117.38 ",$365.24 ,$755.64 ,$790.76 ,$755.64 ,"$1,105.10 ",$440.13 ,$920.92 ,"$1,099.29 ",$368.89 ,$123.59 ,"$1,148.08 ",$383.50 ,$117.70 ,"$1,068.26 ",$365.24 ,"$1,105.10 ",$365.24 ,"$1,105.10 ","$1,105.10 ","$1,105.10 ","$1,191.05 ",$994.59 ,"$1,105.10 ","$1,105.10 ","$1,105.10 ","$1,105.10 " ST. JOSEPH'S - CHIPPEWA FALLS,34000006,78013,HC NM THYROID SCAN,340,1 ,$724.31 ,$543.23 ,$117.70 ,$821.79 ,$466.46 ,$365.24 ,$507.02 ,$117.70 ,$303.47 ,$121.23 ,$242.77 ,$688.09 , N/A ,$579.45 ,$659.12 ,$117.70 ,$680.85 ,$688.09 ,$651.88 ,$615.66 ,$117.70 ,$117.70 ,$117.70 ,$528.75 ,$365.24 ,$644.64 ,$651.88 ,$651.88 ,$579.45 ,$376.20 ,$398.37 ,$651.88 ,$365.24 ,$651.88 ,$365.24 ,$688.09 ,$821.79 ,$666.37 ,$124.76 ,$659.12 ,$365.24 ,$445.74 ,$466.46 ,$445.74 ,$651.88 ,$386.74 ,$543.23 ,$651.88 ,$368.89 ,$123.59 ,$677.23 ,$383.50 ,$117.70 ,$630.15 ,$365.24 ,$651.88 ,$365.24 ,$651.88 ,$651.88 ,$651.88 ,$702.58 ,$586.69 ,$651.88 ,$651.88 ,$651.88 ,$651.88 ST. JOSEPH'S - CHIPPEWA FALLS,34000007,78018,HC NM THYROID CA METS WHOLE BODY,340,1 ,"$1,582.62 ","$1,186.97 ",$117.70 ,"$1,582.62 ","$1,019.21 ",$473.98 ,"$1,107.83 ",$117.70 ,$477.87 ,$121.23 ,$382.30 ,"$1,503.49 ", N/A ,"$1,266.10 ","$1,440.18 ",$117.70 ,"$1,487.66 ","$1,503.49 ","$1,424.36 ","$1,345.23 ",$117.70 ,$117.70 ,$117.70 ,"$1,155.31 ",$473.98 ,"$1,408.53 ","$1,424.36 ","$1,424.36 ","$1,266.10 ",$488.20 ,$870.44 ,"$1,424.36 ",$473.98 ,"$1,424.36 ",$473.98 ,"$1,503.49 ","$1,066.46 ","$1,456.01 ",$124.76 ,"$1,440.18 ",$473.98 ,$973.94 ,"$1,019.21 ",$973.94 ,"$1,424.36 ","$1,543.70 ","$1,186.97 ","$1,378.16 ",$478.72 ,$123.59 ,"$1,479.75 ",$497.68 ,$117.70 ,"$1,376.88 ",$473.98 ,"$1,424.36 ",$473.98 ,"$1,424.36 ","$1,424.36 ","$1,424.36 ","$1,535.14 ","$1,281.92 ","$1,424.36 ","$1,424.36 ","$1,424.36 ","$1,424.36 " ST. JOSEPH'S - CHIPPEWA FALLS,34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,"$1,208.13 ",$906.10 ,$289.73 ,"$1,208.13 ",$778.04 ,$365.24 ,$845.69 ,$289.73 ,$458.97 ,$298.42 ,$367.18 ,"$1,147.72 ", N/A ,$966.50 ,"$1,099.40 ",$289.73 ,"$1,135.64 ","$1,147.72 ","$1,087.32 ","$1,026.91 ",$289.73 ,$289.73 ,$289.73 ,$881.93 ,$365.24 ,"$1,075.24 ","$1,087.32 ","$1,087.32 ",$966.50 ,$376.20 ,$664.47 ,"$1,087.32 ",$365.24 ,"$1,087.32 ",$365.24 ,"$1,147.72 ",$821.79 ,"$1,111.48 ",$307.11 ,"$1,099.40 ",$365.24 ,$743.48 ,$778.04 ,$743.48 ,"$1,087.32 ",$472.24 ,$906.10 ,"$1,087.32 ",$368.89 ,$304.22 ,"$1,129.60 ",$383.50 ,$289.73 ,"$1,051.07 ",$365.24 ,"$1,087.32 ",$365.24 ,"$1,087.32 ","$1,087.32 ","$1,087.32 ","$1,171.89 ",$978.59 ,"$1,087.32 ","$1,087.32 ","$1,087.32 ","$1,087.32 " ST. JOSEPH'S - CHIPPEWA FALLS,34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$1,501.82 ","$1,126.37 ",$289.73 ,"$1,501.82 ",$967.17 ,$473.98 ,"$1,051.27 ",$289.73 ,$523.51 ,$298.42 ,$418.81 ,"$1,426.73 ", N/A ,"$1,201.46 ","$1,366.66 ",$289.73 ,"$1,411.71 ","$1,426.73 ","$1,351.64 ","$1,276.55 ",$289.73 ,$289.73 ,$289.73 ,"$1,096.33 ",$473.98 ,"$1,336.62 ","$1,351.64 ","$1,351.64 ","$1,201.46 ",$488.20 ,$826.00 ,"$1,351.64 ",$473.98 ,"$1,351.64 ",$473.98 ,"$1,426.73 ","$1,066.46 ","$1,381.67 ",$307.11 ,"$1,366.66 ",$473.98 ,$924.22 ,$967.17 ,$924.22 ,"$1,351.64 ",$549.48 ,"$1,126.37 ","$1,351.64 ",$478.72 ,$304.22 ,"$1,404.20 ",$497.68 ,$289.73 ,"$1,306.58 ",$473.98 ,"$1,351.64 ",$473.98 ,"$1,351.64 ","$1,351.64 ","$1,351.64 ","$1,456.77 ","$1,216.47 ","$1,351.64 ","$1,351.64 ","$1,351.64 ","$1,351.64 " ST. JOSEPH'S - CHIPPEWA FALLS,34000021,78216,HC RBC LIVER SCAN,340,1 ,"$1,187.76 ",$890.82 ,$139.51 ,"$1,187.76 ",$764.92 ,$365.24 ,$831.43 ,$289.73 ,$174.39 ,$298.42 ,$139.51 ,"$1,128.37 ", N/A ,$950.21 ,"$1,080.86 ",$289.73 ,"$1,116.49 ","$1,128.37 ","$1,068.98 ","$1,009.60 ",$289.73 ,$289.73 ,$289.73 ,$867.06 ,$365.24 ,"$1,057.11 ","$1,068.98 ","$1,068.98 ",$950.21 ,$376.20 ,$653.27 ,"$1,068.98 ",$365.24 ,"$1,068.98 ",$365.24 ,"$1,128.37 ",$821.79 ,"$1,092.74 ",$307.11 ,"$1,080.86 ",$365.24 ,$730.95 ,$764.92 ,$730.95 ,"$1,068.98 ",$607.70 ,$890.82 ,$501.34 ,$368.89 ,$304.22 ,"$1,110.56 ",$383.50 ,$289.73 ,"$1,033.35 ",$365.24 ,"$1,068.98 ",$365.24 ,"$1,068.98 ","$1,068.98 ","$1,068.98 ","$1,152.13 ",$962.09 ,"$1,068.98 ","$1,068.98 ","$1,068.98 ","$1,068.98 " ST. JOSEPH'S - CHIPPEWA FALLS,34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,$994.50 ,$745.88 ,$117.70 ,$994.50 ,$640.46 ,$365.24 ,$696.15 ,$117.70 ,$517.51 ,$121.23 ,$414.01 ,$944.78 , N/A ,$795.60 ,$905.00 ,$117.70 ,$934.83 ,$944.78 ,$895.05 ,$845.33 ,$117.70 ,$117.70 ,$117.70 ,$725.99 ,$365.24 ,$885.11 ,$895.05 ,$895.05 ,$795.60 ,$376.20 ,$546.98 ,$895.05 ,$365.24 ,$895.05 ,$365.24 ,$944.78 ,$821.79 ,$914.94 ,$124.76 ,$905.00 ,$365.24 ,$612.02 ,$640.46 ,$612.02 ,$895.05 ,$590.04 ,$745.88 ,$895.05 ,$368.89 ,$123.59 ,$929.86 ,$383.50 ,$117.70 ,$865.22 ,$365.24 ,$895.05 ,$365.24 ,$895.05 ,$895.05 ,$895.05 ,$964.67 ,$805.55 ,$895.05 ,$895.05 ,$895.05 ,$895.05 ST. JOSEPH'S - CHIPPEWA FALLS,34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$1,511.12 ","$1,133.34 ",$117.70 ,"$1,511.12 ",$973.16 ,$365.24 ,"$1,057.78 ",$117.70 ,$522.92 ,$121.23 ,$418.33 ,"$1,435.56 ", N/A ,"$1,208.90 ","$1,375.12 ",$117.70 ,"$1,420.45 ","$1,435.56 ","$1,360.01 ","$1,284.45 ",$117.70 ,$117.70 ,$117.70 ,"$1,103.12 ",$365.24 ,"$1,344.90 ","$1,360.01 ","$1,360.01 ","$1,208.90 ",$376.20 ,$831.12 ,"$1,360.01 ",$365.24 ,"$1,360.01 ",$365.24 ,"$1,435.56 ",$821.79 ,"$1,390.23 ",$124.76 ,"$1,375.12 ",$365.24 ,$929.94 ,$973.16 ,$929.94 ,"$1,360.01 ",$428.76 ,"$1,133.34 ","$1,360.01 ",$368.89 ,$123.59 ,"$1,412.90 ",$383.50 ,$117.70 ,"$1,314.67 ",$365.24 ,"$1,360.01 ",$365.24 ,"$1,360.01 ","$1,360.01 ","$1,360.01 ","$1,465.79 ","$1,224.01 ","$1,360.01 ","$1,360.01 ","$1,360.01 ","$1,360.01 " ST. JOSEPH'S - CHIPPEWA FALLS,34000027,78278,HC GI BLEED SCAN,340,1 ,"$2,257.97 ","$1,693.48 ",$289.73 ,"$2,257.97 ","$1,454.13 ",$365.24 ,"$1,580.58 ",$289.73 ,$527.12 ,$298.42 ,$421.69 ,"$2,145.07 ", N/A ,"$1,806.38 ","$2,054.75 ",$289.73 ,"$2,122.49 ","$2,145.07 ","$2,032.17 ","$1,919.27 ",$289.73 ,$289.73 ,$289.73 ,"$1,648.32 ",$365.24 ,"$2,009.59 ","$2,032.17 ","$2,032.17 ","$1,806.38 ",$376.20 ,"$1,241.88 ","$2,032.17 ",$365.24 ,"$2,032.17 ",$365.24 ,"$2,145.07 ",$821.79 ,"$2,077.33 ",$307.11 ,"$2,054.75 ",$365.24 ,"$1,389.55 ","$1,454.13 ","$1,389.55 ","$2,032.17 ",$684.61 ,"$1,693.48 ","$1,523.33 ",$368.89 ,$304.22 ,"$2,111.20 ",$383.50 ,$289.73 ,"$1,964.43 ",$365.24 ,"$2,032.17 ",$365.24 ,"$2,032.17 ","$2,032.17 ","$2,032.17 ","$2,190.23 ","$1,828.96 ","$2,032.17 ","$2,032.17 ","$2,032.17 ","$2,032.17 " ST. JOSEPH'S - CHIPPEWA FALLS,34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,432.74 ","$1,074.56 ",$117.70 ,"$1,432.74 ",$922.68 ,$365.24 ,"$1,002.92 ",$117.70 ,$524.11 ,$121.23 ,$419.29 ,"$1,361.10 ", N/A ,"$1,146.19 ","$1,303.79 ",$117.70 ,"$1,346.78 ","$1,361.10 ","$1,289.47 ","$1,217.83 ",$117.70 ,$117.70 ,$117.70 ,"$1,045.90 ",$365.24 ,"$1,275.14 ","$1,289.47 ","$1,289.47 ","$1,146.19 ",$376.20 ,$788.01 ,"$1,289.47 ",$365.24 ,"$1,289.47 ",$365.24 ,"$1,361.10 ",$821.79 ,"$1,318.12 ",$124.76 ,"$1,303.79 ",$365.24 ,$881.71 ,$922.68 ,$881.71 ,"$1,289.47 ",$448.91 ,"$1,074.56 ","$1,289.47 ",$368.89 ,$123.59 ,"$1,339.61 ",$383.50 ,$117.70 ,"$1,246.48 ",$365.24 ,"$1,289.47 ",$365.24 ,"$1,289.47 ","$1,289.47 ","$1,289.47 ","$1,389.76 ","$1,160.52 ","$1,289.47 ","$1,289.47 ","$1,289.47 ","$1,289.47 " ST. JOSEPH'S - CHIPPEWA FALLS,34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,054.15 ",$790.61 ,$117.70 ,"$1,054.15 ",$678.87 ,$365.24 ,$737.91 ,$117.70 ,$263.85 ,$121.23 ,$211.08 ,"$1,001.44 ", N/A ,$843.32 ,$959.28 ,$117.70 ,$990.90 ,"$1,001.44 ",$948.74 ,$896.03 ,$117.70 ,$117.70 ,$117.70 ,$769.53 ,$365.24 ,$938.19 ,$948.74 ,$948.74 ,$843.32 ,$376.20 ,$579.78 ,$948.74 ,$365.24 ,$948.74 ,$365.24 ,"$1,001.44 ",$821.79 ,$969.82 ,$124.76 ,$959.28 ,$365.24 ,$648.72 ,$678.87 ,$648.72 ,$948.74 ,$454.90 ,$790.61 ,$948.74 ,$368.89 ,$123.59 ,$985.63 ,$383.50 ,$117.70 ,$917.11 ,$365.24 ,$948.74 ,$365.24 ,$948.74 ,$948.74 ,$948.74 ,"$1,022.53 ",$853.86 ,$948.74 ,$948.74 ,$948.74 ,$948.74 ST. JOSEPH'S - CHIPPEWA FALLS,34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,232.54 ",$924.41 ,$117.70 ,"$1,232.54 ",$793.76 ,$365.24 ,$862.78 ,$117.70 ,$335.30 ,$121.23 ,$268.24 ,"$1,170.91 ", N/A ,$986.03 ,"$1,121.61 ",$117.70 ,"$1,158.59 ","$1,170.91 ","$1,109.29 ","$1,047.66 ",$117.70 ,$117.70 ,$117.70 ,$899.75 ,$365.24 ,"$1,096.96 ","$1,109.29 ","$1,109.29 ",$986.03 ,$376.20 ,$677.90 ,"$1,109.29 ",$365.24 ,"$1,109.29 ",$365.24 ,"$1,170.91 ",$821.79 ,"$1,133.94 ",$124.76 ,"$1,121.61 ",$365.24 ,$758.51 ,$793.76 ,$758.51 ,"$1,109.29 ",$611.45 ,$924.41 ,"$1,109.29 ",$368.89 ,$123.59 ,"$1,152.42 ",$383.50 ,$117.70 ,"$1,072.31 ",$365.24 ,"$1,109.29 ",$365.24 ,"$1,109.29 ","$1,109.29 ","$1,109.29 ","$1,195.56 ",$998.36 ,"$1,109.29 ","$1,109.29 ","$1,109.29 ","$1,109.29 " ST. JOSEPH'S - CHIPPEWA FALLS,34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$1,564.25 ","$1,173.19 ",$117.70 ,"$1,564.25 ","$1,007.38 ",$365.24 ,"$1,094.98 ",$117.70 ,$368.32 ,$121.23 ,$294.66 ,"$1,486.04 ", N/A ,"$1,251.40 ","$1,423.47 ",$117.70 ,"$1,470.40 ","$1,486.04 ","$1,407.83 ","$1,329.61 ",$117.70 ,$117.70 ,$117.70 ,"$1,141.90 ",$365.24 ,"$1,392.18 ","$1,407.83 ","$1,407.83 ","$1,251.40 ",$376.20 ,$860.34 ,"$1,407.83 ",$365.24 ,"$1,407.83 ",$365.24 ,"$1,486.04 ",$821.79 ,"$1,439.11 ",$124.76 ,"$1,423.47 ",$365.24 ,$962.64 ,"$1,007.38 ",$962.64 ,"$1,407.83 ",$756.75 ,"$1,173.19 ","$1,325.68 ",$368.89 ,$123.59 ,"$1,462.57 ",$383.50 ,$117.70 ,"$1,360.90 ",$365.24 ,"$1,407.83 ",$365.24 ,"$1,407.83 ","$1,407.83 ","$1,407.83 ","$1,517.32 ","$1,267.04 ","$1,407.83 ","$1,407.83 ","$1,407.83 ","$1,407.83 " ST. JOSEPH'S - CHIPPEWA FALLS,34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$1,959.00 ","$1,469.25 ",$117.70 ,"$1,959.00 ","$1,261.60 ",$365.24 ,"$1,371.30 ",$117.70 ,$520.50 ,$121.23 ,$416.40 ,"$1,861.05 ", N/A ,"$1,567.20 ","$1,782.69 ",$117.70 ,"$1,841.46 ","$1,861.05 ","$1,763.10 ","$1,665.15 ",$117.70 ,$117.70 ,$117.70 ,"$1,430.07 ",$365.24 ,"$1,743.51 ","$1,763.10 ","$1,763.10 ","$1,567.20 ",$376.20 ,"$1,077.45 ","$1,763.10 ",$365.24 ,"$1,763.10 ",$365.24 ,"$1,861.05 ",$821.79 ,"$1,802.28 ",$124.76 ,"$1,782.69 ",$365.24 ,"$1,205.57 ","$1,261.60 ","$1,205.57 ","$1,763.10 ",$689.08 ,"$1,469.25 ","$1,504.32 ",$368.89 ,$123.59 ,"$1,831.67 ",$383.50 ,$117.70 ,"$1,704.33 ",$365.24 ,"$1,763.10 ",$365.24 ,"$1,763.10 ","$1,763.10 ","$1,763.10 ","$1,900.23 ","$1,586.79 ","$1,763.10 ","$1,763.10 ","$1,763.10 ","$1,763.10 " ST. JOSEPH'S - CHIPPEWA FALLS,34000034,78320,HC BONE SPECT,340,1 ,"$1,375.84 ","$1,031.88 ",$250.46 ,"$1,375.84 ",$886.04 , N/A ,$963.09 , N/A ,$313.08 , N/A ,$250.46 ,"$1,307.05 ", N/A ,"$1,100.67 ","$1,252.01 ", N/A ,"$1,293.29 ","$1,307.05 ","$1,238.26 ","$1,169.46 ", N/A , N/A , N/A ,"$1,004.36 ", N/A ,"$1,224.50 ","$1,238.26 ","$1,238.26 ","$1,100.67 ", N/A ,$756.71 ,"$1,238.26 ", N/A ,"$1,238.26 ", N/A ,"$1,307.05 ", N/A ,"$1,265.77 ", N/A ,"$1,252.01 ", N/A ,$846.69 ,$886.04 ,$846.69 ,"$1,238.26 ",$872.88 ,"$1,031.88 ",$905.76 , N/A , N/A ,"$1,286.41 ", N/A , N/A ,"$1,196.98 ", N/A ,"$1,238.26 ", N/A ,"$1,238.26 ","$1,238.26 ","$1,238.26 ","$1,334.56 ","$1,114.43 ","$1,238.26 ","$1,238.26 ","$1,238.26 ","$1,238.26 " ST. JOSEPH'S - CHIPPEWA FALLS,34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,"$2,447.56 ","$1,835.67 ",$289.73 ,"$2,845.81 ","$1,576.23 ","$1,264.80 ","$1,713.29 ",$289.73 ,$479.68 ,$298.42 ,$383.74 ,"$2,325.18 ", N/A ,"$1,958.05 ","$2,227.28 ",$289.73 ,"$2,300.71 ","$2,325.18 ","$2,202.80 ","$2,080.43 ",$289.73 ,$289.73 ,$289.73 ,"$1,786.72 ","$1,264.80 ","$2,178.33 ","$2,202.80 ","$2,202.80 ","$1,958.05 ","$1,302.75 ","$1,346.16 ","$2,202.80 ","$1,264.80 ","$2,202.80 ","$1,264.80 ","$2,325.18 ","$2,845.81 ","$2,251.76 ",$307.11 ,"$2,227.28 ","$1,264.80 ","$1,506.23 ","$1,576.23 ","$1,506.23 ","$2,202.80 ",$295.02 ,"$1,835.67 ","$1,390.30 ","$1,277.45 ",$304.22 ,"$2,288.47 ","$1,328.04 ",$289.73 ,"$2,129.38 ","$1,264.80 ","$2,202.80 ","$1,264.80 ","$2,202.80 ","$2,202.80 ","$2,202.80 ","$2,374.13 ","$1,982.52 ","$2,202.80 ","$2,202.80 ","$2,202.80 ","$2,202.80 " ST. JOSEPH'S - CHIPPEWA FALLS,34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$6,294.99 ","$4,721.24 ",$289.73 ,"$6,294.99 ","$4,053.97 ","$1,264.80 ","$4,406.49 ",$289.73 ,$691.01 ,$298.42 ,$552.80 ,"$5,980.24 ", N/A ,"$5,035.99 ","$5,728.44 ",$289.73 ,"$5,917.29 ","$5,980.24 ","$5,665.49 ","$5,350.74 ",$289.73 ,$289.73 ,$289.73 ,"$4,595.34 ","$1,264.80 ","$5,602.54 ","$5,665.49 ","$5,665.49 ","$5,035.99 ","$1,302.75 ","$3,462.24 ","$5,665.49 ","$1,264.80 ","$5,665.49 ","$1,264.80 ","$5,980.24 ","$2,845.81 ","$5,791.39 ",$307.11 ,"$5,728.44 ","$1,264.80 ","$3,873.94 ","$4,053.97 ","$3,873.94 ","$5,665.49 ",$570.19 ,"$4,721.24 ","$2,006.76 ","$1,277.45 ",$304.22 ,"$5,885.82 ","$1,328.04 ",$289.73 ,"$5,476.64 ","$1,264.80 ","$5,665.49 ","$1,264.80 ","$5,665.49 ","$5,665.49 ","$5,665.49 ","$6,106.14 ","$5,098.94 ","$5,665.49 ","$5,665.49 ","$5,665.49 ","$5,665.49 " ST. JOSEPH'S - CHIPPEWA FALLS,34000043,78466,HC CARDIAC SCAN,340,1 ,$797.01 ,$597.76 ,$117.70 ,$821.79 ,$513.27 ,$365.24 ,$557.91 ,$117.70 ,$281.86 ,$121.23 ,$225.48 ,$757.16 , N/A ,$637.61 ,$725.28 ,$117.70 ,$749.19 ,$757.16 ,$717.31 ,$677.46 ,$117.70 ,$117.70 ,$117.70 ,$581.82 ,$365.24 ,$709.34 ,$717.31 ,$717.31 ,$637.61 ,$376.20 ,$438.36 ,$717.31 ,$365.24 ,$717.31 ,$365.24 ,$757.16 ,$821.79 ,$733.25 ,$124.76 ,$725.28 ,$365.24 ,$490.48 ,$513.27 ,$490.48 ,$717.31 ,$397.74 ,$597.76 ,$717.31 ,$368.89 ,$123.59 ,$745.20 ,$383.50 ,$117.70 ,$693.40 ,$365.24 ,$717.31 ,$365.24 ,$717.31 ,$717.31 ,$717.31 ,$773.10 ,$645.58 ,$717.31 ,$717.31 ,$717.31 ,$717.31 ST. JOSEPH'S - CHIPPEWA FALLS,34000044,78472,HC MUGA RESTING SGL,340,1 ,"$2,266.10 ","$1,699.58 ",$117.70 ,"$2,266.10 ","$1,459.37 ",$365.24 ,"$1,586.27 ",$117.70 ,$317.89 ,$121.23 ,$254.31 ,"$2,152.80 ", N/A ,"$1,812.88 ","$2,062.15 ",$117.70 ,"$2,130.13 ","$2,152.80 ","$2,039.49 ","$1,926.19 ",$117.70 ,$117.70 ,$117.70 ,"$1,654.25 ",$365.24 ,"$2,016.83 ","$2,039.49 ","$2,039.49 ","$1,812.88 ",$376.20 ,"$1,246.36 ","$2,039.49 ",$365.24 ,"$2,039.49 ",$365.24 ,"$2,152.80 ",$821.79 ,"$2,084.81 ",$124.76 ,"$2,062.15 ",$365.24 ,"$1,394.56 ","$1,459.37 ","$1,394.56 ","$2,039.49 ",$816.43 ,"$1,699.58 ",$919.56 ,$368.89 ,$123.59 ,"$2,118.80 ",$383.50 ,$117.70 ,"$1,971.51 ",$365.24 ,"$2,039.49 ",$365.24 ,"$2,039.49 ","$2,039.49 ","$2,039.49 ","$2,198.12 ","$1,835.54 ","$2,039.49 ","$2,039.49 ","$2,039.49 ","$2,039.49 " ST. JOSEPH'S - CHIPPEWA FALLS,34000047,78580,HC LUNG PERFUS,340,1 ,"$1,684.53 ","$1,263.40 ",$285.04 ,"$1,684.53 ","$1,084.84 ",$365.24 ,"$1,179.17 ",$289.73 ,$356.30 ,$298.42 ,$285.04 ,"$1,600.30 ", N/A ,"$1,347.62 ","$1,532.92 ",$289.73 ,"$1,583.46 ","$1,600.30 ","$1,516.08 ","$1,431.85 ",$289.73 ,$289.73 ,$289.73 ,"$1,229.71 ",$365.24 ,"$1,499.23 ","$1,516.08 ","$1,516.08 ","$1,347.62 ",$376.20 ,$926.49 ,"$1,516.08 ",$365.24 ,"$1,516.08 ",$365.24 ,"$1,600.30 ",$821.79 ,"$1,549.77 ",$307.11 ,"$1,532.92 ",$365.24 ,"$1,036.66 ","$1,084.84 ","$1,036.66 ","$1,516.08 ",$595.26 ,"$1,263.40 ","$1,026.71 ",$368.89 ,$304.22 ,"$1,575.04 ",$383.50 ,$289.73 ,"$1,465.54 ",$365.24 ,"$1,516.08 ",$365.24 ,"$1,516.08 ","$1,516.08 ","$1,516.08 ","$1,633.99 ","$1,364.47 ","$1,516.08 ","$1,516.08 ","$1,516.08 ","$1,516.08 " ST. JOSEPH'S - CHIPPEWA FALLS,34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$2,329.89 ","$1,747.42 ",$289.73 ,"$2,329.89 ","$1,500.45 ",$473.98 ,"$1,630.92 ",$289.73 ,$495.90 ,$298.42 ,$396.72 ,"$2,213.40 ", N/A ,"$1,863.91 ","$2,120.20 ",$289.73 ,"$2,190.10 ","$2,213.40 ","$2,096.90 ","$1,980.41 ",$289.73 ,$289.73 ,$289.73 ,"$1,700.82 ",$473.98 ,"$2,073.60 ","$2,096.90 ","$2,096.90 ","$1,863.91 ",$488.20 ,"$1,281.44 ","$2,096.90 ",$473.98 ,"$2,096.90 ",$473.98 ,"$2,213.40 ","$1,066.46 ","$2,143.50 ",$307.11 ,"$2,120.20 ",$473.98 ,"$1,433.81 ","$1,500.45 ","$1,433.81 ","$2,096.90 ",$546.92 ,"$1,747.42 ","$1,430.03 ",$478.72 ,$304.22 ,"$2,178.45 ",$497.68 ,$289.73 ,"$2,027.00 ",$473.98 ,"$2,096.90 ",$473.98 ,"$2,096.90 ","$2,096.90 ","$2,096.90 ","$2,259.99 ","$1,887.21 ","$2,096.90 ","$2,096.90 ","$2,096.90 ","$2,096.90 " ST. JOSEPH'S - CHIPPEWA FALLS,34000054,78606,HC BRAIN SC W/VASCULAR FLOW > 4 VIEWS,340,1 ,$885.09 ,$663.82 ,$117.70 ,"$1,066.46 ",$570.00 ,$473.98 ,$619.56 ,$117.70 ,$524.72 ,$121.23 ,$419.78 ,$840.84 , N/A ,$708.07 ,$805.43 ,$117.70 ,$831.98 ,$840.84 ,$796.58 ,$752.33 ,$117.70 ,$117.70 ,$117.70 ,$646.12 ,$473.98 ,$787.73 ,$796.58 ,$796.58 ,$708.07 ,$488.20 ,$486.80 ,$796.58 ,$473.98 ,$796.58 ,$473.98 ,$840.84 ,"$1,066.46 ",$814.28 ,$124.76 ,$805.43 ,$473.98 ,$544.68 ,$570.00 ,$544.68 ,$796.58 ,$581.02 ,$663.82 ,$796.58 ,$478.72 ,$123.59 ,$827.56 ,$497.68 ,$117.70 ,$770.03 ,$473.98 ,$796.58 ,$473.98 ,$796.58 ,$796.58 ,$796.58 ,$858.54 ,$716.92 ,$796.58 ,$796.58 ,$796.58 ,$796.58 ST. JOSEPH'S - CHIPPEWA FALLS,34000055,78607,HC BRAIN SCAN SPECT,340,1 ,"$1,170.23 ",$877.67 ,$411.60 ,"$1,170.23 ",$753.63 , N/A ,$819.16 , N/A ,$514.50 , N/A ,$411.60 ,"$1,111.72 ", N/A ,$936.18 ,"$1,064.91 ", N/A ,"$1,100.02 ","$1,111.72 ","$1,053.21 ",$994.70 , N/A , N/A , N/A ,$854.27 , N/A ,"$1,041.50 ","$1,053.21 ","$1,053.21 ",$936.18 , N/A ,$643.63 ,"$1,053.21 ", N/A ,"$1,053.21 ", N/A ,"$1,111.72 ", N/A ,"$1,076.61 ", N/A ,"$1,064.91 ", N/A ,$720.16 ,$753.63 ,$720.16 ,"$1,053.21 ",$753.60 ,$877.67 ,"$1,053.21 ", N/A , N/A ,"$1,094.17 ", N/A , N/A ,"$1,018.10 ", N/A ,"$1,053.21 ", N/A ,"$1,053.21 ","$1,053.21 ","$1,053.21 ","$1,135.12 ",$947.89 ,"$1,053.21 ","$1,053.21 ","$1,053.21 ","$1,053.21 " ST. JOSEPH'S - CHIPPEWA FALLS,34000056,78630,HC CISTERNOGRAPHY,340,1 ,$979.71 ,$734.78 ,$289.73 ,"$1,066.46 ",$630.93 ,$473.98 ,$685.80 ,$289.73 ,$536.11 ,$298.42 ,$428.89 ,$930.72 , N/A ,$783.77 ,$891.54 ,$289.73 ,$920.93 ,$930.72 ,$881.74 ,$832.75 ,$289.73 ,$289.73 ,$289.73 ,$715.19 ,$473.98 ,$871.94 ,$881.74 ,$881.74 ,$783.77 ,$488.20 ,$538.84 ,$881.74 ,$473.98 ,$881.74 ,$473.98 ,$930.72 ,"$1,066.46 ",$901.33 ,$307.11 ,$891.54 ,$473.98 ,$602.91 ,$630.93 ,$602.91 ,$881.74 ,$754.75 ,$734.78 ,$881.74 ,$478.72 ,$304.22 ,$916.03 ,$497.68 ,$289.73 ,$852.35 ,$473.98 ,$881.74 ,$473.98 ,$881.74 ,$881.74 ,$881.74 ,$950.32 ,$793.57 ,$881.74 ,$881.74 ,$881.74 ,$881.74 ST. JOSEPH'S - CHIPPEWA FALLS,34000057,78645,HC CSF SHUNT EVALUATION,340,1 ,$735.19 ,$551.39 ,$289.73 ,"$1,066.46 ",$473.46 ,$473.98 ,$514.63 ,$289.73 ,$521.12 ,$298.42 ,$416.89 ,$698.43 , N/A ,$588.15 ,$669.02 ,$289.73 ,$691.08 ,$698.43 ,$661.67 ,$624.91 ,$289.73 ,$289.73 ,$289.73 ,$536.69 ,$473.98 ,$654.32 ,$661.67 ,$661.67 ,$588.15 ,$488.20 ,$404.35 ,$661.67 ,$473.98 ,$661.67 ,$473.98 ,$698.43 ,"$1,066.46 ",$676.37 ,$307.11 ,$669.02 ,$473.98 ,$452.44 ,$473.46 ,$452.44 ,$661.67 ,$514.09 ,$551.39 ,$661.67 ,$478.72 ,$304.22 ,$687.40 ,$497.68 ,$289.73 ,$639.62 ,$473.98 ,$661.67 ,$473.98 ,$661.67 ,$661.67 ,$661.67 ,$713.13 ,$595.50 ,$661.67 ,$661.67 ,$661.67 ,$661.67 ST. JOSEPH'S - CHIPPEWA FALLS,34000061,78701,HC KIDNEY SCAN W/FLOW,340,1 ,"$1,828.33 ","$1,371.25 ",$117.70 ,"$1,828.33 ","$1,177.44 ",$365.24 ,"$1,279.83 ",$117.70 ,$329.89 ,$121.23 ,$263.91 ,"$1,736.91 ", N/A ,"$1,462.66 ","$1,663.78 ",$117.70 ,"$1,718.63 ","$1,736.91 ","$1,645.50 ","$1,554.08 ",$117.70 ,$117.70 ,$117.70 ,"$1,334.68 ",$365.24 ,"$1,627.21 ","$1,645.50 ","$1,645.50 ","$1,462.66 ",$376.20 ,"$1,005.58 ","$1,645.50 ",$365.24 ,"$1,645.50 ",$365.24 ,"$1,736.91 ",$821.79 ,"$1,682.06 ",$124.76 ,"$1,663.78 ",$365.24 ,"$1,125.15 ","$1,177.44 ","$1,125.15 ","$1,645.50 ",$541.05 ,"$1,371.25 ",$966.21 ,$368.89 ,$123.59 ,"$1,709.49 ",$383.50 ,$117.70 ,"$1,590.65 ",$365.24 ,"$1,645.50 ",$365.24 ,"$1,645.50 ","$1,645.50 ","$1,645.50 ","$1,773.48 ","$1,480.95 ","$1,645.50 ","$1,645.50 ","$1,645.50 ","$1,645.50 " ST. JOSEPH'S - CHIPPEWA FALLS,34000062,78707,HC KIDNEY SCAN W/FLOW AND FUNCTION,340,1 ,"$1,522.64 ","$1,141.98 ",$117.70 ,"$1,522.64 ",$980.58 ,$473.98 ,"$1,065.85 ",$117.70 ,$327.50 ,$121.23 ,$262.00 ,"$1,446.51 ", N/A ,"$1,218.11 ","$1,385.60 ",$117.70 ,"$1,431.28 ","$1,446.51 ","$1,370.38 ","$1,294.24 ",$117.70 ,$117.70 ,$117.70 ,"$1,111.53 ",$473.98 ,"$1,355.15 ","$1,370.38 ","$1,370.38 ","$1,218.11 ",$488.20 ,$837.45 ,"$1,370.38 ",$473.98 ,"$1,370.38 ",$473.98 ,"$1,446.51 ","$1,066.46 ","$1,400.83 ",$124.76 ,"$1,385.60 ",$473.98 ,$937.03 ,$980.58 ,$937.03 ,"$1,370.38 ",$678.27 ,"$1,141.98 ",$945.49 ,$478.72 ,$123.59 ,"$1,423.67 ",$497.68 ,$117.70 ,"$1,324.70 ",$473.98 ,"$1,370.38 ",$473.98 ,"$1,370.38 ","$1,370.38 ","$1,370.38 ","$1,476.96 ","$1,233.34 ","$1,370.38 ","$1,370.38 ","$1,370.38 ","$1,370.38 " ST. JOSEPH'S - CHIPPEWA FALLS,34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$1,377.00 ","$1,032.75 ",$117.70 ,"$1,377.00 ",$886.79 ,$473.98 ,$963.90 ,$117.70 ,$205.29 ,$121.23 ,$164.23 ,"$1,308.15 ", N/A ,"$1,101.60 ","$1,253.07 ",$117.70 ,"$1,294.38 ","$1,308.15 ","$1,239.30 ","$1,170.45 ",$117.70 ,$117.70 ,$117.70 ,"$1,005.21 ",$473.98 ,"$1,225.53 ","$1,239.30 ","$1,239.30 ","$1,101.60 ",$488.20 ,$757.35 ,"$1,239.30 ",$473.98 ,"$1,239.30 ",$473.98 ,"$1,308.15 ","$1,066.46 ","$1,266.84 ",$124.76 ,"$1,253.07 ",$473.98 ,$847.41 ,$886.79 ,$847.41 ,"$1,239.30 ",$500.97 ,"$1,032.75 ",$591.83 ,$478.72 ,$123.59 ,"$1,287.50 ",$497.68 ,$117.70 ,"$1,197.99 ",$473.98 ,"$1,239.30 ",$473.98 ,"$1,239.30 ","$1,239.30 ","$1,239.30 ","$1,335.69 ","$1,115.37 ","$1,239.30 ","$1,239.30 ","$1,239.30 ","$1,239.30 " ST. JOSEPH'S - CHIPPEWA FALLS,34000066,78740,HC URETERAL REFLUX STUDY,340,1 ,$803.34 ,$602.51 ,$117.70 ,$821.79 ,$517.35 ,$365.24 ,$562.34 ,$117.70 ,$336.49 ,$121.23 ,$269.19 ,$763.17 , N/A ,$642.67 ,$731.04 ,$117.70 ,$755.14 ,$763.17 ,$723.01 ,$682.84 ,$117.70 ,$117.70 ,$117.70 ,$586.44 ,$365.24 ,$714.97 ,$723.01 ,$723.01 ,$642.67 ,$376.20 ,$441.84 ,$723.01 ,$365.24 ,$723.01 ,$365.24 ,$763.17 ,$821.79 ,$739.07 ,$124.76 ,$731.04 ,$365.24 ,$494.38 ,$517.35 ,$494.38 ,$723.01 ,$352.71 ,$602.51 ,$723.01 ,$368.89 ,$123.59 ,$751.12 ,$383.50 ,$117.70 ,$698.91 ,$365.24 ,$723.01 ,$365.24 ,$723.01 ,$723.01 ,$723.01 ,$779.24 ,$650.71 ,$723.01 ,$723.01 ,$723.01 ,$723.01 ST. JOSEPH'S - CHIPPEWA FALLS,34000068,78800,HC TUMOR LOCAL LIMITED,340,1 ,$866.18 ,$649.64 ,$223.57 ,$866.18 ,$557.82 ,$365.24 ,$606.33 ,$289.73 ,$279.46 ,$298.42 ,$223.57 ,$822.87 , N/A ,$692.94 ,$788.22 ,$289.73 ,$814.21 ,$822.87 ,$779.56 ,$736.25 ,$289.73 ,$289.73 ,$289.73 ,$632.31 ,$365.24 ,$770.90 ,$779.56 ,$779.56 ,$692.94 ,$376.20 ,$476.40 ,$779.56 ,$365.24 ,$779.56 ,$365.24 ,$822.87 ,$821.79 ,$796.89 ,$307.11 ,$788.22 ,$365.24 ,$533.05 ,$557.82 ,$533.05 ,$779.56 ,$484.04 ,$649.64 ,$779.56 ,$368.89 ,$304.22 ,$809.88 ,$383.50 ,$289.73 ,$753.58 ,$365.24 ,$779.56 ,$365.24 ,$779.56 ,$779.56 ,$779.56 ,$840.19 ,$701.61 ,$779.56 ,$779.56 ,$779.56 ,$779.56 ST. JOSEPH'S - CHIPPEWA FALLS,34000069,78801,HC TUMOR LOCAL MULTIPLE,340,1 ,"$2,303.26 ","$1,727.45 ",$289.73 ,"$2,303.26 ","$1,483.30 ",$365.24 ,"$1,612.28 ",$289.73 ,$391.74 ,$298.42 ,$313.39 ,"$2,188.10 ", N/A ,"$1,842.61 ","$2,095.97 ",$289.73 ,"$2,165.06 ","$2,188.10 ","$2,072.93 ","$1,957.77 ",$289.73 ,$289.73 ,$289.73 ,"$1,681.38 ",$365.24 ,"$2,049.90 ","$2,072.93 ","$2,072.93 ","$1,842.61 ",$376.20 ,"$1,266.79 ","$2,072.93 ",$365.24 ,"$2,072.93 ",$365.24 ,"$2,188.10 ",$821.79 ,"$2,119.00 ",$307.11 ,"$2,095.97 ",$365.24 ,"$1,417.43 ","$1,483.30 ","$1,417.43 ","$2,072.93 ",$597.09 ,"$1,727.45 ","$1,118.31 ",$368.89 ,$304.22 ,"$2,153.55 ",$383.50 ,$289.73 ,"$2,003.84 ",$365.24 ,"$2,072.93 ",$365.24 ,"$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,234.16 ","$1,865.64 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,072.93 " ST. JOSEPH'S - CHIPPEWA FALLS,34000070,78802,HC TUMOR IMAGE-WHOLE BODY-1 DAY,340,1 ,"$2,303.26 ","$1,727.45 ",$289.73 ,"$2,845.81 ","$1,483.30 ","$1,264.80 ","$1,612.28 ",$289.73 ,$495.90 ,$298.42 ,$396.72 ,"$2,188.10 ", N/A ,"$1,842.61 ","$2,095.97 ",$289.73 ,"$2,165.06 ","$2,188.10 ","$2,072.93 ","$1,957.77 ",$289.73 ,$289.73 ,$289.73 ,"$1,681.38 ","$1,264.80 ","$2,049.90 ","$2,072.93 ","$2,072.93 ","$1,842.61 ","$1,302.75 ","$1,266.79 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,188.10 ","$2,845.81 ","$2,119.00 ",$307.11 ,"$2,095.97 ","$1,264.80 ","$1,417.43 ","$1,483.30 ","$1,417.43 ","$2,072.93 ",$822.57 ,"$1,727.45 ","$1,431.73 ","$1,277.45 ",$304.22 ,"$2,153.55 ","$1,328.04 ",$289.73 ,"$2,003.84 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,234.16 ","$1,865.64 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,072.93 " ST. JOSEPH'S - CHIPPEWA FALLS,34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$2,303.26 ","$1,727.45 ",$289.73 ,"$2,845.81 ","$1,483.30 ","$1,264.80 ","$1,612.28 ",$289.73 ,$509.71 ,$298.42 ,$407.76 ,"$2,188.10 ", N/A ,"$1,842.61 ","$2,095.97 ",$289.73 ,"$2,165.06 ","$2,188.10 ","$2,072.93 ","$1,957.77 ",$289.73 ,$289.73 ,$289.73 ,"$1,681.38 ","$1,264.80 ","$2,049.90 ","$2,072.93 ","$2,072.93 ","$1,842.61 ","$1,302.75 ","$1,266.79 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,188.10 ","$2,845.81 ","$2,119.00 ",$307.11 ,"$2,095.97 ","$1,264.80 ","$1,417.43 ","$1,483.30 ","$1,417.43 ","$2,072.93 ",$972.54 ,"$1,727.45 ","$1,476.68 ","$1,277.45 ",$304.22 ,"$2,153.55 ","$1,328.04 ",$289.73 ,"$2,003.84 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,234.16 ","$1,865.64 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,072.93 " ST. JOSEPH'S - CHIPPEWA FALLS,34000073,78803,HC TUMOR IMAGING (SPECT) GALLIUM,340,1 ,"$2,303.26 ","$1,727.45 ",$289.73 ,"$2,845.81 ","$1,483.30 ","$1,264.80 ","$1,612.28 ",$289.73 ,$509.71 ,$298.42 ,$407.76 ,"$2,188.10 ", N/A ,"$1,842.61 ","$2,095.97 ",$289.73 ,"$2,165.06 ","$2,188.10 ","$2,072.93 ","$1,957.77 ",$289.73 ,$289.73 ,$289.73 ,"$1,681.38 ","$1,264.80 ","$2,049.90 ","$2,072.93 ","$2,072.93 ","$1,842.61 ","$1,302.75 ","$1,266.79 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,188.10 ","$2,845.81 ","$2,119.00 ",$307.11 ,"$2,095.97 ","$1,264.80 ","$1,417.43 ","$1,483.30 ","$1,417.43 ","$2,072.93 ",$972.54 ,"$1,727.45 ","$1,476.68 ","$1,277.45 ",$304.22 ,"$2,153.55 ","$1,328.04 ",$289.73 ,"$2,003.84 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,234.16 ","$1,865.64 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,072.93 " ST. JOSEPH'S - CHIPPEWA FALLS,34000075,78803,HC TUMOR IMAGING (SPECT) OCTREO,340,1 ,"$2,303.26 ","$1,727.45 ",$289.73 ,"$2,845.81 ","$1,483.30 ","$1,264.80 ","$1,612.28 ",$289.73 ,$509.71 ,$298.42 ,$407.76 ,"$2,188.10 ", N/A ,"$1,842.61 ","$2,095.97 ",$289.73 ,"$2,165.06 ","$2,188.10 ","$2,072.93 ","$1,957.77 ",$289.73 ,$289.73 ,$289.73 ,"$1,681.38 ","$1,264.80 ","$2,049.90 ","$2,072.93 ","$2,072.93 ","$1,842.61 ","$1,302.75 ","$1,266.79 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,188.10 ","$2,845.81 ","$2,119.00 ",$307.11 ,"$2,095.97 ","$1,264.80 ","$1,417.43 ","$1,483.30 ","$1,417.43 ","$2,072.93 ",$972.54 ,"$1,727.45 ","$1,476.68 ","$1,277.45 ",$304.22 ,"$2,153.55 ","$1,328.04 ",$289.73 ,"$2,003.84 ","$1,264.80 ","$2,072.93 ","$1,264.80 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,234.16 ","$1,865.64 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,072.93 " ST. JOSEPH'S - CHIPPEWA FALLS,34000077,78804,HC TUMOR/INF-WHOLE BODY-MULT DAY,340,1 ,"$1,068.00 ",$801.00 ,$289.73 ,"$2,845.81 ",$687.79 ,"$1,264.80 ",$747.60 ,$289.73 ,$903.25 ,$298.42 ,$722.60 ,"$1,014.60 ", N/A ,$854.40 ,$971.88 ,$289.73 ,"$1,003.92 ","$1,014.60 ",$961.20 ,$907.80 ,$289.73 ,$289.73 ,$289.73 ,$779.64 ,"$1,264.80 ",$950.52 ,$961.20 ,$961.20 ,$854.40 ,"$1,302.75 ",$587.40 ,$961.20 ,"$1,264.80 ",$961.20 ,"$1,264.80 ","$1,014.60 ","$2,845.81 ",$982.56 ,$307.11 ,$971.88 ,"$1,264.80 ",$657.25 ,$687.79 ,$657.25 ,$961.20 ,$369.56 ,$801.00 ,$961.20 ,"$1,277.45 ",$304.22 ,$998.58 ,"$1,328.04 ",$289.73 ,$929.16 ,"$1,264.80 ",$961.20 ,"$1,264.80 ",$961.20 ,$961.20 ,$961.20 ,"$1,035.96 ",$865.08 ,$961.20 ,$961.20 ,$961.20 ,$961.20 ST. JOSEPH'S - CHIPPEWA FALLS,34000079,78805,HC WBC LIMITED,340,1 ,$798.07 ,$598.55 ,$207.23 ,$798.07 ,$513.96 , N/A ,$558.65 , N/A ,$259.04 , N/A ,$207.23 ,$758.17 , N/A ,$638.46 ,$726.24 , N/A ,$750.19 ,$758.17 ,$718.26 ,$678.36 , N/A , N/A , N/A ,$582.59 , N/A ,$710.28 ,$718.26 ,$718.26 ,$638.46 , N/A ,$438.94 ,$718.26 , N/A ,$718.26 , N/A ,$758.17 , N/A ,$734.22 , N/A ,$726.24 , N/A ,$491.13 ,$513.96 ,$491.13 ,$718.26 ,$511.44 ,$598.55 ,$718.26 , N/A , N/A ,$746.20 , N/A , N/A ,$694.32 , N/A ,$718.26 , N/A ,$718.26 ,$718.26 ,$718.26 ,$774.13 ,$646.44 ,$718.26 ,$718.26 ,$718.26 ,$718.26 ST. JOSEPH'S - CHIPPEWA FALLS,34000080,78806,HC WBC WHOLE BODY,340,1 ,"$2,303.26 ","$1,727.45 ",$410.16 ,"$2,303.26 ","$1,483.30 ", N/A ,"$1,612.28 ", N/A ,$512.70 , N/A ,$410.16 ,"$2,188.10 ", N/A ,"$1,842.61 ","$2,095.97 ", N/A ,"$2,165.06 ","$2,188.10 ","$2,072.93 ","$1,957.77 ", N/A , N/A , N/A ,"$1,681.38 ", N/A ,"$2,049.90 ","$2,072.93 ","$2,072.93 ","$1,842.61 ", N/A ,"$1,266.79 ","$2,072.93 ", N/A ,"$2,072.93 ", N/A ,"$2,188.10 ", N/A ,"$2,119.00 ", N/A ,"$2,095.97 ", N/A ,"$1,417.43 ","$1,483.30 ","$1,417.43 ","$2,072.93 ",$841.97 ,"$1,727.45 ","$1,481.89 ", N/A , N/A ,"$2,153.55 ", N/A , N/A ,"$2,003.84 ", N/A ,"$2,072.93 ", N/A ,"$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,234.16 ","$1,865.64 ","$2,072.93 ","$2,072.93 ","$2,072.93 ","$2,072.93 " ST. JOSEPH'S - CHIPPEWA FALLS,34000081,79005,HC NM RADIOPAHARM THRPY ORAL,340,1 ,"$1,688.81 ","$1,266.61 ",$66.75 ,"$1,688.81 ","$1,087.59 ",$241.76 ,"$1,182.17 ",$82.66 ,$83.44 ,$85.14 ,$66.75 ,"$1,604.37 ", N/A ,"$1,351.05 ","$1,536.82 ",$82.66 ,"$1,587.48 ","$1,604.37 ","$1,519.93 ","$1,435.49 ",$82.66 ,$82.66 ,$82.66 ,"$1,232.83 ",$241.76 ,"$1,503.04 ","$1,519.93 ","$1,519.93 ","$1,351.05 ",$249.01 ,$928.85 ,"$1,519.93 ",$241.76 ,"$1,519.93 ",$241.76 ,"$1,604.37 ",$543.95 ,"$1,553.71 ",$87.62 ,"$1,536.82 ",$241.76 ,"$1,039.29 ","$1,087.59 ","$1,039.29 ","$1,519.93 ",$216.61 ,"$1,266.61 ",$239.73 ,$244.17 ,$86.79 ,"$1,579.04 ",$253.85 ,$82.66 ,"$1,469.26 ",$241.76 ,"$1,519.93 ",$241.76 ,"$1,519.93 ","$1,519.93 ","$1,519.93 ","$1,638.15 ","$1,367.94 ","$1,519.93 ","$1,519.93 ","$1,519.93 ","$1,519.93 " ST. JOSEPH'S - CHIPPEWA FALLS,34000083,79101,HC NM RADIOPAHARM THRPY IV,340,1 ,$751.19 ,$563.39 ,$65.07 ,$751.19 ,$483.77 ,$241.76 ,$525.83 ,$82.66 ,$81.34 ,$85.14 ,$65.07 ,$713.63 , N/A ,$600.95 ,$683.58 ,$82.66 ,$706.12 ,$713.63 ,$676.07 ,$638.51 ,$82.66 ,$82.66 ,$82.66 ,$548.37 ,$241.76 ,$668.56 ,$676.07 ,$676.07 ,$600.95 ,$249.01 ,$413.15 ,$676.07 ,$241.76 ,$676.07 ,$241.76 ,$713.63 ,$543.95 ,$691.09 ,$87.62 ,$683.58 ,$241.76 ,$462.28 ,$483.77 ,$462.28 ,$676.07 ,$216.61 ,$563.39 ,$237.38 ,$244.17 ,$86.79 ,$702.36 ,$253.85 ,$82.66 ,$653.54 ,$241.76 ,$676.07 ,$241.76 ,$676.07 ,$676.07 ,$676.07 ,$728.65 ,$608.46 ,$676.07 ,$676.07 ,$676.07 ,$676.07 ST. JOSEPH'S - CHIPPEWA FALLS,34000090,78597,HC PULM PERF DIFF W/IMG,340,1 ,$844.53 ,$633.40 ,$234.39 ,$844.53 ,$543.88 ,$365.24 ,$591.17 ,$289.73 ,$292.99 ,$298.42 ,$234.39 ,$802.30 , N/A ,$675.62 ,$768.52 ,$289.73 ,$793.86 ,$802.30 ,$760.08 ,$717.85 ,$289.73 ,$289.73 ,$289.73 ,$616.51 ,$365.24 ,$751.63 ,$760.08 ,$760.08 ,$675.62 ,$376.20 ,$464.49 ,$760.08 ,$365.24 ,$760.08 ,$365.24 ,$802.30 ,$821.79 ,$776.97 ,$307.11 ,$768.52 ,$365.24 ,$519.72 ,$543.88 ,$519.72 ,$760.08 ,$326.51 ,$633.40 ,$760.08 ,$368.89 ,$304.22 ,$789.64 ,$383.50 ,$289.73 ,$734.74 ,$365.24 ,$760.08 ,$365.24 ,$760.08 ,$760.08 ,$760.08 ,$819.19 ,$684.07 ,$760.08 ,$760.08 ,$760.08 ,$760.08 ST. JOSEPH'S - CHIPPEWA FALLS,34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,$847.07 ,$635.30 ,$117.70 ,"$1,066.46 ",$545.51 ,$473.98 ,$592.95 ,$117.70 ,$710.54 ,$121.23 ,$568.43 ,$804.72 , N/A ,$677.66 ,$770.83 ,$117.70 ,$796.25 ,$804.72 ,$762.36 ,$720.01 ,$117.70 ,$117.70 ,$117.70 ,$618.36 ,$473.98 ,$753.89 ,$762.36 ,$762.36 ,$677.66 ,$488.20 ,$465.89 ,$762.36 ,$473.98 ,$762.36 ,$473.98 ,$804.72 ,"$1,066.46 ",$779.30 ,$124.76 ,$770.83 ,$473.98 ,$521.29 ,$545.51 ,$521.29 ,$762.36 ,$819.35 ,$635.30 ,$762.36 ,$478.72 ,$123.59 ,$792.01 ,$497.68 ,$117.70 ,$736.95 ,$473.98 ,$762.36 ,$473.98 ,$762.36 ,$762.36 ,$762.36 ,$821.66 ,$686.13 ,$762.36 ,$762.36 ,$762.36 ,$762.36 ST. JOSEPH'S - CHIPPEWA FALLS,34000093,78071,HC PARATHYROID IMG W/SPECT 78071,340,1 ,"$1,871.48 ","$1,403.61 ",$117.70 ,"$1,871.48 ","$1,205.23 ",$365.24 ,"$1,310.04 ",$117.70 ,$525.91 ,$121.23 ,$420.73 ,"$1,777.91 ", N/A ,"$1,497.18 ","$1,703.05 ",$117.70 ,"$1,759.19 ","$1,777.91 ","$1,684.33 ","$1,590.76 ",$117.70 ,$117.70 ,$117.70 ,"$1,366.18 ",$365.24 ,"$1,665.62 ","$1,684.33 ","$1,684.33 ","$1,497.18 ",$376.20 ,"$1,029.31 ","$1,684.33 ",$365.24 ,"$1,684.33 ",$365.24 ,"$1,777.91 ",$821.79 ,"$1,721.76 ",$124.76 ,"$1,703.05 ",$365.24 ,"$1,151.71 ","$1,205.23 ","$1,151.71 ","$1,684.33 ",$614.00 ,"$1,403.61 ","$1,518.16 ",$368.89 ,$123.59 ,"$1,749.83 ",$383.50 ,$117.70 ,"$1,628.19 ",$365.24 ,"$1,684.33 ",$365.24 ,"$1,684.33 ","$1,684.33 ","$1,684.33 ","$1,815.34 ","$1,515.90 ","$1,684.33 ","$1,684.33 ","$1,684.33 ","$1,684.33 " ST. JOSEPH'S - CHIPPEWA FALLS,34000094,78072,HC PARATHYROID IMG W/SPECT AND CT 78072,340,1 ,"$1,871.48 ","$1,403.61 ",$117.70 ,"$1,871.48 ","$1,205.23 ",$473.98 ,"$1,310.04 ",$117.70 ,$591.36 ,$121.23 ,$473.09 ,"$1,777.91 ", N/A ,"$1,497.18 ","$1,703.05 ",$117.70 ,"$1,759.19 ","$1,777.91 ","$1,684.33 ","$1,590.76 ",$117.70 ,$117.70 ,$117.70 ,"$1,366.18 ",$473.98 ,"$1,665.62 ","$1,684.33 ","$1,684.33 ","$1,497.18 ",$488.20 ,"$1,029.31 ","$1,684.33 ",$473.98 ,"$1,684.33 ",$473.98 ,"$1,777.91 ","$1,066.46 ","$1,721.76 ",$124.76 ,"$1,703.05 ",$473.98 ,"$1,151.71 ","$1,205.23 ","$1,151.71 ","$1,684.33 ",$157.44 ,"$1,403.61 ","$1,684.33 ",$478.72 ,$123.59 ,"$1,749.83 ",$497.68 ,$117.70 ,"$1,628.19 ",$473.98 ,"$1,684.33 ",$473.98 ,"$1,684.33 ","$1,684.33 ","$1,684.33 ","$1,815.34 ","$1,515.90 ","$1,684.33 ","$1,684.33 ","$1,684.33 ","$1,684.33 " ST. JOSEPH'S - CHIPPEWA FALLS,34100001,78015,HC NM THYROID CA METAST;LTD,341,1 ,$807.00 ,$605.25 ,$117.70 ,$821.79 ,$519.71 ,$365.24 ,$564.90 ,$117.70 ,$332.29 ,$121.23 ,$265.83 ,$766.65 , N/A ,$645.60 ,$734.37 ,$117.70 ,$758.58 ,$766.65 ,$726.30 ,$685.95 ,$117.70 ,$117.70 ,$117.70 ,$589.11 ,$365.24 ,$718.23 ,$726.30 ,$726.30 ,$645.60 ,$376.20 ,$443.85 ,$726.30 ,$365.24 ,$726.30 ,$365.24 ,$766.65 ,$821.79 ,$742.44 ,$124.76 ,$734.37 ,$365.24 ,$496.63 ,$519.71 ,$496.63 ,$726.30 ,$401.89 ,$605.25 ,$726.30 ,$368.89 ,$123.59 ,$754.55 ,$383.50 ,$117.70 ,$702.09 ,$365.24 ,$726.30 ,$365.24 ,$726.30 ,$726.30 ,$726.30 ,$782.79 ,$653.67 ,$726.30 ,$726.30 ,$726.30 ,$726.30 ST. JOSEPH'S - CHIPPEWA FALLS,34100007,A9538,HC NM PYROPHOSPHATE 99M VIAL,341,1 ,$327.06 ,$245.30 ,$179.88 ,$327.06 ,$210.63 , N/A ,$228.94 , N/A ,$271.46 , N/A ,$215.86 ,$310.71 , N/A ,$261.65 ,$297.62 , N/A ,$307.44 ,$310.71 ,$294.35 ,$278.00 , N/A , N/A , N/A ,$238.75 , N/A ,$291.08 ,$294.35 ,$294.35 ,$261.65 , N/A ,$179.88 ,$294.35 , N/A ,$294.35 , N/A ,$310.71 , N/A ,$300.90 , N/A ,$297.62 , N/A ,$201.27 ,$210.63 ,$201.27 ,$294.35 ,$294.35 ,$245.30 ,$228.94 , N/A , N/A ,$305.80 , N/A , N/A ,$284.54 , N/A ,$294.35 , N/A ,$294.35 ,$294.35 ,$294.35 ,$317.25 ,$264.92 ,$294.35 ,$294.35 ,$294.35 ,$294.35 ST. JOSEPH'S - CHIPPEWA FALLS,34100010,78445,HC NM NON CARDIAC VASCULAR W/FLOW,341,1 ,$506.28 ,$379.71 ,$117.70 ,$821.79 ,$326.04 ,$365.24 ,$354.40 ,$117.70 ,$276.45 ,$121.23 ,$221.16 ,$480.97 , N/A ,$405.02 ,$460.71 ,$117.70 ,$475.90 ,$480.97 ,$455.65 ,$430.34 ,$117.70 ,$117.70 ,$117.70 ,$369.58 ,$365.24 ,$450.59 ,$455.65 ,$455.65 ,$405.02 ,$376.20 ,$278.45 ,$455.65 ,$365.24 ,$455.65 ,$365.24 ,$480.97 ,$821.79 ,$465.78 ,$124.76 ,$460.71 ,$365.24 ,$311.56 ,$326.04 ,$311.56 ,$455.65 ,$333.72 ,$379.71 ,$455.65 ,$368.89 ,$123.59 ,$473.37 ,$383.50 ,$117.70 ,$440.46 ,$365.24 ,$455.65 ,$365.24 ,$455.65 ,$455.65 ,$455.65 ,$491.09 ,$410.09 ,$455.65 ,$455.65 ,$455.65 ,$455.65 ST. JOSEPH'S - CHIPPEWA FALLS,34100017,A9567,HC NM TECH 99 DTPA VENT,341,1 ,$258.60 ,$193.95 ,$142.23 ,$258.60 ,$166.54 , N/A ,$181.02 , N/A ,$214.64 , N/A ,$170.68 ,$245.67 , N/A ,$206.88 ,$235.33 , N/A ,$243.08 ,$245.67 ,$232.74 ,$219.81 , N/A , N/A , N/A ,$188.78 , N/A ,$230.15 ,$232.74 ,$232.74 ,$206.88 , N/A ,$142.23 ,$232.74 , N/A ,$232.74 , N/A ,$245.67 , N/A ,$237.91 , N/A ,$235.33 , N/A ,$159.14 ,$166.54 ,$159.14 ,$232.74 ,$232.74 ,$193.95 ,$181.02 , N/A , N/A ,$241.79 , N/A , N/A ,$224.98 , N/A ,$232.74 , N/A ,$232.74 ,$232.74 ,$232.74 ,$250.84 ,$209.47 ,$232.74 ,$232.74 ,$232.74 ,$232.74 ST. JOSEPH'S - CHIPPEWA FALLS,34100020,0042T,HC CT CEREBRAL PERFUSION W/BLOOD FLOW,351,1 ,"$1,276.51 ",$957.38 ,$90.16 ,"$1,276.51 ",$822.07 , N/A ,$893.56 ,$90.16 ,"$1,276.51 ",$92.86 ,"$1,276.51 ","$1,212.68 ", N/A ,"$1,021.21 ","$1,161.62 ",$90.16 ,"$1,199.92 ","$1,212.68 ","$1,148.86 ","$1,085.03 ",$90.16 ,$90.16 ,$90.16 ,$931.85 , N/A ,"$1,136.09 ","$1,148.86 ","$1,148.86 ","$1,021.21 ", N/A ,$702.08 ,"$1,148.86 ", N/A ,"$1,148.86 ", N/A ,"$1,212.68 ", N/A ,"$1,174.39 ",$95.57 ,"$1,161.62 ", N/A ,$785.56 ,$822.07 ,$785.56 ,"$1,148.86 ","$1,148.86 ",$957.38 ,"$1,148.86 ", N/A ,$94.67 ,"$1,193.54 ", N/A ,$90.16 ,"$1,110.56 ", N/A ,"$1,148.86 ", N/A ,"$1,148.86 ","$1,148.86 ","$1,148.86 ","$1,238.21 ","$1,033.97 ","$1,148.86 ","$1,148.86 ","$1,148.86 ","$1,148.86 " ST. JOSEPH'S - CHIPPEWA FALLS,34100023,78710,HC NM KIDNEY;TOMO SPECT,341,1 ,$813.70 ,$610.28 ,$239.41 ,$813.70 ,$524.02 , N/A ,$569.59 , N/A ,$299.27 , N/A ,$239.41 ,$773.02 , N/A ,$650.96 ,$740.47 , N/A ,$764.88 ,$773.02 ,$732.33 ,$691.65 , N/A , N/A , N/A ,$594.00 , N/A ,$724.19 ,$732.33 ,$732.33 ,$650.96 , N/A ,$447.54 ,$732.33 , N/A ,$732.33 , N/A ,$773.02 , N/A ,$748.60 , N/A ,$740.47 , N/A ,$500.75 ,$524.02 ,$500.75 ,$732.33 ,$813.70 ,$610.28 ,$732.33 , N/A , N/A ,$760.81 , N/A , N/A ,$707.92 , N/A ,$732.33 , N/A ,$732.33 ,$732.33 ,$732.33 ,$789.29 ,$659.10 ,$732.33 ,$732.33 ,$732.33 ,$732.33 ST. JOSEPH'S - CHIPPEWA FALLS,34100024,78807,HC NM RADIONUC ABSCESS SPEC,341,1 ,$927.96 ,$695.97 ,$408.72 ,$927.96 ,$597.61 , N/A ,$649.57 , N/A ,$510.90 , N/A ,$408.72 ,$881.56 , N/A ,$742.37 ,$844.44 , N/A ,$872.28 ,$881.56 ,$835.16 ,$788.77 , N/A , N/A , N/A ,$677.41 , N/A ,$825.88 ,$835.16 ,$835.16 ,$742.37 , N/A ,$510.38 ,$835.16 , N/A ,$835.16 , N/A ,$881.56 , N/A ,$853.72 , N/A ,$844.44 , N/A ,$571.07 ,$597.61 ,$571.07 ,$835.16 ,$753.60 ,$695.97 ,$835.16 , N/A , N/A ,$867.64 , N/A , N/A ,$807.33 , N/A ,$835.16 , N/A ,$835.16 ,$835.16 ,$835.16 ,$900.12 ,$751.65 ,$835.16 ,$835.16 ,$835.16 ,$835.16 ST. JOSEPH'S - CHIPPEWA FALLS,34100025,78232,HC NM SALIVARY GLAND FUNCTION,341,1 ,$576.08 ,$432.06 ,$112.60 ,$821.79 ,$371.00 ,$365.24 ,$403.26 ,$117.70 ,$140.75 ,$121.23 ,$112.60 ,$547.28 , N/A ,$460.86 ,$524.23 ,$117.70 ,$541.52 ,$547.28 ,$518.47 ,$489.67 ,$117.70 ,$117.70 ,$117.70 ,$420.54 ,$365.24 ,$512.71 ,$518.47 ,$518.47 ,$460.86 ,$376.20 ,$316.84 ,$518.47 ,$365.24 ,$518.47 ,$365.24 ,$547.28 ,$821.79 ,$529.99 ,$124.76 ,$524.23 ,$365.24 ,$354.52 ,$371.00 ,$354.52 ,$518.47 ,$406.32 ,$432.06 ,$406.28 ,$368.89 ,$123.59 ,$538.63 ,$383.50 ,$117.70 ,$501.19 ,$365.24 ,$518.47 ,$365.24 ,$518.47 ,$518.47 ,$518.47 ,$558.80 ,$466.62 ,$518.47 ,$518.47 ,$518.47 ,$518.47 ST. JOSEPH'S - CHIPPEWA FALLS,34100026,78453,HC HT MUSCLE IMAGE PLANAR SINGLE,341,1 ,"$2,918.96 ","$2,189.22 ",$275.17 ,"$2,918.96 ","$1,879.81 ","$1,264.80 ","$2,043.27 ",$289.73 ,$446.65 ,$298.42 ,$357.32 ,"$2,773.01 ", N/A ,"$2,335.17 ","$2,656.25 ",$289.73 ,"$2,743.82 ","$2,773.01 ","$2,627.06 ","$2,481.12 ",$289.73 ,$289.73 ,$289.73 ,"$2,130.84 ","$1,264.80 ","$2,597.87 ","$2,627.06 ","$2,627.06 ","$2,335.17 ","$1,302.75 ","$1,605.43 ","$2,627.06 ","$1,264.80 ","$2,627.06 ","$1,264.80 ","$2,773.01 ","$2,845.81 ","$2,685.44 ",$307.11 ,"$2,656.25 ","$1,264.80 ","$1,796.33 ","$1,879.81 ","$1,796.33 ","$2,627.06 ",$275.17 ,"$2,189.22 ","$1,293.48 ","$1,277.45 ",$304.22 ,"$2,729.23 ","$1,328.04 ",$289.73 ,"$2,539.50 ","$1,264.80 ","$2,627.06 ","$1,264.80 ","$2,627.06 ","$2,627.06 ","$2,627.06 ","$2,831.39 ","$2,364.36 ","$2,627.06 ","$2,627.06 ","$2,627.06 ","$2,627.06 " ST. JOSEPH'S - CHIPPEWA FALLS,34100034,78830,HC TUMOR IMAGING SPECT W/CT SGL AREA 1 DAY,341,1 ,"$2,450.00 ","$1,837.50 ",$289.73 ,"$2,845.81 ","$1,577.80 ","$1,264.80 ","$1,715.00 ",$289.73 ,$715.30 ,$298.42 ,$572.24 ,"$2,327.50 ", N/A ,"$1,960.00 ","$2,229.50 ",$289.73 ,"$2,303.00 ","$2,327.50 ","$2,205.00 ","$2,082.50 ",$289.73 ,$289.73 ,$289.73 ,"$1,788.50 ","$1,264.80 ","$2,180.50 ","$2,205.00 ","$2,205.00 ","$1,960.00 ","$1,302.75 ","$1,347.50 ","$2,205.00 ","$1,264.80 ","$2,205.00 ","$1,264.80 ","$2,327.50 ","$2,845.81 ","$2,254.00 ",$307.11 ,"$2,229.50 ","$1,264.80 ","$1,507.73 ","$1,577.80 ","$1,507.73 ","$2,205.00 ","$2,205.00 ","$1,837.50 ","$1,715.00 ","$1,277.45 ",$304.22 ,"$2,290.75 ","$1,328.04 ",$289.73 ,"$2,131.50 ","$1,264.80 ","$2,205.00 ","$1,264.80 ","$2,205.00 ","$2,205.00 ","$2,205.00 ","$2,376.50 ","$1,984.50 ","$2,205.00 ","$2,205.00 ","$2,205.00 ","$2,205.00 " ST. JOSEPH'S - CHIPPEWA FALLS,34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,"$1,088.05 ",$816.04 ,$598.43 ,"$1,088.05 ",$700.70 , N/A ,$761.64 , N/A ,$903.08 , N/A ,$718.11 ,"$1,033.65 ", N/A ,$870.44 ,$990.13 , N/A ,"$1,022.77 ","$1,033.65 ",$979.25 ,$924.84 , N/A , N/A , N/A ,$794.28 , N/A ,$968.36 ,$979.25 ,$979.25 ,$870.44 , N/A ,$598.43 ,$979.25 , N/A ,$979.25 , N/A ,"$1,033.65 ", N/A ,"$1,001.01 ", N/A ,$990.13 , N/A ,$669.59 ,$700.70 ,$669.59 ,$979.25 ,$979.25 ,$816.04 ,$761.64 , N/A , N/A ,"$1,017.33 ", N/A , N/A ,$946.60 , N/A ,$979.25 , N/A ,$979.25 ,$979.25 ,$979.25 ,"$1,055.41 ",$881.32 ,$979.25 ,$979.25 ,$979.25 ,$979.25 ST. JOSEPH'S - CHIPPEWA FALLS,34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$335.08 ,$251.31 ,$184.29 ,$335.08 ,$215.79 , N/A ,$234.56 , N/A ,$278.12 , N/A ,$221.15 ,$318.33 , N/A ,$268.06 ,$304.92 , N/A ,$314.98 ,$318.33 ,$301.57 ,$284.82 , N/A , N/A , N/A ,$244.61 , N/A ,$298.22 ,$301.57 ,$301.57 ,$268.06 , N/A ,$184.29 ,$301.57 , N/A ,$301.57 , N/A ,$318.33 , N/A ,$308.27 , N/A ,$304.92 , N/A ,$206.21 ,$215.79 ,$206.21 ,$301.57 ,$301.57 ,$251.31 ,$234.56 , N/A , N/A ,$313.30 , N/A , N/A ,$291.52 , N/A ,$301.57 , N/A ,$301.57 ,$301.57 ,$301.57 ,$325.03 ,$271.41 ,$301.57 ,$301.57 ,$301.57 ,$301.57 ST. JOSEPH'S - CHIPPEWA FALLS,34300006,A9505,HC DIAGNUCLIDE THALL 201 PER MCI,343,1 ,$201.00 ,$150.75 ,$110.55 ,$201.00 ,$129.44 , N/A ,$140.70 , N/A ,$166.83 , N/A ,$132.66 ,$190.95 , N/A ,$160.80 ,$182.91 , N/A ,$188.94 ,$190.95 ,$180.90 ,$170.85 , N/A , N/A , N/A ,$146.73 , N/A ,$178.89 ,$180.90 ,$180.90 ,$160.80 , N/A ,$110.55 ,$180.90 , N/A ,$180.90 , N/A ,$190.95 , N/A ,$184.92 , N/A ,$182.91 , N/A ,$123.70 ,$129.44 ,$123.70 ,$180.90 ,$180.90 ,$150.75 ,$140.70 , N/A , N/A ,$187.94 , N/A , N/A ,$174.87 , N/A ,$180.90 , N/A ,$180.90 ,$180.90 ,$180.90 ,$194.97 ,$162.81 ,$180.90 ,$180.90 ,$180.90 ,$180.90 ST. JOSEPH'S - CHIPPEWA FALLS,34300007,A9507,HC DIAGNUCLIDE PROSTASCINT,343,1 ,"$6,382.43 ","$4,786.82 ","$3,510.34 ","$6,382.43 ","$4,110.28 ", N/A ,"$4,467.70 ", N/A ,"$5,297.42 ", N/A ,"$4,212.40 ","$6,063.31 ", N/A ,"$5,105.94 ","$5,808.01 ", N/A ,"$5,999.48 ","$6,063.31 ","$5,744.19 ","$5,425.07 ", N/A , N/A , N/A ,"$4,659.17 ", N/A ,"$5,680.36 ","$5,744.19 ","$5,744.19 ","$5,105.94 ", N/A ,"$3,510.34 ","$5,744.19 ", N/A ,"$5,744.19 ", N/A ,"$6,063.31 ", N/A ,"$5,871.84 ", N/A ,"$5,808.01 ", N/A ,"$3,927.75 ","$4,110.28 ","$3,927.75 ","$5,744.19 ","$5,744.19 ","$4,786.82 ","$4,467.70 ", N/A , N/A ,"$5,967.57 ", N/A , N/A ,"$5,552.71 ", N/A ,"$5,744.19 ", N/A ,"$5,744.19 ","$5,744.19 ","$5,744.19 ","$6,190.96 ","$5,169.77 ","$5,744.19 ","$5,744.19 ","$5,744.19 ","$5,744.19 " ST. JOSEPH'S - CHIPPEWA FALLS,34300008,A9508,HC DIAGNUCLIDE I131 PER .5 MCI,343,1 ,"$6,565.45 ","$4,924.09 ","$3,611.00 ","$6,565.45 ","$4,228.15 ", N/A ,"$4,595.82 ", N/A ,"$5,449.32 ", N/A ,"$4,333.20 ","$6,237.18 ", N/A ,"$5,252.36 ","$5,974.56 ", N/A ,"$6,171.52 ","$6,237.18 ","$5,908.91 ","$5,580.63 ", N/A , N/A , N/A ,"$4,792.78 ", N/A ,"$5,843.25 ","$5,908.91 ","$5,908.91 ","$5,252.36 ", N/A ,"$3,611.00 ","$5,908.91 ", N/A ,"$5,908.91 ", N/A ,"$6,237.18 ", N/A ,"$6,040.21 ", N/A ,"$5,974.56 ", N/A ,"$4,040.38 ","$4,228.15 ","$4,040.38 ","$5,908.91 ","$5,908.91 ","$4,924.09 ","$4,595.82 ", N/A , N/A ,"$6,138.70 ", N/A , N/A ,"$5,711.94 ", N/A ,"$5,908.91 ", N/A ,"$5,908.91 ","$5,908.91 ","$5,908.91 ","$6,368.49 ","$5,318.01 ","$5,908.91 ","$5,908.91 ","$5,908.91 ","$5,908.91 " ST. JOSEPH'S - CHIPPEWA FALLS,34300009,A9512,HC TECHNETIUM TC99 PERTECH PER MCI,343,1 ,$28.91 ,$21.68 ,$15.90 ,$28.91 ,$18.62 , N/A ,$20.24 , N/A ,$24.00 , N/A ,$19.08 ,$27.46 , N/A ,$23.13 ,$26.31 , N/A ,$27.18 ,$27.46 ,$26.02 ,$24.57 , N/A , N/A , N/A ,$21.10 , N/A ,$25.73 ,$26.02 ,$26.02 ,$23.13 , N/A ,$15.90 ,$26.02 , N/A ,$26.02 , N/A ,$27.46 , N/A ,$26.60 , N/A ,$26.31 , N/A ,$17.79 ,$18.62 ,$17.79 ,$26.02 ,$26.02 ,$21.68 ,$20.24 , N/A , N/A ,$27.03 , N/A , N/A ,$25.15 , N/A ,$26.02 , N/A ,$26.02 ,$26.02 ,$26.02 ,$28.04 ,$23.42 ,$26.02 ,$26.02 ,$26.02 ,$26.02 ST. JOSEPH'S - CHIPPEWA FALLS,34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$94.36 ,$70.77 ,$51.90 ,$94.36 ,$60.77 , N/A ,$66.05 , N/A ,$78.32 , N/A ,$62.28 ,$89.64 , N/A ,$75.49 ,$85.87 , N/A ,$88.70 ,$89.64 ,$84.92 ,$80.21 , N/A , N/A , N/A ,$68.88 , N/A ,$83.98 ,$84.92 ,$84.92 ,$75.49 , N/A ,$51.90 ,$84.92 , N/A ,$84.92 , N/A ,$89.64 , N/A ,$86.81 , N/A ,$85.87 , N/A ,$58.07 ,$60.77 ,$58.07 ,$84.92 ,$84.92 ,$70.77 ,$66.05 , N/A , N/A ,$88.23 , N/A , N/A ,$82.09 , N/A ,$84.92 , N/A ,$84.92 ,$84.92 ,$84.92 ,$91.53 ,$76.43 ,$84.92 ,$84.92 ,$84.92 ,$84.92 ST. JOSEPH'S - CHIPPEWA FALLS,34300011,A9517,HC DIAGNUCLIDE I131 CAPS PER MCI,343,1 ,$19.55 ,$14.66 ,$10.75 ,$276.96 ,$12.59 ,$20.12 ,$13.69 ,$19.55 ,$16.23 ,$269.12 ,$12.90 ,$18.57 , N/A ,$15.64 ,$17.79 ,$19.55 ,$18.38 ,$18.57 ,$17.60 ,$16.62 ,$261.28 ,$261.28 ,$261.28 ,$14.27 ,$20.12 ,$17.40 ,$17.60 ,$17.60 ,$15.64 ,$20.72 ,$10.75 ,$17.60 ,$20.12 ,$17.60 ,$20.12 ,$18.57 ,$45.27 ,$17.99 ,$276.96 ,$17.79 ,$20.12 ,$12.03 ,$12.59 ,$12.03 ,$17.60 ,$17.60 ,$14.66 ,$13.69 ,$20.32 ,$274.34 ,$18.28 ,$21.13 ,$19.55 ,$17.01 ,$20.12 ,$17.60 ,$20.12 ,$17.60 ,$17.60 ,$17.60 ,$18.96 ,$15.84 ,$17.60 ,$17.60 ,$17.60 ,$17.60 ST. JOSEPH'S - CHIPPEWA FALLS,34300012,A9521,HC DIAGNUCLIDE CERETEC,343,1 ,"$1,145.12 ",$858.84 ,$629.82 ,"$1,145.12 ",$737.46 , N/A ,$801.58 , N/A ,$950.45 , N/A ,$755.78 ,"$1,087.86 ", N/A ,$916.10 ,"$1,042.06 ", N/A ,"$1,076.41 ","$1,087.86 ","$1,030.61 ",$973.35 , N/A , N/A , N/A ,$835.94 , N/A ,"$1,019.16 ","$1,030.61 ","$1,030.61 ",$916.10 , N/A ,$629.82 ,"$1,030.61 ", N/A ,"$1,030.61 ", N/A ,"$1,087.86 ", N/A ,"$1,053.51 ", N/A ,"$1,042.06 ", N/A ,$704.71 ,$737.46 ,$704.71 ,"$1,030.61 ","$1,030.61 ",$858.84 ,$801.58 , N/A , N/A ,"$1,070.69 ", N/A , N/A ,$996.25 , N/A ,"$1,030.61 ", N/A ,"$1,030.61 ","$1,030.61 ","$1,030.61 ","$1,110.77 ",$927.55 ,"$1,030.61 ","$1,030.61 ","$1,030.61 ","$1,030.61 " ST. JOSEPH'S - CHIPPEWA FALLS,34300014,A9528,HC DIAGNUCLIDE I131 NECK/CHST,343,1 ,$123.84 ,$92.88 ,$68.11 ,$123.84 ,$79.75 , N/A ,$86.69 , N/A ,$102.79 , N/A ,$81.73 ,$117.65 , N/A ,$99.07 ,$112.69 , N/A ,$116.41 ,$117.65 ,$111.46 ,$105.26 , N/A , N/A , N/A ,$90.40 , N/A ,$110.22 ,$111.46 ,$111.46 ,$99.07 , N/A ,$68.11 ,$111.46 , N/A ,$111.46 , N/A ,$117.65 , N/A ,$113.93 , N/A ,$112.69 , N/A ,$76.21 ,$79.75 ,$76.21 ,$111.46 ,$111.46 ,$92.88 ,$86.69 , N/A , N/A ,$115.79 , N/A , N/A ,$107.74 , N/A ,$111.46 , N/A ,$111.46 ,$111.46 ,$111.46 ,$120.12 ,$100.31 ,$111.46 ,$111.46 ,$111.46 ,$111.46 ST. JOSEPH'S - CHIPPEWA FALLS,34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$378.93 ,$284.20 ,$208.41 ,$378.93 ,$244.03 , N/A ,$265.25 , N/A ,$314.51 , N/A ,$250.09 ,$359.98 , N/A ,$303.14 ,$344.83 , N/A ,$356.19 ,$359.98 ,$341.04 ,$322.09 , N/A , N/A , N/A ,$276.62 , N/A ,$337.25 ,$341.04 ,$341.04 ,$303.14 , N/A ,$208.41 ,$341.04 , N/A ,$341.04 , N/A ,$359.98 , N/A ,$348.62 , N/A ,$344.83 , N/A ,$233.19 ,$244.03 ,$233.19 ,$341.04 ,$341.04 ,$284.20 ,$265.25 , N/A , N/A ,$354.30 , N/A , N/A ,$329.67 , N/A ,$341.04 , N/A ,$341.04 ,$341.04 ,$341.04 ,$367.56 ,$306.93 ,$341.04 ,$341.04 ,$341.04 ,$341.04 ST. JOSEPH'S - CHIPPEWA FALLS,34300017,A9539,HC DIAGNUCLIDE DTPA KIDNEY PER DOSE,343,1 ,$194.07 ,$145.55 ,$106.74 ,$194.07 ,$124.98 , N/A ,$135.85 , N/A ,$161.08 , N/A ,$128.09 ,$184.37 , N/A ,$155.26 ,$176.60 , N/A ,$182.43 ,$184.37 ,$174.66 ,$164.96 , N/A , N/A , N/A ,$141.67 , N/A ,$172.72 ,$174.66 ,$174.66 ,$155.26 , N/A ,$106.74 ,$174.66 , N/A ,$174.66 , N/A ,$184.37 , N/A ,$178.54 , N/A ,$176.60 , N/A ,$119.43 ,$124.98 ,$119.43 ,$174.66 ,$174.66 ,$145.55 ,$135.85 , N/A , N/A ,$181.46 , N/A , N/A ,$168.84 , N/A ,$174.66 , N/A ,$174.66 ,$174.66 ,$174.66 ,$188.25 ,$157.20 ,$174.66 ,$174.66 ,$174.66 ,$174.66 ST. JOSEPH'S - CHIPPEWA FALLS,34300018,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$297.79 ,$223.34 ,$163.78 ,$297.79 ,$191.78 , N/A ,$208.45 , N/A ,$247.17 , N/A ,$196.54 ,$282.90 , N/A ,$238.23 ,$270.99 , N/A ,$279.92 ,$282.90 ,$268.01 ,$253.12 , N/A , N/A , N/A ,$217.39 , N/A ,$265.03 ,$268.01 ,$268.01 ,$238.23 , N/A ,$163.78 ,$268.01 , N/A ,$268.01 , N/A ,$282.90 , N/A ,$273.97 , N/A ,$270.99 , N/A ,$183.26 ,$191.78 ,$183.26 ,$268.01 ,$268.01 ,$223.34 ,$208.45 , N/A , N/A ,$278.43 , N/A , N/A ,$259.08 , N/A ,$268.01 , N/A ,$268.01 ,$268.01 ,$268.01 ,$288.86 ,$241.21 ,$268.01 ,$268.01 ,$268.01 ,$268.01 ST. JOSEPH'S - CHIPPEWA FALLS,34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$297.79 ,$223.34 ,$163.78 ,$297.79 ,$191.78 , N/A ,$208.45 , N/A ,$247.17 , N/A ,$196.54 ,$282.90 , N/A ,$238.23 ,$270.99 , N/A ,$279.92 ,$282.90 ,$268.01 ,$253.12 , N/A , N/A , N/A ,$217.39 , N/A ,$265.03 ,$268.01 ,$268.01 ,$238.23 , N/A ,$163.78 ,$268.01 , N/A ,$268.01 , N/A ,$282.90 , N/A ,$273.97 , N/A ,$270.99 , N/A ,$183.26 ,$191.78 ,$183.26 ,$268.01 ,$268.01 ,$223.34 ,$208.45 , N/A , N/A ,$278.43 , N/A , N/A ,$259.08 , N/A ,$268.01 , N/A ,$268.01 ,$268.01 ,$268.01 ,$288.86 ,$241.21 ,$268.01 ,$268.01 ,$268.01 ,$268.01 ST. JOSEPH'S - CHIPPEWA FALLS,34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,$143.54 ,$107.66 ,$78.95 ,$143.54 ,$92.44 , N/A ,$100.48 , N/A ,$119.14 , N/A ,$94.74 ,$136.36 , N/A ,$114.83 ,$130.62 , N/A ,$134.93 ,$136.36 ,$129.19 ,$122.01 , N/A , N/A , N/A ,$104.78 , N/A ,$127.75 ,$129.19 ,$129.19 ,$114.83 , N/A ,$78.95 ,$129.19 , N/A ,$129.19 , N/A ,$136.36 , N/A ,$132.06 , N/A ,$130.62 , N/A ,$88.33 ,$92.44 ,$88.33 ,$129.19 ,$129.19 ,$107.66 ,$100.48 , N/A , N/A ,$134.21 , N/A , N/A ,$124.88 , N/A ,$129.19 , N/A ,$129.19 ,$129.19 ,$129.19 ,$139.23 ,$116.27 ,$129.19 ,$129.19 ,$129.19 ,$129.19 ST. JOSEPH'S - CHIPPEWA FALLS,34300022,A9543,HC Y90 ZEVALIN THERAPEUTIC 40 MCI,343,1 ,"$3,540.80 ","$2,655.60 ","$1,947.44 ","$132,547.90 ","$2,280.28 ","$58,910.18 ","$2,478.56 ","$3,540.80 ","$2,938.86 ","$4,468.32 ","$2,336.93 ","$3,363.76 ", N/A ,"$2,832.64 ","$3,222.13 ","$3,540.80 ","$3,328.35 ","$3,363.76 ","$3,186.72 ","$3,009.68 ","$4,338.17 ","$4,338.17 ","$4,338.17 ","$2,584.78 ","$58,910.18 ","$3,151.31 ","$3,186.72 ","$3,186.72 ","$2,832.64 ","$60,677.48 ","$1,947.44 ","$3,186.72 ","$58,910.18 ","$3,186.72 ","$58,910.18 ","$3,363.76 ","$132,547.90 ","$3,257.54 ","$4,598.46 ","$3,222.13 ","$58,910.18 ","$2,179.01 ","$2,280.28 ","$2,179.01 ","$3,186.72 ","$3,186.72 ","$2,655.60 ","$2,478.56 ","$59,499.28 ","$4,555.08 ","$3,310.65 ","$61,855.69 ","$3,540.80 ","$3,080.50 ","$58,910.18 ","$3,186.72 ","$58,910.18 ","$3,186.72 ","$3,186.72 ","$3,186.72 ","$3,434.58 ","$2,868.05 ","$3,186.72 ","$3,186.72 ","$3,186.72 ","$3,186.72 " ST. JOSEPH'S - CHIPPEWA FALLS,34300023,N/A,HC NON HODGKINS LYMPH SCAN 1ST,272,1 ,"$2,771.11 ","$2,078.33 ","$1,524.11 ","$2,771.11 ","$1,784.59 ", N/A ,"$1,939.78 ", N/A ,"$2,300.02 ", N/A ,"$1,828.93 ","$2,632.55 ", N/A ,"$2,216.89 ","$2,521.71 ", N/A ,"$2,604.84 ","$2,632.55 ","$2,494.00 ","$2,355.44 ", N/A , N/A , N/A ,"$2,022.91 ", N/A ,"$2,466.29 ","$2,494.00 ","$2,494.00 ","$2,216.89 ", N/A ,"$1,524.11 ","$2,494.00 ", N/A ,"$2,494.00 ", N/A ,"$2,632.55 ", N/A ,"$2,549.42 ", N/A ,"$2,521.71 ", N/A ,"$1,705.34 ","$1,784.59 ","$1,705.34 ","$2,494.00 ","$2,494.00 ","$2,078.33 ","$1,939.78 ", N/A , N/A ,"$2,590.99 ", N/A , N/A ,"$2,410.87 ", N/A ,"$2,494.00 ", N/A ,"$2,494.00 ","$2,494.00 ","$2,494.00 ","$2,687.98 ","$2,244.60 ","$2,494.00 ","$2,494.00 ","$2,494.00 ","$2,494.00 " ST. JOSEPH'S - CHIPPEWA FALLS,34300024,A9547,HC DIAGNUCLIDE IN OXINE .5 MCI,343,1 ,"$1,176.94 ",$882.71 ,$647.32 ,"$1,176.94 ",$757.95 , N/A ,$823.86 , N/A ,$976.86 , N/A ,$776.78 ,"$1,118.09 ", N/A ,$941.55 ,"$1,071.02 ", N/A ,"$1,106.32 ","$1,118.09 ","$1,059.25 ","$1,000.40 ", N/A , N/A , N/A ,$859.17 , N/A ,"$1,047.48 ","$1,059.25 ","$1,059.25 ",$941.55 , N/A ,$647.32 ,"$1,059.25 ", N/A ,"$1,059.25 ", N/A ,"$1,118.09 ", N/A ,"$1,082.78 ", N/A ,"$1,071.02 ", N/A ,$724.29 ,$757.95 ,$724.29 ,"$1,059.25 ","$1,059.25 ",$882.71 ,$823.86 , N/A , N/A ,"$1,100.44 ", N/A , N/A ,"$1,023.94 ", N/A ,"$1,059.25 ", N/A ,"$1,059.25 ","$1,059.25 ","$1,059.25 ","$1,141.63 ",$953.32 ,"$1,059.25 ","$1,059.25 ","$1,059.25 ","$1,059.25 " ST. JOSEPH'S - CHIPPEWA FALLS,34300026,A9548,HC DIAGNUCLIDE IN-111 DTPA,343,1 ,$949.11 ,$711.83 ,$522.01 ,$949.11 ,$611.23 , N/A ,$664.38 , N/A ,$787.76 , N/A ,$626.41 ,$901.65 , N/A ,$759.29 ,$863.69 , N/A ,$892.16 ,$901.65 ,$854.20 ,$806.74 , N/A , N/A , N/A ,$692.85 , N/A ,$844.71 ,$854.20 ,$854.20 ,$759.29 , N/A ,$522.01 ,$854.20 , N/A ,$854.20 , N/A ,$901.65 , N/A ,$873.18 , N/A ,$863.69 , N/A ,$584.08 ,$611.23 ,$584.08 ,$854.20 ,$854.20 ,$711.83 ,$664.38 , N/A , N/A ,$887.42 , N/A , N/A ,$825.73 , N/A ,$854.20 , N/A ,$854.20 ,$854.20 ,$854.20 ,$920.64 ,$768.78 ,$854.20 ,$854.20 ,$854.20 ,$854.20 ST. JOSEPH'S - CHIPPEWA FALLS,34300028,A9551,HC DIAGNUCLIDE DMSA,343,1 ,$470.57 ,$352.93 ,$258.81 ,$470.57 ,$303.05 , N/A ,$329.40 , N/A ,$390.57 , N/A ,$310.58 ,$447.04 , N/A ,$376.46 ,$428.22 , N/A ,$442.34 ,$447.04 ,$423.51 ,$399.98 , N/A , N/A , N/A ,$343.52 , N/A ,$418.81 ,$423.51 ,$423.51 ,$376.46 , N/A ,$258.81 ,$423.51 , N/A ,$423.51 , N/A ,$447.04 , N/A ,$432.92 , N/A ,$428.22 , N/A ,$289.59 ,$303.05 ,$289.59 ,$423.51 ,$423.51 ,$352.93 ,$329.40 , N/A , N/A ,$439.98 , N/A , N/A ,$409.40 , N/A ,$423.51 , N/A ,$423.51 ,$423.51 ,$423.51 ,$456.45 ,$381.16 ,$423.51 ,$423.51 ,$423.51 ,$423.51 ST. JOSEPH'S - CHIPPEWA FALLS,34300029,A9552,HC DIAGNUCLIDE 18FDG,343,1 ,"$2,480.14 ","$1,860.11 ","$1,364.08 ","$2,480.14 ","$1,597.21 ", N/A ,"$1,736.10 ", N/A ,"$2,058.52 ", N/A ,"$1,636.89 ","$2,356.13 ", N/A ,"$1,984.11 ","$2,256.93 ", N/A ,"$2,331.33 ","$2,356.13 ","$2,232.13 ","$2,108.12 ", N/A , N/A , N/A ,"$1,810.50 ", N/A ,"$2,207.32 ","$2,232.13 ","$2,232.13 ","$1,984.11 ", N/A ,"$1,364.08 ","$2,232.13 ", N/A ,"$2,232.13 ", N/A ,"$2,356.13 ", N/A ,"$2,281.73 ", N/A ,"$2,256.93 ", N/A ,"$1,526.28 ","$1,597.21 ","$1,526.28 ","$2,232.13 ","$2,232.13 ","$1,860.11 ","$1,736.10 ", N/A , N/A ,"$2,318.93 ", N/A , N/A ,"$2,157.72 ", N/A ,"$2,232.13 ", N/A ,"$2,232.13 ","$2,232.13 ","$2,232.13 ","$2,405.74 ","$2,008.91 ","$2,232.13 ","$2,232.13 ","$2,232.13 ","$2,232.13 " ST. JOSEPH'S - CHIPPEWA FALLS,34300031,A9556,HC DIAGNUCLIDE GA67 PER MCI,343,1 ,$208.58 ,$156.44 ,$114.72 ,$208.58 ,$134.33 , N/A ,$146.01 , N/A ,$173.12 , N/A ,$137.66 ,$198.15 , N/A ,$166.86 ,$189.81 , N/A ,$196.07 ,$198.15 ,$187.72 ,$177.29 , N/A , N/A , N/A ,$152.26 , N/A ,$185.64 ,$187.72 ,$187.72 ,$166.86 , N/A ,$114.72 ,$187.72 , N/A ,$187.72 , N/A ,$198.15 , N/A ,$191.89 , N/A ,$189.81 , N/A ,$128.36 ,$134.33 ,$128.36 ,$187.72 ,$187.72 ,$156.44 ,$146.01 , N/A , N/A ,$195.02 , N/A , N/A ,$181.46 , N/A ,$187.72 , N/A ,$187.72 ,$187.72 ,$187.72 ,$202.32 ,$168.95 ,$187.72 ,$187.72 ,$187.72 ,$187.72 ST. JOSEPH'S - CHIPPEWA FALLS,34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$668.93 ,$501.70 ,$367.91 ,$668.93 ,$430.79 , N/A ,$468.25 , N/A ,$555.21 , N/A ,$441.49 ,$635.48 , N/A ,$535.14 ,$608.73 , N/A ,$628.79 ,$635.48 ,$602.04 ,$568.59 , N/A , N/A , N/A ,$488.32 , N/A ,$595.35 ,$602.04 ,$602.04 ,$535.14 , N/A ,$367.91 ,$602.04 , N/A ,$602.04 , N/A ,$635.48 , N/A ,$615.42 , N/A ,$608.73 , N/A ,$411.66 ,$430.79 ,$411.66 ,$602.04 ,$602.04 ,$501.70 ,$468.25 , N/A , N/A ,$625.45 , N/A , N/A ,$581.97 , N/A ,$602.04 , N/A ,$602.04 ,$602.04 ,$602.04 ,$648.86 ,$541.83 ,$602.04 ,$602.04 ,$602.04 ,$602.04 ST. JOSEPH'S - CHIPPEWA FALLS,34300037,A9562,HC DIAG NUCLDE MAG 3 PER DOSE,343,1 ,$834.95 ,$626.21 ,$459.22 ,$834.95 ,$537.71 , N/A ,$584.47 , N/A ,$693.01 , N/A ,$551.07 ,$793.20 , N/A ,$667.96 ,$759.80 , N/A ,$784.85 ,$793.20 ,$751.46 ,$709.71 , N/A , N/A , N/A ,$609.51 , N/A ,$743.11 ,$751.46 ,$751.46 ,$667.96 , N/A ,$459.22 ,$751.46 , N/A ,$751.46 , N/A ,$793.20 , N/A ,$768.15 , N/A ,$759.80 , N/A ,$513.83 ,$537.71 ,$513.83 ,$751.46 ,$751.46 ,$626.21 ,$584.47 , N/A , N/A ,$780.68 , N/A , N/A ,$726.41 , N/A ,$751.46 , N/A ,$751.46 ,$751.46 ,$751.46 ,$809.90 ,$676.31 ,$751.46 ,$751.46 ,$751.46 ,$751.46 ST. JOSEPH'S - CHIPPEWA FALLS,34300038,A9572,HC DIAGNUCLIDE OCTREOTIDE PER DOSE UP TO 6MCI,343,1 ,"$2,758.19 ","$2,068.64 ","$1,517.00 ","$2,758.19 ","$1,776.27 ", N/A ,"$1,930.73 ", N/A ,"$2,289.30 ", N/A ,"$1,820.41 ","$2,620.28 ", N/A ,"$2,206.55 ","$2,509.95 ", N/A ,"$2,592.70 ","$2,620.28 ","$2,482.37 ","$2,344.46 ", N/A , N/A , N/A ,"$2,013.48 ", N/A ,"$2,454.79 ","$2,482.37 ","$2,482.37 ","$2,206.55 ", N/A ,"$1,517.00 ","$2,482.37 ", N/A ,"$2,482.37 ", N/A ,"$2,620.28 ", N/A ,"$2,537.53 ", N/A ,"$2,509.95 ", N/A ,"$1,697.39 ","$1,776.27 ","$1,697.39 ","$2,482.37 ","$2,482.37 ","$2,068.64 ","$1,930.73 ", N/A , N/A ,"$2,578.91 ", N/A , N/A ,"$2,399.63 ", N/A ,"$2,482.37 ", N/A ,"$2,482.37 ","$2,482.37 ","$2,482.37 ","$2,675.44 ","$2,234.13 ","$2,482.37 ","$2,482.37 ","$2,482.37 ","$2,482.37 " ST. JOSEPH'S - CHIPPEWA FALLS,34300040,A9604,HC THER ISOTOP SAMARIUM 153 UP TO 150MCI,343,1 ,"$3,731.22 ","$2,798.42 ","$1,979.43 ","$41,115.92 ","$2,402.91 ","$18,273.74 ","$2,611.85 ","$1,979.43 ","$3,096.91 ","$2,038.81 ","$2,462.61 ","$3,544.66 ", N/A ,"$2,984.98 ","$3,395.41 ","$1,979.43 ","$3,507.35 ","$3,544.66 ","$3,358.10 ","$3,171.54 ","$1,979.43 ","$1,979.43 ","$1,979.43 ","$2,723.79 ","$18,273.74 ","$3,320.79 ","$3,358.10 ","$3,358.10 ","$2,984.98 ","$18,821.96 ","$2,052.17 ","$3,358.10 ","$18,273.74 ","$3,358.10 ","$18,273.74 ","$3,544.66 ","$41,115.92 ","$3,432.72 ","$2,098.20 ","$3,395.41 ","$18,273.74 ","$2,296.19 ","$2,402.91 ","$2,296.19 ","$3,358.10 ","$3,358.10 ","$2,798.42 ","$2,611.85 ","$18,456.48 ","$2,078.40 ","$3,488.69 ","$19,187.43 ","$1,979.43 ","$3,246.16 ","$18,273.74 ","$3,358.10 ","$18,273.74 ","$3,358.10 ","$3,358.10 ","$3,358.10 ","$3,619.28 ","$3,022.29 ","$3,358.10 ","$3,358.10 ","$3,358.10 ","$3,358.10 " ST. JOSEPH'S - CHIPPEWA FALLS,34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$105.50 ,$79.13 ,$20.73 ,$105.50 ,$67.94 , N/A ,$73.85 ,$20.73 ,$105.50 ,$21.35 ,$105.50 ,$100.23 , N/A ,$84.40 ,$96.01 ,$20.73 ,$99.17 ,$100.23 ,$94.95 ,$89.68 ,$20.73 ,$20.73 ,$20.73 ,$77.02 , N/A ,$93.90 ,$94.95 ,$94.95 ,$84.40 , N/A ,$58.03 ,$94.95 , N/A ,$94.95 , N/A ,$100.23 , N/A ,$97.06 ,$21.97 ,$96.01 , N/A ,$64.92 ,$67.94 ,$64.92 ,$94.95 ,$94.95 ,$79.13 ,$94.95 , N/A ,$21.77 ,$98.64 , N/A ,$20.73 ,$91.79 , N/A ,$94.95 , N/A ,$94.95 ,$94.95 ,$94.95 ,$102.34 ,$85.46 ,$94.95 ,$94.95 ,$94.95 ,$94.95 ST. JOSEPH'S - CHIPPEWA FALLS,34300049,A9509,HC DIAGNUCLIDE I123 CAP PER MILLICURIE,343,1 ,"$1,222.36 ",$916.77 ,$672.30 ,"$1,222.36 ",$787.20 , N/A ,$855.65 , N/A ,"$1,014.56 ", N/A ,$806.76 ,"$1,161.24 ", N/A ,$977.89 ,"$1,112.35 ", N/A ,"$1,149.02 ","$1,161.24 ","$1,100.12 ","$1,039.01 ", N/A , N/A , N/A ,$892.32 , N/A ,"$1,087.90 ","$1,100.12 ","$1,100.12 ",$977.89 , N/A ,$672.30 ,"$1,100.12 ", N/A ,"$1,100.12 ", N/A ,"$1,161.24 ", N/A ,"$1,124.57 ", N/A ,"$1,112.35 ", N/A ,$752.24 ,$787.20 ,$752.24 ,"$1,100.12 ","$1,100.12 ",$916.77 ,$855.65 , N/A , N/A ,"$1,142.91 ", N/A , N/A ,"$1,063.45 ", N/A ,"$1,100.12 ", N/A ,"$1,100.12 ","$1,100.12 ","$1,100.12 ","$1,185.69 ",$990.11 ,"$1,100.12 ","$1,100.12 ","$1,100.12 ","$1,100.12 " ST. JOSEPH'S - CHIPPEWA FALLS,34300050,A9510,HC DIAGNUCLIDE TECHN TC-99 PER STUDY DOSE/15 MCI,343,1 ,$372.81 ,$279.61 ,$205.05 ,$372.81 ,$240.09 , N/A ,$260.97 , N/A ,$309.43 , N/A ,$246.05 ,$354.17 , N/A ,$298.25 ,$339.26 , N/A ,$350.44 ,$354.17 ,$335.53 ,$316.89 , N/A , N/A , N/A ,$272.15 , N/A ,$331.80 ,$335.53 ,$335.53 ,$298.25 , N/A ,$205.05 ,$335.53 , N/A ,$335.53 , N/A ,$354.17 , N/A ,$342.99 , N/A ,$339.26 , N/A ,$229.43 ,$240.09 ,$229.43 ,$335.53 ,$335.53 ,$279.61 ,$260.97 , N/A , N/A ,$348.58 , N/A , N/A ,$324.34 , N/A ,$335.53 , N/A ,$335.53 ,$335.53 ,$335.53 ,$361.63 ,$301.98 ,$335.53 ,$335.53 ,$335.53 ,$335.53 ST. JOSEPH'S - CHIPPEWA FALLS,34300052,A9539,HC DIAGNUCLIDE DTPA AEROSOL,343,1 ,$194.07 ,$145.55 ,$106.74 ,$194.07 ,$124.98 , N/A ,$135.85 , N/A ,$161.08 , N/A ,$128.09 ,$184.37 , N/A ,$155.26 ,$176.60 , N/A ,$182.43 ,$184.37 ,$174.66 ,$164.96 , N/A , N/A , N/A ,$141.67 , N/A ,$172.72 ,$174.66 ,$174.66 ,$155.26 , N/A ,$106.74 ,$174.66 , N/A ,$174.66 , N/A ,$184.37 , N/A ,$178.54 , N/A ,$176.60 , N/A ,$119.43 ,$124.98 ,$119.43 ,$174.66 ,$174.66 ,$145.55 ,$135.85 , N/A , N/A ,$181.46 , N/A , N/A ,$168.84 , N/A ,$174.66 , N/A ,$174.66 ,$174.66 ,$174.66 ,$188.25 ,$157.20 ,$174.66 ,$174.66 ,$174.66 ,$174.66 ST. JOSEPH'S - CHIPPEWA FALLS,34300053,A9606,HC NUCLIDE XOFIGO PER MICROCURIE,636,1 ,$110.75 ,$83.06 ,$60.91 ,"$4,598.46 ",$71.32 ,$145.06 ,$77.53 ,$110.75 , N/A ,"$4,468.32 ", N/A ,$105.21 , N/A ,$88.60 ,$100.78 ,$110.75 ,$104.11 ,$105.21 ,$99.68 ,$94.14 ,"$4,338.17 ","$4,338.17 ","$4,338.17 ",$80.85 ,$145.06 ,$98.57 ,$99.68 ,$99.68 ,$88.60 ,$149.41 ,$60.91 ,$99.68 ,$145.06 ,$99.68 ,$145.06 ,$105.21 ,$326.38 ,$101.89 ,"$4,598.46 ",$100.78 ,$145.06 ,$68.16 ,$71.32 ,$68.16 ,$99.68 ,$99.68 ,$83.06 , N/A ,$146.51 ,"$4,555.08 ",$103.55 ,$152.31 ,$110.75 ,$96.35 ,$145.06 ,$99.68 ,$145.06 ,$99.68 ,$99.68 ,$99.68 ,$107.43 ,$89.71 ,$99.68 ,$99.68 ,$99.68 ,$99.68 ST. JOSEPH'S - CHIPPEWA FALLS,35000005,21501,HC I AND D ABSC NECK/THORAX,350,1 ,"$1,990.04 ","$1,492.53 ",$639.42 ,"$5,164.55 ","$1,281.59 ","$2,295.35 ","$1,393.03 ",$639.42 ,"$1,990.04 ",$658.60 ,"$1,910.00 ","$1,890.54 ", N/A ,"$1,592.03 ","$1,810.94 ",$639.42 ,"$1,870.64 ","$1,890.54 ","$1,791.04 ","$1,691.53 ",$639.42 ,$639.42 ,$639.42 ,"$1,452.73 ","$2,295.35 ","$1,771.14 ","$1,791.04 ","$1,791.04 ","$1,592.03 ","$2,364.22 ","$1,094.52 ","$1,791.04 ","$2,295.35 ","$1,791.04 ","$2,295.35 ","$1,890.54 ","$5,164.55 ","$1,830.84 ",$677.79 ,"$1,810.94 ","$2,295.35 ","$1,224.67 ","$1,281.59 ","$1,224.67 ","$1,791.04 ","$1,791.04 ","$1,492.53 ","$1,791.04 ","$2,318.31 ",$671.39 ,"$1,860.69 ","$2,410.12 ",$639.42 ,"$1,731.33 ","$2,295.35 ","$1,791.04 ","$2,295.35 ","$1,791.04 ","$1,791.04 ","$1,791.04 ","$1,930.34 ","$1,611.93 ","$1,791.04 ","$1,791.04 ","$1,791.04 ","$1,791.04 " ST. JOSEPH'S - CHIPPEWA FALLS,35000006,21550,HC BX TISSUE NECK/THORAX,350,1 ,"$1,188.16 ",$891.12 ,$639.42 ,"$3,066.03 ",$765.18 ,"$1,362.68 ",$831.71 ,$639.42 ,"$1,188.16 ",$658.60 ,"$1,188.16 ","$1,128.75 ", N/A ,$950.53 ,"$1,081.23 ",$639.42 ,"$1,116.87 ","$1,128.75 ","$1,069.34 ","$1,009.94 ",$639.42 ,$639.42 ,$639.42 ,$867.36 ,"$1,362.68 ","$1,057.46 ","$1,069.34 ","$1,069.34 ",$950.53 ,"$1,403.56 ",$653.49 ,"$1,069.34 ","$1,362.68 ","$1,069.34 ","$1,362.68 ","$1,128.75 ","$3,066.03 ","$1,093.11 ",$677.79 ,"$1,081.23 ","$1,362.68 ",$731.19 ,$765.18 ,$731.19 ,"$1,069.34 ","$1,069.34 ",$891.12 ,"$1,069.34 ","$1,376.31 ",$671.39 ,"$1,110.93 ","$1,430.81 ",$639.42 ,"$1,033.70 ","$1,362.68 ","$1,069.34 ","$1,362.68 ","$1,069.34 ","$1,069.34 ","$1,069.34 ","$1,152.52 ",$962.41 ,"$1,069.34 ","$1,069.34 ","$1,069.34 ","$1,069.34 " ST. JOSEPH'S - CHIPPEWA FALLS,35000013,32400,HC BX PLEURA NEEDLE PERC,350,1 ,"$1,843.55 ","$1,382.66 ",$258.10 ,"$3,066.03 ","$1,187.25 ","$1,362.68 ","$1,290.49 ",$258.10 ,"$1,843.55 ",$265.84 ,"$1,843.55 ","$1,751.37 ", N/A ,"$1,474.84 ","$1,677.63 ",$258.10 ,"$1,732.94 ","$1,751.37 ","$1,659.20 ","$1,567.02 ",$258.10 ,$258.10 ,$258.10 ,"$1,345.79 ","$1,362.68 ","$1,640.76 ","$1,659.20 ","$1,659.20 ","$1,474.84 ","$1,403.56 ","$1,013.95 ","$1,659.20 ","$1,362.68 ","$1,659.20 ","$1,362.68 ","$1,751.37 ","$3,066.03 ","$1,696.07 ",$273.59 ,"$1,677.63 ","$1,362.68 ","$1,134.52 ","$1,187.25 ","$1,134.52 ","$1,659.20 ","$1,659.20 ","$1,382.66 ","$1,659.20 ","$1,376.31 ",$271.01 ,"$1,723.72 ","$1,430.81 ",$258.10 ,"$1,603.89 ","$1,362.68 ","$1,659.20 ","$1,362.68 ","$1,659.20 ","$1,659.20 ","$1,659.20 ","$1,788.24 ","$1,493.28 ","$1,659.20 ","$1,659.20 ","$1,659.20 ","$1,659.20 " ST. JOSEPH'S - CHIPPEWA FALLS,35000014,32405,HC BX LUNG/MEDIASTINUM PERC NDL,350,1 ,"$2,782.62 ","$2,086.97 ","$1,530.44 ","$2,782.62 ","$1,792.01 ", N/A ,"$1,947.83 ", N/A ,"$2,388.00 ", N/A ,"$1,910.00 ","$2,643.49 ", N/A ,"$2,226.10 ","$2,532.18 ", N/A ,"$2,615.66 ","$2,643.49 ","$2,504.36 ","$2,365.23 ", N/A , N/A , N/A ,"$2,031.31 ", N/A ,"$2,476.53 ","$2,504.36 ","$2,504.36 ","$2,226.10 ", N/A ,"$1,530.44 ","$2,504.36 ", N/A ,"$2,504.36 ", N/A ,"$2,643.49 ", N/A ,"$2,560.01 ", N/A ,"$2,532.18 ", N/A ,"$1,712.42 ","$1,792.01 ","$1,712.42 ","$2,504.36 ","$2,504.36 ","$2,086.97 ","$1,900.81 ", N/A , N/A ,"$2,601.75 ", N/A , N/A ,"$2,420.88 ", N/A ,"$2,504.36 ", N/A ,"$2,504.36 ","$2,504.36 ","$2,504.36 ","$2,699.14 ","$2,253.92 ","$2,504.36 ","$2,504.36 ","$2,504.36 ","$2,504.36 " ST. JOSEPH'S - CHIPPEWA FALLS,35000018,47000,HC BX LIVER NEEDLE PERC,350,1 ,"$1,645.43 ","$1,234.07 ",$202.63 ,"$3,066.03 ","$1,059.66 ","$1,362.68 ","$1,151.80 ",$202.63 ,"$1,645.43 ",$208.71 ,"$1,645.43 ","$1,563.16 ", N/A ,"$1,316.34 ","$1,497.34 ",$202.63 ,"$1,546.70 ","$1,563.16 ","$1,480.89 ","$1,398.62 ",$202.63 ,$202.63 ,$202.63 ,"$1,201.16 ","$1,362.68 ","$1,464.43 ","$1,480.89 ","$1,480.89 ","$1,316.34 ","$1,403.56 ",$904.99 ,"$1,480.89 ","$1,362.68 ","$1,480.89 ","$1,362.68 ","$1,563.16 ","$3,066.03 ","$1,513.80 ",$214.79 ,"$1,497.34 ","$1,362.68 ","$1,012.60 ","$1,059.66 ","$1,012.60 ","$1,480.89 ","$1,480.89 ","$1,234.07 ","$1,480.89 ","$1,376.31 ",$212.76 ,"$1,538.48 ","$1,430.81 ",$202.63 ,"$1,431.52 ","$1,362.68 ","$1,480.89 ","$1,362.68 ","$1,480.89 ","$1,480.89 ","$1,480.89 ","$1,596.07 ","$1,332.80 ","$1,480.89 ","$1,480.89 ","$1,480.89 ","$1,480.89 " ST. JOSEPH'S - CHIPPEWA FALLS,35000019,47001,HC BIOPSY LIVER OTHER PROC,350,1 ,"$1,804.53 ","$1,353.40 ",$202.63 ,"$1,804.53 ","$1,162.12 ", N/A ,"$1,263.17 ",$202.63 ,"$1,804.53 ",$208.71 ,"$1,804.53 ","$1,714.30 ", N/A ,"$1,443.62 ","$1,642.12 ",$202.63 ,"$1,696.26 ","$1,714.30 ","$1,624.08 ","$1,533.85 ",$202.63 ,$202.63 ,$202.63 ,"$1,317.31 ", N/A ,"$1,606.03 ","$1,624.08 ","$1,624.08 ","$1,443.62 ", N/A ,$992.49 ,"$1,624.08 ", N/A ,"$1,624.08 ", N/A ,"$1,714.30 ", N/A ,"$1,660.17 ",$214.79 ,"$1,642.12 ", N/A ,"$1,110.51 ","$1,162.12 ","$1,110.51 ","$1,624.08 ","$1,624.08 ","$1,353.40 ","$1,624.08 ", N/A ,$212.76 ,"$1,687.24 ", N/A ,$202.63 ,"$1,569.94 ", N/A ,"$1,624.08 ", N/A ,"$1,624.08 ","$1,624.08 ","$1,624.08 ","$1,750.39 ","$1,461.67 ","$1,624.08 ","$1,624.08 ","$1,624.08 ","$1,624.08 " ST. JOSEPH'S - CHIPPEWA FALLS,35000020,49405,HC PERC DRN ABSC/HEM/CYST VISCERAL,350,1 ,"$2,242.48 ","$1,681.86 ",$202.63 ,"$3,066.03 ","$1,444.16 ","$1,362.68 ","$1,569.74 ",$202.63 ,"$2,242.48 ",$208.71 ,"$1,910.00 ","$2,130.36 ", N/A ,"$1,793.98 ","$2,040.66 ",$202.63 ,"$2,107.93 ","$2,130.36 ","$2,018.23 ","$1,906.11 ",$202.63 ,$202.63 ,$202.63 ,"$1,637.01 ","$1,362.68 ","$1,995.81 ","$2,018.23 ","$2,018.23 ","$1,793.98 ","$1,403.56 ","$1,233.36 ","$2,018.23 ","$1,362.68 ","$2,018.23 ","$1,362.68 ","$2,130.36 ","$3,066.03 ","$2,063.08 ",$214.79 ,"$2,040.66 ","$1,362.68 ","$1,380.02 ","$1,444.16 ","$1,380.02 ","$2,018.23 ","$2,018.23 ","$1,681.86 ","$1,900.81 ","$1,376.31 ",$212.76 ,"$2,096.72 ","$1,430.81 ",$202.63 ,"$1,950.96 ","$1,362.68 ","$2,018.23 ","$1,362.68 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,175.21 ","$1,816.41 ","$2,018.23 ","$2,018.23 ","$2,018.23 ","$2,018.23 " ST. JOSEPH'S - CHIPPEWA FALLS,35000021,47382,HC ABLATION TUMR LIVER RADIO PERC,350,1 ,$944.58 ,$708.44 ,$519.52 ,"$11,027.33 ",$608.31 ,"$4,901.04 ",$661.21 ,$944.58 ,$944.58 ,"$1,881.18 ",$944.58 ,$897.35 , N/A ,$755.66 ,$859.57 ,$944.58 ,$887.91 ,$897.35 ,$850.12 ,$802.89 ,"$1,826.39 ","$1,826.39 ","$1,826.39 ",$689.54 ,"$4,901.04 ",$840.68 ,$850.12 ,$850.12 ,$755.66 ,"$5,048.07 ",$519.52 ,$850.12 ,"$4,901.04 ",$850.12 ,"$4,901.04 ",$897.35 ,"$11,027.33 ",$869.01 ,"$1,935.97 ",$859.57 ,"$4,901.04 ",$581.29 ,$608.31 ,$581.29 ,$850.12 ,$850.12 ,$708.44 ,$850.12 ,"$4,950.05 ","$1,917.71 ",$883.18 ,"$5,146.09 ",$944.58 ,$821.78 ,"$4,901.04 ",$850.12 ,"$4,901.04 ",$850.12 ,$850.12 ,$850.12 ,$916.24 ,$765.11 ,$850.12 ,$850.12 ,$850.12 ,$850.12 ST. JOSEPH'S - CHIPPEWA FALLS,35000023,48102,HC BX PANCREAS NEEDLE PERC,350,1 ,"$1,354.09 ","$1,015.57 ",$202.63 ,"$3,066.03 ",$872.03 ,"$1,362.68 ",$947.86 ,$202.63 ,"$1,354.09 ",$208.71 ,"$1,354.09 ","$1,286.39 ", N/A ,"$1,083.27 ","$1,232.22 ",$202.63 ,"$1,272.84 ","$1,286.39 ","$1,218.68 ","$1,150.98 ",$202.63 ,$202.63 ,$202.63 ,$988.49 ,"$1,362.68 ","$1,205.14 ","$1,218.68 ","$1,218.68 ","$1,083.27 ","$1,403.56 ",$744.75 ,"$1,218.68 ","$1,362.68 ","$1,218.68 ","$1,362.68 ","$1,286.39 ","$3,066.03 ","$1,245.76 ",$214.79 ,"$1,232.22 ","$1,362.68 ",$833.31 ,$872.03 ,$833.31 ,"$1,218.68 ","$1,218.68 ","$1,015.57 ","$1,218.68 ","$1,376.31 ",$212.76 ,"$1,266.07 ","$1,430.81 ",$202.63 ,"$1,178.06 ","$1,362.68 ","$1,218.68 ","$1,362.68 ","$1,218.68 ","$1,218.68 ","$1,218.68 ","$1,313.47 ","$1,096.81 ","$1,218.68 ","$1,218.68 ","$1,218.68 ","$1,218.68 " ST. JOSEPH'S - CHIPPEWA FALLS,35000025,49180,HC ABDOM/RETRO/MASS BIOP,350,1 ,"$1,332.06 ",$999.05 ,$202.63 ,"$3,066.03 ",$857.85 ,"$1,362.68 ",$932.44 ,$202.63 ,"$1,332.06 ",$208.71 ,"$1,332.06 ","$1,265.46 ", N/A ,"$1,065.65 ","$1,212.17 ",$202.63 ,"$1,252.14 ","$1,265.46 ","$1,198.85 ","$1,132.25 ",$202.63 ,$202.63 ,$202.63 ,$972.40 ,"$1,362.68 ","$1,185.53 ","$1,198.85 ","$1,198.85 ","$1,065.65 ","$1,403.56 ",$732.63 ,"$1,198.85 ","$1,362.68 ","$1,198.85 ","$1,362.68 ","$1,265.46 ","$3,066.03 ","$1,225.50 ",$214.79 ,"$1,212.17 ","$1,362.68 ",$819.75 ,$857.85 ,$819.75 ,"$1,198.85 ","$1,198.85 ",$999.05 ,"$1,198.85 ","$1,376.31 ",$212.76 ,"$1,245.48 ","$1,430.81 ",$202.63 ,"$1,158.89 ","$1,362.68 ","$1,198.85 ","$1,362.68 ","$1,198.85 ","$1,198.85 ","$1,198.85 ","$1,292.10 ","$1,078.97 ","$1,198.85 ","$1,198.85 ","$1,198.85 ","$1,198.85 " ST. JOSEPH'S - CHIPPEWA FALLS,35000026,50200,"HC PERC BIOPSY/KIDNEY, NEEDLE",350,1 ,"$1,294.97 ",$971.23 ,$430.16 ,"$3,066.03 ",$833.96 ,"$1,362.68 ",$906.48 ,$430.16 ,"$1,294.97 ",$443.06 ,"$1,294.97 ","$1,230.22 ", N/A ,"$1,035.98 ","$1,178.42 ",$430.16 ,"$1,217.27 ","$1,230.22 ","$1,165.47 ","$1,100.72 ",$430.16 ,$430.16 ,$430.16 ,$945.33 ,"$1,362.68 ","$1,152.52 ","$1,165.47 ","$1,165.47 ","$1,035.98 ","$1,403.56 ",$712.23 ,"$1,165.47 ","$1,362.68 ","$1,165.47 ","$1,362.68 ","$1,230.22 ","$3,066.03 ","$1,191.37 ",$455.97 ,"$1,178.42 ","$1,362.68 ",$796.92 ,$833.96 ,$796.92 ,"$1,165.47 ","$1,165.47 ",$971.23 ,"$1,165.47 ","$1,376.31 ",$451.67 ,"$1,210.80 ","$1,430.81 ",$430.16 ,"$1,126.62 ","$1,362.68 ","$1,165.47 ","$1,362.68 ","$1,165.47 ","$1,165.47 ","$1,165.47 ","$1,256.12 ","$1,048.93 ","$1,165.47 ","$1,165.47 ","$1,165.47 ","$1,165.47 " ST. JOSEPH'S - CHIPPEWA FALLS,35000027,50390,HC RENAL CYST/PELVIS ASP/INJ,350,1 ,"$1,102.52 ",$826.89 ,$125.13 ,"$1,355.35 ",$710.02 ,$602.38 ,$771.76 ,$125.13 ,"$1,102.52 ",$128.88 ,"$1,102.52 ","$1,047.39 ", N/A ,$882.02 ,"$1,003.29 ",$125.13 ,"$1,036.37 ","$1,047.39 ",$992.27 ,$937.14 ,$125.13 ,$125.13 ,$125.13 ,$804.84 ,$602.38 ,$981.24 ,$992.27 ,$992.27 ,$882.02 ,$620.45 ,$606.39 ,$992.27 ,$602.38 ,$992.27 ,$602.38 ,"$1,047.39 ","$1,355.35 ","$1,014.32 ",$132.64 ,"$1,003.29 ",$602.38 ,$678.49 ,$710.02 ,$678.49 ,$992.27 ,$992.27 ,$826.89 ,$992.27 ,$608.40 ,$131.39 ,"$1,030.86 ",$632.50 ,$125.13 ,$959.19 ,$602.38 ,$992.27 ,$602.38 ,$992.27 ,$992.27 ,$992.27 ,"$1,069.44 ",$893.04 ,$992.27 ,$992.27 ,$992.27 ,$992.27 ST. JOSEPH'S - CHIPPEWA FALLS,35000028,60100,HC BX THYROID NEEDLE PERC,350,1 ,$845.47 ,$634.10 ,$280.78 ,"$1,355.35 ",$544.48 ,$602.38 ,$591.83 ,$280.78 ,$845.47 ,$289.20 ,$845.47 ,$803.20 , N/A ,$676.38 ,$769.38 ,$280.78 ,$794.74 ,$803.20 ,$760.92 ,$718.65 ,$280.78 ,$280.78 ,$280.78 ,$617.19 ,$602.38 ,$752.47 ,$760.92 ,$760.92 ,$676.38 ,$620.45 ,$465.01 ,$760.92 ,$602.38 ,$760.92 ,$602.38 ,$803.20 ,"$1,355.35 ",$777.83 ,$297.63 ,$769.38 ,$602.38 ,$520.30 ,$544.48 ,$520.30 ,$760.92 ,$760.92 ,$634.10 ,$760.92 ,$608.40 ,$294.82 ,$790.51 ,$632.50 ,$280.78 ,$735.56 ,$602.38 ,$760.92 ,$602.38 ,$760.92 ,$760.92 ,$760.92 ,$820.11 ,$684.83 ,$760.92 ,$760.92 ,$760.92 ,$760.92 ST. JOSEPH'S - CHIPPEWA FALLS,35000029,60699,HC UNLISTED PROCEDURE ENDOCRINE SYSTEM,350,1 ,"$1,770.62 ","$1,327.97 ",$783.76 ,"$11,027.33 ","$1,140.28 ","$4,901.04 ","$1,239.43 ",$783.76 ,"$1,770.62 ",$807.27 ,"$1,770.62 ","$1,682.09 ", N/A ,"$1,416.50 ","$1,611.26 ",$783.76 ,"$1,664.38 ","$1,682.09 ","$1,593.56 ","$1,505.03 ",$783.76 ,$783.76 ,$783.76 ,"$1,292.55 ","$4,901.04 ","$1,575.85 ","$1,593.56 ","$1,593.56 ","$1,416.50 ","$5,048.07 ",$973.84 ,"$1,593.56 ","$4,901.04 ","$1,593.56 ","$4,901.04 ","$1,682.09 ","$11,027.33 ","$1,628.97 ",$830.79 ,"$1,611.26 ","$4,901.04 ","$1,089.64 ","$1,140.28 ","$1,089.64 ","$1,593.56 ","$1,593.56 ","$1,327.97 ","$1,593.56 ","$4,950.05 ",$822.95 ,"$1,655.53 ","$5,146.09 ",$783.76 ,"$1,540.44 ","$4,901.04 ","$1,593.56 ","$4,901.04 ","$1,593.56 ","$1,593.56 ","$1,593.56 ","$1,717.50 ","$1,434.20 ","$1,593.56 ","$1,593.56 ","$1,593.56 ","$1,593.56 " ST. JOSEPH'S - CHIPPEWA FALLS,35000031,64425,HC INJ ANESTH; ILIOINGUINAL NERVE,350,1 ,"$1,639.01 ","$1,229.26 ",$121.61 ,"$1,639.01 ","$1,055.52 ",$614.60 ,"$1,147.31 ",$121.61 ,"$1,639.01 ",$125.26 ,"$1,639.01 ","$1,557.06 ", N/A ,"$1,311.21 ","$1,491.50 ",$121.61 ,"$1,540.67 ","$1,557.06 ","$1,475.11 ","$1,393.16 ",$121.61 ,$121.61 ,$121.61 ,"$1,196.48 ",$614.60 ,"$1,458.72 ","$1,475.11 ","$1,475.11 ","$1,311.21 ",$633.04 ,$901.46 ,"$1,475.11 ",$614.60 ,"$1,475.11 ",$614.60 ,"$1,557.06 ","$1,382.85 ","$1,507.89 ",$128.91 ,"$1,491.50 ",$614.60 ,"$1,008.65 ","$1,055.52 ","$1,008.65 ","$1,475.11 ","$1,475.11 ","$1,229.26 ","$1,475.11 ",$620.75 ,$127.69 ,"$1,532.47 ",$645.33 ,$121.61 ,"$1,425.94 ",$614.60 ,"$1,475.11 ",$614.60 ,"$1,475.11 ","$1,475.11 ","$1,475.11 ","$1,589.84 ","$1,327.60 ","$1,475.11 ","$1,475.11 ","$1,475.11 ","$1,475.11 " ST. JOSEPH'S - CHIPPEWA FALLS,35000034,64530,HC INJ CELIAC PLEXUS BLOCK,350,1 ,"$2,807.36 ","$2,105.52 ",$349.28 ,"$2,807.36 ","$1,807.94 ",$796.55 ,"$1,965.15 ",$349.28 ,"$2,388.00 ",$359.76 ,"$1,910.00 ","$2,666.99 ", N/A ,"$2,245.89 ","$2,554.70 ",$349.28 ,"$2,638.92 ","$2,666.99 ","$2,526.62 ","$2,386.26 ",$349.28 ,$349.28 ,$349.28 ,"$2,049.37 ",$796.55 ,"$2,498.55 ","$2,526.62 ","$2,526.62 ","$2,245.89 ",$820.45 ,"$1,544.05 ","$2,526.62 ",$796.55 ,"$2,526.62 ",$796.55 ,"$2,666.99 ","$1,792.24 ","$2,582.77 ",$370.24 ,"$2,554.70 ",$796.55 ,"$1,727.65 ","$1,807.94 ","$1,727.65 ","$2,526.62 ","$2,526.62 ","$2,105.52 ","$1,900.81 ",$804.52 ,$366.74 ,"$2,624.88 ",$836.38 ,$349.28 ,"$2,442.40 ",$796.55 ,"$2,526.62 ",$796.55 ,"$2,526.62 ","$2,526.62 ","$2,526.62 ","$2,723.14 ","$2,273.96 ","$2,526.62 ","$2,526.62 ","$2,526.62 ","$2,526.62 " ST. JOSEPH'S - CHIPPEWA FALLS,35000035,64680,HC DEST NERVE CELIAC PLEXUS,350,1 ,"$3,922.59 ","$2,941.94 ",$349.28 ,"$3,922.59 ","$2,526.15 ",$796.55 ,"$2,745.81 ",$349.28 ,"$2,388.00 ",$359.76 ,"$1,910.00 ","$3,726.46 ", N/A ,"$3,138.07 ","$3,569.56 ",$349.28 ,"$3,687.23 ","$3,726.46 ","$3,530.33 ","$3,334.20 ",$349.28 ,$349.28 ,$349.28 ,"$2,863.49 ",$796.55 ,"$3,491.11 ","$3,530.33 ","$3,530.33 ","$3,138.07 ",$820.45 ,"$2,157.42 ","$3,530.33 ",$796.55 ,"$3,530.33 ",$796.55 ,"$3,726.46 ","$1,792.24 ","$3,608.78 ",$370.24 ,"$3,569.56 ",$796.55 ,"$2,413.96 ","$2,526.15 ","$2,413.96 ","$3,530.33 ","$3,530.33 ","$2,941.94 ","$1,900.81 ",$804.52 ,$366.74 ,"$3,667.62 ",$836.38 ,$349.28 ,"$3,412.65 ",$796.55 ,"$3,530.33 ",$796.55 ,"$3,530.33 ","$3,530.33 ","$3,530.33 ","$3,804.91 ","$3,177.30 ","$3,530.33 ","$3,530.33 ","$3,530.33 ","$3,530.33 " ST. JOSEPH'S - CHIPPEWA FALLS,35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$1,812.48 ","$1,359.36 ",$90.16 ,"$1,812.48 ","$1,167.24 ",$105.54 ,"$1,268.74 ",$90.16 ,"$1,812.48 ",$92.86 ,"$1,812.48 ","$1,721.86 ", N/A ,"$1,449.98 ","$1,649.36 ",$90.16 ,"$1,703.73 ","$1,721.86 ","$1,631.23 ","$1,540.61 ",$90.16 ,$90.16 ,$90.16 ,"$1,323.11 ",$105.54 ,"$1,613.11 ","$1,631.23 ","$1,631.23 ","$1,449.98 ",$108.70 ,$996.86 ,"$1,631.23 ",$105.54 ,"$1,631.23 ",$105.54 ,"$1,721.86 ",$237.46 ,"$1,667.48 ",$95.57 ,"$1,649.36 ",$105.54 ,"$1,115.40 ","$1,167.24 ","$1,115.40 ","$1,631.23 ",$810.12 ,"$1,359.36 ","$1,631.23 ",$106.59 ,$94.67 ,"$1,694.67 ",$110.82 ,$90.16 ,"$1,576.86 ",$105.54 ,"$1,631.23 ",$105.54 ,"$1,631.23 ","$1,631.23 ","$1,631.23 ","$1,758.11 ","$1,468.11 ","$1,631.23 ","$1,631.23 ","$1,631.23 ","$1,631.23 " ST. JOSEPH'S - CHIPPEWA FALLS,35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$1,837.36 ","$1,378.02 ",$90.16 ,"$1,837.36 ","$1,183.26 ",$172.93 ,"$1,286.15 ",$90.16 ,"$1,837.36 ",$92.86 ,"$1,837.36 ","$1,745.49 ", N/A ,"$1,469.89 ","$1,672.00 ",$90.16 ,"$1,727.12 ","$1,745.49 ","$1,653.62 ","$1,561.76 ",$90.16 ,$90.16 ,$90.16 ,"$1,341.27 ",$172.93 ,"$1,635.25 ","$1,653.62 ","$1,653.62 ","$1,469.89 ",$178.11 ,"$1,010.55 ","$1,653.62 ",$172.93 ,"$1,653.62 ",$172.93 ,"$1,745.49 ",$389.08 ,"$1,690.37 ",$95.57 ,"$1,672.00 ",$172.93 ,"$1,130.71 ","$1,183.26 ","$1,130.71 ","$1,653.62 ","$1,045.74 ","$1,378.02 ","$1,653.62 ",$174.65 ,$94.67 ,"$1,717.93 ",$181.58 ,$90.16 ,"$1,598.50 ",$172.93 ,"$1,653.62 ",$172.93 ,"$1,653.62 ","$1,653.62 ","$1,653.62 ","$1,782.24 ","$1,488.26 ","$1,653.62 ","$1,653.62 ","$1,653.62 ","$1,653.62 " ST. JOSEPH'S - CHIPPEWA FALLS,35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$2,446.15 ","$1,834.61 ",$90.16 ,"$2,446.15 ","$1,575.32 ",$172.93 ,"$1,712.31 ",$90.16 ,"$2,388.00 ",$92.86 ,"$1,910.00 ","$2,323.84 ", N/A ,"$1,956.92 ","$2,226.00 ",$90.16 ,"$2,299.38 ","$2,323.84 ","$2,201.54 ","$2,079.23 ",$90.16 ,$90.16 ,$90.16 ,"$1,785.69 ",$172.93 ,"$2,177.07 ","$2,201.54 ","$2,201.54 ","$1,956.92 ",$178.11 ,"$1,345.38 ","$2,201.54 ",$172.93 ,"$2,201.54 ",$172.93 ,"$2,323.84 ",$389.08 ,"$2,250.46 ",$95.57 ,"$2,226.00 ",$172.93 ,"$1,505.36 ","$1,575.32 ","$1,505.36 ","$2,201.54 ","$1,166.02 ","$1,834.61 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,287.15 ",$181.58 ,$90.16 ,"$2,128.15 ",$172.93 ,"$2,201.54 ",$172.93 ,"$2,201.54 ","$2,201.54 ","$2,201.54 ","$2,372.77 ","$1,981.38 ","$2,201.54 ","$2,201.54 ","$2,201.54 ","$2,201.54 " ST. JOSEPH'S - CHIPPEWA FALLS,35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$1,807.17 ","$1,355.38 ",$34.16 ,"$1,807.17 ","$1,163.82 ",$105.54 ,"$1,265.02 ",$34.16 ,"$1,807.17 ",$35.18 ,"$1,807.17 ","$1,716.81 ", N/A ,"$1,445.74 ","$1,644.52 ",$34.16 ,"$1,698.74 ","$1,716.81 ","$1,626.45 ","$1,536.09 ",$34.16 ,$34.16 ,$34.16 ,"$1,319.23 ",$105.54 ,"$1,608.38 ","$1,626.45 ","$1,626.45 ","$1,445.74 ",$108.70 ,$993.94 ,"$1,626.45 ",$105.54 ,"$1,626.45 ",$105.54 ,"$1,716.81 ",$237.46 ,"$1,662.60 ",$36.21 ,"$1,644.52 ",$105.54 ,"$1,112.13 ","$1,163.82 ","$1,112.13 ","$1,626.45 ",$701.71 ,"$1,355.38 ","$1,626.45 ",$106.59 ,$35.87 ,"$1,689.70 ",$110.82 ,$34.16 ,"$1,572.24 ",$105.54 ,"$1,626.45 ",$105.54 ,"$1,626.45 ","$1,626.45 ","$1,626.45 ","$1,752.95 ","$1,463.81 ","$1,626.45 ","$1,626.45 ","$1,626.45 ","$1,626.45 " ST. JOSEPH'S - CHIPPEWA FALLS,35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$1,542.85 ","$1,157.14 ",$90.16 ,"$1,542.85 ",$993.60 ,$172.93 ,"$1,080.00 ",$90.16 ,"$1,542.85 ",$92.86 ,"$1,542.85 ","$1,465.71 ", N/A ,"$1,234.28 ","$1,403.99 ",$90.16 ,"$1,450.28 ","$1,465.71 ","$1,388.57 ","$1,311.42 ",$90.16 ,$90.16 ,$90.16 ,"$1,126.28 ",$172.93 ,"$1,373.14 ","$1,388.57 ","$1,388.57 ","$1,234.28 ",$178.11 ,$848.57 ,"$1,388.57 ",$172.93 ,"$1,388.57 ",$172.93 ,"$1,465.71 ",$389.08 ,"$1,419.42 ",$95.57 ,"$1,403.99 ",$172.93 ,$949.47 ,$993.60 ,$949.47 ,"$1,388.57 ","$1,052.17 ","$1,157.14 ","$1,388.57 ",$174.65 ,$94.67 ,"$1,442.56 ",$181.58 ,$90.16 ,"$1,342.28 ",$172.93 ,"$1,388.57 ",$172.93 ,"$1,388.57 ","$1,388.57 ","$1,388.57 ","$1,496.56 ","$1,249.71 ","$1,388.57 ","$1,388.57 ","$1,388.57 ","$1,388.57 " ST. JOSEPH'S - CHIPPEWA FALLS,35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$1,902.76 ","$1,427.07 ",$90.16 ,"$1,902.76 ","$1,225.38 ",$172.93 ,"$1,331.93 ",$90.16 ,"$1,902.76 ",$92.86 ,"$1,902.76 ","$1,807.62 ", N/A ,"$1,522.21 ","$1,731.51 ",$90.16 ,"$1,788.59 ","$1,807.62 ","$1,712.48 ","$1,617.35 ",$90.16 ,$90.16 ,$90.16 ,"$1,389.01 ",$172.93 ,"$1,693.46 ","$1,712.48 ","$1,712.48 ","$1,522.21 ",$178.11 ,"$1,046.52 ","$1,712.48 ",$172.93 ,"$1,712.48 ",$172.93 ,"$1,807.62 ",$389.08 ,"$1,750.54 ",$95.57 ,"$1,731.51 ",$172.93 ,"$1,170.96 ","$1,225.38 ","$1,170.96 ","$1,712.48 ","$1,134.09 ","$1,427.07 ","$1,712.48 ",$174.65 ,$94.67 ,"$1,779.08 ",$181.58 ,$90.16 ,"$1,655.40 ",$172.93 ,"$1,712.48 ",$172.93 ,"$1,712.48 ","$1,712.48 ","$1,712.48 ","$1,845.68 ","$1,541.24 ","$1,712.48 ","$1,712.48 ","$1,712.48 ","$1,712.48 " ST. JOSEPH'S - CHIPPEWA FALLS,35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$1,855.01 ","$1,391.26 ",$34.16 ,"$1,855.01 ","$1,194.63 ",$105.54 ,"$1,298.51 ",$34.16 ,"$1,855.01 ",$35.18 ,"$1,855.01 ","$1,762.26 ", N/A ,"$1,484.01 ","$1,688.06 ",$34.16 ,"$1,743.71 ","$1,762.26 ","$1,669.51 ","$1,576.76 ",$34.16 ,$34.16 ,$34.16 ,"$1,354.16 ",$105.54 ,"$1,650.96 ","$1,669.51 ","$1,669.51 ","$1,484.01 ",$108.70 ,"$1,020.26 ","$1,669.51 ",$105.54 ,"$1,669.51 ",$105.54 ,"$1,762.26 ",$237.46 ,"$1,706.61 ",$36.21 ,"$1,688.06 ",$105.54 ,"$1,141.57 ","$1,194.63 ","$1,141.57 ","$1,669.51 ",$725.40 ,"$1,391.26 ","$1,669.51 ",$106.59 ,$35.87 ,"$1,734.43 ",$110.82 ,$34.16 ,"$1,613.86 ",$105.54 ,"$1,669.51 ",$105.54 ,"$1,669.51 ","$1,669.51 ","$1,669.51 ","$1,799.36 ","$1,502.56 ","$1,669.51 ","$1,669.51 ","$1,669.51 ","$1,669.51 " ST. JOSEPH'S - CHIPPEWA FALLS,35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$1,868.32 ","$1,401.24 ",$90.16 ,"$1,868.32 ","$1,203.20 ",$172.93 ,"$1,307.82 ",$90.16 ,"$1,868.32 ",$92.86 ,"$1,868.32 ","$1,774.90 ", N/A ,"$1,494.66 ","$1,700.17 ",$90.16 ,"$1,756.22 ","$1,774.90 ","$1,681.49 ","$1,588.07 ",$90.16 ,$90.16 ,$90.16 ,"$1,363.87 ",$172.93 ,"$1,662.80 ","$1,681.49 ","$1,681.49 ","$1,494.66 ",$178.11 ,"$1,027.58 ","$1,681.49 ",$172.93 ,"$1,681.49 ",$172.93 ,"$1,774.90 ",$389.08 ,"$1,718.85 ",$95.57 ,"$1,700.17 ",$172.93 ,"$1,149.76 ","$1,203.20 ","$1,149.76 ","$1,681.49 ",$993.30 ,"$1,401.24 ","$1,681.49 ",$174.65 ,$94.67 ,"$1,746.88 ",$181.58 ,$90.16 ,"$1,625.44 ",$172.93 ,"$1,681.49 ",$172.93 ,"$1,681.49 ","$1,681.49 ","$1,681.49 ","$1,812.27 ","$1,513.34 ","$1,681.49 ","$1,681.49 ","$1,681.49 ","$1,681.49 " ST. JOSEPH'S - CHIPPEWA FALLS,35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$2,030.91 ","$1,523.18 ",$90.16 ,"$2,030.91 ","$1,307.91 ",$172.93 ,"$1,421.64 ",$90.16 ,"$2,030.91 ",$92.86 ,"$1,910.00 ","$1,929.36 ", N/A ,"$1,624.73 ","$1,848.13 ",$90.16 ,"$1,909.06 ","$1,929.36 ","$1,827.82 ","$1,726.27 ",$90.16 ,$90.16 ,$90.16 ,"$1,482.56 ",$172.93 ,"$1,807.51 ","$1,827.82 ","$1,827.82 ","$1,624.73 ",$178.11 ,"$1,117.00 ","$1,827.82 ",$172.93 ,"$1,827.82 ",$172.93 ,"$1,929.36 ",$389.08 ,"$1,868.44 ",$95.57 ,"$1,848.13 ",$172.93 ,"$1,249.82 ","$1,307.91 ","$1,249.82 ","$1,827.82 ","$1,135.21 ","$1,523.18 ","$1,827.82 ",$174.65 ,$94.67 ,"$1,898.90 ",$181.58 ,$90.16 ,"$1,766.89 ",$172.93 ,"$1,827.82 ",$172.93 ,"$1,827.82 ","$1,827.82 ","$1,827.82 ","$1,969.98 ","$1,645.04 ","$1,827.82 ","$1,827.82 ","$1,827.82 ","$1,827.82 " ST. JOSEPH'S - CHIPPEWA FALLS,35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$1,362.27 ","$1,021.70 ",$34.16 ,"$1,362.27 ",$877.30 ,$105.54 ,$953.59 ,$34.16 ,"$1,362.27 ",$35.18 ,"$1,362.27 ","$1,294.16 ", N/A ,"$1,089.82 ","$1,239.67 ",$34.16 ,"$1,280.53 ","$1,294.16 ","$1,226.04 ","$1,157.93 ",$34.16 ,$34.16 ,$34.16 ,$994.46 ,$105.54 ,"$1,212.42 ","$1,226.04 ","$1,226.04 ","$1,089.82 ",$108.70 ,$749.25 ,"$1,226.04 ",$105.54 ,"$1,226.04 ",$105.54 ,"$1,294.16 ",$237.46 ,"$1,253.29 ",$36.21 ,"$1,239.67 ",$105.54 ,$838.34 ,$877.30 ,$838.34 ,"$1,226.04 ",$721.87 ,"$1,021.70 ","$1,226.04 ",$106.59 ,$35.87 ,"$1,273.72 ",$110.82 ,$34.16 ,"$1,185.17 ",$105.54 ,"$1,226.04 ",$105.54 ,"$1,226.04 ","$1,226.04 ","$1,226.04 ","$1,321.40 ","$1,103.44 ","$1,226.04 ","$1,226.04 ","$1,226.04 ","$1,226.04 " ST. JOSEPH'S - CHIPPEWA FALLS,35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$2,171.61 ","$1,628.71 ",$90.16 ,"$2,171.61 ","$1,398.52 ",$172.93 ,"$1,520.13 ",$90.16 ,"$2,171.61 ",$92.86 ,"$1,910.00 ","$2,063.03 ", N/A ,"$1,737.29 ","$1,976.17 ",$90.16 ,"$2,041.31 ","$2,063.03 ","$1,954.45 ","$1,845.87 ",$90.16 ,$90.16 ,$90.16 ,"$1,585.28 ",$172.93 ,"$1,932.73 ","$1,954.45 ","$1,954.45 ","$1,737.29 ",$178.11 ,"$1,194.39 ","$1,954.45 ",$172.93 ,"$1,954.45 ",$172.93 ,"$2,063.03 ",$389.08 ,"$1,997.88 ",$95.57 ,"$1,976.17 ",$172.93 ,"$1,336.41 ","$1,398.52 ","$1,336.41 ","$1,954.45 ",$955.63 ,"$1,628.71 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,030.46 ",$181.58 ,$90.16 ,"$1,889.30 ",$172.93 ,"$1,954.45 ",$172.93 ,"$1,954.45 ","$1,954.45 ","$1,954.45 ","$2,106.46 ","$1,759.00 ","$1,954.45 ","$1,954.45 ","$1,954.45 ","$1,954.45 " ST. JOSEPH'S - CHIPPEWA FALLS,35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$2,199.39 ","$1,649.54 ",$90.16 ,"$2,199.39 ","$1,416.41 ",$172.93 ,"$1,539.57 ",$90.16 ,"$2,199.39 ",$92.86 ,"$1,910.00 ","$2,089.42 ", N/A ,"$1,759.51 ","$2,001.44 ",$90.16 ,"$2,067.43 ","$2,089.42 ","$1,979.45 ","$1,869.48 ",$90.16 ,$90.16 ,$90.16 ,"$1,605.55 ",$172.93 ,"$1,957.46 ","$1,979.45 ","$1,979.45 ","$1,759.51 ",$178.11 ,"$1,209.66 ","$1,979.45 ",$172.93 ,"$1,979.45 ",$172.93 ,"$2,089.42 ",$389.08 ,"$2,023.44 ",$95.57 ,"$2,001.44 ",$172.93 ,"$1,353.50 ","$1,416.41 ","$1,353.50 ","$1,979.45 ","$1,167.24 ","$1,649.54 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,056.43 ",$181.58 ,$90.16 ,"$1,913.47 ",$172.93 ,"$1,979.45 ",$172.93 ,"$1,979.45 ","$1,979.45 ","$1,979.45 ","$2,133.41 ","$1,781.51 ","$1,979.45 ","$1,979.45 ","$1,979.45 ","$1,979.45 " ST. JOSEPH'S - CHIPPEWA FALLS,35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$2,766.40 ","$2,074.80 ",$99.42 ,"$2,766.40 ","$1,781.56 ",$172.93 ,"$1,936.48 ",$99.42 ,"$2,388.00 ",$102.40 ,"$1,910.00 ","$2,628.08 ", N/A ,"$2,213.12 ","$2,517.42 ",$99.42 ,"$2,600.42 ","$2,628.08 ","$2,489.76 ","$2,351.44 ",$99.42 ,$99.42 ,$99.42 ,"$2,019.47 ",$172.93 ,"$2,462.10 ","$2,489.76 ","$2,489.76 ","$2,213.12 ",$178.11 ,"$1,521.52 ","$2,489.76 ",$172.93 ,"$2,489.76 ",$172.93 ,"$2,628.08 ",$389.08 ,"$2,545.09 ",$105.39 ,"$2,517.42 ",$172.93 ,"$1,702.44 ","$1,781.56 ","$1,702.44 ","$2,489.76 ",$723.79 ,"$2,074.80 ","$1,900.81 ",$174.65 ,$104.39 ,"$2,586.58 ",$181.58 ,$99.42 ,"$2,406.77 ",$172.93 ,"$2,489.76 ",$172.93 ,"$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,683.41 ","$2,240.78 ","$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,489.76 " ST. JOSEPH'S - CHIPPEWA FALLS,35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$2,766.40 ","$2,074.80 ",$99.42 ,"$2,766.40 ","$1,781.56 ",$172.93 ,"$1,936.48 ",$99.42 ,"$2,388.00 ",$102.40 ,"$1,910.00 ","$2,628.08 ", N/A ,"$2,213.12 ","$2,517.42 ",$99.42 ,"$2,600.42 ","$2,628.08 ","$2,489.76 ","$2,351.44 ",$99.42 ,$99.42 ,$99.42 ,"$2,019.47 ",$172.93 ,"$2,462.10 ","$2,489.76 ","$2,489.76 ","$2,213.12 ",$178.11 ,"$1,521.52 ","$2,489.76 ",$172.93 ,"$2,489.76 ",$172.93 ,"$2,628.08 ",$389.08 ,"$2,545.09 ",$105.39 ,"$2,517.42 ",$172.93 ,"$1,702.44 ","$1,781.56 ","$1,702.44 ","$2,489.76 ",$723.79 ,"$2,074.80 ","$1,900.81 ",$174.65 ,$104.39 ,"$2,586.58 ",$181.58 ,$99.42 ,"$2,406.77 ",$172.93 ,"$2,489.76 ",$172.93 ,"$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,683.41 ","$2,240.78 ","$2,489.76 ","$2,489.76 ","$2,489.76 ","$2,489.76 " ST. JOSEPH'S - CHIPPEWA FALLS,35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$3,609.91 ","$2,707.43 ",$76.81 ,"$3,609.91 ","$2,324.78 ",$222.88 ,"$2,526.94 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$3,429.41 ", N/A ,"$2,887.93 ","$3,285.02 ",$76.81 ,"$3,393.32 ","$3,429.41 ","$3,248.92 ","$3,068.42 ",$76.81 ,$76.81 ,$76.81 ,"$2,635.23 ",$222.88 ,"$3,212.82 ","$3,248.92 ","$3,248.92 ","$2,887.93 ",$229.57 ,"$1,985.45 ","$3,248.92 ",$222.88 ,"$3,248.92 ",$222.88 ,"$3,429.41 ",$501.48 ,"$3,321.12 ",$81.42 ,"$3,285.02 ",$222.88 ,"$2,221.54 ","$2,324.78 ","$2,221.54 ","$3,248.92 ","$2,000.62 ","$2,707.43 ","$2,112.01 ",$225.11 ,$80.65 ,"$3,375.27 ",$234.02 ,$76.81 ,"$3,140.62 ",$222.88 ,"$3,248.92 ",$222.88 ,"$3,248.92 ","$3,248.92 ","$3,248.92 ","$3,501.61 ","$2,924.03 ","$3,248.92 ","$3,248.92 ","$3,248.92 ","$3,248.92 " ST. JOSEPH'S - CHIPPEWA FALLS,35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$2,274.10 ","$1,705.58 ",$34.16 ,"$2,274.10 ","$1,464.52 ",$105.54 ,"$1,591.87 ",$34.16 ,"$2,274.10 ",$35.18 ,"$1,910.00 ","$2,160.40 ", N/A ,"$1,819.28 ","$2,069.43 ",$34.16 ,"$2,137.65 ","$2,160.40 ","$2,046.69 ","$1,932.99 ",$34.16 ,$34.16 ,$34.16 ,"$1,660.09 ",$105.54 ,"$2,023.95 ","$2,046.69 ","$2,046.69 ","$1,819.28 ",$108.70 ,"$1,250.76 ","$2,046.69 ",$105.54 ,"$2,046.69 ",$105.54 ,"$2,160.40 ",$237.46 ,"$2,092.17 ",$36.21 ,"$2,069.43 ",$105.54 ,"$1,399.48 ","$1,464.52 ","$1,399.48 ","$2,046.69 ","$1,003.67 ","$1,705.58 ","$1,900.81 ",$106.59 ,$35.87 ,"$2,126.28 ",$110.82 ,$34.16 ,"$1,978.47 ",$105.54 ,"$2,046.69 ",$105.54 ,"$2,046.69 ","$2,046.69 ","$2,046.69 ","$2,205.88 ","$1,842.02 ","$2,046.69 ","$2,046.69 ","$2,046.69 ","$2,046.69 " ST. JOSEPH'S - CHIPPEWA FALLS,35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$2,330.86 ","$1,748.15 ",$90.16 ,"$2,330.86 ","$1,501.07 ",$356.52 ,"$1,631.60 ",$90.16 ,"$2,330.86 ",$92.86 ,"$1,910.00 ","$2,214.32 ", N/A ,"$1,864.69 ","$2,121.08 ",$90.16 ,"$2,191.01 ","$2,214.32 ","$2,097.77 ","$1,981.23 ",$90.16 ,$90.16 ,$90.16 ,"$1,701.53 ",$356.52 ,"$2,074.47 ","$2,097.77 ","$2,097.77 ","$1,864.69 ",$367.22 ,"$1,281.97 ","$2,097.77 ",$356.52 ,"$2,097.77 ",$356.52 ,"$2,214.32 ",$802.18 ,"$2,144.39 ",$95.57 ,"$2,121.08 ",$356.52 ,"$1,434.41 ","$1,501.07 ","$1,434.41 ","$2,097.77 ","$1,029.70 ","$1,748.15 ","$1,900.81 ",$360.09 ,$94.67 ,"$2,179.35 ",$374.35 ,$90.16 ,"$2,027.85 ",$356.52 ,"$2,097.77 ",$356.52 ,"$2,097.77 ","$2,097.77 ","$2,097.77 ","$2,260.93 ","$1,888.00 ","$2,097.77 ","$2,097.77 ","$2,097.77 ","$2,097.77 " ST. JOSEPH'S - CHIPPEWA FALLS,35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$2,360.28 ","$1,770.21 ",$90.16 ,"$2,360.28 ","$1,520.02 ",$172.93 ,"$1,652.20 ",$90.16 ,"$2,360.28 ",$92.86 ,"$1,910.00 ","$2,242.27 ", N/A ,"$1,888.22 ","$2,147.85 ",$90.16 ,"$2,218.66 ","$2,242.27 ","$2,124.25 ","$2,006.24 ",$90.16 ,$90.16 ,$90.16 ,"$1,723.00 ",$172.93 ,"$2,100.65 ","$2,124.25 ","$2,124.25 ","$1,888.22 ",$178.11 ,"$1,298.15 ","$2,124.25 ",$172.93 ,"$2,124.25 ",$172.93 ,"$2,242.27 ",$389.08 ,"$2,171.46 ",$95.57 ,"$2,147.85 ",$172.93 ,"$1,452.52 ","$1,520.02 ","$1,452.52 ","$2,124.25 ","$1,142.33 ","$1,770.21 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,206.86 ",$181.58 ,$90.16 ,"$2,053.44 ",$172.93 ,"$2,124.25 ",$172.93 ,"$2,124.25 ","$2,124.25 ","$2,124.25 ","$2,289.47 ","$1,911.83 ","$2,124.25 ","$2,124.25 ","$2,124.25 ","$2,124.25 " ST. JOSEPH'S - CHIPPEWA FALLS,35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,"$1,647.78 ","$1,235.84 ",$34.16 ,"$1,647.78 ","$1,061.17 ",$105.54 ,"$1,153.45 ",$34.16 ,"$1,647.78 ",$35.18 ,"$1,647.78 ","$1,565.39 ", N/A ,"$1,318.22 ","$1,499.48 ",$34.16 ,"$1,548.91 ","$1,565.39 ","$1,483.00 ","$1,400.61 ",$34.16 ,$34.16 ,$34.16 ,"$1,202.88 ",$105.54 ,"$1,466.52 ","$1,483.00 ","$1,483.00 ","$1,318.22 ",$108.70 ,$906.28 ,"$1,483.00 ",$105.54 ,"$1,483.00 ",$105.54 ,"$1,565.39 ",$237.46 ,"$1,515.96 ",$36.21 ,"$1,499.48 ",$105.54 ,"$1,014.04 ","$1,061.17 ","$1,014.04 ","$1,483.00 ",$943.82 ,"$1,235.84 ","$1,483.00 ",$106.59 ,$35.87 ,"$1,540.67 ",$110.82 ,$34.16 ,"$1,433.57 ",$105.54 ,"$1,483.00 ",$105.54 ,"$1,483.00 ","$1,483.00 ","$1,483.00 ","$1,598.35 ","$1,334.70 ","$1,483.00 ","$1,483.00 ","$1,483.00 ","$1,483.00 " ST. JOSEPH'S - CHIPPEWA FALLS,35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,"$2,058.64 ","$1,543.98 ",$90.16 ,"$2,058.64 ","$1,325.76 ",$172.93 ,"$1,441.05 ",$90.16 ,"$2,058.64 ",$92.86 ,"$1,910.00 ","$1,955.71 ", N/A ,"$1,646.91 ","$1,873.36 ",$90.16 ,"$1,935.12 ","$1,955.71 ","$1,852.78 ","$1,749.84 ",$90.16 ,$90.16 ,$90.16 ,"$1,502.81 ",$172.93 ,"$1,832.19 ","$1,852.78 ","$1,852.78 ","$1,646.91 ",$178.11 ,"$1,132.25 ","$1,852.78 ",$172.93 ,"$1,852.78 ",$172.93 ,"$1,955.71 ",$389.08 ,"$1,893.95 ",$95.57 ,"$1,873.36 ",$172.93 ,"$1,266.89 ","$1,325.76 ","$1,266.89 ","$1,852.78 ","$1,029.70 ","$1,543.98 ","$1,852.78 ",$174.65 ,$94.67 ,"$1,924.83 ",$181.58 ,$90.16 ,"$1,791.02 ",$172.93 ,"$1,852.78 ",$172.93 ,"$1,852.78 ","$1,852.78 ","$1,852.78 ","$1,996.88 ","$1,667.50 ","$1,852.78 ","$1,852.78 ","$1,852.78 ","$1,852.78 " ST. JOSEPH'S - CHIPPEWA FALLS,35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$1,719.69 ","$1,289.77 ",$34.16 ,"$1,719.69 ","$1,107.48 ",$105.54 ,"$1,203.78 ",$34.16 ,"$1,719.69 ",$35.18 ,"$1,719.69 ","$1,633.71 ", N/A ,"$1,375.75 ","$1,564.92 ",$34.16 ,"$1,616.51 ","$1,633.71 ","$1,547.72 ","$1,461.74 ",$34.16 ,$34.16 ,$34.16 ,"$1,255.37 ",$105.54 ,"$1,530.52 ","$1,547.72 ","$1,547.72 ","$1,375.75 ",$108.70 ,$945.83 ,"$1,547.72 ",$105.54 ,"$1,547.72 ",$105.54 ,"$1,633.71 ",$237.46 ,"$1,582.11 ",$36.21 ,"$1,564.92 ",$105.54 ,"$1,058.30 ","$1,107.48 ","$1,058.30 ","$1,547.72 ","$1,003.67 ","$1,289.77 ","$1,547.72 ",$106.59 ,$35.87 ,"$1,607.91 ",$110.82 ,$34.16 ,"$1,496.13 ",$105.54 ,"$1,547.72 ",$105.54 ,"$1,547.72 ","$1,547.72 ","$1,547.72 ","$1,668.10 ","$1,392.95 ","$1,547.72 ","$1,547.72 ","$1,547.72 ","$1,547.72 " ST. JOSEPH'S - CHIPPEWA FALLS,35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$1,725.78 ","$1,294.34 ",$90.16 ,"$1,725.78 ","$1,111.40 ",$356.52 ,"$1,208.05 ",$90.16 ,"$1,725.78 ",$92.86 ,"$1,725.78 ","$1,639.49 ", N/A ,"$1,380.62 ","$1,570.46 ",$90.16 ,"$1,622.23 ","$1,639.49 ","$1,553.20 ","$1,466.91 ",$90.16 ,$90.16 ,$90.16 ,"$1,259.82 ",$356.52 ,"$1,535.94 ","$1,553.20 ","$1,553.20 ","$1,380.62 ",$367.22 ,$949.18 ,"$1,553.20 ",$356.52 ,"$1,553.20 ",$356.52 ,"$1,639.49 ",$802.18 ,"$1,587.72 ",$95.57 ,"$1,570.46 ",$356.52 ,"$1,062.05 ","$1,111.40 ","$1,062.05 ","$1,553.20 ","$1,132.41 ","$1,294.34 ","$1,553.20 ",$360.09 ,$94.67 ,"$1,613.60 ",$374.35 ,$90.16 ,"$1,501.43 ",$356.52 ,"$1,553.20 ",$356.52 ,"$1,553.20 ","$1,553.20 ","$1,553.20 ","$1,674.01 ","$1,397.88 ","$1,553.20 ","$1,553.20 ","$1,553.20 ","$1,553.20 " ST. JOSEPH'S - CHIPPEWA FALLS,35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,"$1,509.12 ","$1,131.84 ",$90.16 ,"$1,509.12 ",$971.87 ,$172.93 ,"$1,056.38 ",$90.16 ,"$1,509.12 ",$92.86 ,"$1,509.12 ","$1,433.66 ", N/A ,"$1,207.30 ","$1,373.30 ",$90.16 ,"$1,418.57 ","$1,433.66 ","$1,358.21 ","$1,282.75 ",$90.16 ,$90.16 ,$90.16 ,"$1,101.66 ",$172.93 ,"$1,343.12 ","$1,358.21 ","$1,358.21 ","$1,207.30 ",$178.11 ,$830.02 ,"$1,358.21 ",$172.93 ,"$1,358.21 ",$172.93 ,"$1,433.66 ",$389.08 ,"$1,388.39 ",$95.57 ,"$1,373.30 ",$172.93 ,$928.71 ,$971.87 ,$928.71 ,"$1,358.21 ","$1,141.59 ","$1,131.84 ","$1,358.21 ",$174.65 ,$94.67 ,"$1,411.03 ",$181.58 ,$90.16 ,"$1,312.93 ",$172.93 ,"$1,358.21 ",$172.93 ,"$1,358.21 ","$1,358.21 ","$1,358.21 ","$1,463.85 ","$1,222.39 ","$1,358.21 ","$1,358.21 ","$1,358.21 ","$1,358.21 " ST. JOSEPH'S - CHIPPEWA FALLS,35000064,72191,HC CTA PELVIS W AND W/O CONTRAST,350,1 ,"$3,823.82 ","$2,867.87 ",$99.42 ,"$3,823.82 ","$2,462.54 ",$172.93 ,"$2,676.67 ",$99.42 ,"$2,388.00 ",$102.40 ,"$1,910.00 ","$3,632.63 ", N/A ,"$3,059.06 ","$3,479.68 ",$99.42 ,"$3,594.39 ","$3,632.63 ","$3,441.44 ","$3,250.25 ",$99.42 ,$99.42 ,$99.42 ,"$2,791.39 ",$172.93 ,"$3,403.20 ","$3,441.44 ","$3,441.44 ","$3,059.06 ",$178.11 ,"$2,103.10 ","$3,441.44 ",$172.93 ,"$3,441.44 ",$172.93 ,"$3,632.63 ",$389.08 ,"$3,517.91 ",$105.39 ,"$3,479.68 ",$172.93 ,"$2,353.18 ","$2,462.54 ","$2,353.18 ","$3,441.44 ",$845.54 ,"$2,867.87 ","$1,900.81 ",$174.65 ,$104.39 ,"$3,575.27 ",$181.58 ,$99.42 ,"$3,326.72 ",$172.93 ,"$3,441.44 ",$172.93 ,"$3,441.44 ","$3,441.44 ","$3,441.44 ","$3,709.11 ","$3,097.29 ","$3,441.44 ","$3,441.44 ","$3,441.44 ","$3,441.44 " ST. JOSEPH'S - CHIPPEWA FALLS,35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$1,875.01 ","$1,406.26 ",$34.16 ,"$1,875.01 ","$1,207.51 ",$105.54 ,"$1,312.51 ",$34.16 ,"$1,875.01 ",$35.18 ,"$1,875.01 ","$1,781.26 ", N/A ,"$1,500.01 ","$1,706.26 ",$34.16 ,"$1,762.51 ","$1,781.26 ","$1,687.51 ","$1,593.76 ",$34.16 ,$34.16 ,$34.16 ,"$1,368.76 ",$105.54 ,"$1,668.76 ","$1,687.51 ","$1,687.51 ","$1,500.01 ",$108.70 ,"$1,031.26 ","$1,687.51 ",$105.54 ,"$1,687.51 ",$105.54 ,"$1,781.26 ",$237.46 ,"$1,725.01 ",$36.21 ,"$1,706.26 ",$105.54 ,"$1,153.88 ","$1,207.51 ","$1,153.88 ","$1,687.51 ",$856.07 ,"$1,406.26 ","$1,687.51 ",$106.59 ,$35.87 ,"$1,753.13 ",$110.82 ,$34.16 ,"$1,631.26 ",$105.54 ,"$1,687.51 ",$105.54 ,"$1,687.51 ","$1,687.51 ","$1,687.51 ","$1,818.76 ","$1,518.76 ","$1,687.51 ","$1,687.51 ","$1,687.51 ","$1,687.51 " ST. JOSEPH'S - CHIPPEWA FALLS,35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$2,147.02 ","$1,610.27 ",$90.16 ,"$2,147.02 ","$1,382.68 ",$172.93 ,"$1,502.91 ",$90.16 ,"$2,147.02 ",$92.86 ,"$1,910.00 ","$2,039.67 ", N/A ,"$1,717.62 ","$1,953.79 ",$90.16 ,"$2,018.20 ","$2,039.67 ","$1,932.32 ","$1,824.97 ",$90.16 ,$90.16 ,$90.16 ,"$1,567.32 ",$172.93 ,"$1,910.85 ","$1,932.32 ","$1,932.32 ","$1,717.62 ",$178.11 ,"$1,180.86 ","$1,932.32 ",$172.93 ,"$1,932.32 ",$172.93 ,"$2,039.67 ",$389.08 ,"$1,975.26 ",$95.57 ,"$1,953.79 ",$172.93 ,"$1,321.28 ","$1,382.68 ","$1,321.28 ","$1,932.32 ","$1,116.43 ","$1,610.27 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,007.46 ",$181.58 ,$90.16 ,"$1,867.91 ",$172.93 ,"$1,932.32 ",$172.93 ,"$1,932.32 ","$1,932.32 ","$1,932.32 ","$2,082.61 ","$1,739.09 ","$1,932.32 ","$1,932.32 ","$1,932.32 ","$1,932.32 " ST. JOSEPH'S - CHIPPEWA FALLS,35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$2,327.64 ","$1,745.73 ",$90.16 ,"$2,327.64 ","$1,499.00 ",$172.93 ,"$1,629.35 ",$90.16 ,"$2,327.64 ",$92.86 ,"$1,910.00 ","$2,211.26 ", N/A ,"$1,862.11 ","$2,118.15 ",$90.16 ,"$2,187.98 ","$2,211.26 ","$2,094.88 ","$1,978.49 ",$90.16 ,$90.16 ,$90.16 ,"$1,699.18 ",$172.93 ,"$2,071.60 ","$2,094.88 ","$2,094.88 ","$1,862.11 ",$178.11 ,"$1,280.20 ","$2,094.88 ",$172.93 ,"$2,094.88 ",$172.93 ,"$2,211.26 ",$389.08 ,"$2,141.43 ",$95.57 ,"$2,118.15 ",$172.93 ,"$1,432.43 ","$1,499.00 ","$1,432.43 ","$2,094.88 ","$1,217.41 ","$1,745.73 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,176.34 ",$181.58 ,$90.16 ,"$2,025.05 ",$172.93 ,"$2,094.88 ",$172.93 ,"$2,094.88 ","$2,094.88 ","$2,094.88 ","$2,257.81 ","$1,885.39 ","$2,094.88 ","$2,094.88 ","$2,094.88 ","$2,094.88 " ST. JOSEPH'S - CHIPPEWA FALLS,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$1,461.64 ","$1,096.23 ",$34.16 ,"$1,461.64 ",$941.30 ,$105.54 ,"$1,023.15 ",$34.16 ,"$1,461.64 ",$35.18 ,"$1,461.64 ","$1,388.56 ", N/A ,"$1,169.31 ","$1,330.09 ",$34.16 ,"$1,373.94 ","$1,388.56 ","$1,315.48 ","$1,242.39 ",$34.16 ,$34.16 ,$34.16 ,"$1,067.00 ",$105.54 ,"$1,300.86 ","$1,315.48 ","$1,315.48 ","$1,169.31 ",$108.70 ,$803.90 ,"$1,315.48 ",$105.54 ,"$1,315.48 ",$105.54 ,"$1,388.56 ",$237.46 ,"$1,344.71 ",$36.21 ,"$1,330.09 ",$105.54 ,$899.49 ,$941.30 ,$899.49 ,"$1,315.48 ",$771.29 ,"$1,096.23 ","$1,315.48 ",$106.59 ,$35.87 ,"$1,366.63 ",$110.82 ,$34.16 ,"$1,271.63 ",$105.54 ,"$1,315.48 ",$105.54 ,"$1,315.48 ","$1,315.48 ","$1,315.48 ","$1,417.79 ","$1,183.93 ","$1,315.48 ","$1,315.48 ","$1,315.48 ","$1,315.48 " ST. JOSEPH'S - CHIPPEWA FALLS,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$1,272.81 ",$954.61 ,$90.16 ,"$1,272.81 ",$819.69 ,$356.52 ,$890.97 ,$90.16 ,"$1,272.81 ",$92.86 ,"$1,272.81 ","$1,209.17 ", N/A ,"$1,018.25 ","$1,158.26 ",$90.16 ,"$1,196.44 ","$1,209.17 ","$1,145.53 ","$1,081.89 ",$90.16 ,$90.16 ,$90.16 ,$929.15 ,$356.52 ,"$1,132.80 ","$1,145.53 ","$1,145.53 ","$1,018.25 ",$367.22 ,$700.05 ,"$1,145.53 ",$356.52 ,"$1,145.53 ",$356.52 ,"$1,209.17 ",$802.18 ,"$1,170.99 ",$95.57 ,"$1,158.26 ",$356.52 ,$783.29 ,$819.69 ,$783.29 ,"$1,145.53 ","$1,036.30 ",$954.61 ,"$1,145.53 ",$360.09 ,$94.67 ,"$1,190.08 ",$374.35 ,$90.16 ,"$1,107.34 ",$356.52 ,"$1,145.53 ",$356.52 ,"$1,145.53 ","$1,145.53 ","$1,145.53 ","$1,234.63 ","$1,030.98 ","$1,145.53 ","$1,145.53 ","$1,145.53 ","$1,145.53 " ST. JOSEPH'S - CHIPPEWA FALLS,35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$1,345.43 ","$1,009.07 ",$90.16 ,"$1,345.43 ",$866.46 ,$172.93 ,$941.80 ,$90.16 ,"$1,345.43 ",$92.86 ,"$1,345.43 ","$1,278.16 ", N/A ,"$1,076.34 ","$1,224.34 ",$90.16 ,"$1,264.70 ","$1,278.16 ","$1,210.89 ","$1,143.62 ",$90.16 ,$90.16 ,$90.16 ,$982.16 ,$172.93 ,"$1,197.43 ","$1,210.89 ","$1,210.89 ","$1,076.34 ",$178.11 ,$739.99 ,"$1,210.89 ",$172.93 ,"$1,210.89 ",$172.93 ,"$1,278.16 ",$389.08 ,"$1,237.80 ",$95.57 ,"$1,224.34 ",$172.93 ,$827.98 ,$866.46 ,$827.98 ,"$1,210.89 ","$1,162.75 ","$1,009.07 ","$1,210.89 ",$174.65 ,$94.67 ,"$1,257.98 ",$181.58 ,$90.16 ,"$1,170.52 ",$172.93 ,"$1,210.89 ",$172.93 ,"$1,210.89 ","$1,210.89 ","$1,210.89 ","$1,305.07 ","$1,089.80 ","$1,210.89 ","$1,210.89 ","$1,210.89 ","$1,210.89 " ST. JOSEPH'S - CHIPPEWA FALLS,35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,"$2,064.01 ","$1,548.01 ",$99.42 ,"$2,064.01 ","$1,329.22 ",$172.93 ,"$1,444.81 ",$99.42 ,"$2,064.01 ",$102.40 ,"$1,910.00 ","$1,960.81 ", N/A ,"$1,651.21 ","$1,878.25 ",$99.42 ,"$1,940.17 ","$1,960.81 ","$1,857.61 ","$1,754.41 ",$99.42 ,$99.42 ,$99.42 ,"$1,506.73 ",$172.93 ,"$1,836.97 ","$1,857.61 ","$1,857.61 ","$1,651.21 ",$178.11 ,"$1,135.21 ","$1,857.61 ",$172.93 ,"$1,857.61 ",$172.93 ,"$1,960.81 ",$389.08 ,"$1,898.89 ",$105.39 ,"$1,878.25 ",$172.93 ,"$1,270.19 ","$1,329.22 ","$1,270.19 ","$1,857.61 ",$743.10 ,"$1,548.01 ","$1,857.61 ",$174.65 ,$104.39 ,"$1,929.85 ",$181.58 ,$99.42 ,"$1,795.69 ",$172.93 ,"$1,857.61 ",$172.93 ,"$1,857.61 ","$1,857.61 ","$1,857.61 ","$2,002.09 ","$1,671.85 ","$1,857.61 ","$1,857.61 ","$1,857.61 ","$1,857.61 " ST. JOSEPH'S - CHIPPEWA FALLS,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$1,290.67 ",$968.00 ,$34.16 ,"$1,290.67 ",$831.19 ,$105.54 ,$903.47 ,$34.16 ,"$1,290.67 ",$35.18 ,"$1,290.67 ","$1,226.14 ", N/A ,"$1,032.54 ","$1,174.51 ",$34.16 ,"$1,213.23 ","$1,226.14 ","$1,161.60 ","$1,097.07 ",$34.16 ,$34.16 ,$34.16 ,$942.19 ,$105.54 ,"$1,148.70 ","$1,161.60 ","$1,161.60 ","$1,032.54 ",$108.70 ,$709.87 ,"$1,161.60 ",$105.54 ,"$1,161.60 ",$105.54 ,"$1,226.14 ",$237.46 ,"$1,187.42 ",$36.21 ,"$1,174.51 ",$105.54 ,$794.28 ,$831.19 ,$794.28 ,"$1,161.60 ",$771.00 ,$968.00 ,"$1,161.60 ",$106.59 ,$35.87 ,"$1,206.78 ",$110.82 ,$34.16 ,"$1,122.88 ",$105.54 ,"$1,161.60 ",$105.54 ,"$1,161.60 ","$1,161.60 ","$1,161.60 ","$1,251.95 ","$1,045.44 ","$1,161.60 ","$1,161.60 ","$1,161.60 ","$1,161.60 " ST. JOSEPH'S - CHIPPEWA FALLS,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$1,376.35 ","$1,032.26 ",$90.16 ,"$1,376.35 ",$886.37 ,$172.93 ,$963.45 ,$90.16 ,"$1,376.35 ",$92.86 ,"$1,376.35 ","$1,307.53 ", N/A ,"$1,101.08 ","$1,252.48 ",$90.16 ,"$1,293.77 ","$1,307.53 ","$1,238.72 ","$1,169.90 ",$90.16 ,$90.16 ,$90.16 ,"$1,004.74 ",$172.93 ,"$1,224.95 ","$1,238.72 ","$1,238.72 ","$1,101.08 ",$178.11 ,$756.99 ,"$1,238.72 ",$172.93 ,"$1,238.72 ",$172.93 ,"$1,307.53 ",$389.08 ,"$1,266.24 ",$95.57 ,"$1,252.48 ",$172.93 ,$847.01 ,$886.37 ,$847.01 ,"$1,238.72 ",$927.52 ,"$1,032.26 ","$1,238.72 ",$174.65 ,$94.67 ,"$1,286.89 ",$181.58 ,$90.16 ,"$1,197.42 ",$172.93 ,"$1,238.72 ",$172.93 ,"$1,238.72 ","$1,238.72 ","$1,238.72 ","$1,335.06 ","$1,114.84 ","$1,238.72 ","$1,238.72 ","$1,238.72 ","$1,238.72 " ST. JOSEPH'S - CHIPPEWA FALLS,35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,$913.11 ,$684.83 ,$90.16 ,$913.11 ,$588.04 ,$172.93 ,$639.18 ,$90.16 ,$913.11 ,$92.86 ,$913.11 ,$867.45 , N/A ,$730.49 ,$830.93 ,$90.16 ,$858.32 ,$867.45 ,$821.80 ,$776.14 ,$90.16 ,$90.16 ,$90.16 ,$666.57 ,$172.93 ,$812.67 ,$821.80 ,$821.80 ,$730.49 ,$178.11 ,$502.21 ,$821.80 ,$172.93 ,$821.80 ,$172.93 ,$867.45 ,$389.08 ,$840.06 ,$95.57 ,$830.93 ,$172.93 ,$561.93 ,$588.04 ,$561.93 ,$821.80 ,$913.11 ,$684.83 ,$821.80 ,$174.65 ,$94.67 ,$853.76 ,$181.58 ,$90.16 ,$794.41 ,$172.93 ,$821.80 ,$172.93 ,$821.80 ,$821.80 ,$821.80 ,$885.72 ,$739.62 ,$821.80 ,$821.80 ,$821.80 ,$821.80 ST. JOSEPH'S - CHIPPEWA FALLS,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$4,320.88 ","$3,240.66 ",$99.42 ,"$4,320.88 ","$2,782.65 ",$172.93 ,"$3,024.62 ",$99.42 ,"$2,388.00 ",$102.40 ,"$1,910.00 ","$4,104.84 ", N/A ,"$3,456.70 ","$3,932.00 ",$99.42 ,"$4,061.63 ","$4,104.84 ","$3,888.79 ","$3,672.75 ",$99.42 ,$99.42 ,$99.42 ,"$3,154.24 ",$172.93 ,"$3,845.58 ","$3,888.79 ","$3,888.79 ","$3,456.70 ",$178.11 ,"$2,376.48 ","$3,888.79 ",$172.93 ,"$3,888.79 ",$172.93 ,"$4,104.84 ",$389.08 ,"$3,975.21 ",$105.39 ,"$3,932.00 ",$172.93 ,"$2,659.07 ","$2,782.65 ","$2,659.07 ","$3,888.79 ",$743.10 ,"$3,240.66 ","$1,900.81 ",$174.65 ,$104.39 ,"$4,040.02 ",$181.58 ,$99.42 ,"$3,759.17 ",$172.93 ,"$3,888.79 ",$172.93 ,"$3,888.79 ","$3,888.79 ","$3,888.79 ","$4,191.25 ","$3,499.91 ","$3,888.79 ","$3,888.79 ","$3,888.79 ","$3,888.79 " ST. JOSEPH'S - CHIPPEWA FALLS,35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$2,008.27 ","$1,506.20 ",$34.16 ,"$2,008.27 ","$1,293.33 ",$105.54 ,"$1,405.79 ",$34.16 ,"$2,008.27 ",$35.18 ,"$1,910.00 ","$1,907.86 ", N/A ,"$1,606.62 ","$1,827.53 ",$34.16 ,"$1,887.77 ","$1,907.86 ","$1,807.44 ","$1,707.03 ",$34.16 ,$34.16 ,$34.16 ,"$1,466.04 ",$105.54 ,"$1,787.36 ","$1,807.44 ","$1,807.44 ","$1,606.62 ",$108.70 ,"$1,104.55 ","$1,807.44 ",$105.54 ,"$1,807.44 ",$105.54 ,"$1,907.86 ",$237.46 ,"$1,847.61 ",$36.21 ,"$1,827.53 ",$105.54 ,"$1,235.89 ","$1,293.33 ","$1,235.89 ","$1,807.44 ",$806.12 ,"$1,506.20 ","$1,807.44 ",$106.59 ,$35.87 ,"$1,877.73 ",$110.82 ,$34.16 ,"$1,747.19 ",$105.54 ,"$1,807.44 ",$105.54 ,"$1,807.44 ","$1,807.44 ","$1,807.44 ","$1,948.02 ","$1,626.70 ","$1,807.44 ","$1,807.44 ","$1,807.44 ","$1,807.44 " ST. JOSEPH'S - CHIPPEWA FALLS,35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$2,289.97 ","$1,717.48 ",$90.16 ,"$2,289.97 ","$1,474.74 ",$172.93 ,"$1,602.98 ",$90.16 ,"$2,289.97 ",$92.86 ,"$1,910.00 ","$2,175.47 ", N/A ,"$1,831.98 ","$2,083.87 ",$90.16 ,"$2,152.57 ","$2,175.47 ","$2,060.97 ","$1,946.47 ",$90.16 ,$90.16 ,$90.16 ,"$1,671.68 ",$172.93 ,"$2,038.07 ","$2,060.97 ","$2,060.97 ","$1,831.98 ",$178.11 ,"$1,259.48 ","$2,060.97 ",$172.93 ,"$2,060.97 ",$172.93 ,"$2,175.47 ",$389.08 ,"$2,106.77 ",$95.57 ,"$2,083.87 ",$172.93 ,"$1,409.25 ","$1,474.74 ","$1,409.25 ","$2,060.97 ","$1,104.11 ","$1,717.48 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,141.12 ",$181.58 ,$90.16 ,"$1,992.27 ",$172.93 ,"$2,060.97 ",$172.93 ,"$2,060.97 ","$2,060.97 ","$2,060.97 ","$2,221.27 ","$1,854.88 ","$2,060.97 ","$2,060.97 ","$2,060.97 ","$2,060.97 " ST. JOSEPH'S - CHIPPEWA FALLS,35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$2,435.20 ","$1,826.40 ",$90.16 ,"$2,435.20 ","$1,568.27 ",$172.93 ,"$1,704.64 ",$90.16 ,"$2,388.00 ",$92.86 ,"$1,910.00 ","$2,313.44 ", N/A ,"$1,948.16 ","$2,216.03 ",$90.16 ,"$2,289.09 ","$2,313.44 ","$2,191.68 ","$2,069.92 ",$90.16 ,$90.16 ,$90.16 ,"$1,777.70 ",$172.93 ,"$2,167.33 ","$2,191.68 ","$2,191.68 ","$1,948.16 ",$178.11 ,"$1,339.36 ","$2,191.68 ",$172.93 ,"$2,191.68 ",$172.93 ,"$2,313.44 ",$389.08 ,"$2,240.38 ",$95.57 ,"$2,216.03 ",$172.93 ,"$1,498.62 ","$1,568.27 ","$1,498.62 ","$2,191.68 ","$1,187.43 ","$1,826.40 ","$1,900.81 ",$174.65 ,$94.67 ,"$2,276.91 ",$181.58 ,$90.16 ,"$2,118.62 ",$172.93 ,"$2,191.68 ",$172.93 ,"$2,191.68 ","$2,191.68 ","$2,191.68 ","$2,362.14 ","$1,972.51 ","$2,191.68 ","$2,191.68 ","$2,191.68 ","$2,191.68 " ST. JOSEPH'S - CHIPPEWA FALLS,35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,861.03 ","$2,895.77 ",$99.42 ,"$3,861.03 ","$2,486.50 ",$172.93 ,"$2,702.72 ",$99.42 ,"$2,388.00 ",$102.40 ,"$1,910.00 ","$3,667.98 ", N/A ,"$3,088.82 ","$3,513.54 ",$99.42 ,"$3,629.37 ","$3,667.98 ","$3,474.93 ","$3,281.88 ",$99.42 ,$99.42 ,$99.42 ,"$2,818.55 ",$172.93 ,"$3,436.32 ","$3,474.93 ","$3,474.93 ","$3,088.82 ",$178.11 ,"$2,123.57 ","$3,474.93 ",$172.93 ,"$3,474.93 ",$172.93 ,"$3,667.98 ",$389.08 ,"$3,552.15 ",$105.39 ,"$3,513.54 ",$172.93 ,"$2,376.08 ","$2,486.50 ","$2,376.08 ","$3,474.93 ",$845.54 ,"$2,895.77 ","$1,900.81 ",$174.65 ,$104.39 ,"$3,610.06 ",$181.58 ,$99.42 ,"$3,359.10 ",$172.93 ,"$3,474.93 ",$172.93 ,"$3,474.93 ","$3,474.93 ","$3,474.93 ","$3,745.20 ","$3,127.43 ","$3,474.93 ","$3,474.93 ","$3,474.93 ","$3,474.93 " ST. JOSEPH'S - CHIPPEWA FALLS,35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$2,595.20 ","$1,946.40 ",$90.16 ,"$2,595.20 ","$1,671.31 ",$222.88 ,"$1,816.64 ",$90.16 ,"$2,388.00 ",$92.86 ,"$1,910.00 ","$2,465.44 ", N/A ,"$2,076.16 ","$2,361.63 ",$90.16 ,"$2,439.49 ","$2,465.44 ","$2,335.68 ","$2,205.92 ",$90.16 ,$90.16 ,$90.16 ,"$1,894.50 ",$222.88 ,"$2,309.73 ","$2,335.68 ","$2,335.68 ","$2,076.16 ",$229.57 ,"$1,427.36 ","$2,335.68 ",$222.88 ,"$2,335.68 ",$222.88 ,"$2,465.44 ",$501.48 ,"$2,387.58 ",$95.57 ,"$2,361.63 ",$222.88 ,"$1,597.09 ","$1,671.31 ","$1,597.09 ","$2,335.68 ",$265.59 ,"$1,946.40 ","$1,900.81 ",$225.11 ,$94.67 ,"$2,426.51 ",$234.02 ,$90.16 ,"$2,257.82 ",$222.88 ,"$2,335.68 ",$222.88 ,"$2,335.68 ","$2,335.68 ","$2,335.68 ","$2,517.34 ","$2,102.11 ","$2,335.68 ","$2,335.68 ","$2,335.68 ","$2,335.68 " ST. JOSEPH'S - CHIPPEWA FALLS,35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$3,537.84 ","$2,653.38 ",$90.16 ,"$3,537.84 ","$2,278.37 ",$356.52 ,"$2,476.49 ",$90.16 ,"$2,388.00 ",$92.86 ,"$1,910.00 ","$3,360.95 ", N/A ,"$2,830.27 ","$3,219.43 ",$90.16 ,"$3,325.57 ","$3,360.95 ","$3,184.06 ","$3,007.16 ",$90.16 ,$90.16 ,$90.16 ,"$2,582.62 ",$356.52 ,"$3,148.68 ","$3,184.06 ","$3,184.06 ","$2,830.27 ",$367.22 ,"$1,945.81 ","$3,184.06 ",$356.52 ,"$3,184.06 ",$356.52 ,"$3,360.95 ",$802.18 ,"$3,254.81 ",$95.57 ,"$3,219.43 ",$356.52 ,"$2,177.19 ","$2,278.37 ","$2,177.19 ","$3,184.06 ",$506.53 ,"$2,653.38 ","$1,900.81 ",$360.09 ,$94.67 ,"$3,307.88 ",$374.35 ,$90.16 ,"$3,077.92 ",$356.52 ,"$3,184.06 ",$356.52 ,"$3,184.06 ","$3,184.06 ","$3,184.06 ","$3,431.70 ","$2,865.65 ","$3,184.06 ","$3,184.06 ","$3,184.06 ","$3,184.06 " ST. JOSEPH'S - CHIPPEWA FALLS,35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$3,659.03 ","$2,744.27 ",$90.16 ,"$3,659.03 ","$2,356.42 ",$356.52 ,"$2,561.32 ",$90.16 ,"$2,388.00 ",$92.86 ,"$1,910.00 ","$3,476.08 ", N/A ,"$2,927.22 ","$3,329.72 ",$90.16 ,"$3,439.49 ","$3,476.08 ","$3,293.13 ","$3,110.18 ",$90.16 ,$90.16 ,$90.16 ,"$2,671.09 ",$356.52 ,"$3,256.54 ","$3,293.13 ","$3,293.13 ","$2,927.22 ",$367.22 ,"$2,012.47 ","$3,293.13 ",$356.52 ,"$3,293.13 ",$356.52 ,"$3,476.08 ",$802.18 ,"$3,366.31 ",$95.57 ,"$3,329.72 ",$356.52 ,"$2,251.77 ","$2,356.42 ","$2,251.77 ","$3,293.13 ",$669.44 ,"$2,744.27 ","$1,900.81 ",$360.09 ,$94.67 ,"$3,421.19 ",$374.35 ,$90.16 ,"$3,183.36 ",$356.52 ,"$3,293.13 ",$356.52 ,"$3,293.13 ","$3,293.13 ","$3,293.13 ","$3,549.26 ","$2,963.81 ","$3,293.13 ","$3,293.13 ","$3,293.13 ","$3,293.13 " ST. JOSEPH'S - CHIPPEWA FALLS,35000086,74261,HC CT VIRTUAL COLONOSCOPY DX,350,1 ,"$1,299.85 ",$974.89 ,$34.16 ,"$1,299.85 ",$837.10 ,$105.54 ,$909.90 ,$34.16 ,"$1,299.85 ",$35.18 ,"$1,299.85 ","$1,234.86 ", N/A ,"$1,039.88 ","$1,182.86 ",$34.16 ,"$1,221.86 ","$1,234.86 ","$1,169.87 ","$1,104.87 ",$34.16 ,$34.16 ,$34.16 ,$948.89 ,$105.54 ,"$1,156.87 ","$1,169.87 ","$1,169.87 ","$1,039.88 ",$108.70 ,$714.92 ,"$1,169.87 ",$105.54 ,"$1,169.87 ",$105.54 ,"$1,234.86 ",$237.46 ,"$1,195.86 ",$36.21 ,"$1,182.86 ",$105.54 ,$799.93 ,$837.10 ,$799.93 ,"$1,169.87 ",$566.08 ,$974.89 ,"$1,169.87 ",$106.59 ,$35.87 ,"$1,215.36 ",$110.82 ,$34.16 ,"$1,130.87 ",$105.54 ,"$1,169.87 ",$105.54 ,"$1,169.87 ","$1,169.87 ","$1,169.87 ","$1,260.85 ","$1,052.88 ","$1,169.87 ","$1,169.87 ","$1,169.87 ","$1,169.87 " ST. JOSEPH'S - CHIPPEWA FALLS,35000087,75571,HC CT HRT W/O DYE W/CA TEST,350,1 ,$755.82 ,$566.87 ,$34.16 ,$755.82 ,$486.75 ,$78.35 ,$529.07 ,$34.16 ,$755.82 ,$35.18 ,$755.82 ,$718.03 , N/A ,$604.66 ,$687.80 ,$34.16 ,$710.47 ,$718.03 ,$680.24 ,$642.45 ,$34.16 ,$34.16 ,$34.16 ,$551.75 ,$78.35 ,$672.68 ,$680.24 ,$680.24 ,$604.66 ,$80.70 ,$415.70 ,$680.24 ,$78.35 ,$680.24 ,$78.35 ,$718.03 ,$176.29 ,$695.35 ,$36.21 ,$687.80 ,$78.35 ,$465.13 ,$486.75 ,$465.13 ,$680.24 ,$117.05 ,$566.87 ,$680.24 ,$79.14 ,$35.87 ,$706.69 ,$82.27 ,$34.16 ,$657.56 ,$78.35 ,$680.24 ,$78.35 ,$680.24 ,$680.24 ,$680.24 ,$733.15 ,$612.21 ,$680.24 ,$680.24 ,$680.24 ,$680.24 ST. JOSEPH'S - CHIPPEWA FALLS,35000088,N/A,HC CT HRT W/O DYE W/CA TEST (PROMO),350,1 ,$100.00 ,$75.00 ,$55.00 ,$100.00 ,$64.40 , N/A ,$70.00 , N/A ,$100.00 , N/A ,$100.00 ,$95.00 , N/A ,$80.00 ,$91.00 , N/A ,$94.00 ,$95.00 ,$90.00 ,$85.00 , N/A , N/A , N/A ,$73.00 , N/A ,$89.00 ,$90.00 ,$90.00 ,$80.00 , N/A ,$55.00 ,$90.00 , N/A ,$90.00 , N/A ,$95.00 , N/A ,$92.00 , N/A ,$91.00 , N/A ,$61.54 ,$64.40 ,$61.54 ,$90.00 ,$90.00 ,$75.00 ,$90.00 , N/A , N/A ,$93.50 , N/A , N/A ,$87.00 , N/A ,$90.00 , N/A ,$90.00 ,$90.00 ,$90.00 ,$97.00 ,$81.00 ,$90.00 ,$90.00 ,$90.00 ,$90.00 ST. JOSEPH'S - CHIPPEWA FALLS,35000089,75572,HC CT HEART WO/W CONT FUNCT EVAL,350,1 ,"$1,140.05 ",$855.04 ,$90.16 ,"$1,140.05 ",$734.19 ,$172.93 ,$798.04 ,$90.16 ,"$1,140.05 ",$92.86 ,"$1,140.05 ","$1,083.05 ", N/A ,$912.04 ,"$1,037.45 ",$90.16 ,"$1,071.65 ","$1,083.05 ","$1,026.05 ",$969.04 ,$90.16 ,$90.16 ,$90.16 ,$832.24 ,$172.93 ,"$1,014.64 ","$1,026.05 ","$1,026.05 ",$912.04 ,$178.11 ,$627.03 ,"$1,026.05 ",$172.93 ,"$1,026.05 ",$172.93 ,"$1,083.05 ",$389.08 ,"$1,048.85 ",$95.57 ,"$1,037.45 ",$172.93 ,$701.59 ,$734.19 ,$701.59 ,"$1,026.05 ",$337.46 ,$855.04 ,"$1,026.05 ",$174.65 ,$94.67 ,"$1,065.95 ",$181.58 ,$90.16 ,$991.84 ,$172.93 ,"$1,026.05 ",$172.93 ,"$1,026.05 ","$1,026.05 ","$1,026.05 ","$1,105.85 ",$923.44 ,"$1,026.05 ","$1,026.05 ","$1,026.05 ","$1,026.05 " ST. JOSEPH'S - CHIPPEWA FALLS,35000091,75574,HC CT CARD ANGIO W/CALC SCORING,350,1 ,"$1,891.06 ","$1,418.30 ",$99.42 ,"$1,891.06 ","$1,217.84 ",$172.93 ,"$1,323.74 ",$99.42 ,"$1,891.06 ",$102.40 ,"$1,891.06 ","$1,796.51 ", N/A ,"$1,512.85 ","$1,720.86 ",$99.42 ,"$1,777.60 ","$1,796.51 ","$1,701.95 ","$1,607.40 ",$99.42 ,$99.42 ,$99.42 ,"$1,380.47 ",$172.93 ,"$1,683.04 ","$1,701.95 ","$1,701.95 ","$1,512.85 ",$178.11 ,"$1,040.08 ","$1,701.95 ",$172.93 ,"$1,701.95 ",$172.93 ,"$1,796.51 ",$389.08 ,"$1,739.78 ",$105.39 ,"$1,720.86 ",$172.93 ,"$1,163.76 ","$1,217.84 ","$1,163.76 ","$1,701.95 ",$880.27 ,"$1,418.30 ","$1,701.95 ",$174.65 ,$104.39 ,"$1,768.14 ",$181.58 ,$99.42 ,"$1,645.22 ",$172.93 ,"$1,701.95 ",$172.93 ,"$1,701.95 ","$1,701.95 ","$1,701.95 ","$1,834.33 ","$1,531.76 ","$1,701.95 ","$1,701.95 ","$1,701.95 ","$1,701.95 " ST. JOSEPH'S - CHIPPEWA FALLS,35000094,75574,HC CTA HEART CORONARY W/CONTRAST 3D POST,350,1 ,"$1,891.06 ","$1,418.30 ",$99.42 ,"$1,891.06 ","$1,217.84 ",$172.93 ,"$1,323.74 ",$99.42 ,"$1,891.06 ",$102.40 ,"$1,891.06 ","$1,796.51 ", N/A ,"$1,512.85 ","$1,720.86 ",$99.42 ,"$1,777.60 ","$1,796.51 ","$1,701.95 ","$1,607.40 ",$99.42 ,$99.42 ,$99.42 ,"$1,380.47 ",$172.93 ,"$1,683.04 ","$1,701.95 ","$1,701.95 ","$1,512.85 ",$178.11 ,"$1,040.08 ","$1,701.95 ",$172.93 ,"$1,701.95 ",$172.93 ,"$1,796.51 ",$389.08 ,"$1,739.78 ",$105.39 ,"$1,720.86 ",$172.93 ,"$1,163.76 ","$1,217.84 ","$1,163.76 ","$1,701.95 ",$880.27 ,"$1,418.30 ","$1,701.95 ",$174.65 ,$104.39 ,"$1,768.14 ",$181.58 ,$99.42 ,"$1,645.22 ",$172.93 ,"$1,701.95 ",$172.93 ,"$1,701.95 ","$1,701.95 ","$1,701.95 ","$1,834.33 ","$1,531.76 ","$1,701.95 ","$1,701.95 ","$1,701.95 ","$1,701.95 " ST. JOSEPH'S - CHIPPEWA FALLS,35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$4,406.26 ","$3,304.70 ",$99.42 ,"$4,406.26 ","$2,837.63 ",$172.93 ,"$3,084.38 ",$99.42 ,"$2,388.00 ",$102.40 ,"$1,910.00 ","$4,185.95 ", N/A ,"$3,525.01 ","$4,009.70 ",$99.42 ,"$4,141.88 ","$4,185.95 ","$3,965.63 ","$3,745.32 ",$99.42 ,$99.42 ,$99.42 ,"$3,216.57 ",$172.93 ,"$3,921.57 ","$3,965.63 ","$3,965.63 ","$3,525.01 ",$178.11 ,"$2,423.44 ","$3,965.63 ",$172.93 ,"$3,965.63 ",$172.93 ,"$4,185.95 ",$389.08 ,"$4,053.76 ",$105.39 ,"$4,009.70 ",$172.93 ,"$2,711.61 ","$2,837.63 ","$2,711.61 ","$3,965.63 ",$845.54 ,"$3,304.70 ","$1,900.81 ",$174.65 ,$104.39 ,"$4,119.85 ",$181.58 ,$99.42 ,"$3,833.45 ",$172.93 ,"$3,965.63 ",$172.93 ,"$3,965.63 ","$3,965.63 ","$3,965.63 ","$4,274.07 ","$3,569.07 ","$3,965.63 ","$3,965.63 ","$3,965.63 ","$3,965.63 " ST. JOSEPH'S - CHIPPEWA FALLS,35000099,76376,HC 3D RENDER CT NOT REQUIRE INDEP,350,1 ,$305.99 ,$229.49 ,$168.29 ,$305.99 ,$197.06 , N/A ,$214.19 , N/A ,$305.99 , N/A ,$305.99 ,$290.69 , N/A ,$244.79 ,$278.45 , N/A ,$287.63 ,$290.69 ,$275.39 ,$260.09 , N/A , N/A , N/A ,$223.37 , N/A ,$272.33 ,$275.39 ,$275.39 ,$244.79 , N/A ,$168.29 ,$275.39 , N/A ,$275.39 , N/A ,$290.69 , N/A ,$281.51 , N/A ,$278.45 , N/A ,$188.31 ,$197.06 ,$188.31 ,$275.39 ,$270.22 ,$229.49 ,$275.39 , N/A , N/A ,$286.10 , N/A , N/A ,$266.21 , N/A ,$275.39 , N/A ,$275.39 ,$275.39 ,$275.39 ,$296.81 ,$247.85 ,$275.39 ,$275.39 ,$275.39 ,$275.39 ST. JOSEPH'S - CHIPPEWA FALLS,35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,"$1,342.20 ","$1,006.65 ",$287.93 ,"$1,342.20 ",$864.38 , N/A ,$939.54 , N/A ,"$1,342.20 ", N/A ,"$1,342.20 ","$1,275.09 ", N/A ,"$1,073.76 ","$1,221.40 ", N/A ,"$1,261.67 ","$1,275.09 ","$1,207.98 ","$1,140.87 ", N/A , N/A , N/A ,$979.81 , N/A ,"$1,194.56 ","$1,207.98 ","$1,207.98 ","$1,073.76 ", N/A ,$738.21 ,"$1,207.98 ", N/A ,"$1,207.98 ", N/A ,"$1,275.09 ", N/A ,"$1,234.82 ", N/A ,"$1,221.40 ", N/A ,$825.99 ,$864.38 ,$825.99 ,"$1,207.98 ",$287.93 ,"$1,006.65 ","$1,207.98 ", N/A , N/A ,"$1,254.96 ", N/A , N/A ,"$1,167.71 ", N/A ,"$1,207.98 ", N/A ,"$1,207.98 ","$1,207.98 ","$1,207.98 ","$1,301.93 ","$1,087.18 ","$1,207.98 ","$1,207.98 ","$1,207.98 ","$1,207.98 " ST. JOSEPH'S - CHIPPEWA FALLS,35000101,76380,HC CT LMTD OR LOCALIZ FU STUDY,350,1 ,$469.22 ,$351.92 ,$34.16 ,$469.22 ,$302.18 ,$78.35 ,$328.45 ,$34.16 ,$469.22 ,$35.18 ,$469.22 ,$445.76 , N/A ,$375.38 ,$426.99 ,$34.16 ,$441.07 ,$445.76 ,$422.30 ,$398.84 ,$34.16 ,$34.16 ,$34.16 ,$342.53 ,$78.35 ,$417.61 ,$422.30 ,$422.30 ,$375.38 ,$80.70 ,$258.07 ,$422.30 ,$78.35 ,$422.30 ,$78.35 ,$445.76 ,$176.29 ,$431.68 ,$36.21 ,$426.99 ,$78.35 ,$288.76 ,$302.18 ,$288.76 ,$422.30 ,$469.22 ,$351.92 ,$422.30 ,$79.14 ,$35.87 ,$438.72 ,$82.27 ,$34.16 ,$408.22 ,$78.35 ,$422.30 ,$78.35 ,$422.30 ,$422.30 ,$422.30 ,$455.14 ,$380.07 ,$422.30 ,$422.30 ,$422.30 ,$422.30 ST. JOSEPH'S - CHIPPEWA FALLS,35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$1,833.07 ","$1,374.80 ",$31.12 ,"$1,833.07 ","$1,180.50 ", N/A ,"$1,283.15 ",$31.12 ,"$1,833.07 ",$32.05 ,"$1,833.07 ","$1,741.42 ", N/A ,"$1,466.46 ","$1,668.09 ",$31.12 ,"$1,723.09 ","$1,741.42 ","$1,649.76 ","$1,558.11 ",$31.12 ,$31.12 ,$31.12 ,"$1,338.14 ", N/A ,"$1,631.43 ","$1,649.76 ","$1,649.76 ","$1,466.46 ", N/A ,"$1,008.19 ","$1,649.76 ", N/A ,"$1,649.76 ", N/A ,"$1,741.42 ", N/A ,"$1,686.42 ",$32.99 ,"$1,668.09 ", N/A ,"$1,128.07 ","$1,180.50 ","$1,128.07 ","$1,649.76 ",$517.77 ,"$1,374.80 ","$1,649.76 ", N/A ,$32.68 ,"$1,713.92 ", N/A ,$31.12 ,"$1,594.77 ", N/A ,"$1,649.76 ", N/A ,"$1,649.76 ","$1,649.76 ","$1,649.76 ","$1,778.08 ","$1,484.79 ","$1,649.76 ","$1,649.76 ","$1,649.76 ","$1,649.76 " ST. JOSEPH'S - CHIPPEWA FALLS,35000109,77013,HC CT GUIDED FOR ABLATION,350,1 ,$807.28 ,$605.46 ,$31.12 ,$807.28 ,$519.89 , N/A ,$565.10 ,$31.12 ,$807.28 ,$32.05 ,$807.28 ,$766.92 , N/A ,$645.82 ,$734.62 ,$31.12 ,$758.84 ,$766.92 ,$726.55 ,$686.19 ,$31.12 ,$31.12 ,$31.12 ,$589.31 , N/A ,$718.48 ,$726.55 ,$726.55 ,$645.82 , N/A ,$444.00 ,$726.55 , N/A ,$726.55 , N/A ,$766.92 , N/A ,$742.70 ,$32.99 ,$734.62 , N/A ,$496.80 ,$519.89 ,$496.80 ,$726.55 ,$188.95 ,$605.46 ,$726.55 , N/A ,$32.68 ,$754.81 , N/A ,$31.12 ,$702.33 , N/A ,$726.55 , N/A ,$726.55 ,$726.55 ,$726.55 ,$783.06 ,$653.90 ,$726.55 ,$726.55 ,$726.55 ,$726.55 ST. JOSEPH'S - CHIPPEWA FALLS,35000110,77014,HC CT GUIDED THRPY PLACEMENT,350,1 ,$279.30 ,$209.48 ,$31.12 ,$279.30 ,$179.87 , N/A ,$195.51 ,$31.12 ,$279.30 ,$32.05 ,$279.30 ,$265.34 , N/A ,$223.44 ,$254.16 ,$31.12 ,$262.54 ,$265.34 ,$251.37 ,$237.41 ,$31.12 ,$31.12 ,$31.12 ,$203.89 , N/A ,$248.58 ,$251.37 ,$251.37 ,$223.44 , N/A ,$153.62 ,$251.37 , N/A ,$251.37 , N/A ,$265.34 , N/A ,$256.96 ,$32.99 ,$254.16 , N/A ,$171.88 ,$179.87 ,$171.88 ,$251.37 ,$249.73 ,$209.48 ,$251.37 , N/A ,$32.68 ,$261.15 , N/A ,$31.12 ,$242.99 , N/A ,$251.37 , N/A ,$251.37 ,$251.37 ,$251.37 ,$270.92 ,$226.23 ,$251.37 ,$251.37 ,$251.37 ,$251.37 ST. JOSEPH'S - CHIPPEWA FALLS,35000111,77014,HC CT GUIDED THRPY PLACEMENT UNENHAN,350,1 ,$279.30 ,$209.48 ,$31.12 ,$279.30 ,$179.87 , N/A ,$195.51 ,$31.12 ,$279.30 ,$32.05 ,$279.30 ,$265.34 , N/A ,$223.44 ,$254.16 ,$31.12 ,$262.54 ,$265.34 ,$251.37 ,$237.41 ,$31.12 ,$31.12 ,$31.12 ,$203.89 , N/A ,$248.58 ,$251.37 ,$251.37 ,$223.44 , N/A ,$153.62 ,$251.37 , N/A ,$251.37 , N/A ,$265.34 , N/A ,$256.96 ,$32.99 ,$254.16 , N/A ,$171.88 ,$179.87 ,$171.88 ,$251.37 ,$249.73 ,$209.48 ,$251.37 , N/A ,$32.68 ,$261.15 , N/A ,$31.12 ,$242.99 , N/A ,$251.37 , N/A ,$251.37 ,$251.37 ,$251.37 ,$270.92 ,$226.23 ,$251.37 ,$251.37 ,$251.37 ,$251.37 ST. JOSEPH'S - CHIPPEWA FALLS,35000113,51102,HC ASPIRATION OF BLADDER AND INSERT SUPRAPUBIC CATH,350,1 ,"$1,968.85 ","$1,476.64 ",$444.48 ,"$3,907.15 ","$1,267.94 ","$1,736.51 ","$1,378.20 ",$444.48 ,"$1,968.85 ",$457.81 ,"$1,910.00 ","$1,870.41 ", N/A ,"$1,575.08 ","$1,791.65 ",$444.48 ,"$1,850.72 ","$1,870.41 ","$1,771.97 ","$1,673.52 ",$444.48 ,$444.48 ,$444.48 ,"$1,437.26 ","$1,736.51 ","$1,752.28 ","$1,771.97 ","$1,771.97 ","$1,575.08 ","$1,788.61 ","$1,082.87 ","$1,771.97 ","$1,736.51 ","$1,771.97 ","$1,736.51 ","$1,870.41 ","$3,907.15 ","$1,811.34 ",$471.15 ,"$1,791.65 ","$1,736.51 ","$1,211.63 ","$1,267.94 ","$1,211.63 ","$1,771.97 ","$1,771.97 ","$1,476.64 ","$1,771.97 ","$1,753.88 ",$466.70 ,"$1,840.87 ","$1,823.34 ",$444.48 ,"$1,712.90 ","$1,736.51 ","$1,771.97 ","$1,736.51 ","$1,771.97 ","$1,771.97 ","$1,771.97 ","$1,909.78 ","$1,594.77 ","$1,771.97 ","$1,771.97 ","$1,771.97 ","$1,771.97 " ST. JOSEPH'S - CHIPPEWA FALLS,35000116,64510,HC INJECT STELLATE GANGLION,350,1 ,"$2,354.70 ","$1,766.03 ",$349.28 ,"$2,354.70 ","$1,516.43 ",$796.55 ,"$1,648.29 ",$349.28 ,"$2,354.70 ",$359.76 ,"$1,910.00 ","$2,236.97 ", N/A ,"$1,883.76 ","$2,142.78 ",$349.28 ,"$2,213.42 ","$2,236.97 ","$2,119.23 ","$2,001.50 ",$349.28 ,$349.28 ,$349.28 ,"$1,718.93 ",$796.55 ,"$2,095.68 ","$2,119.23 ","$2,119.23 ","$1,883.76 ",$820.45 ,"$1,295.09 ","$2,119.23 ",$796.55 ,"$2,119.23 ",$796.55 ,"$2,236.97 ","$1,792.24 ","$2,166.32 ",$370.24 ,"$2,142.78 ",$796.55 ,"$1,449.08 ","$1,516.43 ","$1,449.08 ","$2,119.23 ","$2,119.23 ","$1,766.03 ","$1,900.81 ",$804.52 ,$366.74 ,"$2,201.64 ",$836.38 ,$349.28 ,"$2,048.59 ",$796.55 ,"$2,119.23 ",$796.55 ,"$2,119.23 ","$2,119.23 ","$2,119.23 ","$2,284.06 ","$1,907.31 ","$2,119.23 ","$2,119.23 ","$2,119.23 ","$2,119.23 " ST. JOSEPH'S - CHIPPEWA FALLS,35000120,74174,HC CT ANGIO ABD/PELV W AND WO CONTRAST,350,1 ,"$1,798.80 ","$1,349.10 ",$99.42 ,"$1,798.80 ","$1,158.43 ",$356.52 ,"$1,259.16 ",$99.42 ,"$1,798.80 ",$102.40 ,"$1,798.80 ","$1,708.86 ", N/A ,"$1,439.04 ","$1,636.91 ",$99.42 ,"$1,690.87 ","$1,708.86 ","$1,618.92 ","$1,528.98 ",$99.42 ,$99.42 ,$99.42 ,"$1,313.12 ",$356.52 ,"$1,600.93 ","$1,618.92 ","$1,618.92 ","$1,439.04 ",$367.22 ,$989.34 ,"$1,618.92 ",$356.52 ,"$1,618.92 ",$356.52 ,"$1,708.86 ",$802.18 ,"$1,654.90 ",$105.39 ,"$1,636.91 ",$356.52 ,"$1,106.98 ","$1,158.43 ","$1,106.98 ","$1,618.92 ",$918.60 ,"$1,349.10 ","$1,618.92 ",$360.09 ,$104.39 ,"$1,681.88 ",$374.35 ,$99.42 ,"$1,564.96 ",$356.52 ,"$1,618.92 ",$356.52 ,"$1,618.92 ","$1,618.92 ","$1,618.92 ","$1,744.84 ","$1,457.03 ","$1,618.92 ","$1,618.92 ","$1,618.92 ","$1,618.92 " ST. JOSEPH'S - CHIPPEWA FALLS,35000150,G0297,HC CT LUNG SCREENING,350,1 ,$479.75 ,$359.81 ,$263.86 ,$479.75 ,$308.96 , N/A ,$335.83 , N/A ,$479.75 , N/A ,$479.75 ,$455.76 , N/A ,$383.80 ,$436.57 , N/A ,$450.97 ,$455.76 ,$431.78 ,$407.79 , N/A , N/A , N/A ,$350.22 , N/A ,$426.98 ,$431.78 ,$431.78 ,$383.80 , N/A ,$263.86 ,$431.78 , N/A ,$431.78 , N/A ,$455.76 , N/A ,$441.37 , N/A ,$436.57 , N/A ,$295.24 ,$308.96 ,$295.24 ,$431.78 ,$431.78 ,$359.81 ,$431.78 , N/A , N/A ,$448.57 , N/A , N/A ,$417.38 , N/A ,$431.78 , N/A ,$431.78 ,$431.78 ,$431.78 ,$465.36 ,$388.60 ,$431.78 ,$431.78 ,$431.78 ,$431.78 ST. JOSEPH'S - CHIPPEWA FALLS,35200004,74263,HC CT COLONOGRAPHY SCREENING,352,1 ,"$1,147.52 ",$860.64 ,$34.16 ,"$1,147.52 ",$739.00 , N/A ,$803.26 ,$34.16 ,"$1,147.52 ",$35.18 ,"$1,147.52 ","$1,090.14 ", N/A ,$918.02 ,"$1,044.24 ",$34.16 ,"$1,078.67 ","$1,090.14 ","$1,032.77 ",$975.39 ,$34.16 ,$34.16 ,$34.16 ,$837.69 , N/A ,"$1,021.29 ","$1,032.77 ","$1,032.77 ",$918.02 , N/A ,$631.14 ,"$1,032.77 ", N/A ,"$1,032.77 ", N/A ,"$1,090.14 ", N/A ,"$1,055.72 ",$36.21 ,"$1,044.24 ", N/A ,$706.18 ,$739.00 ,$706.18 ,"$1,032.77 ","$1,119.16 ",$860.64 ,"$1,032.77 ", N/A ,$35.87 ,"$1,072.93 ", N/A ,$34.16 ,$998.34 , N/A ,"$1,032.77 ", N/A ,"$1,032.77 ","$1,032.77 ","$1,032.77 ","$1,113.09 ",$929.49 ,"$1,032.77 ","$1,032.77 ","$1,032.77 ","$1,032.77 " ST. JOSEPH'S - CHIPPEWA FALLS,36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$421.07 ,$315.80 ,$74.70 ,$421.07 ,$271.17 ,$173.89 ,$294.75 ,$74.70 ,$421.07 ,$76.94 ,$421.07 ,$400.02 , N/A ,$336.86 ,$383.17 ,$74.70 , N/A ,$400.02 ,$378.96 ,$357.91 ,$74.70 ,$74.70 ,$74.70 ,$307.38 ,$173.89 ,$374.75 ,$378.96 ,$378.96 ,$336.86 ,$179.11 ,$231.59 ,$378.96 ,$173.89 ,$378.96 ,$173.89 ,$395.81 ,$391.26 ,$387.38 ,$79.18 ,$383.17 ,$173.89 ,$259.13 ,$271.17 ,$259.13 ,$378.96 ,$378.96 ,$315.80 ,$378.96 ,$175.63 ,$78.44 ,$393.70 ,$182.58 ,$74.70 ,$366.33 ,$173.89 ,$378.96 ,$173.89 ,$378.96 ,$378.96 ,$378.96 ,$408.44 ,$341.07 ,$378.96 ,$378.96 ,$378.96 ,$378.96 ST. JOSEPH'S - CHIPPEWA FALLS,36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,"$1,501.67 ","$1,126.25 ",$325.66 ,"$3,066.03 ",$967.08 ,"$1,362.68 ","$1,051.17 ",$325.66 ,"$1,501.67 ",$335.43 ,"$1,501.67 ","$1,426.59 ", N/A ,"$1,201.34 ","$1,366.52 ",$325.66 , N/A ,"$1,426.59 ","$1,351.50 ","$1,276.42 ",$325.66 ,$325.66 ,$325.66 ,"$1,096.22 ","$1,362.68 ","$1,336.49 ","$1,351.50 ","$1,351.50 ","$1,201.34 ","$1,403.56 ",$825.92 ,"$1,351.50 ","$1,362.68 ","$1,351.50 ","$1,362.68 ","$1,411.57 ","$3,066.03 ","$1,381.54 ",$345.20 ,"$1,366.52 ","$1,362.68 ",$924.13 ,$967.08 ,$924.13 ,"$1,351.50 ","$1,351.50 ","$1,126.25 ","$1,351.50 ","$1,376.31 ",$341.94 ,"$1,404.06 ","$1,430.81 ",$325.66 ,"$1,306.45 ","$1,362.68 ","$1,351.50 ","$1,362.68 ","$1,351.50 ","$1,351.50 ","$1,351.50 ","$1,456.62 ","$1,216.35 ","$1,351.50 ","$1,351.50 ","$1,351.50 ","$1,351.50 " ST. JOSEPH'S - CHIPPEWA FALLS,36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$432.70 ,$324.53 ,$74.70 ,$753.63 ,$278.66 ,$334.95 ,$302.89 ,$74.70 ,$432.70 ,$76.94 ,$432.70 ,$411.07 , N/A ,$346.16 ,$393.76 ,$74.70 , N/A ,$411.07 ,$389.43 ,$367.80 ,$74.70 ,$74.70 ,$74.70 ,$315.87 ,$334.95 ,$385.10 ,$389.43 ,$389.43 ,$346.16 ,$344.99 ,$237.99 ,$389.43 ,$334.95 ,$389.43 ,$334.95 ,$406.74 ,$753.63 ,$398.08 ,$79.18 ,$393.76 ,$334.95 ,$266.28 ,$278.66 ,$266.28 ,$389.43 ,$389.43 ,$324.53 ,$389.43 ,$338.30 ,$78.44 ,$404.57 ,$351.70 ,$74.70 ,$376.45 ,$334.95 ,$389.43 ,$334.95 ,$389.43 ,$389.43 ,$389.43 ,$419.72 ,$350.49 ,$389.43 ,$389.43 ,$389.43 ,$389.43 ST. JOSEPH'S - CHIPPEWA FALLS,36000035,10030,HC GUIDE CATHET FLUID DRAINAGE,360,1 ,$521.16 ,$390.87 ,$286.64 ,"$1,355.35 ",$335.63 ,$602.38 ,$364.81 ,$325.66 ,$521.16 ,$335.43 ,$521.16 ,$495.10 , N/A ,$416.93 ,$474.26 ,$325.66 , N/A ,$495.10 ,$469.04 ,$442.99 ,$325.66 ,$325.66 ,$325.66 ,$380.45 ,$602.38 ,$463.83 ,$469.04 ,$469.04 ,$416.93 ,$620.45 ,$286.64 ,$469.04 ,$602.38 ,$469.04 ,$602.38 ,$489.89 ,"$1,355.35 ",$479.47 ,$345.20 ,$474.26 ,$602.38 ,$320.72 ,$335.63 ,$320.72 ,$469.04 ,$469.04 ,$390.87 ,$469.04 ,$608.40 ,$341.94 ,$487.28 ,$632.50 ,$325.66 ,$453.41 ,$602.38 ,$469.04 ,$602.38 ,$469.04 ,$469.04 ,$469.04 ,$505.53 ,$422.14 ,$469.04 ,$469.04 ,$469.04 ,$469.04 ST. JOSEPH'S - CHIPPEWA FALLS,36000040,31652,HC BRONCH RIGID/FLEX EBUS 1 OR 2 NODES,360,1 ,"$3,531.26 ","$2,648.45 ","$1,009.08 ","$6,750.97 ","$2,274.13 ","$3,000.43 ","$2,471.88 ","$1,009.08 ","$3,531.26 ","$1,039.35 ","$3,531.26 ","$3,354.70 ", N/A ,"$2,825.01 ","$3,213.45 ","$1,009.08 ", N/A ,"$3,354.70 ","$3,178.13 ","$3,001.57 ","$1,009.08 ","$1,009.08 ","$1,009.08 ","$2,577.82 ","$3,000.43 ","$3,142.82 ","$3,178.13 ","$3,178.13 ","$2,825.01 ","$3,090.45 ","$1,942.19 ","$3,178.13 ","$3,000.43 ","$3,178.13 ","$3,000.43 ","$3,319.38 ","$6,750.97 ","$3,248.76 ","$1,069.62 ","$3,213.45 ","$3,000.43 ","$2,173.14 ","$2,274.13 ","$2,173.14 ","$3,178.13 ","$3,178.13 ","$2,648.45 ","$3,178.13 ","$3,030.44 ","$1,059.53 ","$3,301.73 ","$3,150.45 ","$1,009.08 ","$3,072.20 ","$3,000.43 ","$3,178.13 ","$3,000.43 ","$3,178.13 ","$3,178.13 ","$3,178.13 ","$3,425.32 ","$2,860.32 ","$3,178.13 ","$3,178.13 ","$3,178.13 ","$3,178.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36000041,31653,HC BRONCH RIGID/FLEX EBUS 3 OR MORE NODES,360,1 ,"$3,531.26 ","$2,648.45 ","$1,009.08 ","$6,750.97 ","$2,274.13 ","$3,000.43 ","$2,471.88 ","$1,009.08 ","$3,531.26 ","$1,039.35 ","$3,531.26 ","$3,354.70 ", N/A ,"$2,825.01 ","$3,213.45 ","$1,009.08 ", N/A ,"$3,354.70 ","$3,178.13 ","$3,001.57 ","$1,009.08 ","$1,009.08 ","$1,009.08 ","$2,577.82 ","$3,000.43 ","$3,142.82 ","$3,178.13 ","$3,178.13 ","$2,825.01 ","$3,090.45 ","$1,942.19 ","$3,178.13 ","$3,000.43 ","$3,178.13 ","$3,000.43 ","$3,319.38 ","$6,750.97 ","$3,248.76 ","$1,069.62 ","$3,213.45 ","$3,000.43 ","$2,173.14 ","$2,274.13 ","$2,173.14 ","$3,178.13 ","$3,178.13 ","$2,648.45 ","$3,178.13 ","$3,030.44 ","$1,059.53 ","$3,301.73 ","$3,150.45 ","$1,009.08 ","$3,072.20 ","$3,000.43 ","$3,178.13 ","$3,000.43 ","$3,178.13 ","$3,178.13 ","$3,178.13 ","$3,425.32 ","$2,860.32 ","$3,178.13 ","$3,178.13 ","$3,178.13 ","$3,178.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36000042,31654,HC BRONCH RIGID/FLEX EBUS FOR PHERIPHERAL LESIONS ADD ON,360,1 ,"$2,532.85 ","$1,899.64 ","$1,009.08 ","$2,532.85 ","$1,631.16 ", N/A ,"$1,773.00 ","$1,009.08 ","$2,532.85 ","$1,039.35 ","$2,532.85 ","$2,406.21 ", N/A ,"$2,026.28 ","$2,304.89 ","$1,009.08 ", N/A ,"$2,406.21 ","$2,279.57 ","$2,152.92 ","$1,009.08 ","$1,009.08 ","$1,009.08 ","$1,848.98 ", N/A ,"$2,254.24 ","$2,279.57 ","$2,279.57 ","$2,026.28 ", N/A ,"$1,393.07 ","$2,279.57 ", N/A ,"$2,279.57 ", N/A ,"$2,380.88 ", N/A ,"$2,330.22 ","$1,069.62 ","$2,304.89 ", N/A ,"$1,558.72 ","$1,631.16 ","$1,558.72 ","$2,279.57 ","$2,279.57 ","$1,899.64 ","$1,266.43 ", N/A ,"$1,059.53 ","$2,368.21 ", N/A ,"$1,009.08 ","$2,203.58 ", N/A ,"$2,279.57 ", N/A ,"$2,279.57 ","$2,279.57 ","$2,279.57 ","$2,456.86 ","$2,051.61 ","$2,279.57 ","$2,279.57 ","$2,279.57 ","$2,279.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000078,19000,HC ASP CYST BREAST,360,1 ,"$1,162.59 ",$871.94 ,$180.17 ,"$1,355.35 ",$748.71 ,$602.38 ,$813.81 ,$180.17 ,"$1,162.59 ",$185.58 ,"$1,162.59 ","$1,104.46 ", N/A ,$930.07 ,"$1,057.96 ",$180.17 , N/A ,"$1,104.46 ","$1,046.33 ",$988.20 ,$180.17 ,$180.17 ,$180.17 ,$848.69 ,$602.38 ,"$1,034.71 ","$1,046.33 ","$1,046.33 ",$930.07 ,$620.45 ,$639.42 ,"$1,046.33 ",$602.38 ,"$1,046.33 ",$602.38 ,"$1,092.83 ","$1,355.35 ","$1,069.58 ",$190.98 ,"$1,057.96 ",$602.38 ,$715.46 ,$748.71 ,$715.46 ,"$1,046.33 ","$1,046.33 ",$871.94 ,"$1,046.33 ",$608.40 ,$189.18 ,"$1,087.02 ",$632.50 ,$180.17 ,"$1,011.45 ",$602.38 ,"$1,046.33 ",$602.38 ,"$1,046.33 ","$1,046.33 ","$1,046.33 ","$1,127.71 ",$941.70 ,"$1,046.33 ","$1,046.33 ","$1,046.33 ","$1,046.33 " ST. JOSEPH'S - CHIPPEWA FALLS,36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$760.29 ,$570.22 ,$180.17 ,$760.29 ,$489.63 , N/A ,$532.20 ,$180.17 ,$760.29 ,$185.58 ,$760.29 ,$722.28 , N/A ,$608.23 ,$691.86 ,$180.17 , N/A ,$722.28 ,$684.26 ,$646.25 ,$180.17 ,$180.17 ,$180.17 ,$555.01 , N/A ,$676.66 ,$684.26 ,$684.26 ,$608.23 , N/A ,$418.16 ,$684.26 , N/A ,$684.26 , N/A ,$714.67 , N/A ,$699.47 ,$190.98 ,$691.86 , N/A ,$467.88 ,$489.63 ,$467.88 ,$684.26 ,$684.26 ,$570.22 ,$684.26 , N/A ,$189.18 ,$710.87 , N/A ,$180.17 ,$661.45 , N/A ,$684.26 , N/A ,$684.26 ,$684.26 ,$684.26 ,$737.48 ,$615.83 ,$684.26 ,$684.26 ,$684.26 ,$684.26 ST. JOSEPH'S - CHIPPEWA FALLS,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$3,045.15 ","$2,283.86 ",$405.89 ,"$3,066.03 ","$1,961.08 ","$1,362.68 ","$2,131.61 ",$405.89 ,"$3,045.15 ",$418.07 ,"$3,045.15 ","$2,892.89 ", N/A ,"$2,436.12 ","$2,771.09 ",$405.89 , N/A ,"$2,892.89 ","$2,740.64 ","$2,588.38 ",$405.89 ,$405.89 ,$405.89 ,"$2,222.96 ","$1,362.68 ","$2,710.18 ","$2,740.64 ","$2,740.64 ","$2,436.12 ","$1,403.56 ","$1,674.83 ","$2,740.64 ","$1,362.68 ","$2,740.64 ","$1,362.68 ","$2,862.44 ","$3,066.03 ","$2,801.54 ",$430.24 ,"$2,771.09 ","$1,362.68 ","$1,873.99 ","$1,961.08 ","$1,873.99 ","$2,740.64 ","$2,740.64 ","$2,283.86 ","$2,740.64 ","$1,376.31 ",$426.18 ,"$2,847.22 ","$1,430.81 ",$405.89 ,"$2,649.28 ","$1,362.68 ","$2,740.64 ","$1,362.68 ","$2,740.64 ","$2,740.64 ","$2,740.64 ","$2,953.80 ","$2,466.57 ","$2,740.64 ","$2,740.64 ","$2,740.64 ","$2,740.64 " ST. JOSEPH'S - CHIPPEWA FALLS,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$1,197.49 ",$898.12 ,$205.01 ,"$1,355.35 ",$771.18 ,$602.38 ,$838.24 ,$205.01 ,"$1,197.49 ",$211.16 ,"$1,197.49 ","$1,137.62 ", N/A ,$957.99 ,"$1,089.72 ",$205.01 , N/A ,"$1,137.62 ","$1,077.74 ","$1,017.87 ",$205.01 ,$205.01 ,$205.01 ,$874.17 ,$602.38 ,"$1,065.77 ","$1,077.74 ","$1,077.74 ",$957.99 ,$620.45 ,$658.62 ,"$1,077.74 ",$602.38 ,"$1,077.74 ",$602.38 ,"$1,125.64 ","$1,355.35 ","$1,101.69 ",$217.31 ,"$1,089.72 ",$602.38 ,$736.94 ,$771.18 ,$736.94 ,"$1,077.74 ","$1,077.74 ",$898.12 ,"$1,077.74 ",$608.40 ,$215.26 ,"$1,119.65 ",$632.50 ,$205.01 ,"$1,041.82 ",$602.38 ,"$1,077.74 ",$602.38 ,"$1,077.74 ","$1,077.74 ","$1,077.74 ","$1,161.57 ",$969.97 ,"$1,077.74 ","$1,077.74 ","$1,077.74 ","$1,077.74 " ST. JOSEPH'S - CHIPPEWA FALLS,36000088,20206,HC BX MUSCLE NEEDLE PERC,360,1 ,"$1,162.72 ",$872.04 ,$180.17 ,"$3,066.03 ",$748.79 ,"$1,362.68 ",$813.90 ,$180.17 ,"$1,162.72 ",$185.58 ,"$1,162.72 ","$1,104.58 ", N/A ,$930.18 ,"$1,058.08 ",$180.17 , N/A ,"$1,104.58 ","$1,046.45 ",$988.31 ,$180.17 ,$180.17 ,$180.17 ,$848.79 ,"$1,362.68 ","$1,034.82 ","$1,046.45 ","$1,046.45 ",$930.18 ,"$1,403.56 ",$639.50 ,"$1,046.45 ","$1,362.68 ","$1,046.45 ","$1,362.68 ","$1,092.96 ","$3,066.03 ","$1,069.70 ",$190.98 ,"$1,058.08 ","$1,362.68 ",$715.54 ,$748.79 ,$715.54 ,"$1,046.45 ","$1,046.45 ",$872.04 ,"$1,046.45 ","$1,376.31 ",$189.18 ,"$1,087.14 ","$1,430.81 ",$180.17 ,"$1,011.57 ","$1,362.68 ","$1,046.45 ","$1,362.68 ","$1,046.45 ","$1,046.45 ","$1,046.45 ","$1,127.84 ",$941.80 ,"$1,046.45 ","$1,046.45 ","$1,046.45 ","$1,046.45 " ST. JOSEPH'S - CHIPPEWA FALLS,36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$2,877.94 ","$2,158.46 ",$180.17 ,"$3,066.03 ","$1,853.39 ","$1,362.68 ","$2,014.56 ",$180.17 ,"$2,877.94 ",$185.58 ,"$2,877.94 ","$2,734.04 ", N/A ,"$2,302.35 ","$2,618.93 ",$180.17 , N/A ,"$2,734.04 ","$2,590.15 ","$2,446.25 ",$180.17 ,$180.17 ,$180.17 ,"$2,100.90 ","$1,362.68 ","$2,561.37 ","$2,590.15 ","$2,590.15 ","$2,302.35 ","$1,403.56 ","$1,582.87 ","$2,590.15 ","$1,362.68 ","$2,590.15 ","$1,362.68 ","$2,705.26 ","$3,066.03 ","$2,647.70 ",$190.98 ,"$2,618.93 ","$1,362.68 ","$1,771.08 ","$1,853.39 ","$1,771.08 ","$2,590.15 ","$2,590.15 ","$2,158.46 ","$2,590.15 ","$1,376.31 ",$189.18 ,"$2,690.87 ","$1,430.81 ",$180.17 ,"$2,503.81 ","$1,362.68 ","$2,590.15 ","$1,362.68 ","$2,590.15 ","$2,590.15 ","$2,590.15 ","$2,791.60 ","$2,331.13 ","$2,590.15 ","$2,590.15 ","$2,590.15 ","$2,590.15 " ST. JOSEPH'S - CHIPPEWA FALLS,36000090,20225,HC BX BONE NEEDLE DEEP,360,1 ,"$1,128.35 ",$846.26 ,$496.73 ,"$3,066.03 ",$726.66 ,"$1,362.68 ",$789.85 ,$496.73 ,"$1,128.35 ",$511.63 ,"$1,128.35 ","$1,071.93 ", N/A ,$902.68 ,"$1,026.80 ",$496.73 , N/A ,"$1,071.93 ","$1,015.52 ",$959.10 ,$496.73 ,$496.73 ,$496.73 ,$823.70 ,"$1,362.68 ","$1,004.23 ","$1,015.52 ","$1,015.52 ",$902.68 ,"$1,403.56 ",$620.59 ,"$1,015.52 ","$1,362.68 ","$1,015.52 ","$1,362.68 ","$1,060.65 ","$3,066.03 ","$1,038.08 ",$526.53 ,"$1,026.80 ","$1,362.68 ",$694.39 ,$726.66 ,$694.39 ,"$1,015.52 ","$1,015.52 ",$846.26 ,"$1,015.52 ","$1,376.31 ",$521.57 ,"$1,055.01 ","$1,430.81 ",$496.73 ,$981.66 ,"$1,362.68 ","$1,015.52 ","$1,362.68 ","$1,015.52 ","$1,015.52 ","$1,015.52 ","$1,094.50 ",$913.96 ,"$1,015.52 ","$1,015.52 ","$1,015.52 ","$1,015.52 " ST. JOSEPH'S - CHIPPEWA FALLS,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,$370.78 ,$278.09 ,$203.93 ,$430.24 ,$238.78 , N/A ,$259.55 ,$370.78 ,$370.78 ,$418.07 ,$370.78 ,$352.24 , N/A ,$296.62 ,$337.41 ,$370.78 , N/A ,$352.24 ,$333.70 ,$315.16 ,$405.89 ,$405.89 ,$405.89 ,$270.67 , N/A ,$329.99 ,$333.70 ,$333.70 ,$296.62 , N/A ,$203.93 ,$333.70 , N/A ,$333.70 , N/A ,$348.53 , N/A ,$341.12 ,$430.24 ,$337.41 , N/A ,$228.18 ,$238.78 ,$228.18 ,$333.70 ,$333.70 ,$278.09 ,$333.70 , N/A ,$426.18 ,$346.68 , N/A ,$370.78 ,$322.58 , N/A ,$333.70 , N/A ,$333.70 ,$333.70 ,$333.70 ,$359.66 ,$300.33 ,$333.70 ,$333.70 ,$333.70 ,$333.70 ST. JOSEPH'S - CHIPPEWA FALLS,36000110,19085,HC BX BREAST 1ST LESION MR IMAG,360,1 ,"$2,135.47 ","$1,601.60 ",$405.89 ,"$3,066.03 ","$1,375.24 ","$1,362.68 ","$1,494.83 ",$405.89 ,"$2,135.47 ",$418.07 ,"$2,135.47 ","$2,028.70 ", N/A ,"$1,708.38 ","$1,943.28 ",$405.89 , N/A ,"$2,028.70 ","$1,921.92 ","$1,815.15 ",$405.89 ,$405.89 ,$405.89 ,"$1,558.89 ","$1,362.68 ","$1,900.57 ","$1,921.92 ","$1,921.92 ","$1,708.38 ","$1,403.56 ","$1,174.51 ","$1,921.92 ","$1,362.68 ","$1,921.92 ","$1,362.68 ","$2,007.34 ","$3,066.03 ","$1,964.63 ",$430.24 ,"$1,943.28 ","$1,362.68 ","$1,314.17 ","$1,375.24 ","$1,314.17 ","$1,921.92 ","$1,921.92 ","$1,601.60 ","$1,921.92 ","$1,376.31 ",$426.18 ,"$1,996.66 ","$1,430.81 ",$405.89 ,"$1,857.86 ","$1,362.68 ","$1,921.92 ","$1,362.68 ","$1,921.92 ","$1,921.92 ","$1,921.92 ","$2,071.41 ","$1,729.73 ","$1,921.92 ","$1,921.92 ","$1,921.92 ","$1,921.92 " ST. JOSEPH'S - CHIPPEWA FALLS,36000111,19086,HC BX BREAST ADDN LESION MR IMAG,360,1 ,$781.38 ,$586.04 ,$405.89 ,$781.38 ,$503.21 , N/A ,$546.97 ,$405.89 ,$781.38 ,$418.07 ,$781.38 ,$742.31 , N/A ,$625.10 ,$711.06 ,$405.89 , N/A ,$742.31 ,$703.24 ,$664.17 ,$405.89 ,$405.89 ,$405.89 ,$570.41 , N/A ,$695.43 ,$703.24 ,$703.24 ,$625.10 , N/A ,$429.76 ,$703.24 , N/A ,$703.24 , N/A ,$734.50 , N/A ,$718.87 ,$430.24 ,$711.06 , N/A ,$480.86 ,$503.21 ,$480.86 ,$703.24 ,$703.24 ,$586.04 ,$703.24 , N/A ,$426.18 ,$730.59 , N/A ,$405.89 ,$679.80 , N/A ,$703.24 , N/A ,$703.24 ,$703.24 ,$703.24 ,$757.94 ,$632.92 ,$703.24 ,$703.24 ,$703.24 ,$703.24 ST. JOSEPH'S - CHIPPEWA FALLS,36000112,19287,HC PERCUTAN DEV BREAST 1ST MR GUIDE,360,1 ,"$2,135.47 ","$1,601.60 ",$205.01 ,"$2,135.47 ","$1,375.24 ",$602.38 ,"$1,494.83 ",$205.01 ,"$2,135.47 ",$211.16 ,"$2,135.47 ","$2,028.70 ", N/A ,"$1,708.38 ","$1,943.28 ",$205.01 , N/A ,"$2,028.70 ","$1,921.92 ","$1,815.15 ",$205.01 ,$205.01 ,$205.01 ,"$1,558.89 ",$602.38 ,"$1,900.57 ","$1,921.92 ","$1,921.92 ","$1,708.38 ",$620.45 ,"$1,174.51 ","$1,921.92 ",$602.38 ,"$1,921.92 ",$602.38 ,"$2,007.34 ","$1,355.35 ","$1,964.63 ",$217.31 ,"$1,943.28 ",$602.38 ,"$1,314.17 ","$1,375.24 ","$1,314.17 ","$1,921.92 ","$1,921.92 ","$1,601.60 ","$1,921.92 ",$608.40 ,$215.26 ,"$1,996.66 ",$632.50 ,$205.01 ,"$1,857.86 ",$602.38 ,"$1,921.92 ",$602.38 ,"$1,921.92 ","$1,921.92 ","$1,921.92 ","$2,071.41 ","$1,729.73 ","$1,921.92 ","$1,921.92 ","$1,921.92 ","$1,921.92 " ST. JOSEPH'S - CHIPPEWA FALLS,36000113,19288,HC PERCUTAN DEV BREAST ADDN MR GUIDE,360,1 ,$781.38 ,$586.04 ,$205.01 ,$781.38 ,$503.21 , N/A ,$546.97 ,$205.01 ,$781.38 ,$211.16 ,$781.38 ,$742.31 , N/A ,$625.10 ,$711.06 ,$205.01 , N/A ,$742.31 ,$703.24 ,$664.17 ,$205.01 ,$205.01 ,$205.01 ,$570.41 , N/A ,$695.43 ,$703.24 ,$703.24 ,$625.10 , N/A ,$429.76 ,$703.24 , N/A ,$703.24 , N/A ,$734.50 , N/A ,$718.87 ,$217.31 ,$711.06 , N/A ,$480.86 ,$503.21 ,$480.86 ,$703.24 ,$703.24 ,$586.04 ,$703.24 , N/A ,$215.26 ,$730.59 , N/A ,$205.01 ,$679.80 , N/A ,$703.24 , N/A ,$703.24 ,$703.24 ,$703.24 ,$757.94 ,$632.92 ,$703.24 ,$703.24 ,$703.24 ,$703.24 ST. JOSEPH'S - CHIPPEWA FALLS,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,$781.38 ,$586.04 ,$205.01 ,$781.38 ,$503.21 , N/A ,$546.97 ,$205.01 ,$781.38 ,$211.16 ,$781.38 ,$742.31 , N/A ,$625.10 ,$711.06 ,$205.01 , N/A ,$742.31 ,$703.24 ,$664.17 ,$205.01 ,$205.01 ,$205.01 ,$570.41 , N/A ,$695.43 ,$703.24 ,$703.24 ,$625.10 , N/A ,$429.76 ,$703.24 , N/A ,$703.24 , N/A ,$734.50 , N/A ,$718.87 ,$217.31 ,$711.06 , N/A ,$480.86 ,$503.21 ,$480.86 ,$703.24 ,$703.24 ,$586.04 ,$703.24 , N/A ,$215.26 ,$730.59 , N/A ,$205.01 ,$679.80 , N/A ,$703.24 , N/A ,$703.24 ,$703.24 ,$703.24 ,$757.94 ,$632.92 ,$703.24 ,$703.24 ,$703.24 ,$703.24 ST. JOSEPH'S - CHIPPEWA FALLS,36000116,19286,HC BREAST NDL LOC BX ULTRA ADDN LESION,360,1 ,$370.78 ,$278.09 ,$203.93 ,$370.78 ,$238.78 , N/A ,$259.55 ,$205.01 ,$370.78 ,$211.16 ,$370.78 ,$352.24 , N/A ,$296.62 ,$337.41 ,$205.01 , N/A ,$352.24 ,$333.70 ,$315.16 ,$205.01 ,$205.01 ,$205.01 ,$270.67 , N/A ,$329.99 ,$333.70 ,$333.70 ,$296.62 , N/A ,$203.93 ,$333.70 , N/A ,$333.70 , N/A ,$348.53 , N/A ,$341.12 ,$217.31 ,$337.41 , N/A ,$228.18 ,$238.78 ,$228.18 ,$333.70 ,$333.70 ,$278.09 ,$333.70 , N/A ,$215.26 ,$346.68 , N/A ,$205.01 ,$322.58 , N/A ,$333.70 , N/A ,$333.70 ,$333.70 ,$333.70 ,$359.66 ,$300.33 ,$333.70 ,$333.70 ,$333.70 ,$333.70 ST. JOSEPH'S - CHIPPEWA FALLS,36000121,36500,HC CATH VENOUS BLOOD SELECT SMPL,360,1 ,$611.19 ,$458.39 ,$202.63 ,$611.19 ,$393.61 , N/A ,$427.83 ,$202.63 ,$611.19 ,$208.71 ,$611.19 ,$580.63 , N/A ,$488.95 ,$556.18 ,$202.63 , N/A ,$580.63 ,$550.07 ,$519.51 ,$202.63 ,$202.63 ,$202.63 ,$446.17 , N/A ,$543.96 ,$550.07 ,$550.07 ,$488.95 , N/A ,$336.15 ,$550.07 , N/A ,$550.07 , N/A ,$574.52 , N/A ,$562.29 ,$214.79 ,$556.18 , N/A ,$376.13 ,$393.61 ,$376.13 ,$550.07 ,$550.07 ,$458.39 ,$550.07 , N/A ,$212.76 ,$571.46 , N/A ,$202.63 ,$531.74 , N/A ,$550.07 , N/A ,$550.07 ,$550.07 ,$550.07 ,$592.85 ,$495.06 ,$550.07 ,$550.07 ,$550.07 ,$550.07 ST. JOSEPH'S - CHIPPEWA FALLS,36000122,36555,HC INS CATH CV NON-TUNL <5 YRS,360,1 ,"$1,733.00 ","$1,299.75 ",$322.47 ,"$6,235.91 ","$1,116.05 ","$2,771.52 ","$1,213.10 ",$322.47 ,"$1,733.00 ",$332.14 ,"$1,733.00 ","$1,646.35 ", N/A ,"$1,386.40 ","$1,577.03 ",$322.47 ,$750.00 ,"$1,646.35 ","$1,559.70 ","$1,473.05 ",$322.47 ,$322.47 ,$322.47 ,"$1,265.09 ","$2,771.52 ","$1,542.37 ","$1,559.70 ","$1,559.70 ","$1,386.40 ","$2,854.66 ",$953.15 ,"$1,559.70 ","$2,771.52 ","$1,559.70 ","$2,771.52 ","$1,629.02 ","$6,235.91 ","$1,594.36 ",$341.82 ,"$1,577.03 ","$2,771.52 ","$1,066.49 ","$1,116.05 ","$1,066.49 ","$1,559.70 ","$1,559.70 ","$1,299.75 ","$1,559.70 ","$2,799.23 ",$338.59 ,"$1,620.36 ","$2,910.10 ",$322.47 ,"$1,507.71 ","$2,771.52 ","$1,559.70 ","$2,771.52 ","$1,559.70 ","$1,559.70 ","$1,559.70 ","$1,681.01 ","$1,403.73 ","$1,559.70 ","$1,559.70 ","$1,559.70 ","$1,559.70 " ST. JOSEPH'S - CHIPPEWA FALLS,36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$2,059.03 ","$1,544.27 ",$322.47 ,"$6,235.91 ","$1,326.02 ","$2,771.52 ","$1,441.32 ",$322.47 ,"$2,059.03 ",$332.14 ,"$2,059.03 ","$1,956.08 ", N/A ,"$1,647.22 ","$1,873.72 ",$322.47 ,$750.00 ,"$1,956.08 ","$1,853.13 ","$1,750.18 ",$322.47 ,$322.47 ,$322.47 ,"$1,503.09 ","$2,771.52 ","$1,832.54 ","$1,853.13 ","$1,853.13 ","$1,647.22 ","$2,854.66 ","$1,132.47 ","$1,853.13 ","$2,771.52 ","$1,853.13 ","$2,771.52 ","$1,935.49 ","$6,235.91 ","$1,894.31 ",$341.82 ,"$1,873.72 ","$2,771.52 ","$1,267.13 ","$1,326.02 ","$1,267.13 ","$1,853.13 ","$1,853.13 ","$1,544.27 ","$1,853.13 ","$2,799.23 ",$338.59 ,"$1,925.19 ","$2,910.10 ",$322.47 ,"$1,791.36 ","$2,771.52 ","$1,853.13 ","$2,771.52 ","$1,853.13 ","$1,853.13 ","$1,853.13 ","$1,997.26 ","$1,667.81 ","$1,853.13 ","$1,853.13 ","$1,853.13 ","$1,853.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36000124,36557,HC INSERT TUNNELED CVC <5 YEARS OLD,360,1 ,"$1,567.25 ","$1,175.44 ",$664.06 ,"$10,395.23 ","$1,009.31 ","$4,620.10 ","$1,097.08 ",$664.06 ,"$1,567.25 ",$683.98 ,"$1,567.25 ","$1,488.89 ", N/A ,"$1,253.80 ","$1,426.20 ",$664.06 ,"$1,125.00 ","$1,488.89 ","$1,410.53 ","$1,332.16 ",$664.06 ,$664.06 ,$664.06 ,"$1,144.09 ","$4,620.10 ","$1,394.85 ","$1,410.53 ","$1,410.53 ","$1,253.80 ","$4,758.71 ",$861.99 ,"$1,410.53 ","$4,620.10 ","$1,410.53 ","$4,620.10 ","$1,473.22 ","$10,395.23 ","$1,441.87 ",$703.90 ,"$1,426.20 ","$4,620.10 ",$964.49 ,"$1,009.31 ",$964.49 ,"$1,410.53 ","$1,410.53 ","$1,175.44 ","$1,410.53 ","$4,666.30 ",$697.26 ,"$1,465.38 ","$4,851.11 ",$664.06 ,"$1,363.51 ","$4,620.10 ","$1,410.53 ","$4,620.10 ","$1,410.53 ","$1,410.53 ","$1,410.53 ","$1,520.23 ","$1,269.47 ","$1,410.53 ","$1,410.53 ","$1,410.53 ","$1,410.53 " ST. JOSEPH'S - CHIPPEWA FALLS,36000125,36558,HC INSERT TUNNELED CVC > 5 YEARS OLD,360,1 ,"$1,637.30 ","$1,227.98 ",$664.06 ,"$6,235.91 ","$1,054.42 ","$2,771.52 ","$1,146.11 ",$664.06 ,"$1,637.30 ",$683.98 ,"$1,637.30 ","$1,555.44 ", N/A ,"$1,309.84 ","$1,489.94 ",$664.06 ,"$1,125.00 ","$1,555.44 ","$1,473.57 ","$1,391.71 ",$664.06 ,$664.06 ,$664.06 ,"$1,195.23 ","$2,771.52 ","$1,457.20 ","$1,473.57 ","$1,473.57 ","$1,309.84 ","$2,854.66 ",$900.52 ,"$1,473.57 ","$2,771.52 ","$1,473.57 ","$2,771.52 ","$1,539.06 ","$6,235.91 ","$1,506.32 ",$703.90 ,"$1,489.94 ","$2,771.52 ","$1,007.59 ","$1,054.42 ","$1,007.59 ","$1,473.57 ","$1,473.57 ","$1,227.98 ","$1,473.57 ","$2,799.23 ",$697.26 ,"$1,530.88 ","$2,910.10 ",$664.06 ,"$1,424.45 ","$2,771.52 ","$1,473.57 ","$2,771.52 ","$1,473.57 ","$1,473.57 ","$1,473.57 ","$1,588.18 ","$1,326.21 ","$1,473.57 ","$1,473.57 ","$1,473.57 ","$1,473.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000126,36560,HC INS DEVICE CV W/PORT <5 YRS,360,1 ,"$1,551.25 ","$1,163.44 ",$664.06 ,"$6,235.91 ",$999.01 ,"$2,771.52 ","$1,085.88 ",$664.06 ,"$1,551.25 ",$683.98 ,"$1,551.25 ","$1,473.69 ", N/A ,"$1,241.00 ","$1,411.64 ",$664.06 ,"$1,125.00 ","$1,473.69 ","$1,396.13 ","$1,318.56 ",$664.06 ,$664.06 ,$664.06 ,"$1,132.41 ","$2,771.52 ","$1,380.61 ","$1,396.13 ","$1,396.13 ","$1,241.00 ","$2,854.66 ",$853.19 ,"$1,396.13 ","$2,771.52 ","$1,396.13 ","$2,771.52 ","$1,458.18 ","$6,235.91 ","$1,427.15 ",$703.90 ,"$1,411.64 ","$2,771.52 ",$954.64 ,$999.01 ,$954.64 ,"$1,396.13 ","$1,396.13 ","$1,163.44 ","$1,396.13 ","$2,799.23 ",$697.26 ,"$1,450.42 ","$2,910.10 ",$664.06 ,"$1,349.59 ","$2,771.52 ","$1,396.13 ","$2,771.52 ","$1,396.13 ","$1,396.13 ","$1,396.13 ","$1,504.71 ","$1,256.51 ","$1,396.13 ","$1,396.13 ","$1,396.13 ","$1,396.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36000127,36561,HC INSERT TUNEL CV CATH>5YR W/PORT,360,1 ,"$2,689.97 ","$2,017.48 ",$664.06 ,"$6,235.91 ","$1,732.34 ","$2,771.52 ","$1,882.98 ",$664.06 ,"$2,689.97 ",$683.98 ,"$2,689.97 ","$2,555.47 ", N/A ,"$2,151.98 ","$2,447.87 ",$664.06 ,"$1,125.00 ","$2,555.47 ","$2,420.97 ","$2,286.47 ",$664.06 ,$664.06 ,$664.06 ,"$1,963.68 ","$2,771.52 ","$2,394.07 ","$2,420.97 ","$2,420.97 ","$2,151.98 ","$2,854.66 ","$1,479.48 ","$2,420.97 ","$2,771.52 ","$2,420.97 ","$2,771.52 ","$2,528.57 ","$6,235.91 ","$2,474.77 ",$703.90 ,"$2,447.87 ","$2,771.52 ","$1,655.41 ","$1,732.34 ","$1,655.41 ","$2,420.97 ","$2,420.97 ","$2,017.48 ","$2,420.97 ","$2,799.23 ",$697.26 ,"$2,515.12 ","$2,910.10 ",$664.06 ,"$2,340.27 ","$2,771.52 ","$2,420.97 ","$2,771.52 ","$2,420.97 ","$2,420.97 ","$2,420.97 ","$2,609.27 ","$2,178.88 ","$2,420.97 ","$2,420.97 ","$2,420.97 ","$2,420.97 " ST. JOSEPH'S - CHIPPEWA FALLS,36000128,36563,HC INS PUMP IV INFUSION,360,1 ,"$1,460.61 ","$1,095.46 ",$664.06 ,"$10,395.23 ",$940.63 ,"$4,620.10 ","$1,022.43 ",$664.06 ,"$1,460.61 ",$683.98 ,"$1,460.61 ","$1,387.58 ", N/A ,"$1,168.49 ","$1,329.16 ",$664.06 , N/A ,"$1,387.58 ","$1,314.55 ","$1,241.52 ",$664.06 ,$664.06 ,$664.06 ,"$1,066.25 ","$4,620.10 ","$1,299.94 ","$1,314.55 ","$1,314.55 ","$1,168.49 ","$4,758.71 ",$803.34 ,"$1,314.55 ","$4,620.10 ","$1,314.55 ","$4,620.10 ","$1,372.97 ","$10,395.23 ","$1,343.76 ",$703.90 ,"$1,329.16 ","$4,620.10 ",$898.86 ,$940.63 ,$898.86 ,"$1,314.55 ","$1,314.55 ","$1,095.46 ","$1,314.55 ","$4,666.30 ",$697.26 ,"$1,365.67 ","$4,851.11 ",$664.06 ,"$1,270.73 ","$4,620.10 ","$1,314.55 ","$4,620.10 ","$1,314.55 ","$1,314.55 ","$1,314.55 ","$1,416.79 ","$1,183.09 ","$1,314.55 ","$1,314.55 ","$1,314.55 ","$1,314.55 " ST. JOSEPH'S - CHIPPEWA FALLS,36000129,36565,HC INS DEVICE CV 2 W/O,360,1 ,"$1,610.41 ","$1,207.81 ",$664.06 ,"$6,235.91 ","$1,037.10 ","$2,771.52 ","$1,127.29 ",$664.06 ,"$1,610.41 ",$683.98 ,"$1,610.41 ","$1,529.89 ", N/A ,"$1,288.33 ","$1,465.47 ",$664.06 ,"$1,125.00 ","$1,529.89 ","$1,449.37 ","$1,368.85 ",$664.06 ,$664.06 ,$664.06 ,"$1,175.60 ","$2,771.52 ","$1,433.26 ","$1,449.37 ","$1,449.37 ","$1,288.33 ","$2,854.66 ",$885.73 ,"$1,449.37 ","$2,771.52 ","$1,449.37 ","$2,771.52 ","$1,513.79 ","$6,235.91 ","$1,481.58 ",$703.90 ,"$1,465.47 ","$2,771.52 ",$991.05 ,"$1,037.10 ",$991.05 ,"$1,449.37 ","$1,449.37 ","$1,207.81 ","$1,449.37 ","$2,799.23 ",$697.26 ,"$1,505.73 ","$2,910.10 ",$664.06 ,"$1,401.06 ","$2,771.52 ","$1,449.37 ","$2,771.52 ","$1,449.37 ","$1,449.37 ","$1,449.37 ","$1,562.10 ","$1,304.43 ","$1,449.37 ","$1,449.37 ","$1,449.37 ","$1,449.37 " ST. JOSEPH'S - CHIPPEWA FALLS,36000130,36566,HC INS DEVICE CV 2 CATH W/PORT,360,1 ,"$1,260.19 ",$945.14 ,$664.06 ,"$10,395.23 ",$811.56 ,"$4,620.10 ",$882.13 ,$664.06 ,"$1,260.19 ",$683.98 ,"$1,260.19 ","$1,197.18 ", N/A ,"$1,008.15 ","$1,146.77 ",$664.06 ,"$1,125.00 ","$1,197.18 ","$1,134.17 ","$1,071.16 ",$664.06 ,$664.06 ,$664.06 ,$919.94 ,"$4,620.10 ","$1,121.57 ","$1,134.17 ","$1,134.17 ","$1,008.15 ","$4,758.71 ",$693.10 ,"$1,134.17 ","$4,620.10 ","$1,134.17 ","$4,620.10 ","$1,184.58 ","$10,395.23 ","$1,159.37 ",$703.90 ,"$1,146.77 ","$4,620.10 ",$775.52 ,$811.56 ,$775.52 ,"$1,134.17 ","$1,134.17 ",$945.14 ,"$1,134.17 ","$4,666.30 ",$697.26 ,"$1,178.28 ","$4,851.11 ",$664.06 ,"$1,096.37 ","$4,620.10 ","$1,134.17 ","$4,620.10 ","$1,134.17 ","$1,134.17 ","$1,134.17 ","$1,222.38 ","$1,020.75 ","$1,134.17 ","$1,134.17 ","$1,134.17 ","$1,134.17 " ST. JOSEPH'S - CHIPPEWA FALLS,36000131,36568,HC INS CATH PERIPH CV W/O PORT <5,360,1 ,"$1,637.30 ","$1,227.98 ",$322.47 ,"$3,064.15 ","$1,054.42 ","$1,361.85 ","$1,146.11 ",$322.47 ,"$1,637.30 ",$332.14 ,"$1,637.30 ","$1,555.44 ", N/A ,"$1,309.84 ","$1,489.94 ",$322.47 ,$750.00 ,"$1,555.44 ","$1,473.57 ","$1,391.71 ",$322.47 ,$322.47 ,$322.47 ,"$1,195.23 ","$1,361.85 ","$1,457.20 ","$1,473.57 ","$1,473.57 ","$1,309.84 ","$1,402.70 ",$900.52 ,"$1,473.57 ","$1,361.85 ","$1,473.57 ","$1,361.85 ","$1,539.06 ","$3,064.15 ","$1,506.32 ",$341.82 ,"$1,489.94 ","$1,361.85 ","$1,007.59 ","$1,054.42 ","$1,007.59 ","$1,473.57 ","$1,473.57 ","$1,227.98 ","$1,473.57 ","$1,375.47 ",$338.59 ,"$1,530.88 ","$1,429.94 ",$322.47 ,"$1,424.45 ","$1,361.85 ","$1,473.57 ","$1,361.85 ","$1,473.57 ","$1,473.57 ","$1,473.57 ","$1,588.18 ","$1,326.21 ","$1,473.57 ","$1,473.57 ","$1,473.57 ","$1,473.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$2,161.99 ","$1,621.49 ",$322.47 ,"$3,064.15 ","$1,392.32 ","$1,361.85 ","$1,513.39 ",$322.47 ,"$2,161.99 ",$332.14 ,"$2,161.99 ","$2,053.89 ", N/A ,"$1,729.59 ","$1,967.41 ",$322.47 ,$750.00 ,"$2,053.89 ","$1,945.79 ","$1,837.69 ",$322.47 ,$322.47 ,$322.47 ,"$1,578.25 ","$1,361.85 ","$1,924.17 ","$1,945.79 ","$1,945.79 ","$1,729.59 ","$1,402.70 ","$1,189.09 ","$1,945.79 ","$1,361.85 ","$1,945.79 ","$1,361.85 ","$2,032.27 ","$3,064.15 ","$1,989.03 ",$341.82 ,"$1,967.41 ","$1,361.85 ","$1,330.49 ","$1,392.32 ","$1,330.49 ","$1,945.79 ","$1,945.79 ","$1,621.49 ","$1,945.79 ","$1,375.47 ",$338.59 ,"$2,021.46 ","$1,429.94 ",$322.47 ,"$1,880.93 ","$1,361.85 ","$1,945.79 ","$1,361.85 ","$1,945.79 ","$1,945.79 ","$1,945.79 ","$2,097.13 ","$1,751.21 ","$1,945.79 ","$1,945.79 ","$1,945.79 ","$1,945.79 " ST. JOSEPH'S - CHIPPEWA FALLS,36000133,36576,HC RPR CATH CV W/PORT/PUMP,360,1 ,"$1,792.35 ","$1,344.26 ",$222.52 ,"$3,064.15 ","$1,154.27 ","$1,361.85 ","$1,254.65 ",$222.52 ,"$1,792.35 ",$229.20 ,"$1,792.35 ","$1,702.73 ", N/A ,"$1,433.88 ","$1,631.04 ",$222.52 ,"$1,000.00 ","$1,702.73 ","$1,613.12 ","$1,523.50 ",$222.52 ,$222.52 ,$222.52 ,"$1,308.42 ","$1,361.85 ","$1,595.19 ","$1,613.12 ","$1,613.12 ","$1,433.88 ","$1,402.70 ",$985.79 ,"$1,613.12 ","$1,361.85 ","$1,613.12 ","$1,361.85 ","$1,684.81 ","$3,064.15 ","$1,648.96 ",$235.87 ,"$1,631.04 ","$1,361.85 ","$1,103.01 ","$1,154.27 ","$1,103.01 ","$1,613.12 ","$1,613.12 ","$1,344.26 ","$1,613.12 ","$1,375.47 ",$233.65 ,"$1,675.85 ","$1,429.94 ",$222.52 ,"$1,559.34 ","$1,361.85 ","$1,613.12 ","$1,361.85 ","$1,613.12 ","$1,613.12 ","$1,613.12 ","$1,738.58 ","$1,451.80 ","$1,613.12 ","$1,613.12 ","$1,613.12 ","$1,613.12 " ST. JOSEPH'S - CHIPPEWA FALLS,36000134,36578,HC REPLACE CATH CV W/PORT/PUMP,360,1 ,"$1,599.39 ","$1,199.54 ",$222.52 ,"$6,235.91 ","$1,030.01 ","$2,771.52 ","$1,119.57 ",$222.52 ,"$1,599.39 ",$229.20 ,"$1,599.39 ","$1,519.42 ", N/A ,"$1,279.51 ","$1,455.44 ",$222.52 ,"$1,000.00 ","$1,519.42 ","$1,439.45 ","$1,359.48 ",$222.52 ,$222.52 ,$222.52 ,"$1,167.55 ","$2,771.52 ","$1,423.46 ","$1,439.45 ","$1,439.45 ","$1,279.51 ","$2,854.66 ",$879.66 ,"$1,439.45 ","$2,771.52 ","$1,439.45 ","$2,771.52 ","$1,503.43 ","$6,235.91 ","$1,471.44 ",$235.87 ,"$1,455.44 ","$2,771.52 ",$984.26 ,"$1,030.01 ",$984.26 ,"$1,439.45 ","$1,439.45 ","$1,199.54 ","$1,439.45 ","$2,799.23 ",$233.65 ,"$1,495.43 ","$2,910.10 ",$222.52 ,"$1,391.47 ","$2,771.52 ","$1,439.45 ","$2,771.52 ","$1,439.45 ","$1,439.45 ","$1,439.45 ","$1,551.41 ","$1,295.51 ","$1,439.45 ","$1,439.45 ","$1,439.45 ","$1,439.45 " ST. JOSEPH'S - CHIPPEWA FALLS,36000135,36580,HC REPL CATH CV NON-TNL W/O PORT,360,1 ,"$1,567.25 ","$1,175.44 ",$322.47 ,"$3,064.15 ","$1,009.31 ","$1,361.85 ","$1,097.08 ",$322.47 ,"$1,567.25 ",$332.14 ,"$1,567.25 ","$1,488.89 ", N/A ,"$1,253.80 ","$1,426.20 ",$322.47 ,$750.00 ,"$1,488.89 ","$1,410.53 ","$1,332.16 ",$322.47 ,$322.47 ,$322.47 ,"$1,144.09 ","$1,361.85 ","$1,394.85 ","$1,410.53 ","$1,410.53 ","$1,253.80 ","$1,402.70 ",$861.99 ,"$1,410.53 ","$1,361.85 ","$1,410.53 ","$1,361.85 ","$1,473.22 ","$3,064.15 ","$1,441.87 ",$341.82 ,"$1,426.20 ","$1,361.85 ",$964.49 ,"$1,009.31 ",$964.49 ,"$1,410.53 ","$1,410.53 ","$1,175.44 ","$1,410.53 ","$1,375.47 ",$338.59 ,"$1,465.38 ","$1,429.94 ",$322.47 ,"$1,363.51 ","$1,361.85 ","$1,410.53 ","$1,361.85 ","$1,410.53 ","$1,410.53 ","$1,410.53 ","$1,520.23 ","$1,269.47 ","$1,410.53 ","$1,410.53 ","$1,410.53 ","$1,410.53 " ST. JOSEPH'S - CHIPPEWA FALLS,36000136,36581,HC REPL CATH CV TNL W/O PORT,360,1 ,"$1,567.25 ","$1,175.44 ",$664.06 ,"$6,235.91 ","$1,009.31 ","$2,771.52 ","$1,097.08 ",$664.06 ,"$1,567.25 ",$683.98 ,"$1,567.25 ","$1,488.89 ", N/A ,"$1,253.80 ","$1,426.20 ",$664.06 ,"$1,000.00 ","$1,488.89 ","$1,410.53 ","$1,332.16 ",$664.06 ,$664.06 ,$664.06 ,"$1,144.09 ","$2,771.52 ","$1,394.85 ","$1,410.53 ","$1,410.53 ","$1,253.80 ","$2,854.66 ",$861.99 ,"$1,410.53 ","$2,771.52 ","$1,410.53 ","$2,771.52 ","$1,473.22 ","$6,235.91 ","$1,441.87 ",$703.90 ,"$1,426.20 ","$2,771.52 ",$964.49 ,"$1,009.31 ",$964.49 ,"$1,410.53 ","$1,410.53 ","$1,175.44 ","$1,410.53 ","$2,799.23 ",$697.26 ,"$1,465.38 ","$2,910.10 ",$664.06 ,"$1,363.51 ","$2,771.52 ","$1,410.53 ","$2,771.52 ","$1,410.53 ","$1,410.53 ","$1,410.53 ","$1,520.23 ","$1,269.47 ","$1,410.53 ","$1,410.53 ","$1,410.53 ","$1,410.53 " ST. JOSEPH'S - CHIPPEWA FALLS,36000137,36582,HC REPL DEVICE CV TNL W/PORT,360,1 ,"$1,451.70 ","$1,088.78 ",$664.06 ,"$6,235.91 ",$934.89 ,"$2,771.52 ","$1,016.19 ",$664.06 ,"$1,451.70 ",$683.98 ,"$1,451.70 ","$1,379.12 ", N/A ,"$1,161.36 ","$1,321.05 ",$664.06 ,"$1,000.00 ","$1,379.12 ","$1,306.53 ","$1,233.95 ",$664.06 ,$664.06 ,$664.06 ,"$1,059.74 ","$2,771.52 ","$1,292.01 ","$1,306.53 ","$1,306.53 ","$1,161.36 ","$2,854.66 ",$798.44 ,"$1,306.53 ","$2,771.52 ","$1,306.53 ","$2,771.52 ","$1,364.60 ","$6,235.91 ","$1,335.56 ",$703.90 ,"$1,321.05 ","$2,771.52 ",$893.38 ,$934.89 ,$893.38 ,"$1,306.53 ","$1,306.53 ","$1,088.78 ","$1,306.53 ","$2,799.23 ",$697.26 ,"$1,357.34 ","$2,910.10 ",$664.06 ,"$1,262.98 ","$2,771.52 ","$1,306.53 ","$2,771.52 ","$1,306.53 ","$1,306.53 ","$1,306.53 ","$1,408.15 ","$1,175.88 ","$1,306.53 ","$1,306.53 ","$1,306.53 ","$1,306.53 " ST. JOSEPH'S - CHIPPEWA FALLS,36000138,36583,HC REPLACE DEVICE CV TNL W/PUMP,360,1 ,"$1,550.99 ","$1,163.24 ",$664.06 ,"$10,395.23 ",$998.84 ,"$4,620.10 ","$1,085.69 ",$664.06 ,"$1,550.99 ",$683.98 ,"$1,550.99 ","$1,473.44 ", N/A ,"$1,240.79 ","$1,411.40 ",$664.06 ,"$1,000.00 ","$1,473.44 ","$1,395.89 ","$1,318.34 ",$664.06 ,$664.06 ,$664.06 ,"$1,132.22 ","$4,620.10 ","$1,380.38 ","$1,395.89 ","$1,395.89 ","$1,240.79 ","$4,758.71 ",$853.04 ,"$1,395.89 ","$4,620.10 ","$1,395.89 ","$4,620.10 ","$1,457.93 ","$10,395.23 ","$1,426.91 ",$703.90 ,"$1,411.40 ","$4,620.10 ",$954.48 ,$998.84 ,$954.48 ,"$1,395.89 ","$1,395.89 ","$1,163.24 ","$1,395.89 ","$4,666.30 ",$697.26 ,"$1,450.18 ","$4,851.11 ",$664.06 ,"$1,349.36 ","$4,620.10 ","$1,395.89 ","$4,620.10 ","$1,395.89 ","$1,395.89 ","$1,395.89 ","$1,504.46 ","$1,256.30 ","$1,395.89 ","$1,395.89 ","$1,395.89 ","$1,395.89 " ST. JOSEPH'S - CHIPPEWA FALLS,36000139,36584,HC REPL PICC W/O PORT/PUMP,360,1 ,"$3,539.15 ","$2,654.36 ",$322.47 ,"$3,539.15 ","$2,279.21 ","$1,361.85 ","$2,477.41 ",$322.47 ,"$3,539.15 ",$332.14 ,"$3,539.15 ","$3,362.19 ", N/A ,"$2,831.32 ","$3,220.63 ",$322.47 ,$750.00 ,"$3,362.19 ","$3,185.24 ","$3,008.28 ",$322.47 ,$322.47 ,$322.47 ,"$2,583.58 ","$1,361.85 ","$3,149.84 ","$3,185.24 ","$3,185.24 ","$2,831.32 ","$1,402.70 ","$1,946.53 ","$3,185.24 ","$1,361.85 ","$3,185.24 ","$1,361.85 ","$3,326.80 ","$3,064.15 ","$3,256.02 ",$341.82 ,"$3,220.63 ","$1,361.85 ","$2,177.99 ","$2,279.21 ","$2,177.99 ","$3,185.24 ","$3,185.24 ","$2,654.36 ","$2,482.67 ","$1,375.47 ",$338.59 ,"$3,309.11 ","$1,429.94 ",$322.47 ,"$3,079.06 ","$1,361.85 ","$3,185.24 ","$1,361.85 ","$3,185.24 ","$3,185.24 ","$3,185.24 ","$3,432.98 ","$2,866.71 ","$3,185.24 ","$3,185.24 ","$3,185.24 ","$3,185.24 " ST. JOSEPH'S - CHIPPEWA FALLS,36000140,36585,HC REPL PICC W/PORT,360,1 ,"$1,451.70 ","$1,088.78 ",$322.47 ,"$6,235.91 ",$934.89 ,"$2,771.52 ","$1,016.19 ",$322.47 ,"$1,451.70 ",$332.14 ,"$1,451.70 ","$1,379.12 ", N/A ,"$1,161.36 ","$1,321.05 ",$322.47 ,"$1,000.00 ","$1,379.12 ","$1,306.53 ","$1,233.95 ",$322.47 ,$322.47 ,$322.47 ,"$1,059.74 ","$2,771.52 ","$1,292.01 ","$1,306.53 ","$1,306.53 ","$1,161.36 ","$2,854.66 ",$798.44 ,"$1,306.53 ","$2,771.52 ","$1,306.53 ","$2,771.52 ","$1,364.60 ","$6,235.91 ","$1,335.56 ",$341.82 ,"$1,321.05 ","$2,771.52 ",$893.38 ,$934.89 ,$893.38 ,"$1,306.53 ","$1,306.53 ","$1,088.78 ","$1,306.53 ","$2,799.23 ",$338.59 ,"$1,357.34 ","$2,910.10 ",$322.47 ,"$1,262.98 ","$2,771.52 ","$1,306.53 ","$2,771.52 ","$1,306.53 ","$1,306.53 ","$1,306.53 ","$1,408.15 ","$1,175.88 ","$1,306.53 ","$1,306.53 ","$1,306.53 ","$1,306.53 " ST. JOSEPH'S - CHIPPEWA FALLS,36000141,36589,HC REMOVE TUNNELED CATH-NO PORT,360,1 ,"$1,637.30 ","$1,227.98 ",$222.52 ,"$1,637.30 ","$1,054.42 ",$524.56 ,"$1,146.11 ",$222.52 ,"$1,637.30 ",$229.20 ,"$1,637.30 ","$1,555.44 ", N/A ,"$1,309.84 ","$1,489.94 ",$222.52 ,$750.00 ,"$1,555.44 ","$1,473.57 ","$1,391.71 ",$222.52 ,$222.52 ,$222.52 ,"$1,195.23 ",$524.56 ,"$1,457.20 ","$1,473.57 ","$1,473.57 ","$1,309.84 ",$540.30 ,$900.52 ,"$1,473.57 ",$524.56 ,"$1,473.57 ",$524.56 ,"$1,539.06 ","$1,180.26 ","$1,506.32 ",$235.87 ,"$1,489.94 ",$524.56 ,"$1,007.59 ","$1,054.42 ","$1,007.59 ","$1,473.57 ","$1,473.57 ","$1,227.98 ","$1,473.57 ",$529.80 ,$233.65 ,"$1,530.88 ",$550.79 ,$222.52 ,"$1,424.45 ",$524.56 ,"$1,473.57 ",$524.56 ,"$1,473.57 ","$1,473.57 ","$1,473.57 ","$1,588.18 ","$1,326.21 ","$1,473.57 ","$1,473.57 ","$1,473.57 ","$1,473.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000142,36590,HC REM TNL CV ACC W/PORT/PUMP,360,1 ,"$1,786.31 ","$1,339.73 ",$222.52 ,"$3,064.15 ","$1,150.38 ","$1,361.85 ","$1,250.42 ",$222.52 ,"$1,786.31 ",$229.20 ,"$1,786.31 ","$1,696.99 ", N/A ,"$1,429.05 ","$1,625.54 ",$222.52 ,$750.00 ,"$1,696.99 ","$1,607.68 ","$1,518.36 ",$222.52 ,$222.52 ,$222.52 ,"$1,304.01 ","$1,361.85 ","$1,589.82 ","$1,607.68 ","$1,607.68 ","$1,429.05 ","$1,402.70 ",$982.47 ,"$1,607.68 ","$1,361.85 ","$1,607.68 ","$1,361.85 ","$1,679.13 ","$3,064.15 ","$1,643.41 ",$235.87 ,"$1,625.54 ","$1,361.85 ","$1,099.30 ","$1,150.38 ","$1,099.30 ","$1,607.68 ","$1,607.68 ","$1,339.73 ","$1,607.68 ","$1,375.47 ",$233.65 ,"$1,670.20 ","$1,429.94 ",$222.52 ,"$1,554.09 ","$1,361.85 ","$1,607.68 ","$1,361.85 ","$1,607.68 ","$1,607.68 ","$1,607.68 ","$1,732.72 ","$1,446.91 ","$1,607.68 ","$1,607.68 ","$1,607.68 ","$1,607.68 " ST. JOSEPH'S - CHIPPEWA FALLS,36000144,36595,HC REM PERICATHETER MAT CV DEV,360,1 ,"$1,460.61 ","$1,095.46 ",$222.52 ,"$6,235.91 ",$940.63 ,"$2,771.52 ","$1,022.43 ",$222.52 ,"$1,460.61 ",$229.20 ,"$1,460.61 ","$1,387.58 ", N/A ,"$1,168.49 ","$1,329.16 ",$222.52 , N/A ,"$1,387.58 ","$1,314.55 ","$1,241.52 ",$222.52 ,$222.52 ,$222.52 ,"$1,066.25 ","$2,771.52 ","$1,299.94 ","$1,314.55 ","$1,314.55 ","$1,168.49 ","$2,854.66 ",$803.34 ,"$1,314.55 ","$2,771.52 ","$1,314.55 ","$2,771.52 ","$1,372.97 ","$6,235.91 ","$1,343.76 ",$235.87 ,"$1,329.16 ","$2,771.52 ",$898.86 ,$940.63 ,$898.86 ,"$1,314.55 ","$1,314.55 ","$1,095.46 ","$1,314.55 ","$2,799.23 ",$233.65 ,"$1,365.67 ","$2,910.10 ",$222.52 ,"$1,270.73 ","$2,771.52 ","$1,314.55 ","$2,771.52 ","$1,314.55 ","$1,314.55 ","$1,314.55 ","$1,416.79 ","$1,183.09 ","$1,314.55 ","$1,314.55 ","$1,314.55 ","$1,314.55 " ST. JOSEPH'S - CHIPPEWA FALLS,36000145,36596,HC REM INTRALUM MAT CV LUMEN,360,1 ,"$1,460.61 ","$1,095.46 ",$222.52 ,"$3,064.15 ",$940.63 ,"$1,361.85 ","$1,022.43 ",$222.52 ,"$1,460.61 ",$229.20 ,"$1,460.61 ","$1,387.58 ", N/A ,"$1,168.49 ","$1,329.16 ",$222.52 , N/A ,"$1,387.58 ","$1,314.55 ","$1,241.52 ",$222.52 ,$222.52 ,$222.52 ,"$1,066.25 ","$1,361.85 ","$1,299.94 ","$1,314.55 ","$1,314.55 ","$1,168.49 ","$1,402.70 ",$803.34 ,"$1,314.55 ","$1,361.85 ","$1,314.55 ","$1,361.85 ","$1,372.97 ","$3,064.15 ","$1,343.76 ",$235.87 ,"$1,329.16 ","$1,361.85 ",$898.86 ,$940.63 ,$898.86 ,"$1,314.55 ","$1,314.55 ","$1,095.46 ","$1,314.55 ","$1,375.47 ",$233.65 ,"$1,365.67 ","$1,429.94 ",$222.52 ,"$1,270.73 ","$1,361.85 ","$1,314.55 ","$1,361.85 ","$1,314.55 ","$1,314.55 ","$1,314.55 ","$1,416.79 ","$1,183.09 ","$1,314.55 ","$1,314.55 ","$1,314.55 ","$1,314.55 " ST. JOSEPH'S - CHIPPEWA FALLS,36000146,36597,HC REPOSITION CENTRAL VENOUS CATH,360,1 ,"$1,384.33 ","$1,038.25 ",$222.52 ,"$3,064.15 ",$891.51 ,"$1,361.85 ",$969.03 ,$222.52 ,"$1,384.33 ",$229.20 ,"$1,384.33 ","$1,315.11 ", N/A ,"$1,107.46 ","$1,259.74 ",$222.52 , N/A ,"$1,315.11 ","$1,245.90 ","$1,176.68 ",$222.52 ,$222.52 ,$222.52 ,"$1,010.56 ","$1,361.85 ","$1,232.05 ","$1,245.90 ","$1,245.90 ","$1,107.46 ","$1,402.70 ",$761.38 ,"$1,245.90 ","$1,361.85 ","$1,245.90 ","$1,361.85 ","$1,301.27 ","$3,064.15 ","$1,273.58 ",$235.87 ,"$1,259.74 ","$1,361.85 ",$851.92 ,$891.51 ,$851.92 ,"$1,245.90 ","$1,245.90 ","$1,038.25 ","$1,245.90 ","$1,375.47 ",$233.65 ,"$1,294.35 ","$1,429.94 ",$222.52 ,"$1,204.37 ","$1,361.85 ","$1,245.90 ","$1,361.85 ","$1,245.90 ","$1,245.90 ","$1,245.90 ","$1,342.80 ","$1,121.31 ","$1,245.90 ","$1,245.90 ","$1,245.90 ","$1,245.90 " ST. JOSEPH'S - CHIPPEWA FALLS,36000148,36620,HC CATH/CANN ARTERY PERC 36620,360,1 ,$281.82 ,$211.37 ,$155.00 ,$281.82 ,$181.49 , N/A ,$197.27 ,$202.63 ,$281.82 ,$208.71 ,$281.82 ,$267.73 , N/A ,$225.46 ,$256.46 ,$202.63 , N/A ,$267.73 ,$253.64 ,$239.55 ,$202.63 ,$202.63 ,$202.63 ,$205.73 , N/A ,$250.82 ,$253.64 ,$253.64 ,$225.46 , N/A ,$155.00 ,$253.64 , N/A ,$253.64 , N/A ,$264.91 , N/A ,$259.27 ,$214.79 ,$256.46 , N/A ,$173.43 ,$181.49 ,$173.43 ,$253.64 ,$253.64 ,$211.37 ,$253.64 , N/A ,$212.76 ,$263.50 , N/A ,$202.63 ,$245.18 , N/A ,$253.64 , N/A ,$253.64 ,$253.64 ,$253.64 ,$273.37 ,$228.27 ,$253.64 ,$253.64 ,$253.64 ,$253.64 ST. JOSEPH'S - CHIPPEWA FALLS,36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,$853.68 ,$640.26 ,$338.77 ,"$3,066.03 ",$549.77 ,"$1,362.68 ",$597.58 ,$338.77 ,$853.68 ,$348.93 ,$853.68 ,$811.00 , N/A ,$682.94 ,$776.85 ,$338.77 , N/A ,$811.00 ,$768.31 ,$725.63 ,$338.77 ,$338.77 ,$338.77 ,$623.19 ,"$1,362.68 ",$759.78 ,$768.31 ,$768.31 ,$682.94 ,"$1,403.56 ",$469.52 ,$768.31 ,"$1,362.68 ",$768.31 ,"$1,362.68 ",$802.46 ,"$3,066.03 ",$785.39 ,$359.10 ,$776.85 ,"$1,362.68 ",$525.35 ,$549.77 ,$525.35 ,$768.31 ,$768.31 ,$640.26 ,$768.31 ,"$1,376.31 ",$355.71 ,$798.19 ,"$1,430.81 ",$338.77 ,$742.70 ,"$1,362.68 ",$768.31 ,"$1,362.68 ",$768.31 ,$768.31 ,$768.31 ,$828.07 ,$691.48 ,$768.31 ,$768.31 ,$768.31 ,$768.31 ST. JOSEPH'S - CHIPPEWA FALLS,36000161,38792,HC INJ LYMPH NODE NO IMAGING,360,1 ,$721.77 ,$541.33 ,$117.70 ,$821.79 ,$464.82 ,$365.24 ,$505.24 ,$117.70 ,$721.77 ,$121.23 ,$721.77 ,$685.68 , N/A ,$577.42 ,$656.81 ,$117.70 ,$721.77 ,$685.68 ,$649.59 ,$613.50 ,$117.70 ,$117.70 ,$117.70 ,$526.89 ,$365.24 ,$642.38 ,$649.59 ,$649.59 ,$577.42 ,$376.20 ,$396.97 ,$649.59 ,$365.24 ,$649.59 ,$365.24 ,$678.46 ,$821.79 ,$664.03 ,$124.76 ,$656.81 ,$365.24 ,$444.18 ,$464.82 ,$444.18 ,$649.59 ,$649.59 ,$541.33 ,$649.59 ,$368.89 ,$123.59 ,$674.86 ,$383.50 ,$117.70 ,$627.94 ,$365.24 ,$649.59 ,$365.24 ,$649.59 ,$649.59 ,$649.59 ,$700.12 ,$584.63 ,$649.59 ,$649.59 ,$649.59 ,$649.59 ST. JOSEPH'S - CHIPPEWA FALLS,36000171,47490,HC CHOLECYSTOSTOMY PERC,360,1 ,"$1,636.65 ","$1,227.49 ",$703.19 ,"$6,937.05 ","$1,054.00 ","$3,083.13 ","$1,145.66 ",$703.19 ,"$1,636.65 ",$724.29 ,"$1,636.65 ","$1,554.82 ", N/A ,"$1,309.32 ","$1,489.35 ",$703.19 , N/A ,"$1,554.82 ","$1,472.99 ","$1,391.15 ",$703.19 ,$703.19 ,$703.19 ,"$1,194.75 ","$3,083.13 ","$1,456.62 ","$1,472.99 ","$1,472.99 ","$1,309.32 ","$3,175.63 ",$900.16 ,"$1,472.99 ","$3,083.13 ","$1,472.99 ","$3,083.13 ","$1,538.45 ","$6,937.05 ","$1,505.72 ",$745.38 ,"$1,489.35 ","$3,083.13 ","$1,007.19 ","$1,054.00 ","$1,007.19 ","$1,472.99 ","$1,472.99 ","$1,227.49 ","$1,472.99 ","$3,113.96 ",$738.35 ,"$1,530.27 ","$3,237.29 ",$703.19 ,"$1,423.89 ","$3,083.13 ","$1,472.99 ","$3,083.13 ","$1,472.99 ","$1,472.99 ","$1,472.99 ","$1,587.55 ","$1,325.69 ","$1,472.99 ","$1,472.99 ","$1,472.99 ","$1,472.99 " ST. JOSEPH'S - CHIPPEWA FALLS,36000176,49418,HC INSERT INTRAPERITONEAL CATH,360,1 ,"$1,554.54 ","$1,165.91 ",$202.63 ,"$6,937.05 ","$1,001.12 ","$3,083.13 ","$1,088.18 ",$202.63 ,"$1,554.54 ",$208.71 ,"$1,554.54 ","$1,476.81 ", N/A ,"$1,243.63 ","$1,414.63 ",$202.63 , N/A ,"$1,476.81 ","$1,399.09 ","$1,321.36 ",$202.63 ,$202.63 ,$202.63 ,"$1,134.81 ","$3,083.13 ","$1,383.54 ","$1,399.09 ","$1,399.09 ","$1,243.63 ","$3,175.63 ",$855.00 ,"$1,399.09 ","$3,083.13 ","$1,399.09 ","$3,083.13 ","$1,461.27 ","$6,937.05 ","$1,430.18 ",$214.79 ,"$1,414.63 ","$3,083.13 ",$956.66 ,"$1,001.12 ",$956.66 ,"$1,399.09 ","$1,399.09 ","$1,165.91 ","$1,399.09 ","$3,113.96 ",$212.76 ,"$1,453.49 ","$3,237.29 ",$202.63 ,"$1,352.45 ","$3,083.13 ","$1,399.09 ","$3,083.13 ","$1,399.09 ","$1,399.09 ","$1,399.09 ","$1,507.90 ","$1,259.18 ","$1,399.09 ","$1,399.09 ","$1,399.09 ","$1,399.09 " ST. JOSEPH'S - CHIPPEWA FALLS,36000178,49422,HC REM CATH INTRAPERITONEAL,360,1 ,$615.72 ,$461.79 ,$202.63 ,"$6,235.91 ",$396.52 ,"$2,771.52 ",$431.00 ,$202.63 ,$615.72 ,$208.71 ,$615.72 ,$584.93 , N/A ,$492.58 ,$560.31 ,$202.63 , N/A ,$584.93 ,$554.15 ,$523.36 ,$202.63 ,$202.63 ,$202.63 ,$449.48 ,"$2,771.52 ",$547.99 ,$554.15 ,$554.15 ,$492.58 ,"$2,854.66 ",$338.65 ,$554.15 ,"$2,771.52 ",$554.15 ,"$2,771.52 ",$578.78 ,"$6,235.91 ",$566.46 ,$214.79 ,$560.31 ,"$2,771.52 ",$378.91 ,$396.52 ,$378.91 ,$554.15 ,$554.15 ,$461.79 ,$554.15 ,"$2,799.23 ",$212.76 ,$575.70 ,"$2,910.10 ",$202.63 ,$535.68 ,"$2,771.52 ",$554.15 ,"$2,771.52 ",$554.15 ,$554.15 ,$554.15 ,$597.25 ,$498.73 ,$554.15 ,$554.15 ,$554.15 ,$554.15 ST. JOSEPH'S - CHIPPEWA FALLS,36000183,51710,HC CHG TUBE CYSTOSTOMY CPLX,360,1 ,$684.34 ,$513.26 ,$60.28 ,"$1,252.50 ",$440.72 ,$556.66 ,$479.04 ,$60.28 ,$684.34 ,$62.09 ,$684.34 ,$650.12 , N/A ,$547.47 ,$622.75 ,$60.28 , N/A ,$650.12 ,$615.91 ,$581.69 ,$60.28 ,$60.28 ,$60.28 ,$499.57 ,$556.66 ,$609.06 ,$615.91 ,$615.91 ,$547.47 ,$573.36 ,$376.39 ,$615.91 ,$556.66 ,$615.91 ,$556.66 ,$643.28 ,"$1,252.50 ",$629.59 ,$63.90 ,$622.75 ,$556.66 ,$421.14 ,$440.72 ,$421.14 ,$615.91 ,$615.91 ,$513.26 ,$615.91 ,$562.23 ,$63.29 ,$639.86 ,$584.49 ,$60.28 ,$595.38 ,$556.66 ,$615.91 ,$556.66 ,$615.91 ,$615.91 ,$615.91 ,$663.81 ,$554.32 ,$615.91 ,$615.91 ,$615.91 ,$615.91 ST. JOSEPH'S - CHIPPEWA FALLS,36000184,51784,HC EMG BOWEL/BLADDER SPHINCTER,360,1 ,$277.70 ,$208.28 ,$110.54 ,$304.10 ,$178.84 ,$135.15 ,$194.39 ,$110.54 ,$277.70 ,$113.86 ,$277.70 ,$263.82 , N/A ,$222.16 ,$252.71 ,$110.54 , N/A ,$263.82 ,$249.93 ,$236.05 ,$110.54 ,$110.54 ,$110.54 ,$202.72 ,$135.15 ,$247.15 ,$249.93 ,$249.93 ,$222.16 ,$139.21 ,$152.74 ,$249.93 ,$135.15 ,$249.93 ,$135.15 ,$261.04 ,$304.10 ,$255.48 ,$117.17 ,$252.71 ,$135.15 ,$170.90 ,$178.84 ,$170.90 ,$249.93 ,$249.93 ,$208.28 ,$249.93 ,$136.51 ,$116.07 ,$259.65 ,$141.91 ,$110.54 ,$241.60 ,$135.15 ,$249.93 ,$135.15 ,$249.93 ,$249.93 ,$249.93 ,$269.37 ,$224.94 ,$249.93 ,$249.93 ,$249.93 ,$249.93 ST. JOSEPH'S - CHIPPEWA FALLS,36000187,54150,HC CIRCUMCISION OP,360,1 ,$404.19 ,$303.14 ,$222.30 ,"$3,907.15 ",$260.30 ,"$1,736.51 ",$282.93 ,$404.19 ,$404.19 ,$616.07 ,$404.19 ,$383.98 , N/A ,$323.35 ,$367.81 ,$404.19 , N/A ,$383.98 ,$363.77 ,$343.56 ,$598.13 ,$598.13 ,$598.13 ,$295.06 ,"$1,736.51 ",$359.73 ,$363.77 ,$363.77 ,$323.35 ,"$1,788.61 ",$222.30 ,$363.77 ,"$1,736.51 ",$363.77 ,"$1,736.51 ",$379.94 ,"$3,907.15 ",$371.85 ,$634.02 ,$367.81 ,"$1,736.51 ",$248.74 ,$260.30 ,$248.74 ,$363.77 ,$363.77 ,$303.14 ,$363.77 ,"$1,753.88 ",$628.04 ,$377.92 ,"$1,823.34 ",$404.19 ,$351.65 ,"$1,736.51 ",$363.77 ,"$1,736.51 ",$363.77 ,$363.77 ,$363.77 ,$392.06 ,$327.39 ,$363.77 ,$363.77 ,$363.77 ,$363.77 ST. JOSEPH'S - CHIPPEWA FALLS,36000190,61624,HC OCC/EMB TRANSCATH CNS PERC,360,1 ,"$1,741.34 ","$1,306.01 ",$957.74 ,"$35,005.46 ","$1,121.42 ","$15,557.98 ","$1,218.94 ","$1,741.34 ","$1,741.34 ","$3,438.16 ","$1,741.34 ","$1,654.27 ", N/A ,"$1,393.07 ","$1,584.62 ","$1,741.34 ", N/A ,"$1,654.27 ","$1,567.21 ","$1,480.14 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,271.18 ","$15,557.98 ","$1,549.79 ","$1,567.21 ","$1,567.21 ","$1,393.07 ","$16,024.72 ",$957.74 ,"$1,567.21 ","$15,557.98 ","$1,567.21 ","$15,557.98 ","$1,636.86 ","$35,005.46 ","$1,602.03 ","$3,538.30 ","$1,584.62 ","$15,557.98 ","$1,071.62 ","$1,121.42 ","$1,071.62 ","$1,567.21 ","$1,567.21 ","$1,306.01 ","$1,567.21 ","$15,713.56 ","$3,504.92 ","$1,628.15 ","$16,335.88 ","$1,741.34 ","$1,514.97 ","$15,557.98 ","$1,567.21 ","$15,557.98 ","$1,567.21 ","$1,567.21 ","$1,567.21 ","$1,689.10 ","$1,410.49 ","$1,567.21 ","$1,567.21 ","$1,567.21 ","$1,567.21 " ST. JOSEPH'S - CHIPPEWA FALLS,36000191,61626,HC OCC/EMB TRANSCATH EXT CRAN VSS,360,1 ,"$5,081.02 ","$3,810.77 ","$1,802.28 ","$21,884.82 ","$3,272.18 ","$9,726.59 ","$3,556.71 ","$1,802.28 ","$5,081.02 ","$1,856.35 ","$5,081.02 ","$4,826.97 ", N/A ,"$4,064.82 ","$4,623.73 ","$1,802.28 ", N/A ,"$4,826.97 ","$4,572.92 ","$4,318.87 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$3,709.14 ","$9,726.59 ","$4,522.11 ","$4,572.92 ","$4,572.92 ","$4,064.82 ","$10,018.39 ","$2,794.56 ","$4,572.92 ","$9,726.59 ","$4,572.92 ","$9,726.59 ","$4,776.16 ","$21,884.82 ","$4,674.54 ","$1,910.42 ","$4,623.73 ","$9,726.59 ","$3,126.86 ","$3,272.18 ","$3,126.86 ","$4,572.92 ","$4,572.92 ","$3,810.77 ","$4,572.92 ","$9,823.85 ","$1,892.39 ","$4,750.75 ","$10,212.92 ","$1,802.28 ","$4,420.49 ","$9,726.59 ","$4,572.92 ","$9,726.59 ","$4,572.92 ","$4,572.92 ","$4,572.92 ","$4,928.59 ","$4,115.63 ","$4,572.92 ","$4,572.92 ","$4,572.92 ","$4,572.92 " ST. JOSEPH'S - CHIPPEWA FALLS,36000193,62267,HC DISC ASPIRATION,360,1 ,"$1,363.55 ","$1,022.66 ",$263.02 ,"$1,363.55 ",$878.13 ,$602.38 ,$954.49 ,$263.02 ,"$1,363.55 ",$270.91 ,"$1,363.55 ","$1,295.37 ", N/A ,"$1,090.84 ","$1,240.83 ",$263.02 , N/A ,"$1,295.37 ","$1,227.20 ","$1,159.02 ",$263.02 ,$263.02 ,$263.02 ,$995.39 ,$602.38 ,"$1,213.56 ","$1,227.20 ","$1,227.20 ","$1,090.84 ",$620.45 ,$749.95 ,"$1,227.20 ",$602.38 ,"$1,227.20 ",$602.38 ,"$1,281.74 ","$1,355.35 ","$1,254.47 ",$278.80 ,"$1,240.83 ",$602.38 ,$839.13 ,$878.13 ,$839.13 ,"$1,227.20 ","$1,227.20 ","$1,022.66 ","$1,227.20 ",$608.40 ,$276.17 ,"$1,274.92 ",$632.50 ,$263.02 ,"$1,186.29 ",$602.38 ,"$1,227.20 ",$602.38 ,"$1,227.20 ","$1,227.20 ","$1,227.20 ","$1,322.64 ","$1,104.48 ","$1,227.20 ","$1,227.20 ","$1,227.20 ","$1,227.20 " ST. JOSEPH'S - CHIPPEWA FALLS,36000194,62270,HC LUMBAR PUNCTURE,360,1 ,$632.56 ,$474.42 ,$263.02 ,"$1,382.85 ",$407.37 ,$614.60 ,$442.79 ,$263.02 ,$632.56 ,$270.91 ,$632.56 ,$600.93 , N/A ,$506.05 ,$575.63 ,$263.02 , N/A ,$600.93 ,$569.30 ,$537.68 ,$263.02 ,$263.02 ,$263.02 ,$461.77 ,$614.60 ,$562.98 ,$569.30 ,$569.30 ,$506.05 ,$633.04 ,$347.91 ,$569.30 ,$614.60 ,$569.30 ,$614.60 ,$594.61 ,"$1,382.85 ",$581.96 ,$278.80 ,$575.63 ,$614.60 ,$389.28 ,$407.37 ,$389.28 ,$569.30 ,$569.30 ,$474.42 ,$569.30 ,$620.75 ,$276.17 ,$591.44 ,$645.33 ,$263.02 ,$550.33 ,$614.60 ,$569.30 ,$614.60 ,$569.30 ,$569.30 ,$569.30 ,$613.58 ,$512.37 ,$569.30 ,$569.30 ,$569.30 ,$569.30 ST. JOSEPH'S - CHIPPEWA FALLS,36000216,50593,HC ABLATION RENAL PERC CRYO,360,1 ,$953.63 ,$715.22 ,$524.50 ,"$19,410.90 ",$614.14 ,"$8,627.07 ",$667.54 ,$953.63 ,$953.63 ,"$1,892.46 ",$953.63 ,$905.95 , N/A ,$762.90 ,$867.80 ,$953.63 , N/A ,$905.95 ,$858.27 ,$810.59 ,"$1,837.34 ","$1,837.34 ","$1,837.34 ",$696.15 ,"$8,627.07 ",$848.73 ,$858.27 ,$858.27 ,$762.90 ,"$8,885.88 ",$524.50 ,$858.27 ,"$8,627.07 ",$858.27 ,"$8,627.07 ",$896.41 ,"$19,410.90 ",$877.34 ,"$1,947.58 ",$867.80 ,"$8,627.07 ",$586.86 ,$614.14 ,$586.86 ,$858.27 ,$858.27 ,$715.22 ,$858.27 ,"$8,713.34 ","$1,929.21 ",$891.64 ,"$9,058.42 ",$953.63 ,$829.66 ,"$8,627.07 ",$858.27 ,"$8,627.07 ",$858.27 ,$858.27 ,$858.27 ,$925.02 ,$772.44 ,$858.27 ,$858.27 ,$858.27 ,$858.27 ST. JOSEPH'S - CHIPPEWA FALLS,36000221,36570,HC INS CATH PERIPH CV W/PORT <5,360,1 ,"$1,294.68 ",$971.01 ,$322.47 ,"$6,235.91 ",$833.77 ,"$2,771.52 ",$906.28 ,$322.47 ,"$1,294.68 ",$332.14 ,"$1,294.68 ","$1,229.95 ", N/A ,"$1,035.74 ","$1,178.16 ",$322.47 ,"$1,125.00 ","$1,229.95 ","$1,165.21 ","$1,100.48 ",$322.47 ,$322.47 ,$322.47 ,$945.12 ,"$2,771.52 ","$1,152.27 ","$1,165.21 ","$1,165.21 ","$1,035.74 ","$2,854.66 ",$712.07 ,"$1,165.21 ","$2,771.52 ","$1,165.21 ","$2,771.52 ","$1,217.00 ","$6,235.91 ","$1,191.11 ",$341.82 ,"$1,178.16 ","$2,771.52 ",$796.75 ,$833.77 ,$796.75 ,"$1,165.21 ","$1,165.21 ",$971.01 ,"$1,165.21 ","$2,799.23 ",$338.59 ,"$1,210.53 ","$2,910.10 ",$322.47 ,"$1,126.37 ","$2,771.52 ","$1,165.21 ","$2,771.52 ","$1,165.21 ","$1,165.21 ","$1,165.21 ","$1,255.84 ","$1,048.69 ","$1,165.21 ","$1,165.21 ","$1,165.21 ","$1,165.21 " ST. JOSEPH'S - CHIPPEWA FALLS,36000222,36571,HC INS CATH PERIPH CV W/PORT >5,360,1 ,"$1,818.98 ","$1,364.24 ",$322.47 ,"$6,235.91 ","$1,171.42 ","$2,771.52 ","$1,273.29 ",$322.47 ,"$1,818.98 ",$332.14 ,"$1,818.98 ","$1,728.03 ", N/A ,"$1,455.18 ","$1,655.27 ",$322.47 ,"$1,125.00 ","$1,728.03 ","$1,637.08 ","$1,546.13 ",$322.47 ,$322.47 ,$322.47 ,"$1,327.86 ","$2,771.52 ","$1,618.89 ","$1,637.08 ","$1,637.08 ","$1,455.18 ","$2,854.66 ","$1,000.44 ","$1,637.08 ","$2,771.52 ","$1,637.08 ","$2,771.52 ","$1,709.84 ","$6,235.91 ","$1,673.46 ",$341.82 ,"$1,655.27 ","$2,771.52 ","$1,119.40 ","$1,171.42 ","$1,119.40 ","$1,637.08 ","$1,637.08 ","$1,364.24 ","$1,637.08 ","$2,799.23 ",$338.59 ,"$1,700.75 ","$2,910.10 ",$322.47 ,"$1,582.51 ","$2,771.52 ","$1,637.08 ","$2,771.52 ","$1,637.08 ","$1,637.08 ","$1,637.08 ","$1,764.41 ","$1,473.37 ","$1,637.08 ","$1,637.08 ","$1,637.08 ","$1,637.08 " ST. JOSEPH'S - CHIPPEWA FALLS,36000223,36575,HC REPAIR CATH CV W/O PORT/PUMP,360,1 ,"$1,316.85 ",$987.64 ,$222.52 ,"$1,316.85 ",$848.05 ,$524.56 ,$921.80 ,$222.52 ,"$1,316.85 ",$229.20 ,"$1,316.85 ","$1,251.01 ", N/A ,"$1,053.48 ","$1,198.33 ",$222.52 ,"$1,000.00 ","$1,251.01 ","$1,185.17 ","$1,119.32 ",$222.52 ,$222.52 ,$222.52 ,$961.30 ,$524.56 ,"$1,172.00 ","$1,185.17 ","$1,185.17 ","$1,053.48 ",$540.30 ,$724.27 ,"$1,185.17 ",$524.56 ,"$1,185.17 ",$524.56 ,"$1,237.84 ","$1,180.26 ","$1,211.50 ",$235.87 ,"$1,198.33 ",$524.56 ,$810.39 ,$848.05 ,$810.39 ,"$1,185.17 ","$1,185.17 ",$987.64 ,"$1,185.17 ",$529.80 ,$233.65 ,"$1,231.25 ",$550.79 ,$222.52 ,"$1,145.66 ",$524.56 ,"$1,185.17 ",$524.56 ,"$1,185.17 ","$1,185.17 ","$1,185.17 ","$1,277.34 ","$1,066.65 ","$1,185.17 ","$1,185.17 ","$1,185.17 ","$1,185.17 " ST. JOSEPH'S - CHIPPEWA FALLS,36000251,50592,HC ABLATION RENAL PERC RADIOFREQ,360,1 ,"$1,424.53 ","$1,068.40 ",$783.49 ,"$11,027.33 ",$917.40 ,"$4,901.04 ",$997.17 ,$898.01 ,"$1,424.53 ",$924.95 ,"$1,424.53 ","$1,353.30 ", N/A ,"$1,139.62 ","$1,296.32 ",$898.01 , N/A ,"$1,353.30 ","$1,282.08 ","$1,210.85 ",$898.01 ,$898.01 ,$898.01 ,"$1,039.91 ","$4,901.04 ","$1,267.83 ","$1,282.08 ","$1,282.08 ","$1,139.62 ","$5,048.07 ",$783.49 ,"$1,282.08 ","$4,901.04 ","$1,282.08 ","$4,901.04 ","$1,339.06 ","$11,027.33 ","$1,310.57 ",$951.89 ,"$1,296.32 ","$4,901.04 ",$876.66 ,$917.40 ,$876.66 ,"$1,282.08 ","$1,282.08 ","$1,068.40 ","$1,282.08 ","$4,950.05 ",$942.91 ,"$1,331.94 ","$5,146.09 ",$898.01 ,"$1,239.34 ","$4,901.04 ","$1,282.08 ","$4,901.04 ","$1,282.08 ","$1,282.08 ","$1,282.08 ","$1,381.79 ","$1,153.87 ","$1,282.08 ","$1,282.08 ","$1,282.08 ","$1,282.08 " ST. JOSEPH'S - CHIPPEWA FALLS,36000300,64635,HC RADIOFREQ;LUMBO/SACRAL;SINGLE,360,1 ,"$4,217.62 ","$3,163.22 ",$263.02 ,"$4,217.62 ","$2,716.15 ","$1,699.13 ","$2,952.33 ",$263.02 ,"$4,217.62 ",$270.91 ,"$3,821.00 ","$4,006.74 ", N/A ,"$3,374.10 ","$3,838.03 ",$263.02 , N/A ,"$4,006.74 ","$3,795.86 ","$3,584.98 ",$263.02 ,$263.02 ,$263.02 ,"$3,078.86 ","$1,699.13 ","$3,753.68 ","$3,795.86 ","$3,795.86 ","$3,374.10 ","$1,750.10 ","$2,319.69 ","$3,795.86 ","$1,699.13 ","$3,795.86 ","$1,699.13 ","$3,964.56 ","$3,823.04 ","$3,880.21 ",$278.80 ,"$3,838.03 ","$1,699.13 ","$2,595.52 ","$2,716.15 ","$2,595.52 ","$3,795.86 ","$3,795.86 ","$3,163.22 ","$3,310.58 ","$1,716.12 ",$276.17 ,"$3,943.47 ","$1,784.09 ",$263.02 ,"$3,669.33 ","$1,699.13 ","$3,795.86 ","$1,699.13 ","$3,795.86 ","$3,795.86 ","$3,795.86 ","$4,091.09 ","$3,416.27 ","$3,795.86 ","$3,795.86 ","$3,795.86 ","$3,795.86 " ST. JOSEPH'S - CHIPPEWA FALLS,36000301,64636,HC RADIOFREQ;LUMBO/SACRAL;ADDTL,360,1 ,"$1,852.76 ","$1,389.57 ",$263.02 ,"$1,852.76 ","$1,193.18 ", N/A ,"$1,296.93 ",$263.02 ,"$1,852.76 ",$270.91 ,"$1,852.76 ","$1,760.12 ", N/A ,"$1,482.21 ","$1,686.01 ",$263.02 , N/A ,"$1,760.12 ","$1,667.48 ","$1,574.85 ",$263.02 ,$263.02 ,$263.02 ,"$1,352.51 ", N/A ,"$1,648.96 ","$1,667.48 ","$1,667.48 ","$1,482.21 ", N/A ,"$1,019.02 ","$1,667.48 ", N/A ,"$1,667.48 ", N/A ,"$1,741.59 ", N/A ,"$1,704.54 ",$278.80 ,"$1,686.01 ", N/A ,"$1,140.19 ","$1,193.18 ","$1,140.19 ","$1,667.48 ","$1,667.48 ","$1,389.57 ","$1,667.48 ", N/A ,$276.17 ,"$1,732.33 ", N/A ,$263.02 ,"$1,611.90 ", N/A ,"$1,667.48 ", N/A ,"$1,667.48 ","$1,667.48 ","$1,667.48 ","$1,797.18 ","$1,500.74 ","$1,667.48 ","$1,667.48 ","$1,667.48 ","$1,667.48 " ST. JOSEPH'S - CHIPPEWA FALLS,36000302,64633,HC RADIOFREQ;CERV/THOR;SINGLE,360,1 ,"$4,501.17 ","$3,375.88 ",$263.02 ,"$4,501.17 ","$2,898.75 ","$1,699.13 ","$3,150.82 ",$263.02 ,"$4,501.17 ",$270.91 ,"$3,821.00 ","$4,276.11 ", N/A ,"$3,600.94 ","$4,096.06 ",$263.02 , N/A ,"$4,276.11 ","$4,051.05 ","$3,825.99 ",$263.02 ,$263.02 ,$263.02 ,"$3,285.85 ","$1,699.13 ","$4,006.04 ","$4,051.05 ","$4,051.05 ","$3,600.94 ","$1,750.10 ","$2,475.64 ","$4,051.05 ","$1,699.13 ","$4,051.05 ","$1,699.13 ","$4,231.10 ","$3,823.04 ","$4,141.08 ",$278.80 ,"$4,096.06 ","$1,699.13 ","$2,770.02 ","$2,898.75 ","$2,770.02 ","$4,051.05 ","$4,051.05 ","$3,375.88 ","$3,310.58 ","$1,716.12 ",$276.17 ,"$4,208.59 ","$1,784.09 ",$263.02 ,"$3,916.02 ","$1,699.13 ","$4,051.05 ","$1,699.13 ","$4,051.05 ","$4,051.05 ","$4,051.05 ","$4,366.13 ","$3,645.95 ","$4,051.05 ","$4,051.05 ","$4,051.05 ","$4,051.05 " ST. JOSEPH'S - CHIPPEWA FALLS,36000303,64634,HC RADIOFREQ;CERV/THOR;ADDTL,360,1 ,"$1,243.77 ",$932.83 ,$263.02 ,"$1,243.77 ",$800.99 , N/A ,$870.64 ,$263.02 ,"$1,243.77 ",$270.91 ,"$1,243.77 ","$1,181.58 ", N/A ,$995.02 ,"$1,131.83 ",$263.02 , N/A ,"$1,181.58 ","$1,119.39 ","$1,057.20 ",$263.02 ,$263.02 ,$263.02 ,$907.95 , N/A ,"$1,106.96 ","$1,119.39 ","$1,119.39 ",$995.02 , N/A ,$684.07 ,"$1,119.39 ", N/A ,"$1,119.39 ", N/A ,"$1,169.14 ", N/A ,"$1,144.27 ",$278.80 ,"$1,131.83 ", N/A ,$765.42 ,$800.99 ,$765.42 ,"$1,119.39 ","$1,119.39 ",$932.83 ,$782.50 , N/A ,$276.17 ,"$1,162.93 ", N/A ,$263.02 ,"$1,082.08 ", N/A ,"$1,119.39 ", N/A ,"$1,119.39 ","$1,119.39 ","$1,119.39 ","$1,206.46 ","$1,007.45 ","$1,119.39 ","$1,119.39 ","$1,119.39 ","$1,119.39 " ST. JOSEPH'S - CHIPPEWA FALLS,36000309,27096,HC INJECTION SACRAL JOINT,360,1 ,"$1,501.25 ","$1,125.94 ",$162.48 ,"$1,501.25 ",$966.81 , N/A ,"$1,050.88 ",$162.48 ,"$1,501.25 ",$167.35 ,"$1,501.25 ","$1,426.19 ", N/A ,"$1,201.00 ","$1,366.14 ",$162.48 , N/A ,"$1,426.19 ","$1,351.13 ","$1,276.06 ",$162.48 ,$162.48 ,$162.48 ,"$1,095.91 ", N/A ,"$1,336.11 ","$1,351.13 ","$1,351.13 ","$1,201.00 ", N/A ,$825.69 ,"$1,351.13 ", N/A ,"$1,351.13 ", N/A ,"$1,411.18 ", N/A ,"$1,381.15 ",$172.23 ,"$1,366.14 ", N/A ,$923.87 ,$966.81 ,$923.87 ,"$1,351.13 ","$1,351.13 ","$1,125.94 ","$1,351.13 ", N/A ,$170.60 ,"$1,403.67 ", N/A ,$162.48 ,"$1,306.09 ", N/A ,"$1,351.13 ", N/A ,"$1,351.13 ","$1,351.13 ","$1,351.13 ","$1,456.21 ","$1,216.01 ","$1,351.13 ","$1,351.13 ","$1,351.13 ","$1,351.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36000310,64421,HC INJ ANES INTERCOSTAL NERVE EA ADDNT LEVEL,360,1 ,"$1,714.67 ","$1,286.00 ",$349.28 ,"$1,792.24 ","$1,104.25 ",$796.55 ,"$1,200.27 ",$349.28 ,"$1,714.67 ",$359.76 ,"$1,714.67 ","$1,628.94 ", N/A ,"$1,371.74 ","$1,560.35 ",$349.28 , N/A ,"$1,628.94 ","$1,543.20 ","$1,457.47 ",$349.28 ,$349.28 ,$349.28 ,"$1,251.71 ",$796.55 ,"$1,526.06 ","$1,543.20 ","$1,543.20 ","$1,371.74 ",$820.45 ,$943.07 ,"$1,543.20 ",$796.55 ,"$1,543.20 ",$796.55 ,"$1,611.79 ","$1,792.24 ","$1,577.50 ",$370.24 ,"$1,560.35 ",$796.55 ,"$1,055.21 ","$1,104.25 ","$1,055.21 ","$1,543.20 ","$1,543.20 ","$1,286.00 ","$1,543.20 ",$804.52 ,$366.74 ,"$1,603.22 ",$836.38 ,$349.28 ,"$1,491.76 ",$796.55 ,"$1,543.20 ",$796.55 ,"$1,543.20 ","$1,543.20 ","$1,543.20 ","$1,663.23 ","$1,388.88 ","$1,543.20 ","$1,543.20 ","$1,543.20 ","$1,543.20 " ST. JOSEPH'S - CHIPPEWA FALLS,36000311,64420,HC INJ INTERCOSTAL NERVE;SINGLE,360,1 ,"$1,286.07 ",$964.55 ,$121.61 ,"$1,382.85 ",$828.23 ,$614.60 ,$900.25 ,$121.61 ,"$1,286.07 ",$125.26 ,"$1,286.07 ","$1,221.77 ", N/A ,"$1,028.86 ","$1,170.32 ",$121.61 , N/A ,"$1,221.77 ","$1,157.46 ","$1,093.16 ",$121.61 ,$121.61 ,$121.61 ,$938.83 ,$614.60 ,"$1,144.60 ","$1,157.46 ","$1,157.46 ","$1,028.86 ",$633.04 ,$707.34 ,"$1,157.46 ",$614.60 ,"$1,157.46 ",$614.60 ,"$1,208.91 ","$1,382.85 ","$1,183.18 ",$128.91 ,"$1,170.32 ",$614.60 ,$791.45 ,$828.23 ,$791.45 ,"$1,157.46 ","$1,157.46 ",$964.55 ,$782.50 ,$620.75 ,$127.69 ,"$1,202.48 ",$645.33 ,$121.61 ,"$1,118.88 ",$614.60 ,"$1,157.46 ",$614.60 ,"$1,157.46 ","$1,157.46 ","$1,157.46 ","$1,247.49 ","$1,041.72 ","$1,157.46 ","$1,157.46 ","$1,157.46 ","$1,157.46 " ST. JOSEPH'S - CHIPPEWA FALLS,36000313,64493,HC INJ FACET LUMBO SACRAL;SINGLE,360,1 ,"$1,292.84 ",$969.63 ,$263.02 ,"$1,792.24 ",$832.59 ,$796.55 ,$904.99 ,$263.02 ,"$1,292.84 ",$270.91 ,"$1,292.84 ","$1,228.20 ", N/A ,"$1,034.27 ","$1,176.48 ",$263.02 , N/A ,"$1,228.20 ","$1,163.56 ","$1,098.91 ",$263.02 ,$263.02 ,$263.02 ,$943.77 ,$796.55 ,"$1,150.63 ","$1,163.56 ","$1,163.56 ","$1,034.27 ",$820.45 ,$711.06 ,"$1,163.56 ",$796.55 ,"$1,163.56 ",$796.55 ,"$1,215.27 ","$1,792.24 ","$1,189.41 ",$278.80 ,"$1,176.48 ",$796.55 ,$795.61 ,$832.59 ,$795.61 ,"$1,163.56 ","$1,163.56 ",$969.63 ,"$1,163.56 ",$804.52 ,$276.17 ,"$1,208.81 ",$836.38 ,$263.02 ,"$1,124.77 ",$796.55 ,"$1,163.56 ",$796.55 ,"$1,163.56 ","$1,163.56 ","$1,163.56 ","$1,254.05 ","$1,047.20 ","$1,163.56 ","$1,163.56 ","$1,163.56 ","$1,163.56 " ST. JOSEPH'S - CHIPPEWA FALLS,36000314,64494,HC INJ FACET LUMBO/SACRAL;2ND LEVEL,360,1 ,$490.73 ,$368.05 ,$263.02 ,$490.73 ,$316.03 , N/A ,$343.51 ,$263.02 ,$490.73 ,$270.91 ,$490.73 ,$466.19 , N/A ,$392.58 ,$446.56 ,$263.02 , N/A ,$466.19 ,$441.66 ,$417.12 ,$263.02 ,$263.02 ,$263.02 ,$358.23 , N/A ,$436.75 ,$441.66 ,$441.66 ,$392.58 , N/A ,$269.90 ,$441.66 , N/A ,$441.66 , N/A ,$461.29 , N/A ,$451.47 ,$278.80 ,$446.56 , N/A ,$302.00 ,$316.03 ,$302.00 ,$441.66 ,$441.66 ,$368.05 ,$441.66 , N/A ,$276.17 ,$458.83 , N/A ,$263.02 ,$426.94 , N/A ,$441.66 , N/A ,$441.66 ,$441.66 ,$441.66 ,$476.01 ,$397.49 ,$441.66 ,$441.66 ,$441.66 ,$441.66 ST. JOSEPH'S - CHIPPEWA FALLS,36000315,64495,HC INJ FACET LUMBO/SACRAL;3RD LEVEL,360,1 ,$832.42 ,$624.32 ,$263.02 ,$832.42 ,$536.08 , N/A ,$582.69 ,$263.02 ,$832.42 ,$270.91 ,$832.42 ,$790.80 , N/A ,$665.94 ,$757.50 ,$263.02 , N/A ,$790.80 ,$749.18 ,$707.56 ,$263.02 ,$263.02 ,$263.02 ,$607.67 , N/A ,$740.85 ,$749.18 ,$749.18 ,$665.94 , N/A ,$457.83 ,$749.18 , N/A ,$749.18 , N/A ,$782.47 , N/A ,$765.83 ,$278.80 ,$757.50 , N/A ,$512.27 ,$536.08 ,$512.27 ,$749.18 ,$749.18 ,$624.32 ,$749.18 , N/A ,$276.17 ,$778.31 , N/A ,$263.02 ,$724.21 , N/A ,$749.18 , N/A ,$749.18 ,$749.18 ,$749.18 ,$807.45 ,$674.26 ,$749.18 ,$749.18 ,$749.18 ,$749.18 ST. JOSEPH'S - CHIPPEWA FALLS,36000316,64490,HC INJ FACET CER/THORACIC;SINGLE,360,1 ,"$1,292.84 ",$969.63 ,$263.02 ,"$1,792.24 ",$832.59 ,$796.55 ,$904.99 ,$263.02 ,"$1,292.84 ",$270.91 ,"$1,292.84 ","$1,228.20 ", N/A ,"$1,034.27 ","$1,176.48 ",$263.02 , N/A ,"$1,228.20 ","$1,163.56 ","$1,098.91 ",$263.02 ,$263.02 ,$263.02 ,$943.77 ,$796.55 ,"$1,150.63 ","$1,163.56 ","$1,163.56 ","$1,034.27 ",$820.45 ,$711.06 ,"$1,163.56 ",$796.55 ,"$1,163.56 ",$796.55 ,"$1,215.27 ","$1,792.24 ","$1,189.41 ",$278.80 ,"$1,176.48 ",$796.55 ,$795.61 ,$832.59 ,$795.61 ,"$1,163.56 ","$1,163.56 ",$969.63 ,"$1,163.56 ",$804.52 ,$276.17 ,"$1,208.81 ",$836.38 ,$263.02 ,"$1,124.77 ",$796.55 ,"$1,163.56 ",$796.55 ,"$1,163.56 ","$1,163.56 ","$1,163.56 ","$1,254.05 ","$1,047.20 ","$1,163.56 ","$1,163.56 ","$1,163.56 ","$1,163.56 " ST. JOSEPH'S - CHIPPEWA FALLS,36000317,64491,HC INJ FACET CER/THORACIC 2ND LEVEL,360,1 ,$757.53 ,$568.15 ,$263.02 ,$757.53 ,$487.85 , N/A ,$530.27 ,$263.02 ,$757.53 ,$270.91 ,$757.53 ,$719.65 , N/A ,$606.02 ,$689.35 ,$263.02 , N/A ,$719.65 ,$681.78 ,$643.90 ,$263.02 ,$263.02 ,$263.02 ,$553.00 , N/A ,$674.20 ,$681.78 ,$681.78 ,$606.02 , N/A ,$416.64 ,$681.78 , N/A ,$681.78 , N/A ,$712.08 , N/A ,$696.93 ,$278.80 ,$689.35 , N/A ,$466.18 ,$487.85 ,$466.18 ,$681.78 ,$681.78 ,$568.15 ,$681.78 , N/A ,$276.17 ,$708.29 , N/A ,$263.02 ,$659.05 , N/A ,$681.78 , N/A ,$681.78 ,$681.78 ,$681.78 ,$734.80 ,$613.60 ,$681.78 ,$681.78 ,$681.78 ,$681.78 ST. JOSEPH'S - CHIPPEWA FALLS,36000318,64492,HC INJ FACET CER/THORACIC 3RD LEVEL,360,1 ,$793.33 ,$595.00 ,$263.02 ,$793.33 ,$510.90 , N/A ,$555.33 ,$263.02 ,$793.33 ,$270.91 ,$793.33 ,$753.66 , N/A ,$634.66 ,$721.93 ,$263.02 , N/A ,$753.66 ,$714.00 ,$674.33 ,$263.02 ,$263.02 ,$263.02 ,$579.13 , N/A ,$706.06 ,$714.00 ,$714.00 ,$634.66 , N/A ,$436.33 ,$714.00 , N/A ,$714.00 , N/A ,$745.73 , N/A ,$729.86 ,$278.80 ,$721.93 , N/A ,$488.22 ,$510.90 ,$488.22 ,$714.00 ,$714.00 ,$595.00 ,$714.00 , N/A ,$276.17 ,$741.76 , N/A ,$263.02 ,$690.20 , N/A ,$714.00 , N/A ,$714.00 ,$714.00 ,$714.00 ,$769.53 ,$642.60 ,$714.00 ,$714.00 ,$714.00 ,$714.00 ST. JOSEPH'S - CHIPPEWA FALLS,36000322,64479,HC INJ TRANSF CERV/THORACIC SINGLE,360,1 ,"$2,679.48 ","$2,009.61 ",$263.02 ,"$2,679.48 ","$1,725.59 ",$796.55 ,"$1,875.64 ",$263.02 ,"$2,679.48 ",$270.91 ,"$2,547.00 ","$2,545.51 ", N/A ,"$2,143.58 ","$2,438.33 ",$263.02 , N/A ,"$2,545.51 ","$2,411.53 ","$2,277.56 ",$263.02 ,$263.02 ,$263.02 ,"$1,956.02 ",$796.55 ,"$2,384.74 ","$2,411.53 ","$2,411.53 ","$2,143.58 ",$820.45 ,"$1,473.71 ","$2,411.53 ",$796.55 ,"$2,411.53 ",$796.55 ,"$2,518.71 ","$1,792.24 ","$2,465.12 ",$278.80 ,"$2,438.33 ",$796.55 ,"$1,648.95 ","$1,725.59 ","$1,648.95 ","$2,411.53 ","$2,411.53 ","$2,009.61 ","$2,207.05 ",$804.52 ,$276.17 ,"$2,505.31 ",$836.38 ,$263.02 ,"$2,331.15 ",$796.55 ,"$2,411.53 ",$796.55 ,"$2,411.53 ","$2,411.53 ","$2,411.53 ","$2,599.10 ","$2,170.38 ","$2,411.53 ","$2,411.53 ","$2,411.53 ","$2,411.53 " ST. JOSEPH'S - CHIPPEWA FALLS,36000323,64480,HC INJ TRANSF CERV/THORACIC ADDL,360,1 ,"$1,275.52 ",$956.64 ,$263.02 ,"$1,275.52 ",$821.43 , N/A ,$892.86 ,$263.02 ,"$1,275.52 ",$270.91 ,"$1,275.52 ","$1,211.74 ", N/A ,"$1,020.42 ","$1,160.72 ",$263.02 , N/A ,"$1,211.74 ","$1,147.97 ","$1,084.19 ",$263.02 ,$263.02 ,$263.02 ,$931.13 , N/A ,"$1,135.21 ","$1,147.97 ","$1,147.97 ","$1,020.42 ", N/A ,$701.54 ,"$1,147.97 ", N/A ,"$1,147.97 ", N/A ,"$1,198.99 ", N/A ,"$1,173.48 ",$278.80 ,"$1,160.72 ", N/A ,$784.96 ,$821.43 ,$784.96 ,"$1,147.97 ","$1,147.97 ",$956.64 ,$782.50 , N/A ,$276.17 ,"$1,192.61 ", N/A ,$263.02 ,"$1,109.70 ", N/A ,"$1,147.97 ", N/A ,"$1,147.97 ","$1,147.97 ","$1,147.97 ","$1,237.25 ","$1,033.17 ","$1,147.97 ","$1,147.97 ","$1,147.97 ","$1,147.97 " ST. JOSEPH'S - CHIPPEWA FALLS,36000324,64483,HC INJ TRANSF LUMBAR SACRAL SINGLE,360,1 ,"$2,684.06 ","$2,013.05 ",$263.02 ,"$2,684.06 ","$1,728.53 ",$796.55 ,"$1,878.84 ",$263.02 ,"$2,684.06 ",$270.91 ,"$2,547.00 ","$2,549.86 ", N/A ,"$2,147.25 ","$2,442.49 ",$263.02 , N/A ,"$2,549.86 ","$2,415.65 ","$2,281.45 ",$263.02 ,$263.02 ,$263.02 ,"$1,959.36 ",$796.55 ,"$2,388.81 ","$2,415.65 ","$2,415.65 ","$2,147.25 ",$820.45 ,"$1,476.23 ","$2,415.65 ",$796.55 ,"$2,415.65 ",$796.55 ,"$2,523.02 ","$1,792.24 ","$2,469.34 ",$278.80 ,"$2,442.49 ",$796.55 ,"$1,651.77 ","$1,728.53 ","$1,651.77 ","$2,415.65 ","$2,415.65 ","$2,013.05 ","$2,207.05 ",$804.52 ,$276.17 ,"$2,509.60 ",$836.38 ,$263.02 ,"$2,335.13 ",$796.55 ,"$2,415.65 ",$796.55 ,"$2,415.65 ","$2,415.65 ","$2,415.65 ","$2,603.54 ","$2,174.09 ","$2,415.65 ","$2,415.65 ","$2,415.65 ","$2,415.65 " ST. JOSEPH'S - CHIPPEWA FALLS,36000325,64484,HC INJ TRANSF LUMBAR SACRAL ADDL,360,1 ,"$1,132.68 ",$849.51 ,$263.02 ,"$1,132.68 ",$729.45 , N/A ,$792.88 ,$263.02 ,"$1,132.68 ",$270.91 ,"$1,132.68 ","$1,076.05 ", N/A ,$906.14 ,"$1,030.74 ",$263.02 , N/A ,"$1,076.05 ","$1,019.41 ",$962.78 ,$263.02 ,$263.02 ,$263.02 ,$826.86 , N/A ,"$1,008.09 ","$1,019.41 ","$1,019.41 ",$906.14 , N/A ,$622.97 ,"$1,019.41 ", N/A ,"$1,019.41 ", N/A ,"$1,064.72 ", N/A ,"$1,042.07 ",$278.80 ,"$1,030.74 ", N/A ,$697.05 ,$729.45 ,$697.05 ,"$1,019.41 ","$1,019.41 ",$849.51 ,$782.50 , N/A ,$276.17 ,"$1,059.06 ", N/A ,$263.02 ,$985.43 , N/A ,"$1,019.41 ", N/A ,"$1,019.41 ","$1,019.41 ","$1,019.41 ","$1,098.70 ",$917.47 ,"$1,019.41 ","$1,019.41 ","$1,019.41 ","$1,019.41 " ST. JOSEPH'S - CHIPPEWA FALLS,36000326,64405,HC NERVE BLOCK; OCCIPITAL,360,1 ,"$1,597.94 ","$1,198.46 ",$121.61 ,"$1,597.94 ","$1,029.07 ",$252.94 ,"$1,118.56 ",$121.61 ,"$1,597.94 ",$125.26 ,"$1,597.94 ","$1,518.04 ", N/A ,"$1,278.35 ","$1,454.13 ",$121.61 , N/A ,"$1,518.04 ","$1,438.15 ","$1,358.25 ",$121.61 ,$121.61 ,$121.61 ,"$1,166.50 ",$252.94 ,"$1,422.17 ","$1,438.15 ","$1,438.15 ","$1,278.35 ",$260.53 ,$878.87 ,"$1,438.15 ",$252.94 ,"$1,438.15 ",$252.94 ,"$1,502.06 ",$569.12 ,"$1,470.10 ",$128.91 ,"$1,454.13 ",$252.94 ,$983.37 ,"$1,029.07 ",$983.37 ,"$1,438.15 ","$1,438.15 ","$1,198.46 ",$798.97 ,$255.47 ,$127.69 ,"$1,494.07 ",$265.59 ,$121.61 ,"$1,390.21 ",$252.94 ,"$1,438.15 ",$252.94 ,"$1,438.15 ","$1,438.15 ","$1,438.15 ","$1,550.00 ","$1,294.33 ","$1,438.15 ","$1,438.15 ","$1,438.15 ","$1,438.15 " ST. JOSEPH'S - CHIPPEWA FALLS,36000331,64520,HC NERVE BLOCK;L/S PARAVERTEBAL SYMP,360,1 ,"$2,639.46 ","$1,979.60 ",$263.02 ,"$2,639.46 ","$1,699.81 ",$796.55 ,"$1,847.62 ",$263.02 ,"$2,639.46 ",$270.91 ,"$2,547.00 ","$2,507.49 ", N/A ,"$2,111.57 ","$2,401.91 ",$263.02 , N/A ,"$2,507.49 ","$2,375.51 ","$2,243.54 ",$263.02 ,$263.02 ,$263.02 ,"$1,926.81 ",$796.55 ,"$2,349.12 ","$2,375.51 ","$2,375.51 ","$2,111.57 ",$820.45 ,"$1,451.70 ","$2,375.51 ",$796.55 ,"$2,375.51 ",$796.55 ,"$2,481.09 ","$1,792.24 ","$2,428.30 ",$278.80 ,"$2,401.91 ",$796.55 ,"$1,624.32 ","$1,699.81 ","$1,624.32 ","$2,375.51 ","$2,375.51 ","$1,979.60 ","$2,207.05 ",$804.52 ,$276.17 ,"$2,467.90 ",$836.38 ,$263.02 ,"$2,296.33 ",$796.55 ,"$2,375.51 ",$796.55 ,"$2,375.51 ","$2,375.51 ","$2,375.51 ","$2,560.28 ","$2,137.96 ","$2,375.51 ","$2,375.51 ","$2,375.51 ","$2,375.51 " ST. JOSEPH'S - CHIPPEWA FALLS,36000334,63650,HC IMPLANT NEUROELECTRODES,360,1 ,"$7,260.31 ","$5,445.23 ","$1,555.18 ","$13,424.89 ","$4,675.64 ","$5,966.62 ","$5,082.22 ","$1,555.18 ","$7,260.31 ","$1,601.84 ","$7,260.31 ","$6,897.29 ", N/A ,"$5,808.25 ","$6,606.88 ","$1,555.18 ", N/A ,"$6,897.29 ","$6,534.28 ","$6,171.26 ","$1,555.18 ","$1,555.18 ","$1,555.18 ","$5,300.03 ","$5,966.62 ","$6,461.68 ","$6,534.28 ","$6,534.28 ","$5,808.25 ","$6,145.62 ","$3,993.17 ","$6,534.28 ","$5,966.62 ","$6,534.28 ","$5,966.62 ","$6,824.69 ","$13,424.89 ","$6,679.49 ","$1,648.49 ","$6,606.88 ","$5,966.62 ","$4,467.99 ","$4,675.64 ","$4,467.99 ","$6,534.28 ","$6,534.28 ","$5,445.23 ","$6,520.84 ","$6,026.28 ","$1,632.94 ","$6,788.39 ","$6,264.95 ","$1,555.18 ","$6,316.47 ","$5,966.62 ","$6,534.28 ","$5,966.62 ","$6,534.28 ","$6,534.28 ","$6,534.28 ","$7,042.50 ","$5,880.85 ","$6,534.28 ","$6,534.28 ","$6,534.28 ","$6,534.28 " ST. JOSEPH'S - CHIPPEWA FALLS,36000359,33880,HC ENDOVASC REPAIR TAA W/LT SUBCLVN ARTERY,360,1 ,"$4,434.22 ","$3,325.67 ","$2,438.82 ","$6,074.78 ","$2,855.64 ", N/A ,"$3,103.95 ","$4,434.22 ","$4,434.22 ","$5,902.85 ","$4,434.22 ","$4,212.51 ", N/A ,"$3,547.38 ","$4,035.14 ","$4,434.22 ", N/A ,"$4,212.51 ","$3,990.80 ","$3,769.09 ","$5,730.92 ","$5,730.92 ","$5,730.92 ","$3,236.98 ", N/A ,"$3,946.46 ","$3,990.80 ","$3,990.80 ","$3,547.38 ", N/A ,"$2,438.82 ","$3,990.80 ", N/A ,"$3,990.80 ", N/A ,"$4,168.17 ", N/A ,"$4,079.48 ","$6,074.78 ","$4,035.14 ", N/A ,"$2,728.82 ","$2,855.64 ","$2,728.82 ","$3,990.80 ","$3,990.80 ","$3,325.67 ","$3,103.95 ", N/A ,"$6,017.47 ","$4,146.00 ", N/A ,"$4,434.22 ","$3,857.77 ", N/A ,"$3,990.80 ", N/A ,"$3,990.80 ","$3,990.80 ","$3,990.80 ","$4,301.19 ","$3,591.72 ","$3,990.80 ","$3,990.80 ","$3,990.80 ","$3,990.80 " ST. JOSEPH'S - CHIPPEWA FALLS,36000360,33881,HC ENDOVASC REPAIR TAA W/O LT SUBCLVN ARTERY,360,1 ,"$1,992.55 ","$1,494.41 ","$1,095.90 ","$6,074.78 ","$1,283.20 ", N/A ,"$1,394.79 ","$1,992.55 ","$1,992.55 ","$5,902.85 ","$1,992.55 ","$1,892.92 ", N/A ,"$1,594.04 ","$1,813.22 ","$1,992.55 ", N/A ,"$1,892.92 ","$1,793.30 ","$1,693.67 ","$5,730.92 ","$5,730.92 ","$5,730.92 ","$1,454.56 ", N/A ,"$1,773.37 ","$1,793.30 ","$1,793.30 ","$1,594.04 ", N/A ,"$1,095.90 ","$1,793.30 ", N/A ,"$1,793.30 ", N/A ,"$1,873.00 ", N/A ,"$1,833.15 ","$6,074.78 ","$1,813.22 ", N/A ,"$1,226.22 ","$1,283.20 ","$1,226.22 ","$1,793.30 ","$1,793.30 ","$1,494.41 ","$1,394.79 ", N/A ,"$6,017.47 ","$1,863.03 ", N/A ,"$1,992.55 ","$1,733.52 ", N/A ,"$1,793.30 ", N/A ,"$1,793.30 ","$1,793.30 ","$1,793.30 ","$1,932.77 ","$1,613.97 ","$1,793.30 ","$1,793.30 ","$1,793.30 ","$1,793.30 " ST. JOSEPH'S - CHIPPEWA FALLS,36000363,33886,HC PLACE PROSTHESIS DISTAL EXT POST ENDOVASC RPR,360,1 ,"$2,541.74 ","$1,906.31 ","$1,397.96 ","$6,074.78 ","$1,636.88 ", N/A ,"$1,779.22 ","$2,541.74 ","$2,541.74 ","$5,902.85 ","$2,541.74 ","$2,414.65 ", N/A ,"$2,033.39 ","$2,312.98 ","$2,541.74 ", N/A ,"$2,414.65 ","$2,287.57 ","$2,160.48 ","$5,730.92 ","$5,730.92 ","$5,730.92 ","$1,855.47 ", N/A ,"$2,262.15 ","$2,287.57 ","$2,287.57 ","$2,033.39 ", N/A ,"$1,397.96 ","$2,287.57 ", N/A ,"$2,287.57 ", N/A ,"$2,389.24 ", N/A ,"$2,338.40 ","$6,074.78 ","$2,312.98 ", N/A ,"$1,564.19 ","$1,636.88 ","$1,564.19 ","$2,287.57 ","$2,287.57 ","$1,906.31 ","$1,779.22 ", N/A ,"$6,017.47 ","$2,376.53 ", N/A ,"$2,541.74 ","$2,211.31 ", N/A ,"$2,287.57 ", N/A ,"$2,287.57 ","$2,287.57 ","$2,287.57 ","$2,465.49 ","$2,058.81 ","$2,287.57 ","$2,287.57 ","$2,287.57 ","$2,287.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000368,34808,HC ENDOVASC PLACEMENT ILIAC ARTRY OCCLUSION DEVICE,360,1 ,"$1,014.49 ",$760.87 ,$557.97 ,"$6,074.78 ",$653.33 , N/A ,$710.14 ,"$1,014.49 ","$1,014.49 ","$5,902.85 ","$1,014.49 ",$963.77 , N/A ,$811.59 ,$923.19 ,"$1,014.49 ", N/A ,$963.77 ,$913.04 ,$862.32 ,"$5,730.92 ","$5,730.92 ","$5,730.92 ",$740.58 , N/A ,$902.90 ,$913.04 ,$913.04 ,$811.59 , N/A ,$557.97 ,$913.04 , N/A ,$913.04 , N/A ,$953.62 , N/A ,$933.33 ,"$6,074.78 ",$923.19 , N/A ,$624.32 ,$653.33 ,$624.32 ,$913.04 ,$913.04 ,$760.87 ,$710.14 , N/A ,"$6,017.47 ",$948.55 , N/A ,"$1,014.49 ",$882.61 , N/A ,$913.04 , N/A ,$913.04 ,$913.04 ,$913.04 ,$984.06 ,$821.74 ,$913.04 ,$913.04 ,$913.04 ,$913.04 ST. JOSEPH'S - CHIPPEWA FALLS,36000371,35875,HC THROMBECTOMY ART/VEN GRAFT,360,1 ,"$3,728.77 ","$2,796.58 ","$1,045.13 ","$10,395.23 ","$2,401.33 ","$4,620.10 ","$2,610.14 ","$1,045.13 ","$3,728.77 ","$1,076.48 ","$3,728.77 ","$3,542.33 ", N/A ,"$2,983.02 ","$3,393.18 ","$1,045.13 ", N/A ,"$3,542.33 ","$3,355.89 ","$3,169.45 ","$1,045.13 ","$1,045.13 ","$1,045.13 ","$2,722.00 ","$4,620.10 ","$3,318.61 ","$3,355.89 ","$3,355.89 ","$2,983.02 ","$4,758.71 ","$2,050.82 ","$3,355.89 ","$4,620.10 ","$3,355.89 ","$4,620.10 ","$3,505.04 ","$10,395.23 ","$3,430.47 ","$1,107.84 ","$3,393.18 ","$4,620.10 ","$2,294.69 ","$2,401.33 ","$2,294.69 ","$3,355.89 ","$3,355.89 ","$2,796.58 ","$3,355.89 ","$4,666.30 ","$1,097.39 ","$3,486.40 ","$4,851.11 ","$1,045.13 ","$3,244.03 ","$4,620.10 ","$3,355.89 ","$4,620.10 ","$3,355.89 ","$3,355.89 ","$3,355.89 ","$3,616.91 ","$3,020.30 ","$3,355.89 ","$3,355.89 ","$3,355.89 ","$3,355.89 " ST. JOSEPH'S - CHIPPEWA FALLS,36000379,47553,HC ENDOSCOPY BILIARY W/BIOPSY SINGLE/MULTIPLE,360,1 ,"$4,465.11 ","$3,348.83 ","$1,055.82 ","$6,937.05 ","$2,875.53 ","$3,083.13 ","$3,125.58 ","$1,055.82 ","$4,465.11 ","$1,087.49 ","$4,465.11 ","$4,241.85 ", N/A ,"$3,572.09 ","$4,063.25 ","$1,055.82 ", N/A ,"$4,241.85 ","$4,018.60 ","$3,795.34 ","$1,055.82 ","$1,055.82 ","$1,055.82 ","$3,259.53 ","$3,083.13 ","$3,973.95 ","$4,018.60 ","$4,018.60 ","$3,572.09 ","$3,175.63 ","$2,455.81 ","$4,018.60 ","$3,083.13 ","$4,018.60 ","$3,083.13 ","$4,197.20 ","$6,937.05 ","$4,107.90 ","$1,119.17 ","$4,063.25 ","$3,083.13 ","$2,747.83 ","$2,875.53 ","$2,747.83 ","$4,018.60 ","$4,018.60 ","$3,348.83 ","$4,018.60 ","$3,113.96 ","$1,108.61 ","$4,174.88 ","$3,237.29 ","$1,055.82 ","$3,884.65 ","$3,083.13 ","$4,018.60 ","$3,083.13 ","$4,018.60 ","$4,018.60 ","$4,018.60 ","$4,331.16 ","$3,616.74 ","$4,018.60 ","$4,018.60 ","$4,018.60 ","$4,018.60 " ST. JOSEPH'S - CHIPPEWA FALLS,36000380,47554,HC ENDOSCOPY BILIARY W/REMOVAL CALCULUS,360,1 ,"$1,362.85 ","$1,022.14 ",$749.57 ,"$11,027.33 ",$877.68 ,"$4,901.04 ",$954.00 ,"$1,055.82 ","$1,362.85 ","$1,087.49 ","$1,362.85 ","$1,294.71 ", N/A ,"$1,090.28 ","$1,240.19 ","$1,055.82 ", N/A ,"$1,294.71 ","$1,226.57 ","$1,158.42 ","$1,055.82 ","$1,055.82 ","$1,055.82 ",$994.88 ,"$4,901.04 ","$1,212.94 ","$1,226.57 ","$1,226.57 ","$1,090.28 ","$5,048.07 ",$749.57 ,"$1,226.57 ","$4,901.04 ","$1,226.57 ","$4,901.04 ","$1,281.08 ","$11,027.33 ","$1,253.82 ","$1,119.17 ","$1,240.19 ","$4,901.04 ",$838.70 ,$877.68 ,$838.70 ,"$1,226.57 ","$1,226.57 ","$1,022.14 ","$1,226.57 ","$4,950.05 ","$1,108.61 ","$1,274.26 ","$5,146.09 ","$1,055.82 ","$1,185.68 ","$4,901.04 ","$1,226.57 ","$4,901.04 ","$1,226.57 ","$1,226.57 ","$1,226.57 ","$1,321.96 ","$1,103.91 ","$1,226.57 ","$1,226.57 ","$1,226.57 ","$1,226.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000382,47556,HC ENDOSCOPY BILIARY W/DILAT BIL DUCT W/STENT,360,1 ,"$2,029.98 ","$1,522.49 ","$1,055.82 ","$11,027.33 ","$1,307.31 ","$4,901.04 ","$1,420.99 ","$1,055.82 ","$2,029.98 ","$1,087.49 ","$2,029.98 ","$1,928.48 ", N/A ,"$1,623.98 ","$1,847.28 ","$1,055.82 ", N/A ,"$1,928.48 ","$1,826.98 ","$1,725.48 ","$1,055.82 ","$1,055.82 ","$1,055.82 ","$1,481.89 ","$4,901.04 ","$1,806.68 ","$1,826.98 ","$1,826.98 ","$1,623.98 ","$5,048.07 ","$1,116.49 ","$1,826.98 ","$4,901.04 ","$1,826.98 ","$4,901.04 ","$1,908.18 ","$11,027.33 ","$1,867.58 ","$1,119.17 ","$1,847.28 ","$4,901.04 ","$1,249.25 ","$1,307.31 ","$1,249.25 ","$1,826.98 ","$1,826.98 ","$1,522.49 ","$1,826.98 ","$4,950.05 ","$1,108.61 ","$1,898.03 ","$5,146.09 ","$1,055.82 ","$1,766.08 ","$4,901.04 ","$1,826.98 ","$4,901.04 ","$1,826.98 ","$1,826.98 ","$1,826.98 ","$1,969.08 ","$1,644.28 ","$1,826.98 ","$1,826.98 ","$1,826.98 ","$1,826.98 " ST. JOSEPH'S - CHIPPEWA FALLS,36000387,61623,HC ENDOVASC TEMP BALLOON ART OCCLUS HEAD/NECK,360,1 ,"$1,094.46 ",$820.85 ,$601.95 ,"$21,884.82 ",$704.83 ,"$9,726.59 ",$766.12 ,"$1,094.46 ","$1,094.46 ","$1,856.35 ","$1,094.46 ","$1,039.74 ", N/A ,$875.57 ,$995.96 ,"$1,094.46 ", N/A ,"$1,039.74 ",$985.01 ,$930.29 ,"$1,802.28 ","$1,802.28 ","$1,802.28 ",$798.96 ,"$9,726.59 ",$974.07 ,$985.01 ,$985.01 ,$875.57 ,"$10,018.39 ",$601.95 ,$985.01 ,"$9,726.59 ",$985.01 ,"$9,726.59 ","$1,028.79 ","$21,884.82 ","$1,006.90 ","$1,910.42 ",$995.96 ,"$9,726.59 ",$673.53 ,$704.83 ,$673.53 ,$985.01 ,$985.01 ,$820.85 ,$985.01 ,"$9,823.85 ","$1,892.39 ","$1,023.32 ","$10,212.92 ","$1,094.46 ",$952.18 ,"$9,726.59 ",$985.01 ,"$9,726.59 ",$985.01 ,$985.01 ,$985.01 ,"$1,061.63 ",$886.51 ,$985.01 ,$985.01 ,$985.01 ,$985.01 ST. JOSEPH'S - CHIPPEWA FALLS,36000388,61630,HC ANGIOPLASTY BALLOON INTRACRANIAL PERC,360,1 ,"$1,774.30 ","$1,330.73 ",$975.87 ,"$1,910.42 ","$1,142.65 ", N/A ,"$1,242.01 ","$1,774.30 ","$1,774.30 ","$1,856.35 ","$1,774.30 ","$1,685.59 ", N/A ,"$1,419.44 ","$1,614.61 ","$1,774.30 ", N/A ,"$1,685.59 ","$1,596.87 ","$1,508.16 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,295.24 ", N/A ,"$1,579.13 ","$1,596.87 ","$1,596.87 ","$1,419.44 ", N/A ,$975.87 ,"$1,596.87 ", N/A ,"$1,596.87 ", N/A ,"$1,667.84 ", N/A ,"$1,632.36 ","$1,910.42 ","$1,614.61 ", N/A ,"$1,091.90 ","$1,142.65 ","$1,091.90 ","$1,596.87 ","$1,596.87 ","$1,330.73 ","$1,242.01 ", N/A ,"$1,892.39 ","$1,658.97 ", N/A ,"$1,774.30 ","$1,543.64 ", N/A ,"$1,596.87 ", N/A ,"$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,721.07 ","$1,437.18 ","$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,596.87 " ST. JOSEPH'S - CHIPPEWA FALLS,36000389,61635,HC PLACE STENT INTRACRAN/INTRAVASC,360,1 ,"$1,774.30 ","$1,330.73 ",$975.87 ,"$1,910.42 ","$1,142.65 ", N/A ,"$1,242.01 ","$1,774.30 ","$1,774.30 ","$1,856.35 ","$1,774.30 ","$1,685.59 ", N/A ,"$1,419.44 ","$1,614.61 ","$1,774.30 ", N/A ,"$1,685.59 ","$1,596.87 ","$1,508.16 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,295.24 ", N/A ,"$1,579.13 ","$1,596.87 ","$1,596.87 ","$1,419.44 ", N/A ,$975.87 ,"$1,596.87 ", N/A ,"$1,596.87 ", N/A ,"$1,667.84 ", N/A ,"$1,632.36 ","$1,910.42 ","$1,614.61 ", N/A ,"$1,091.90 ","$1,142.65 ","$1,091.90 ","$1,596.87 ","$1,596.87 ","$1,330.73 ","$1,242.01 ", N/A ,"$1,892.39 ","$1,658.97 ", N/A ,"$1,774.30 ","$1,543.64 ", N/A ,"$1,596.87 ", N/A ,"$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,721.07 ","$1,437.18 ","$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,596.87 " ST. JOSEPH'S - CHIPPEWA FALLS,36000390,61640,HC BALLOON DILAT INTRACRAN VASO PERC INIT,360,1 ,"$1,774.30 ","$1,330.73 ",$975.87 ,"$1,910.42 ","$1,142.65 ", N/A ,"$1,242.01 ","$1,774.30 ","$1,774.30 ","$1,856.35 ","$1,774.30 ","$1,685.59 ", N/A ,"$1,419.44 ","$1,614.61 ","$1,774.30 ", N/A ,"$1,685.59 ","$1,596.87 ","$1,508.16 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,295.24 ", N/A ,"$1,579.13 ","$1,596.87 ","$1,596.87 ","$1,419.44 ", N/A ,$975.87 ,"$1,596.87 ", N/A ,"$1,596.87 ", N/A ,"$1,667.84 ", N/A ,"$1,632.36 ","$1,910.42 ","$1,614.61 ", N/A ,"$1,091.90 ","$1,142.65 ","$1,091.90 ","$1,596.87 ","$1,596.87 ","$1,330.73 ","$1,242.01 ", N/A ,"$1,892.39 ","$1,658.97 ", N/A ,"$1,774.30 ","$1,543.64 ", N/A ,"$1,596.87 ", N/A ,"$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,721.07 ","$1,437.18 ","$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,596.87 " ST. JOSEPH'S - CHIPPEWA FALLS,36000391,61641,HC BALLOON DILAT INTRACRAN VASO PERC SAME EA ADDL,360,1 ,"$1,774.30 ","$1,330.73 ",$975.87 ,"$1,910.42 ","$1,142.65 ", N/A ,"$1,242.01 ","$1,774.30 ","$1,774.30 ","$1,856.35 ","$1,774.30 ","$1,685.59 ", N/A ,"$1,419.44 ","$1,614.61 ","$1,774.30 ", N/A ,"$1,685.59 ","$1,596.87 ","$1,508.16 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,295.24 ", N/A ,"$1,579.13 ","$1,596.87 ","$1,596.87 ","$1,419.44 ", N/A ,$975.87 ,"$1,596.87 ", N/A ,"$1,596.87 ", N/A ,"$1,667.84 ", N/A ,"$1,632.36 ","$1,910.42 ","$1,614.61 ", N/A ,"$1,091.90 ","$1,142.65 ","$1,091.90 ","$1,596.87 ","$1,596.87 ","$1,330.73 ","$1,242.01 ", N/A ,"$1,892.39 ","$1,658.97 ", N/A ,"$1,774.30 ","$1,543.64 ", N/A ,"$1,596.87 ", N/A ,"$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,721.07 ","$1,437.18 ","$1,596.87 ","$1,596.87 ","$1,596.87 ","$1,596.87 " ST. JOSEPH'S - CHIPPEWA FALLS,36000392,61642,HC BALLOON DILAT INTRACRAN VASO PERC DIFF EA ADDL,360,1 ,"$2,643.48 ","$1,982.61 ","$1,453.91 ","$2,643.48 ","$1,702.40 ", N/A ,"$1,850.44 ","$1,802.28 ","$2,643.48 ","$1,856.35 ","$2,643.48 ","$2,511.31 ", N/A ,"$2,114.78 ","$2,405.57 ","$1,802.28 ", N/A ,"$2,511.31 ","$2,379.13 ","$2,246.96 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,929.74 ", N/A ,"$2,352.70 ","$2,379.13 ","$2,379.13 ","$2,114.78 ", N/A ,"$1,453.91 ","$2,379.13 ", N/A ,"$2,379.13 ", N/A ,"$2,484.87 ", N/A ,"$2,432.00 ","$1,910.42 ","$2,405.57 ", N/A ,"$1,626.80 ","$1,702.40 ","$1,626.80 ","$2,379.13 ","$2,379.13 ","$1,982.61 ","$1,850.44 ", N/A ,"$1,892.39 ","$2,471.65 ", N/A ,"$1,802.28 ","$2,299.83 ", N/A ,"$2,379.13 ", N/A ,"$2,379.13 ","$2,379.13 ","$2,379.13 ","$2,564.18 ","$2,141.22 ","$2,379.13 ","$2,379.13 ","$2,379.13 ","$2,379.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36000393,61645,HC PERC ART THROMBECTOMY/INFUS W/GUID,360,1 ,"$1,952.86 ","$1,464.65 ","$1,074.07 ","$3,538.30 ","$1,257.64 ", N/A ,"$1,367.00 ","$1,952.86 ","$1,952.86 ","$3,438.16 ","$1,952.86 ","$1,855.22 ", N/A ,"$1,562.29 ","$1,777.10 ","$1,952.86 ", N/A ,"$1,855.22 ","$1,757.57 ","$1,659.93 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,425.59 ", N/A ,"$1,738.05 ","$1,757.57 ","$1,757.57 ","$1,562.29 ", N/A ,"$1,074.07 ","$1,757.57 ", N/A ,"$1,757.57 ", N/A ,"$1,835.69 ", N/A ,"$1,796.63 ","$3,538.30 ","$1,777.10 ", N/A ,"$1,201.79 ","$1,257.64 ","$1,201.79 ","$1,757.57 ","$1,757.57 ","$1,464.65 ","$1,367.00 ", N/A ,"$3,504.92 ","$1,825.92 ", N/A ,"$1,952.86 ","$1,698.99 ", N/A ,"$1,757.57 ", N/A ,"$1,757.57 ","$1,757.57 ","$1,757.57 ","$1,894.27 ","$1,581.82 ","$1,757.57 ","$1,757.57 ","$1,757.57 ","$1,757.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000395,62294,HC INJ OCCLUS ART ARTERIOVENOUS MALFORM SPINAL,360,1 ,$748.41 ,$561.31 ,$263.02 ,"$1,792.24 ",$481.98 ,$796.55 ,$523.89 ,$263.02 ,$748.41 ,$270.91 ,$748.41 ,$710.99 , N/A ,$598.73 ,$681.05 ,$263.02 , N/A ,$710.99 ,$673.57 ,$636.15 ,$263.02 ,$263.02 ,$263.02 ,$546.34 ,$796.55 ,$666.08 ,$673.57 ,$673.57 ,$598.73 ,$820.45 ,$411.63 ,$673.57 ,$796.55 ,$673.57 ,$796.55 ,$703.51 ,"$1,792.24 ",$688.54 ,$278.80 ,$681.05 ,$796.55 ,$460.57 ,$481.98 ,$460.57 ,$673.57 ,$673.57 ,$561.31 ,$673.57 ,$804.52 ,$276.17 ,$699.76 ,$836.38 ,$263.02 ,$651.12 ,$796.55 ,$673.57 ,$796.55 ,$673.57 ,$673.57 ,$673.57 ,$725.96 ,$606.21 ,$673.57 ,$673.57 ,$673.57 ,$673.57 ST. JOSEPH'S - CHIPPEWA FALLS,36000396,0076T,HC TRANSCATH XCRAN STENT PLACEMENT EA ADDL VSL,360,1 ,"$2,551.46 ","$1,913.60 ","$1,403.30 ","$3,538.30 ","$1,643.14 ", N/A ,"$1,786.02 ","$2,551.46 ","$2,551.46 ","$3,438.16 ","$2,551.46 ","$2,423.89 ", N/A ,"$2,041.17 ","$2,321.83 ","$2,551.46 ", N/A ,"$2,423.89 ","$2,296.31 ","$2,168.74 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,862.57 ", N/A ,"$2,270.80 ","$2,296.31 ","$2,296.31 ","$2,041.17 ", N/A ,"$1,403.30 ","$2,296.31 ", N/A ,"$2,296.31 ", N/A ,"$2,398.37 ", N/A ,"$2,347.34 ","$3,538.30 ","$2,321.83 ", N/A ,"$1,570.17 ","$1,643.14 ","$1,570.17 ","$2,296.31 ","$2,296.31 ","$1,913.60 ", N/A , N/A ,"$3,504.92 ","$2,385.62 ", N/A ,"$2,551.46 ","$2,219.77 ", N/A ,"$2,296.31 ", N/A ,"$2,296.31 ","$2,296.31 ","$2,296.31 ","$2,474.92 ","$2,066.68 ","$2,296.31 ","$2,296.31 ","$2,296.31 ","$2,296.31 " ST. JOSEPH'S - CHIPPEWA FALLS,36000398,N/A,HC PERFUSION LEVEL I,360,1 ,"$3,441.55 ","$2,581.16 ","$1,892.85 ","$3,441.55 ","$2,216.36 ", N/A ,"$2,409.09 ", N/A , N/A , N/A , N/A ,"$3,269.47 ", N/A ,"$2,753.24 ","$3,131.81 ", N/A , N/A ,"$3,269.47 ","$3,097.40 ","$2,925.32 ", N/A , N/A , N/A ,"$2,512.33 ", N/A ,"$3,062.98 ","$3,097.40 ","$3,097.40 ","$2,753.24 ", N/A ,"$1,892.85 ","$3,097.40 ", N/A ,"$3,097.40 ", N/A ,"$3,235.06 ", N/A ,"$3,166.23 ", N/A ,"$3,131.81 ", N/A , N/A ,"$2,216.36 ", N/A ,"$3,097.40 ","$3,097.40 ","$2,581.16 ", N/A , N/A , N/A ,"$3,217.85 ", N/A , N/A ,"$2,994.15 ", N/A ,"$3,097.40 ", N/A ,"$3,097.40 ","$3,097.40 ","$3,097.40 ","$3,338.30 ","$2,787.66 ","$3,097.40 ","$3,097.40 ","$3,097.40 ","$3,097.40 " ST. JOSEPH'S - CHIPPEWA FALLS,36000399,N/A,HC PERFUSION LEVEL II,360,1 ,"$6,883.09 ","$5,162.32 ","$3,785.70 ","$6,883.09 ","$4,432.71 ", N/A ,"$4,818.16 ", N/A , N/A , N/A , N/A ,"$6,538.94 ", N/A ,"$5,506.47 ","$6,263.61 ", N/A , N/A ,"$6,538.94 ","$6,194.78 ","$5,850.63 ", N/A , N/A , N/A ,"$5,024.66 ", N/A ,"$6,125.95 ","$6,194.78 ","$6,194.78 ","$5,506.47 ", N/A ,"$3,785.70 ","$6,194.78 ", N/A ,"$6,194.78 ", N/A ,"$6,470.10 ", N/A ,"$6,332.44 ", N/A ,"$6,263.61 ", N/A , N/A ,"$4,432.71 ", N/A ,"$6,194.78 ","$6,194.78 ","$5,162.32 ", N/A , N/A , N/A ,"$6,435.69 ", N/A , N/A ,"$5,988.29 ", N/A ,"$6,194.78 ", N/A ,"$6,194.78 ","$6,194.78 ","$6,194.78 ","$6,676.60 ","$5,575.30 ","$6,194.78 ","$6,194.78 ","$6,194.78 ","$6,194.78 " ST. JOSEPH'S - CHIPPEWA FALLS,36000400,N/A,HC PERFUSION PER HR,360,1 ,$174.02 ,$130.52 ,$95.71 ,$174.02 ,$112.07 , N/A ,$121.81 , N/A , N/A , N/A , N/A ,$165.32 , N/A ,$139.22 ,$158.36 , N/A , N/A ,$165.32 ,$156.62 ,$147.92 , N/A , N/A , N/A ,$127.03 , N/A ,$154.88 ,$156.62 ,$156.62 ,$139.22 , N/A ,$95.71 ,$156.62 , N/A ,$156.62 , N/A ,$163.58 , N/A ,$160.10 , N/A ,$158.36 , N/A , N/A ,$112.07 , N/A ,$156.62 ,$156.62 ,$130.52 , N/A , N/A , N/A ,$162.71 , N/A , N/A ,$151.40 , N/A ,$156.62 , N/A ,$156.62 ,$156.62 ,$156.62 ,$168.80 ,$140.96 ,$156.62 ,$156.62 ,$156.62 ,$156.62 ST. JOSEPH'S - CHIPPEWA FALLS,36000419,26727,HC TX FX FINGER/THUMB W/MANIP EACH,360,1 ,$143.66 ,$107.75 ,$79.01 ,"$6,167.80 ",$92.52 ,"$2,741.24 ",$100.56 ,$143.66 ,$143.66 ,"$1,601.34 ",$143.66 ,$136.48 , N/A ,$114.93 ,$130.73 ,$143.66 , N/A ,$136.48 ,$129.29 ,$122.11 ,"$1,554.70 ","$1,554.70 ","$1,554.70 ",$104.87 ,"$2,741.24 ",$127.86 ,$129.29 ,$129.29 ,$114.93 ,"$2,823.48 ",$79.01 ,$129.29 ,"$2,741.24 ",$129.29 ,"$2,741.24 ",$135.04 ,"$6,167.80 ",$132.17 ,"$1,647.98 ",$130.73 ,"$2,741.24 ",$88.41 ,$92.52 ,$88.41 ,$129.29 ,$129.29 ,$107.75 ,$129.29 ,"$2,768.65 ","$1,632.44 ",$134.32 ,"$2,878.30 ",$143.66 ,$124.98 ,"$2,741.24 ",$129.29 ,"$2,741.24 ",$129.29 ,$129.29 ,$129.29 ,$139.35 ,$116.36 ,$129.29 ,$129.29 ,$129.29 ,$129.29 ST. JOSEPH'S - CHIPPEWA FALLS,36000584,33990,HC INSERT VAD ARTERIAL ACCESS,360,1 ,"$9,887.30 ","$7,415.48 ","$2,452.48 ","$9,887.30 ","$6,367.42 ", N/A ,"$6,921.11 ","$2,452.48 ","$9,887.30 ","$2,526.05 ","$9,887.30 ","$9,392.94 ", N/A ,"$7,909.84 ","$8,997.44 ","$2,452.48 ", N/A ,"$9,392.94 ","$8,898.57 ","$8,404.21 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$7,217.73 ", N/A ,"$8,799.70 ","$8,898.57 ","$8,898.57 ","$7,909.84 ", N/A ,"$5,438.02 ","$8,898.57 ", N/A ,"$8,898.57 ", N/A ,"$9,294.06 ", N/A ,"$9,096.32 ","$2,599.63 ","$8,997.44 ", N/A ,"$6,084.64 ","$6,367.42 ","$6,084.64 ","$8,898.57 ","$8,898.57 ","$7,415.48 ","$6,921.11 ", N/A ,"$2,575.10 ","$9,244.63 ", N/A ,"$2,452.48 ","$8,601.95 ", N/A ,"$8,898.57 ", N/A ,"$8,898.57 ","$8,898.57 ","$8,898.57 ","$9,590.68 ","$8,008.71 ","$8,898.57 ","$8,898.57 ","$8,898.57 ","$8,898.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36000650,36475,HC ABLATION THPY EXTREM PERC RADFQ INIT VEIN,360,1 ,"$5,126.00 ","$3,844.50 ",$808.38 ,"$6,235.91 ","$3,301.14 ","$2,771.52 ","$3,588.20 ",$808.38 ,"$5,126.00 ",$832.63 ,"$5,126.00 ","$4,869.70 ", N/A ,"$4,100.80 ","$4,664.66 ",$808.38 , N/A ,"$4,869.70 ","$4,613.40 ","$4,357.10 ",$808.38 ,$808.38 ,$808.38 ,"$3,741.98 ","$2,771.52 ","$4,562.14 ","$4,613.40 ","$4,613.40 ","$4,100.80 ","$2,854.66 ","$2,819.30 ","$4,613.40 ","$2,771.52 ","$4,613.40 ","$2,771.52 ","$4,818.44 ","$6,235.91 ","$4,715.92 ",$856.88 ,"$4,664.66 ","$2,771.52 ","$3,154.54 ","$3,301.14 ","$3,154.54 ","$4,613.40 ","$4,613.40 ","$3,844.50 ","$4,613.40 ","$2,799.23 ",$848.80 ,"$4,792.81 ","$2,910.10 ",$808.38 ,"$4,459.62 ","$2,771.52 ","$4,613.40 ","$2,771.52 ","$4,613.40 ","$4,613.40 ","$4,613.40 ","$4,972.22 ","$4,152.06 ","$4,613.40 ","$4,613.40 ","$4,613.40 ","$4,613.40 " ST. JOSEPH'S - CHIPPEWA FALLS,36000651,36476,HC ABLATION THPY EXTREM PERC RADFQ ADDL VEIN,360,1 ,"$2,766.00 ","$2,074.50 ",$808.38 ,"$2,766.00 ","$1,781.30 ", N/A ,"$1,936.20 ",$808.38 ,"$2,766.00 ",$832.63 ,"$2,766.00 ","$2,627.70 ", N/A ,"$2,212.80 ","$2,517.06 ",$808.38 , N/A ,"$2,627.70 ","$2,489.40 ","$2,351.10 ",$808.38 ,$808.38 ,$808.38 ,"$2,019.18 ", N/A ,"$2,461.74 ","$2,489.40 ","$2,489.40 ","$2,212.80 ", N/A ,"$1,521.30 ","$2,489.40 ", N/A ,"$2,489.40 ", N/A ,"$2,600.04 ", N/A ,"$2,544.72 ",$856.88 ,"$2,517.06 ", N/A ,"$1,702.20 ","$1,781.30 ","$1,702.20 ","$2,489.40 ","$2,489.40 ","$2,074.50 ","$1,383.00 ", N/A ,$848.80 ,"$2,586.21 ", N/A ,$808.38 ,"$2,406.42 ", N/A ,"$2,489.40 ", N/A ,"$2,489.40 ","$2,489.40 ","$2,489.40 ","$2,683.02 ","$2,240.46 ","$2,489.40 ","$2,489.40 ","$2,489.40 ","$2,489.40 " ST. JOSEPH'S - CHIPPEWA FALLS,36000692,34703,HC ENDOVASC RPR AORTA-UNILAC GRAFT OTHER THAN RUPTURE,360,1 ,$637.67 ,$478.25 ,$350.72 ,"$6,074.78 ",$410.66 , N/A ,$446.37 ,$637.67 ,$637.67 ,"$5,902.85 ",$637.67 ,$605.79 , N/A ,$510.14 ,$580.28 ,$637.67 , N/A ,$605.79 ,$573.90 ,$542.02 ,"$5,730.92 ","$5,730.92 ","$5,730.92 ",$465.50 , N/A ,$567.53 ,$573.90 ,$573.90 ,$510.14 , N/A ,$350.72 ,$573.90 , N/A ,$573.90 , N/A ,$599.41 , N/A ,$586.66 ,"$6,074.78 ",$580.28 , N/A ,$392.42 ,$410.66 ,$392.42 ,$573.90 ,$573.90 ,$478.25 , N/A , N/A ,"$6,017.47 ",$596.22 , N/A ,$637.67 ,$554.77 , N/A ,$573.90 , N/A ,$573.90 ,$573.90 ,$573.90 ,$618.54 ,$516.51 ,$573.90 ,$573.90 ,$573.90 ,$573.90 ST. JOSEPH'S - CHIPPEWA FALLS,36000694,34705,HC ENDOVASC RPR AORTA-BILIAC GRAFT OTHER THAN RUPTURE,360,1 ,$956.56 ,$717.42 ,$526.11 ,"$6,074.78 ",$616.02 , N/A ,$669.59 ,$956.56 ,$956.56 ,"$5,902.85 ",$956.56 ,$908.73 , N/A ,$765.25 ,$870.47 ,$956.56 , N/A ,$908.73 ,$860.90 ,$813.08 ,"$5,730.92 ","$5,730.92 ","$5,730.92 ",$698.29 , N/A ,$851.34 ,$860.90 ,$860.90 ,$765.25 , N/A ,$526.11 ,$860.90 , N/A ,$860.90 , N/A ,$899.17 , N/A ,$880.04 ,"$6,074.78 ",$870.47 , N/A ,$588.67 ,$616.02 ,$588.67 ,$860.90 ,$860.90 ,$717.42 , N/A , N/A ,"$6,017.47 ",$894.38 , N/A ,$956.56 ,$832.21 , N/A ,$860.90 , N/A ,$860.90 ,$860.90 ,$860.90 ,$927.86 ,$774.81 ,$860.90 ,$860.90 ,$860.90 ,$860.90 ST. JOSEPH'S - CHIPPEWA FALLS,36010639,N/A,HC CYSTOSCOPY FLEXIBLE BEDSIDE,360,1 ,$160.25 ,$120.19 ,$88.14 ,$160.25 ,$103.20 , N/A ,$112.18 , N/A , N/A , N/A , N/A ,$152.24 , N/A ,$128.20 ,$145.83 , N/A , N/A ,$152.24 ,$144.23 ,$136.21 , N/A , N/A , N/A ,$116.98 , N/A ,$142.62 ,$144.23 ,$144.23 ,$128.20 , N/A ,$88.14 ,$144.23 , N/A ,$144.23 , N/A ,$150.64 , N/A ,$147.43 , N/A ,$145.83 , N/A , N/A ,$103.20 , N/A ,$144.23 ,$144.23 ,$120.19 , N/A , N/A , N/A ,$149.83 , N/A , N/A ,$139.42 , N/A ,$144.23 , N/A ,$144.23 ,$144.23 ,$144.23 ,$155.44 ,$129.80 ,$144.23 ,$144.23 ,$144.23 ,$144.23 ST. JOSEPH'S - CHIPPEWA FALLS,36050237,N/A,HC PERFUSIONIST STANDBY FEE,360,1 ,"$3,880.18 ","$2,910.14 ","$2,134.10 ","$3,880.18 ","$2,498.84 ", N/A ,"$2,716.13 ", N/A , N/A , N/A , N/A ,"$3,686.17 ", N/A ,"$3,104.14 ","$3,530.96 ", N/A , N/A ,"$3,686.17 ","$3,492.16 ","$3,298.15 ", N/A , N/A , N/A ,"$2,832.53 ", N/A ,"$3,453.36 ","$3,492.16 ","$3,492.16 ","$3,104.14 ", N/A ,"$2,134.10 ","$3,492.16 ", N/A ,"$3,492.16 ", N/A ,"$3,647.37 ", N/A ,"$3,569.77 ", N/A ,"$3,530.96 ", N/A , N/A ,"$2,498.84 ", N/A ,"$3,492.16 ","$3,492.16 ","$2,910.14 ", N/A , N/A , N/A ,"$3,627.97 ", N/A , N/A ,"$3,375.76 ", N/A ,"$3,492.16 ", N/A ,"$3,492.16 ","$3,492.16 ","$3,492.16 ","$3,763.77 ","$3,142.95 ","$3,492.16 ","$3,492.16 ","$3,492.16 ","$3,492.16 " ST. JOSEPH'S - CHIPPEWA FALLS,36060013,N/A,HC OR LEVEL 1 INITIAL 15MIN,360,1 ,"$1,192.02 ",$894.02 ,$655.61 ,"$1,192.02 ",$767.66 , N/A ,$834.41 , N/A , N/A , N/A , N/A ,"$1,132.42 ", N/A ,$953.62 ,"$1,084.74 ", N/A , N/A ,"$1,132.42 ","$1,072.82 ","$1,013.22 ", N/A , N/A , N/A ,$870.17 , N/A ,"$1,060.90 ","$1,072.82 ","$1,072.82 ",$953.62 , N/A ,$655.61 ,"$1,072.82 ", N/A ,"$1,072.82 ", N/A ,"$1,120.50 ", N/A ,"$1,096.66 ", N/A ,"$1,084.74 ", N/A , N/A ,$767.66 , N/A ,"$1,072.82 ","$1,072.82 ",$894.02 , N/A , N/A , N/A ,"$1,114.54 ", N/A , N/A ,"$1,037.06 ", N/A ,"$1,072.82 ", N/A ,"$1,072.82 ","$1,072.82 ","$1,072.82 ","$1,156.26 ",$965.54 ,"$1,072.82 ","$1,072.82 ","$1,072.82 ","$1,072.82 " ST. JOSEPH'S - CHIPPEWA FALLS,36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,"$1,192.02 ",$894.02 ,$655.61 ,"$1,192.02 ",$767.66 , N/A ,$834.41 , N/A , N/A , N/A , N/A ,"$1,132.42 ", N/A ,$953.62 ,"$1,084.74 ", N/A , N/A ,"$1,132.42 ","$1,072.82 ","$1,013.22 ", N/A , N/A , N/A ,$870.17 , N/A ,"$1,060.90 ","$1,072.82 ","$1,072.82 ",$953.62 , N/A ,$655.61 ,"$1,072.82 ", N/A ,"$1,072.82 ", N/A ,"$1,120.50 ", N/A ,"$1,096.66 ", N/A ,"$1,084.74 ", N/A , N/A ,$767.66 , N/A ,"$1,072.82 ","$1,072.82 ",$894.02 , N/A , N/A , N/A ,"$1,114.54 ", N/A , N/A ,"$1,037.06 ", N/A ,"$1,072.82 ", N/A ,"$1,072.82 ","$1,072.82 ","$1,072.82 ","$1,156.26 ",$965.54 ,"$1,072.82 ","$1,072.82 ","$1,072.82 ","$1,072.82 " ST. JOSEPH'S - CHIPPEWA FALLS,36060015,N/A,HC OR LEVEL 2 INITIAL 15MIN,360,1 ,"$1,327.08 ",$995.31 ,$729.89 ,"$1,327.08 ",$854.64 , N/A ,$928.96 , N/A , N/A , N/A , N/A ,"$1,260.73 ", N/A ,"$1,061.66 ","$1,207.64 ", N/A , N/A ,"$1,260.73 ","$1,194.37 ","$1,128.02 ", N/A , N/A , N/A ,$968.77 , N/A ,"$1,181.10 ","$1,194.37 ","$1,194.37 ","$1,061.66 ", N/A ,$729.89 ,"$1,194.37 ", N/A ,"$1,194.37 ", N/A ,"$1,247.46 ", N/A ,"$1,220.91 ", N/A ,"$1,207.64 ", N/A , N/A ,$854.64 , N/A ,"$1,194.37 ","$1,194.37 ",$995.31 , N/A , N/A , N/A ,"$1,240.82 ", N/A , N/A ,"$1,154.56 ", N/A ,"$1,194.37 ", N/A ,"$1,194.37 ","$1,194.37 ","$1,194.37 ","$1,287.27 ","$1,074.93 ","$1,194.37 ","$1,194.37 ","$1,194.37 ","$1,194.37 " ST. JOSEPH'S - CHIPPEWA FALLS,36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,"$1,327.08 ",$995.31 ,$729.89 ,"$1,327.08 ",$854.64 , N/A ,$928.96 , N/A , N/A , N/A , N/A ,"$1,260.73 ", N/A ,"$1,061.66 ","$1,207.64 ", N/A , N/A ,"$1,260.73 ","$1,194.37 ","$1,128.02 ", N/A , N/A , N/A ,$968.77 , N/A ,"$1,181.10 ","$1,194.37 ","$1,194.37 ","$1,061.66 ", N/A ,$729.89 ,"$1,194.37 ", N/A ,"$1,194.37 ", N/A ,"$1,247.46 ", N/A ,"$1,220.91 ", N/A ,"$1,207.64 ", N/A , N/A ,$854.64 , N/A ,"$1,194.37 ","$1,194.37 ",$995.31 , N/A , N/A , N/A ,"$1,240.82 ", N/A , N/A ,"$1,154.56 ", N/A ,"$1,194.37 ", N/A ,"$1,194.37 ","$1,194.37 ","$1,194.37 ","$1,287.27 ","$1,074.93 ","$1,194.37 ","$1,194.37 ","$1,194.37 ","$1,194.37 " ST. JOSEPH'S - CHIPPEWA FALLS,36060017,N/A,HC OR LEVEL 3 INITIAL 15MIN,360,1 ,"$1,432.14 ","$1,074.11 ",$787.68 ,"$1,432.14 ",$922.30 , N/A ,"$1,002.50 ", N/A , N/A , N/A , N/A ,"$1,360.53 ", N/A ,"$1,145.71 ","$1,303.25 ", N/A , N/A ,"$1,360.53 ","$1,288.93 ","$1,217.32 ", N/A , N/A , N/A ,"$1,045.46 ", N/A ,"$1,274.60 ","$1,288.93 ","$1,288.93 ","$1,145.71 ", N/A ,$787.68 ,"$1,288.93 ", N/A ,"$1,288.93 ", N/A ,"$1,346.21 ", N/A ,"$1,317.57 ", N/A ,"$1,303.25 ", N/A , N/A ,$922.30 , N/A ,"$1,288.93 ","$1,288.93 ","$1,074.11 ", N/A , N/A , N/A ,"$1,339.05 ", N/A , N/A ,"$1,245.96 ", N/A ,"$1,288.93 ", N/A ,"$1,288.93 ","$1,288.93 ","$1,288.93 ","$1,389.18 ","$1,160.03 ","$1,288.93 ","$1,288.93 ","$1,288.93 ","$1,288.93 " ST. JOSEPH'S - CHIPPEWA FALLS,36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,"$1,432.14 ","$1,074.11 ",$787.68 ,"$1,432.14 ",$922.30 , N/A ,"$1,002.50 ", N/A , N/A , N/A , N/A ,"$1,360.53 ", N/A ,"$1,145.71 ","$1,303.25 ", N/A , N/A ,"$1,360.53 ","$1,288.93 ","$1,217.32 ", N/A , N/A , N/A ,"$1,045.46 ", N/A ,"$1,274.60 ","$1,288.93 ","$1,288.93 ","$1,145.71 ", N/A ,$787.68 ,"$1,288.93 ", N/A ,"$1,288.93 ", N/A ,"$1,346.21 ", N/A ,"$1,317.57 ", N/A ,"$1,303.25 ", N/A , N/A ,$922.30 , N/A ,"$1,288.93 ","$1,288.93 ","$1,074.11 ", N/A , N/A , N/A ,"$1,339.05 ", N/A , N/A ,"$1,245.96 ", N/A ,"$1,288.93 ", N/A ,"$1,288.93 ","$1,288.93 ","$1,288.93 ","$1,389.18 ","$1,160.03 ","$1,288.93 ","$1,288.93 ","$1,288.93 ","$1,288.93 " ST. JOSEPH'S - CHIPPEWA FALLS,36060019,N/A,HC OR LEVEL 4 INITIAL 15MIN,360,1 ,"$1,737.92 ","$1,303.44 ",$955.86 ,"$1,737.92 ","$1,119.22 ", N/A ,"$1,216.54 ", N/A , N/A , N/A , N/A ,"$1,651.02 ", N/A ,"$1,390.34 ","$1,581.51 ", N/A , N/A ,"$1,651.02 ","$1,564.13 ","$1,477.23 ", N/A , N/A , N/A ,"$1,268.68 ", N/A ,"$1,546.75 ","$1,564.13 ","$1,564.13 ","$1,390.34 ", N/A ,$955.86 ,"$1,564.13 ", N/A ,"$1,564.13 ", N/A ,"$1,633.64 ", N/A ,"$1,598.89 ", N/A ,"$1,581.51 ", N/A , N/A ,"$1,119.22 ", N/A ,"$1,564.13 ","$1,564.13 ","$1,303.44 ", N/A , N/A , N/A ,"$1,624.96 ", N/A , N/A ,"$1,511.99 ", N/A ,"$1,564.13 ", N/A ,"$1,564.13 ","$1,564.13 ","$1,564.13 ","$1,685.78 ","$1,407.72 ","$1,564.13 ","$1,564.13 ","$1,564.13 ","$1,564.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,"$1,737.92 ","$1,303.44 ",$955.86 ,"$1,737.92 ","$1,119.22 ", N/A ,"$1,216.54 ", N/A , N/A , N/A , N/A ,"$1,651.02 ", N/A ,"$1,390.34 ","$1,581.51 ", N/A , N/A ,"$1,651.02 ","$1,564.13 ","$1,477.23 ", N/A , N/A , N/A ,"$1,268.68 ", N/A ,"$1,546.75 ","$1,564.13 ","$1,564.13 ","$1,390.34 ", N/A ,$955.86 ,"$1,564.13 ", N/A ,"$1,564.13 ", N/A ,"$1,633.64 ", N/A ,"$1,598.89 ", N/A ,"$1,581.51 ", N/A , N/A ,"$1,119.22 ", N/A ,"$1,564.13 ","$1,564.13 ","$1,303.44 ", N/A , N/A , N/A ,"$1,624.96 ", N/A , N/A ,"$1,511.99 ", N/A ,"$1,564.13 ", N/A ,"$1,564.13 ","$1,564.13 ","$1,564.13 ","$1,685.78 ","$1,407.72 ","$1,564.13 ","$1,564.13 ","$1,564.13 ","$1,564.13 " ST. JOSEPH'S - CHIPPEWA FALLS,36060021,N/A,HC OR LEVEL 5 INITIAL 15MIN,360,1 ,"$2,041.97 ","$1,531.48 ","$1,123.08 ","$2,041.97 ","$1,315.03 ", N/A ,"$1,429.38 ", N/A , N/A , N/A , N/A ,"$1,939.87 ", N/A ,"$1,633.58 ","$1,858.19 ", N/A , N/A ,"$1,939.87 ","$1,837.77 ","$1,735.67 ", N/A , N/A , N/A ,"$1,490.64 ", N/A ,"$1,817.35 ","$1,837.77 ","$1,837.77 ","$1,633.58 ", N/A ,"$1,123.08 ","$1,837.77 ", N/A ,"$1,837.77 ", N/A ,"$1,919.45 ", N/A ,"$1,878.61 ", N/A ,"$1,858.19 ", N/A , N/A ,"$1,315.03 ", N/A ,"$1,837.77 ","$1,837.77 ","$1,531.48 ", N/A , N/A , N/A ,"$1,909.24 ", N/A , N/A ,"$1,776.51 ", N/A ,"$1,837.77 ", N/A ,"$1,837.77 ","$1,837.77 ","$1,837.77 ","$1,980.71 ","$1,654.00 ","$1,837.77 ","$1,837.77 ","$1,837.77 ","$1,837.77 " ST. JOSEPH'S - CHIPPEWA FALLS,36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,"$2,041.97 ","$1,531.48 ","$1,123.08 ","$2,041.97 ","$1,315.03 ", N/A ,"$1,429.38 ", N/A , N/A , N/A , N/A ,"$1,939.87 ", N/A ,"$1,633.58 ","$1,858.19 ", N/A , N/A ,"$1,939.87 ","$1,837.77 ","$1,735.67 ", N/A , N/A , N/A ,"$1,490.64 ", N/A ,"$1,817.35 ","$1,837.77 ","$1,837.77 ","$1,633.58 ", N/A ,"$1,123.08 ","$1,837.77 ", N/A ,"$1,837.77 ", N/A ,"$1,919.45 ", N/A ,"$1,878.61 ", N/A ,"$1,858.19 ", N/A , N/A ,"$1,315.03 ", N/A ,"$1,837.77 ","$1,837.77 ","$1,531.48 ", N/A , N/A , N/A ,"$1,909.24 ", N/A , N/A ,"$1,776.51 ", N/A ,"$1,837.77 ", N/A ,"$1,837.77 ","$1,837.77 ","$1,837.77 ","$1,980.71 ","$1,654.00 ","$1,837.77 ","$1,837.77 ","$1,837.77 ","$1,837.77 " ST. JOSEPH'S - CHIPPEWA FALLS,36060023,N/A,HC OR LEVEL 6 INITIAL 15MIN,360,1 ,"$2,142.64 ","$1,606.98 ","$1,178.45 ","$2,142.64 ","$1,379.86 ", N/A ,"$1,499.85 ", N/A , N/A , N/A , N/A ,"$2,035.51 ", N/A ,"$1,714.11 ","$1,949.80 ", N/A , N/A ,"$2,035.51 ","$1,928.38 ","$1,821.24 ", N/A , N/A , N/A ,"$1,564.13 ", N/A ,"$1,906.95 ","$1,928.38 ","$1,928.38 ","$1,714.11 ", N/A ,"$1,178.45 ","$1,928.38 ", N/A ,"$1,928.38 ", N/A ,"$2,014.08 ", N/A ,"$1,971.23 ", N/A ,"$1,949.80 ", N/A , N/A ,"$1,379.86 ", N/A ,"$1,928.38 ","$1,928.38 ","$1,606.98 ", N/A , N/A , N/A ,"$2,003.37 ", N/A , N/A ,"$1,864.10 ", N/A ,"$1,928.38 ", N/A ,"$1,928.38 ","$1,928.38 ","$1,928.38 ","$2,078.36 ","$1,735.54 ","$1,928.38 ","$1,928.38 ","$1,928.38 ","$1,928.38 " ST. JOSEPH'S - CHIPPEWA FALLS,36060024,N/A,HC OR LEVEL 6 ADDL 15MIN,360,1 ,"$2,142.64 ","$1,606.98 ","$1,178.45 ","$2,142.64 ","$1,379.86 ", N/A ,"$1,499.85 ", N/A , N/A , N/A , N/A ,"$2,035.51 ", N/A ,"$1,714.11 ","$1,949.80 ", N/A , N/A ,"$2,035.51 ","$1,928.38 ","$1,821.24 ", N/A , N/A , N/A ,"$1,564.13 ", N/A ,"$1,906.95 ","$1,928.38 ","$1,928.38 ","$1,714.11 ", N/A ,"$1,178.45 ","$1,928.38 ", N/A ,"$1,928.38 ", N/A ,"$2,014.08 ", N/A ,"$1,971.23 ", N/A ,"$1,949.80 ", N/A , N/A ,"$1,379.86 ", N/A ,"$1,928.38 ","$1,928.38 ","$1,606.98 ", N/A , N/A , N/A ,"$2,003.37 ", N/A , N/A ,"$1,864.10 ", N/A ,"$1,928.38 ", N/A ,"$1,928.38 ","$1,928.38 ","$1,928.38 ","$2,078.36 ","$1,735.54 ","$1,928.38 ","$1,928.38 ","$1,928.38 ","$1,928.38 " ST. JOSEPH'S - CHIPPEWA FALLS,36080001,63661,HC RM SPINAL NEUROSTIM ELECTRD,360,1 ,"$5,621.17 ","$4,215.88 ",$424.65 ,"$5,621.17 ","$3,620.03 ","$1,699.13 ","$3,934.82 ",$424.65 ,"$4,776.00 ",$437.39 ,"$3,821.00 ","$5,340.11 ", N/A ,"$4,496.94 ","$5,115.26 ",$424.65 , N/A ,"$5,340.11 ","$5,059.05 ","$4,777.99 ",$424.65 ,$424.65 ,$424.65 ,"$4,103.45 ","$1,699.13 ","$5,002.84 ","$5,059.05 ","$5,059.05 ","$4,496.94 ","$1,750.10 ","$3,091.64 ","$5,059.05 ","$1,699.13 ","$5,059.05 ","$1,699.13 ","$5,283.90 ","$3,823.04 ","$5,171.48 ",$450.13 ,"$5,115.26 ","$1,699.13 ","$3,459.27 ","$3,620.03 ","$3,459.27 ","$5,059.05 ","$5,059.05 ","$4,215.88 ","$3,310.58 ","$1,716.12 ",$445.88 ,"$5,255.79 ","$1,784.09 ",$424.65 ,"$4,890.42 ","$1,699.13 ","$5,059.05 ","$1,699.13 ","$5,059.05 ","$5,059.05 ","$5,059.05 ","$5,452.53 ","$4,553.15 ","$5,059.05 ","$5,059.05 ","$5,059.05 ","$5,059.05 " ST. JOSEPH'S - CHIPPEWA FALLS,36080002,63688,HC REV/RM SPINAL NEUROSTIM GEN,360,1 ,"$8,723.60 ","$6,542.70 ","$1,555.18 ","$8,723.60 ","$5,618.00 ","$3,172.13 ","$6,106.52 ","$1,555.18 ","$8,723.60 ","$1,601.84 ","$7,642.00 ","$8,287.42 ", N/A ,"$6,978.88 ","$7,938.48 ","$1,555.18 ", N/A ,"$8,287.42 ","$7,851.24 ","$7,415.06 ","$1,555.18 ","$1,555.18 ","$1,555.18 ","$6,368.23 ","$3,172.13 ","$7,764.00 ","$7,851.24 ","$7,851.24 ","$6,978.88 ","$3,267.29 ","$4,797.98 ","$7,851.24 ","$3,172.13 ","$7,851.24 ","$3,172.13 ","$8,200.18 ","$7,137.29 ","$8,025.71 ","$1,648.49 ","$7,938.48 ","$3,172.13 ","$5,368.50 ","$5,618.00 ","$5,368.50 ","$7,851.24 ","$7,851.24 ","$6,542.70 ","$6,520.84 ","$3,203.85 ","$1,632.94 ","$8,156.57 ","$3,330.74 ","$1,555.18 ","$7,589.53 ","$3,172.13 ","$7,851.24 ","$3,172.13 ","$7,851.24 ","$7,851.24 ","$7,851.24 ","$8,461.89 ","$7,066.12 ","$7,851.24 ","$7,851.24 ","$7,851.24 ","$7,851.24 " ST. JOSEPH'S - CHIPPEWA FALLS,36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,$568.87 ,$426.65 ,$121.61 ,$569.12 ,$366.35 ,$252.94 ,$398.21 ,$121.61 ,$568.87 ,$125.26 ,$568.87 ,$540.43 , N/A ,$455.10 ,$517.67 ,$121.61 , N/A ,$540.43 ,$511.98 ,$483.54 ,$121.61 ,$121.61 ,$121.61 ,$415.28 ,$252.94 ,$506.29 ,$511.98 ,$511.98 ,$455.10 ,$260.53 ,$312.88 ,$511.98 ,$252.94 ,$511.98 ,$252.94 ,$534.74 ,$569.12 ,$523.36 ,$128.91 ,$517.67 ,$252.94 ,$350.08 ,$366.35 ,$350.08 ,$511.98 ,$511.98 ,$426.65 ,$511.98 ,$255.47 ,$127.69 ,$531.89 ,$265.59 ,$121.61 ,$494.92 ,$252.94 ,$511.98 ,$252.94 ,$511.98 ,$511.98 ,$511.98 ,$551.80 ,$460.78 ,$511.98 ,$511.98 ,$511.98 ,$511.98 ST. JOSEPH'S - CHIPPEWA FALLS,36100001,47537,HC REM BIL CATH W G SI CHOLANG,361,1 ,"$4,252.78 ","$3,189.59 ",$60.28 ,"$4,252.78 ","$2,738.79 ",$784.10 ,"$2,976.95 ",$60.28 ,"$3,184.00 ",$62.09 ,"$2,547.00 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ",$60.28 , N/A ,"$4,040.14 ","$3,827.50 ","$3,614.86 ",$60.28 ,$60.28 ,$60.28 ,"$3,104.53 ",$784.10 ,"$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ",$807.62 ,"$2,339.03 ","$3,827.50 ",$784.10 ,"$3,827.50 ",$784.10 ,"$4,040.14 ","$1,764.22 ","$3,912.56 ",$63.90 ,"$3,870.03 ",$784.10 ,"$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$2,207.05 ",$791.94 ,$63.29 ,"$3,976.35 ",$823.31 ,$60.28 ,"$3,699.92 ",$784.10 ,"$3,827.50 ",$784.10 ,"$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,36100002,47538,HC PLC BILE SNT W G SI EX/REMOVAL CHOLANG,361,1 ,"$4,252.78 ","$3,189.59 ",$703.19 ,"$11,027.33 ","$2,738.79 ","$4,901.04 ","$2,976.95 ",$703.19 ,"$4,252.78 ",$724.29 ,"$4,252.78 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ",$703.19 , N/A ,"$4,040.14 ","$3,827.50 ","$3,614.86 ",$703.19 ,$703.19 ,$703.19 ,"$3,104.53 ","$4,901.04 ","$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ","$5,048.07 ","$2,339.03 ","$3,827.50 ","$4,901.04 ","$3,827.50 ","$4,901.04 ","$4,040.14 ","$11,027.33 ","$3,912.56 ",$745.38 ,"$3,870.03 ","$4,901.04 ","$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$3,827.50 ","$4,950.05 ",$738.35 ,"$3,976.35 ","$5,146.09 ",$703.19 ,"$3,699.92 ","$4,901.04 ","$3,827.50 ","$4,901.04 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,36100003,47540,HC PLC BILE SNT W GD SI NEW ACCESS,361,1 ,"$4,252.78 ","$3,189.59 ","$1,826.39 ","$11,027.33 ","$2,738.79 ","$4,901.04 ","$2,976.95 ","$1,826.39 ","$4,252.78 ","$1,881.18 ","$4,252.78 ","$4,040.14 ", N/A ,"$3,402.22 ","$3,870.03 ","$1,826.39 ", N/A ,"$4,040.14 ","$3,827.50 ","$3,614.86 ","$1,826.39 ","$1,826.39 ","$1,826.39 ","$3,104.53 ","$4,901.04 ","$3,784.97 ","$3,827.50 ","$3,827.50 ","$3,402.22 ","$5,048.07 ","$2,339.03 ","$3,827.50 ","$4,901.04 ","$3,827.50 ","$4,901.04 ","$4,040.14 ","$11,027.33 ","$3,912.56 ","$1,935.97 ","$3,870.03 ","$4,901.04 ","$2,617.16 ","$2,738.79 ","$2,617.16 ","$3,827.50 ","$3,827.50 ","$3,189.59 ","$3,827.50 ","$4,950.05 ","$1,917.71 ","$3,976.35 ","$5,146.09 ","$1,826.39 ","$3,699.92 ","$4,901.04 ","$3,827.50 ","$4,901.04 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$4,125.20 ","$3,444.75 ","$3,827.50 ","$3,827.50 ","$3,827.50 ","$3,827.50 " ST. JOSEPH'S - CHIPPEWA FALLS,36100004,50430,HC INJ NEPH URET W G SI NEW ACCESS,361,1 ,"$2,498.89 ","$1,874.17 ",$125.13 ,"$2,498.89 ","$1,609.29 ",$556.66 ,"$1,749.22 ",$125.13 ,"$2,498.89 ",$128.88 ,"$2,498.89 ","$2,373.95 ", N/A ,"$1,999.11 ","$2,273.99 ",$125.13 , N/A ,"$2,373.95 ","$2,249.00 ","$2,124.06 ",$125.13 ,$125.13 ,$125.13 ,"$1,824.19 ",$556.66 ,"$2,224.01 ","$2,249.00 ","$2,249.00 ","$1,999.11 ",$573.36 ,"$1,374.39 ","$2,249.00 ",$556.66 ,"$2,249.00 ",$556.66 ,"$2,373.95 ","$1,252.50 ","$2,298.98 ",$132.64 ,"$2,273.99 ",$556.66 ,"$1,537.82 ","$1,609.29 ","$1,537.82 ","$2,249.00 ","$2,249.00 ","$1,874.17 ","$2,207.05 ",$562.23 ,$131.39 ,"$2,336.46 ",$584.49 ,$125.13 ,"$2,174.03 ",$556.66 ,"$2,249.00 ",$556.66 ,"$2,249.00 ","$2,249.00 ","$2,249.00 ","$2,423.92 ","$2,024.10 ","$2,249.00 ","$2,249.00 ","$2,249.00 ","$2,249.00 " ST. JOSEPH'S - CHIPPEWA FALLS,36100005,50433,HC PL NEPH CAT W GD S AND I NEW ACCESS,361,1 ,"$4,168.46 ","$3,126.35 ",$898.01 ,"$6,703.73 ","$2,684.49 ","$2,979.44 ","$2,917.92 ",$898.01 ,"$4,168.46 ",$924.95 ,"$3,821.00 ","$3,960.04 ", N/A ,"$3,334.77 ","$3,793.30 ",$898.01 , N/A ,"$3,960.04 ","$3,751.61 ","$3,543.19 ",$898.01 ,$898.01 ,$898.01 ,"$3,042.98 ","$2,979.44 ","$3,709.93 ","$3,751.61 ","$3,751.61 ","$3,334.77 ","$3,068.82 ","$2,292.65 ","$3,751.61 ","$2,979.44 ","$3,751.61 ","$2,979.44 ","$3,960.04 ","$6,703.73 ","$3,834.98 ",$951.89 ,"$3,793.30 ","$2,979.44 ","$2,565.27 ","$2,684.49 ","$2,565.27 ","$3,751.61 ","$3,751.61 ","$3,126.35 ","$3,751.61 ","$3,009.23 ",$942.91 ,"$3,897.51 ","$3,128.41 ",$898.01 ,"$3,626.56 ","$2,979.44 ","$3,751.61 ","$2,979.44 ","$3,751.61 ","$3,751.61 ","$3,751.61 ","$4,043.41 ","$3,376.45 ","$3,751.61 ","$3,751.61 ","$3,751.61 ","$3,751.61 " ST. JOSEPH'S - CHIPPEWA FALLS,36100006,50434,HC CONVERT NEPH CTH NEPHUR CTH WG S AND I EXST TRACT,361,1 ,"$4,168.46 ","$3,126.35 ",$430.16 ,"$4,168.46 ","$2,684.49 ","$1,736.51 ","$2,917.92 ",$430.16 ,"$4,168.46 ",$443.06 ,"$3,821.00 ","$3,960.04 ", N/A ,"$3,334.77 ","$3,793.30 ",$430.16 , N/A ,"$3,960.04 ","$3,751.61 ","$3,543.19 ",$430.16 ,$430.16 ,$430.16 ,"$3,042.98 ","$1,736.51 ","$3,709.93 ","$3,751.61 ","$3,751.61 ","$3,334.77 ","$1,788.61 ","$2,292.65 ","$3,751.61 ","$1,736.51 ","$3,751.61 ","$1,736.51 ","$3,960.04 ","$3,907.15 ","$3,834.98 ",$455.97 ,"$3,793.30 ","$1,736.51 ","$2,565.27 ","$2,684.49 ","$2,565.27 ","$3,751.61 ","$3,751.61 ","$3,126.35 ","$3,751.61 ","$1,753.88 ",$451.67 ,"$3,897.51 ","$1,823.34 ",$430.16 ,"$3,626.56 ","$1,736.51 ","$3,751.61 ","$1,736.51 ","$3,751.61 ","$3,751.61 ","$3,751.61 ","$4,043.41 ","$3,376.45 ","$3,751.61 ","$3,751.61 ","$3,751.61 ","$3,751.61 " ST. JOSEPH'S - CHIPPEWA FALLS,36100008,50694,HC PL URT STNT W G SI NEW ACCESS WO NEPH CATH,361,1 ,"$2,190.56 ","$1,642.92 ",$898.01 ,"$6,703.73 ","$1,410.72 ","$2,979.44 ","$1,533.39 ",$898.01 ,"$2,190.56 ",$924.95 ,"$2,190.56 ","$2,081.03 ", N/A ,"$1,752.45 ","$1,993.41 ",$898.01 , N/A ,"$2,081.03 ","$1,971.50 ","$1,861.98 ",$898.01 ,$898.01 ,$898.01 ,"$1,599.11 ","$2,979.44 ","$1,949.60 ","$1,971.50 ","$1,971.50 ","$1,752.45 ","$3,068.82 ","$1,204.81 ","$1,971.50 ","$2,979.44 ","$1,971.50 ","$2,979.44 ","$2,081.03 ","$6,703.73 ","$2,015.32 ",$951.89 ,"$1,993.41 ","$2,979.44 ","$1,348.07 ","$1,410.72 ","$1,348.07 ","$1,971.50 ","$1,971.50 ","$1,642.92 ","$1,971.50 ","$3,009.23 ",$942.91 ,"$2,048.17 ","$3,128.41 ",$898.01 ,"$1,905.79 ","$2,979.44 ","$1,971.50 ","$2,979.44 ","$1,971.50 ","$1,971.50 ","$1,971.50 ","$2,124.84 ","$1,774.35 ","$1,971.50 ","$1,971.50 ","$1,971.50 ","$1,971.50 " ST. JOSEPH'S - CHIPPEWA FALLS,36100009,50695,HC PL URT STNT W G SI NEW ACCESS WITH NEPH CATH,361,1 ,"$2,190.56 ","$1,642.92 ",$898.01 ,"$6,703.73 ","$1,410.72 ","$2,979.44 ","$1,533.39 ",$898.01 ,"$2,190.56 ",$924.95 ,"$2,190.56 ","$2,081.03 ", N/A ,"$1,752.45 ","$1,993.41 ",$898.01 , N/A ,"$2,081.03 ","$1,971.50 ","$1,861.98 ",$898.01 ,$898.01 ,$898.01 ,"$1,599.11 ","$2,979.44 ","$1,949.60 ","$1,971.50 ","$1,971.50 ","$1,752.45 ","$3,068.82 ","$1,204.81 ","$1,971.50 ","$2,979.44 ","$1,971.50 ","$2,979.44 ","$2,081.03 ","$6,703.73 ","$2,015.32 ",$951.89 ,"$1,993.41 ","$2,979.44 ","$1,348.07 ","$1,410.72 ","$1,348.07 ","$1,971.50 ","$1,971.50 ","$1,642.92 ","$1,971.50 ","$3,009.23 ",$942.91 ,"$2,048.17 ","$3,128.41 ",$898.01 ,"$1,905.79 ","$2,979.44 ","$1,971.50 ","$2,979.44 ","$1,971.50 ","$1,971.50 ","$1,971.50 ","$2,124.84 ","$1,774.35 ","$1,971.50 ","$1,971.50 ","$1,971.50 ","$1,971.50 " ST. JOSEPH'S - CHIPPEWA FALLS,36100011,49185,HC SCLEROTHERAPY FLUID COLLECTION PERC INJECT IG SI,361,1 ,"$4,041.96 ","$3,031.47 ",$202.63 ,"$4,041.96 ","$2,603.02 ",$602.38 ,"$2,829.37 ",$202.63 ,"$3,184.00 ",$208.71 ,"$2,547.00 ","$3,839.86 ", N/A ,"$3,233.57 ","$3,678.18 ",$202.63 , N/A ,"$3,839.86 ","$3,637.76 ","$3,435.67 ",$202.63 ,$202.63 ,$202.63 ,"$2,950.63 ",$602.38 ,"$3,597.34 ","$3,637.76 ","$3,637.76 ","$3,233.57 ",$620.45 ,"$2,223.08 ","$3,637.76 ",$602.38 ,"$3,637.76 ",$602.38 ,"$3,839.86 ","$1,355.35 ","$3,718.60 ",$214.79 ,"$3,678.18 ",$602.38 ,"$2,487.42 ","$2,603.02 ","$2,487.42 ","$3,637.76 ","$3,637.76 ","$3,031.47 ","$2,207.05 ",$608.40 ,$212.76 ,"$3,779.23 ",$632.50 ,$202.63 ,"$3,516.51 ",$602.38 ,"$3,637.76 ",$602.38 ,"$3,637.76 ","$3,637.76 ","$3,637.76 ","$3,920.70 ","$3,273.99 ","$3,637.76 ","$3,637.76 ","$3,637.76 ","$3,637.76 " ST. JOSEPH'S - CHIPPEWA FALLS,36100012,50706,HC BALLOON DILATION URETERAL IG SI,361,1 ,"$1,987.55 ","$1,490.66 ",$993.78 ,"$1,987.55 ","$1,279.98 ", N/A ,"$1,391.29 ","$1,837.34 ","$1,987.55 ","$1,892.46 ","$1,987.55 ","$1,888.17 ", N/A ,"$1,590.04 ","$1,808.67 ","$1,837.34 ", N/A ,"$1,888.17 ","$1,788.80 ","$1,689.42 ","$1,837.34 ","$1,837.34 ","$1,837.34 ","$1,450.91 ", N/A ,"$1,768.92 ","$1,788.80 ","$1,788.80 ","$1,590.04 ", N/A ,"$1,093.15 ","$1,788.80 ", N/A ,"$1,788.80 ", N/A ,"$1,888.17 ", N/A ,"$1,828.55 ","$1,947.58 ","$1,808.67 ", N/A ,"$1,223.14 ","$1,279.98 ","$1,223.14 ","$1,788.80 ","$1,788.80 ","$1,490.66 ",$993.78 , N/A ,"$1,929.21 ","$1,858.36 ", N/A ,"$1,837.34 ","$1,729.17 ", N/A ,"$1,788.80 ", N/A ,"$1,788.80 ","$1,788.80 ","$1,788.80 ","$1,927.92 ","$1,609.92 ","$1,788.80 ","$1,788.80 ","$1,788.80 ","$1,788.80 " ST. JOSEPH'S - CHIPPEWA FALLS,36100013,47541,HC PLCMENT ACCESS BILIARY TREE BOWEL PERC IG SI,361,1 ,"$4,066.63 ","$3,049.97 ","$1,826.39 ","$6,937.05 ","$2,618.91 ","$3,083.13 ","$2,846.64 ","$1,826.39 ","$4,066.63 ","$1,881.18 ","$4,066.63 ","$3,863.30 ", N/A ,"$3,253.30 ","$3,700.63 ","$1,826.39 ", N/A ,"$3,863.30 ","$3,659.97 ","$3,456.64 ","$1,826.39 ","$1,826.39 ","$1,826.39 ","$2,968.64 ","$3,083.13 ","$3,619.30 ","$3,659.97 ","$3,659.97 ","$3,253.30 ","$3,175.63 ","$2,236.65 ","$3,659.97 ","$3,083.13 ","$3,659.97 ","$3,083.13 ","$3,863.30 ","$6,937.05 ","$3,741.30 ","$1,935.97 ","$3,700.63 ","$3,083.13 ","$2,502.60 ","$2,618.91 ","$2,502.60 ","$3,659.97 ","$3,659.97 ","$3,049.97 ","$3,659.97 ","$3,113.96 ","$1,917.71 ","$3,802.30 ","$3,237.29 ","$1,826.39 ","$3,537.97 ","$3,083.13 ","$3,659.97 ","$3,083.13 ","$3,659.97 ","$3,659.97 ","$3,659.97 ","$3,944.63 ","$3,293.97 ","$3,659.97 ","$3,659.97 ","$3,659.97 ","$3,659.97 " ST. JOSEPH'S - CHIPPEWA FALLS,36100015,11010,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISSUE,361,1 ,$281.41 ,$211.06 ,$107.54 ,"$1,355.35 ",$181.23 ,$602.38 ,$196.99 ,$107.54 ,$281.41 ,$110.77 ,$281.41 ,$267.34 , N/A ,$225.13 ,$256.08 ,$107.54 , N/A ,$267.34 ,$253.27 ,$239.20 ,$107.54 ,$107.54 ,$107.54 ,$205.43 ,$602.38 ,$250.45 ,$253.27 ,$253.27 ,$225.13 ,$620.45 ,$154.78 ,$253.27 ,$602.38 ,$253.27 ,$602.38 ,$267.34 ,"$1,355.35 ",$258.90 ,$113.99 ,$256.08 ,$602.38 ,$173.18 ,$181.23 ,$173.18 ,$253.27 ,$253.27 ,$211.06 ,$253.27 ,$608.40 ,$112.92 ,$263.12 ,$632.50 ,$107.54 ,$244.83 ,$602.38 ,$253.27 ,$602.38 ,$253.27 ,$253.27 ,$253.27 ,$272.97 ,$227.94 ,$253.27 ,$253.27 ,$253.27 ,$253.27 ST. JOSEPH'S - CHIPPEWA FALLS,36100017,11012,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISS/MUSCLE/BONE,361,1 ,$172.57 ,$129.43 ,$94.91 ,"$5,164.55 ",$111.14 ,"$2,295.35 ",$120.80 ,$172.57 ,$172.57 ,$297.49 ,$172.57 ,$163.94 , N/A ,$138.06 ,$157.04 ,$172.57 , N/A ,$163.94 ,$155.31 ,$146.68 ,$288.83 ,$288.83 ,$288.83 ,$125.98 ,"$2,295.35 ",$153.59 ,$155.31 ,$155.31 ,$138.06 ,"$2,364.22 ",$94.91 ,$155.31 ,"$2,295.35 ",$155.31 ,"$2,295.35 ",$163.94 ,"$5,164.55 ",$158.76 ,$306.16 ,$157.04 ,"$2,295.35 ",$106.20 ,$111.14 ,$106.20 ,$155.31 ,$155.31 ,$129.43 ,$155.31 ,"$2,318.31 ",$303.27 ,$161.35 ,"$2,410.12 ",$172.57 ,$150.14 ,"$2,295.35 ",$155.31 ,"$2,295.35 ",$155.31 ,$155.31 ,$155.31 ,$167.39 ,$139.78 ,$155.31 ,$155.31 ,$155.31 ,$155.31 ST. JOSEPH'S - CHIPPEWA FALLS,36100018,11601,HC EXCISION MALIGNT LESION BENIGN TRUNK/ARM 0.6-1.0CM,361,1 ,$608.12 ,$456.09 ,$161.28 ,"$1,355.35 ",$391.63 ,$602.38 ,$425.68 ,$161.28 ,$608.12 ,$166.12 ,$608.12 ,$577.71 , N/A ,$486.50 ,$553.39 ,$161.28 , N/A ,$577.71 ,$547.31 ,$516.90 ,$161.28 ,$161.28 ,$161.28 ,$443.93 ,$602.38 ,$541.23 ,$547.31 ,$547.31 ,$486.50 ,$620.45 ,$334.47 ,$547.31 ,$602.38 ,$547.31 ,$602.38 ,$577.71 ,"$1,355.35 ",$559.47 ,$170.96 ,$553.39 ,$602.38 ,$374.24 ,$391.63 ,$374.24 ,$547.31 ,$547.31 ,$456.09 ,$547.31 ,$608.40 ,$169.34 ,$568.59 ,$632.50 ,$161.28 ,$529.06 ,$602.38 ,$547.31 ,$602.38 ,$547.31 ,$547.31 ,$547.31 ,$589.88 ,$492.58 ,$547.31 ,$547.31 ,$547.31 ,$547.31 ST. JOSEPH'S - CHIPPEWA FALLS,36100019,15101,HC AUTOGRAPH SKIN TAL GRAFT EA ADDL 100CM,361,1 ,$872.18 ,$654.14 ,$479.70 ,$872.18 ,$561.68 , N/A ,$610.53 ,$552.66 ,$872.18 ,$569.24 ,$872.18 ,$828.57 , N/A ,$697.74 ,$793.68 ,$552.66 , N/A ,$828.57 ,$784.96 ,$741.35 ,$552.66 ,$552.66 ,$552.66 ,$636.69 , N/A ,$776.24 ,$784.96 ,$784.96 ,$697.74 , N/A ,$479.70 ,$784.96 , N/A ,$784.96 , N/A ,$828.57 , N/A ,$802.41 ,$585.82 ,$793.68 , N/A ,$536.74 ,$561.68 ,$536.74 ,$784.96 ,$784.96 ,$654.14 ,$782.50 , N/A ,$580.29 ,$815.49 , N/A ,$552.66 ,$758.80 , N/A ,$784.96 , N/A ,$784.96 ,$784.96 ,$784.96 ,$846.01 ,$706.47 ,$784.96 ,$784.96 ,$784.96 ,$784.96 ST. JOSEPH'S - CHIPPEWA FALLS,36100026,36510,HC UMBILICAL CATHETER INSERTION NEWBORN,361,1 ,$314.19 ,$235.64 ,$17.61 ,$314.19 ,$202.34 , N/A ,$219.93 ,$17.61 ,$314.19 ,$18.14 ,$314.19 ,$298.48 , N/A ,$251.35 ,$285.91 ,$17.61 , N/A ,$298.48 ,$282.77 ,$267.06 ,$17.61 ,$17.61 ,$17.61 ,$229.36 , N/A ,$279.63 ,$282.77 ,$282.77 ,$251.35 , N/A ,$172.80 ,$282.77 , N/A ,$282.77 , N/A ,$298.48 , N/A ,$289.05 ,$18.67 ,$285.91 , N/A ,$193.35 ,$202.34 ,$193.35 ,$282.77 ,$282.77 ,$235.64 ,$282.77 , N/A ,$18.49 ,$293.77 , N/A ,$17.61 ,$273.35 , N/A ,$282.77 , N/A ,$282.77 ,$282.77 ,$282.77 ,$304.76 ,$254.49 ,$282.77 ,$282.77 ,$282.77 ,$282.77 ST. JOSEPH'S - CHIPPEWA FALLS,36100027,47380,HC ABLATION LIVER TUMOR OPEN RADIOFREQUENCY,361,1 ,"$2,047.40 ","$1,535.55 ","$1,126.07 ","$2,047.40 ","$1,318.53 ", N/A ,"$1,433.18 ","$1,826.39 ","$2,047.40 ","$1,881.18 ","$2,047.40 ","$1,945.03 ", N/A ,"$1,637.92 ","$1,863.13 ","$1,826.39 ", N/A ,"$1,945.03 ","$1,842.66 ","$1,740.29 ","$1,826.39 ","$1,826.39 ","$1,826.39 ","$1,494.60 ", N/A ,"$1,822.19 ","$1,842.66 ","$1,842.66 ","$1,637.92 ", N/A ,"$1,126.07 ","$1,842.66 ", N/A ,"$1,842.66 ", N/A ,"$1,945.03 ", N/A ,"$1,883.61 ","$1,935.97 ","$1,863.13 ", N/A ,"$1,259.97 ","$1,318.53 ","$1,259.97 ","$1,842.66 ","$1,842.66 ","$1,535.55 ","$1,433.18 ", N/A ,"$1,917.71 ","$1,914.32 ", N/A ,"$1,826.39 ","$1,781.24 ", N/A ,"$1,842.66 ", N/A ,"$1,842.66 ","$1,842.66 ","$1,842.66 ","$1,985.98 ","$1,658.39 ","$1,842.66 ","$1,842.66 ","$1,842.66 ","$1,842.66 " ST. JOSEPH'S - CHIPPEWA FALLS,36100028,47383,HC ABLATION TUMOR LIVER CRYOABLATION,361,1 ,"$6,551.05 ","$4,913.29 ","$1,826.39 ","$11,027.33 ","$4,218.88 ","$4,901.04 ","$4,585.74 ","$1,826.39 ","$6,551.05 ","$1,881.18 ","$6,551.05 ","$6,223.50 ", N/A ,"$5,240.84 ","$5,961.46 ","$1,826.39 ", N/A ,"$6,223.50 ","$5,895.95 ","$5,568.39 ","$1,826.39 ","$1,826.39 ","$1,826.39 ","$4,782.27 ","$4,901.04 ","$5,830.43 ","$5,895.95 ","$5,895.95 ","$5,240.84 ","$5,048.07 ","$3,603.08 ","$5,895.95 ","$4,901.04 ","$5,895.95 ","$4,901.04 ","$6,223.50 ","$11,027.33 ","$6,026.97 ","$1,935.97 ","$5,961.46 ","$4,901.04 ","$4,031.52 ","$4,218.88 ","$4,031.52 ","$5,895.95 ","$5,895.95 ","$4,913.29 ","$5,895.95 ","$4,950.05 ","$1,917.71 ","$6,125.23 ","$5,146.09 ","$1,826.39 ","$5,699.41 ","$4,901.04 ","$5,895.95 ","$4,901.04 ","$5,895.95 ","$5,895.95 ","$5,895.95 ","$6,354.52 ","$5,306.35 ","$5,895.95 ","$5,895.95 ","$5,895.95 ","$5,895.95 " ST. JOSEPH'S - CHIPPEWA FALLS,36100030,51726,HC CYSTOMETROGRAM COMPLEX,361,1 ,"$1,536.69 ","$1,152.52 ",$125.13 ,"$1,536.69 ",$989.63 ,$257.76 ,"$1,075.68 ",$125.13 ,"$1,536.69 ",$128.88 ,"$1,536.69 ","$1,459.86 ", N/A ,"$1,229.35 ","$1,398.39 ",$125.13 , N/A ,"$1,459.86 ","$1,383.02 ","$1,306.19 ",$125.13 ,$125.13 ,$125.13 ,"$1,121.78 ",$257.76 ,"$1,367.65 ","$1,383.02 ","$1,383.02 ","$1,229.35 ",$265.49 ,$845.18 ,"$1,383.02 ",$257.76 ,"$1,383.02 ",$257.76 ,"$1,459.86 ",$579.95 ,"$1,413.75 ",$132.64 ,"$1,398.39 ",$257.76 ,$945.68 ,$989.63 ,$945.68 ,"$1,383.02 ","$1,383.02 ","$1,152.52 ","$1,383.02 ",$260.33 ,$131.39 ,"$1,436.81 ",$270.65 ,$125.13 ,"$1,336.92 ",$257.76 ,"$1,383.02 ",$257.76 ,"$1,383.02 ","$1,383.02 ","$1,383.02 ","$1,490.59 ","$1,244.72 ","$1,383.02 ","$1,383.02 ","$1,383.02 ","$1,383.02 " ST. JOSEPH'S - CHIPPEWA FALLS,36100033,51741,HC UROFLOWMETRY COMPLEX,361,1 ,$526.40 ,$394.80 ,$125.13 ,$526.40 ,$339.00 ,$135.15 ,$368.48 ,$125.13 ,$526.40 ,$128.88 ,$526.40 ,$500.08 , N/A ,$421.12 ,$479.02 ,$125.13 , N/A ,$500.08 ,$473.76 ,$447.44 ,$125.13 ,$125.13 ,$125.13 ,$384.27 ,$135.15 ,$468.50 ,$473.76 ,$473.76 ,$421.12 ,$139.21 ,$289.52 ,$473.76 ,$135.15 ,$473.76 ,$135.15 ,$500.08 ,$304.10 ,$484.29 ,$132.64 ,$479.02 ,$135.15 ,$323.95 ,$339.00 ,$323.95 ,$473.76 ,$473.76 ,$394.80 ,$473.76 ,$136.51 ,$131.39 ,$492.18 ,$141.91 ,$125.13 ,$457.97 ,$135.15 ,$473.76 ,$135.15 ,$473.76 ,$473.76 ,$473.76 ,$510.61 ,$426.38 ,$473.76 ,$473.76 ,$473.76 ,$473.76 ST. JOSEPH'S - CHIPPEWA FALLS,36100034,55876,HC PLACE DEVICE/MARKER PROSTATE,361,1 ,"$7,318.27 ","$5,488.70 ",$555.45 ,"$7,318.27 ","$4,712.97 ","$1,222.42 ","$5,122.79 ",$555.45 ,"$4,776.00 ",$572.11 ,"$3,821.00 ","$6,952.36 ", N/A ,"$5,854.62 ","$6,659.63 ",$555.45 , N/A ,"$6,952.36 ","$6,586.44 ","$6,220.53 ",$555.45 ,$555.45 ,$555.45 ,"$5,342.34 ","$1,222.42 ","$6,513.26 ","$6,586.44 ","$6,586.44 ","$5,854.62 ","$1,259.09 ","$4,025.05 ","$6,586.44 ","$1,222.42 ","$6,586.44 ","$1,222.42 ","$6,952.36 ","$2,750.45 ","$6,732.81 ",$588.78 ,"$6,659.63 ","$1,222.42 ","$4,503.66 ","$4,712.97 ","$4,503.66 ","$6,586.44 ","$6,586.44 ","$5,488.70 ","$3,659.14 ","$1,234.65 ",$583.22 ,"$6,842.58 ","$1,283.54 ",$555.45 ,"$6,366.89 ","$1,222.42 ","$6,586.44 ","$1,222.42 ","$6,586.44 ","$6,586.44 ","$6,586.44 ","$7,098.72 ","$5,927.80 ","$6,586.44 ","$6,586.44 ","$6,586.44 ","$6,586.44 " ST. JOSEPH'S - CHIPPEWA FALLS,36100037,62355,HC REMOVE SPINAL CATHETER,361,1 ,"$6,433.72 ","$4,825.29 ",$424.65 ,"$6,433.72 ","$4,143.32 ","$1,699.13 ","$4,503.60 ",$424.65 ,"$4,776.00 ",$437.39 ,"$3,821.00 ","$6,112.03 ", N/A ,"$5,146.98 ","$5,854.69 ",$424.65 , N/A ,"$6,112.03 ","$5,790.35 ","$5,468.66 ",$424.65 ,$424.65 ,$424.65 ,"$4,696.62 ","$1,699.13 ","$5,726.01 ","$5,790.35 ","$5,790.35 ","$5,146.98 ","$1,750.10 ","$3,538.55 ","$5,790.35 ","$1,699.13 ","$5,790.35 ","$1,699.13 ","$6,112.03 ","$3,823.04 ","$5,919.02 ",$450.13 ,"$5,854.69 ","$1,699.13 ","$3,959.31 ","$4,143.32 ","$3,959.31 ","$5,790.35 ","$5,790.35 ","$4,825.29 ","$3,310.58 ","$1,716.12 ",$445.88 ,"$6,015.53 ","$1,784.09 ",$424.65 ,"$5,597.34 ","$1,699.13 ","$5,790.35 ","$1,699.13 ","$5,790.35 ","$5,790.35 ","$5,790.35 ","$6,240.71 ","$5,211.31 ","$5,790.35 ","$5,790.35 ","$5,790.35 ","$5,790.35 " ST. JOSEPH'S - CHIPPEWA FALLS,36100038,62365,HC REMOVE SPINAL INFUSION DEVICE SUBSQ,361,1 ,"$9,377.77 ","$7,033.33 ",$424.65 ,"$12,421.64 ","$6,039.28 ","$5,520.73 ","$6,564.44 ",$424.65 ,"$9,377.77 ",$437.39 ,"$8,915.00 ","$8,908.88 ", N/A ,"$7,502.22 ","$8,533.77 ",$424.65 , N/A ,"$8,908.88 ","$8,439.99 ","$7,971.10 ",$424.65 ,$424.65 ,$424.65 ,"$6,845.77 ","$5,520.73 ","$8,346.22 ","$8,439.99 ","$8,439.99 ","$7,502.22 ","$5,686.35 ","$5,157.77 ","$8,439.99 ","$5,520.73 ","$8,439.99 ","$5,520.73 ","$8,908.88 ","$12,421.64 ","$8,627.55 ",$450.13 ,"$8,533.77 ","$5,520.73 ","$5,771.08 ","$6,039.28 ","$5,771.08 ","$8,439.99 ","$8,439.99 ","$7,033.33 ","$7,022.44 ","$5,575.94 ",$445.88 ,"$8,768.22 ","$5,796.77 ",$424.65 ,"$8,158.66 ","$5,520.73 ","$8,439.99 ","$5,520.73 ","$8,439.99 ","$8,439.99 ","$8,439.99 ","$9,096.44 ","$7,595.99 ","$8,439.99 ","$8,439.99 ","$8,439.99 ","$8,439.99 " ST. JOSEPH'S - CHIPPEWA FALLS,36100039,63663,HC REVISE SPINE ELECTRD PERQ ARRAY W/FLUORO,361,1 ,"$8,368.63 ","$6,276.47 ","$1,555.18 ","$13,424.89 ","$5,389.40 ","$5,966.62 ","$5,858.04 ","$1,555.18 ","$8,368.63 ","$1,601.84 ","$8,368.63 ","$7,950.20 ", N/A ,"$6,694.90 ","$7,615.45 ","$1,555.18 ", N/A ,"$7,950.20 ","$7,531.77 ","$7,113.34 ","$1,555.18 ","$1,555.18 ","$1,555.18 ","$6,109.10 ","$5,966.62 ","$7,448.08 ","$7,531.77 ","$7,531.77 ","$6,694.90 ","$6,145.62 ","$4,602.75 ","$7,531.77 ","$5,966.62 ","$7,531.77 ","$5,966.62 ","$7,950.20 ","$13,424.89 ","$7,699.14 ","$1,648.49 ","$7,615.45 ","$5,966.62 ","$5,150.05 ","$5,389.40 ","$5,150.05 ","$7,531.77 ","$7,531.77 ","$6,276.47 ","$7,022.44 ","$6,026.28 ","$1,632.94 ","$7,824.67 ","$6,264.95 ","$1,555.18 ","$7,280.71 ","$5,966.62 ","$7,531.77 ","$5,966.62 ","$7,531.77 ","$7,531.77 ","$7,531.77 ","$8,117.57 ","$6,778.59 ","$7,531.77 ","$7,531.77 ","$7,531.77 ","$7,531.77 " ST. JOSEPH'S - CHIPPEWA FALLS,36100040,63685,HC INSERT/REPLACE SPINAL NEURO GEN/RECR,361,1 ,"$11,556.50 ","$8,667.38 ","$6,356.08 ","$64,163.29 ","$7,442.39 ","$28,517.02 ","$8,089.55 ","$6,908.61 ","$11,556.50 ","$7,115.87 ","$11,556.50 ","$10,978.68 ", N/A ,"$9,245.20 ","$10,516.42 ","$6,908.61 ", N/A ,"$10,978.68 ","$10,400.85 ","$9,823.03 ","$6,908.61 ","$6,908.61 ","$6,908.61 ","$8,436.25 ","$28,517.02 ","$10,285.29 ","$10,400.85 ","$10,400.85 ","$9,245.20 ","$29,372.53 ","$6,356.08 ","$10,400.85 ","$28,517.02 ","$10,400.85 ","$28,517.02 ","$10,978.68 ","$64,163.29 ","$10,631.98 ","$7,323.13 ","$10,516.42 ","$28,517.02 ","$7,111.87 ","$7,442.39 ","$7,111.87 ","$10,400.85 ","$10,400.85 ","$8,667.38 ","$7,022.44 ","$28,802.19 ","$7,254.04 ","$10,805.33 ","$29,942.87 ","$6,908.61 ","$10,054.16 ","$28,517.02 ","$10,400.85 ","$28,517.02 ","$10,400.85 ","$10,400.85 ","$10,400.85 ","$11,209.81 ","$9,360.77 ","$10,400.85 ","$10,400.85 ","$10,400.85 ","$10,400.85 " ST. JOSEPH'S - CHIPPEWA FALLS,36100041,64646,HC CHEMODENERVATION TRUNK 1-5 MUSCLES,361,1 ,$869.61 ,$652.21 ,$121.61 ,"$1,382.85 ",$560.03 ,$614.60 ,$608.73 ,$121.61 ,$869.61 ,$125.26 ,$869.61 ,$826.13 , N/A ,$695.69 ,$791.35 ,$121.61 , N/A ,$826.13 ,$782.65 ,$739.17 ,$121.61 ,$121.61 ,$121.61 ,$634.82 ,$614.60 ,$773.95 ,$782.65 ,$782.65 ,$695.69 ,$633.04 ,$478.29 ,$782.65 ,$614.60 ,$782.65 ,$614.60 ,$826.13 ,"$1,382.85 ",$800.04 ,$128.91 ,$791.35 ,$614.60 ,$535.16 ,$560.03 ,$535.16 ,$782.65 ,$782.65 ,$652.21 ,$782.50 ,$620.75 ,$127.69 ,$813.09 ,$645.33 ,$121.61 ,$756.56 ,$614.60 ,$782.65 ,$614.60 ,$782.65 ,$782.65 ,$782.65 ,$843.52 ,$704.38 ,$782.65 ,$782.65 ,$782.65 ,$782.65 ST. JOSEPH'S - CHIPPEWA FALLS,36100042,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-BIL,361,1 ,"$1,010.29 ",$757.72 ,$152.33 ,"$1,010.29 ",$650.63 ,$379.41 ,$707.20 ,$152.33 ,"$1,010.29 ",$156.90 ,"$1,010.29 ",$959.78 , N/A ,$808.23 ,$919.36 ,$152.33 , N/A ,$959.78 ,$909.26 ,$858.75 ,$152.33 ,$152.33 ,$152.33 ,$737.51 ,$379.41 ,$899.16 ,$909.26 ,$909.26 ,$808.23 ,$390.80 ,$555.66 ,$909.26 ,$379.41 ,$909.26 ,$379.41 ,$959.78 ,$853.68 ,$929.47 ,$161.47 ,$919.36 ,$379.41 ,$932.60 ,$650.63 ,$621.73 ,$909.26 ,$909.26 ,$757.72 ,$909.26 ,$383.21 ,$159.95 ,$944.62 ,$398.38 ,$152.33 ,$878.95 ,$379.41 ,$909.26 ,$379.41 ,$909.26 ,$909.26 ,$909.26 ,$979.98 ,$818.33 ,$909.26 ,$909.26 ,$909.26 ,$909.26 ST. JOSEPH'S - CHIPPEWA FALLS,36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,$499.59 ,$374.69 ,$152.33 ,$853.68 ,$321.74 ,$379.41 ,$349.71 ,$152.33 ,$499.59 ,$156.90 ,$499.59 ,$474.61 , N/A ,$399.67 ,$454.63 ,$152.33 , N/A ,$474.61 ,$449.63 ,$424.65 ,$152.33 ,$152.33 ,$152.33 ,$364.70 ,$379.41 ,$444.64 ,$449.63 ,$449.63 ,$399.67 ,$390.80 ,$274.77 ,$449.63 ,$379.41 ,$449.63 ,$379.41 ,$474.61 ,$853.68 ,$459.62 ,$161.47 ,$454.63 ,$379.41 ,$461.17 ,$321.74 ,$307.45 ,$449.63 ,$449.63 ,$374.69 ,$449.63 ,$383.21 ,$159.95 ,$467.12 ,$398.38 ,$152.33 ,$434.64 ,$379.41 ,$449.63 ,$379.41 ,$449.63 ,$449.63 ,$449.63 ,$484.60 ,$404.67 ,$449.63 ,$449.63 ,$449.63 ,$449.63 ST. JOSEPH'S - CHIPPEWA FALLS,36100045,50395,HC INTRO GUIDE NEPHROSTOMY PERC,361,1 ,"$1,038.82 ",$779.12 ,$571.35 ,"$1,038.82 ",$669.00 , N/A ,$727.17 , N/A ,"$1,038.82 ", N/A ,"$1,038.82 ",$986.88 , N/A ,$831.06 ,$945.33 , N/A , N/A ,$986.88 ,$934.94 ,$883.00 , N/A , N/A , N/A ,$758.34 , N/A ,$924.55 ,$934.94 ,$934.94 ,$831.06 , N/A ,$571.35 ,$934.94 , N/A ,$934.94 , N/A ,$986.88 , N/A ,$955.71 , N/A ,$945.33 , N/A ,$639.29 ,$669.00 ,$639.29 ,$934.94 ,$934.94 ,$779.12 ,$934.94 , N/A , N/A ,$971.30 , N/A , N/A ,$903.77 , N/A ,$934.94 , N/A ,$934.94 ,$934.94 ,$934.94 ,"$1,007.66 ",$841.44 ,$934.94 ,$934.94 ,$934.94 ,$934.94 ST. JOSEPH'S - CHIPPEWA FALLS,36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,"$1,187.45 ",$890.59 ,$552.66 ,"$3,737.98 ",$764.72 ,"$1,661.33 ",$831.22 ,$552.66 ,"$1,187.45 ",$569.24 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$552.66 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$552.66 ,$552.66 ,$552.66 ,$866.84 ,"$1,661.33 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,711.17 ",$653.10 ,"$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,128.08 ","$3,737.98 ","$1,092.45 ",$585.82 ,"$1,080.58 ","$1,661.33 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$890.59 ,"$1,068.71 ","$1,677.94 ",$580.29 ,"$1,110.27 ","$1,744.40 ",$552.66 ,"$1,033.08 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 " ST. JOSEPH'S - CHIPPEWA FALLS,36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,"$1,187.45 ",$890.59 ,$552.66 ,"$3,737.98 ",$764.72 ,"$1,661.33 ",$831.22 ,$552.66 ,"$1,187.45 ",$569.24 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$552.66 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$552.66 ,$552.66 ,$552.66 ,$866.84 ,"$1,661.33 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,711.17 ",$653.10 ,"$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,128.08 ","$3,737.98 ","$1,092.45 ",$585.82 ,"$1,080.58 ","$1,661.33 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$890.59 ,"$1,068.71 ","$1,677.94 ",$580.29 ,"$1,110.27 ","$1,744.40 ",$552.66 ,"$1,033.08 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 " ST. JOSEPH'S - CHIPPEWA FALLS,36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$585.82 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$569.24 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$552.66 ,$552.66 ,$552.66 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$585.82 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$325.06 ,$390.07 , N/A ,$580.29 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 ST. JOSEPH'S - CHIPPEWA FALLS,36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$585.82 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$569.24 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$552.66 ,$552.66 ,$552.66 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$585.82 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$325.06 ,$390.07 , N/A ,$580.29 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 ST. JOSEPH'S - CHIPPEWA FALLS,36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,"$1,689.57 ","$1,267.18 ",$552.66 ,"$7,675.21 ","$1,088.08 ","$3,411.20 ","$1,182.70 ",$552.66 ,"$1,689.57 ",$569.24 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$552.66 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$552.66 ,$552.66 ,$552.66 ,"$1,233.39 ","$3,411.20 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$3,513.54 ",$929.26 ,"$1,520.61 ","$3,411.20 ","$1,520.61 ","$3,411.20 ","$1,605.09 ","$7,675.21 ","$1,554.40 ",$585.82 ,"$1,537.51 ","$3,411.20 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,267.18 ","$1,520.61 ","$3,445.31 ",$580.29 ,"$1,579.75 ","$3,581.76 ",$552.66 ,"$1,469.93 ","$3,411.20 ","$1,520.61 ","$3,411.20 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 " ST. JOSEPH'S - CHIPPEWA FALLS,36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,"$1,689.57 ","$1,267.18 ",$552.66 ,"$7,675.21 ","$1,088.08 ","$3,411.20 ","$1,182.70 ",$552.66 ,"$1,689.57 ",$569.24 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$552.66 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$552.66 ,$552.66 ,$552.66 ,"$1,233.39 ","$3,411.20 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$3,513.54 ",$929.26 ,"$1,520.61 ","$3,411.20 ","$1,520.61 ","$3,411.20 ","$1,605.09 ","$7,675.21 ","$1,554.40 ",$585.82 ,"$1,537.51 ","$3,411.20 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,267.18 ","$1,520.61 ","$3,445.31 ",$580.29 ,"$1,579.75 ","$3,581.76 ",$552.66 ,"$1,469.93 ","$3,411.20 ","$1,520.61 ","$3,411.20 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 " ST. JOSEPH'S - CHIPPEWA FALLS,36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,"$1,109.45 ",$832.09 ,$552.66 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$552.66 ,"$1,109.45 ",$569.24 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$552.66 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$552.66 ,$552.66 ,$552.66 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$585.82 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$832.09 ,$782.50 , N/A ,$580.29 ,"$1,037.34 ", N/A ,$552.66 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 ST. JOSEPH'S - CHIPPEWA FALLS,36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,"$1,109.45 ",$832.09 ,$552.66 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$552.66 ,"$1,109.45 ",$569.24 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$552.66 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$552.66 ,$552.66 ,$552.66 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$585.82 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$832.09 ,$782.50 , N/A ,$580.29 ,"$1,037.34 ", N/A ,$552.66 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 ST. JOSEPH'S - CHIPPEWA FALLS,36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,"$1,187.45 ",$890.59 ,$552.66 ,"$3,737.98 ",$764.72 ,"$1,661.33 ",$831.22 ,$552.66 ,"$1,187.45 ",$569.24 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$552.66 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$552.66 ,$552.66 ,$552.66 ,$866.84 ,"$1,661.33 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,711.17 ",$653.10 ,"$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,128.08 ","$3,737.98 ","$1,092.45 ",$585.82 ,"$1,080.58 ","$1,661.33 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$890.59 ,"$1,068.71 ","$1,677.94 ",$580.29 ,"$1,110.27 ","$1,744.40 ",$552.66 ,"$1,033.08 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 " ST. JOSEPH'S - CHIPPEWA FALLS,36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,"$1,187.45 ",$890.59 ,$552.66 ,"$3,737.98 ",$764.72 ,"$1,661.33 ",$831.22 ,$552.66 ,"$1,187.45 ",$569.24 ,"$1,187.45 ","$1,128.08 ", N/A ,$949.96 ,"$1,080.58 ",$552.66 , N/A ,"$1,128.08 ","$1,068.71 ","$1,009.33 ",$552.66 ,$552.66 ,$552.66 ,$866.84 ,"$1,661.33 ","$1,056.83 ","$1,068.71 ","$1,068.71 ",$949.96 ,"$1,711.17 ",$653.10 ,"$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,128.08 ","$3,737.98 ","$1,092.45 ",$585.82 ,"$1,080.58 ","$1,661.33 ",$730.76 ,$764.72 ,$730.76 ,"$1,068.71 ","$1,068.71 ",$890.59 ,"$1,068.71 ","$1,677.94 ",$580.29 ,"$1,110.27 ","$1,744.40 ",$552.66 ,"$1,033.08 ","$1,661.33 ","$1,068.71 ","$1,661.33 ","$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,151.83 ",$961.83 ,"$1,068.71 ","$1,068.71 ","$1,068.71 ","$1,068.71 " ST. JOSEPH'S - CHIPPEWA FALLS,36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$585.82 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$569.24 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$552.66 ,$552.66 ,$552.66 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$585.82 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$325.06 ,$390.07 , N/A ,$580.29 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 ST. JOSEPH'S - CHIPPEWA FALLS,36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,$433.41 ,$325.06 ,$238.38 ,$585.82 ,$279.12 , N/A ,$303.39 ,$433.41 ,$433.41 ,$569.24 ,$433.41 ,$411.74 , N/A ,$346.73 ,$394.40 ,$433.41 , N/A ,$411.74 ,$390.07 ,$368.40 ,$552.66 ,$552.66 ,$552.66 ,$316.39 , N/A ,$385.73 ,$390.07 ,$390.07 ,$346.73 , N/A ,$238.38 ,$390.07 , N/A ,$390.07 , N/A ,$411.74 , N/A ,$398.74 ,$585.82 ,$394.40 , N/A ,$266.72 ,$279.12 ,$266.72 ,$390.07 ,$390.07 ,$325.06 ,$390.07 , N/A ,$580.29 ,$405.24 , N/A ,$433.41 ,$377.07 , N/A ,$390.07 , N/A ,$390.07 ,$390.07 ,$390.07 ,$420.41 ,$351.06 ,$390.07 ,$390.07 ,$390.07 ,$390.07 ST. JOSEPH'S - CHIPPEWA FALLS,36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,"$1,689.57 ","$1,267.18 ",$552.66 ,"$3,737.98 ","$1,088.08 ","$1,661.33 ","$1,182.70 ",$552.66 ,"$1,689.57 ",$569.24 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$552.66 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$552.66 ,$552.66 ,$552.66 ,"$1,233.39 ","$1,661.33 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$1,711.17 ",$929.26 ,"$1,520.61 ","$1,661.33 ","$1,520.61 ","$1,661.33 ","$1,605.09 ","$3,737.98 ","$1,554.40 ",$585.82 ,"$1,537.51 ","$1,661.33 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,267.18 ","$1,520.61 ","$1,677.94 ",$580.29 ,"$1,579.75 ","$1,744.40 ",$552.66 ,"$1,469.93 ","$1,661.33 ","$1,520.61 ","$1,661.33 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 " ST. JOSEPH'S - CHIPPEWA FALLS,36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,"$1,689.57 ","$1,267.18 ",$552.66 ,"$3,737.98 ","$1,088.08 ","$1,661.33 ","$1,182.70 ",$552.66 ,"$1,689.57 ",$569.24 ,"$1,689.57 ","$1,605.09 ", N/A ,"$1,351.66 ","$1,537.51 ",$552.66 , N/A ,"$1,605.09 ","$1,520.61 ","$1,436.13 ",$552.66 ,$552.66 ,$552.66 ,"$1,233.39 ","$1,661.33 ","$1,503.72 ","$1,520.61 ","$1,520.61 ","$1,351.66 ","$1,711.17 ",$929.26 ,"$1,520.61 ","$1,661.33 ","$1,520.61 ","$1,661.33 ","$1,605.09 ","$3,737.98 ","$1,554.40 ",$585.82 ,"$1,537.51 ","$1,661.33 ","$1,039.76 ","$1,088.08 ","$1,039.76 ","$1,520.61 ","$1,520.61 ","$1,267.18 ","$1,520.61 ","$1,677.94 ",$580.29 ,"$1,579.75 ","$1,744.40 ",$552.66 ,"$1,469.93 ","$1,661.33 ","$1,520.61 ","$1,661.33 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,638.88 ","$1,368.55 ","$1,520.61 ","$1,520.61 ","$1,520.61 ","$1,520.61 " ST. JOSEPH'S - CHIPPEWA FALLS,36100060,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-LT,361,1 ,"$1,109.45 ",$832.09 ,$552.66 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$552.66 ,"$1,109.45 ",$569.24 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$552.66 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$552.66 ,$552.66 ,$552.66 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$585.82 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$832.09 ,$782.50 , N/A ,$580.29 ,"$1,037.34 ", N/A ,$552.66 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 ST. JOSEPH'S - CHIPPEWA FALLS,36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,"$1,109.45 ",$832.09 ,$552.66 ,"$1,109.45 ",$714.49 , N/A ,$776.62 ,$552.66 ,"$1,109.45 ",$569.24 ,"$1,109.45 ","$1,053.98 ", N/A ,$887.56 ,"$1,009.60 ",$552.66 , N/A ,"$1,053.98 ",$998.51 ,$943.03 ,$552.66 ,$552.66 ,$552.66 ,$809.90 , N/A ,$987.41 ,$998.51 ,$998.51 ,$887.56 , N/A ,$610.20 ,$998.51 , N/A ,$998.51 , N/A ,"$1,053.98 ", N/A ,"$1,020.69 ",$585.82 ,"$1,009.60 ", N/A ,$682.76 ,$714.49 ,$682.76 ,$998.51 ,$998.51 ,$832.09 ,$782.50 , N/A ,$580.29 ,"$1,037.34 ", N/A ,$552.66 ,$965.22 , N/A ,$998.51 , N/A ,$998.51 ,$998.51 ,$998.51 ,"$1,076.17 ",$898.65 ,$998.51 ,$998.51 ,$998.51 ,$998.51 ST. JOSEPH'S - CHIPPEWA FALLS,36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,"$1,010.29 ",$757.72 ,$101.56 ,"$1,010.29 ",$650.63 ,$252.94 ,$707.20 ,$101.56 ,"$1,010.29 ",$104.61 ,"$1,010.29 ",$959.78 , N/A ,$808.23 ,$919.36 ,$101.56 , N/A ,$959.78 ,$909.26 ,$858.75 ,$101.56 ,$101.56 ,$101.56 ,$737.51 ,$252.94 ,$899.16 ,$909.26 ,$909.26 ,$808.23 ,$260.53 ,$555.66 ,$909.26 ,$252.94 ,$909.26 ,$252.94 ,$959.78 ,$569.12 ,$929.47 ,$107.65 ,$919.36 ,$252.94 ,$621.73 ,$650.63 ,$621.73 ,$909.26 ,$909.26 ,$757.72 ,$782.50 ,$255.47 ,$106.64 ,$944.62 ,$265.59 ,$101.56 ,$878.95 ,$252.94 ,$909.26 ,$252.94 ,$909.26 ,$909.26 ,$909.26 ,$979.98 ,$818.33 ,$909.26 ,$909.26 ,$909.26 ,$909.26 ST. JOSEPH'S - CHIPPEWA FALLS,36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,"$1,010.29 ",$757.72 ,$101.56 ,"$1,010.29 ",$650.63 ,$252.94 ,$707.20 ,$101.56 ,"$1,010.29 ",$104.61 ,"$1,010.29 ",$959.78 , N/A ,$808.23 ,$919.36 ,$101.56 , N/A ,$959.78 ,$909.26 ,$858.75 ,$101.56 ,$101.56 ,$101.56 ,$737.51 ,$252.94 ,$899.16 ,$909.26 ,$909.26 ,$808.23 ,$260.53 ,$555.66 ,$909.26 ,$252.94 ,$909.26 ,$252.94 ,$959.78 ,$569.12 ,$929.47 ,$107.65 ,$919.36 ,$252.94 ,$621.73 ,$650.63 ,$621.73 ,$909.26 ,$909.26 ,$757.72 ,$782.50 ,$255.47 ,$106.64 ,$944.62 ,$265.59 ,$101.56 ,$878.95 ,$252.94 ,$909.26 ,$252.94 ,$909.26 ,$909.26 ,$909.26 ,$979.98 ,$818.33 ,$909.26 ,$909.26 ,$909.26 ,$909.26 ST. JOSEPH'S - CHIPPEWA FALLS,36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$397.91 ,$298.43 ,$101.56 ,$569.12 ,$256.25 ,$252.94 ,$278.54 ,$101.56 ,$397.91 ,$104.61 ,$397.91 ,$378.01 , N/A ,$318.33 ,$362.10 ,$101.56 , N/A ,$378.01 ,$358.12 ,$338.22 ,$101.56 ,$101.56 ,$101.56 ,$290.47 ,$252.94 ,$354.14 ,$358.12 ,$358.12 ,$318.33 ,$260.53 ,$218.85 ,$358.12 ,$252.94 ,$358.12 ,$252.94 ,$378.01 ,$569.12 ,$366.08 ,$107.65 ,$362.10 ,$252.94 ,$244.87 ,$256.25 ,$244.87 ,$358.12 ,$358.12 ,$298.43 ,$358.12 ,$255.47 ,$106.64 ,$372.05 ,$265.59 ,$101.56 ,$346.18 ,$252.94 ,$358.12 ,$252.94 ,$358.12 ,$358.12 ,$358.12 ,$385.97 ,$322.31 ,$358.12 ,$358.12 ,$358.12 ,$358.12 ST. JOSEPH'S - CHIPPEWA FALLS,36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$397.91 ,$298.43 ,$101.56 ,$569.12 ,$256.25 ,$252.94 ,$278.54 ,$101.56 ,$397.91 ,$104.61 ,$397.91 ,$378.01 , N/A ,$318.33 ,$362.10 ,$101.56 , N/A ,$378.01 ,$358.12 ,$338.22 ,$101.56 ,$101.56 ,$101.56 ,$290.47 ,$252.94 ,$354.14 ,$358.12 ,$358.12 ,$318.33 ,$260.53 ,$218.85 ,$358.12 ,$252.94 ,$358.12 ,$252.94 ,$378.01 ,$569.12 ,$366.08 ,$107.65 ,$362.10 ,$252.94 ,$244.87 ,$256.25 ,$244.87 ,$358.12 ,$358.12 ,$298.43 ,$358.12 ,$255.47 ,$106.64 ,$372.05 ,$265.59 ,$101.56 ,$346.18 ,$252.94 ,$358.12 ,$252.94 ,$358.12 ,$358.12 ,$358.12 ,$385.97 ,$322.31 ,$358.12 ,$358.12 ,$358.12 ,$358.12 ST. JOSEPH'S - CHIPPEWA FALLS,36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,$499.59 ,$374.69 ,$101.56 ,$569.12 ,$321.74 ,$252.94 ,$349.71 ,$101.56 ,$499.59 ,$104.61 ,$499.59 ,$474.61 , N/A ,$399.67 ,$454.63 ,$101.56 , N/A ,$474.61 ,$449.63 ,$424.65 ,$101.56 ,$101.56 ,$101.56 ,$364.70 ,$252.94 ,$444.64 ,$449.63 ,$449.63 ,$399.67 ,$260.53 ,$274.77 ,$449.63 ,$252.94 ,$449.63 ,$252.94 ,$474.61 ,$569.12 ,$459.62 ,$107.65 ,$454.63 ,$252.94 ,$307.45 ,$321.74 ,$307.45 ,$449.63 ,$449.63 ,$374.69 ,$449.63 ,$255.47 ,$106.64 ,$467.12 ,$265.59 ,$101.56 ,$434.64 ,$252.94 ,$449.63 ,$252.94 ,$449.63 ,$449.63 ,$449.63 ,$484.60 ,$404.67 ,$449.63 ,$449.63 ,$449.63 ,$449.63 ST. JOSEPH'S - CHIPPEWA FALLS,36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,$499.59 ,$374.69 ,$101.56 ,$569.12 ,$321.74 ,$252.94 ,$349.71 ,$101.56 ,$499.59 ,$104.61 ,$499.59 ,$474.61 , N/A ,$399.67 ,$454.63 ,$101.56 , N/A ,$474.61 ,$449.63 ,$424.65 ,$101.56 ,$101.56 ,$101.56 ,$364.70 ,$252.94 ,$444.64 ,$449.63 ,$449.63 ,$399.67 ,$260.53 ,$274.77 ,$449.63 ,$252.94 ,$449.63 ,$252.94 ,$474.61 ,$569.12 ,$459.62 ,$107.65 ,$454.63 ,$252.94 ,$307.45 ,$321.74 ,$307.45 ,$449.63 ,$449.63 ,$374.69 ,$449.63 ,$255.47 ,$106.64 ,$467.12 ,$265.59 ,$101.56 ,$434.64 ,$252.94 ,$449.63 ,$252.94 ,$449.63 ,$449.63 ,$449.63 ,$484.60 ,$404.67 ,$449.63 ,$449.63 ,$449.63 ,$449.63 ST. JOSEPH'S - CHIPPEWA FALLS,36100069,29125,HC APPL SHRT ARM SPLNT STAT-LT,361,1 ,$338.06 ,$253.55 ,$21.22 ,$338.06 ,$217.71 ,$108.42 ,$236.64 ,$21.22 ,$338.06 ,$21.86 ,$338.06 ,$321.16 , N/A ,$270.45 ,$307.63 ,$21.22 , N/A ,$321.16 ,$304.25 ,$287.35 ,$21.22 ,$21.22 ,$21.22 ,$246.78 ,$108.42 ,$300.87 ,$304.25 ,$304.25 ,$270.45 ,$111.68 ,$185.93 ,$304.25 ,$108.42 ,$304.25 ,$108.42 ,$321.16 ,$243.95 ,$311.02 ,$22.49 ,$307.63 ,$108.42 ,$208.04 ,$217.71 ,$208.04 ,$304.25 ,$304.25 ,$253.55 ,$304.25 ,$109.51 ,$22.28 ,$316.09 ,$113.84 ,$21.22 ,$294.11 ,$108.42 ,$304.25 ,$108.42 ,$304.25 ,$304.25 ,$304.25 ,$327.92 ,$273.83 ,$304.25 ,$304.25 ,$304.25 ,$304.25 ST. JOSEPH'S - CHIPPEWA FALLS,36100070,29125,HC APPL SHRT ARM SPLNT STAT-RT,361,1 ,$338.06 ,$253.55 ,$21.22 ,$338.06 ,$217.71 ,$108.42 ,$236.64 ,$21.22 ,$338.06 ,$21.86 ,$338.06 ,$321.16 , N/A ,$270.45 ,$307.63 ,$21.22 , N/A ,$321.16 ,$304.25 ,$287.35 ,$21.22 ,$21.22 ,$21.22 ,$246.78 ,$108.42 ,$300.87 ,$304.25 ,$304.25 ,$270.45 ,$111.68 ,$185.93 ,$304.25 ,$108.42 ,$304.25 ,$108.42 ,$321.16 ,$243.95 ,$311.02 ,$22.49 ,$307.63 ,$108.42 ,$208.04 ,$217.71 ,$208.04 ,$304.25 ,$304.25 ,$253.55 ,$304.25 ,$109.51 ,$22.28 ,$316.09 ,$113.84 ,$21.22 ,$294.11 ,$108.42 ,$304.25 ,$108.42 ,$304.25 ,$304.25 ,$304.25 ,$327.92 ,$273.83 ,$304.25 ,$304.25 ,$304.25 ,$304.25 ST. JOSEPH'S - CHIPPEWA FALLS,36100074,64616,HC CHEM/DEST NERVE MUSCLE NECK-LT,361,1 ,$886.46 ,$664.85 ,$121.61 ,$886.46 ,$570.88 ,$252.94 ,$620.52 ,$121.61 ,$886.46 ,$125.26 ,$886.46 ,$842.14 , N/A ,$709.17 ,$806.68 ,$121.61 , N/A ,$842.14 ,$797.81 ,$753.49 ,$121.61 ,$121.61 ,$121.61 ,$647.12 ,$252.94 ,$788.95 ,$797.81 ,$797.81 ,$709.17 ,$260.53 ,$487.55 ,$797.81 ,$252.94 ,$797.81 ,$252.94 ,$842.14 ,$569.12 ,$815.54 ,$128.91 ,$806.68 ,$252.94 ,$545.53 ,$570.88 ,$545.53 ,$797.81 ,$797.81 ,$664.85 ,$782.50 ,$255.47 ,$127.69 ,$828.84 ,$265.59 ,$121.61 ,$771.22 ,$252.94 ,$797.81 ,$252.94 ,$797.81 ,$797.81 ,$797.81 ,$859.87 ,$718.03 ,$797.81 ,$797.81 ,$797.81 ,$797.81 ST. JOSEPH'S - CHIPPEWA FALLS,36100075,64616,HC CHEM/DEST NERVE MUSCLE NECK-RT,361,1 ,$886.46 ,$664.85 ,$121.61 ,$886.46 ,$570.88 ,$252.94 ,$620.52 ,$121.61 ,$886.46 ,$125.26 ,$886.46 ,$842.14 , N/A ,$709.17 ,$806.68 ,$121.61 , N/A ,$842.14 ,$797.81 ,$753.49 ,$121.61 ,$121.61 ,$121.61 ,$647.12 ,$252.94 ,$788.95 ,$797.81 ,$797.81 ,$709.17 ,$260.53 ,$487.55 ,$797.81 ,$252.94 ,$797.81 ,$252.94 ,$842.14 ,$569.12 ,$815.54 ,$128.91 ,$806.68 ,$252.94 ,$545.53 ,$570.88 ,$545.53 ,$797.81 ,$797.81 ,$664.85 ,$782.50 ,$255.47 ,$127.69 ,$828.84 ,$265.59 ,$121.61 ,$771.22 ,$252.94 ,$797.81 ,$252.94 ,$797.81 ,$797.81 ,$797.81 ,$859.87 ,$718.03 ,$797.81 ,$797.81 ,$797.81 ,$797.81 ST. JOSEPH'S - CHIPPEWA FALLS,36100076,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-LT,361,1 ,"$1,133.86 ",$850.40 ,$507.66 ,"$1,142.23 ",$730.21 ,$507.66 ,$793.70 ,$552.66 ,"$1,133.86 ",$569.24 ,"$1,133.86 ","$1,077.17 ", N/A ,$907.09 ,"$1,031.81 ",$552.66 , N/A ,"$1,077.17 ","$1,020.47 ",$963.78 ,$552.66 ,$552.66 ,$552.66 ,$827.72 ,$507.66 ,"$1,009.14 ","$1,020.47 ","$1,020.47 ",$907.09 ,$522.89 ,$623.62 ,"$1,020.47 ",$507.66 ,"$1,020.47 ",$507.66 ,"$1,077.17 ","$1,142.23 ","$1,043.15 ",$585.82 ,"$1,031.81 ",$507.66 ,$697.78 ,$730.21 ,$697.78 ,"$1,020.47 ","$1,020.47 ",$850.40 ,$782.50 ,$512.74 ,$580.29 ,"$1,060.16 ",$533.04 ,$552.66 ,$986.46 ,$507.66 ,"$1,020.47 ",$507.66 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,099.84 ",$918.43 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,020.47 " ST. JOSEPH'S - CHIPPEWA FALLS,36100077,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-RT,361,1 ,"$1,133.86 ",$850.40 ,$507.66 ,"$1,142.23 ",$730.21 ,$507.66 ,$793.70 ,$552.66 ,"$1,133.86 ",$569.24 ,"$1,133.86 ","$1,077.17 ", N/A ,$907.09 ,"$1,031.81 ",$552.66 , N/A ,"$1,077.17 ","$1,020.47 ",$963.78 ,$552.66 ,$552.66 ,$552.66 ,$827.72 ,$507.66 ,"$1,009.14 ","$1,020.47 ","$1,020.47 ",$907.09 ,$522.89 ,$623.62 ,"$1,020.47 ",$507.66 ,"$1,020.47 ",$507.66 ,"$1,077.17 ","$1,142.23 ","$1,043.15 ",$585.82 ,"$1,031.81 ",$507.66 ,$697.78 ,$730.21 ,$697.78 ,"$1,020.47 ","$1,020.47 ",$850.40 ,$782.50 ,$512.74 ,$580.29 ,"$1,060.16 ",$533.04 ,$552.66 ,$986.46 ,$507.66 ,"$1,020.47 ",$507.66 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,099.84 ",$918.43 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,020.47 " ST. JOSEPH'S - CHIPPEWA FALLS,36100078,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-LT,361,1 ,$390.37 ,$292.78 ,$214.70 ,$585.82 ,$251.40 , N/A ,$273.26 ,$390.37 , N/A ,$569.24 , N/A ,$370.85 , N/A ,$312.30 ,$355.24 ,$390.37 , N/A ,$370.85 ,$351.33 ,$331.81 ,$552.66 ,$552.66 ,$552.66 ,$284.97 , N/A ,$347.43 ,$351.33 ,$351.33 ,$312.30 , N/A ,$214.70 ,$351.33 , N/A ,$351.33 , N/A ,$370.85 , N/A ,$359.14 ,$585.82 ,$355.24 , N/A ,$240.23 ,$251.40 ,$240.23 ,$351.33 ,$351.33 ,$292.78 , N/A , N/A ,$580.29 ,$365.00 , N/A ,$390.37 ,$339.62 , N/A ,$351.33 , N/A ,$351.33 ,$351.33 ,$351.33 ,$378.66 ,$316.20 ,$351.33 ,$351.33 ,$351.33 ,$351.33 ST. JOSEPH'S - CHIPPEWA FALLS,36100079,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-RT,361,1 ,$390.37 ,$292.78 ,$214.70 ,$585.82 ,$251.40 , N/A ,$273.26 ,$390.37 , N/A ,$569.24 , N/A ,$370.85 , N/A ,$312.30 ,$355.24 ,$390.37 , N/A ,$370.85 ,$351.33 ,$331.81 ,$552.66 ,$552.66 ,$552.66 ,$284.97 , N/A ,$347.43 ,$351.33 ,$351.33 ,$312.30 , N/A ,$214.70 ,$351.33 , N/A ,$351.33 , N/A ,$370.85 , N/A ,$359.14 ,$585.82 ,$355.24 , N/A ,$240.23 ,$251.40 ,$240.23 ,$351.33 ,$351.33 ,$292.78 , N/A , N/A ,$580.29 ,$365.00 , N/A ,$390.37 ,$339.62 , N/A ,$351.33 , N/A ,$351.33 ,$351.33 ,$351.33 ,$378.66 ,$316.20 ,$351.33 ,$351.33 ,$351.33 ,$351.33 ST. JOSEPH'S - CHIPPEWA FALLS,36100080,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-LT,361,1 ,"$1,613.31 ","$1,209.98 ",$552.66 ,"$3,737.98 ","$1,038.97 ","$1,661.33 ","$1,129.32 ",$552.66 ,"$1,613.31 ",$569.24 ,"$1,613.31 ","$1,532.64 ", N/A ,"$1,290.65 ","$1,468.11 ",$552.66 , N/A ,"$1,532.64 ","$1,451.98 ","$1,371.31 ",$552.66 ,$552.66 ,$552.66 ,"$1,177.72 ","$1,661.33 ","$1,435.85 ","$1,451.98 ","$1,451.98 ","$1,290.65 ","$1,711.17 ",$887.32 ,"$1,451.98 ","$1,661.33 ","$1,451.98 ","$1,661.33 ","$1,532.64 ","$3,737.98 ","$1,484.25 ",$585.82 ,"$1,468.11 ","$1,661.33 ",$992.83 ,"$1,038.97 ",$992.83 ,"$1,451.98 ","$1,451.98 ","$1,209.98 ","$1,451.98 ","$1,677.94 ",$580.29 ,"$1,508.44 ","$1,744.40 ",$552.66 ,"$1,403.58 ","$1,661.33 ","$1,451.98 ","$1,661.33 ","$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,564.91 ","$1,306.78 ","$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,451.98 " ST. JOSEPH'S - CHIPPEWA FALLS,36100081,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-RT,361,1 ,"$1,613.31 ","$1,209.98 ",$552.66 ,"$3,737.98 ","$1,038.97 ","$1,661.33 ","$1,129.32 ",$552.66 ,"$1,613.31 ",$569.24 ,"$1,613.31 ","$1,532.64 ", N/A ,"$1,290.65 ","$1,468.11 ",$552.66 , N/A ,"$1,532.64 ","$1,451.98 ","$1,371.31 ",$552.66 ,$552.66 ,$552.66 ,"$1,177.72 ","$1,661.33 ","$1,435.85 ","$1,451.98 ","$1,451.98 ","$1,290.65 ","$1,711.17 ",$887.32 ,"$1,451.98 ","$1,661.33 ","$1,451.98 ","$1,661.33 ","$1,532.64 ","$3,737.98 ","$1,484.25 ",$585.82 ,"$1,468.11 ","$1,661.33 ",$992.83 ,"$1,038.97 ",$992.83 ,"$1,451.98 ","$1,451.98 ","$1,209.98 ","$1,451.98 ","$1,677.94 ",$580.29 ,"$1,508.44 ","$1,744.40 ",$552.66 ,"$1,403.58 ","$1,661.33 ","$1,451.98 ","$1,661.33 ","$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,564.91 ","$1,306.78 ","$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,451.98 " ST. JOSEPH'S - CHIPPEWA FALLS,36100082,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-LT,361,1 ,"$1,059.37 ",$794.53 ,$552.66 ,"$1,059.37 ",$682.23 , N/A ,$741.56 ,$552.66 , N/A ,$569.24 , N/A ,"$1,006.40 ", N/A ,$847.50 ,$964.03 ,$552.66 , N/A ,"$1,006.40 ",$953.43 ,$900.46 ,$552.66 ,$552.66 ,$552.66 ,$773.34 , N/A ,$942.84 ,$953.43 ,$953.43 ,$847.50 , N/A ,$582.65 ,$953.43 , N/A ,$953.43 , N/A ,"$1,006.40 ", N/A ,$974.62 ,$585.82 ,$964.03 , N/A ,$651.94 ,$682.23 ,$651.94 ,$953.43 ,$953.43 ,$794.53 , N/A , N/A ,$580.29 ,$990.51 , N/A ,$552.66 ,$921.65 , N/A ,$953.43 , N/A ,$953.43 ,$953.43 ,$953.43 ,"$1,027.59 ",$858.09 ,$953.43 ,$953.43 ,$953.43 ,$953.43 ST. JOSEPH'S - CHIPPEWA FALLS,36100083,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-RT,361,1 ,"$1,059.37 ",$794.53 ,$552.66 ,"$1,059.37 ",$682.23 , N/A ,$741.56 ,$552.66 , N/A ,$569.24 , N/A ,"$1,006.40 ", N/A ,$847.50 ,$964.03 ,$552.66 , N/A ,"$1,006.40 ",$953.43 ,$900.46 ,$552.66 ,$552.66 ,$552.66 ,$773.34 , N/A ,$942.84 ,$953.43 ,$953.43 ,$847.50 , N/A ,$582.65 ,$953.43 , N/A ,$953.43 , N/A ,"$1,006.40 ", N/A ,$974.62 ,$585.82 ,$964.03 , N/A ,$651.94 ,$682.23 ,$651.94 ,$953.43 ,$953.43 ,$794.53 , N/A , N/A ,$580.29 ,$990.51 , N/A ,$552.66 ,$921.65 , N/A ,$953.43 , N/A ,$953.43 ,$953.43 ,$953.43 ,"$1,027.59 ",$858.09 ,$953.43 ,$953.43 ,$953.43 ,$953.43 ST. JOSEPH'S - CHIPPEWA FALLS,36100084,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-LT,361,1 ,"$1,133.86 ",$850.40 ,$507.66 ,"$1,142.23 ",$730.21 ,$507.66 ,$793.70 ,$552.66 ,"$1,133.86 ",$569.24 ,"$1,133.86 ","$1,077.17 ", N/A ,$907.09 ,"$1,031.81 ",$552.66 , N/A ,"$1,077.17 ","$1,020.47 ",$963.78 ,$552.66 ,$552.66 ,$552.66 ,$827.72 ,$507.66 ,"$1,009.14 ","$1,020.47 ","$1,020.47 ",$907.09 ,$522.89 ,$623.62 ,"$1,020.47 ",$507.66 ,"$1,020.47 ",$507.66 ,"$1,077.17 ","$1,142.23 ","$1,043.15 ",$585.82 ,"$1,031.81 ",$507.66 ,$697.78 ,$730.21 ,$697.78 ,"$1,020.47 ","$1,020.47 ",$850.40 ,$782.50 ,$512.74 ,$580.29 ,"$1,060.16 ",$533.04 ,$552.66 ,$986.46 ,$507.66 ,"$1,020.47 ",$507.66 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,099.84 ",$918.43 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,020.47 " ST. JOSEPH'S - CHIPPEWA FALLS,36100085,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-RT,361,1 ,"$1,133.86 ",$850.40 ,$507.66 ,"$1,142.23 ",$730.21 ,$507.66 ,$793.70 ,$552.66 ,"$1,133.86 ",$569.24 ,"$1,133.86 ","$1,077.17 ", N/A ,$907.09 ,"$1,031.81 ",$552.66 , N/A ,"$1,077.17 ","$1,020.47 ",$963.78 ,$552.66 ,$552.66 ,$552.66 ,$827.72 ,$507.66 ,"$1,009.14 ","$1,020.47 ","$1,020.47 ",$907.09 ,$522.89 ,$623.62 ,"$1,020.47 ",$507.66 ,"$1,020.47 ",$507.66 ,"$1,077.17 ","$1,142.23 ","$1,043.15 ",$585.82 ,"$1,031.81 ",$507.66 ,$697.78 ,$730.21 ,$697.78 ,"$1,020.47 ","$1,020.47 ",$850.40 ,$782.50 ,$512.74 ,$580.29 ,"$1,060.16 ",$533.04 ,$552.66 ,$986.46 ,$507.66 ,"$1,020.47 ",$507.66 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,099.84 ",$918.43 ,"$1,020.47 ","$1,020.47 ","$1,020.47 ","$1,020.47 " ST. JOSEPH'S - CHIPPEWA FALLS,36100086,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-LT,361,1 ,$390.37 ,$292.78 ,$214.70 ,$585.82 ,$251.40 , N/A ,$273.26 ,$390.37 , N/A ,$569.24 , N/A ,$370.85 , N/A ,$312.30 ,$355.24 ,$390.37 , N/A ,$370.85 ,$351.33 ,$331.81 ,$552.66 ,$552.66 ,$552.66 ,$284.97 , N/A ,$347.43 ,$351.33 ,$351.33 ,$312.30 , N/A ,$214.70 ,$351.33 , N/A ,$351.33 , N/A ,$370.85 , N/A ,$359.14 ,$585.82 ,$355.24 , N/A ,$240.23 ,$251.40 ,$240.23 ,$351.33 ,$351.33 ,$292.78 , N/A , N/A ,$580.29 ,$365.00 , N/A ,$390.37 ,$339.62 , N/A ,$351.33 , N/A ,$351.33 ,$351.33 ,$351.33 ,$378.66 ,$316.20 ,$351.33 ,$351.33 ,$351.33 ,$351.33 ST. JOSEPH'S - CHIPPEWA FALLS,36100087,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-RT,361,1 ,$390.37 ,$292.78 ,$214.70 ,$585.82 ,$251.40 , N/A ,$273.26 ,$390.37 , N/A ,$569.24 , N/A ,$370.85 , N/A ,$312.30 ,$355.24 ,$390.37 , N/A ,$370.85 ,$351.33 ,$331.81 ,$552.66 ,$552.66 ,$552.66 ,$284.97 , N/A ,$347.43 ,$351.33 ,$351.33 ,$312.30 , N/A ,$214.70 ,$351.33 , N/A ,$351.33 , N/A ,$370.85 , N/A ,$359.14 ,$585.82 ,$355.24 , N/A ,$240.23 ,$251.40 ,$240.23 ,$351.33 ,$351.33 ,$292.78 , N/A , N/A ,$580.29 ,$365.00 , N/A ,$390.37 ,$339.62 , N/A ,$351.33 , N/A ,$351.33 ,$351.33 ,$351.33 ,$378.66 ,$316.20 ,$351.33 ,$351.33 ,$351.33 ,$351.33 ST. JOSEPH'S - CHIPPEWA FALLS,36100088,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-LT,361,1 ,"$1,613.31 ","$1,209.98 ",$507.66 ,"$1,613.31 ","$1,038.97 ",$507.66 ,"$1,129.32 ",$552.66 ,"$1,613.31 ",$569.24 ,"$1,613.31 ","$1,532.64 ", N/A ,"$1,290.65 ","$1,468.11 ",$552.66 , N/A ,"$1,532.64 ","$1,451.98 ","$1,371.31 ",$552.66 ,$552.66 ,$552.66 ,"$1,177.72 ",$507.66 ,"$1,435.85 ","$1,451.98 ","$1,451.98 ","$1,290.65 ",$522.89 ,$887.32 ,"$1,451.98 ",$507.66 ,"$1,451.98 ",$507.66 ,"$1,532.64 ","$1,142.23 ","$1,484.25 ",$585.82 ,"$1,468.11 ",$507.66 ,$992.83 ,"$1,038.97 ",$992.83 ,"$1,451.98 ","$1,451.98 ","$1,209.98 ",$782.50 ,$512.74 ,$580.29 ,"$1,508.44 ",$533.04 ,$552.66 ,"$1,403.58 ",$507.66 ,"$1,451.98 ",$507.66 ,"$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,564.91 ","$1,306.78 ","$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,451.98 " ST. JOSEPH'S - CHIPPEWA FALLS,36100089,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-RT,361,1 ,"$1,613.31 ","$1,209.98 ",$507.66 ,"$1,613.31 ","$1,038.97 ",$507.66 ,"$1,129.32 ",$552.66 ,"$1,613.31 ",$569.24 ,"$1,613.31 ","$1,532.64 ", N/A ,"$1,290.65 ","$1,468.11 ",$552.66 , N/A ,"$1,532.64 ","$1,451.98 ","$1,371.31 ",$552.66 ,$552.66 ,$552.66 ,"$1,177.72 ",$507.66 ,"$1,435.85 ","$1,451.98 ","$1,451.98 ","$1,290.65 ",$522.89 ,$887.32 ,"$1,451.98 ",$507.66 ,"$1,451.98 ",$507.66 ,"$1,532.64 ","$1,142.23 ","$1,484.25 ",$585.82 ,"$1,468.11 ",$507.66 ,$992.83 ,"$1,038.97 ",$992.83 ,"$1,451.98 ","$1,451.98 ","$1,209.98 ",$782.50 ,$512.74 ,$580.29 ,"$1,508.44 ",$533.04 ,$552.66 ,"$1,403.58 ",$507.66 ,"$1,451.98 ",$507.66 ,"$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,564.91 ","$1,306.78 ","$1,451.98 ","$1,451.98 ","$1,451.98 ","$1,451.98 " ST. JOSEPH'S - CHIPPEWA FALLS,36100090,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-LT,361,1 ,"$1,059.37 ",$794.53 ,$552.66 ,"$1,059.37 ",$682.23 , N/A ,$741.56 ,$552.66 , N/A ,$569.24 , N/A ,"$1,006.40 ", N/A ,$847.50 ,$964.03 ,$552.66 , N/A ,"$1,006.40 ",$953.43 ,$900.46 ,$552.66 ,$552.66 ,$552.66 ,$773.34 , N/A ,$942.84 ,$953.43 ,$953.43 ,$847.50 , N/A ,$582.65 ,$953.43 , N/A ,$953.43 , N/A ,"$1,006.40 ", N/A ,$974.62 ,$585.82 ,$964.03 , N/A ,$651.94 ,$682.23 ,$651.94 ,$953.43 ,$953.43 ,$794.53 , N/A , N/A ,$580.29 ,$990.51 , N/A ,$552.66 ,$921.65 , N/A ,$953.43 , N/A ,$953.43 ,$953.43 ,$953.43 ,"$1,027.59 ",$858.09 ,$953.43 ,$953.43 ,$953.43 ,$953.43 ST. JOSEPH'S - CHIPPEWA FALLS,36100091,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-RT,361,1 ,"$1,059.37 ",$794.53 ,$552.66 ,"$1,059.37 ",$682.23 , N/A ,$741.56 ,$552.66 , N/A ,$569.24 , N/A ,"$1,006.40 ", N/A ,$847.50 ,$964.03 ,$552.66 , N/A ,"$1,006.40 ",$953.43 ,$900.46 ,$552.66 ,$552.66 ,$552.66 ,$773.34 , N/A ,$942.84 ,$953.43 ,$953.43 ,$847.50 , N/A ,$582.65 ,$953.43 , N/A ,$953.43 , N/A ,"$1,006.40 ", N/A ,$974.62 ,$585.82 ,$964.03 , N/A ,$651.94 ,$682.23 ,$651.94 ,$953.43 ,$953.43 ,$794.53 , N/A , N/A ,$580.29 ,$990.51 , N/A ,$552.66 ,$921.65 , N/A ,$953.43 , N/A ,$953.43 ,$953.43 ,$953.43 ,"$1,027.59 ",$858.09 ,$953.43 ,$953.43 ,$953.43 ,$953.43 ST. JOSEPH'S - CHIPPEWA FALLS,36100093,N/A,HC CENTRAL LINE INSERTION,361,1 ,$453.24 ,$339.93 ,$249.28 ,$453.24 ,$291.89 , N/A ,$317.27 , N/A , N/A , N/A , N/A ,$430.58 , N/A ,$362.59 ,$412.45 , N/A , N/A ,$430.58 ,$407.92 ,$385.25 , N/A , N/A , N/A ,$330.87 , N/A ,$403.38 ,$407.92 ,$407.92 ,$362.59 , N/A ,$249.28 ,$407.92 , N/A ,$407.92 , N/A ,$430.58 , N/A ,$416.98 , N/A ,$412.45 , N/A , N/A ,$291.89 , N/A ,$407.92 ,$407.92 ,$339.93 , N/A , N/A , N/A ,$423.78 , N/A , N/A ,$394.32 , N/A ,$407.92 , N/A ,$407.92 ,$407.92 ,$407.92 ,$439.64 ,$367.12 ,$407.92 ,$407.92 ,$407.92 ,$407.92 ST. JOSEPH'S - CHIPPEWA FALLS,36100094,49082,HC PARACENTESIS,361,1 ,$442.07 ,$331.55 ,$202.63 ,"$1,764.22 ",$284.69 ,$784.10 ,$309.45 ,$202.63 ,$442.07 ,$208.71 ,$442.07 ,$419.97 , N/A ,$353.66 ,$402.28 ,$202.63 , N/A ,$419.97 ,$397.86 ,$375.76 ,$202.63 ,$202.63 ,$202.63 ,$322.71 ,$784.10 ,$393.44 ,$397.86 ,$397.86 ,$353.66 ,$807.62 ,$243.14 ,$397.86 ,$784.10 ,$397.86 ,$784.10 ,$419.97 ,"$1,764.22 ",$406.70 ,$214.79 ,$402.28 ,$784.10 ,$272.05 ,$284.69 ,$272.05 ,$397.86 ,$397.86 ,$331.55 ,$397.86 ,$791.94 ,$212.76 ,$413.34 ,$823.31 ,$202.63 ,$384.60 ,$784.10 ,$397.86 ,$784.10 ,$397.86 ,$397.86 ,$397.86 ,$428.81 ,$358.08 ,$397.86 ,$397.86 ,$397.86 ,$397.86 ST. JOSEPH'S - CHIPPEWA FALLS,36100098,31622,HC BRONCHOSCOPY DIAGNOSTIC,361,1 ,"$1,902.90 ","$1,427.18 ",$468.79 ,"$3,260.82 ","$1,225.47 ","$1,449.25 ","$1,332.03 ",$468.79 ,"$1,902.90 ",$482.85 ,"$1,902.90 ","$1,807.76 ", N/A ,"$1,522.32 ","$1,731.64 ",$468.79 , N/A ,"$1,807.76 ","$1,712.61 ","$1,617.47 ",$468.79 ,$468.79 ,$468.79 ,"$1,389.12 ","$1,449.25 ","$1,693.58 ","$1,712.61 ","$1,712.61 ","$1,522.32 ","$1,492.73 ","$1,046.60 ","$1,712.61 ","$1,449.25 ","$1,712.61 ","$1,449.25 ","$1,807.76 ","$3,260.82 ","$1,750.67 ",$496.92 ,"$1,731.64 ","$1,449.25 ","$1,171.04 ","$1,225.47 ","$1,171.04 ","$1,712.61 ","$1,712.61 ","$1,427.18 ","$1,712.61 ","$1,463.75 ",$492.23 ,"$1,779.21 ","$1,521.71 ",$468.79 ,"$1,655.52 ","$1,449.25 ","$1,712.61 ","$1,449.25 ","$1,712.61 ","$1,712.61 ","$1,712.61 ","$1,845.81 ","$1,541.35 ","$1,712.61 ","$1,712.61 ","$1,712.61 ","$1,712.61 " ST. JOSEPH'S - CHIPPEWA FALLS,36100099,31645,HC BRONCHOSCOPY THERAPEUTIC,361,1 ,"$1,999.94 ","$1,499.96 ",$468.79 ,"$3,260.82 ","$1,287.96 ","$1,449.25 ","$1,399.96 ",$468.79 ,"$1,999.94 ",$482.85 ,"$1,999.94 ","$1,899.94 ", N/A ,"$1,599.95 ","$1,819.95 ",$468.79 , N/A ,"$1,899.94 ","$1,799.95 ","$1,699.95 ",$468.79 ,$468.79 ,$468.79 ,"$1,459.96 ","$1,449.25 ","$1,779.95 ","$1,799.95 ","$1,799.95 ","$1,599.95 ","$1,492.73 ","$1,099.97 ","$1,799.95 ","$1,449.25 ","$1,799.95 ","$1,449.25 ","$1,899.94 ","$3,260.82 ","$1,839.94 ",$496.92 ,"$1,819.95 ","$1,449.25 ","$1,230.76 ","$1,287.96 ","$1,230.76 ","$1,799.95 ","$1,799.95 ","$1,499.96 ","$1,799.95 ","$1,463.75 ",$492.23 ,"$1,869.94 ","$1,521.71 ",$468.79 ,"$1,739.95 ","$1,449.25 ","$1,799.95 ","$1,449.25 ","$1,799.95 ","$1,799.95 ","$1,799.95 ","$1,939.94 ","$1,619.95 ","$1,799.95 ","$1,799.95 ","$1,799.95 ","$1,799.95 " ST. JOSEPH'S - CHIPPEWA FALLS,36100100,62320,HC INJ INTRLAMNR CERV/THOR W/O GUIDE,361,1 ,"$1,800.94 ","$1,350.71 ",$263.02 ,"$1,800.94 ","$1,159.81 ",$614.60 ,"$1,260.66 ",$263.02 ,"$1,800.94 ",$270.91 ,"$1,800.94 ","$1,710.89 ", N/A ,"$1,440.75 ","$1,638.86 ",$263.02 , N/A ,"$1,710.89 ","$1,620.85 ","$1,530.80 ",$263.02 ,$263.02 ,$263.02 ,"$1,314.69 ",$614.60 ,"$1,602.84 ","$1,620.85 ","$1,620.85 ","$1,440.75 ",$633.04 ,$990.52 ,"$1,620.85 ",$614.60 ,"$1,620.85 ",$614.60 ,"$1,710.89 ","$1,382.85 ","$1,656.86 ",$278.80 ,"$1,638.86 ",$614.60 ,"$1,108.30 ","$1,159.81 ","$1,108.30 ","$1,620.85 ","$1,620.85 ","$1,350.71 ",$900.47 ,$620.75 ,$276.17 ,"$1,683.88 ",$645.33 ,$263.02 ,"$1,566.82 ",$614.60 ,"$1,620.85 ",$614.60 ,"$1,620.85 ","$1,620.85 ","$1,620.85 ","$1,746.91 ","$1,458.76 ","$1,620.85 ","$1,620.85 ","$1,620.85 ","$1,620.85 " ST. JOSEPH'S - CHIPPEWA FALLS,36100101,62321,HC INJ INTRLAMNR CERV/THOR W/GUIDE,361,1 ,"$1,800.94 ","$1,350.71 ",$263.02 ,"$1,800.94 ","$1,159.81 ",$614.60 ,"$1,260.66 ",$263.02 ,"$1,800.94 ",$270.91 ,"$1,800.94 ","$1,710.89 ", N/A ,"$1,440.75 ","$1,638.86 ",$263.02 , N/A ,"$1,710.89 ","$1,620.85 ","$1,530.80 ",$263.02 ,$263.02 ,$263.02 ,"$1,314.69 ",$614.60 ,"$1,602.84 ","$1,620.85 ","$1,620.85 ","$1,440.75 ",$633.04 ,$990.52 ,"$1,620.85 ",$614.60 ,"$1,620.85 ",$614.60 ,"$1,710.89 ","$1,382.85 ","$1,656.86 ",$278.80 ,"$1,638.86 ",$614.60 ,"$1,108.30 ","$1,159.81 ","$1,108.30 ","$1,620.85 ","$1,620.85 ","$1,350.71 ",$900.47 ,$620.75 ,$276.17 ,"$1,683.88 ",$645.33 ,$263.02 ,"$1,566.82 ",$614.60 ,"$1,620.85 ",$614.60 ,"$1,620.85 ","$1,620.85 ","$1,620.85 ","$1,746.91 ","$1,458.76 ","$1,620.85 ","$1,620.85 ","$1,620.85 ","$1,620.85 " ST. JOSEPH'S - CHIPPEWA FALLS,36100102,62322,HC INJ INTRLAMNR LUM/SAC W/O GUIDE,361,1 ,$977.42 ,$733.07 ,$263.02 ,"$1,382.85 ",$629.46 ,$614.60 ,$684.19 ,$263.02 ,$977.42 ,$270.91 ,$977.42 ,$928.55 , N/A ,$781.94 ,$889.45 ,$263.02 , N/A ,$928.55 ,$879.68 ,$830.81 ,$263.02 ,$263.02 ,$263.02 ,$713.52 ,$614.60 ,$869.90 ,$879.68 ,$879.68 ,$781.94 ,$633.04 ,$537.58 ,$879.68 ,$614.60 ,$879.68 ,$614.60 ,$928.55 ,"$1,382.85 ",$899.23 ,$278.80 ,$889.45 ,$614.60 ,$601.50 ,$629.46 ,$601.50 ,$879.68 ,$879.68 ,$733.07 ,$782.50 ,$620.75 ,$276.17 ,$913.89 ,$645.33 ,$263.02 ,$850.36 ,$614.60 ,$879.68 ,$614.60 ,$879.68 ,$879.68 ,$879.68 ,$948.10 ,$791.71 ,$879.68 ,$879.68 ,$879.68 ,$879.68 ST. JOSEPH'S - CHIPPEWA FALLS,36100103,62323,HC INJ INTRLAMNR LUM/SAC W/GUIDE,361,1 ,$977.42 ,$733.07 ,$263.02 ,"$1,382.85 ",$629.46 ,$614.60 ,$684.19 ,$263.02 ,$977.42 ,$270.91 ,$977.42 ,$928.55 , N/A ,$781.94 ,$889.45 ,$263.02 , N/A ,$928.55 ,$879.68 ,$830.81 ,$263.02 ,$263.02 ,$263.02 ,$713.52 ,$614.60 ,$869.90 ,$879.68 ,$879.68 ,$781.94 ,$633.04 ,$537.58 ,$879.68 ,$614.60 ,$879.68 ,$614.60 ,$928.55 ,"$1,382.85 ",$899.23 ,$278.80 ,$889.45 ,$614.60 ,$601.50 ,$629.46 ,$601.50 ,$879.68 ,$879.68 ,$733.07 ,$782.50 ,$620.75 ,$276.17 ,$913.89 ,$645.33 ,$263.02 ,$850.36 ,$614.60 ,$879.68 ,$614.60 ,$879.68 ,$879.68 ,$879.68 ,$948.10 ,$791.71 ,$879.68 ,$879.68 ,$879.68 ,$879.68 ST. JOSEPH'S - CHIPPEWA FALLS,36100106,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$2,602.47 ","$1,951.85 ",$263.02 ,"$2,602.47 ","$1,675.99 ",$796.55 ,"$1,821.73 ",$263.02 ,"$2,602.47 ",$270.91 ,"$2,547.00 ","$2,472.35 ", N/A ,"$2,081.98 ","$2,368.25 ",$263.02 , N/A ,"$2,472.35 ","$2,342.22 ","$2,212.10 ",$263.02 ,$263.02 ,$263.02 ,"$1,899.80 ",$796.55 ,"$2,316.20 ","$2,342.22 ","$2,342.22 ","$2,081.98 ",$820.45 ,"$1,431.36 ","$2,342.22 ",$796.55 ,"$2,342.22 ",$796.55 ,"$2,472.35 ","$1,792.24 ","$2,394.27 ",$278.80 ,"$2,368.25 ",$796.55 ,"$1,601.56 ","$1,675.99 ","$1,601.56 ","$2,342.22 ","$2,342.22 ","$1,951.85 ","$2,207.05 ",$804.52 ,$276.17 ,"$2,433.31 ",$836.38 ,$263.02 ,"$2,264.15 ",$796.55 ,"$2,342.22 ",$796.55 ,"$2,342.22 ","$2,342.22 ","$2,342.22 ","$2,524.40 ","$2,108.00 ","$2,342.22 ","$2,342.22 ","$2,342.22 ","$2,342.22 " ST. JOSEPH'S - CHIPPEWA FALLS,36100107,62327,HC INJ W/CATH LUM/SAC W/GUIDE,361,1 ,"$2,602.47 ","$1,951.85 ",$263.02 ,"$2,602.47 ","$1,675.99 ",$796.55 ,"$1,821.73 ",$263.02 ,"$2,602.47 ",$270.91 ,"$2,547.00 ","$2,472.35 ", N/A ,"$2,081.98 ","$2,368.25 ",$263.02 , N/A ,"$2,472.35 ","$2,342.22 ","$2,212.10 ",$263.02 ,$263.02 ,$263.02 ,"$1,899.80 ",$796.55 ,"$2,316.20 ","$2,342.22 ","$2,342.22 ","$2,081.98 ",$820.45 ,"$1,431.36 ","$2,342.22 ",$796.55 ,"$2,342.22 ",$796.55 ,"$2,472.35 ","$1,792.24 ","$2,394.27 ",$278.80 ,"$2,368.25 ",$796.55 ,"$1,601.56 ","$1,675.99 ","$1,601.56 ","$2,342.22 ","$2,342.22 ","$1,951.85 ","$2,207.05 ",$804.52 ,$276.17 ,"$2,433.31 ",$836.38 ,$263.02 ,"$2,264.15 ",$796.55 ,"$2,342.22 ",$796.55 ,"$2,342.22 ","$2,342.22 ","$2,342.22 ","$2,524.40 ","$2,108.00 ","$2,342.22 ","$2,342.22 ","$2,342.22 ","$2,342.22 " ST. JOSEPH'S - CHIPPEWA FALLS,36100230,50436,HC DILATION EXIST TRACT ENDOURAL W/GUIDE,361,1 ,"$2,000.71 ","$1,500.53 ",$430.16 ,"$6,703.73 ","$1,288.46 ","$2,979.44 ","$1,400.50 ",$430.16 ,"$2,000.71 ",$443.06 ,"$2,000.71 ","$1,900.67 ", N/A ,"$1,600.57 ","$1,820.65 ",$430.16 , N/A ,"$1,900.67 ","$1,800.64 ","$1,700.60 ",$430.16 ,$430.16 ,$430.16 ,"$1,460.52 ","$2,979.44 ","$1,780.63 ","$1,800.64 ","$1,800.64 ","$1,600.57 ","$3,068.82 ","$1,100.39 ","$1,800.64 ","$2,979.44 ","$1,800.64 ","$2,979.44 ","$1,900.67 ","$6,703.73 ","$1,840.65 ",$455.97 ,"$1,820.65 ","$2,979.44 ","$1,231.24 ","$1,288.46 ","$1,231.24 ","$1,800.64 ","$1,800.64 ","$1,500.53 ","$1,800.64 ","$3,009.23 ",$451.67 ,"$1,870.66 ","$3,128.41 ",$430.16 ,"$1,740.62 ","$2,979.44 ","$1,800.64 ","$2,979.44 ","$1,800.64 ","$1,800.64 ","$1,800.64 ","$1,940.69 ","$1,620.58 ","$1,800.64 ","$1,800.64 ","$1,800.64 ","$1,800.64 " ST. JOSEPH'S - CHIPPEWA FALLS,36100233,11105,HC BIOPSY SKIN PUNCH ADDL LESN,361,1 ,$315.69 ,$236.77 ,$161.28 ,$315.69 ,$203.30 , N/A ,$220.98 ,$161.28 , N/A ,$166.12 , N/A ,$299.91 , N/A ,$252.55 ,$287.28 ,$161.28 , N/A ,$299.91 ,$284.12 ,$268.34 ,$161.28 ,$161.28 ,$161.28 ,$230.45 , N/A ,$280.96 ,$284.12 ,$284.12 ,$252.55 , N/A ,$173.63 ,$284.12 , N/A ,$284.12 , N/A ,$299.91 , N/A ,$290.43 ,$170.96 ,$287.28 , N/A ,$194.28 ,$203.30 ,$194.28 ,$284.12 ,$284.12 ,$236.77 , N/A , N/A ,$169.34 ,$295.17 , N/A ,$161.28 ,$274.65 , N/A ,$284.12 , N/A ,$284.12 ,$284.12 ,$284.12 ,$306.22 ,$255.71 ,$284.12 ,$284.12 ,$284.12 ,$284.12 ST. JOSEPH'S - CHIPPEWA FALLS,36100236,11104,HC BIOPSY SKIN PUNCH INIT LESN,361,1 ,$571.07 ,$428.30 ,$161.28 ,$753.63 ,$367.77 ,$334.95 ,$399.75 ,$161.28 ,$571.07 ,$166.12 ,$571.07 ,$542.52 , N/A ,$456.86 ,$519.67 ,$161.28 , N/A ,$542.52 ,$513.96 ,$485.41 ,$161.28 ,$161.28 ,$161.28 ,$416.88 ,$334.95 ,$508.25 ,$513.96 ,$513.96 ,$456.86 ,$344.99 ,$314.09 ,$513.96 ,$334.95 ,$513.96 ,$334.95 ,$542.52 ,$753.63 ,$525.38 ,$170.96 ,$519.67 ,$334.95 ,$351.44 ,$367.77 ,$351.44 ,$513.96 ,$513.96 ,$428.30 ,$513.96 ,$338.30 ,$169.34 ,$533.95 ,$351.70 ,$161.28 ,$496.83 ,$334.95 ,$513.96 ,$334.95 ,$513.96 ,$513.96 ,$513.96 ,$553.94 ,$462.57 ,$513.96 ,$513.96 ,$513.96 ,$513.96 ST. JOSEPH'S - CHIPPEWA FALLS,36100238,10005,HC ASP FINE NDL W/US GUIDE INIT LESN,361,1 ,"$1,098.46 ",$823.85 ,$180.17 ,"$1,355.35 ",$707.41 ,$602.38 ,$768.92 ,$180.17 ,"$1,098.46 ",$185.58 ,"$1,098.46 ","$1,043.54 ", N/A ,$878.77 ,$999.60 ,$180.17 , N/A ,"$1,043.54 ",$988.61 ,$933.69 ,$180.17 ,$180.17 ,$180.17 ,$801.88 ,$602.38 ,$977.63 ,$988.61 ,$988.61 ,$878.77 ,$620.45 ,$604.15 ,$988.61 ,$602.38 ,$988.61 ,$602.38 ,"$1,043.54 ","$1,355.35 ","$1,010.58 ",$190.98 ,$999.60 ,$602.38 ,$675.99 ,$707.41 ,$675.99 ,$988.61 ,$988.61 ,$823.85 ,$988.61 ,$608.40 ,$189.18 ,"$1,027.06 ",$632.50 ,$180.17 ,$955.66 ,$602.38 ,$988.61 ,$602.38 ,$988.61 ,$988.61 ,$988.61 ,"$1,065.51 ",$889.75 ,$988.61 ,$988.61 ,$988.61 ,$988.61 ST. JOSEPH'S - CHIPPEWA FALLS,36100239,10006,HC ASP FINE NDL W/US GUIDE EA ADDL LESN,361,1 ,"$1,098.46 ",$823.85 ,$180.17 ,"$1,098.46 ",$707.41 , N/A ,$768.92 ,$180.17 , N/A ,$185.58 , N/A ,"$1,043.54 ", N/A ,$878.77 ,$999.60 ,$180.17 , N/A ,"$1,043.54 ",$988.61 ,$933.69 ,$180.17 ,$180.17 ,$180.17 ,$801.88 , N/A ,$977.63 ,$988.61 ,$988.61 ,$878.77 , N/A ,$604.15 ,$988.61 , N/A ,$988.61 , N/A ,"$1,043.54 ", N/A ,"$1,010.58 ",$190.98 ,$999.60 , N/A ,$675.99 ,$707.41 ,$675.99 ,$988.61 ,$988.61 ,$823.85 , N/A , N/A ,$189.18 ,"$1,027.06 ", N/A ,$180.17 ,$955.66 , N/A ,$988.61 , N/A ,$988.61 ,$988.61 ,$988.61 ,"$1,065.51 ",$889.75 ,$988.61 ,$988.61 ,$988.61 ,$988.61 ST. JOSEPH'S - CHIPPEWA FALLS,36100240,10007,HC ASP FINE NDL W/FLUORO GUIDE INIT LESN,361,1 ,"$1,098.46 ",$823.85 ,$180.17 ,"$1,355.35 ",$707.41 ,$602.38 ,$768.92 ,$180.17 ,"$1,098.46 ",$185.58 ,"$1,098.46 ","$1,043.54 ", N/A ,$878.77 ,$999.60 ,$180.17 , N/A ,"$1,043.54 ",$988.61 ,$933.69 ,$180.17 ,$180.17 ,$180.17 ,$801.88 ,$602.38 ,$977.63 ,$988.61 ,$988.61 ,$878.77 ,$620.45 ,$604.15 ,$988.61 ,$602.38 ,$988.61 ,$602.38 ,"$1,043.54 ","$1,355.35 ","$1,010.58 ",$190.98 ,$999.60 ,$602.38 ,$675.99 ,$707.41 ,$675.99 ,$988.61 ,$988.61 ,$823.85 ,$988.61 ,$608.40 ,$189.18 ,"$1,027.06 ",$632.50 ,$180.17 ,$955.66 ,$602.38 ,$988.61 ,$602.38 ,$988.61 ,$988.61 ,$988.61 ,"$1,065.51 ",$889.75 ,$988.61 ,$988.61 ,$988.61 ,$988.61 ST. JOSEPH'S - CHIPPEWA FALLS,36100241,10008,HC ASP FINE NDL W/FLUORO GUIDE EA ADDL LESN,361,1 ,$999.15 ,$749.36 ,$180.17 ,$999.15 ,$643.45 , N/A ,$699.41 ,$180.17 , N/A ,$185.58 , N/A ,$949.19 , N/A ,$799.32 ,$909.23 ,$180.17 , N/A ,$949.19 ,$899.24 ,$849.28 ,$180.17 ,$180.17 ,$180.17 ,$729.38 , N/A ,$889.24 ,$899.24 ,$899.24 ,$799.32 , N/A ,$549.53 ,$899.24 , N/A ,$899.24 , N/A ,$949.19 , N/A ,$919.22 ,$190.98 ,$909.23 , N/A ,$614.88 ,$643.45 ,$614.88 ,$899.24 ,$899.24 ,$749.36 , N/A , N/A ,$189.18 ,$934.21 , N/A ,$180.17 ,$869.26 , N/A ,$899.24 , N/A ,$899.24 ,$899.24 ,$899.24 ,$969.18 ,$809.31 ,$899.24 ,$899.24 ,$899.24 ,$899.24 ST. JOSEPH'S - CHIPPEWA FALLS,36100242,10009,HC ASP FINE NDL W/CT GUIDE INIT LESN,361,1 ,"$1,098.46 ",$823.85 ,$180.17 ,"$1,355.35 ",$707.41 ,$602.38 ,$768.92 ,$180.17 ,"$1,098.46 ",$185.58 ,"$1,098.46 ","$1,043.54 ", N/A ,$878.77 ,$999.60 ,$180.17 , N/A ,"$1,043.54 ",$988.61 ,$933.69 ,$180.17 ,$180.17 ,$180.17 ,$801.88 ,$602.38 ,$977.63 ,$988.61 ,$988.61 ,$878.77 ,$620.45 ,$604.15 ,$988.61 ,$602.38 ,$988.61 ,$602.38 ,"$1,043.54 ","$1,355.35 ","$1,010.58 ",$190.98 ,$999.60 ,$602.38 ,$675.99 ,$707.41 ,$675.99 ,$988.61 ,$988.61 ,$823.85 ,$988.61 ,$608.40 ,$189.18 ,"$1,027.06 ",$632.50 ,$180.17 ,$955.66 ,$602.38 ,$988.61 ,$602.38 ,$988.61 ,$988.61 ,$988.61 ,"$1,065.51 ",$889.75 ,$988.61 ,$988.61 ,$988.61 ,$988.61 ST. JOSEPH'S - CHIPPEWA FALLS,36100243,10010,HC ASP FINE NDL W/CT GUIDE EA ADDL LESN,361,1 ,$999.15 ,$749.36 ,$180.17 ,$999.15 ,$643.45 , N/A ,$699.41 ,$180.17 , N/A ,$185.58 , N/A ,$949.19 , N/A ,$799.32 ,$909.23 ,$180.17 , N/A ,$949.19 ,$899.24 ,$849.28 ,$180.17 ,$180.17 ,$180.17 ,$729.38 , N/A ,$889.24 ,$899.24 ,$899.24 ,$799.32 , N/A ,$549.53 ,$899.24 , N/A ,$899.24 , N/A ,$949.19 , N/A ,$919.22 ,$190.98 ,$909.23 , N/A ,$614.88 ,$643.45 ,$614.88 ,$899.24 ,$899.24 ,$749.36 , N/A , N/A ,$189.18 ,$934.21 , N/A ,$180.17 ,$869.26 , N/A ,$899.24 , N/A ,$899.24 ,$899.24 ,$899.24 ,$969.18 ,$809.31 ,$899.24 ,$899.24 ,$899.24 ,$899.24 ST. JOSEPH'S - CHIPPEWA FALLS,36100246,36572,HC INS CATH PERIPH CV W/O PORT W/GUIDANCE <5,361,1 ,"$4,090.63 ","$3,067.97 ",$322.47 ,"$4,090.63 ","$2,634.37 ",$524.56 ,"$2,863.44 ",$322.47 ,"$3,184.00 ",$332.14 ,"$2,547.00 ","$3,886.10 ", N/A ,"$3,272.50 ","$3,722.47 ",$322.47 , N/A ,"$3,886.10 ","$3,681.57 ","$3,477.04 ",$322.47 ,$322.47 ,$322.47 ,"$2,986.16 ",$524.56 ,"$3,640.66 ","$3,681.57 ","$3,681.57 ","$3,272.50 ",$540.30 ,"$2,249.85 ","$3,681.57 ",$524.56 ,"$3,681.57 ",$524.56 ,"$3,886.10 ","$1,180.26 ","$3,763.38 ",$341.82 ,"$3,722.47 ",$524.56 ,"$2,517.37 ","$2,634.37 ","$2,517.37 ","$3,681.57 ","$3,681.57 ","$3,067.97 ","$2,207.05 ",$529.80 ,$338.59 ,"$3,824.74 ",$550.79 ,$322.47 ,"$3,558.85 ",$524.56 ,"$3,681.57 ",$524.56 ,"$3,681.57 ","$3,681.57 ","$3,681.57 ","$3,967.91 ","$3,313.41 ","$3,681.57 ","$3,681.57 ","$3,681.57 ","$3,681.57 " ST. JOSEPH'S - CHIPPEWA FALLS,36100247,36573,HC INS PER CV CATH W/O PORT W/GUIDANCE 5>,361,1 ,"$4,667.47 ","$3,500.60 ",$322.47 ,"$4,667.47 ","$3,005.85 ","$1,361.85 ","$3,267.23 ",$322.47 ,"$4,667.47 ",$332.14 ,"$3,821.00 ","$4,434.10 ", N/A ,"$3,733.98 ","$4,247.40 ",$322.47 , N/A ,"$4,434.10 ","$4,200.72 ","$3,967.35 ",$322.47 ,$322.47 ,$322.47 ,"$3,407.25 ","$1,361.85 ","$4,154.05 ","$4,200.72 ","$4,200.72 ","$3,733.98 ","$1,402.70 ","$2,567.11 ","$4,200.72 ","$1,361.85 ","$4,200.72 ","$1,361.85 ","$4,434.10 ","$3,064.15 ","$4,294.07 ",$341.82 ,"$4,247.40 ","$1,361.85 ","$2,872.36 ","$3,005.85 ","$2,872.36 ","$4,200.72 ","$4,200.72 ","$3,500.60 ","$3,310.58 ","$1,375.47 ",$338.59 ,"$4,364.08 ","$1,429.94 ",$322.47 ,"$4,060.70 ","$1,361.85 ","$4,200.72 ","$1,361.85 ","$4,200.72 ","$4,200.72 ","$4,200.72 ","$4,527.45 ","$3,780.65 ","$4,200.72 ","$4,200.72 ","$4,200.72 ","$4,200.72 " ST. JOSEPH'S - CHIPPEWA FALLS,36100248,G2170,HC CREATE AV FISTULA PERC,361,1 ,"$2,313.83 ","$1,735.37 ","$1,070.58 ","$35,005.46 ","$1,490.11 ","$15,557.98 ","$1,619.68 ","$1,070.58 ", N/A ,"$1,102.70 ", N/A ,"$2,198.14 ", N/A ,"$1,851.06 ","$2,105.59 ","$1,070.58 ", N/A ,"$2,198.14 ","$2,082.45 ","$1,966.76 ","$1,070.58 ","$1,070.58 ","$1,070.58 ","$1,689.10 ","$15,557.98 ","$2,059.31 ","$2,082.45 ","$2,082.45 ","$1,851.06 ","$16,024.72 ","$1,272.61 ","$2,082.45 ","$15,557.98 ","$2,082.45 ","$15,557.98 ","$2,198.14 ","$35,005.46 ","$2,128.72 ","$1,134.81 ","$2,105.59 ","$15,557.98 ","$1,423.93 ","$1,490.11 ","$1,423.93 ","$2,082.45 ","$2,082.45 ","$1,735.37 ", N/A ,"$15,713.56 ","$1,124.11 ","$2,163.43 ","$16,335.88 ","$1,070.58 ","$2,013.03 ","$15,557.98 ","$2,082.45 ","$15,557.98 ","$2,082.45 ","$2,082.45 ","$2,082.45 ","$2,244.42 ","$1,874.20 ","$2,082.45 ","$2,082.45 ","$2,082.45 ","$2,082.45 " ST. JOSEPH'S - CHIPPEWA FALLS,36100249,G2171,HC CREATE AV FISTULA PERC W/RAD FREQ MAGNETIC GUIDE,361,1 ,"$2,313.83 ","$1,735.37 ","$1,070.58 ","$35,005.46 ","$1,490.11 ","$15,557.98 ","$1,619.68 ","$1,070.58 ", N/A ,"$1,102.70 ", N/A ,"$2,198.14 ", N/A ,"$1,851.06 ","$2,105.59 ","$1,070.58 ", N/A ,"$2,198.14 ","$2,082.45 ","$1,966.76 ","$1,070.58 ","$1,070.58 ","$1,070.58 ","$1,689.10 ","$15,557.98 ","$2,059.31 ","$2,082.45 ","$2,082.45 ","$1,851.06 ","$16,024.72 ","$1,272.61 ","$2,082.45 ","$15,557.98 ","$2,082.45 ","$15,557.98 ","$2,198.14 ","$35,005.46 ","$2,128.72 ","$1,134.81 ","$2,105.59 ","$15,557.98 ","$1,423.93 ","$1,490.11 ","$1,423.93 ","$2,082.45 ","$2,082.45 ","$1,735.37 ", N/A ,"$15,713.56 ","$1,124.11 ","$2,163.43 ","$16,335.88 ","$1,070.58 ","$2,013.03 ","$15,557.98 ","$2,082.45 ","$15,557.98 ","$2,082.45 ","$2,082.45 ","$2,082.45 ","$2,244.42 ","$1,874.20 ","$2,082.45 ","$2,082.45 ","$2,082.45 ","$2,082.45 " ST. JOSEPH'S - CHIPPEWA FALLS,36100270,62328,HC LUMBAR PUNCTURE DIAGNOSTIC W/FLUORO OR CT GUID,361,1 ,$981.00 ,$735.75 ,$263.02 ,"$1,382.85 ",$631.76 ,$614.60 ,$686.70 ,$263.02 ,$981.00 ,$270.91 ,$981.00 ,$931.95 , N/A ,$784.80 ,$892.71 ,$263.02 , N/A ,$931.95 ,$882.90 ,$833.85 ,$263.02 ,$263.02 ,$263.02 ,$716.13 ,$614.60 ,$873.09 ,$882.90 ,$882.90 ,$784.80 ,$633.04 ,$539.55 ,$882.90 ,$614.60 ,$882.90 ,$614.60 ,$931.95 ,"$1,382.85 ",$902.52 ,$278.80 ,$892.71 ,$614.60 ,$603.71 ,$631.76 ,$603.71 ,$882.90 ,$882.90 ,$735.75 ,$882.90 ,$620.75 ,$276.17 ,$917.24 ,$645.33 ,$263.02 ,$853.47 ,$614.60 ,$882.90 ,$614.60 ,$882.90 ,$882.90 ,$882.90 ,$951.57 ,$794.61 ,$882.90 ,$882.90 ,$882.90 ,$882.90 ST. JOSEPH'S - CHIPPEWA FALLS,36100271,62329,HC LUMBAR PUNCTURE THERAPEUTIC/DRAINAGE W//FLUORO OR CT GUID,361,1 ,$981.00 ,$735.75 ,$263.02 ,"$1,382.85 ",$631.76 ,$614.60 ,$686.70 ,$263.02 ,$981.00 ,$270.91 ,$981.00 ,$931.95 , N/A ,$784.80 ,$892.71 ,$263.02 , N/A ,$931.95 ,$882.90 ,$833.85 ,$263.02 ,$263.02 ,$263.02 ,$716.13 ,$614.60 ,$873.09 ,$882.90 ,$882.90 ,$784.80 ,$633.04 ,$539.55 ,$882.90 ,$614.60 ,$882.90 ,$614.60 ,$931.95 ,"$1,382.85 ",$902.52 ,$278.80 ,$892.71 ,$614.60 ,$603.71 ,$631.76 ,$603.71 ,$882.90 ,$882.90 ,$735.75 ,$882.90 ,$620.75 ,$276.17 ,$917.24 ,$645.33 ,$263.02 ,$853.47 ,$614.60 ,$882.90 ,$614.60 ,$882.90 ,$882.90 ,$882.90 ,$951.57 ,$794.61 ,$882.90 ,$882.90 ,$882.90 ,$882.90 ST. JOSEPH'S - CHIPPEWA FALLS,37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,$739.38 ,$554.54 ,$204.93 ,$739.38 ,$476.16 ,$204.93 ,$517.57 ,$234.58 ,$739.38 ,$241.62 ,$739.38 ,$702.41 , N/A ,$591.50 ,$672.84 ,$234.58 , N/A ,$702.41 ,$665.44 ,$628.47 ,$234.58 ,$234.58 ,$234.58 ,$539.75 ,$204.93 ,$658.05 ,$665.44 ,$665.44 ,$591.50 ,$211.08 ,$406.66 ,$665.44 ,$204.93 ,$665.44 ,$204.93 ,$702.41 ,$461.10 ,$680.23 ,$248.65 ,$672.84 ,$204.93 ,$455.01 ,$476.16 ,$455.01 ,$665.44 ,$665.44 ,$554.54 ,$665.44 ,$206.98 ,$246.31 ,$691.32 ,$215.18 ,$234.58 ,$643.26 ,$204.93 ,$665.44 ,$204.93 ,$665.44 ,$665.44 ,$665.44 ,$717.20 ,$598.90 ,$665.44 ,$665.44 ,$665.44 ,$665.44 ST. JOSEPH'S - CHIPPEWA FALLS,37000017,99153,HC MODERATE SEDATION SAME PHY EA ADDL 15MIN,370,1 ,$263.91 ,$197.93 ,$7.20 ,$263.91 ,$169.96 , N/A ,$184.74 ,$7.20 ,$219.05 ,$7.42 ,$174.18 ,$250.71 , N/A ,$211.13 ,$240.16 ,$7.20 ,$248.08 ,$250.71 ,$237.52 ,$224.32 ,$7.20 ,$7.20 ,$7.20 ,$192.65 , N/A ,$234.88 ,$237.52 ,$237.52 ,$211.13 , N/A ,$145.15 ,$237.52 , N/A ,$237.52 , N/A ,$250.71 , N/A ,$242.80 ,$7.63 ,$240.16 , N/A ,$162.41 ,$169.96 ,$162.41 ,$237.52 ,$237.52 ,$197.93 ,$184.74 , N/A ,$7.56 ,$246.76 , N/A ,$7.20 ,$229.60 , N/A ,$237.52 , N/A ,$237.52 ,$237.52 ,$237.52 ,$255.99 ,$213.77 ,$237.52 ,$237.52 ,$237.52 ,$237.52 ST. JOSEPH'S - CHIPPEWA FALLS,37000020,99157,HC MODERATE SEDATION DIFF PHY EA ADDL 15MIN,370,1 ,$125.65 ,$94.24 ,$7.20 ,$125.65 ,$80.92 , N/A ,$87.96 ,$7.20 ,$104.29 ,$7.42 ,$82.93 ,$119.37 , N/A ,$100.52 ,$114.34 ,$7.20 ,$118.11 ,$119.37 ,$113.09 ,$106.80 ,$7.20 ,$7.20 ,$7.20 ,$91.72 , N/A ,$111.83 ,$113.09 ,$113.09 ,$100.52 , N/A ,$69.11 ,$113.09 , N/A ,$113.09 , N/A ,$119.37 , N/A ,$115.60 ,$7.63 ,$114.34 , N/A ,$77.33 ,$80.92 ,$77.33 ,$113.09 ,$113.09 ,$94.24 ,$87.96 , N/A ,$7.56 ,$117.48 , N/A ,$7.20 ,$109.32 , N/A ,$113.09 , N/A ,$113.09 ,$113.09 ,$113.09 ,$121.88 ,$101.78 ,$113.09 ,$113.09 ,$113.09 ,$113.09 ST. JOSEPH'S - CHIPPEWA FALLS,37000021,64447,HC FEMORAL NERVE BLOCK SINGLE,370,1 ,"$1,682.28 ","$1,261.71 ",$121.61 ,"$1,682.28 ","$1,083.39 ",$614.60 ,"$1,177.60 ",$121.61 ,"$1,396.29 ",$125.26 ,"$1,110.30 ","$1,598.17 ", N/A ,"$1,345.82 ","$1,530.87 ",$121.61 ,"$1,581.34 ","$1,598.17 ","$1,514.05 ","$1,429.94 ",$121.61 ,$121.61 ,$121.61 ,"$1,228.06 ",$614.60 ,"$1,497.23 ","$1,514.05 ","$1,514.05 ","$1,345.82 ",$633.04 ,$925.25 ,"$1,514.05 ",$614.60 ,"$1,514.05 ",$614.60 ,"$1,598.17 ","$1,382.85 ","$1,547.70 ",$128.91 ,"$1,530.87 ",$614.60 ,"$1,035.28 ","$1,083.39 ","$1,035.28 ","$1,514.05 ","$1,514.05 ","$1,261.71 ","$1,177.60 ",$620.75 ,$127.69 ,"$1,572.93 ",$645.33 ,$121.61 ,"$1,463.58 ",$614.60 ,"$1,514.05 ",$614.60 ,"$1,514.05 ","$1,514.05 ","$1,514.05 ","$1,631.81 ","$1,362.65 ","$1,514.05 ","$1,514.05 ","$1,514.05 ","$1,514.05 " ST. JOSEPH'S - CHIPPEWA FALLS,37000022,64415,HC INTRASCALENE BLOCK SINGLE,370,1 ,"$1,784.30 ","$1,338.23 ",$349.28 ,"$1,792.24 ","$1,149.09 ",$796.55 ,"$1,249.01 ",$349.28 ,"$1,480.97 ",$359.76 ,"$1,177.64 ","$1,695.09 ", N/A ,"$1,427.44 ","$1,623.71 ",$349.28 ,"$1,677.24 ","$1,695.09 ","$1,605.87 ","$1,516.66 ",$349.28 ,$349.28 ,$349.28 ,"$1,302.54 ",$796.55 ,"$1,588.03 ","$1,605.87 ","$1,605.87 ","$1,427.44 ",$820.45 ,$981.37 ,"$1,605.87 ",$796.55 ,"$1,605.87 ",$796.55 ,"$1,695.09 ","$1,792.24 ","$1,641.56 ",$370.24 ,"$1,623.71 ",$796.55 ,"$1,098.06 ","$1,149.09 ","$1,098.06 ","$1,605.87 ","$1,605.87 ","$1,338.23 ","$1,249.01 ",$804.52 ,$366.74 ,"$1,668.32 ",$836.38 ,$349.28 ,"$1,552.34 ",$796.55 ,"$1,605.87 ",$796.55 ,"$1,605.87 ","$1,605.87 ","$1,605.87 ","$1,730.77 ","$1,445.28 ","$1,605.87 ","$1,605.87 ","$1,605.87 ","$1,605.87 " ST. JOSEPH'S - CHIPPEWA FALLS,37000024,62321,HC EPIDURAL NERVE BLOCK,370,1 ,$477.58 ,$358.19 ,$262.67 ,"$1,382.85 ",$307.56 ,$614.60 ,$334.31 ,$263.02 ,$396.39 ,$270.91 ,$315.20 ,$453.70 , N/A ,$382.06 ,$434.60 ,$263.02 ,$448.93 ,$453.70 ,$429.82 ,$405.94 ,$263.02 ,$263.02 ,$263.02 ,$348.63 ,$614.60 ,$425.05 ,$429.82 ,$429.82 ,$382.06 ,$633.04 ,$262.67 ,$429.82 ,$614.60 ,$429.82 ,$614.60 ,$453.70 ,"$1,382.85 ",$439.37 ,$278.80 ,$434.60 ,$614.60 ,$293.90 ,$307.56 ,$293.90 ,$429.82 ,$429.82 ,$358.19 ,$334.31 ,$620.75 ,$276.17 ,$446.54 ,$645.33 ,$263.02 ,$415.49 ,$614.60 ,$429.82 ,$614.60 ,$429.82 ,$429.82 ,$429.82 ,$463.25 ,$386.84 ,$429.82 ,$429.82 ,$429.82 ,$429.82 ST. JOSEPH'S - CHIPPEWA FALLS,37000026,N/A,HC ANES BLOCK PERIPHERAL,370,1 ,$560.33 ,$420.25 ,$308.18 ,$560.33 ,$360.85 , N/A ,$392.23 , N/A ,$465.07 , N/A ,$369.82 ,$532.31 , N/A ,$448.26 ,$509.90 , N/A ,$526.71 ,$532.31 ,$504.30 ,$476.28 , N/A , N/A , N/A ,$409.04 , N/A ,$498.69 ,$504.30 ,$504.30 ,$448.26 , N/A ,$308.18 ,$504.30 , N/A ,$504.30 , N/A ,$532.31 , N/A ,$515.50 , N/A ,$509.90 , N/A ,$344.83 ,$360.85 ,$344.83 ,$504.30 ,$504.30 ,$420.25 ,$392.23 , N/A , N/A ,$523.91 , N/A , N/A ,$487.49 , N/A ,$504.30 , N/A ,$504.30 ,$504.30 ,$504.30 ,$543.52 ,$453.87 ,$504.30 ,$504.30 ,$504.30 ,$504.30 ST. JOSEPH'S - CHIPPEWA FALLS,37000028,N/A,HC ANES CENTRAL LINE,370,1 ,$436.23 ,$327.17 ,$239.93 ,$436.23 ,$280.93 , N/A ,$305.36 , N/A ,$362.07 , N/A ,$287.91 ,$414.42 , N/A ,$348.98 ,$396.97 , N/A ,$410.06 ,$414.42 ,$392.61 ,$370.80 , N/A , N/A , N/A ,$318.45 , N/A ,$388.24 ,$392.61 ,$392.61 ,$348.98 , N/A ,$239.93 ,$392.61 , N/A ,$392.61 , N/A ,$414.42 , N/A ,$401.33 , N/A ,$396.97 , N/A ,$268.46 ,$280.93 ,$268.46 ,$392.61 ,$392.61 ,$327.17 ,$305.36 , N/A , N/A ,$407.88 , N/A , N/A ,$379.52 , N/A ,$392.61 , N/A ,$392.61 ,$392.61 ,$392.61 ,$423.14 ,$353.35 ,$392.61 ,$392.61 ,$392.61 ,$392.61 ST. JOSEPH'S - CHIPPEWA FALLS,37000060,N/A,HC ANESTHESIA LOCAL EACH 15MIN,370,1 ,$39.34 ,$29.51 ,$21.64 ,$39.34 ,$25.34 , N/A ,$27.54 , N/A ,$32.65 , N/A ,$25.96 ,$37.37 , N/A ,$31.47 ,$35.80 , N/A ,$36.98 ,$37.37 ,$35.41 ,$33.44 , N/A , N/A , N/A ,$28.72 , N/A ,$35.01 ,$35.41 ,$35.41 ,$31.47 , N/A ,$21.64 ,$35.41 , N/A ,$35.41 , N/A ,$37.37 , N/A ,$36.19 , N/A ,$35.80 , N/A ,$24.21 ,$25.34 ,$24.21 ,$35.41 ,$35.41 ,$29.51 ,$27.54 , N/A , N/A ,$36.78 , N/A , N/A ,$34.23 , N/A ,$35.41 , N/A ,$35.41 ,$35.41 ,$35.41 ,$38.16 ,$31.87 ,$35.41 ,$35.41 ,$35.41 ,$35.41 ST. JOSEPH'S - CHIPPEWA FALLS,37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,$494.22 ,$370.67 ,$271.82 ,$494.22 ,$318.28 , N/A ,$345.95 , N/A ,$410.20 , N/A ,$326.19 ,$469.51 , N/A ,$395.38 ,$449.74 , N/A ,$464.57 ,$469.51 ,$444.80 ,$420.09 , N/A , N/A , N/A ,$360.78 , N/A ,$439.86 ,$444.80 ,$444.80 ,$395.38 , N/A ,$271.82 ,$444.80 , N/A ,$444.80 , N/A ,$469.51 , N/A ,$454.68 , N/A ,$449.74 , N/A ,$304.14 ,$318.28 ,$304.14 ,$444.80 ,$444.80 ,$370.67 ,$345.95 , N/A , N/A ,$462.10 , N/A , N/A ,$429.97 , N/A ,$444.80 , N/A ,$444.80 ,$444.80 ,$444.80 ,$479.39 ,$400.32 ,$444.80 ,$444.80 ,$444.80 ,$444.80 ST. JOSEPH'S - CHIPPEWA FALLS,37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$494.22 ,$370.67 ,$271.82 ,$494.22 ,$318.28 , N/A ,$345.95 , N/A ,$410.20 , N/A ,$326.19 ,$469.51 , N/A ,$395.38 ,$449.74 , N/A ,$464.57 ,$469.51 ,$444.80 ,$420.09 , N/A , N/A , N/A ,$360.78 , N/A ,$439.86 ,$444.80 ,$444.80 ,$395.38 , N/A ,$271.82 ,$444.80 , N/A ,$444.80 , N/A ,$469.51 , N/A ,$454.68 , N/A ,$449.74 , N/A ,$304.14 ,$318.28 ,$304.14 ,$444.80 ,$444.80 ,$370.67 ,$345.95 , N/A , N/A ,$462.10 , N/A , N/A ,$429.97 , N/A ,$444.80 , N/A ,$444.80 ,$444.80 ,$444.80 ,$479.39 ,$400.32 ,$444.80 ,$444.80 ,$444.80 ,$444.80 ST. JOSEPH'S - CHIPPEWA FALLS,37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,$362.08 ,$271.56 ,$199.14 ,$362.08 ,$233.18 , N/A ,$253.46 , N/A ,$300.53 , N/A ,$238.97 ,$343.98 , N/A ,$289.66 ,$329.49 , N/A ,$340.36 ,$343.98 ,$325.87 ,$307.77 , N/A , N/A , N/A ,$264.32 , N/A ,$322.25 ,$325.87 ,$325.87 ,$289.66 , N/A ,$199.14 ,$325.87 , N/A ,$325.87 , N/A ,$343.98 , N/A ,$333.11 , N/A ,$329.49 , N/A ,$222.82 ,$233.18 ,$222.82 ,$325.87 ,$325.87 ,$271.56 ,$253.46 , N/A , N/A ,$338.54 , N/A , N/A ,$315.01 , N/A ,$325.87 , N/A ,$325.87 ,$325.87 ,$325.87 ,$351.22 ,$293.28 ,$325.87 ,$325.87 ,$325.87 ,$325.87 ST. JOSEPH'S - CHIPPEWA FALLS,37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$362.08 ,$271.56 ,$199.14 ,$362.08 ,$233.18 , N/A ,$253.46 , N/A ,$300.53 , N/A ,$238.97 ,$343.98 , N/A ,$289.66 ,$329.49 , N/A ,$340.36 ,$343.98 ,$325.87 ,$307.77 , N/A , N/A , N/A ,$264.32 , N/A ,$322.25 ,$325.87 ,$325.87 ,$289.66 , N/A ,$199.14 ,$325.87 , N/A ,$325.87 , N/A ,$343.98 , N/A ,$333.11 , N/A ,$329.49 , N/A ,$222.82 ,$233.18 ,$222.82 ,$325.87 ,$325.87 ,$271.56 ,$253.46 , N/A , N/A ,$338.54 , N/A , N/A ,$315.01 , N/A ,$325.87 , N/A ,$325.87 ,$325.87 ,$325.87 ,$351.22 ,$293.28 ,$325.87 ,$325.87 ,$325.87 ,$325.87 ST. JOSEPH'S - CHIPPEWA FALLS,37000065,N/A,HC CONSCIOUS SEDATION,370,1 ,$203.60 ,$152.70 ,$111.98 ,$203.60 ,$131.12 , N/A ,$142.52 , N/A ,$168.99 , N/A ,$134.38 ,$193.42 , N/A ,$162.88 ,$185.28 , N/A ,$191.38 ,$193.42 ,$183.24 ,$173.06 , N/A , N/A , N/A ,$148.63 , N/A ,$181.20 ,$183.24 ,$183.24 ,$162.88 , N/A ,$111.98 ,$183.24 , N/A ,$183.24 , N/A ,$193.42 , N/A ,$187.31 , N/A ,$185.28 , N/A ,$125.30 ,$131.12 ,$125.30 ,$183.24 ,$183.24 ,$152.70 ,$142.52 , N/A , N/A ,$190.37 , N/A , N/A ,$177.13 , N/A ,$183.24 , N/A ,$183.24 ,$183.24 ,$183.24 ,$197.49 ,$164.92 ,$183.24 ,$183.24 ,$183.24 ,$183.24 ST. JOSEPH'S - CHIPPEWA FALLS,37000072,99151,HC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,370,1 ,$234.49 ,$175.87 ,$7.20 ,$234.49 ,$151.01 , N/A ,$164.14 ,$7.20 ,$194.63 ,$7.42 ,$154.76 ,$222.77 , N/A ,$187.59 ,$213.39 ,$7.20 ,$220.42 ,$222.77 ,$211.04 ,$199.32 ,$7.20 ,$7.20 ,$7.20 ,$171.18 , N/A ,$208.70 ,$211.04 ,$211.04 ,$187.59 , N/A ,$128.97 ,$211.04 , N/A ,$211.04 , N/A ,$222.77 , N/A ,$215.73 ,$7.63 ,$213.39 , N/A ,$144.31 ,$151.01 ,$144.31 ,$211.04 ,$211.04 ,$175.87 ,$164.14 , N/A ,$7.56 ,$219.25 , N/A ,$7.20 ,$204.01 , N/A ,$211.04 , N/A ,$211.04 ,$211.04 ,$211.04 ,$227.46 ,$189.94 ,$211.04 ,$211.04 ,$211.04 ,$211.04 ST. JOSEPH'S - CHIPPEWA FALLS,37000073,99152,HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN,370,1 ,$234.49 ,$175.87 ,$7.20 ,$234.49 ,$151.01 , N/A ,$164.14 ,$7.20 ,$194.63 ,$7.42 ,$154.76 ,$222.77 , N/A ,$187.59 ,$213.39 ,$7.20 ,$220.42 ,$222.77 ,$211.04 ,$199.32 ,$7.20 ,$7.20 ,$7.20 ,$171.18 , N/A ,$208.70 ,$211.04 ,$211.04 ,$187.59 , N/A ,$128.97 ,$211.04 , N/A ,$211.04 , N/A ,$222.77 , N/A ,$215.73 ,$7.63 ,$213.39 , N/A ,$144.31 ,$151.01 ,$144.31 ,$211.04 ,$211.04 ,$175.87 ,$164.14 , N/A ,$7.56 ,$219.25 , N/A ,$7.20 ,$204.01 , N/A ,$211.04 , N/A ,$211.04 ,$211.04 ,$211.04 ,$227.46 ,$189.94 ,$211.04 ,$211.04 ,$211.04 ,$211.04 ST. JOSEPH'S - CHIPPEWA FALLS,37000075,99156,HC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN,370,1 ,$234.49 ,$175.87 ,$7.20 ,$234.49 ,$151.01 , N/A ,$164.14 ,$7.20 ,$194.63 ,$7.42 ,$154.76 ,$222.77 , N/A ,$187.59 ,$213.39 ,$7.20 ,$220.42 ,$222.77 ,$211.04 ,$199.32 ,$7.20 ,$7.20 ,$7.20 ,$171.18 , N/A ,$208.70 ,$211.04 ,$211.04 ,$187.59 , N/A ,$128.97 ,$211.04 , N/A ,$211.04 , N/A ,$222.77 , N/A ,$215.73 ,$7.63 ,$213.39 , N/A ,$144.31 ,$151.01 ,$144.31 ,$211.04 ,$211.04 ,$175.87 ,$164.14 , N/A ,$7.56 ,$219.25 , N/A ,$7.20 ,$204.01 , N/A ,$211.04 , N/A ,$211.04 ,$211.04 ,$211.04 ,$227.46 ,$189.94 ,$211.04 ,$211.04 ,$211.04 ,$211.04 ST. JOSEPH'S - CHIPPEWA FALLS,37080000,64447,HC FEMORAL NERVE BLOCK SINGLE,360,1 ,"$1,682.28 ","$1,261.71 ",$121.61 ,"$1,682.28 ","$1,083.39 ",$614.60 ,"$1,177.60 ",$121.61 ,"$1,682.28 ",$125.26 ,"$1,682.28 ","$1,598.17 ", N/A ,"$1,345.82 ","$1,530.87 ",$121.61 , N/A ,"$1,598.17 ","$1,514.05 ","$1,429.94 ",$121.61 ,$121.61 ,$121.61 ,"$1,228.06 ",$614.60 ,"$1,497.23 ","$1,514.05 ","$1,514.05 ","$1,345.82 ",$633.04 ,$925.25 ,"$1,514.05 ",$614.60 ,"$1,514.05 ",$614.60 ,"$1,581.34 ","$1,382.85 ","$1,547.70 ",$128.91 ,"$1,530.87 ",$614.60 ,"$1,035.28 ","$1,083.39 ","$1,035.28 ","$1,514.05 ","$1,514.05 ","$1,261.71 ",$841.14 ,$620.75 ,$127.69 ,"$1,572.93 ",$645.33 ,$121.61 ,"$1,463.58 ",$614.60 ,"$1,514.05 ",$614.60 ,"$1,514.05 ","$1,514.05 ","$1,514.05 ","$1,631.81 ","$1,362.65 ","$1,514.05 ","$1,514.05 ","$1,514.05 ","$1,514.05 " ST. JOSEPH'S - CHIPPEWA FALLS,39000128,P9047,HC ALBUMIN VL 25% 100 ML,390,1 ,$174.92 ,$131.19 ,$52.45 ,$230.65 ,$112.65 ,$52.45 ,$122.44 ,$174.92 ,$145.18 ,$224.12 ,$115.45 ,$166.17 , N/A ,$139.94 ,$159.18 ,$174.92 ,$164.42 ,$166.17 ,$157.43 ,$148.68 ,$217.59 ,$217.59 ,$217.59 ,$127.69 ,$52.45 ,$155.68 ,$157.43 ,$157.43 ,$139.94 ,$54.02 ,$96.21 ,$157.43 ,$52.45 ,$157.43 ,$52.45 ,$166.17 ,$118.01 ,$160.93 ,$230.65 ,$159.18 ,$52.45 ,$107.65 ,$112.65 ,$107.65 ,$157.43 ,$157.43 ,$131.19 ,$122.44 ,$52.97 ,$228.47 ,$163.55 ,$55.07 ,$174.92 ,$152.18 ,$52.45 ,$157.43 ,$52.45 ,$157.43 ,$157.43 ,$157.43 ,$169.67 ,$141.69 ,$157.43 ,$157.43 ,$157.43 ,$157.43 ST. JOSEPH'S - CHIPPEWA FALLS,39000143,86945,HC BLOOD PRODUCT IRRADIATION,390,1 ,$106.05 ,$79.54 ,$8.01 ,$106.05 ,$68.30 ,$32.77 ,$74.24 ,$8.01 ,$88.02 ,$8.25 ,$69.99 ,$100.75 , N/A ,$84.84 ,$96.51 ,$8.01 ,$99.69 ,$100.75 ,$95.45 ,$90.14 ,$8.01 ,$8.01 ,$8.01 ,$77.42 ,$32.77 ,$94.38 ,$95.45 ,$95.45 ,$84.84 ,$33.76 ,$58.33 ,$95.45 ,$32.77 ,$95.45 ,$32.77 ,$100.75 ,$73.74 ,$97.57 ,$8.49 ,$96.51 ,$32.77 ,$65.26 ,$68.30 ,$65.26 ,$95.45 ,$95.45 ,$79.54 ,$74.24 ,$33.10 ,$8.41 ,$99.16 ,$34.41 ,$8.01 ,$92.26 ,$32.77 ,$95.45 ,$32.77 ,$95.45 ,$95.45 ,$95.45 ,$102.87 ,$85.90 ,$95.45 ,$95.45 ,$95.45 ,$95.45 ST. JOSEPH'S - CHIPPEWA FALLS,39000144,86965,HC BLOOD PRODUCT POOL,390,1 ,$322.95 ,$242.21 ,$8.01 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$8.01 ,$268.05 ,$8.25 ,$213.15 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.01 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.01 ,$8.01 ,$8.01 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$8.49 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$290.66 ,$242.21 ,$226.07 ,$145.91 ,$8.41 ,$301.96 ,$151.68 ,$8.01 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,39000145,86985,HC SPLITTING BLOOD PRODUCT EA,390,1 ,$322.95 ,$242.21 ,$8.01 ,$325.04 ,$207.98 ,$144.46 ,$226.07 ,$8.01 ,$268.05 ,$8.25 ,$213.15 ,$306.80 , N/A ,$258.36 ,$293.88 ,$8.01 ,$303.57 ,$306.80 ,$290.66 ,$274.51 ,$8.01 ,$8.01 ,$8.01 ,$235.75 ,$144.46 ,$287.43 ,$290.66 ,$290.66 ,$258.36 ,$148.80 ,$177.62 ,$290.66 ,$144.46 ,$290.66 ,$144.46 ,$306.80 ,$325.04 ,$297.11 ,$8.49 ,$293.88 ,$144.46 ,$198.74 ,$207.98 ,$198.74 ,$290.66 ,$290.66 ,$242.21 ,$226.07 ,$145.91 ,$8.41 ,$301.96 ,$151.68 ,$8.01 ,$280.97 ,$144.46 ,$290.66 ,$144.46 ,$290.66 ,$290.66 ,$290.66 ,$313.26 ,$261.59 ,$290.66 ,$290.66 ,$290.66 ,$290.66 ST. JOSEPH'S - CHIPPEWA FALLS,39000146,P9012,HC CRYOPRECIPITATE EA UNIT,390,1 ,$174.52 ,$130.89 ,$79.85 ,$230.65 ,$112.39 ,$79.85 ,$122.16 ,$174.52 ,$144.85 ,$224.12 ,$115.18 ,$165.79 , N/A ,$139.62 ,$158.81 ,$174.52 ,$164.05 ,$165.79 ,$157.07 ,$148.34 ,$217.59 ,$217.59 ,$217.59 ,$127.40 ,$79.85 ,$155.32 ,$157.07 ,$157.07 ,$139.62 ,$82.25 ,$95.99 ,$157.07 ,$79.85 ,$157.07 ,$79.85 ,$165.79 ,$179.66 ,$160.56 ,$230.65 ,$158.81 ,$79.85 ,$107.40 ,$112.39 ,$107.40 ,$157.07 ,$157.07 ,$130.89 ,$122.16 ,$80.65 ,$228.47 ,$163.18 ,$83.84 ,$174.52 ,$151.83 ,$79.85 ,$157.07 ,$79.85 ,$157.07 ,$157.07 ,$157.07 ,$169.28 ,$141.36 ,$157.07 ,$157.07 ,$157.07 ,$157.07 ST. JOSEPH'S - CHIPPEWA FALLS,39000147,P9016,HC RED CELLS L/R EA,390,1 ,$773.68 ,$580.26 ,$188.51 ,$773.68 ,$498.25 ,$188.51 ,$541.58 ,$449.49 ,$642.15 ,$462.97 ,$510.63 ,$735.00 , N/A ,$618.94 ,$704.05 ,$449.49 ,$727.26 ,$735.00 ,$696.31 ,$657.63 ,$449.49 ,$449.49 ,$449.49 ,$564.79 ,$188.51 ,$688.58 ,$696.31 ,$696.31 ,$618.94 ,$194.17 ,$425.52 ,$696.31 ,$188.51 ,$696.31 ,$188.51 ,$735.00 ,$424.15 ,$711.79 ,$476.46 ,$704.05 ,$188.51 ,$476.12 ,$498.25 ,$476.12 ,$696.31 ,$696.31 ,$580.26 ,$541.58 ,$190.40 ,$471.96 ,$723.39 ,$197.94 ,$449.49 ,$673.10 ,$188.51 ,$696.31 ,$188.51 ,$696.31 ,$696.31 ,$696.31 ,$750.47 ,$626.68 ,$696.31 ,$696.31 ,$696.31 ,$696.31 ST. JOSEPH'S - CHIPPEWA FALLS,39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$247.76 ,$185.82 ,$38.65 ,$247.76 ,$159.56 ,$82.66 ,$173.43 ,$38.65 ,$205.64 ,$39.81 ,$163.52 ,$235.37 , N/A ,$198.21 ,$225.46 ,$38.65 ,$232.89 ,$235.37 ,$222.98 ,$210.60 ,$38.65 ,$38.65 ,$38.65 ,$180.86 ,$82.66 ,$220.51 ,$222.98 ,$222.98 ,$198.21 ,$85.14 ,$136.27 ,$222.98 ,$82.66 ,$222.98 ,$82.66 ,$235.37 ,$185.99 ,$227.94 ,$40.97 ,$225.46 ,$82.66 ,$152.47 ,$159.56 ,$152.47 ,$222.98 ,$222.98 ,$185.82 ,$173.43 ,$83.49 ,$40.58 ,$231.66 ,$86.79 ,$38.65 ,$215.55 ,$82.66 ,$222.98 ,$82.66 ,$222.98 ,$222.98 ,$222.98 ,$240.33 ,$200.69 ,$222.98 ,$222.98 ,$222.98 ,$222.98 ST. JOSEPH'S - CHIPPEWA FALLS,39000149,P9021,HC RED CELLS PACKED EA,390,1 ,$822.13 ,$616.60 ,$137.63 ,$822.13 ,$529.45 ,$137.63 ,$575.49 ,$217.59 ,$682.37 ,$224.12 ,$542.61 ,$781.02 , N/A ,$657.70 ,$748.14 ,$217.59 ,$772.80 ,$781.02 ,$739.92 ,$698.81 ,$217.59 ,$217.59 ,$217.59 ,$600.15 ,$137.63 ,$731.70 ,$739.92 ,$739.92 ,$657.70 ,$141.76 ,$452.17 ,$739.92 ,$137.63 ,$739.92 ,$137.63 ,$781.02 ,$309.67 ,$756.36 ,$230.65 ,$748.14 ,$137.63 ,$505.94 ,$529.45 ,$505.94 ,$739.92 ,$739.92 ,$616.60 ,$575.49 ,$139.01 ,$228.47 ,$768.69 ,$144.51 ,$217.59 ,$715.25 ,$137.63 ,$739.92 ,$137.63 ,$739.92 ,$739.92 ,$739.92 ,$797.47 ,$665.93 ,$739.92 ,$739.92 ,$739.92 ,$739.92 ST. JOSEPH'S - CHIPPEWA FALLS,39000150,P9022,HC RED CELLS WASHED EA UNIT,390,1 ,$993.78 ,$745.34 ,$217.59 ,$993.78 ,$639.99 ,$379.86 ,$695.65 ,$217.59 ,$824.84 ,$224.12 ,$655.89 ,$944.09 , N/A ,$795.02 ,$904.34 ,$217.59 ,$934.15 ,$944.09 ,$894.40 ,$844.71 ,$217.59 ,$217.59 ,$217.59 ,$725.46 ,$379.86 ,$884.46 ,$894.40 ,$894.40 ,$795.02 ,$391.26 ,$546.58 ,$894.40 ,$379.86 ,$894.40 ,$379.86 ,$944.09 ,$854.69 ,$914.28 ,$230.65 ,$904.34 ,$379.86 ,$611.57 ,$639.99 ,$611.57 ,$894.40 ,$894.40 ,$745.34 ,$695.65 ,$383.66 ,$228.47 ,$929.18 ,$398.85 ,$217.59 ,$864.59 ,$379.86 ,$894.40 ,$379.86 ,$894.40 ,$894.40 ,$894.40 ,$963.97 ,$804.96 ,$894.40 ,$894.40 ,$894.40 ,$894.40 ST. JOSEPH'S - CHIPPEWA FALLS,39000151,P9031,HC PLATELETS LEUKO RD EA UNIT,390,1 ,$291.75 ,$218.81 ,$149.92 ,$337.32 ,$187.89 ,$149.92 ,$204.23 ,$217.59 ,$242.15 ,$224.12 ,$192.56 ,$277.16 , N/A ,$233.40 ,$265.49 ,$217.59 ,$274.25 ,$277.16 ,$262.58 ,$247.99 ,$217.59 ,$217.59 ,$217.59 ,$212.98 ,$149.92 ,$259.66 ,$262.58 ,$262.58 ,$233.40 ,$154.42 ,$160.46 ,$262.58 ,$149.92 ,$262.58 ,$149.92 ,$277.16 ,$337.32 ,$268.41 ,$230.65 ,$265.49 ,$149.92 ,$179.54 ,$187.89 ,$179.54 ,$262.58 ,$262.58 ,$218.81 ,$204.23 ,$151.42 ,$228.47 ,$272.79 ,$157.42 ,$217.59 ,$253.82 ,$149.92 ,$262.58 ,$149.92 ,$262.58 ,$262.58 ,$262.58 ,$283.00 ,$236.32 ,$262.58 ,$262.58 ,$262.58 ,$262.58 ST. JOSEPH'S - CHIPPEWA FALLS,39000152,P9033,HC PLATELETS L/R IRR EA,390,1 ,$419.13 ,$314.35 ,$213.19 ,$479.68 ,$269.92 ,$213.19 ,$293.39 ,$217.59 ,$347.88 ,$224.12 ,$276.63 ,$398.17 , N/A ,$335.30 ,$381.41 ,$217.59 ,$393.98 ,$398.17 ,$377.22 ,$356.26 ,$217.59 ,$217.59 ,$217.59 ,$305.96 ,$213.19 ,$373.03 ,$377.22 ,$377.22 ,$335.30 ,$219.59 ,$230.52 ,$377.22 ,$213.19 ,$377.22 ,$213.19 ,$398.17 ,$479.68 ,$385.60 ,$230.65 ,$381.41 ,$213.19 ,$257.93 ,$269.92 ,$257.93 ,$377.22 ,$377.22 ,$314.35 ,$293.39 ,$215.32 ,$228.47 ,$391.89 ,$223.85 ,$217.59 ,$364.64 ,$213.19 ,$377.22 ,$213.19 ,$377.22 ,$377.22 ,$377.22 ,$406.56 ,$339.50 ,$377.22 ,$377.22 ,$377.22 ,$377.22 ST. JOSEPH'S - CHIPPEWA FALLS,39000153,P9035,HC PLATELETS PHER L/R EA,390,1 ,"$1,527.32 ","$1,145.49 ",$217.59 ,"$1,527.32 ",$983.59 ,$486.80 ,"$1,069.12 ",$217.59 ,"$1,267.68 ",$224.12 ,"$1,008.03 ","$1,450.95 ", N/A ,"$1,221.86 ","$1,389.86 ",$217.59 ,"$1,435.68 ","$1,450.95 ","$1,374.59 ","$1,298.22 ",$217.59 ,$217.59 ,$217.59 ,"$1,114.94 ",$486.80 ,"$1,359.31 ","$1,374.59 ","$1,374.59 ","$1,221.86 ",$501.40 ,$840.03 ,"$1,374.59 ",$486.80 ,"$1,374.59 ",$486.80 ,"$1,450.95 ","$1,095.30 ","$1,405.13 ",$230.65 ,"$1,389.86 ",$486.80 ,$939.91 ,$983.59 ,$939.91 ,"$1,374.59 ","$1,374.59 ","$1,145.49 ","$1,069.12 ",$491.67 ,$228.47 ,"$1,428.04 ",$511.14 ,$217.59 ,"$1,328.77 ",$486.80 ,"$1,374.59 ",$486.80 ,"$1,374.59 ","$1,374.59 ","$1,374.59 ","$1,481.50 ","$1,237.13 ","$1,374.59 ","$1,374.59 ","$1,374.59 ","$1,374.59 " ST. JOSEPH'S - CHIPPEWA FALLS,39000154,P9037,HC PLATELETS PHER L/R IRR EA,390,1 ,"$1,614.72 ","$1,211.04 ",$217.59 ,"$1,614.72 ","$1,039.88 ",$617.33 ,"$1,130.30 ",$217.59 ,"$1,340.22 ",$224.12 ,"$1,065.72 ","$1,533.98 ", N/A ,"$1,291.78 ","$1,469.40 ",$217.59 ,"$1,517.84 ","$1,533.98 ","$1,453.25 ","$1,372.51 ",$217.59 ,$217.59 ,$217.59 ,"$1,178.75 ",$617.33 ,"$1,437.10 ","$1,453.25 ","$1,453.25 ","$1,291.78 ",$635.85 ,$888.10 ,"$1,453.25 ",$617.33 ,"$1,453.25 ",$617.33 ,"$1,533.98 ","$1,388.99 ","$1,485.54 ",$230.65 ,"$1,469.40 ",$617.33 ,$993.70 ,"$1,039.88 ",$993.70 ,"$1,453.25 ","$1,453.25 ","$1,211.04 ","$1,130.30 ",$623.50 ,$228.47 ,"$1,509.76 ",$648.20 ,$217.59 ,"$1,404.81 ",$617.33 ,"$1,453.25 ",$617.33 ,"$1,453.25 ","$1,453.25 ","$1,453.25 ","$1,566.28 ","$1,307.92 ","$1,453.25 ","$1,453.25 ","$1,453.25 ","$1,453.25 " ST. JOSEPH'S - CHIPPEWA FALLS,39000155,P9040,HC RED CELLS L/R IRR EA,390,1 ,$952.09 ,$714.07 ,$217.59 ,$952.09 ,$613.15 ,$260.55 ,$666.46 ,$217.59 ,$790.23 ,$224.12 ,$628.38 ,$904.49 , N/A ,$761.67 ,$866.40 ,$217.59 ,$894.96 ,$904.49 ,$856.88 ,$809.28 ,$217.59 ,$217.59 ,$217.59 ,$695.03 ,$260.55 ,$847.36 ,$856.88 ,$856.88 ,$761.67 ,$268.37 ,$523.65 ,$856.88 ,$260.55 ,$856.88 ,$260.55 ,$904.49 ,$586.24 ,$875.92 ,$230.65 ,$866.40 ,$260.55 ,$585.92 ,$613.15 ,$585.92 ,$856.88 ,$856.88 ,$714.07 ,$666.46 ,$263.16 ,$228.47 ,$890.20 ,$273.58 ,$217.59 ,$828.32 ,$260.55 ,$856.88 ,$260.55 ,$856.88 ,$856.88 ,$856.88 ,$923.53 ,$771.19 ,$856.88 ,$856.88 ,$856.88 ,$856.88 ST. JOSEPH'S - CHIPPEWA FALLS,39000156,P9051,HC RBC L/R CMV NEG EA,390,1 ,$781.68 ,$586.26 ,$212.23 ,$781.68 ,$503.40 ,$212.23 ,$547.18 ,$217.59 ,$648.79 ,$224.12 ,$515.91 ,$742.60 , N/A ,$625.34 ,$711.33 ,$217.59 ,$734.78 ,$742.60 ,$703.51 ,$664.43 ,$217.59 ,$217.59 ,$217.59 ,$570.63 ,$212.23 ,$695.70 ,$703.51 ,$703.51 ,$625.34 ,$218.60 ,$429.92 ,$703.51 ,$212.23 ,$703.51 ,$212.23 ,$742.60 ,$477.52 ,$719.15 ,$230.65 ,$711.33 ,$212.23 ,$481.05 ,$503.40 ,$481.05 ,$703.51 ,$703.51 ,$586.26 ,$547.18 ,$214.35 ,$228.47 ,$730.87 ,$222.84 ,$217.59 ,$680.06 ,$212.23 ,$703.51 ,$212.23 ,$703.51 ,$703.51 ,$703.51 ,$758.23 ,$633.16 ,$703.51 ,$703.51 ,$703.51 ,$703.51 ST. JOSEPH'S - CHIPPEWA FALLS,39000157,P9052,HC PLT APHER/PHER L/R HLA EA,390,1 ,"$1,923.30 ","$1,442.48 ",$217.59 ,"$1,923.30 ","$1,238.61 ",$805.18 ,"$1,346.31 ",$217.59 ,"$1,596.34 ",$224.12 ,"$1,269.38 ","$1,827.14 ", N/A ,"$1,538.64 ","$1,750.20 ",$217.59 ,"$1,807.90 ","$1,827.14 ","$1,730.97 ","$1,634.81 ",$217.59 ,$217.59 ,$217.59 ,"$1,404.01 ",$805.18 ,"$1,711.74 ","$1,730.97 ","$1,730.97 ","$1,538.64 ",$829.34 ,"$1,057.82 ","$1,730.97 ",$805.18 ,"$1,730.97 ",$805.18 ,"$1,827.14 ","$1,811.66 ","$1,769.44 ",$230.65 ,"$1,750.20 ",$805.18 ,"$1,183.60 ","$1,238.61 ","$1,183.60 ","$1,730.97 ","$1,730.97 ","$1,442.48 ","$1,346.31 ",$813.23 ,$228.47 ,"$1,798.29 ",$845.44 ,$217.59 ,"$1,673.27 ",$805.18 ,"$1,730.97 ",$805.18 ,"$1,730.97 ","$1,730.97 ","$1,730.97 ","$1,865.60 ","$1,557.87 ","$1,730.97 ","$1,730.97 ","$1,730.97 ","$1,730.97 " ST. JOSEPH'S - CHIPPEWA FALLS,39000158,P9055,HC PHER PLT LR CMV NEG,390,1 ,$851.11 ,$638.33 ,$217.59 ,"$1,080.09 ",$548.11 ,$480.04 ,$595.78 ,$217.59 ,$706.42 ,$224.12 ,$561.73 ,$808.55 , N/A ,$680.89 ,$774.51 ,$217.59 ,$800.04 ,$808.55 ,$766.00 ,$723.44 ,$217.59 ,$217.59 ,$217.59 ,$621.31 ,$480.04 ,$757.49 ,$766.00 ,$766.00 ,$680.89 ,$494.44 ,$468.11 ,$766.00 ,$480.04 ,$766.00 ,$480.04 ,$808.55 ,"$1,080.09 ",$783.02 ,$230.65 ,$774.51 ,$480.04 ,$523.77 ,$548.11 ,$523.77 ,$766.00 ,$766.00 ,$638.33 ,$595.78 ,$484.84 ,$228.47 ,$795.79 ,$504.04 ,$217.59 ,$740.47 ,$480.04 ,$766.00 ,$480.04 ,$766.00 ,$766.00 ,$766.00 ,$825.58 ,$689.40 ,$766.00 ,$766.00 ,$766.00 ,$766.00 ST. JOSEPH'S - CHIPPEWA FALLS,39000159,P9056,HC BLOOD LEUKOCYTES I/R EA UNIT,390,1 ,$388.10 ,$291.08 ,$154.16 ,$388.10 ,$249.94 ,$154.16 ,$271.67 ,$217.59 ,$322.12 ,$224.12 ,$256.15 ,$368.70 , N/A ,$310.48 ,$353.17 ,$217.59 ,$364.81 ,$368.70 ,$349.29 ,$329.89 ,$217.59 ,$217.59 ,$217.59 ,$283.31 ,$154.16 ,$345.41 ,$349.29 ,$349.29 ,$310.48 ,$158.78 ,$213.46 ,$349.29 ,$154.16 ,$349.29 ,$154.16 ,$368.70 ,$346.86 ,$357.05 ,$230.65 ,$353.17 ,$154.16 ,$238.84 ,$249.94 ,$238.84 ,$349.29 ,$349.29 ,$291.08 ,$271.67 ,$155.70 ,$228.47 ,$362.87 ,$161.87 ,$217.59 ,$337.65 ,$154.16 ,$349.29 ,$154.16 ,$349.29 ,$349.29 ,$349.29 ,$376.46 ,$314.36 ,$349.29 ,$349.29 ,$349.29 ,$349.29 ST. JOSEPH'S - CHIPPEWA FALLS,39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$325.28 ,$243.96 ,$71.15 ,$325.28 ,$209.48 ,$71.15 ,$227.70 ,$217.59 ,$269.98 ,$224.12 ,$214.68 ,$309.02 , N/A ,$260.22 ,$296.00 ,$217.59 ,$305.76 ,$309.02 ,$292.75 ,$276.49 ,$217.59 ,$217.59 ,$217.59 ,$237.45 ,$71.15 ,$289.50 ,$292.75 ,$292.75 ,$260.22 ,$73.28 ,$178.90 ,$292.75 ,$71.15 ,$292.75 ,$71.15 ,$309.02 ,$160.09 ,$299.26 ,$230.65 ,$296.00 ,$71.15 ,$200.18 ,$209.48 ,$200.18 ,$292.75 ,$292.75 ,$243.96 ,$227.70 ,$71.86 ,$228.47 ,$304.14 ,$74.71 ,$217.59 ,$282.99 ,$71.15 ,$292.75 ,$71.15 ,$292.75 ,$292.75 ,$292.75 ,$315.52 ,$263.48 ,$292.75 ,$292.75 ,$292.75 ,$292.75 ST. JOSEPH'S - CHIPPEWA FALLS,39100001,36430,HC BLOOD PROD ADMIN,391,1 ,$796.14 ,$597.11 ,$217.59 ,$865.24 ,$512.71 ,$384.55 ,$557.30 ,$217.59 ,$660.80 ,$224.12 ,$525.45 ,$756.33 , N/A ,$636.91 ,$724.49 ,$217.59 ,$748.37 ,$756.33 ,$716.53 ,$676.72 ,$217.59 ,$217.59 ,$217.59 ,$581.18 ,$384.55 ,$708.56 ,$716.53 ,$716.53 ,$636.91 ,$396.09 ,$437.88 ,$716.53 ,$384.55 ,$716.53 ,$384.55 ,$756.33 ,$865.24 ,$732.45 ,$230.65 ,$724.49 ,$384.55 ,$489.94 ,$512.71 ,$489.94 ,$716.53 ,$716.53 ,$597.11 ,$557.30 ,$388.40 ,$228.47 ,$744.39 ,$403.78 ,$217.59 ,$692.64 ,$384.55 ,$716.53 ,$384.55 ,$716.53 ,$716.53 ,$716.53 ,$772.26 ,$644.87 ,$716.53 ,$716.53 ,$716.53 ,$716.53 ST. JOSEPH'S - CHIPPEWA FALLS,40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$109.89 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$109.89 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$113.19 ,$164.24 ,$268.76 ,$109.89 ,$268.76 ,$109.89 ,$283.69 ,$247.25 ,$274.73 ,$26.02 ,$271.74 ,$109.89 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$298.62 ,$223.97 ,$264.00 ,$110.99 ,$25.78 ,$279.21 ,$115.38 ,$24.55 ,$259.80 ,$109.89 ,$268.76 ,$109.89 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$109.89 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$109.89 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$113.19 ,$164.24 ,$268.76 ,$109.89 ,$268.76 ,$109.89 ,$283.69 ,$247.25 ,$274.73 ,$26.02 ,$271.74 ,$109.89 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$298.62 ,$223.97 ,$264.00 ,$110.99 ,$25.78 ,$279.21 ,$115.38 ,$24.55 ,$259.80 ,$109.89 ,$268.76 ,$109.89 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40100005,77066,HC MAMMOGRAM DIAG BILAT W/CAD IMPLANT,401,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$109.89 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$109.89 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$113.19 ,$164.24 ,$268.76 ,$109.89 ,$268.76 ,$109.89 ,$283.69 ,$247.25 ,$274.73 ,$26.02 ,$271.74 ,$109.89 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$298.62 ,$223.97 ,$264.00 ,$110.99 ,$25.78 ,$279.21 ,$115.38 ,$24.55 ,$259.80 ,$109.89 ,$268.76 ,$109.89 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$85.89 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$85.89 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$88.47 ,$164.24 ,$268.76 ,$85.89 ,$268.76 ,$85.89 ,$283.69 ,$193.25 ,$274.73 ,$26.02 ,$271.74 ,$85.89 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$257.37 ,$223.97 ,$264.00 ,$86.75 ,$25.78 ,$279.21 ,$90.18 ,$24.55 ,$259.80 ,$85.89 ,$268.76 ,$85.89 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD ADDNT VIEW,401,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$85.89 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$85.89 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$88.47 ,$164.24 ,$268.76 ,$85.89 ,$268.76 ,$85.89 ,$283.69 ,$193.25 ,$274.73 ,$26.02 ,$271.74 ,$85.89 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$257.37 ,$223.97 ,$264.00 ,$86.75 ,$25.78 ,$279.21 ,$90.18 ,$24.55 ,$259.80 ,$85.89 ,$268.76 ,$85.89 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$85.89 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$85.89 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$88.47 ,$164.24 ,$268.76 ,$85.89 ,$268.76 ,$85.89 ,$283.69 ,$193.25 ,$274.73 ,$26.02 ,$271.74 ,$85.89 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$257.37 ,$223.97 ,$264.00 ,$86.75 ,$25.78 ,$279.21 ,$90.18 ,$24.55 ,$259.80 ,$85.89 ,$268.76 ,$85.89 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$40.00 ,$30.00 ,$22.00 ,$53.98 ,$25.76 ,$23.99 ,$28.00 ,$24.55 ,$33.20 ,$25.29 ,$26.40 ,$38.00 , N/A ,$32.00 ,$36.40 ,$24.55 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$24.55 ,$24.55 ,$24.55 ,$29.20 ,$23.99 ,$35.60 ,$36.00 ,$36.00 ,$32.00 ,$24.71 ,$22.00 ,$36.00 ,$23.99 ,$36.00 ,$23.99 ,$38.00 ,$53.98 ,$36.80 ,$26.02 ,$36.40 ,$23.99 ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$36.00 ,$30.00 ,$36.00 ,$24.23 ,$25.78 ,$37.40 ,$25.19 ,$24.55 ,$34.80 ,$23.99 ,$36.00 ,$23.99 ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 ST. JOSEPH'S - CHIPPEWA FALLS,40200007,51798,HC US BLADDER SCAN,402,1 ,$144.29 ,$108.22 ,$22.97 ,$144.29 ,$92.92 ,$53.91 ,$101.00 ,$22.97 ,$144.29 ,$23.66 ,$144.29 ,$137.08 , N/A ,$115.43 ,$131.30 ,$22.97 ,$135.63 ,$137.08 ,$129.86 ,$122.65 ,$22.97 ,$22.97 ,$22.97 ,$105.33 ,$53.91 ,$128.42 ,$129.86 ,$129.86 ,$115.43 ,$55.52 ,$79.36 ,$129.86 ,$53.91 ,$129.86 ,$53.91 ,$137.08 ,$121.29 ,$132.75 ,$24.35 ,$131.30 ,$53.91 ,$88.80 ,$92.92 ,$88.80 ,$129.86 ,$129.86 ,$108.22 ,$129.86 ,$54.45 ,$24.12 ,$134.91 ,$56.61 ,$22.97 ,$125.53 ,$53.91 ,$129.86 ,$53.91 ,$129.86 ,$129.86 ,$129.86 ,$139.96 ,$116.87 ,$129.86 ,$129.86 ,$129.86 ,$129.86 ST. JOSEPH'S - CHIPPEWA FALLS,40200009,49407,HC DRAIN ABSC PELVIC TRNSVAG PERC,402,1 ,"$2,202.11 ","$1,651.58 ",$202.63 ,"$3,066.03 ","$1,418.16 ","$1,362.68 ","$1,541.48 ",$202.63 ,$424.00 ,$208.71 ,$339.00 ,"$2,092.00 ", N/A ,"$1,761.69 ","$2,003.92 ",$202.63 ,"$2,069.98 ","$2,092.00 ","$1,981.90 ","$1,871.79 ",$202.63 ,$202.63 ,$202.63 ,"$1,607.54 ","$1,362.68 ","$1,959.88 ","$1,981.90 ","$1,981.90 ","$1,761.69 ","$1,403.56 ","$1,211.16 ","$1,981.90 ","$1,362.68 ","$1,981.90 ","$1,362.68 ","$2,092.00 ","$3,066.03 ","$2,025.94 ",$214.79 ,"$2,003.92 ","$1,362.68 ","$1,355.18 ","$1,418.16 ","$1,355.18 ","$1,981.90 ","$1,981.90 ","$1,651.58 ",$454.08 ,"$1,376.31 ",$212.76 ,"$2,058.97 ","$1,430.81 ",$202.63 ,"$1,915.84 ","$1,362.68 ","$1,981.90 ","$1,362.68 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$2,136.05 ","$1,783.71 ","$1,981.90 ","$1,981.90 ","$1,981.90 ","$1,981.90 " ST. JOSEPH'S - CHIPPEWA FALLS,40200010,59000,HC AMNIOCENTESIS DIAGNOSTIC,402,1 ,$687.38 ,$515.54 ,$168.81 ,"$1,380.28 ",$442.67 ,$613.46 ,$481.17 ,$168.81 ,$424.00 ,$173.87 ,$339.00 ,$653.01 , N/A ,$549.90 ,$625.52 ,$168.81 ,$646.14 ,$653.01 ,$618.64 ,$584.27 ,$168.81 ,$168.81 ,$168.81 ,$501.79 ,$613.46 ,$611.77 ,$618.64 ,$618.64 ,$549.90 ,$631.86 ,$378.06 ,$618.64 ,$613.46 ,$618.64 ,$613.46 ,$653.01 ,"$1,380.28 ",$632.39 ,$178.94 ,$625.52 ,$613.46 ,$423.01 ,$442.67 ,$423.01 ,$618.64 ,$618.64 ,$515.54 ,$454.08 ,$619.59 ,$177.25 ,$642.70 ,$644.13 ,$168.81 ,$598.02 ,$613.46 ,$618.64 ,$613.46 ,$618.64 ,$618.64 ,$618.64 ,$666.76 ,$556.78 ,$618.64 ,$618.64 ,$618.64 ,$618.64 ST. JOSEPH'S - CHIPPEWA FALLS,40200011,60300,HC ASP/INJ CYST THYROID,402,1 ,$485.34 ,$364.01 ,$266.94 ,"$1,355.35 ",$312.56 ,$602.38 ,$339.74 ,$280.78 ,$424.00 ,$289.20 ,$339.00 ,$461.07 , N/A ,$388.27 ,$441.66 ,$280.78 ,$456.22 ,$461.07 ,$436.81 ,$412.54 ,$280.78 ,$280.78 ,$280.78 ,$354.30 ,$602.38 ,$431.95 ,$436.81 ,$436.81 ,$388.27 ,$620.45 ,$266.94 ,$436.81 ,$602.38 ,$436.81 ,$602.38 ,$461.07 ,"$1,355.35 ",$446.51 ,$297.63 ,$441.66 ,$602.38 ,$298.68 ,$312.56 ,$298.68 ,$436.81 ,$436.81 ,$364.01 ,$436.81 ,$608.40 ,$294.82 ,$453.79 ,$632.50 ,$280.78 ,$422.25 ,$602.38 ,$436.81 ,$602.38 ,$436.81 ,$436.81 ,$436.81 ,$470.78 ,$393.13 ,$436.81 ,$436.81 ,$436.81 ,$436.81 ST. JOSEPH'S - CHIPPEWA FALLS,40200012,76506,HC US ENCEPHALOGRAM,402,1 ,"$1,124.17 ",$843.13 ,$49.96 ,"$1,124.17 ",$723.97 ,$105.54 ,$786.92 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,"$1,067.96 ", N/A ,$899.34 ,"$1,022.99 ",$49.96 ,"$1,056.72 ","$1,067.96 ","$1,011.75 ",$955.54 ,$49.96 ,$49.96 ,$49.96 ,$820.64 ,$105.54 ,"$1,000.51 ","$1,011.75 ","$1,011.75 ",$899.34 ,$108.70 ,$618.29 ,"$1,011.75 ",$105.54 ,"$1,011.75 ",$105.54 ,"$1,067.96 ",$237.46 ,"$1,034.24 ",$52.96 ,"$1,022.99 ",$105.54 ,$691.81 ,$723.97 ,$691.81 ,"$1,011.75 ",$317.34 ,$843.13 ,$454.08 ,$106.59 ,$52.46 ,"$1,051.10 ",$110.82 ,$49.96 ,$978.03 ,$105.54 ,"$1,011.75 ",$105.54 ,"$1,011.75 ","$1,011.75 ","$1,011.75 ","$1,090.44 ",$910.58 ,"$1,011.75 ","$1,011.75 ","$1,011.75 ","$1,011.75 " ST. JOSEPH'S - CHIPPEWA FALLS,40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,$517.65 ,$388.24 ,$49.96 ,$517.65 ,$333.37 ,$105.54 ,$362.36 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$491.77 , N/A ,$414.12 ,$471.06 ,$49.96 ,$486.59 ,$491.77 ,$465.89 ,$440.00 ,$49.96 ,$49.96 ,$49.96 ,$377.88 ,$105.54 ,$460.71 ,$465.89 ,$465.89 ,$414.12 ,$108.70 ,$284.71 ,$465.89 ,$105.54 ,$465.89 ,$105.54 ,$491.77 ,$237.46 ,$476.24 ,$52.96 ,$471.06 ,$105.54 ,$318.56 ,$333.37 ,$318.56 ,$465.89 ,$271.72 ,$388.24 ,$454.08 ,$106.59 ,$52.46 ,$484.00 ,$110.82 ,$49.96 ,$450.36 ,$105.54 ,$465.89 ,$105.54 ,$465.89 ,$465.89 ,$465.89 ,$502.12 ,$419.30 ,$465.89 ,$465.89 ,$465.89 ,$465.89 ST. JOSEPH'S - CHIPPEWA FALLS,40200014,76604,HC US CHEST,402,1 ,$715.00 ,$536.25 ,$49.96 ,$715.00 ,$460.46 ,$105.54 ,$500.50 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$679.25 , N/A ,$572.00 ,$650.65 ,$49.96 ,$672.10 ,$679.25 ,$643.50 ,$607.75 ,$49.96 ,$49.96 ,$49.96 ,$521.95 ,$105.54 ,$636.35 ,$643.50 ,$643.50 ,$572.00 ,$108.70 ,$393.25 ,$643.50 ,$105.54 ,$643.50 ,$105.54 ,$679.25 ,$237.46 ,$657.80 ,$52.96 ,$650.65 ,$105.54 ,$440.01 ,$460.46 ,$440.01 ,$643.50 ,$266.93 ,$536.25 ,$454.08 ,$106.59 ,$52.46 ,$668.53 ,$110.82 ,$49.96 ,$622.05 ,$105.54 ,$643.50 ,$105.54 ,$643.50 ,$643.50 ,$643.50 ,$693.55 ,$579.15 ,$643.50 ,$643.50 ,$643.50 ,$643.50 ST. JOSEPH'S - CHIPPEWA FALLS,40200015,76641,HC US BREAST COMPLETE,402,1 ,$517.13 ,$387.85 ,$49.96 ,$517.13 ,$333.03 ,$105.54 ,$361.99 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$491.27 , N/A ,$413.70 ,$470.59 ,$49.96 ,$486.10 ,$491.27 ,$465.42 ,$439.56 ,$49.96 ,$49.96 ,$49.96 ,$377.50 ,$105.54 ,$460.25 ,$465.42 ,$465.42 ,$413.70 ,$108.70 ,$284.42 ,$465.42 ,$105.54 ,$465.42 ,$105.54 ,$491.27 ,$237.46 ,$475.76 ,$52.96 ,$470.59 ,$105.54 ,$318.24 ,$333.03 ,$318.24 ,$465.42 ,$209.46 ,$387.85 ,$454.08 ,$106.59 ,$52.46 ,$483.52 ,$110.82 ,$49.96 ,$449.90 ,$105.54 ,$465.42 ,$105.54 ,$465.42 ,$465.42 ,$465.42 ,$501.62 ,$418.88 ,$465.42 ,$465.42 ,$465.42 ,$465.42 ST. JOSEPH'S - CHIPPEWA FALLS,40200016,76642,HC US BREAST LIMITED,402,1 ,$517.13 ,$387.85 ,$49.96 ,$517.13 ,$333.03 ,$78.35 ,$361.99 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$491.27 , N/A ,$413.70 ,$470.59 ,$49.96 ,$486.10 ,$491.27 ,$465.42 ,$439.56 ,$49.96 ,$49.96 ,$49.96 ,$377.50 ,$78.35 ,$460.25 ,$465.42 ,$465.42 ,$413.70 ,$80.70 ,$284.42 ,$465.42 ,$78.35 ,$465.42 ,$78.35 ,$491.27 ,$176.29 ,$475.76 ,$52.96 ,$470.59 ,$78.35 ,$318.24 ,$333.03 ,$318.24 ,$465.42 ,$172.49 ,$387.85 ,$454.08 ,$79.14 ,$52.46 ,$483.52 ,$82.27 ,$49.96 ,$449.90 ,$78.35 ,$465.42 ,$78.35 ,$465.42 ,$465.42 ,$465.42 ,$501.62 ,$418.88 ,$465.42 ,$465.42 ,$465.42 ,$465.42 ST. JOSEPH'S - CHIPPEWA FALLS,40200017,76700,HC US ABDOMEN CMPL,402,1 ,$841.86 ,$631.40 ,$63.07 ,$841.86 ,$542.16 ,$105.54 ,$589.30 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$799.77 , N/A ,$673.49 ,$766.09 ,$63.07 ,$791.35 ,$799.77 ,$757.67 ,$715.58 ,$63.07 ,$63.07 ,$63.07 ,$614.56 ,$105.54 ,$749.26 ,$757.67 ,$757.67 ,$673.49 ,$108.70 ,$463.02 ,$757.67 ,$105.54 ,$757.67 ,$105.54 ,$799.77 ,$237.46 ,$774.51 ,$66.85 ,$766.09 ,$105.54 ,$518.08 ,$542.16 ,$518.08 ,$757.67 ,$383.51 ,$631.40 ,$454.08 ,$106.59 ,$66.22 ,$787.14 ,$110.82 ,$63.07 ,$732.42 ,$105.54 ,$757.67 ,$105.54 ,$757.67 ,$757.67 ,$757.67 ,$816.60 ,$681.91 ,$757.67 ,$757.67 ,$757.67 ,$757.67 ST. JOSEPH'S - CHIPPEWA FALLS,40200018,76705,HC US ABDOMEN LTD,402,1 ,$737.18 ,$552.89 ,$49.96 ,$737.18 ,$474.74 ,$105.54 ,$516.03 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$700.32 , N/A ,$589.74 ,$670.83 ,$49.96 ,$692.95 ,$700.32 ,$663.46 ,$626.60 ,$49.96 ,$49.96 ,$49.96 ,$538.14 ,$105.54 ,$656.09 ,$663.46 ,$663.46 ,$589.74 ,$108.70 ,$405.45 ,$663.46 ,$105.54 ,$663.46 ,$105.54 ,$700.32 ,$237.46 ,$678.21 ,$52.96 ,$670.83 ,$105.54 ,$453.66 ,$474.74 ,$453.66 ,$663.46 ,$319.64 ,$552.89 ,$454.08 ,$106.59 ,$52.46 ,$689.26 ,$110.82 ,$49.96 ,$641.35 ,$105.54 ,$663.46 ,$105.54 ,$663.46 ,$663.46 ,$663.46 ,$715.06 ,$597.12 ,$663.46 ,$663.46 ,$663.46 ,$663.46 ST. JOSEPH'S - CHIPPEWA FALLS,40200019,76770,HC US RETROPERITIONEAL,402,1 ,$846.90 ,$635.18 ,$63.07 ,$846.90 ,$545.40 ,$105.54 ,$592.83 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$804.56 , N/A ,$677.52 ,$770.68 ,$63.07 ,$796.09 ,$804.56 ,$762.21 ,$719.87 ,$63.07 ,$63.07 ,$63.07 ,$618.24 ,$105.54 ,$753.74 ,$762.21 ,$762.21 ,$677.52 ,$108.70 ,$465.80 ,$762.21 ,$105.54 ,$762.21 ,$105.54 ,$804.56 ,$237.46 ,$779.15 ,$66.85 ,$770.68 ,$105.54 ,$521.18 ,$545.40 ,$521.18 ,$762.21 ,$402.08 ,$635.18 ,$454.08 ,$106.59 ,$66.22 ,$791.85 ,$110.82 ,$63.07 ,$736.80 ,$105.54 ,$762.21 ,$105.54 ,$762.21 ,$762.21 ,$762.21 ,$821.49 ,$685.99 ,$762.21 ,$762.21 ,$762.21 ,$762.21 ST. JOSEPH'S - CHIPPEWA FALLS,40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,$526.60 ,$394.95 ,$49.96 ,$526.60 ,$339.13 ,$105.54 ,$368.62 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$500.27 , N/A ,$421.28 ,$479.21 ,$49.96 ,$495.00 ,$500.27 ,$473.94 ,$447.61 ,$49.96 ,$49.96 ,$49.96 ,$384.42 ,$105.54 ,$468.67 ,$473.94 ,$473.94 ,$421.28 ,$108.70 ,$289.63 ,$473.94 ,$105.54 ,$473.94 ,$105.54 ,$500.27 ,$237.46 ,$484.47 ,$52.96 ,$479.21 ,$105.54 ,$324.07 ,$339.13 ,$324.07 ,$473.94 ,$321.02 ,$394.95 ,$454.08 ,$106.59 ,$52.46 ,$492.37 ,$110.82 ,$49.96 ,$458.14 ,$105.54 ,$473.94 ,$105.54 ,$473.94 ,$473.94 ,$473.94 ,$510.80 ,$426.55 ,$473.94 ,$473.94 ,$473.94 ,$473.94 ST. JOSEPH'S - CHIPPEWA FALLS,40200022,76800,HC US SPINAL CANAL AND CONTENTS,402,1 ,$483.44 ,$362.58 ,$49.96 ,$483.44 ,$311.34 ,$105.54 ,$338.41 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$459.27 , N/A ,$386.75 ,$439.93 ,$49.96 ,$454.43 ,$459.27 ,$435.10 ,$410.92 ,$49.96 ,$49.96 ,$49.96 ,$352.91 ,$105.54 ,$430.26 ,$435.10 ,$435.10 ,$386.75 ,$108.70 ,$265.89 ,$435.10 ,$105.54 ,$435.10 ,$105.54 ,$459.27 ,$237.46 ,$444.76 ,$52.96 ,$439.93 ,$105.54 ,$297.51 ,$311.34 ,$297.51 ,$435.10 ,$249.39 ,$362.58 ,$435.10 ,$106.59 ,$52.46 ,$452.02 ,$110.82 ,$49.96 ,$420.59 ,$105.54 ,$435.10 ,$105.54 ,$435.10 ,$435.10 ,$435.10 ,$468.94 ,$391.59 ,$435.10 ,$435.10 ,$435.10 ,$435.10 ST. JOSEPH'S - CHIPPEWA FALLS,40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,$561.65 ,$421.24 ,$32.24 ,$561.65 ,$361.70 ,$105.54 ,$393.16 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$533.57 , N/A ,$449.32 ,$511.10 ,$32.24 ,$527.95 ,$533.57 ,$505.49 ,$477.40 ,$32.24 ,$32.24 ,$32.24 ,$410.00 ,$105.54 ,$499.87 ,$505.49 ,$505.49 ,$449.32 ,$108.70 ,$308.91 ,$505.49 ,$105.54 ,$505.49 ,$105.54 ,$533.57 ,$237.46 ,$516.72 ,$34.17 ,$511.10 ,$105.54 ,$345.64 ,$361.70 ,$345.64 ,$505.49 ,$94.73 ,$421.24 ,$454.08 ,$106.59 ,$33.85 ,$525.14 ,$110.82 ,$32.24 ,$488.64 ,$105.54 ,$505.49 ,$105.54 ,$505.49 ,$505.49 ,$505.49 ,$544.80 ,$454.94 ,$505.49 ,$505.49 ,$505.49 ,$505.49 ST. JOSEPH'S - CHIPPEWA FALLS,40200024,76802,HC US PREGNANCY <14 WEEKS ADDL,402,1 ,$450.97 ,$338.23 ,$32.24 ,$450.97 ,$290.42 , N/A ,$315.68 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$428.42 , N/A ,$360.78 ,$410.38 ,$32.24 ,$423.91 ,$428.42 ,$405.87 ,$383.32 ,$32.24 ,$32.24 ,$32.24 ,$329.21 , N/A ,$401.36 ,$405.87 ,$405.87 ,$360.78 , N/A ,$248.03 ,$405.87 , N/A ,$405.87 , N/A ,$428.42 , N/A ,$414.89 ,$34.17 ,$410.38 , N/A ,$277.53 ,$290.42 ,$277.53 ,$405.87 ,$67.30 ,$338.23 ,$405.87 , N/A ,$33.85 ,$421.66 , N/A ,$32.24 ,$392.34 , N/A ,$405.87 , N/A ,$405.87 ,$405.87 ,$405.87 ,$437.44 ,$365.29 ,$405.87 ,$405.87 ,$405.87 ,$405.87 ST. JOSEPH'S - CHIPPEWA FALLS,40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,$747.24 ,$560.43 ,$32.24 ,$747.24 ,$481.22 ,$105.54 ,$523.07 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$709.88 , N/A ,$597.79 ,$679.99 ,$32.24 ,$702.41 ,$709.88 ,$672.52 ,$635.15 ,$32.24 ,$32.24 ,$32.24 ,$545.49 ,$105.54 ,$665.04 ,$672.52 ,$672.52 ,$597.79 ,$108.70 ,$410.98 ,$672.52 ,$105.54 ,$672.52 ,$105.54 ,$709.88 ,$237.46 ,$687.46 ,$34.17 ,$679.99 ,$105.54 ,$459.85 ,$481.22 ,$459.85 ,$672.52 ,$303.92 ,$560.43 ,$454.08 ,$106.59 ,$33.85 ,$698.67 ,$110.82 ,$32.24 ,$650.10 ,$105.54 ,$672.52 ,$105.54 ,$672.52 ,$672.52 ,$672.52 ,$724.82 ,$605.26 ,$672.52 ,$672.52 ,$672.52 ,$672.52 ST. JOSEPH'S - CHIPPEWA FALLS,40200027,76810,HC US PREGNANCY >14 WEEKS ADDL,402,1 ,$894.33 ,$670.75 ,$32.24 ,$894.33 ,$575.95 , N/A ,$626.03 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$849.61 , N/A ,$715.46 ,$813.84 ,$32.24 ,$840.67 ,$849.61 ,$804.90 ,$760.18 ,$32.24 ,$32.24 ,$32.24 ,$652.86 , N/A ,$795.95 ,$804.90 ,$804.90 ,$715.46 , N/A ,$491.88 ,$804.90 , N/A ,$804.90 , N/A ,$849.61 , N/A ,$822.78 ,$34.17 ,$813.84 , N/A ,$550.37 ,$575.95 ,$550.37 ,$804.90 ,$649.81 ,$670.75 ,$454.08 , N/A ,$33.85 ,$836.20 , N/A ,$32.24 ,$778.07 , N/A ,$804.90 , N/A ,$804.90 ,$804.90 ,$804.90 ,$867.50 ,$724.41 ,$804.90 ,$804.90 ,$804.90 ,$804.90 ST. JOSEPH'S - CHIPPEWA FALLS,40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,$897.51 ,$673.13 ,$32.24 ,$897.51 ,$578.00 ,$222.88 ,$628.26 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$852.63 , N/A ,$718.01 ,$816.73 ,$32.24 ,$843.66 ,$852.63 ,$807.76 ,$762.88 ,$32.24 ,$32.24 ,$32.24 ,$655.18 ,$222.88 ,$798.78 ,$807.76 ,$807.76 ,$718.01 ,$229.57 ,$493.63 ,$807.76 ,$222.88 ,$807.76 ,$222.88 ,$852.63 ,$501.48 ,$825.71 ,$34.17 ,$816.73 ,$222.88 ,$552.33 ,$578.00 ,$552.33 ,$807.76 ,$321.53 ,$673.13 ,$454.08 ,$225.11 ,$33.85 ,$839.17 ,$234.02 ,$32.24 ,$780.83 ,$222.88 ,$807.76 ,$222.88 ,$807.76 ,$807.76 ,$807.76 ,$870.58 ,$726.98 ,$807.76 ,$807.76 ,$807.76 ,$807.76 ST. JOSEPH'S - CHIPPEWA FALLS,40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$465.55 ,$349.16 ,$32.24 ,$465.55 ,$299.81 , N/A ,$325.89 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$442.27 , N/A ,$372.44 ,$423.65 ,$32.24 ,$437.62 ,$442.27 ,$419.00 ,$395.72 ,$32.24 ,$32.24 ,$32.24 ,$339.85 , N/A ,$414.34 ,$419.00 ,$419.00 ,$372.44 , N/A ,$256.05 ,$419.00 , N/A ,$419.00 , N/A ,$442.27 , N/A ,$428.31 ,$34.17 ,$423.65 , N/A ,$286.50 ,$299.81 ,$286.50 ,$419.00 ,$114.66 ,$349.16 ,$419.00 , N/A ,$33.85 ,$435.29 , N/A ,$32.24 ,$405.03 , N/A ,$419.00 , N/A ,$419.00 ,$419.00 ,$419.00 ,$451.58 ,$377.10 ,$419.00 ,$419.00 ,$419.00 ,$419.00 ST. JOSEPH'S - CHIPPEWA FALLS,40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$402.79 ,$302.09 ,$32.24 ,$402.79 ,$259.40 ,$105.54 ,$281.95 ,$32.24 ,$402.79 ,$33.21 ,$339.00 ,$382.65 , N/A ,$322.23 ,$366.54 ,$32.24 ,$378.62 ,$382.65 ,$362.51 ,$342.37 ,$32.24 ,$32.24 ,$32.24 ,$294.04 ,$105.54 ,$358.48 ,$362.51 ,$362.51 ,$322.23 ,$108.70 ,$221.53 ,$362.51 ,$105.54 ,$362.51 ,$105.54 ,$382.65 ,$237.46 ,$370.57 ,$34.17 ,$366.54 ,$105.54 ,$247.88 ,$259.40 ,$247.88 ,$362.51 ,$238.50 ,$302.09 ,$362.51 ,$106.59 ,$33.85 ,$376.61 ,$110.82 ,$32.24 ,$350.43 ,$105.54 ,$362.51 ,$105.54 ,$362.51 ,$362.51 ,$362.51 ,$390.71 ,$326.26 ,$362.51 ,$362.51 ,$362.51 ,$362.51 ST. JOSEPH'S - CHIPPEWA FALLS,40200031,76815,HC US FETAL HEART BEAT,402,1 ,$357.08 ,$267.81 ,$32.24 ,$357.08 ,$229.96 ,$105.54 ,$249.96 ,$32.24 ,$357.08 ,$33.21 ,$339.00 ,$339.23 , N/A ,$285.66 ,$324.94 ,$32.24 ,$335.66 ,$339.23 ,$321.37 ,$303.52 ,$32.24 ,$32.24 ,$32.24 ,$260.67 ,$105.54 ,$317.80 ,$321.37 ,$321.37 ,$285.66 ,$108.70 ,$196.39 ,$321.37 ,$105.54 ,$321.37 ,$105.54 ,$339.23 ,$237.46 ,$328.51 ,$34.17 ,$324.94 ,$105.54 ,$219.75 ,$229.96 ,$219.75 ,$321.37 ,$193.78 ,$267.81 ,$321.37 ,$106.59 ,$33.85 ,$333.87 ,$110.82 ,$32.24 ,$310.66 ,$105.54 ,$321.37 ,$105.54 ,$321.37 ,$321.37 ,$321.37 ,$346.37 ,$289.23 ,$321.37 ,$321.37 ,$321.37 ,$321.37 ST. JOSEPH'S - CHIPPEWA FALLS,40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,$594.14 ,$445.61 ,$32.24 ,$594.14 ,$382.63 ,$105.54 ,$415.90 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$564.43 , N/A ,$475.31 ,$540.67 ,$32.24 ,$558.49 ,$564.43 ,$534.73 ,$505.02 ,$32.24 ,$32.24 ,$32.24 ,$433.72 ,$105.54 ,$528.78 ,$534.73 ,$534.73 ,$475.31 ,$108.70 ,$326.78 ,$534.73 ,$105.54 ,$534.73 ,$105.54 ,$564.43 ,$237.46 ,$546.61 ,$34.17 ,$540.67 ,$105.54 ,$365.63 ,$382.63 ,$365.63 ,$534.73 ,$129.60 ,$445.61 ,$454.08 ,$106.59 ,$33.85 ,$555.52 ,$110.82 ,$32.24 ,$516.90 ,$105.54 ,$534.73 ,$105.54 ,$534.73 ,$534.73 ,$534.73 ,$576.32 ,$481.25 ,$534.73 ,$534.73 ,$534.73 ,$534.73 ST. JOSEPH'S - CHIPPEWA FALLS,40200033,76818,HC US FETAL BIO PROFILE W/NST,402,1 ,$502.94 ,$377.21 ,$32.24 ,$502.94 ,$323.89 ,$105.54 ,$352.06 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$477.79 , N/A ,$402.35 ,$457.68 ,$32.24 ,$472.76 ,$477.79 ,$452.65 ,$427.50 ,$32.24 ,$32.24 ,$32.24 ,$367.15 ,$105.54 ,$447.62 ,$452.65 ,$452.65 ,$402.35 ,$108.70 ,$276.62 ,$452.65 ,$105.54 ,$452.65 ,$105.54 ,$477.79 ,$237.46 ,$462.70 ,$34.17 ,$457.68 ,$105.54 ,$309.51 ,$323.89 ,$309.51 ,$452.65 ,$270.99 ,$377.21 ,$452.65 ,$106.59 ,$33.85 ,$470.25 ,$110.82 ,$32.24 ,$437.56 ,$105.54 ,$452.65 ,$105.54 ,$452.65 ,$452.65 ,$452.65 ,$487.85 ,$407.38 ,$452.65 ,$452.65 ,$452.65 ,$452.65 ST. JOSEPH'S - CHIPPEWA FALLS,40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$386.25 ,$289.69 ,$32.24 ,$386.25 ,$248.75 ,$105.54 ,$270.38 ,$32.24 ,$386.25 ,$33.21 ,$339.00 ,$366.94 , N/A ,$309.00 ,$351.49 ,$32.24 ,$363.08 ,$366.94 ,$347.63 ,$328.31 ,$32.24 ,$32.24 ,$32.24 ,$281.96 ,$105.54 ,$343.76 ,$347.63 ,$347.63 ,$309.00 ,$108.70 ,$212.44 ,$347.63 ,$105.54 ,$347.63 ,$105.54 ,$366.94 ,$237.46 ,$355.35 ,$34.17 ,$351.49 ,$105.54 ,$237.70 ,$248.75 ,$237.70 ,$347.63 ,$162.35 ,$289.69 ,$347.63 ,$106.59 ,$33.85 ,$361.14 ,$110.82 ,$32.24 ,$336.04 ,$105.54 ,$347.63 ,$105.54 ,$347.63 ,$347.63 ,$347.63 ,$374.66 ,$312.86 ,$347.63 ,$347.63 ,$347.63 ,$347.63 ST. JOSEPH'S - CHIPPEWA FALLS,40200038,76830,HC US TRANSVAGINAL,402,1 ,$991.29 ,$743.47 ,$49.96 ,$991.29 ,$638.39 ,$105.54 ,$693.90 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$941.73 , N/A ,$793.03 ,$902.07 ,$49.96 ,$931.81 ,$941.73 ,$892.16 ,$842.60 ,$49.96 ,$49.96 ,$49.96 ,$723.64 ,$105.54 ,$882.25 ,$892.16 ,$892.16 ,$793.03 ,$108.70 ,$545.21 ,$892.16 ,$105.54 ,$892.16 ,$105.54 ,$941.73 ,$237.46 ,$911.99 ,$52.96 ,$902.07 ,$105.54 ,$610.04 ,$638.39 ,$610.04 ,$892.16 ,$422.59 ,$743.47 ,$454.08 ,$106.59 ,$52.46 ,$926.86 ,$110.82 ,$49.96 ,$862.42 ,$105.54 ,$892.16 ,$105.54 ,$892.16 ,$892.16 ,$892.16 ,$961.55 ,$802.94 ,$892.16 ,$892.16 ,$892.16 ,$892.16 ST. JOSEPH'S - CHIPPEWA FALLS,40200040,76856,HC US PELVIS NON OB,402,1 ,$878.52 ,$658.89 ,$63.07 ,$878.52 ,$565.77 ,$105.54 ,$614.96 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$834.59 , N/A ,$702.82 ,$799.45 ,$63.07 ,$825.81 ,$834.59 ,$790.67 ,$746.74 ,$63.07 ,$63.07 ,$63.07 ,$641.32 ,$105.54 ,$781.88 ,$790.67 ,$790.67 ,$702.82 ,$108.70 ,$483.19 ,$790.67 ,$105.54 ,$790.67 ,$105.54 ,$834.59 ,$237.46 ,$808.24 ,$66.85 ,$799.45 ,$105.54 ,$540.64 ,$565.77 ,$540.64 ,$790.67 ,$355.03 ,$658.89 ,$454.08 ,$106.59 ,$66.22 ,$821.42 ,$110.82 ,$63.07 ,$764.31 ,$105.54 ,$790.67 ,$105.54 ,$790.67 ,$790.67 ,$790.67 ,$852.16 ,$711.60 ,$790.67 ,$790.67 ,$790.67 ,$790.67 ST. JOSEPH'S - CHIPPEWA FALLS,40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$525.12 ,$393.84 ,$49.96 ,$525.12 ,$338.18 ,$105.54 ,$367.58 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$498.86 , N/A ,$420.10 ,$477.86 ,$49.96 ,$493.61 ,$498.86 ,$472.61 ,$446.35 ,$49.96 ,$49.96 ,$49.96 ,$383.34 ,$105.54 ,$467.36 ,$472.61 ,$472.61 ,$420.10 ,$108.70 ,$288.82 ,$472.61 ,$105.54 ,$472.61 ,$105.54 ,$498.86 ,$237.46 ,$483.11 ,$52.96 ,$477.86 ,$105.54 ,$323.16 ,$338.18 ,$323.16 ,$472.61 ,$209.22 ,$393.84 ,$454.08 ,$106.59 ,$52.46 ,$490.99 ,$110.82 ,$49.96 ,$456.85 ,$105.54 ,$472.61 ,$105.54 ,$472.61 ,$472.61 ,$472.61 ,$509.37 ,$425.35 ,$472.61 ,$472.61 ,$472.61 ,$472.61 ST. JOSEPH'S - CHIPPEWA FALLS,40200042,76870,HC US SCROTUM,402,1 ,$692.70 ,$519.53 ,$49.96 ,$692.70 ,$446.10 ,$105.54 ,$484.89 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$658.07 , N/A ,$554.16 ,$630.36 ,$49.96 ,$651.14 ,$658.07 ,$623.43 ,$588.80 ,$49.96 ,$49.96 ,$49.96 ,$505.67 ,$105.54 ,$616.50 ,$623.43 ,$623.43 ,$554.16 ,$108.70 ,$380.99 ,$623.43 ,$105.54 ,$623.43 ,$105.54 ,$658.07 ,$237.46 ,$637.28 ,$52.96 ,$630.36 ,$105.54 ,$426.29 ,$446.10 ,$426.29 ,$623.43 ,$399.71 ,$519.53 ,$454.08 ,$106.59 ,$52.46 ,$647.67 ,$110.82 ,$49.96 ,$602.65 ,$105.54 ,$623.43 ,$105.54 ,$623.43 ,$623.43 ,$623.43 ,$671.92 ,$561.09 ,$623.43 ,$623.43 ,$623.43 ,$623.43 ST. JOSEPH'S - CHIPPEWA FALLS,40200044,76873,HC US TRANSRECTAL PROSTATE VOLUME,402,1 ,$912.84 ,$684.63 ,$63.07 ,$912.84 ,$587.87 ,$105.54 ,$638.99 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$867.20 , N/A ,$730.27 ,$830.68 ,$63.07 ,$858.07 ,$867.20 ,$821.56 ,$775.91 ,$63.07 ,$63.07 ,$63.07 ,$666.37 ,$105.54 ,$812.43 ,$821.56 ,$821.56 ,$730.27 ,$108.70 ,$502.06 ,$821.56 ,$105.54 ,$821.56 ,$105.54 ,$867.20 ,$237.46 ,$839.81 ,$66.85 ,$830.68 ,$105.54 ,$561.76 ,$587.87 ,$561.76 ,$821.56 ,$228.58 ,$684.63 ,$454.08 ,$106.59 ,$66.22 ,$853.51 ,$110.82 ,$63.07 ,$794.17 ,$105.54 ,$821.56 ,$105.54 ,$821.56 ,$821.56 ,$821.56 ,$885.45 ,$739.40 ,$821.56 ,$821.56 ,$821.56 ,$821.56 ST. JOSEPH'S - CHIPPEWA FALLS,40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,$512.62 ,$384.47 ,$49.96 ,$512.62 ,$330.13 ,$105.54 ,$358.83 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$486.99 , N/A ,$410.10 ,$466.48 ,$49.96 ,$481.86 ,$486.99 ,$461.36 ,$435.73 ,$49.96 ,$49.96 ,$49.96 ,$374.21 ,$105.54 ,$456.23 ,$461.36 ,$461.36 ,$410.10 ,$108.70 ,$281.94 ,$461.36 ,$105.54 ,$461.36 ,$105.54 ,$486.99 ,$237.46 ,$471.61 ,$52.96 ,$466.48 ,$105.54 ,$315.47 ,$330.13 ,$315.47 ,$461.36 ,$173.86 ,$384.47 ,$454.08 ,$106.59 ,$52.46 ,$479.30 ,$110.82 ,$49.96 ,$445.98 ,$105.54 ,$461.36 ,$105.54 ,$461.36 ,$461.36 ,$461.36 ,$497.24 ,$415.22 ,$461.36 ,$461.36 ,$461.36 ,$461.36 ST. JOSEPH'S - CHIPPEWA FALLS,40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,$408.56 ,$306.42 ,$40.39 ,$408.56 ,$263.11 ,$105.54 ,$285.99 ,$49.96 ,$408.56 ,$51.46 ,$339.00 ,$388.13 , N/A ,$326.85 ,$371.79 ,$49.96 ,$384.05 ,$388.13 ,$367.70 ,$347.28 ,$49.96 ,$49.96 ,$49.96 ,$298.25 ,$105.54 ,$363.62 ,$367.70 ,$367.70 ,$326.85 ,$108.70 ,$224.71 ,$367.70 ,$105.54 ,$367.70 ,$105.54 ,$388.13 ,$237.46 ,$375.88 ,$52.96 ,$371.79 ,$105.54 ,$251.43 ,$263.11 ,$251.43 ,$367.70 ,$40.39 ,$306.42 ,$367.70 ,$106.59 ,$52.46 ,$382.00 ,$110.82 ,$49.96 ,$355.45 ,$105.54 ,$367.70 ,$105.54 ,$367.70 ,$367.70 ,$367.70 ,$396.30 ,$330.93 ,$367.70 ,$367.70 ,$367.70 ,$367.70 ST. JOSEPH'S - CHIPPEWA FALLS,40200048,76885,HC US HIPS INFANT DYNAMIC,402,1 ,$429.15 ,$321.86 ,$49.96 ,$429.15 ,$276.37 ,$78.35 ,$300.41 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$407.69 , N/A ,$343.32 ,$390.53 ,$49.96 ,$403.40 ,$407.69 ,$386.24 ,$364.78 ,$49.96 ,$49.96 ,$49.96 ,$313.28 ,$78.35 ,$381.94 ,$386.24 ,$386.24 ,$343.32 ,$80.70 ,$236.03 ,$386.24 ,$78.35 ,$386.24 ,$78.35 ,$407.69 ,$176.29 ,$394.82 ,$52.96 ,$390.53 ,$78.35 ,$264.10 ,$276.37 ,$264.10 ,$386.24 ,$171.00 ,$321.86 ,$386.24 ,$79.14 ,$52.46 ,$401.26 ,$82.27 ,$49.96 ,$373.36 ,$78.35 ,$386.24 ,$78.35 ,$386.24 ,$386.24 ,$386.24 ,$416.28 ,$347.61 ,$386.24 ,$386.24 ,$386.24 ,$386.24 ST. JOSEPH'S - CHIPPEWA FALLS,40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$444.59 ,$333.44 ,$35.59 ,$444.59 ,$286.32 , N/A ,$311.21 ,$35.59 ,$424.00 ,$36.66 ,$339.00 ,$422.36 , N/A ,$355.67 ,$404.58 ,$35.59 ,$417.91 ,$422.36 ,$400.13 ,$377.90 ,$35.59 ,$35.59 ,$35.59 ,$324.55 , N/A ,$395.69 ,$400.13 ,$400.13 ,$355.67 , N/A ,$244.52 ,$400.13 , N/A ,$400.13 , N/A ,$422.36 , N/A ,$409.02 ,$37.73 ,$404.58 , N/A ,$273.60 ,$286.32 ,$273.60 ,$400.13 ,$37.84 ,$333.44 ,$400.13 , N/A ,$37.37 ,$415.69 , N/A ,$35.59 ,$386.79 , N/A ,$400.13 , N/A ,$400.13 ,$400.13 ,$400.13 ,$431.25 ,$360.12 ,$400.13 ,$400.13 ,$400.13 ,$400.13 ST. JOSEPH'S - CHIPPEWA FALLS,40200052,76940,HC US GUIDANCE TISSUE ABLATION,402,1 ,$684.84 ,$513.63 ,$35.59 ,$684.84 ,$441.04 , N/A ,$479.39 ,$35.59 ,$424.00 ,$36.66 ,$339.00 ,$650.60 , N/A ,$547.87 ,$623.20 ,$35.59 ,$643.75 ,$650.60 ,$616.36 ,$582.11 ,$35.59 ,$35.59 ,$35.59 ,$499.93 , N/A ,$609.51 ,$616.36 ,$616.36 ,$547.87 , N/A ,$376.66 ,$616.36 , N/A ,$616.36 , N/A ,$650.60 , N/A ,$630.05 ,$37.73 ,$623.20 , N/A ,$421.45 ,$441.04 ,$421.45 ,$616.36 ,$145.73 ,$513.63 ,$454.08 , N/A ,$37.37 ,$640.33 , N/A ,$35.59 ,$595.81 , N/A ,$616.36 , N/A ,$616.36 ,$616.36 ,$616.36 ,$664.29 ,$554.72 ,$616.36 ,$616.36 ,$616.36 ,$616.36 ST. JOSEPH'S - CHIPPEWA FALLS,40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,$810.82 ,$608.12 ,$35.59 ,$810.82 ,$522.17 , N/A ,$567.57 ,$35.59 ,$424.00 ,$36.66 ,$339.00 ,$770.28 , N/A ,$648.66 ,$737.85 ,$35.59 ,$762.17 ,$770.28 ,$729.74 ,$689.20 ,$35.59 ,$35.59 ,$35.59 ,$591.90 , N/A ,$721.63 ,$729.74 ,$729.74 ,$648.66 , N/A ,$445.95 ,$729.74 , N/A ,$729.74 , N/A ,$770.28 , N/A ,$745.95 ,$37.73 ,$737.85 , N/A ,$498.98 ,$522.17 ,$498.98 ,$729.74 ,$370.51 ,$608.12 ,$454.08 , N/A ,$37.37 ,$758.12 , N/A ,$35.59 ,$705.41 , N/A ,$729.74 , N/A ,$729.74 ,$729.74 ,$729.74 ,$786.50 ,$656.76 ,$729.74 ,$729.74 ,$729.74 ,$729.74 ST. JOSEPH'S - CHIPPEWA FALLS,40200059,76946,HC US GUIDED AMNIOCENTESIS,402,1 ,$670.05 ,$502.54 ,$35.59 ,$670.05 ,$431.51 , N/A ,$469.04 ,$35.59 ,$424.00 ,$36.66 ,$339.00 ,$636.55 , N/A ,$536.04 ,$609.75 ,$35.59 ,$629.85 ,$636.55 ,$603.05 ,$569.54 ,$35.59 ,$35.59 ,$35.59 ,$489.14 , N/A ,$596.34 ,$603.05 ,$603.05 ,$536.04 , N/A ,$368.53 ,$603.05 , N/A ,$603.05 , N/A ,$636.55 , N/A ,$616.45 ,$37.73 ,$609.75 , N/A ,$412.35 ,$431.51 ,$412.35 ,$603.05 ,$327.98 ,$502.54 ,$454.08 , N/A ,$37.37 ,$626.50 , N/A ,$35.59 ,$582.94 , N/A ,$603.05 , N/A ,$603.05 ,$603.05 ,$603.05 ,$649.95 ,$542.74 ,$603.05 ,$603.05 ,$603.05 ,$603.05 ST. JOSEPH'S - CHIPPEWA FALLS,40200060,77387,HC US GUIDED RAD THRPY FIELDS,402,1 ,$228.07 ,$171.05 ,$39.10 ,$228.07 ,$146.88 , N/A ,$159.65 ,$39.10 ,$228.07 ,$40.27 ,$228.07 ,$216.67 , N/A ,$182.46 ,$207.54 ,$39.10 ,$214.39 ,$216.67 ,$205.26 ,$193.86 ,$39.10 ,$39.10 ,$39.10 ,$166.49 , N/A ,$202.98 ,$205.26 ,$205.26 ,$182.46 , N/A ,$125.44 ,$205.26 , N/A ,$205.26 , N/A ,$216.67 , N/A ,$209.82 ,$41.45 ,$207.54 , N/A ,$140.35 ,$146.88 ,$140.35 ,$205.26 ,$121.16 ,$171.05 ,$205.26 , N/A ,$41.06 ,$213.25 , N/A ,$39.10 ,$198.42 , N/A ,$205.26 , N/A ,$205.26 ,$205.26 ,$205.26 ,$221.23 ,$184.74 ,$205.26 ,$205.26 ,$205.26 ,$205.26 ST. JOSEPH'S - CHIPPEWA FALLS,40200061,76965,HC US GUIDED INTERSTITIAL THRPY,402,1 ,$597.33 ,$448.00 ,$35.59 ,$597.33 ,$384.68 , N/A ,$418.13 ,$35.59 ,$424.00 ,$36.66 ,$339.00 ,$567.46 , N/A ,$477.86 ,$543.57 ,$35.59 ,$561.49 ,$567.46 ,$537.60 ,$507.73 ,$35.59 ,$35.59 ,$35.59 ,$436.05 , N/A ,$531.62 ,$537.60 ,$537.60 ,$477.86 , N/A ,$328.53 ,$537.60 , N/A ,$537.60 , N/A ,$567.46 , N/A ,$549.54 ,$37.73 ,$543.57 , N/A ,$367.60 ,$384.68 ,$367.60 ,$537.60 ,$597.33 ,$448.00 ,$454.08 , N/A ,$37.37 ,$558.50 , N/A ,$35.59 ,$519.68 , N/A ,$537.60 , N/A ,$537.60 ,$537.60 ,$537.60 ,$579.41 ,$483.84 ,$537.60 ,$537.60 ,$537.60 ,$537.60 ST. JOSEPH'S - CHIPPEWA FALLS,40200062,76998,HC US INTRAOPERATIVE,402,1 ,$287.08 ,$215.31 ,$35.59 ,$287.08 ,$184.88 , N/A ,$200.96 ,$35.59 ,$287.08 ,$36.66 ,$287.08 ,$272.73 , N/A ,$229.66 ,$261.24 ,$35.59 ,$269.86 ,$272.73 ,$258.37 ,$244.02 ,$35.59 ,$35.59 ,$35.59 ,$209.57 , N/A ,$255.50 ,$258.37 ,$258.37 ,$229.66 , N/A ,$157.89 ,$258.37 , N/A ,$258.37 , N/A ,$272.73 , N/A ,$264.11 ,$37.73 ,$261.24 , N/A ,$176.67 ,$184.88 ,$176.67 ,$258.37 ,$122.39 ,$215.31 ,$258.37 , N/A ,$37.37 ,$268.42 , N/A ,$35.59 ,$249.76 , N/A ,$258.37 , N/A ,$258.37 ,$258.37 ,$258.37 ,$278.47 ,$232.53 ,$258.37 ,$258.37 ,$258.37 ,$258.37 ST. JOSEPH'S - CHIPPEWA FALLS,40200063,76999,HC UNLISTED PROCEDURE ULTRASOUND,402,1 ,$238.04 ,$178.53 ,$49.96 ,$238.04 ,$153.30 ,$78.35 ,$166.63 ,$49.96 ,$238.04 ,$51.46 ,$238.04 ,$226.14 , N/A ,$190.43 ,$216.62 ,$49.96 ,$223.76 ,$226.14 ,$214.24 ,$202.33 ,$49.96 ,$49.96 ,$49.96 ,$173.77 ,$78.35 ,$211.86 ,$214.24 ,$214.24 ,$190.43 ,$80.70 ,$130.92 ,$214.24 ,$78.35 ,$214.24 ,$78.35 ,$226.14 ,$176.29 ,$219.00 ,$52.96 ,$216.62 ,$78.35 ,$146.49 ,$153.30 ,$146.49 ,$214.24 ,$214.24 ,$178.53 ,$214.24 ,$79.14 ,$52.46 ,$222.57 ,$82.27 ,$49.96 ,$207.09 ,$78.35 ,$214.24 ,$78.35 ,$214.24 ,$214.24 ,$214.24 ,$230.90 ,$192.81 ,$214.24 ,$214.24 ,$214.24 ,$214.24 ST. JOSEPH'S - CHIPPEWA FALLS,40200064,93975,HC DUPLEX ABD/PEL/RETRO CMPL,402,1 ,$750.17 ,$562.63 ,$63.07 ,$750.17 ,$483.11 ,$222.88 ,$525.12 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$712.66 , N/A ,$600.14 ,$682.65 ,$63.07 ,$705.16 ,$712.66 ,$675.15 ,$637.64 ,$63.07 ,$63.07 ,$63.07 ,$547.62 ,$222.88 ,$667.65 ,$675.15 ,$675.15 ,$600.14 ,$229.57 ,$412.59 ,$675.15 ,$222.88 ,$675.15 ,$222.88 ,$712.66 ,$501.48 ,$690.16 ,$66.85 ,$682.65 ,$222.88 ,$461.65 ,$483.11 ,$461.65 ,$675.15 ,$198.32 ,$562.63 ,$454.08 ,$225.11 ,$66.22 ,$701.41 ,$234.02 ,$63.07 ,$652.65 ,$222.88 ,$675.15 ,$222.88 ,$675.15 ,$675.15 ,$675.15 ,$727.66 ,$607.64 ,$675.15 ,$675.15 ,$675.15 ,$675.15 ST. JOSEPH'S - CHIPPEWA FALLS,40200067,93975,HC DUPLEX ABD/PEL/RETRO CMPL AORTA,402,1 ,$750.17 ,$562.63 ,$63.07 ,$750.17 ,$483.11 ,$222.88 ,$525.12 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$712.66 , N/A ,$600.14 ,$682.65 ,$63.07 ,$705.16 ,$712.66 ,$675.15 ,$637.64 ,$63.07 ,$63.07 ,$63.07 ,$547.62 ,$222.88 ,$667.65 ,$675.15 ,$675.15 ,$600.14 ,$229.57 ,$412.59 ,$675.15 ,$222.88 ,$675.15 ,$222.88 ,$712.66 ,$501.48 ,$690.16 ,$66.85 ,$682.65 ,$222.88 ,$461.65 ,$483.11 ,$461.65 ,$675.15 ,$198.32 ,$562.63 ,$454.08 ,$225.11 ,$66.22 ,$701.41 ,$234.02 ,$63.07 ,$652.65 ,$222.88 ,$675.15 ,$222.88 ,$675.15 ,$675.15 ,$675.15 ,$727.66 ,$607.64 ,$675.15 ,$675.15 ,$675.15 ,$675.15 ST. JOSEPH'S - CHIPPEWA FALLS,40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,$716.59 ,$537.44 ,$63.07 ,$716.59 ,$461.48 ,$105.54 ,$501.61 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$680.76 , N/A ,$573.27 ,$652.10 ,$63.07 ,$673.59 ,$680.76 ,$644.93 ,$609.10 ,$63.07 ,$63.07 ,$63.07 ,$523.11 ,$105.54 ,$637.77 ,$644.93 ,$644.93 ,$573.27 ,$108.70 ,$394.12 ,$644.93 ,$105.54 ,$644.93 ,$105.54 ,$680.76 ,$237.46 ,$659.26 ,$66.85 ,$652.10 ,$105.54 ,$440.99 ,$461.48 ,$440.99 ,$644.93 ,$267.97 ,$537.44 ,$454.08 ,$106.59 ,$66.22 ,$670.01 ,$110.82 ,$63.07 ,$623.43 ,$105.54 ,$644.93 ,$105.54 ,$644.93 ,$644.93 ,$644.93 ,$695.09 ,$580.44 ,$644.93 ,$644.93 ,$644.93 ,$644.93 ST. JOSEPH'S - CHIPPEWA FALLS,40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,402,1 ,$801.18 ,$600.89 ,$63.07 ,$801.18 ,$515.96 ,$222.88 ,$560.83 ,$63.07 ,$424.00 ,$64.96 ,$339.00 ,$761.12 , N/A ,$640.94 ,$729.07 ,$63.07 ,$753.11 ,$761.12 ,$721.06 ,$681.00 ,$63.07 ,$63.07 ,$63.07 ,$584.86 ,$222.88 ,$713.05 ,$721.06 ,$721.06 ,$640.94 ,$229.57 ,$440.65 ,$721.06 ,$222.88 ,$721.06 ,$222.88 ,$761.12 ,$501.48 ,$737.09 ,$66.85 ,$729.07 ,$222.88 ,$493.05 ,$515.96 ,$493.05 ,$721.06 ,$268.84 ,$600.89 ,$454.08 ,$225.11 ,$66.22 ,$749.10 ,$234.02 ,$63.07 ,$697.03 ,$222.88 ,$721.06 ,$222.88 ,$721.06 ,$721.06 ,$721.06 ,$777.14 ,$648.96 ,$721.06 ,$721.06 ,$721.06 ,$721.06 ST. JOSEPH'S - CHIPPEWA FALLS,40200074,93979,HC DUPLEX AORTA/IVC/GRAFT LTD,402,1 ,$644.03 ,$483.02 ,$49.96 ,$644.03 ,$414.76 ,$105.54 ,$450.82 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$611.83 , N/A ,$515.22 ,$586.07 ,$49.96 ,$605.39 ,$611.83 ,$579.63 ,$547.43 ,$49.96 ,$49.96 ,$49.96 ,$470.14 ,$105.54 ,$573.19 ,$579.63 ,$579.63 ,$515.22 ,$108.70 ,$354.22 ,$579.63 ,$105.54 ,$579.63 ,$105.54 ,$611.83 ,$237.46 ,$592.51 ,$52.96 ,$586.07 ,$105.54 ,$396.34 ,$414.76 ,$396.34 ,$579.63 ,$134.44 ,$483.02 ,$454.08 ,$106.59 ,$52.46 ,$602.17 ,$110.82 ,$49.96 ,$560.31 ,$105.54 ,$579.63 ,$105.54 ,$579.63 ,$579.63 ,$579.63 ,$624.71 ,$521.66 ,$579.63 ,$579.63 ,$579.63 ,$579.63 ST. JOSEPH'S - CHIPPEWA FALLS,40200075,76706,HC US AORTA (SCREENING),402,1 ,$447.40 ,$335.55 ,$49.96 ,$447.40 ,$288.13 ,$105.54 ,$313.18 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$425.03 , N/A ,$357.92 ,$407.13 ,$49.96 ,$420.56 ,$425.03 ,$402.66 ,$380.29 ,$49.96 ,$49.96 ,$49.96 ,$326.60 ,$105.54 ,$398.19 ,$402.66 ,$402.66 ,$357.92 ,$108.70 ,$246.07 ,$402.66 ,$105.54 ,$402.66 ,$105.54 ,$425.03 ,$237.46 ,$411.61 ,$52.96 ,$407.13 ,$105.54 ,$275.33 ,$288.13 ,$275.33 ,$402.66 ,$182.08 ,$335.55 ,$402.66 ,$106.59 ,$52.46 ,$418.32 ,$110.82 ,$49.96 ,$389.24 ,$105.54 ,$402.66 ,$105.54 ,$402.66 ,$402.66 ,$402.66 ,$433.98 ,$362.39 ,$402.66 ,$402.66 ,$402.66 ,$402.66 ST. JOSEPH'S - CHIPPEWA FALLS,40200092,76813,HC US FETAL NUCHAL TRANSLUCENCY SNG,402,1 ,$501.60 ,$376.20 ,$32.24 ,$501.60 ,$323.03 ,$105.54 ,$351.12 ,$32.24 ,$424.00 ,$33.21 ,$339.00 ,$476.52 , N/A ,$401.28 ,$456.46 ,$32.24 ,$471.50 ,$476.52 ,$451.44 ,$426.36 ,$32.24 ,$32.24 ,$32.24 ,$366.17 ,$105.54 ,$446.42 ,$451.44 ,$451.44 ,$401.28 ,$108.70 ,$275.88 ,$451.44 ,$105.54 ,$451.44 ,$105.54 ,$476.52 ,$237.46 ,$461.47 ,$34.17 ,$456.46 ,$105.54 ,$308.68 ,$323.03 ,$308.68 ,$451.44 ,$136.94 ,$376.20 ,$451.44 ,$106.59 ,$33.85 ,$469.00 ,$110.82 ,$32.24 ,$436.39 ,$105.54 ,$451.44 ,$105.54 ,$451.44 ,$451.44 ,$451.44 ,$486.55 ,$406.30 ,$451.44 ,$451.44 ,$451.44 ,$451.44 ST. JOSEPH'S - CHIPPEWA FALLS,40200093,76814,HC US FETAL NUCHAL TRANSLUCENCY ADDL,402,1 ,$315.35 ,$236.51 ,$32.24 ,$315.35 ,$203.09 , N/A ,$220.75 ,$32.24 ,$315.35 ,$33.21 ,$315.35 ,$299.58 , N/A ,$252.28 ,$286.97 ,$32.24 ,$296.43 ,$299.58 ,$283.82 ,$268.05 ,$32.24 ,$32.24 ,$32.24 ,$230.21 , N/A ,$280.66 ,$283.82 ,$283.82 ,$252.28 , N/A ,$173.44 ,$283.82 , N/A ,$283.82 , N/A ,$299.58 , N/A ,$290.12 ,$34.17 ,$286.97 , N/A ,$194.07 ,$203.09 ,$194.07 ,$283.82 ,$95.93 ,$236.51 ,$283.82 , N/A ,$33.85 ,$294.85 , N/A ,$32.24 ,$274.35 , N/A ,$283.82 , N/A ,$283.82 ,$283.82 ,$283.82 ,$305.89 ,$255.43 ,$283.82 ,$283.82 ,$283.82 ,$283.82 ST. JOSEPH'S - CHIPPEWA FALLS,40200101,76981,HC US ELASTOGRAPHY SINGLE ORGAN,402,1 ,$473.80 ,$355.35 ,$49.96 ,$473.80 ,$305.13 ,$105.54 ,$331.66 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$450.11 , N/A ,$379.04 ,$431.16 ,$49.96 ,$445.37 ,$450.11 ,$426.42 ,$402.73 ,$49.96 ,$49.96 ,$49.96 ,$345.87 ,$105.54 ,$421.68 ,$426.42 ,$426.42 ,$379.04 ,$108.70 ,$260.59 ,$426.42 ,$105.54 ,$426.42 ,$105.54 ,$450.11 ,$237.46 ,$435.90 ,$52.96 ,$431.16 ,$105.54 ,$291.58 ,$305.13 ,$291.58 ,$426.42 ,$426.42 ,$355.35 ,$426.42 ,$106.59 ,$52.46 ,$443.00 ,$110.82 ,$49.96 ,$412.21 ,$105.54 ,$426.42 ,$105.54 ,$426.42 ,$426.42 ,$426.42 ,$459.59 ,$383.78 ,$426.42 ,$426.42 ,$426.42 ,$426.42 ST. JOSEPH'S - CHIPPEWA FALLS,40200102,76982,HC US ELASTOGRAPHY FIRST LESION,402,1 ,$473.80 ,$355.35 ,$49.96 ,$473.80 ,$305.13 ,$105.54 ,$331.66 ,$49.96 ,$424.00 ,$51.46 ,$339.00 ,$450.11 , N/A ,$379.04 ,$431.16 ,$49.96 ,$445.37 ,$450.11 ,$426.42 ,$402.73 ,$49.96 ,$49.96 ,$49.96 ,$345.87 ,$105.54 ,$421.68 ,$426.42 ,$426.42 ,$379.04 ,$108.70 ,$260.59 ,$426.42 ,$105.54 ,$426.42 ,$105.54 ,$450.11 ,$237.46 ,$435.90 ,$52.96 ,$431.16 ,$105.54 ,$291.58 ,$305.13 ,$291.58 ,$426.42 ,$426.42 ,$355.35 ,$426.42 ,$106.59 ,$52.46 ,$443.00 ,$110.82 ,$49.96 ,$412.21 ,$105.54 ,$426.42 ,$105.54 ,$426.42 ,$426.42 ,$426.42 ,$459.59 ,$383.78 ,$426.42 ,$426.42 ,$426.42 ,$426.42 ST. JOSEPH'S - CHIPPEWA FALLS,40200103,76983,HC US ELASTOGRAPHY EA ADDL LESION,402,1 ,$282.90 ,$212.18 ,$49.96 ,$282.90 ,$182.19 , N/A ,$198.03 ,$49.96 ,$282.90 ,$51.46 ,$282.90 ,$268.76 , N/A ,$226.32 ,$257.44 ,$49.96 ,$265.93 ,$268.76 ,$254.61 ,$240.47 ,$49.96 ,$49.96 ,$49.96 ,$206.52 , N/A ,$251.78 ,$254.61 ,$254.61 ,$226.32 , N/A ,$155.60 ,$254.61 , N/A ,$254.61 , N/A ,$268.76 , N/A ,$260.27 ,$52.96 ,$257.44 , N/A ,$174.10 ,$182.19 ,$174.10 ,$254.61 ,$254.61 ,$212.18 ,$254.61 , N/A ,$52.46 ,$264.51 , N/A ,$49.96 ,$246.12 , N/A ,$254.61 , N/A ,$254.61 ,$254.61 ,$254.61 ,$274.41 ,$229.15 ,$254.61 ,$254.61 ,$254.61 ,$254.61 ST. JOSEPH'S - CHIPPEWA FALLS,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$90.82 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$90.82 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$93.54 ,$164.24 ,$268.76 ,$90.82 ,$268.76 ,$90.82 ,$283.69 ,$204.35 ,$274.73 ,$26.02 ,$271.74 ,$90.82 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$263.53 ,$223.97 ,$264.00 ,$91.73 ,$25.78 ,$279.21 ,$95.36 ,$24.55 ,$259.80 ,$90.82 ,$268.76 ,$90.82 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$298.62 ,$223.97 ,$24.55 ,$298.62 ,$192.31 ,$90.82 ,$209.03 ,$24.55 ,$212.00 ,$25.29 ,$170.00 ,$283.69 , N/A ,$238.90 ,$271.74 ,$24.55 ,$280.70 ,$283.69 ,$268.76 ,$253.83 ,$24.55 ,$24.55 ,$24.55 ,$217.99 ,$90.82 ,$265.77 ,$268.76 ,$268.76 ,$238.90 ,$93.54 ,$164.24 ,$268.76 ,$90.82 ,$268.76 ,$90.82 ,$283.69 ,$204.35 ,$274.73 ,$26.02 ,$271.74 ,$90.82 ,$183.77 ,$192.31 ,$183.77 ,$268.76 ,$263.53 ,$223.97 ,$264.00 ,$91.73 ,$25.78 ,$279.21 ,$95.36 ,$24.55 ,$259.80 ,$90.82 ,$268.76 ,$90.82 ,$268.76 ,$268.76 ,$268.76 ,$289.66 ,$241.88 ,$268.76 ,$268.76 ,$268.76 ,$268.76 ST. JOSEPH'S - CHIPPEWA FALLS,40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$40.00 ,$30.00 ,$22.00 ,$53.98 ,$25.76 ,$23.99 ,$28.00 ,$24.55 ,$33.20 ,$25.29 ,$26.40 ,$38.00 , N/A ,$32.00 ,$36.40 ,$24.55 ,$37.60 ,$38.00 ,$36.00 ,$34.00 ,$24.55 ,$24.55 ,$24.55 ,$29.20 ,$23.99 ,$35.60 ,$36.00 ,$36.00 ,$32.00 ,$24.71 ,$22.00 ,$36.00 ,$23.99 ,$36.00 ,$23.99 ,$38.00 ,$53.98 ,$36.80 ,$26.02 ,$36.40 ,$23.99 ,$24.62 ,$25.76 ,$24.62 ,$36.00 ,$40.00 ,$30.00 , N/A ,$24.23 ,$25.78 ,$37.40 ,$25.19 ,$24.55 ,$34.80 ,$23.99 ,$36.00 ,$23.99 ,$36.00 ,$36.00 ,$36.00 ,$38.80 ,$32.40 ,$36.00 ,$36.00 ,$36.00 ,$36.00 ST. JOSEPH'S - CHIPPEWA FALLS,40400003,78814,HC PET W/CT TUMR LIMITED AREA,404,1 ,"$3,113.63 ","$2,335.22 ",$405.55 ,"$3,225.85 ","$2,005.18 ","$1,433.71 ","$2,179.54 ",$405.55 ,"$2,653.00 ",$417.72 ,"$2,122.00 ","$2,957.95 ", N/A ,"$2,490.90 ","$2,833.40 ",$405.55 ,"$2,926.81 ","$2,957.95 ","$2,802.27 ","$2,646.59 ",$405.55 ,$405.55 ,$405.55 ,"$2,272.95 ","$1,433.71 ","$2,771.13 ","$2,802.27 ","$2,802.27 ","$2,490.90 ","$1,476.72 ","$1,712.50 ","$2,802.27 ","$1,433.71 ","$2,802.27 ","$1,433.71 ","$2,957.95 ","$3,225.85 ","$2,864.54 ",$429.88 ,"$2,833.40 ","$1,433.71 ","$1,916.13 ","$2,005.18 ","$1,916.13 ","$2,802.27 ",$543.86 ,"$2,335.22 ","$2,802.27 ","$1,448.05 ",$425.83 ,"$2,911.24 ","$1,505.40 ",$405.55 ,"$2,708.86 ","$1,433.71 ","$2,802.27 ","$1,433.71 ","$2,802.27 ","$2,802.27 ","$2,802.27 ","$3,020.22 ","$2,522.04 ","$2,802.27 ","$2,802.27 ","$2,802.27 ","$2,802.27 " ST. JOSEPH'S - CHIPPEWA FALLS,40400004,78815,HC PET W/CT TUMR SKULL MID-THIGH,404,1 ,"$3,063.47 ","$2,297.60 ",$405.55 ,"$3,225.85 ","$1,972.87 ","$1,433.71 ","$2,144.43 ",$405.55 ,"$2,653.00 ",$417.72 ,"$2,122.00 ","$2,910.30 ", N/A ,"$2,450.78 ","$2,787.76 ",$405.55 ,"$2,879.66 ","$2,910.30 ","$2,757.12 ","$2,603.95 ",$405.55 ,$405.55 ,$405.55 ,"$2,236.33 ","$1,433.71 ","$2,726.49 ","$2,757.12 ","$2,757.12 ","$2,450.78 ","$1,476.72 ","$1,684.91 ","$2,757.12 ","$1,433.71 ","$2,757.12 ","$1,433.71 ","$2,910.30 ","$3,225.85 ","$2,818.39 ",$429.88 ,"$2,787.76 ","$1,433.71 ","$1,885.26 ","$1,972.87 ","$1,885.26 ","$2,757.12 ",$600.38 ,"$2,297.60 ","$2,757.12 ","$1,448.05 ",$425.83 ,"$2,864.34 ","$1,505.40 ",$405.55 ,"$2,665.22 ","$1,433.71 ","$2,757.12 ","$1,433.71 ","$2,757.12 ","$2,757.12 ","$2,757.12 ","$2,971.57 ","$2,481.41 ","$2,757.12 ","$2,757.12 ","$2,757.12 ","$2,757.12 " ST. JOSEPH'S - CHIPPEWA FALLS,40400005,78816,HC PET W/CT MELAN IMAG WHOLE BODY,404,1 ,"$2,928.09 ","$2,196.07 ",$405.55 ,"$3,225.85 ","$1,885.69 ","$1,433.71 ","$2,049.66 ",$405.55 ,"$2,653.00 ",$417.72 ,"$2,122.00 ","$2,781.69 ", N/A ,"$2,342.47 ","$2,664.56 ",$405.55 ,"$2,752.40 ","$2,781.69 ","$2,635.28 ","$2,488.88 ",$405.55 ,$405.55 ,$405.55 ,"$2,137.51 ","$1,433.71 ","$2,606.00 ","$2,635.28 ","$2,635.28 ","$2,342.47 ","$1,476.72 ","$1,610.45 ","$2,635.28 ","$1,433.71 ","$2,635.28 ","$1,433.71 ","$2,781.69 ","$3,225.85 ","$2,693.84 ",$429.88 ,"$2,664.56 ","$1,433.71 ","$1,801.95 ","$1,885.69 ","$1,801.95 ","$2,635.28 ",$614.50 ,"$2,196.07 ","$2,635.28 ","$1,448.05 ",$425.83 ,"$2,737.76 ","$1,505.40 ",$405.55 ,"$2,547.44 ","$1,433.71 ","$2,635.28 ","$1,433.71 ","$2,635.28 ","$2,635.28 ","$2,635.28 ","$2,840.25 ","$2,371.75 ","$2,635.28 ","$2,635.28 ","$2,635.28 ","$2,635.28 " ST. JOSEPH'S - CHIPPEWA FALLS,40400006,78608,HC PET BRAIN LIMITED ALZHEIMERS,404,1 ,"$6,633.56 ","$4,975.17 ",$405.55 ,"$6,633.56 ","$4,272.01 ","$1,433.71 ","$4,643.49 ",$405.55 ,"$2,653.00 ",$417.72 ,"$2,122.00 ","$6,301.88 ", N/A ,"$5,306.85 ","$6,036.54 ",$405.55 ,"$6,235.55 ","$6,301.88 ","$5,970.20 ","$5,638.53 ",$405.55 ,$405.55 ,$405.55 ,"$4,842.50 ","$1,433.71 ","$5,903.87 ","$5,970.20 ","$5,970.20 ","$5,306.85 ","$1,476.72 ","$3,648.46 ","$5,970.20 ","$1,433.71 ","$5,970.20 ","$1,433.71 ","$6,301.88 ","$3,225.85 ","$6,102.88 ",$429.88 ,"$6,036.54 ","$1,433.71 ","$4,082.29 ","$4,272.01 ","$4,082.29 ","$5,970.20 ",$442.32 ,"$4,975.17 ","$2,904.02 ","$1,448.05 ",$425.83 ,"$6,202.38 ","$1,505.40 ",$405.55 ,"$5,771.20 ","$1,433.71 ","$5,970.20 ","$1,433.71 ","$5,970.20 ","$5,970.20 ","$5,970.20 ","$6,434.55 ","$5,373.18 ","$5,970.20 ","$5,970.20 ","$5,970.20 ","$5,970.20 " ST. JOSEPH'S - CHIPPEWA FALLS,40400007,78459,HC PET MYOCARDIAL METABOLIC EVAL,404,1 ,"$3,255.00 ","$2,441.25 ",$263.76 ,"$3,255.00 ","$2,096.22 ","$1,264.80 ","$2,278.50 ",$405.55 ,"$2,653.00 ",$417.72 ,"$2,122.00 ","$3,092.25 ", N/A ,"$2,604.00 ","$2,962.05 ",$405.55 ,"$3,059.70 ","$3,092.25 ","$2,929.50 ","$2,766.75 ",$405.55 ,$405.55 ,$405.55 ,"$2,376.15 ","$1,264.80 ","$2,896.95 ","$2,929.50 ","$2,929.50 ","$2,604.00 ","$1,302.75 ","$1,790.25 ","$2,929.50 ","$1,264.80 ","$2,929.50 ","$1,264.80 ","$3,092.25 ","$2,845.81 ","$2,994.60 ",$429.88 ,"$2,962.05 ","$1,264.80 ","$2,003.13 ","$2,096.22 ","$2,003.13 ","$2,929.50 ",$263.76 ,"$2,441.25 ","$2,904.02 ","$1,277.45 ",$425.83 ,"$3,043.43 ","$1,328.04 ",$405.55 ,"$2,831.85 ","$1,264.80 ","$2,929.50 ","$1,264.80 ","$2,929.50 ","$2,929.50 ","$2,929.50 ","$3,157.35 ","$2,636.55 ","$2,929.50 ","$2,929.50 ","$2,929.50 ","$2,929.50 " ST. JOSEPH'S - CHIPPEWA FALLS,41000004,N/A,HC COUGH ASSIST,410,1 ,$42.84 ,$32.13 ,$23.56 ,$42.84 ,$27.59 , N/A ,$29.99 , N/A ,$35.56 , N/A ,$28.27 ,$40.70 , N/A ,$34.27 ,$38.98 , N/A ,$40.27 ,$40.70 ,$38.56 ,$36.41 , N/A , N/A , N/A ,$31.27 , N/A ,$38.13 ,$38.56 ,$38.56 ,$34.27 , N/A ,$23.56 ,$38.56 , N/A ,$38.56 , N/A ,$40.70 , N/A ,$39.41 , N/A ,$38.98 , N/A ,$26.36 ,$27.59 ,$26.36 ,$38.56 ,$38.56 ,$32.13 ,$29.99 , N/A , N/A ,$40.06 , N/A , N/A ,$37.27 , N/A ,$38.56 , N/A ,$38.56 ,$38.56 ,$38.56 ,$41.55 ,$34.70 ,$38.56 ,$38.56 ,$38.56 ,$38.56 ST. JOSEPH'S - CHIPPEWA FALLS,41000005,92950,HC CPR,480,1 ,"$1,288.64 ",$966.48 ,$234.58 ,"$1,288.64 ",$829.88 ,$256.12 ,$902.05 ,$234.58 ,"$1,069.57 ",$241.62 ,$850.50 ,"$1,224.21 ", N/A ,"$1,030.91 ","$1,172.66 ",$234.58 ,"$1,211.32 ","$1,224.21 ","$1,159.78 ","$1,095.34 ",$234.58 ,$234.58 ,$234.58 ,$940.71 ,$256.12 ,"$1,146.89 ","$1,159.78 ","$1,159.78 ","$1,030.91 ",$263.80 ,$708.75 ,"$1,159.78 ",$256.12 ,"$1,159.78 ",$256.12 ,"$1,224.21 ",$576.27 ,"$1,185.55 ",$248.65 ,"$1,172.66 ",$256.12 ,$793.03 ,$829.88 ,$793.03 ,"$1,159.78 ","$1,159.78 ",$966.48 ,$902.05 ,$258.68 ,$246.31 ,"$1,204.88 ",$268.93 ,$234.58 ,"$1,121.12 ",$256.12 ,"$1,159.78 ",$256.12 ,"$1,159.78 ","$1,159.78 ","$1,159.78 ","$1,249.98 ","$1,043.80 ","$1,159.78 ","$1,159.78 ","$1,159.78 ","$1,159.78 " ST. JOSEPH'S - CHIPPEWA FALLS,41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,"$1,179.25 ",$884.44 ,$176.28 ,"$1,179.25 ",$759.44 ,$469.97 ,$825.48 ,$176.28 ,$978.78 ,$181.57 ,$778.31 ,"$1,120.29 ", N/A ,$943.40 ,"$1,073.12 ",$176.28 ,"$1,108.50 ","$1,120.29 ","$1,061.33 ","$1,002.36 ",$176.28 ,$176.28 ,$176.28 ,$860.85 ,$469.97 ,"$1,049.53 ","$1,061.33 ","$1,061.33 ",$943.40 ,$484.07 ,$648.59 ,"$1,061.33 ",$469.97 ,"$1,061.33 ",$469.97 ,"$1,120.29 ","$1,057.44 ","$1,084.91 ",$186.86 ,"$1,073.12 ",$469.97 ,$725.71 ,$759.44 ,$725.71 ,"$1,061.33 ","$1,061.33 ",$884.44 ,$825.48 ,$474.67 ,$185.09 ,"$1,102.60 ",$493.47 ,$176.28 ,"$1,025.95 ",$469.97 ,"$1,061.33 ",$469.97 ,"$1,061.33 ","$1,061.33 ","$1,061.33 ","$1,143.87 ",$955.19 ,"$1,061.33 ","$1,061.33 ","$1,061.33 ","$1,061.33 " ST. JOSEPH'S - CHIPPEWA FALLS,41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$735.44 ,$551.58 ,$176.28 ,$735.44 ,$473.62 ,$181.96 ,$514.81 ,$176.28 ,$610.42 ,$181.57 ,$485.39 ,$698.67 , N/A ,$588.35 ,$669.25 ,$176.28 ,$691.31 ,$698.67 ,$661.90 ,$625.12 ,$176.28 ,$176.28 ,$176.28 ,$536.87 ,$181.96 ,$654.54 ,$661.90 ,$661.90 ,$588.35 ,$187.42 ,$404.49 ,$661.90 ,$181.96 ,$661.90 ,$181.96 ,$698.67 ,$409.41 ,$676.60 ,$186.86 ,$669.25 ,$181.96 ,$452.59 ,$473.62 ,$452.59 ,$661.90 ,$661.90 ,$551.58 ,$514.81 ,$183.78 ,$185.09 ,$687.64 ,$191.06 ,$176.28 ,$639.83 ,$181.96 ,$661.90 ,$181.96 ,$661.90 ,$661.90 ,$661.90 ,$713.38 ,$595.71 ,$661.90 ,$661.90 ,$661.90 ,$661.90 ST. JOSEPH'S - CHIPPEWA FALLS,41000014,94002,HC VENT WEANING FIRST DAY,410,1 ,"$1,179.25 ",$884.44 ,$176.28 ,"$1,179.25 ",$759.44 ,$469.97 ,$825.48 ,$176.28 ,$978.78 ,$181.57 ,$778.31 ,"$1,120.29 ", N/A ,$943.40 ,"$1,073.12 ",$176.28 ,"$1,108.50 ","$1,120.29 ","$1,061.33 ","$1,002.36 ",$176.28 ,$176.28 ,$176.28 ,$860.85 ,$469.97 ,"$1,049.53 ","$1,061.33 ","$1,061.33 ",$943.40 ,$484.07 ,$648.59 ,"$1,061.33 ",$469.97 ,"$1,061.33 ",$469.97 ,"$1,120.29 ","$1,057.44 ","$1,084.91 ",$186.86 ,"$1,073.12 ",$469.97 ,$725.71 ,$759.44 ,$725.71 ,"$1,061.33 ","$1,061.33 ",$884.44 ,$825.48 ,$474.67 ,$185.09 ,"$1,102.60 ",$493.47 ,$176.28 ,"$1,025.95 ",$469.97 ,"$1,061.33 ",$469.97 ,"$1,061.33 ","$1,061.33 ","$1,061.33 ","$1,143.87 ",$955.19 ,"$1,061.33 ","$1,061.33 ","$1,061.33 ","$1,061.33 " ST. JOSEPH'S - CHIPPEWA FALLS,41000015,94002,HC VENT NEONATAL INTL DAY,410,1 ,$527.12 ,$395.34 ,$176.28 ,"$1,057.44 ",$339.47 ,$469.97 ,$368.98 ,$176.28 ,$437.51 ,$181.57 ,$347.90 ,$500.76 , N/A ,$421.70 ,$479.68 ,$176.28 ,$495.49 ,$500.76 ,$474.41 ,$448.05 ,$176.28 ,$176.28 ,$176.28 ,$384.80 ,$469.97 ,$469.14 ,$474.41 ,$474.41 ,$421.70 ,$484.07 ,$289.92 ,$474.41 ,$469.97 ,$474.41 ,$469.97 ,$500.76 ,"$1,057.44 ",$484.95 ,$186.86 ,$479.68 ,$469.97 ,$324.39 ,$339.47 ,$324.39 ,$474.41 ,$474.41 ,$395.34 ,$368.98 ,$474.67 ,$185.09 ,$492.86 ,$493.47 ,$176.28 ,$458.59 ,$469.97 ,$474.41 ,$469.97 ,$474.41 ,$474.41 ,$474.41 ,$511.31 ,$426.97 ,$474.41 ,$474.41 ,$474.41 ,$474.41 ST. JOSEPH'S - CHIPPEWA FALLS,41000016,94660,HC VENT NONINVAS NEO INTL DAY,410,1 ,$735.44 ,$551.58 ,$176.28 ,$735.44 ,$473.62 ,$181.96 ,$514.81 ,$176.28 ,$610.42 ,$181.57 ,$485.39 ,$698.67 , N/A ,$588.35 ,$669.25 ,$176.28 ,$691.31 ,$698.67 ,$661.90 ,$625.12 ,$176.28 ,$176.28 ,$176.28 ,$536.87 ,$181.96 ,$654.54 ,$661.90 ,$661.90 ,$588.35 ,$187.42 ,$404.49 ,$661.90 ,$181.96 ,$661.90 ,$181.96 ,$698.67 ,$409.41 ,$676.60 ,$186.86 ,$669.25 ,$181.96 ,$452.59 ,$473.62 ,$452.59 ,$661.90 ,$661.90 ,$551.58 ,$514.81 ,$183.78 ,$185.09 ,$687.64 ,$191.06 ,$176.28 ,$639.83 ,$181.96 ,$661.90 ,$181.96 ,$661.90 ,$661.90 ,$661.90 ,$713.38 ,$595.71 ,$661.90 ,$661.90 ,$661.90 ,$661.90 ST. JOSEPH'S - CHIPPEWA FALLS,41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,"$1,179.15 ",$884.36 ,$176.28 ,"$1,179.15 ",$759.37 ,$469.97 ,$825.41 ,$176.28 ,$978.69 ,$181.57 ,$778.24 ,"$1,120.19 ", N/A ,$943.32 ,"$1,073.03 ",$176.28 ,"$1,108.40 ","$1,120.19 ","$1,061.24 ","$1,002.28 ",$176.28 ,$176.28 ,$176.28 ,$860.78 ,$469.97 ,"$1,049.44 ","$1,061.24 ","$1,061.24 ",$943.32 ,$484.07 ,$648.53 ,"$1,061.24 ",$469.97 ,"$1,061.24 ",$469.97 ,"$1,120.19 ","$1,057.44 ","$1,084.82 ",$186.86 ,"$1,073.03 ",$469.97 ,$725.65 ,$759.37 ,$725.65 ,"$1,061.24 ","$1,061.24 ",$884.36 ,$825.41 ,$474.67 ,$185.09 ,"$1,102.51 ",$493.47 ,$176.28 ,"$1,025.86 ",$469.97 ,"$1,061.24 ",$469.97 ,"$1,061.24 ","$1,061.24 ","$1,061.24 ","$1,143.78 ",$955.11 ,"$1,061.24 ","$1,061.24 ","$1,061.24 ","$1,061.24 " ST. JOSEPH'S - CHIPPEWA FALLS,41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$339.62 ,$254.72 ,$176.28 ,$409.41 ,$218.72 ,$181.96 ,$237.73 ,$176.28 ,$281.88 ,$181.57 ,$224.15 ,$322.64 , N/A ,$271.70 ,$309.05 ,$176.28 ,$319.24 ,$322.64 ,$305.66 ,$288.68 ,$176.28 ,$176.28 ,$176.28 ,$247.92 ,$181.96 ,$302.26 ,$305.66 ,$305.66 ,$271.70 ,$187.42 ,$186.79 ,$305.66 ,$181.96 ,$305.66 ,$181.96 ,$322.64 ,$409.41 ,$312.45 ,$186.86 ,$309.05 ,$181.96 ,$209.00 ,$218.72 ,$209.00 ,$305.66 ,$305.66 ,$254.72 ,$237.73 ,$183.78 ,$185.09 ,$317.54 ,$191.06 ,$176.28 ,$295.47 ,$181.96 ,$305.66 ,$181.96 ,$305.66 ,$305.66 ,$305.66 ,$329.43 ,$275.09 ,$305.66 ,$305.66 ,$305.66 ,$305.66 ST. JOSEPH'S - CHIPPEWA FALLS,41000030,94003,HC VENT WEANING SUBQ DAY,410,1 ,"$1,179.15 ",$884.36 ,$176.28 ,"$1,179.15 ",$759.37 ,$469.97 ,$825.41 ,$176.28 ,$978.69 ,$181.57 ,$778.24 ,"$1,120.19 ", N/A ,$943.32 ,"$1,073.03 ",$176.28 ,"$1,108.40 ","$1,120.19 ","$1,061.24 ","$1,002.28 ",$176.28 ,$176.28 ,$176.28 ,$860.78 ,$469.97 ,"$1,049.44 ","$1,061.24 ","$1,061.24 ",$943.32 ,$484.07 ,$648.53 ,"$1,061.24 ",$469.97 ,"$1,061.24 ",$469.97 ,"$1,120.19 ","$1,057.44 ","$1,084.82 ",$186.86 ,"$1,073.03 ",$469.97 ,$725.65 ,$759.37 ,$725.65 ,"$1,061.24 ","$1,061.24 ",$884.36 ,$825.41 ,$474.67 ,$185.09 ,"$1,102.51 ",$493.47 ,$176.28 ,"$1,025.86 ",$469.97 ,"$1,061.24 ",$469.97 ,"$1,061.24 ","$1,061.24 ","$1,061.24 ","$1,143.78 ",$955.11 ,"$1,061.24 ","$1,061.24 ","$1,061.24 ","$1,061.24 " ST. JOSEPH'S - CHIPPEWA FALLS,41000031,94003,HC VENT NEONATL SUBQ DAY,410,1 ,"$1,179.15 ",$884.36 ,$176.28 ,"$1,179.15 ",$759.37 ,$469.97 ,$825.41 ,$176.28 ,$978.69 ,$181.57 ,$778.24 ,"$1,120.19 ", N/A ,$943.32 ,"$1,073.03 ",$176.28 ,"$1,108.40 ","$1,120.19 ","$1,061.24 ","$1,002.28 ",$176.28 ,$176.28 ,$176.28 ,$860.78 ,$469.97 ,"$1,049.44 ","$1,061.24 ","$1,061.24 ",$943.32 ,$484.07 ,$648.53 ,"$1,061.24 ",$469.97 ,"$1,061.24 ",$469.97 ,"$1,120.19 ","$1,057.44 ","$1,084.82 ",$186.86 ,"$1,073.03 ",$469.97 ,$725.65 ,$759.37 ,$725.65 ,"$1,061.24 ","$1,061.24 ",$884.36 ,$825.41 ,$474.67 ,$185.09 ,"$1,102.51 ",$493.47 ,$176.28 ,"$1,025.86 ",$469.97 ,"$1,061.24 ",$469.97 ,"$1,061.24 ","$1,061.24 ","$1,061.24 ","$1,143.78 ",$955.11 ,"$1,061.24 ","$1,061.24 ","$1,061.24 ","$1,061.24 " ST. JOSEPH'S - CHIPPEWA FALLS,41000033,94660,HC VENT NONINVAS PEDS SUBQ DAY,410,1 ,$735.44 ,$551.58 ,$176.28 ,$735.44 ,$473.62 ,$181.96 ,$514.81 ,$176.28 ,$610.42 ,$181.57 ,$485.39 ,$698.67 , N/A ,$588.35 ,$669.25 ,$176.28 ,$691.31 ,$698.67 ,$661.90 ,$625.12 ,$176.28 ,$176.28 ,$176.28 ,$536.87 ,$181.96 ,$654.54 ,$661.90 ,$661.90 ,$588.35 ,$187.42 ,$404.49 ,$661.90 ,$181.96 ,$661.90 ,$181.96 ,$698.67 ,$409.41 ,$676.60 ,$186.86 ,$669.25 ,$181.96 ,$452.59 ,$473.62 ,$452.59 ,$661.90 ,$661.90 ,$551.58 ,$514.81 ,$183.78 ,$185.09 ,$687.64 ,$191.06 ,$176.28 ,$639.83 ,$181.96 ,$661.90 ,$181.96 ,$661.90 ,$661.90 ,$661.90 ,$713.38 ,$595.71 ,$661.90 ,$661.90 ,$661.90 ,$661.90 ST. JOSEPH'S - CHIPPEWA FALLS,41000034,94640,HC IPPB,410,1 ,$375.82 ,$281.87 ,$111.83 ,$409.41 ,$242.03 ,$181.96 ,$263.07 ,$111.83 ,$311.93 ,$115.18 ,$248.04 ,$357.03 , N/A ,$300.66 ,$342.00 ,$111.83 ,$353.27 ,$357.03 ,$338.24 ,$319.45 ,$111.83 ,$111.83 ,$111.83 ,$274.35 ,$181.96 ,$334.48 ,$338.24 ,$338.24 ,$300.66 ,$187.42 ,$206.70 ,$338.24 ,$181.96 ,$338.24 ,$181.96 ,$357.03 ,$409.41 ,$345.75 ,$118.54 ,$342.00 ,$181.96 ,$231.28 ,$242.03 ,$231.28 ,$338.24 ,$338.24 ,$281.87 ,$263.07 ,$183.78 ,$117.42 ,$351.39 ,$191.06 ,$111.83 ,$326.96 ,$181.96 ,$338.24 ,$181.96 ,$338.24 ,$338.24 ,$338.24 ,$364.55 ,$304.41 ,$338.24 ,$338.24 ,$338.24 ,$338.24 ST. JOSEPH'S - CHIPPEWA FALLS,41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$153.62 ,$115.22 ,$84.49 ,$409.41 ,$98.93 ,$181.96 ,$107.53 ,$111.83 ,$127.50 ,$115.18 ,$101.39 ,$145.94 , N/A ,$122.90 ,$139.79 ,$111.83 ,$144.40 ,$145.94 ,$138.26 ,$130.58 ,$111.83 ,$111.83 ,$111.83 ,$112.14 ,$181.96 ,$136.72 ,$138.26 ,$138.26 ,$122.90 ,$187.42 ,$84.49 ,$138.26 ,$181.96 ,$138.26 ,$181.96 ,$145.94 ,$409.41 ,$141.33 ,$118.54 ,$139.79 ,$181.96 ,$94.54 ,$98.93 ,$94.54 ,$138.26 ,$138.26 ,$115.22 ,$107.53 ,$183.78 ,$117.42 ,$143.63 ,$191.06 ,$111.83 ,$133.65 ,$181.96 ,$138.26 ,$181.96 ,$138.26 ,$138.26 ,$138.26 ,$149.01 ,$124.43 ,$138.26 ,$138.26 ,$138.26 ,$138.26 ST. JOSEPH'S - CHIPPEWA FALLS,41000040,94640,HC EZ PAP TREATMENT,410,1 ,$375.82 ,$281.87 ,$111.83 ,$409.41 ,$242.03 ,$181.96 ,$263.07 ,$111.83 ,$311.93 ,$115.18 ,$248.04 ,$357.03 , N/A ,$300.66 ,$342.00 ,$111.83 ,$353.27 ,$357.03 ,$338.24 ,$319.45 ,$111.83 ,$111.83 ,$111.83 ,$274.35 ,$181.96 ,$334.48 ,$338.24 ,$338.24 ,$300.66 ,$187.42 ,$206.70 ,$338.24 ,$181.96 ,$338.24 ,$181.96 ,$357.03 ,$409.41 ,$345.75 ,$118.54 ,$342.00 ,$181.96 ,$231.28 ,$242.03 ,$231.28 ,$338.24 ,$338.24 ,$281.87 ,$263.07 ,$183.78 ,$117.42 ,$351.39 ,$191.06 ,$111.83 ,$326.96 ,$181.96 ,$338.24 ,$181.96 ,$338.24 ,$338.24 ,$338.24 ,$364.55 ,$304.41 ,$338.24 ,$338.24 ,$338.24 ,$338.24 ST. JOSEPH'S - CHIPPEWA FALLS,41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$140.75 ,$105.56 ,$77.41 ,$409.41 ,$90.64 ,$181.96 ,$98.53 ,$111.83 ,$116.82 ,$115.18 ,$92.90 ,$133.71 , N/A ,$112.60 ,$128.08 ,$111.83 ,$132.31 ,$133.71 ,$126.68 ,$119.64 ,$111.83 ,$111.83 ,$111.83 ,$102.75 ,$181.96 ,$125.27 ,$126.68 ,$126.68 ,$112.60 ,$187.42 ,$77.41 ,$126.68 ,$181.96 ,$126.68 ,$181.96 ,$133.71 ,$409.41 ,$129.49 ,$118.54 ,$128.08 ,$181.96 ,$86.62 ,$90.64 ,$86.62 ,$126.68 ,$126.68 ,$105.56 ,$98.53 ,$183.78 ,$117.42 ,$131.60 ,$191.06 ,$111.83 ,$122.45 ,$181.96 ,$126.68 ,$181.96 ,$126.68 ,$126.68 ,$126.68 ,$136.53 ,$114.01 ,$126.68 ,$126.68 ,$126.68 ,$126.68 ST. JOSEPH'S - CHIPPEWA FALLS,41000049,94642,HC AEROSOL INHALATION PENTAMIDINE,410,1 ,$282.68 ,$212.01 ,$111.83 ,$409.41 ,$182.05 ,$181.96 ,$197.88 ,$111.83 ,$234.62 ,$115.18 ,$186.57 ,$268.55 , N/A ,$226.14 ,$257.24 ,$111.83 ,$265.72 ,$268.55 ,$254.41 ,$240.28 ,$111.83 ,$111.83 ,$111.83 ,$206.36 ,$181.96 ,$251.59 ,$254.41 ,$254.41 ,$226.14 ,$187.42 ,$155.47 ,$254.41 ,$181.96 ,$254.41 ,$181.96 ,$268.55 ,$409.41 ,$260.07 ,$118.54 ,$257.24 ,$181.96 ,$173.96 ,$182.05 ,$173.96 ,$254.41 ,$254.41 ,$212.01 ,$197.88 ,$183.78 ,$117.42 ,$264.31 ,$191.06 ,$111.83 ,$245.93 ,$181.96 ,$254.41 ,$181.96 ,$254.41 ,$254.41 ,$254.41 ,$274.20 ,$228.97 ,$254.41 ,$254.41 ,$254.41 ,$254.41 ST. JOSEPH'S - CHIPPEWA FALLS,41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$488.89 ,$366.67 ,$108.42 ,$488.89 ,$314.85 ,$108.42 ,$342.22 ,$111.83 ,$405.78 ,$115.18 ,$322.67 ,$464.45 , N/A ,$391.11 ,$444.89 ,$111.83 ,$459.56 ,$464.45 ,$440.00 ,$415.56 ,$111.83 ,$111.83 ,$111.83 ,$356.89 ,$108.42 ,$435.11 ,$440.00 ,$440.00 ,$391.11 ,$111.68 ,$268.89 ,$440.00 ,$108.42 ,$440.00 ,$108.42 ,$464.45 ,$243.95 ,$449.78 ,$118.54 ,$444.89 ,$108.42 ,$300.86 ,$314.85 ,$300.86 ,$440.00 ,$440.00 ,$366.67 ,$342.22 ,$109.51 ,$117.42 ,$457.11 ,$113.84 ,$111.83 ,$425.33 ,$108.42 ,$440.00 ,$108.42 ,$440.00 ,$440.00 ,$440.00 ,$474.22 ,$396.00 ,$440.00 ,$440.00 ,$440.00 ,$440.00 ST. JOSEPH'S - CHIPPEWA FALLS,41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$165.65 ,$124.24 ,$91.11 ,$165.65 ,$106.68 , N/A ,$115.96 ,$111.83 ,$137.49 ,$115.18 ,$109.33 ,$157.37 , N/A ,$132.52 ,$150.74 ,$111.83 ,$155.71 ,$157.37 ,$149.09 ,$140.80 ,$111.83 ,$111.83 ,$111.83 ,$120.92 , N/A ,$147.43 ,$149.09 ,$149.09 ,$132.52 , N/A ,$91.11 ,$149.09 , N/A ,$149.09 , N/A ,$157.37 , N/A ,$152.40 ,$118.54 ,$150.74 , N/A ,$101.94 ,$106.68 ,$101.94 ,$149.09 ,$149.09 ,$124.24 ,$115.96 , N/A ,$117.42 ,$154.88 , N/A ,$111.83 ,$144.12 , N/A ,$149.09 , N/A ,$149.09 ,$149.09 ,$149.09 ,$160.68 ,$134.18 ,$149.09 ,$149.09 ,$149.09 ,$149.09 ST. JOSEPH'S - CHIPPEWA FALLS,41000052,94660,HC CPAP,410,1 ,$639.04 ,$479.28 ,$176.28 ,$639.04 ,$411.54 ,$181.96 ,$447.33 ,$176.28 ,$530.40 ,$181.57 ,$421.77 ,$607.09 , N/A ,$511.23 ,$581.53 ,$176.28 ,$600.70 ,$607.09 ,$575.14 ,$543.18 ,$176.28 ,$176.28 ,$176.28 ,$466.50 ,$181.96 ,$568.75 ,$575.14 ,$575.14 ,$511.23 ,$187.42 ,$351.47 ,$575.14 ,$181.96 ,$575.14 ,$181.96 ,$607.09 ,$409.41 ,$587.92 ,$186.86 ,$581.53 ,$181.96 ,$393.27 ,$411.54 ,$393.27 ,$575.14 ,$575.14 ,$479.28 ,$447.33 ,$183.78 ,$185.09 ,$597.50 ,$191.06 ,$176.28 ,$555.96 ,$181.96 ,$575.14 ,$181.96 ,$575.14 ,$575.14 ,$575.14 ,$619.87 ,$517.62 ,$575.14 ,$575.14 ,$575.14 ,$575.14 ST. JOSEPH'S - CHIPPEWA FALLS,41000053,94660,HC CPAP DAILY EST PT,410,1 ,$183.66 ,$137.75 ,$101.01 ,$409.41 ,$118.28 ,$181.96 ,$128.56 ,$176.28 ,$152.44 ,$181.57 ,$121.22 ,$174.48 , N/A ,$146.93 ,$167.13 ,$176.28 ,$172.64 ,$174.48 ,$165.29 ,$156.11 ,$176.28 ,$176.28 ,$176.28 ,$134.07 ,$181.96 ,$163.46 ,$165.29 ,$165.29 ,$146.93 ,$187.42 ,$101.01 ,$165.29 ,$181.96 ,$165.29 ,$181.96 ,$174.48 ,$409.41 ,$168.97 ,$186.86 ,$167.13 ,$181.96 ,$113.02 ,$118.28 ,$113.02 ,$165.29 ,$165.29 ,$137.75 ,$128.56 ,$183.78 ,$185.09 ,$171.72 ,$191.06 ,$176.28 ,$159.78 ,$181.96 ,$165.29 ,$181.96 ,$165.29 ,$165.29 ,$165.29 ,$178.15 ,$148.76 ,$165.29 ,$165.29 ,$165.29 ,$165.29 ST. JOSEPH'S - CHIPPEWA FALLS,41000054,94660,HC CPAP NEONATAL/DAY,410,1 ,$615.29 ,$461.47 ,$176.28 ,$615.29 ,$396.25 ,$181.96 ,$430.70 ,$176.28 ,$510.69 ,$181.57 ,$406.09 ,$584.53 , N/A ,$492.23 ,$559.91 ,$176.28 ,$578.37 ,$584.53 ,$553.76 ,$523.00 ,$176.28 ,$176.28 ,$176.28 ,$449.16 ,$181.96 ,$547.61 ,$553.76 ,$553.76 ,$492.23 ,$187.42 ,$338.41 ,$553.76 ,$181.96 ,$553.76 ,$181.96 ,$584.53 ,$409.41 ,$566.07 ,$186.86 ,$559.91 ,$181.96 ,$378.65 ,$396.25 ,$378.65 ,$553.76 ,$553.76 ,$461.47 ,$430.70 ,$183.78 ,$185.09 ,$575.30 ,$191.06 ,$176.28 ,$535.30 ,$181.96 ,$553.76 ,$181.96 ,$553.76 ,$553.76 ,$553.76 ,$596.83 ,$498.38 ,$553.76 ,$553.76 ,$553.76 ,$553.76 ST. JOSEPH'S - CHIPPEWA FALLS,41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$140.75 ,$105.56 ,$77.41 ,$409.41 ,$90.64 ,$181.96 ,$98.53 ,$111.83 ,$116.82 ,$115.18 ,$92.90 ,$133.71 , N/A ,$112.60 ,$128.08 ,$111.83 ,$132.31 ,$133.71 ,$126.68 ,$119.64 ,$111.83 ,$111.83 ,$111.83 ,$102.75 ,$181.96 ,$125.27 ,$126.68 ,$126.68 ,$112.60 ,$187.42 ,$77.41 ,$126.68 ,$181.96 ,$126.68 ,$181.96 ,$133.71 ,$409.41 ,$129.49 ,$118.54 ,$128.08 ,$181.96 ,$86.62 ,$90.64 ,$86.62 ,$126.68 ,$126.68 ,$105.56 ,$98.53 ,$183.78 ,$117.42 ,$131.60 ,$191.06 ,$111.83 ,$122.45 ,$181.96 ,$126.68 ,$181.96 ,$126.68 ,$126.68 ,$126.68 ,$136.53 ,$114.01 ,$126.68 ,$126.68 ,$126.68 ,$126.68 ST. JOSEPH'S - CHIPPEWA FALLS,41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$103.51 ,$77.63 ,$56.93 ,$243.95 ,$66.66 ,$108.42 ,$72.46 ,$103.51 ,$85.91 ,$115.18 ,$68.32 ,$98.33 , N/A ,$82.81 ,$94.19 ,$103.51 ,$97.30 ,$98.33 ,$93.16 ,$87.98 ,$111.83 ,$111.83 ,$111.83 ,$75.56 ,$108.42 ,$92.12 ,$93.16 ,$93.16 ,$82.81 ,$111.68 ,$56.93 ,$93.16 ,$108.42 ,$93.16 ,$108.42 ,$98.33 ,$243.95 ,$95.23 ,$118.54 ,$94.19 ,$108.42 ,$63.70 ,$66.66 ,$63.70 ,$93.16 ,$93.16 ,$77.63 ,$72.46 ,$109.51 ,$117.42 ,$96.78 ,$113.84 ,$103.51 ,$90.05 ,$108.42 ,$93.16 ,$108.42 ,$93.16 ,$93.16 ,$93.16 ,$100.40 ,$83.84 ,$93.16 ,$93.16 ,$93.16 ,$93.16 ST. JOSEPH'S - CHIPPEWA FALLS,41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$140.50 ,$105.38 ,$77.28 ,$243.95 ,$90.48 ,$108.42 ,$98.35 ,$111.83 ,$116.62 ,$115.18 ,$92.73 ,$133.48 , N/A ,$112.40 ,$127.86 ,$111.83 ,$132.07 ,$133.48 ,$126.45 ,$119.43 ,$111.83 ,$111.83 ,$111.83 ,$102.57 ,$108.42 ,$125.05 ,$126.45 ,$126.45 ,$112.40 ,$111.68 ,$77.28 ,$126.45 ,$108.42 ,$126.45 ,$108.42 ,$133.48 ,$243.95 ,$129.26 ,$118.54 ,$127.86 ,$108.42 ,$86.46 ,$90.48 ,$86.46 ,$126.45 ,$126.45 ,$105.38 ,$98.35 ,$109.51 ,$117.42 ,$131.37 ,$113.84 ,$111.83 ,$122.24 ,$108.42 ,$126.45 ,$108.42 ,$126.45 ,$126.45 ,$126.45 ,$136.29 ,$113.81 ,$126.45 ,$126.45 ,$126.45 ,$126.45 ST. JOSEPH'S - CHIPPEWA FALLS,41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$94.32 ,$70.74 ,$51.88 ,$243.95 ,$60.74 ,$108.42 ,$66.02 ,$94.32 ,$78.29 ,$115.18 ,$62.25 ,$89.60 , N/A ,$75.46 ,$85.83 ,$94.32 ,$88.66 ,$89.60 ,$84.89 ,$80.17 ,$111.83 ,$111.83 ,$111.83 ,$68.85 ,$108.42 ,$83.94 ,$84.89 ,$84.89 ,$75.46 ,$111.68 ,$51.88 ,$84.89 ,$108.42 ,$84.89 ,$108.42 ,$89.60 ,$243.95 ,$86.77 ,$118.54 ,$85.83 ,$108.42 ,$58.04 ,$60.74 ,$58.04 ,$84.89 ,$84.89 ,$70.74 ,$66.02 ,$109.51 ,$117.42 ,$88.19 ,$113.84 ,$94.32 ,$82.06 ,$108.42 ,$84.89 ,$108.42 ,$84.89 ,$84.89 ,$84.89 ,$91.49 ,$76.40 ,$84.89 ,$84.89 ,$84.89 ,$84.89 ST. JOSEPH'S - CHIPPEWA FALLS,41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$140.50 ,$105.38 ,$77.28 ,$243.95 ,$90.48 ,$108.42 ,$98.35 ,$111.83 ,$116.62 ,$115.18 ,$92.73 ,$133.48 , N/A ,$112.40 ,$127.86 ,$111.83 ,$132.07 ,$133.48 ,$126.45 ,$119.43 ,$111.83 ,$111.83 ,$111.83 ,$102.57 ,$108.42 ,$125.05 ,$126.45 ,$126.45 ,$112.40 ,$111.68 ,$77.28 ,$126.45 ,$108.42 ,$126.45 ,$108.42 ,$133.48 ,$243.95 ,$129.26 ,$118.54 ,$127.86 ,$108.42 ,$86.46 ,$90.48 ,$86.46 ,$126.45 ,$126.45 ,$105.38 ,$98.35 ,$109.51 ,$117.42 ,$131.37 ,$113.84 ,$111.83 ,$122.24 ,$108.42 ,$126.45 ,$108.42 ,$126.45 ,$126.45 ,$126.45 ,$136.29 ,$113.81 ,$126.45 ,$126.45 ,$126.45 ,$126.45 ST. JOSEPH'S - CHIPPEWA FALLS,41000068,G0237,HC RESP STRENGTH/ENDURANCE 15 MIN,410,1 ,$59.17 ,$44.38 ,$15.28 ,$59.17 ,$38.11 ,$23.89 ,$41.42 ,$15.28 ,$49.11 ,$15.74 ,$39.05 ,$56.21 , N/A ,$47.34 ,$53.84 ,$15.28 ,$55.62 ,$56.21 ,$53.25 ,$50.29 ,$15.28 ,$15.28 ,$15.28 ,$43.19 ,$23.89 ,$52.66 ,$53.25 ,$53.25 ,$47.34 ,$24.61 ,$32.54 ,$53.25 ,$23.89 ,$53.25 ,$23.89 ,$56.21 ,$53.76 ,$54.44 ,$16.20 ,$53.84 ,$23.89 ,$36.41 ,$38.11 ,$36.41 ,$53.25 ,$53.25 ,$44.38 ,$41.42 ,$24.13 ,$16.04 ,$55.32 ,$25.08 ,$15.28 ,$51.48 ,$23.89 ,$53.25 ,$23.89 ,$53.25 ,$53.25 ,$53.25 ,$57.39 ,$47.93 ,$53.25 ,$53.25 ,$53.25 ,$53.25 ST. JOSEPH'S - CHIPPEWA FALLS,41000069,G0238,HC RESP THRP FUNCTION 15 MIN,410,1 ,$109.50 ,$82.13 ,$15.28 ,$109.50 ,$70.52 ,$23.89 ,$76.65 ,$15.28 ,$90.89 ,$15.74 ,$72.27 ,$104.03 , N/A ,$87.60 ,$99.65 ,$15.28 ,$102.93 ,$104.03 ,$98.55 ,$93.08 ,$15.28 ,$15.28 ,$15.28 ,$79.94 ,$23.89 ,$97.46 ,$98.55 ,$98.55 ,$87.60 ,$24.61 ,$60.23 ,$98.55 ,$23.89 ,$98.55 ,$23.89 ,$104.03 ,$53.76 ,$100.74 ,$16.20 ,$99.65 ,$23.89 ,$67.39 ,$70.52 ,$67.39 ,$98.55 ,$98.55 ,$82.13 ,$76.65 ,$24.13 ,$16.04 ,$102.38 ,$25.08 ,$15.28 ,$95.27 ,$23.89 ,$98.55 ,$23.89 ,$98.55 ,$98.55 ,$98.55 ,$106.22 ,$88.70 ,$98.55 ,$98.55 ,$98.55 ,$98.55 ST. JOSEPH'S - CHIPPEWA FALLS,41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$550.00 ,$412.50 ,$15.28 ,$550.00 ,$354.20 ,$32.77 ,$385.00 ,$15.28 ,$456.50 ,$15.74 ,$363.00 ,$522.50 , N/A ,$440.00 ,$500.50 ,$15.28 ,$517.00 ,$522.50 ,$495.00 ,$467.50 ,$15.28 ,$15.28 ,$15.28 ,$401.50 ,$32.77 ,$489.50 ,$495.00 ,$495.00 ,$440.00 ,$33.76 ,$302.50 ,$495.00 ,$32.77 ,$495.00 ,$32.77 ,$522.50 ,$73.74 ,$506.00 ,$16.20 ,$500.50 ,$32.77 ,$338.47 ,$354.20 ,$338.47 ,$495.00 ,$495.00 ,$412.50 ,$385.00 ,$33.10 ,$16.04 ,$514.25 ,$34.41 ,$15.28 ,$478.50 ,$32.77 ,$495.00 ,$32.77 ,$495.00 ,$495.00 ,$495.00 ,$533.50 ,$445.50 ,$495.00 ,$495.00 ,$495.00 ,$495.00 ST. JOSEPH'S - CHIPPEWA FALLS,41000073,94660,HC VENT NONINVAS NEON SUBQ DAY,410,1 ,$615.29 ,$461.47 ,$176.28 ,$615.29 ,$396.25 ,$181.96 ,$430.70 ,$176.28 ,$510.69 ,$181.57 ,$406.09 ,$584.53 , N/A ,$492.23 ,$559.91 ,$176.28 ,$578.37 ,$584.53 ,$553.76 ,$523.00 ,$176.28 ,$176.28 ,$176.28 ,$449.16 ,$181.96 ,$547.61 ,$553.76 ,$553.76 ,$492.23 ,$187.42 ,$338.41 ,$553.76 ,$181.96 ,$553.76 ,$181.96 ,$584.53 ,$409.41 ,$566.07 ,$186.86 ,$559.91 ,$181.96 ,$378.65 ,$396.25 ,$378.65 ,$553.76 ,$553.76 ,$461.47 ,$430.70 ,$183.78 ,$185.09 ,$575.30 ,$191.06 ,$176.28 ,$535.30 ,$181.96 ,$553.76 ,$181.96 ,$553.76 ,$553.76 ,$553.76 ,$596.83 ,$498.38 ,$553.76 ,$553.76 ,$553.76 ,$553.76 ST. JOSEPH'S - CHIPPEWA FALLS,41000074,94640,HC IPPB SUBSQ,410,1 ,$147.97 ,$110.98 ,$81.38 ,$409.41 ,$95.29 ,$181.96 ,$103.58 ,$111.83 ,$122.82 ,$115.18 ,$97.66 ,$140.57 , N/A ,$118.38 ,$134.65 ,$111.83 ,$139.09 ,$140.57 ,$133.17 ,$125.77 ,$111.83 ,$111.83 ,$111.83 ,$108.02 ,$181.96 ,$131.69 ,$133.17 ,$133.17 ,$118.38 ,$187.42 ,$81.38 ,$133.17 ,$181.96 ,$133.17 ,$181.96 ,$140.57 ,$409.41 ,$136.13 ,$118.54 ,$134.65 ,$181.96 ,$91.06 ,$95.29 ,$91.06 ,$133.17 ,$133.17 ,$110.98 ,$103.58 ,$183.78 ,$117.42 ,$138.35 ,$191.06 ,$111.83 ,$128.73 ,$181.96 ,$133.17 ,$181.96 ,$133.17 ,$133.17 ,$133.17 ,$143.53 ,$119.86 ,$133.17 ,$133.17 ,$133.17 ,$133.17 ST. JOSEPH'S - CHIPPEWA FALLS,41000075,94640,HC IPV INIT,410,1 ,$375.82 ,$281.87 ,$111.83 ,$409.41 ,$242.03 ,$181.96 ,$263.07 ,$111.83 ,$311.93 ,$115.18 ,$248.04 ,$357.03 , N/A ,$300.66 ,$342.00 ,$111.83 ,$353.27 ,$357.03 ,$338.24 ,$319.45 ,$111.83 ,$111.83 ,$111.83 ,$274.35 ,$181.96 ,$334.48 ,$338.24 ,$338.24 ,$300.66 ,$187.42 ,$206.70 ,$338.24 ,$181.96 ,$338.24 ,$181.96 ,$357.03 ,$409.41 ,$345.75 ,$118.54 ,$342.00 ,$181.96 ,$231.28 ,$242.03 ,$231.28 ,$338.24 ,$338.24 ,$281.87 ,$263.07 ,$183.78 ,$117.42 ,$351.39 ,$191.06 ,$111.83 ,$326.96 ,$181.96 ,$338.24 ,$181.96 ,$338.24 ,$338.24 ,$338.24 ,$364.55 ,$304.41 ,$338.24 ,$338.24 ,$338.24 ,$338.24 ST. JOSEPH'S - CHIPPEWA FALLS,41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$134.73 ,$101.05 ,$74.10 ,$409.41 ,$86.77 ,$181.96 ,$94.31 ,$111.83 ,$111.83 ,$115.18 ,$88.92 ,$127.99 , N/A ,$107.78 ,$122.60 ,$111.83 ,$126.65 ,$127.99 ,$121.26 ,$114.52 ,$111.83 ,$111.83 ,$111.83 ,$98.35 ,$181.96 ,$119.91 ,$121.26 ,$121.26 ,$107.78 ,$187.42 ,$74.10 ,$121.26 ,$181.96 ,$121.26 ,$181.96 ,$127.99 ,$409.41 ,$123.95 ,$118.54 ,$122.60 ,$181.96 ,$82.91 ,$86.77 ,$82.91 ,$121.26 ,$121.26 ,$101.05 ,$94.31 ,$183.78 ,$117.42 ,$125.97 ,$191.06 ,$111.83 ,$117.22 ,$181.96 ,$121.26 ,$181.96 ,$121.26 ,$121.26 ,$121.26 ,$130.69 ,$109.13 ,$121.26 ,$121.26 ,$121.26 ,$121.26 ST. JOSEPH'S - CHIPPEWA FALLS,41000077,94762,HC PULSE OX PER DAY,410,1 ,$293.70 ,$220.28 ,$21.41 ,$304.10 ,$189.14 ,$135.15 ,$205.59 ,$21.41 ,$243.77 ,$22.05 ,$193.84 ,$279.02 , N/A ,$234.96 ,$267.27 ,$21.41 ,$276.08 ,$279.02 ,$264.33 ,$249.65 ,$21.41 ,$21.41 ,$21.41 ,$214.40 ,$135.15 ,$261.39 ,$264.33 ,$264.33 ,$234.96 ,$139.21 ,$161.54 ,$264.33 ,$135.15 ,$264.33 ,$135.15 ,$279.02 ,$304.10 ,$270.20 ,$22.69 ,$267.27 ,$135.15 ,$180.74 ,$189.14 ,$180.74 ,$264.33 ,$264.33 ,$220.28 ,$205.59 ,$136.51 ,$22.48 ,$274.61 ,$141.91 ,$21.41 ,$255.52 ,$135.15 ,$264.33 ,$135.15 ,$264.33 ,$264.33 ,$264.33 ,$284.89 ,$237.90 ,$264.33 ,$264.33 ,$264.33 ,$264.33 ST. JOSEPH'S - CHIPPEWA FALLS,41000078,G0239,HC THERAPEUTIC RT EXERCISE GROUP 15MIN,410,1 ,$82.78 ,$62.09 ,$15.28 ,$82.78 ,$53.31 ,$32.77 ,$57.95 ,$15.28 ,$68.71 ,$15.74 ,$54.63 ,$78.64 , N/A ,$66.22 ,$75.33 ,$15.28 ,$77.81 ,$78.64 ,$74.50 ,$70.36 ,$15.28 ,$15.28 ,$15.28 ,$60.43 ,$32.77 ,$73.67 ,$74.50 ,$74.50 ,$66.22 ,$33.76 ,$45.53 ,$74.50 ,$32.77 ,$74.50 ,$32.77 ,$78.64 ,$73.74 ,$76.16 ,$16.20 ,$75.33 ,$32.77 ,$50.94 ,$53.31 ,$50.94 ,$74.50 ,$74.50 ,$62.09 ,$57.95 ,$33.10 ,$16.04 ,$77.40 ,$34.41 ,$15.28 ,$72.02 ,$32.77 ,$74.50 ,$32.77 ,$74.50 ,$74.50 ,$74.50 ,$80.30 ,$67.05 ,$74.50 ,$74.50 ,$74.50 ,$74.50 ST. JOSEPH'S - CHIPPEWA FALLS,41000079,G0239,HC THERAPEUTIC RT EXERCISE GROUP 30MIN,410,1 ,$167.11 ,$125.33 ,$15.28 ,$167.11 ,$107.62 ,$32.77 ,$116.98 ,$15.28 ,$138.70 ,$15.74 ,$110.29 ,$158.75 , N/A ,$133.69 ,$152.07 ,$15.28 ,$157.08 ,$158.75 ,$150.40 ,$142.04 ,$15.28 ,$15.28 ,$15.28 ,$121.99 ,$32.77 ,$148.73 ,$150.40 ,$150.40 ,$133.69 ,$33.76 ,$91.91 ,$150.40 ,$32.77 ,$150.40 ,$32.77 ,$158.75 ,$73.74 ,$153.74 ,$16.20 ,$152.07 ,$32.77 ,$102.84 ,$107.62 ,$102.84 ,$150.40 ,$150.40 ,$125.33 ,$116.98 ,$33.10 ,$16.04 ,$156.25 ,$34.41 ,$15.28 ,$145.39 ,$32.77 ,$150.40 ,$32.77 ,$150.40 ,$150.40 ,$150.40 ,$162.10 ,$135.36 ,$150.40 ,$150.40 ,$150.40 ,$150.40 ST. JOSEPH'S - CHIPPEWA FALLS,41000080,G0239,HC THERAPEUTIC RT EXERCISE GROUP 45MIN,410,1 ,$250.16 ,$187.62 ,$15.28 ,$250.16 ,$161.10 ,$32.77 ,$175.11 ,$15.28 ,$207.63 ,$15.74 ,$165.11 ,$237.65 , N/A ,$200.13 ,$227.65 ,$15.28 ,$235.15 ,$237.65 ,$225.14 ,$212.64 ,$15.28 ,$15.28 ,$15.28 ,$182.62 ,$32.77 ,$222.64 ,$225.14 ,$225.14 ,$200.13 ,$33.76 ,$137.59 ,$225.14 ,$32.77 ,$225.14 ,$32.77 ,$237.65 ,$73.74 ,$230.15 ,$16.20 ,$227.65 ,$32.77 ,$153.95 ,$161.10 ,$153.95 ,$225.14 ,$225.14 ,$187.62 ,$175.11 ,$33.10 ,$16.04 ,$233.90 ,$34.41 ,$15.28 ,$217.64 ,$32.77 ,$225.14 ,$32.77 ,$225.14 ,$225.14 ,$225.14 ,$242.66 ,$202.63 ,$225.14 ,$225.14 ,$225.14 ,$225.14 ST. JOSEPH'S - CHIPPEWA FALLS,41000081,G0239,HC THERAPEUTIC RT EXERCISE GROUP 60MIN,410,1 ,$311.93 ,$233.95 ,$15.28 ,$311.93 ,$200.88 ,$32.77 ,$218.35 ,$15.28 ,$258.90 ,$15.74 ,$205.87 ,$296.33 , N/A ,$249.54 ,$283.86 ,$15.28 ,$293.21 ,$296.33 ,$280.74 ,$265.14 ,$15.28 ,$15.28 ,$15.28 ,$227.71 ,$32.77 ,$277.62 ,$280.74 ,$280.74 ,$249.54 ,$33.76 ,$171.56 ,$280.74 ,$32.77 ,$280.74 ,$32.77 ,$296.33 ,$73.74 ,$286.98 ,$16.20 ,$283.86 ,$32.77 ,$191.96 ,$200.88 ,$191.96 ,$280.74 ,$280.74 ,$233.95 ,$218.35 ,$33.10 ,$16.04 ,$291.65 ,$34.41 ,$15.28 ,$271.38 ,$32.77 ,$280.74 ,$32.77 ,$280.74 ,$280.74 ,$280.74 ,$302.57 ,$252.66 ,$280.74 ,$280.74 ,$280.74 ,$280.74 ST. JOSEPH'S - CHIPPEWA FALLS,41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$375.82 ,$281.87 ,$111.83 ,$409.41 ,$242.03 ,$181.96 ,$263.07 ,$111.83 ,$311.93 ,$115.18 ,$248.04 ,$357.03 , N/A ,$300.66 ,$342.00 ,$111.83 ,$353.27 ,$357.03 ,$338.24 ,$319.45 ,$111.83 ,$111.83 ,$111.83 ,$274.35 ,$181.96 ,$334.48 ,$338.24 ,$338.24 ,$300.66 ,$187.42 ,$206.70 ,$338.24 ,$181.96 ,$338.24 ,$181.96 ,$357.03 ,$409.41 ,$345.75 ,$118.54 ,$342.00 ,$181.96 ,$231.28 ,$242.03 ,$231.28 ,$338.24 ,$338.24 ,$281.87 ,$263.07 ,$183.78 ,$117.42 ,$351.39 ,$191.06 ,$111.83 ,$326.96 ,$181.96 ,$338.24 ,$181.96 ,$338.24 ,$338.24 ,$338.24 ,$364.55 ,$304.41 ,$338.24 ,$338.24 ,$338.24 ,$338.24 ST. JOSEPH'S - CHIPPEWA FALLS,41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$615.29 ,$461.47 ,$176.28 ,$615.29 ,$396.25 ,$181.96 ,$430.70 ,$176.28 ,$510.69 ,$181.57 ,$406.09 ,$584.53 , N/A ,$492.23 ,$559.91 ,$176.28 ,$578.37 ,$584.53 ,$553.76 ,$523.00 ,$176.28 ,$176.28 ,$176.28 ,$449.16 ,$181.96 ,$547.61 ,$553.76 ,$553.76 ,$492.23 ,$187.42 ,$338.41 ,$553.76 ,$181.96 ,$553.76 ,$181.96 ,$584.53 ,$409.41 ,$566.07 ,$186.86 ,$559.91 ,$181.96 ,$378.65 ,$396.25 ,$378.65 ,$553.76 ,$553.76 ,$461.47 ,$430.70 ,$183.78 ,$185.09 ,$575.30 ,$191.06 ,$176.28 ,$535.30 ,$181.96 ,$553.76 ,$181.96 ,$553.76 ,$553.76 ,$553.76 ,$596.83 ,$498.38 ,$553.76 ,$553.76 ,$553.76 ,$553.76 ST. JOSEPH'S - CHIPPEWA FALLS,41000085,32601,HC PLEUROSCOPY,410,1 ,"$5,370.99 ","$4,028.24 ","$1,439.16 ","$11,027.33 ","$3,458.92 ","$4,901.04 ","$3,759.69 ","$1,439.16 ","$4,457.92 ","$1,482.33 ","$3,544.85 ","$5,102.44 ", N/A ,"$4,296.79 ","$4,887.60 ","$1,439.16 ","$5,048.73 ","$5,102.44 ","$4,833.89 ","$4,565.34 ","$1,439.16 ","$1,439.16 ","$1,439.16 ","$3,920.82 ","$4,901.04 ","$4,780.18 ","$4,833.89 ","$4,833.89 ","$4,296.79 ","$5,048.07 ","$2,954.04 ","$4,833.89 ","$4,901.04 ","$4,833.89 ","$4,901.04 ","$5,102.44 ","$11,027.33 ","$4,941.31 ","$1,525.51 ","$4,887.60 ","$4,901.04 ","$3,305.31 ","$3,458.92 ","$3,305.31 ","$4,833.89 ","$4,833.89 ","$4,028.24 ","$3,759.69 ","$4,950.05 ","$1,511.12 ","$5,021.88 ","$5,146.09 ","$1,439.16 ","$4,672.76 ","$4,901.04 ","$4,833.89 ","$4,901.04 ","$4,833.89 ","$4,833.89 ","$4,833.89 ","$5,209.86 ","$4,350.50 ","$4,833.89 ","$4,833.89 ","$4,833.89 ","$4,833.89 " ST. JOSEPH'S - CHIPPEWA FALLS,41000086,94640,HC IPV SUBSQ,410,1 ,$375.82 ,$281.87 ,$111.83 ,$409.41 ,$242.03 ,$181.96 ,$263.07 ,$111.83 ,$311.93 ,$115.18 ,$248.04 ,$357.03 , N/A ,$300.66 ,$342.00 ,$111.83 ,$353.27 ,$357.03 ,$338.24 ,$319.45 ,$111.83 ,$111.83 ,$111.83 ,$274.35 ,$181.96 ,$334.48 ,$338.24 ,$338.24 ,$300.66 ,$187.42 ,$206.70 ,$338.24 ,$181.96 ,$338.24 ,$181.96 ,$357.03 ,$409.41 ,$345.75 ,$118.54 ,$342.00 ,$181.96 ,$231.28 ,$242.03 ,$231.28 ,$338.24 ,$338.24 ,$281.87 ,$263.07 ,$183.78 ,$117.42 ,$351.39 ,$191.06 ,$111.83 ,$326.96 ,$181.96 ,$338.24 ,$181.96 ,$338.24 ,$338.24 ,$338.24 ,$364.55 ,$304.41 ,$338.24 ,$338.24 ,$338.24 ,$338.24 ST. JOSEPH'S - CHIPPEWA FALLS,41000087,94669,HC MECHANICAL CHEST WALL OSCILLATION INITIAL,410,1 ,$140.50 ,$105.38 ,$77.28 ,$409.41 ,$90.48 ,$181.96 ,$98.35 ,$111.83 ,$116.62 ,$115.18 ,$92.73 ,$133.48 , N/A ,$112.40 ,$127.86 ,$111.83 ,$132.07 ,$133.48 ,$126.45 ,$119.43 ,$111.83 ,$111.83 ,$111.83 ,$102.57 ,$181.96 ,$125.05 ,$126.45 ,$126.45 ,$112.40 ,$187.42 ,$77.28 ,$126.45 ,$181.96 ,$126.45 ,$181.96 ,$133.48 ,$409.41 ,$129.26 ,$118.54 ,$127.86 ,$181.96 ,$86.46 ,$90.48 ,$86.46 ,$126.45 ,$126.45 ,$105.38 ,$98.35 ,$183.78 ,$117.42 ,$131.37 ,$191.06 ,$111.83 ,$122.24 ,$181.96 ,$126.45 ,$181.96 ,$126.45 ,$126.45 ,$126.45 ,$136.29 ,$113.81 ,$126.45 ,$126.45 ,$126.45 ,$126.45 ST. JOSEPH'S - CHIPPEWA FALLS,41000088,94669,HC MECHANICAL CHEST WALL OSCILLATION SUBSQ,410,1 ,$140.50 ,$105.38 ,$77.28 ,$409.41 ,$90.48 ,$181.96 ,$98.35 ,$111.83 ,$116.62 ,$115.18 ,$92.73 ,$133.48 , N/A ,$112.40 ,$127.86 ,$111.83 ,$132.07 ,$133.48 ,$126.45 ,$119.43 ,$111.83 ,$111.83 ,$111.83 ,$102.57 ,$181.96 ,$125.05 ,$126.45 ,$126.45 ,$112.40 ,$187.42 ,$77.28 ,$126.45 ,$181.96 ,$126.45 ,$181.96 ,$133.48 ,$409.41 ,$129.26 ,$118.54 ,$127.86 ,$181.96 ,$86.46 ,$90.48 ,$86.46 ,$126.45 ,$126.45 ,$105.38 ,$98.35 ,$183.78 ,$117.42 ,$131.37 ,$191.06 ,$111.83 ,$122.24 ,$181.96 ,$126.45 ,$181.96 ,$126.45 ,$126.45 ,$126.45 ,$136.29 ,$113.81 ,$126.45 ,$126.45 ,$126.45 ,$126.45 ST. JOSEPH'S - CHIPPEWA FALLS,41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$134.73 ,$101.05 ,$74.10 ,$409.41 ,$86.77 ,$181.96 ,$94.31 ,$111.83 ,$111.83 ,$115.18 ,$88.92 ,$127.99 , N/A ,$107.78 ,$122.60 ,$111.83 ,$126.65 ,$127.99 ,$121.26 ,$114.52 ,$111.83 ,$111.83 ,$111.83 ,$98.35 ,$181.96 ,$119.91 ,$121.26 ,$121.26 ,$107.78 ,$187.42 ,$74.10 ,$121.26 ,$181.96 ,$121.26 ,$181.96 ,$127.99 ,$409.41 ,$123.95 ,$118.54 ,$122.60 ,$181.96 ,$82.91 ,$86.77 ,$82.91 ,$121.26 ,$121.26 ,$101.05 ,$94.31 ,$183.78 ,$117.42 ,$125.97 ,$191.06 ,$111.83 ,$117.22 ,$181.96 ,$121.26 ,$181.96 ,$121.26 ,$121.26 ,$121.26 ,$130.69 ,$109.13 ,$121.26 ,$121.26 ,$121.26 ,$121.26 ST. JOSEPH'S - CHIPPEWA FALLS,41300000,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,"$2,190.59 ","$1,642.94 ","$1,204.82 ","$2,190.59 ","$1,410.74 ", N/A ,"$1,533.41 ", N/A ,"$1,818.19 ", N/A ,"$1,445.79 ","$2,081.06 ", N/A ,"$1,752.47 ","$1,993.44 ", N/A ,"$2,059.15 ","$2,081.06 ","$1,971.53 ","$1,862.00 ", N/A , N/A , N/A ,"$1,599.13 ", N/A ,"$1,949.63 ","$1,971.53 ","$1,971.53 ","$1,752.47 ", N/A ,"$1,204.82 ","$1,971.53 ", N/A ,"$1,971.53 ", N/A ,"$2,081.06 ", N/A ,"$2,015.34 ", N/A ,"$1,993.44 ", N/A ,"$1,348.09 ","$1,410.74 ","$1,348.09 ","$1,971.53 ","$1,971.53 ","$1,642.94 ","$1,533.41 ", N/A , N/A ,"$2,048.20 ", N/A , N/A ,"$1,905.81 ", N/A ,"$1,971.53 ", N/A ,"$1,971.53 ","$1,971.53 ","$1,971.53 ","$2,124.87 ","$1,774.38 ","$1,971.53 ","$1,971.53 ","$1,971.53 ","$1,971.53 " ST. JOSEPH'S - CHIPPEWA FALLS,41300002,G0277,HC HYPERBARIC O2 PER 30 MIN,413,1 ,$547.64 ,$410.73 ,$107.54 ,$547.64 ,$352.68 ,$115.52 ,$383.35 ,$107.54 ,$454.54 ,$110.77 ,$361.44 ,$520.26 , N/A ,$438.11 ,$498.35 ,$107.54 ,$514.78 ,$520.26 ,$492.88 ,$465.49 ,$107.54 ,$107.54 ,$107.54 ,$399.78 ,$115.52 ,$487.40 ,$492.88 ,$492.88 ,$438.11 ,$118.99 ,$301.20 ,$492.88 ,$115.52 ,$492.88 ,$115.52 ,$520.26 ,$259.93 ,$503.83 ,$113.99 ,$498.35 ,$115.52 ,$337.02 ,$352.68 ,$337.02 ,$492.88 ,$492.88 ,$410.73 ,$383.35 ,$116.68 ,$112.92 ,$512.04 ,$121.30 ,$107.54 ,$476.45 ,$115.52 ,$492.88 ,$115.52 ,$492.88 ,$492.88 ,$492.88 ,$531.21 ,$443.59 ,$492.88 ,$492.88 ,$492.88 ,$492.88 ST. JOSEPH'S - CHIPPEWA FALLS,42000002,29580,HC APPLY UNNA BOOT BILATERAL PT/OT,420,1 ,$222.61 ,$166.96 ,$57.61 ,$307.65 ,$143.36 ,$136.73 ,$155.83 , N/A ,$222.61 , N/A ,$212.00 ,$211.48 , N/A ,$178.09 ,$202.58 , N/A ,$209.25 ,$211.48 ,$200.35 ,$166.96 , N/A , N/A , N/A ,$162.51 ,$136.73 ,$198.12 ,$200.35 ,$200.35 ,$178.09 ,$140.83 ,$122.44 ,$200.35 ,$136.73 ,$200.35 ,$136.73 ,$211.48 ,$307.65 ,$204.80 ,$61.07 ,$202.58 ,$136.73 ,$136.99 ,$143.36 ,$136.99 ,$200.35 ,$200.35 ,$166.96 ,$153.12 ,$138.10 , N/A ,$208.14 ,$143.57 ,$57.61 ,$193.67 ,$136.73 ,$200.35 ,$136.73 ,$200.35 ,$200.35 ,$200.35 ,$215.93 ,$180.31 ,$200.35 ,$200.35 ,$200.35 ,$200.35 ST. JOSEPH'S - CHIPPEWA FALLS,42000009,97012,HC TRACTION MECH APP,420,1 ,$115.26 ,$86.45 ,$10.19 ,$115.26 ,$74.23 ,$14.41 ,$80.68 ,$25.78 ,$115.26 , N/A ,$115.26 ,$109.50 , N/A ,$92.21 ,$104.89 ,$25.78 ,$108.34 ,$109.50 ,$103.73 ,$86.45 ,$25.78 ,$25.78 ,$25.78 ,$84.14 ,$14.41 ,$102.58 ,$103.73 ,$103.73 ,$92.21 ,$14.84 ,$63.39 ,$103.73 ,$14.41 ,$103.73 ,$14.41 ,$109.50 ,$32.42 ,$106.04 ,$10.80 ,$104.89 ,$14.41 ,$70.93 ,$74.23 ,$70.93 ,$103.73 ,$103.73 ,$86.45 ,$103.73 ,$14.55 ,$27.07 ,$107.77 ,$15.13 ,$10.19 ,$100.28 ,$14.41 ,$103.73 ,$14.41 ,$103.73 ,$103.73 ,$103.73 ,$111.80 ,$93.36 ,$103.73 ,$103.73 ,$103.73 ,$103.73 ST. JOSEPH'S - CHIPPEWA FALLS,42000010,97016,HC APPLY VASOPNEUMATIC DEVICE,420,1 ,$133.12 ,$99.84 ,$10.19 ,$133.12 ,$85.73 ,$11.64 ,$93.18 ,$25.19 ,$133.12 , N/A ,$133.12 ,$126.46 , N/A ,$106.50 ,$121.14 ,$25.19 ,$125.13 ,$126.46 ,$119.81 ,$99.84 ,$25.19 ,$25.19 ,$25.19 ,$97.18 ,$11.64 ,$118.48 ,$119.81 ,$119.81 ,$106.50 ,$11.99 ,$73.22 ,$119.81 ,$11.64 ,$119.81 ,$11.64 ,$126.46 ,$26.19 ,$122.47 ,$10.80 ,$121.14 ,$11.64 ,$81.92 ,$85.73 ,$81.92 ,$119.81 ,$119.81 ,$99.84 ,$119.81 ,$11.76 ,$26.45 ,$124.47 ,$12.22 ,$10.19 ,$115.81 ,$11.64 ,$119.81 ,$11.64 ,$119.81 ,$119.81 ,$119.81 ,$129.13 ,$107.83 ,$119.81 ,$119.81 ,$119.81 ,$119.81 ST. JOSEPH'S - CHIPPEWA FALLS,42000015,97022,HC WHIRLPOOL BATH,420,1 ,$123.33 ,$92.50 ,$10.19 ,$123.33 ,$79.42 ,$17.21 ,$86.33 ,$25.78 ,$123.33 , N/A ,$123.33 ,$117.16 , N/A ,$98.66 ,$112.23 ,$25.78 ,$115.93 ,$117.16 ,$111.00 ,$92.50 ,$25.78 ,$25.78 ,$25.78 ,$90.03 ,$17.21 ,$109.76 ,$111.00 ,$111.00 ,$98.66 ,$17.73 ,$67.83 ,$111.00 ,$17.21 ,$111.00 ,$17.21 ,$117.16 ,$38.72 ,$113.46 ,$10.80 ,$112.23 ,$17.21 ,$75.90 ,$79.42 ,$75.90 ,$111.00 ,$111.00 ,$92.50 ,$111.00 ,$17.38 ,$27.07 ,$115.31 ,$18.07 ,$10.19 ,$107.30 ,$17.21 ,$111.00 ,$17.21 ,$111.00 ,$111.00 ,$111.00 ,$119.63 ,$99.90 ,$111.00 ,$111.00 ,$111.00 ,$111.00 ST. JOSEPH'S - CHIPPEWA FALLS,42000020,97022,HC FLUIDOTHERAPY,420,1 ,$119.70 ,$89.78 ,$10.19 ,$119.70 ,$77.09 ,$17.21 ,$83.79 ,$25.78 ,$119.70 , N/A ,$119.70 ,$113.72 , N/A ,$95.76 ,$108.93 ,$25.78 ,$112.52 ,$113.72 ,$107.73 ,$89.78 ,$25.78 ,$25.78 ,$25.78 ,$87.38 ,$17.21 ,$106.53 ,$107.73 ,$107.73 ,$95.76 ,$17.73 ,$65.84 ,$107.73 ,$17.21 ,$107.73 ,$17.21 ,$113.72 ,$38.72 ,$110.12 ,$10.80 ,$108.93 ,$17.21 ,$73.66 ,$77.09 ,$73.66 ,$107.73 ,$107.73 ,$89.78 ,$107.73 ,$17.38 ,$27.07 ,$111.92 ,$18.07 ,$10.19 ,$104.14 ,$17.21 ,$107.73 ,$17.21 ,$107.73 ,$107.73 ,$107.73 ,$116.11 ,$96.96 ,$107.73 ,$107.73 ,$107.73 ,$107.73 ST. JOSEPH'S - CHIPPEWA FALLS,42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$126.33 ,$94.75 ,$10.19 ,$126.33 ,$81.36 ,$14.41 ,$88.43 ,$22.38 ,$126.33 , N/A ,$126.33 ,$120.01 , N/A ,$101.06 ,$114.96 ,$22.38 ,$118.75 ,$120.01 ,$113.70 ,$94.75 ,$22.38 ,$22.38 ,$22.38 ,$92.22 ,$14.41 ,$112.43 ,$113.70 ,$113.70 ,$101.06 ,$14.84 ,$69.48 ,$113.70 ,$14.41 ,$113.70 ,$14.41 ,$120.01 ,$32.42 ,$116.22 ,$10.80 ,$114.96 ,$14.41 ,$77.74 ,$81.36 ,$77.74 ,$113.70 ,$113.70 ,$94.75 ,$113.70 ,$14.55 ,$23.50 ,$118.12 ,$15.13 ,$10.19 ,$109.91 ,$14.41 ,$113.70 ,$14.41 ,$113.70 ,$113.70 ,$113.70 ,$122.54 ,$102.33 ,$113.70 ,$113.70 ,$113.70 ,$113.70 ST. JOSEPH'S - CHIPPEWA FALLS,42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$158.43 ,$118.82 ,$10.19 ,$158.43 ,$102.03 ,$19.69 ,$110.90 ,$23.51 ,$158.43 , N/A ,$158.43 ,$150.51 , N/A ,$126.74 ,$144.17 ,$23.51 ,$148.92 ,$150.51 ,$142.59 ,$118.82 ,$23.51 ,$23.51 ,$23.51 ,$115.65 ,$19.69 ,$141.00 ,$142.59 ,$142.59 ,$126.74 ,$20.28 ,$87.14 ,$142.59 ,$19.69 ,$142.59 ,$19.69 ,$150.51 ,$44.30 ,$145.76 ,$10.80 ,$144.17 ,$19.69 ,$97.50 ,$102.03 ,$97.50 ,$142.59 ,$142.59 ,$118.82 ,$142.59 ,$19.89 ,$24.69 ,$148.13 ,$20.67 ,$10.19 ,$137.83 ,$19.69 ,$142.59 ,$19.69 ,$142.59 ,$142.59 ,$142.59 ,$153.68 ,$128.33 ,$142.59 ,$142.59 ,$142.59 ,$142.59 ST. JOSEPH'S - CHIPPEWA FALLS,42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$145.82 ,$109.37 ,$10.19 ,$145.82 ,$93.91 ,$14.00 ,$102.07 ,$18.49 ,$145.82 , N/A ,$145.82 ,$138.53 , N/A ,$116.66 ,$132.70 ,$18.49 ,$137.07 ,$138.53 ,$131.24 ,$109.37 ,$18.49 ,$18.49 ,$18.49 ,$106.45 ,$14.00 ,$129.78 ,$131.24 ,$131.24 ,$116.66 ,$14.42 ,$80.20 ,$131.24 ,$14.00 ,$131.24 ,$14.00 ,$138.53 ,$31.50 ,$134.15 ,$10.80 ,$132.70 ,$14.00 ,$89.74 ,$93.91 ,$89.74 ,$131.24 ,$131.24 ,$109.37 ,$131.24 ,$14.14 ,$19.41 ,$136.34 ,$14.70 ,$10.19 ,$126.86 ,$14.00 ,$131.24 ,$14.00 ,$131.24 ,$131.24 ,$131.24 ,$141.45 ,$118.11 ,$131.24 ,$131.24 ,$131.24 ,$131.24 ST. JOSEPH'S - CHIPPEWA FALLS,42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$129.95 ,$97.46 ,$12.17 ,$129.95 ,$83.69 ,$29.06 ,$90.97 ,$19.63 ,$129.95 , N/A ,$129.95 ,$123.45 , N/A ,$103.96 ,$118.25 ,$19.63 ,$122.15 ,$123.45 ,$116.96 ,$97.46 ,$19.63 ,$19.63 ,$19.63 ,$94.86 ,$29.06 ,$115.66 ,$116.96 ,$116.96 ,$103.96 ,$29.93 ,$71.47 ,$116.96 ,$29.06 ,$116.96 ,$29.06 ,$123.45 ,$65.39 ,$119.55 ,$12.90 ,$118.25 ,$29.06 ,$79.97 ,$83.69 ,$79.97 ,$116.96 ,$116.96 ,$97.46 ,$116.96 ,$29.35 ,$20.61 ,$121.50 ,$30.51 ,$12.17 ,$113.06 ,$29.06 ,$116.96 ,$29.06 ,$116.96 ,$116.96 ,$116.96 ,$126.05 ,$105.26 ,$116.96 ,$116.96 ,$116.96 ,$116.96 ST. JOSEPH'S - CHIPPEWA FALLS,42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$112.55 ,$84.41 ,$12.17 ,$112.55 ,$72.48 ,$33.76 ,$78.79 ,$19.32 ,$112.55 , N/A ,$112.55 ,$106.92 , N/A ,$90.04 ,$102.42 ,$19.32 ,$105.80 ,$106.92 ,$101.30 ,$84.41 ,$19.32 ,$19.32 ,$19.32 ,$82.16 ,$33.76 ,$100.17 ,$101.30 ,$101.30 ,$90.04 ,$34.77 ,$61.90 ,$101.30 ,$33.76 ,$101.30 ,$33.76 ,$106.92 ,$75.96 ,$103.55 ,$12.90 ,$102.42 ,$33.76 ,$69.26 ,$72.48 ,$69.26 ,$101.30 ,$101.30 ,$84.41 ,$101.30 ,$34.10 ,$20.29 ,$105.23 ,$35.45 ,$12.17 ,$97.92 ,$33.76 ,$101.30 ,$33.76 ,$101.30 ,$101.30 ,$101.30 ,$109.17 ,$91.17 ,$101.30 ,$101.30 ,$101.30 ,$101.30 ST. JOSEPH'S - CHIPPEWA FALLS,42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$116.44 ,$87.33 ,$10.19 ,$116.44 ,$74.99 ,$29.06 ,$81.51 ,$16.47 ,$116.44 , N/A ,$116.44 ,$110.62 , N/A ,$93.15 ,$105.96 ,$16.47 ,$109.45 ,$110.62 ,$104.80 ,$87.33 ,$16.47 ,$16.47 ,$16.47 ,$85.00 ,$29.06 ,$103.63 ,$104.80 ,$104.80 ,$93.15 ,$29.93 ,$64.04 ,$104.80 ,$29.06 ,$104.80 ,$29.06 ,$110.62 ,$65.39 ,$107.12 ,$10.80 ,$105.96 ,$29.06 ,$71.66 ,$74.99 ,$71.66 ,$104.80 ,$104.80 ,$87.33 ,$104.80 ,$29.35 ,$17.29 ,$108.87 ,$30.51 ,$10.19 ,$101.30 ,$29.06 ,$104.80 ,$29.06 ,$104.80 ,$104.80 ,$104.80 ,$112.95 ,$94.32 ,$104.80 ,$104.80 ,$104.80 ,$104.80 ST. JOSEPH'S - CHIPPEWA FALLS,42000053,97124,HC THERAPEUTIC MASSAGE EA 15 MIN,420,1 ,$148.28 ,$111.21 ,$10.19 ,$148.28 ,$95.49 ,$28.42 ,$103.80 ,$23.41 ,$148.28 , N/A ,$148.28 ,$140.87 , N/A ,$118.62 ,$134.93 ,$23.41 ,$139.38 ,$140.87 ,$133.45 ,$111.21 ,$23.41 ,$23.41 ,$23.41 ,$108.24 ,$28.42 ,$131.97 ,$133.45 ,$133.45 ,$118.62 ,$29.27 ,$81.55 ,$133.45 ,$28.42 ,$133.45 ,$28.42 ,$140.87 ,$63.95 ,$136.42 ,$10.80 ,$134.93 ,$28.42 ,$91.25 ,$95.49 ,$91.25 ,$133.45 ,$133.45 ,$111.21 ,$133.45 ,$28.70 ,$24.58 ,$138.64 ,$29.84 ,$10.19 ,$129.00 ,$28.42 ,$133.45 ,$28.42 ,$133.45 ,$133.45 ,$133.45 ,$143.83 ,$120.11 ,$133.45 ,$133.45 ,$133.45 ,$133.45 ST. JOSEPH'S - CHIPPEWA FALLS,42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$136.13 ,$102.10 ,$12.17 ,$136.13 ,$87.67 ,$26.71 ,$95.29 ,$25.53 ,$136.13 , N/A ,$136.13 ,$129.32 , N/A ,$108.90 ,$123.88 ,$25.53 ,$127.96 ,$129.32 ,$122.52 ,$102.10 ,$25.53 ,$25.53 ,$25.53 ,$99.37 ,$26.71 ,$121.16 ,$122.52 ,$122.52 ,$108.90 ,$27.51 ,$74.87 ,$122.52 ,$26.71 ,$122.52 ,$26.71 ,$129.32 ,$60.10 ,$125.24 ,$12.90 ,$123.88 ,$26.71 ,$83.77 ,$87.67 ,$83.77 ,$122.52 ,$122.52 ,$102.10 ,$122.52 ,$26.98 ,$26.81 ,$127.28 ,$28.05 ,$12.17 ,$118.43 ,$26.71 ,$122.52 ,$26.71 ,$122.52 ,$122.52 ,$122.52 ,$132.05 ,$110.27 ,$122.52 ,$122.52 ,$122.52 ,$122.52 ST. JOSEPH'S - CHIPPEWA FALLS,42000063,97150,HC GROUP TREATMENT 15MIN,420,1 ,$31.20 ,$23.40 ,$6.08 ,$39.26 ,$20.09 ,$17.45 ,$21.84 ,$6.08 ,$31.20 , N/A ,$31.20 ,$29.64 , N/A ,$24.96 ,$28.39 ,$6.08 ,$29.33 ,$29.64 ,$28.08 ,$23.40 ,$6.08 ,$6.08 ,$6.08 ,$22.78 ,$17.45 ,$27.77 ,$28.08 ,$28.08 ,$24.96 ,$17.97 ,$17.16 ,$28.08 ,$17.45 ,$28.08 ,$17.45 ,$29.64 ,$39.26 ,$28.70 ,$12.90 ,$28.39 ,$17.45 ,$19.20 ,$20.09 ,$19.20 ,$28.08 ,$28.08 ,$23.40 ,$28.08 ,$17.62 ,$6.38 ,$29.17 ,$18.32 ,$12.17 ,$27.14 ,$17.45 ,$28.08 ,$17.45 ,$28.08 ,$28.08 ,$28.08 ,$30.26 ,$25.27 ,$28.08 ,$28.08 ,$28.08 ,$28.08 ST. JOSEPH'S - CHIPPEWA FALLS,42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$119.13 ,$89.35 ,$12.17 ,$119.13 ,$76.72 ,$37.58 ,$83.39 ,$18.05 ,$119.13 , N/A ,$119.13 ,$113.17 , N/A ,$95.30 ,$108.41 ,$18.05 ,$111.98 ,$113.17 ,$107.22 ,$89.35 ,$18.05 ,$18.05 ,$18.05 ,$86.96 ,$37.58 ,$106.03 ,$107.22 ,$107.22 ,$95.30 ,$38.71 ,$65.52 ,$107.22 ,$37.58 ,$107.22 ,$37.58 ,$113.17 ,$84.56 ,$109.60 ,$12.90 ,$108.41 ,$37.58 ,$73.31 ,$76.72 ,$73.31 ,$107.22 ,$107.22 ,$89.35 ,$107.22 ,$37.96 ,$18.95 ,$111.39 ,$39.46 ,$12.17 ,$103.64 ,$37.58 ,$107.22 ,$37.58 ,$107.22 ,$107.22 ,$107.22 ,$115.56 ,$96.50 ,$107.22 ,$107.22 ,$107.22 ,$107.22 ST. JOSEPH'S - CHIPPEWA FALLS,42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,$449.54 ,$337.16 ,$35.14 ,$449.54 ,$289.50 , N/A ,$314.68 ,$35.14 ,$265.00 , N/A ,$212.00 ,$427.06 , N/A ,$359.63 ,$409.08 ,$35.14 ,$422.57 ,$427.06 ,$404.59 ,$337.16 ,$35.14 ,$35.14 ,$35.14 ,$328.16 , N/A ,$400.09 ,$404.59 ,$404.59 ,$359.63 , N/A ,$247.25 ,$404.59 , N/A ,$404.59 , N/A ,$427.06 , N/A ,$413.58 ,$306.16 ,$409.08 , N/A ,$276.65 ,$289.50 ,$276.65 ,$404.59 ,$404.59 ,$337.16 ,$153.12 , N/A ,$36.90 ,$420.32 , N/A ,$288.83 ,$391.10 , N/A ,$404.59 , N/A ,$404.59 ,$404.59 ,$404.59 ,$436.05 ,$364.13 ,$404.59 ,$404.59 ,$404.59 ,$404.59 ST. JOSEPH'S - CHIPPEWA FALLS,42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$304.32 ,$228.24 ,$107.54 ,$304.32 ,$195.98 , N/A ,$213.02 , N/A ,$265.00 , N/A ,$212.00 ,$289.10 , N/A ,$243.46 ,$276.93 , N/A ,$286.06 ,$289.10 ,$273.89 ,$228.24 , N/A , N/A , N/A ,$222.15 , N/A ,$270.84 ,$273.89 ,$273.89 ,$243.46 , N/A ,$167.38 ,$273.89 , N/A ,$273.89 , N/A ,$289.10 , N/A ,$279.97 ,$113.99 ,$276.93 , N/A ,$187.28 ,$195.98 ,$187.28 ,$273.89 ,$273.89 ,$228.24 ,$153.12 , N/A , N/A ,$284.54 , N/A ,$107.54 ,$264.76 , N/A ,$273.89 , N/A ,$273.89 ,$273.89 ,$273.89 ,$295.19 ,$246.50 ,$273.89 ,$273.89 ,$273.89 ,$273.89 ST. JOSEPH'S - CHIPPEWA FALLS,42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,$304.32 ,$228.24 ,$41.42 ,$304.32 ,$195.98 ,$41.42 ,$213.02 , N/A ,$265.00 , N/A ,$212.00 ,$289.10 , N/A ,$243.46 ,$276.93 , N/A ,$286.06 ,$289.10 ,$273.89 ,$228.24 , N/A , N/A , N/A ,$222.15 ,$41.42 ,$270.84 ,$273.89 ,$273.89 ,$243.46 ,$42.66 ,$167.38 ,$273.89 ,$41.42 ,$273.89 ,$41.42 ,$289.10 ,$93.20 ,$279.97 ,$89.35 ,$276.93 ,$41.42 ,$187.28 ,$195.98 ,$187.28 ,$273.89 ,$273.89 ,$228.24 ,$153.12 ,$41.83 , N/A ,$284.54 ,$43.49 ,$84.29 ,$264.76 ,$41.42 ,$273.89 ,$41.42 ,$273.89 ,$273.89 ,$273.89 ,$295.19 ,$246.50 ,$273.89 ,$273.89 ,$273.89 ,$273.89 ST. JOSEPH'S - CHIPPEWA FALLS,42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,$519.44 ,$389.58 ,$49.08 ,$519.44 ,$334.52 ,$49.08 ,$363.61 , N/A ,$265.00 , N/A ,$212.00 ,$493.47 , N/A ,$415.55 ,$472.69 , N/A ,$488.27 ,$493.47 ,$467.50 ,$389.58 , N/A , N/A , N/A ,$379.19 ,$49.08 ,$462.30 ,$467.50 ,$467.50 ,$415.55 ,$50.55 ,$285.69 ,$467.50 ,$49.08 ,$467.50 ,$49.08 ,$493.47 ,$110.43 ,$477.88 ,$113.99 ,$472.69 ,$49.08 ,$319.66 ,$334.52 ,$319.66 ,$467.50 ,$467.50 ,$389.58 ,$153.12 ,$49.57 , N/A ,$485.68 ,$51.53 ,$107.54 ,$451.91 ,$49.08 ,$467.50 ,$49.08 ,$467.50 ,$467.50 ,$467.50 ,$503.86 ,$420.75 ,$467.50 ,$467.50 ,$467.50 ,$467.50 ST. JOSEPH'S - CHIPPEWA FALLS,42000093,97750,HC PHYSICAL PERFORMANCE TST EA 15 MIN,420,1 ,$85.91 ,$64.43 ,$12.17 ,$85.91 ,$55.33 ,$33.00 ,$60.14 , N/A ,$85.91 , N/A ,$85.91 ,$81.61 , N/A ,$68.73 ,$78.18 , N/A ,$80.76 ,$81.61 ,$77.32 ,$64.43 , N/A , N/A , N/A ,$62.71 ,$33.00 ,$76.46 ,$77.32 ,$77.32 ,$68.73 ,$33.99 ,$47.25 ,$77.32 ,$33.00 ,$77.32 ,$33.00 ,$81.61 ,$74.25 ,$79.04 ,$12.90 ,$78.18 ,$33.00 ,$52.87 ,$55.33 ,$52.87 ,$77.32 ,$77.32 ,$64.43 ,$77.32 ,$33.33 , N/A ,$80.33 ,$34.65 ,$12.17 ,$74.74 ,$33.00 ,$77.32 ,$33.00 ,$77.32 ,$77.32 ,$77.32 ,$83.33 ,$69.59 ,$77.32 ,$77.32 ,$77.32 ,$77.32 ST. JOSEPH'S - CHIPPEWA FALLS,42000094,97761,HC PROSTHETIC TRAINING EA 15 MIN,420,1 ,$159.60 ,$119.70 ,$12.17 ,$159.60 ,$102.78 ,$40.66 ,$111.72 ,$21.40 ,$159.60 , N/A ,$159.60 ,$151.62 , N/A ,$127.68 ,$145.24 ,$21.40 ,$150.02 ,$151.62 ,$143.64 ,$119.70 ,$21.40 ,$21.40 ,$21.40 ,$116.51 ,$40.66 ,$142.04 ,$143.64 ,$143.64 ,$127.68 ,$41.88 ,$87.78 ,$143.64 ,$40.66 ,$143.64 ,$40.66 ,$151.62 ,$91.49 ,$146.83 ,$12.90 ,$145.24 ,$40.66 ,$98.22 ,$102.78 ,$98.22 ,$143.64 ,$143.64 ,$119.70 ,$143.64 ,$41.07 ,$22.47 ,$149.23 ,$42.69 ,$12.17 ,$138.85 ,$40.66 ,$143.64 ,$40.66 ,$143.64 ,$143.64 ,$143.64 ,$154.81 ,$129.28 ,$143.64 ,$143.64 ,$143.64 ,$143.64 ST. JOSEPH'S - CHIPPEWA FALLS,42000095,97763,HC ORTHTC/PRSTHTC CHECK EA 15MIN,420,1 ,$185.33 ,$139.00 ,$28.15 ,$185.33 ,$119.35 ,$52.45 ,$129.73 ,$28.15 ,$185.33 , N/A ,$185.33 ,$176.06 , N/A ,$148.26 ,$168.65 ,$28.15 ,$174.21 ,$176.06 ,$166.80 ,$139.00 ,$28.15 ,$28.15 ,$28.15 ,$135.29 ,$52.45 ,$164.94 ,$166.80 ,$166.80 ,$148.26 ,$54.02 ,$101.93 ,$166.80 ,$52.45 ,$166.80 ,$52.45 ,$176.06 ,$118.01 ,$170.50 ,$29.84 ,$168.65 ,$52.45 ,$114.05 ,$119.35 ,$114.05 ,$166.80 ,$166.80 ,$139.00 ,$153.12 ,$52.97 ,$29.56 ,$173.28 ,$55.07 ,$28.15 ,$161.24 ,$52.45 ,$166.80 ,$52.45 ,$166.80 ,$166.80 ,$166.80 ,$179.77 ,$150.12 ,$166.80 ,$166.80 ,$166.80 ,$166.80 ST. JOSEPH'S - CHIPPEWA FALLS,42000104,G0175,HC FAMILY CONFERENCE,420,1 ,$278.61 ,$208.96 ,$31.68 ,$792.63 ,$179.42 ,$352.28 ,$195.03 , N/A ,$265.00 , N/A ,$212.00 ,$264.68 , N/A ,$222.89 ,$253.54 , N/A ,$261.89 ,$264.68 ,$250.75 ,$208.96 , N/A , N/A , N/A ,$203.39 ,$352.28 ,$247.96 ,$250.75 ,$250.75 ,$222.89 ,$362.85 ,$153.24 ,$250.75 ,$352.28 ,$250.75 ,$352.28 ,$264.68 ,$792.63 ,$256.32 ,$33.58 ,$253.54 ,$352.28 ,$171.46 ,$179.42 ,$171.46 ,$250.75 ,$250.75 ,$208.96 ,$153.12 ,$355.81 , N/A ,$260.50 ,$369.89 ,$31.68 ,$242.39 ,$352.28 ,$250.75 ,$352.28 ,$250.75 ,$250.75 ,$250.75 ,$270.25 ,$225.67 ,$250.75 ,$250.75 ,$250.75 ,$250.75 ST. JOSEPH'S - CHIPPEWA FALLS,42000110,G0283,HC ELECT STIM(UNATTEND) OTHER,420,1 ,$74.25 ,$55.69 ,$10.19 ,$74.25 ,$47.82 ,$12.63 ,$51.98 ,$22.38 ,$74.25 , N/A ,$74.25 ,$70.54 , N/A ,$59.40 ,$67.57 ,$22.38 ,$69.80 ,$70.54 ,$66.83 ,$55.69 ,$22.38 ,$22.38 ,$22.38 ,$54.20 ,$12.63 ,$66.08 ,$66.83 ,$66.83 ,$59.40 ,$13.01 ,$40.84 ,$66.83 ,$12.63 ,$66.83 ,$12.63 ,$70.54 ,$28.42 ,$68.31 ,$10.80 ,$67.57 ,$12.63 ,$45.69 ,$47.82 ,$45.69 ,$66.83 ,$66.83 ,$55.69 ,$66.83 ,$12.76 ,$23.50 ,$69.42 ,$13.26 ,$10.19 ,$64.60 ,$12.63 ,$66.83 ,$12.63 ,$66.83 ,$66.83 ,$66.83 ,$72.02 ,$60.14 ,$66.83 ,$66.83 ,$66.83 ,$66.83 ST. JOSEPH'S - CHIPPEWA FALLS,42000120,97150,HC GROUP TREATMENT 30MIN,420,1 ,$62.39 ,$46.79 ,$6.08 ,$62.39 ,$40.18 ,$17.45 ,$43.67 ,$6.08 ,$62.39 , N/A ,$62.39 ,$59.27 , N/A ,$49.91 ,$56.77 ,$6.08 ,$58.65 ,$59.27 ,$56.15 ,$46.79 ,$6.08 ,$6.08 ,$6.08 ,$45.54 ,$17.45 ,$55.53 ,$56.15 ,$56.15 ,$49.91 ,$17.97 ,$34.31 ,$56.15 ,$17.45 ,$56.15 ,$17.45 ,$59.27 ,$39.26 ,$57.40 ,$12.90 ,$56.77 ,$17.45 ,$38.39 ,$40.18 ,$38.39 ,$56.15 ,$56.15 ,$46.79 ,$56.15 ,$17.62 ,$6.38 ,$58.33 ,$18.32 ,$12.17 ,$54.28 ,$17.45 ,$56.15 ,$17.45 ,$56.15 ,$56.15 ,$56.15 ,$60.52 ,$50.54 ,$56.15 ,$56.15 ,$56.15 ,$56.15 ST. JOSEPH'S - CHIPPEWA FALLS,42000121,97150,HC GROUP TREATMENT 45MIN,420,1 ,$93.04 ,$69.78 ,$6.08 ,$93.04 ,$59.92 ,$17.45 ,$65.13 ,$6.08 ,$93.04 , N/A ,$93.04 ,$88.39 , N/A ,$74.43 ,$84.67 ,$6.08 ,$87.46 ,$88.39 ,$83.74 ,$69.78 ,$6.08 ,$6.08 ,$6.08 ,$67.92 ,$17.45 ,$82.81 ,$83.74 ,$83.74 ,$74.43 ,$17.97 ,$51.17 ,$83.74 ,$17.45 ,$83.74 ,$17.45 ,$88.39 ,$39.26 ,$85.60 ,$12.90 ,$84.67 ,$17.45 ,$57.26 ,$59.92 ,$57.26 ,$83.74 ,$83.74 ,$69.78 ,$83.74 ,$17.62 ,$6.38 ,$86.99 ,$18.32 ,$12.17 ,$80.94 ,$17.45 ,$83.74 ,$17.45 ,$83.74 ,$83.74 ,$83.74 ,$90.25 ,$75.36 ,$83.74 ,$83.74 ,$83.74 ,$83.74 ST. JOSEPH'S - CHIPPEWA FALLS,42000122,97150,HC GROUP TREATMENT 60MIN,420,1 ,$123.87 ,$92.90 ,$6.08 ,$123.87 ,$79.77 ,$17.45 ,$86.71 ,$6.08 ,$123.87 , N/A ,$123.87 ,$117.68 , N/A ,$99.10 ,$112.72 ,$6.08 ,$116.44 ,$117.68 ,$111.48 ,$92.90 ,$6.08 ,$6.08 ,$6.08 ,$90.43 ,$17.45 ,$110.24 ,$111.48 ,$111.48 ,$99.10 ,$17.97 ,$68.13 ,$111.48 ,$17.45 ,$111.48 ,$17.45 ,$117.68 ,$39.26 ,$113.96 ,$12.90 ,$112.72 ,$17.45 ,$76.23 ,$79.77 ,$76.23 ,$111.48 ,$111.48 ,$92.90 ,$111.48 ,$17.62 ,$6.38 ,$115.82 ,$18.32 ,$12.17 ,$107.77 ,$17.45 ,$111.48 ,$17.45 ,$111.48 ,$111.48 ,$111.48 ,$120.15 ,$100.33 ,$111.48 ,$111.48 ,$111.48 ,$111.48 ST. JOSEPH'S - CHIPPEWA FALLS,42000151,29581,HC APPL MULTI COMP WRAP PT/OT,420,1 ,$390.63 ,$292.97 ,$57.61 ,$390.63 ,$251.57 ,$136.73 ,$273.44 , N/A ,$265.00 , N/A ,$212.00 ,$371.10 , N/A ,$312.50 ,$355.47 , N/A ,$367.19 ,$371.10 ,$351.57 ,$292.97 , N/A , N/A , N/A ,$285.16 ,$136.73 ,$347.66 ,$351.57 ,$351.57 ,$312.50 ,$140.83 ,$214.85 ,$351.57 ,$136.73 ,$351.57 ,$136.73 ,$371.10 ,$307.65 ,$359.38 ,$61.07 ,$355.47 ,$136.73 ,$240.39 ,$251.57 ,$240.39 ,$351.57 ,$351.57 ,$292.97 ,$153.12 ,$138.10 , N/A ,$365.24 ,$143.57 ,$57.61 ,$339.85 ,$136.73 ,$351.57 ,$136.73 ,$351.57 ,$351.57 ,$351.57 ,$378.91 ,$316.41 ,$351.57 ,$351.57 ,$351.57 ,$351.57 ST. JOSEPH'S - CHIPPEWA FALLS,42000160,97113,HC THERAPEUTIC ACT W/AQUA,420,1 ,$152.45 ,$114.34 ,$12.17 ,$152.45 ,$98.18 ,$36.68 ,$106.72 ,$36.96 ,$152.45 , N/A ,$152.45 ,$144.83 , N/A ,$121.96 ,$138.73 ,$36.96 ,$143.30 ,$144.83 ,$137.21 ,$114.34 ,$36.96 ,$36.96 ,$36.96 ,$111.29 ,$36.68 ,$135.68 ,$137.21 ,$137.21 ,$121.96 ,$37.78 ,$83.85 ,$137.21 ,$36.68 ,$137.21 ,$36.68 ,$144.83 ,$82.53 ,$140.25 ,$12.90 ,$138.73 ,$36.68 ,$93.82 ,$98.18 ,$93.82 ,$137.21 ,$137.21 ,$114.34 ,$137.21 ,$37.05 ,$38.81 ,$142.54 ,$38.51 ,$12.17 ,$132.63 ,$36.68 ,$137.21 ,$36.68 ,$137.21 ,$137.21 ,$137.21 ,$147.88 ,$123.48 ,$137.21 ,$137.21 ,$137.21 ,$137.21 ST. JOSEPH'S - CHIPPEWA FALLS,42000168,97150,HC GROUP TREATMENT 120MIN,420,1 ,$248.57 ,$186.43 ,$6.08 ,$248.57 ,$160.08 ,$17.45 ,$174.00 ,$6.08 ,$248.57 , N/A ,$212.00 ,$236.14 , N/A ,$198.86 ,$226.20 ,$6.08 ,$233.66 ,$236.14 ,$223.71 ,$186.43 ,$6.08 ,$6.08 ,$6.08 ,$181.46 ,$17.45 ,$221.23 ,$223.71 ,$223.71 ,$198.86 ,$17.97 ,$136.71 ,$223.71 ,$17.45 ,$223.71 ,$17.45 ,$236.14 ,$39.26 ,$228.68 ,$12.90 ,$226.20 ,$17.45 ,$152.97 ,$160.08 ,$152.97 ,$223.71 ,$223.71 ,$186.43 ,$153.12 ,$17.62 ,$6.38 ,$232.41 ,$18.32 ,$12.17 ,$216.26 ,$17.45 ,$223.71 ,$17.45 ,$223.71 ,$223.71 ,$223.71 ,$241.11 ,$201.34 ,$223.71 ,$223.71 ,$223.71 ,$223.71 ST. JOSEPH'S - CHIPPEWA FALLS,42000169,97150,HC GROUP TREATMENT 150MIN,420,1 ,$256.73 ,$192.55 ,$6.08 ,$256.73 ,$165.33 ,$17.45 ,$179.71 ,$6.08 ,$256.73 , N/A ,$212.00 ,$243.89 , N/A ,$205.38 ,$233.62 ,$6.08 ,$241.33 ,$243.89 ,$231.06 ,$192.55 ,$6.08 ,$6.08 ,$6.08 ,$187.41 ,$17.45 ,$228.49 ,$231.06 ,$231.06 ,$205.38 ,$17.97 ,$141.20 ,$231.06 ,$17.45 ,$231.06 ,$17.45 ,$243.89 ,$39.26 ,$236.19 ,$12.90 ,$233.62 ,$17.45 ,$157.99 ,$165.33 ,$157.99 ,$231.06 ,$231.06 ,$192.55 ,$153.12 ,$17.62 ,$6.38 ,$240.04 ,$18.32 ,$12.17 ,$223.36 ,$17.45 ,$231.06 ,$17.45 ,$231.06 ,$231.06 ,$231.06 ,$249.03 ,$207.95 ,$231.06 ,$231.06 ,$231.06 ,$231.06 ST. JOSEPH'S - CHIPPEWA FALLS,42000170,97150,HC GROUP TREATMENT 180MIN,420,1 ,$306.88 ,$230.16 ,$6.08 ,$306.88 ,$197.63 ,$17.45 ,$214.82 ,$6.08 ,$265.00 , N/A ,$212.00 ,$291.54 , N/A ,$245.50 ,$279.26 ,$6.08 ,$288.47 ,$291.54 ,$276.19 ,$230.16 ,$6.08 ,$6.08 ,$6.08 ,$224.02 ,$17.45 ,$273.12 ,$276.19 ,$276.19 ,$245.50 ,$17.97 ,$168.78 ,$276.19 ,$17.45 ,$276.19 ,$17.45 ,$291.54 ,$39.26 ,$282.33 ,$12.90 ,$279.26 ,$17.45 ,$188.85 ,$197.63 ,$188.85 ,$276.19 ,$276.19 ,$230.16 ,$153.12 ,$17.62 ,$6.38 ,$286.93 ,$18.32 ,$12.17 ,$266.99 ,$17.45 ,$276.19 ,$17.45 ,$276.19 ,$276.19 ,$276.19 ,$297.67 ,$248.57 ,$276.19 ,$276.19 ,$276.19 ,$276.19 ST. JOSEPH'S - CHIPPEWA FALLS,42000171,97150,HC GROUP TREATMENT 90MIN,420,1 ,$187.17 ,$140.38 ,$6.08 ,$187.17 ,$120.54 ,$17.45 ,$131.02 ,$6.08 ,$187.17 , N/A ,$187.17 ,$177.81 , N/A ,$149.74 ,$170.32 ,$6.08 ,$175.94 ,$177.81 ,$168.45 ,$140.38 ,$6.08 ,$6.08 ,$6.08 ,$136.63 ,$17.45 ,$166.58 ,$168.45 ,$168.45 ,$149.74 ,$17.97 ,$102.94 ,$168.45 ,$17.45 ,$168.45 ,$17.45 ,$177.81 ,$39.26 ,$172.20 ,$12.90 ,$170.32 ,$17.45 ,$115.18 ,$120.54 ,$115.18 ,$168.45 ,$168.45 ,$140.38 ,$153.12 ,$17.62 ,$6.38 ,$175.00 ,$18.32 ,$12.17 ,$162.84 ,$17.45 ,$168.45 ,$17.45 ,$168.45 ,$168.45 ,$168.45 ,$181.55 ,$151.61 ,$168.45 ,$168.45 ,$168.45 ,$168.45 ST. JOSEPH'S - CHIPPEWA FALLS,42000172,97150,HC GROUP TREATMENT 75MIN,420,1 ,$155.69 ,$116.77 ,$6.08 ,$155.69 ,$100.26 ,$17.45 ,$108.98 ,$6.08 ,$155.69 , N/A ,$155.69 ,$147.91 , N/A ,$124.55 ,$141.68 ,$6.08 ,$146.35 ,$147.91 ,$140.12 ,$116.77 ,$6.08 ,$6.08 ,$6.08 ,$113.65 ,$17.45 ,$138.56 ,$140.12 ,$140.12 ,$124.55 ,$17.97 ,$85.63 ,$140.12 ,$17.45 ,$140.12 ,$17.45 ,$147.91 ,$39.26 ,$143.23 ,$12.90 ,$141.68 ,$17.45 ,$95.81 ,$100.26 ,$95.81 ,$140.12 ,$140.12 ,$116.77 ,$140.12 ,$17.62 ,$6.38 ,$145.57 ,$18.32 ,$12.17 ,$135.45 ,$17.45 ,$140.12 ,$17.45 ,$140.12 ,$140.12 ,$140.12 ,$151.02 ,$126.11 ,$140.12 ,$140.12 ,$140.12 ,$140.12 ST. JOSEPH'S - CHIPPEWA FALLS,42000173,97605,HC NEG PRESS WND THPY <50 SQ CM 30MIN,420,1 ,$352.47 ,$264.35 ,$41.42 ,$352.47 ,$226.99 ,$41.42 ,$246.73 , N/A ,$265.00 , N/A ,$212.00 ,$334.85 , N/A ,$281.98 ,$320.75 , N/A ,$331.32 ,$334.85 ,$317.22 ,$264.35 , N/A , N/A , N/A ,$257.30 ,$41.42 ,$313.70 ,$317.22 ,$317.22 ,$281.98 ,$42.66 ,$193.86 ,$317.22 ,$41.42 ,$317.22 ,$41.42 ,$334.85 ,$93.20 ,$324.27 ,$89.35 ,$320.75 ,$41.42 ,$216.91 ,$226.99 ,$216.91 ,$317.22 ,$317.22 ,$264.35 ,$153.12 ,$41.83 , N/A ,$329.56 ,$43.49 ,$84.29 ,$306.65 ,$41.42 ,$317.22 ,$41.42 ,$317.22 ,$317.22 ,$317.22 ,$341.90 ,$285.50 ,$317.22 ,$317.22 ,$317.22 ,$317.22 ST. JOSEPH'S - CHIPPEWA FALLS,42000174,97605,HC NEG PRESS WND THPY <50 SQ CM 45MIN,420,1 ,$470.00 ,$352.50 ,$41.42 ,$470.00 ,$302.68 ,$41.42 ,$329.00 , N/A ,$265.00 , N/A ,$212.00 ,$446.50 , N/A ,$376.00 ,$427.70 , N/A ,$441.80 ,$446.50 ,$423.00 ,$352.50 , N/A , N/A , N/A ,$343.10 ,$41.42 ,$418.30 ,$423.00 ,$423.00 ,$376.00 ,$42.66 ,$258.50 ,$423.00 ,$41.42 ,$423.00 ,$41.42 ,$446.50 ,$93.20 ,$432.40 ,$89.35 ,$427.70 ,$41.42 ,$289.24 ,$302.68 ,$289.24 ,$423.00 ,$423.00 ,$352.50 ,$153.12 ,$41.83 , N/A ,$439.45 ,$43.49 ,$84.29 ,$408.90 ,$41.42 ,$423.00 ,$41.42 ,$423.00 ,$423.00 ,$423.00 ,$455.90 ,$380.70 ,$423.00 ,$423.00 ,$423.00 ,$423.00 ST. JOSEPH'S - CHIPPEWA FALLS,42000175,97605,HC NEG PRESS WND THPY <50 SQ CM 60MIN,420,1 ,$511.31 ,$383.48 ,$41.42 ,$511.31 ,$329.28 ,$41.42 ,$357.92 , N/A ,$265.00 , N/A ,$212.00 ,$485.74 , N/A ,$409.05 ,$465.29 , N/A ,$480.63 ,$485.74 ,$460.18 ,$383.48 , N/A , N/A , N/A ,$373.26 ,$41.42 ,$455.07 ,$460.18 ,$460.18 ,$409.05 ,$42.66 ,$281.22 ,$460.18 ,$41.42 ,$460.18 ,$41.42 ,$485.74 ,$93.20 ,$470.41 ,$89.35 ,$465.29 ,$41.42 ,$314.66 ,$329.28 ,$314.66 ,$460.18 ,$460.18 ,$383.48 ,$153.12 ,$41.83 , N/A ,$478.07 ,$43.49 ,$84.29 ,$444.84 ,$41.42 ,$460.18 ,$41.42 ,$460.18 ,$460.18 ,$460.18 ,$495.97 ,$414.16 ,$460.18 ,$460.18 ,$460.18 ,$460.18 ST. JOSEPH'S - CHIPPEWA FALLS,42000176,97605,HC NEG PRESS WND THPY <50 SQ CM 75MIN,420,1 ,$338.83 ,$254.12 ,$41.42 ,$338.83 ,$218.21 ,$41.42 ,$237.18 , N/A ,$265.00 , N/A ,$212.00 ,$321.89 , N/A ,$271.06 ,$308.34 , N/A ,$318.50 ,$321.89 ,$304.95 ,$254.12 , N/A , N/A , N/A ,$247.35 ,$41.42 ,$301.56 ,$304.95 ,$304.95 ,$271.06 ,$42.66 ,$186.36 ,$304.95 ,$41.42 ,$304.95 ,$41.42 ,$321.89 ,$93.20 ,$311.72 ,$89.35 ,$308.34 ,$41.42 ,$208.52 ,$218.21 ,$208.52 ,$304.95 ,$304.95 ,$254.12 ,$153.12 ,$41.83 , N/A ,$316.81 ,$43.49 ,$84.29 ,$294.78 ,$41.42 ,$304.95 ,$41.42 ,$304.95 ,$304.95 ,$304.95 ,$328.67 ,$274.45 ,$304.95 ,$304.95 ,$304.95 ,$304.95 ST. JOSEPH'S - CHIPPEWA FALLS,42000177,97605,HC NEG PRESS WND THPY <50 SQ CM 90MIN,420,1 ,$384.22 ,$288.17 ,$41.42 ,$384.22 ,$247.44 ,$41.42 ,$268.95 , N/A ,$265.00 , N/A ,$212.00 ,$365.01 , N/A ,$307.38 ,$349.64 , N/A ,$361.17 ,$365.01 ,$345.80 ,$288.17 , N/A , N/A , N/A ,$280.48 ,$41.42 ,$341.96 ,$345.80 ,$345.80 ,$307.38 ,$42.66 ,$211.32 ,$345.80 ,$41.42 ,$345.80 ,$41.42 ,$365.01 ,$93.20 ,$353.48 ,$89.35 ,$349.64 ,$41.42 ,$236.45 ,$247.44 ,$236.45 ,$345.80 ,$345.80 ,$288.17 ,$153.12 ,$41.83 , N/A ,$359.25 ,$43.49 ,$84.29 ,$334.27 ,$41.42 ,$345.80 ,$41.42 ,$345.80 ,$345.80 ,$345.80 ,$372.69 ,$311.22 ,$345.80 ,$345.80 ,$345.80 ,$345.80 ST. JOSEPH'S - CHIPPEWA FALLS,42000178,97605,HC NEG PRESS WND THPY <50 SQ CM 105MIN,420,1 ,$448.35 ,$336.26 ,$41.42 ,$448.35 ,$288.74 ,$41.42 ,$313.85 , N/A ,$265.00 , N/A ,$212.00 ,$425.93 , N/A ,$358.68 ,$408.00 , N/A ,$421.45 ,$425.93 ,$403.52 ,$336.26 , N/A , N/A , N/A ,$327.30 ,$41.42 ,$399.03 ,$403.52 ,$403.52 ,$358.68 ,$42.66 ,$246.59 ,$403.52 ,$41.42 ,$403.52 ,$41.42 ,$425.93 ,$93.20 ,$412.48 ,$89.35 ,$408.00 ,$41.42 ,$275.91 ,$288.74 ,$275.91 ,$403.52 ,$403.52 ,$336.26 ,$153.12 ,$41.83 , N/A ,$419.21 ,$43.49 ,$84.29 ,$390.06 ,$41.42 ,$403.52 ,$41.42 ,$403.52 ,$403.52 ,$403.52 ,$434.90 ,$363.16 ,$403.52 ,$403.52 ,$403.52 ,$403.52 ST. JOSEPH'S - CHIPPEWA FALLS,42000179,97605,HC NEG PRESS WND THPY <50 SQ CM 120MIN,420,1 ,$512.37 ,$384.28 ,$41.42 ,$512.37 ,$329.97 ,$41.42 ,$358.66 , N/A ,$265.00 , N/A ,$212.00 ,$486.75 , N/A ,$409.90 ,$466.26 , N/A ,$481.63 ,$486.75 ,$461.13 ,$384.28 , N/A , N/A , N/A ,$374.03 ,$41.42 ,$456.01 ,$461.13 ,$461.13 ,$409.90 ,$42.66 ,$281.80 ,$461.13 ,$41.42 ,$461.13 ,$41.42 ,$486.75 ,$93.20 ,$471.38 ,$89.35 ,$466.26 ,$41.42 ,$315.31 ,$329.97 ,$315.31 ,$461.13 ,$461.13 ,$384.28 ,$153.12 ,$41.83 , N/A ,$479.07 ,$43.49 ,$84.29 ,$445.76 ,$41.42 ,$461.13 ,$41.42 ,$461.13 ,$461.13 ,$461.13 ,$497.00 ,$415.02 ,$461.13 ,$461.13 ,$461.13 ,$461.13 ST. JOSEPH'S - CHIPPEWA FALLS,42000180,97606,HC NEG PRESS WND THPY >50 SQ CM 30MIN,420,1 ,$352.47 ,$264.35 ,$49.08 ,$352.47 ,$226.99 ,$49.08 ,$246.73 , N/A ,$265.00 , N/A ,$212.00 ,$334.85 , N/A ,$281.98 ,$320.75 , N/A ,$331.32 ,$334.85 ,$317.22 ,$264.35 , N/A , N/A , N/A ,$257.30 ,$49.08 ,$313.70 ,$317.22 ,$317.22 ,$281.98 ,$50.55 ,$193.86 ,$317.22 ,$49.08 ,$317.22 ,$49.08 ,$334.85 ,$110.43 ,$324.27 ,$113.99 ,$320.75 ,$49.08 ,$216.91 ,$226.99 ,$216.91 ,$317.22 ,$317.22 ,$264.35 ,$153.12 ,$49.57 , N/A ,$329.56 ,$51.53 ,$107.54 ,$306.65 ,$49.08 ,$317.22 ,$49.08 ,$317.22 ,$317.22 ,$317.22 ,$341.90 ,$285.50 ,$317.22 ,$317.22 ,$317.22 ,$317.22 ST. JOSEPH'S - CHIPPEWA FALLS,42000181,97606,HC NEG PRESS WND THPY >50 SQ CM 45MIN,420,1 ,$470.00 ,$352.50 ,$49.08 ,$470.00 ,$302.68 ,$49.08 ,$329.00 , N/A ,$265.00 , N/A ,$212.00 ,$446.50 , N/A ,$376.00 ,$427.70 , N/A ,$441.80 ,$446.50 ,$423.00 ,$352.50 , N/A , N/A , N/A ,$343.10 ,$49.08 ,$418.30 ,$423.00 ,$423.00 ,$376.00 ,$50.55 ,$258.50 ,$423.00 ,$49.08 ,$423.00 ,$49.08 ,$446.50 ,$110.43 ,$432.40 ,$113.99 ,$427.70 ,$49.08 ,$289.24 ,$302.68 ,$289.24 ,$423.00 ,$423.00 ,$352.50 ,$153.12 ,$49.57 , N/A ,$439.45 ,$51.53 ,$107.54 ,$408.90 ,$49.08 ,$423.00 ,$49.08 ,$423.00 ,$423.00 ,$423.00 ,$455.90 ,$380.70 ,$423.00 ,$423.00 ,$423.00 ,$423.00 ST. JOSEPH'S - CHIPPEWA FALLS,42000182,97606,HC NEG PRESS WND THPY >50 SQ CM 60MIN,420,1 ,$539.38 ,$404.54 ,$49.08 ,$539.38 ,$347.36 ,$49.08 ,$377.57 , N/A ,$265.00 , N/A ,$212.00 ,$512.41 , N/A ,$431.50 ,$490.84 , N/A ,$507.02 ,$512.41 ,$485.44 ,$404.54 , N/A , N/A , N/A ,$393.75 ,$49.08 ,$480.05 ,$485.44 ,$485.44 ,$431.50 ,$50.55 ,$296.66 ,$485.44 ,$49.08 ,$485.44 ,$49.08 ,$512.41 ,$110.43 ,$496.23 ,$113.99 ,$490.84 ,$49.08 ,$331.93 ,$347.36 ,$331.93 ,$485.44 ,$485.44 ,$404.54 ,$153.12 ,$49.57 , N/A ,$504.32 ,$51.53 ,$107.54 ,$469.26 ,$49.08 ,$485.44 ,$49.08 ,$485.44 ,$485.44 ,$485.44 ,$523.20 ,$436.90 ,$485.44 ,$485.44 ,$485.44 ,$485.44 ST. JOSEPH'S - CHIPPEWA FALLS,42000183,97606,HC NEG PRESS WND THPY >50 SQ CM 75MIN,420,1 ,$338.83 ,$254.12 ,$49.08 ,$338.83 ,$218.21 ,$49.08 ,$237.18 , N/A ,$265.00 , N/A ,$212.00 ,$321.89 , N/A ,$271.06 ,$308.34 , N/A ,$318.50 ,$321.89 ,$304.95 ,$254.12 , N/A , N/A , N/A ,$247.35 ,$49.08 ,$301.56 ,$304.95 ,$304.95 ,$271.06 ,$50.55 ,$186.36 ,$304.95 ,$49.08 ,$304.95 ,$49.08 ,$321.89 ,$110.43 ,$311.72 ,$113.99 ,$308.34 ,$49.08 ,$208.52 ,$218.21 ,$208.52 ,$304.95 ,$304.95 ,$254.12 ,$153.12 ,$49.57 , N/A ,$316.81 ,$51.53 ,$107.54 ,$294.78 ,$49.08 ,$304.95 ,$49.08 ,$304.95 ,$304.95 ,$304.95 ,$328.67 ,$274.45 ,$304.95 ,$304.95 ,$304.95 ,$304.95 ST. JOSEPH'S - CHIPPEWA FALLS,42000184,97606,HC NEG PRESS WND THPY >50 SQ CM 90MIN,420,1 ,$384.22 ,$288.17 ,$49.08 ,$384.22 ,$247.44 ,$49.08 ,$268.95 , N/A ,$265.00 , N/A ,$212.00 ,$365.01 , N/A ,$307.38 ,$349.64 , N/A ,$361.17 ,$365.01 ,$345.80 ,$288.17 , N/A , N/A , N/A ,$280.48 ,$49.08 ,$341.96 ,$345.80 ,$345.80 ,$307.38 ,$50.55 ,$211.32 ,$345.80 ,$49.08 ,$345.80 ,$49.08 ,$365.01 ,$110.43 ,$353.48 ,$113.99 ,$349.64 ,$49.08 ,$236.45 ,$247.44 ,$236.45 ,$345.80 ,$345.80 ,$288.17 ,$153.12 ,$49.57 , N/A ,$359.25 ,$51.53 ,$107.54 ,$334.27 ,$49.08 ,$345.80 ,$49.08 ,$345.80 ,$345.80 ,$345.80 ,$372.69 ,$311.22 ,$345.80 ,$345.80 ,$345.80 ,$345.80 ST. JOSEPH'S - CHIPPEWA FALLS,42000185,97606,HC NEG PRESS WND THPY >50 SQ CM 105MIN,420,1 ,$473.93 ,$355.45 ,$49.08 ,$473.93 ,$305.21 ,$49.08 ,$331.75 , N/A ,$265.00 , N/A ,$212.00 ,$450.23 , N/A ,$379.14 ,$431.28 , N/A ,$445.49 ,$450.23 ,$426.54 ,$355.45 , N/A , N/A , N/A ,$345.97 ,$49.08 ,$421.80 ,$426.54 ,$426.54 ,$379.14 ,$50.55 ,$260.66 ,$426.54 ,$49.08 ,$426.54 ,$49.08 ,$450.23 ,$110.43 ,$436.02 ,$113.99 ,$431.28 ,$49.08 ,$291.66 ,$305.21 ,$291.66 ,$426.54 ,$426.54 ,$355.45 ,$153.12 ,$49.57 , N/A ,$443.12 ,$51.53 ,$107.54 ,$412.32 ,$49.08 ,$426.54 ,$49.08 ,$426.54 ,$426.54 ,$426.54 ,$459.71 ,$383.88 ,$426.54 ,$426.54 ,$426.54 ,$426.54 ST. JOSEPH'S - CHIPPEWA FALLS,42000186,97606,HC NEG PRESS WND THPY >50 SQ CM 120MIN,420,1 ,$513.14 ,$384.86 ,$49.08 ,$513.14 ,$330.46 ,$49.08 ,$359.20 , N/A ,$265.00 , N/A ,$212.00 ,$487.48 , N/A ,$410.51 ,$466.96 , N/A ,$482.35 ,$487.48 ,$461.83 ,$384.86 , N/A , N/A , N/A ,$374.59 ,$49.08 ,$456.69 ,$461.83 ,$461.83 ,$410.51 ,$50.55 ,$282.23 ,$461.83 ,$49.08 ,$461.83 ,$49.08 ,$487.48 ,$110.43 ,$472.09 ,$113.99 ,$466.96 ,$49.08 ,$315.79 ,$330.46 ,$315.79 ,$461.83 ,$461.83 ,$384.86 ,$153.12 ,$49.57 , N/A ,$479.79 ,$51.53 ,$107.54 ,$446.43 ,$49.08 ,$461.83 ,$49.08 ,$461.83 ,$461.83 ,$461.83 ,$497.75 ,$415.64 ,$461.83 ,$461.83 ,$461.83 ,$461.83 ST. JOSEPH'S - CHIPPEWA FALLS,42000188,97799,HC PT PATIENT-TEAM EVAL,420,1 ,$78.72 ,$59.04 ,$10.19 ,$85.82 ,$50.70 , N/A ,$55.10 ,$78.72 ,$78.72 ,$84.18 ,$78.72 ,$74.78 , N/A ,$62.98 ,$71.64 ,$78.72 ,$74.00 ,$74.78 ,$70.85 ,$59.04 ,$81.73 ,$81.73 ,$81.73 ,$57.47 , N/A ,$70.06 ,$70.85 ,$70.85 ,$62.98 , N/A ,$43.30 ,$70.85 , N/A ,$70.85 , N/A ,$74.78 ,$47.23 ,$72.42 ,$10.80 ,$71.64 , N/A ,$48.44 ,$50.70 ,$48.44 ,$70.85 ,$70.85 ,$59.04 ,$70.85 ,$64.55 ,$85.82 ,$73.60 , N/A ,$10.19 ,$68.49 , N/A ,$70.85 , N/A ,$70.85 ,$70.85 ,$70.85 ,$76.36 ,$63.76 ,$70.85 ,$70.85 ,$70.85 ,$70.85 ST. JOSEPH'S - CHIPPEWA FALLS,42000191,97602,HC DEBRIDEMENT NONSELECTIVE W/O ANESTH 30MIN,420,1 ,$155.45 ,$116.59 ,$85.50 ,$155.45 ,$100.11 , N/A ,$108.82 , N/A ,$155.45 , N/A ,$155.45 ,$147.68 , N/A ,$124.36 ,$141.46 , N/A ,$146.12 ,$147.68 ,$139.91 ,$116.59 , N/A , N/A , N/A ,$113.48 , N/A ,$138.35 ,$139.91 ,$139.91 ,$124.36 , N/A ,$85.50 ,$139.91 , N/A ,$139.91 , N/A ,$147.68 , N/A ,$143.01 ,$113.99 ,$141.46 , N/A ,$95.66 ,$100.11 ,$95.66 ,$139.91 ,$139.91 ,$116.59 ,$139.91 , N/A , N/A ,$145.35 , N/A ,$107.54 ,$135.24 , N/A ,$139.91 , N/A ,$139.91 ,$139.91 ,$139.91 ,$150.79 ,$125.91 ,$139.91 ,$139.91 ,$139.91 ,$139.91 ST. JOSEPH'S - CHIPPEWA FALLS,42000192,97602,HC DEBRIDEMENT NONSELECTIVE W/O ANESTH 45MIN,420,1 ,$248.43 ,$186.32 ,$107.54 ,$248.43 ,$159.99 , N/A ,$173.90 , N/A ,$248.43 , N/A ,$212.00 ,$236.01 , N/A ,$198.74 ,$226.07 , N/A ,$233.52 ,$236.01 ,$223.59 ,$186.32 , N/A , N/A , N/A ,$181.35 , N/A ,$221.10 ,$223.59 ,$223.59 ,$198.74 , N/A ,$136.64 ,$223.59 , N/A ,$223.59 , N/A ,$236.01 , N/A ,$228.56 ,$113.99 ,$226.07 , N/A ,$152.88 ,$159.99 ,$152.88 ,$223.59 ,$223.59 ,$186.32 ,$153.12 , N/A , N/A ,$232.28 , N/A ,$107.54 ,$216.13 , N/A ,$223.59 , N/A ,$223.59 ,$223.59 ,$223.59 ,$240.98 ,$201.23 ,$223.59 ,$223.59 ,$223.59 ,$223.59 ST. JOSEPH'S - CHIPPEWA FALLS,42000193,97602,HC DEBRIDEMENT NONSELECTIVE W/O ANESTH 60MIN,420,1 ,$307.61 ,$230.71 ,$107.54 ,$307.61 ,$198.10 , N/A ,$215.33 , N/A ,$265.00 , N/A ,$212.00 ,$292.23 , N/A ,$246.09 ,$279.93 , N/A ,$289.15 ,$292.23 ,$276.85 ,$230.71 , N/A , N/A , N/A ,$224.56 , N/A ,$273.77 ,$276.85 ,$276.85 ,$246.09 , N/A ,$169.19 ,$276.85 , N/A ,$276.85 , N/A ,$292.23 , N/A ,$283.00 ,$113.99 ,$279.93 , N/A ,$189.30 ,$198.10 ,$189.30 ,$276.85 ,$276.85 ,$230.71 ,$153.12 , N/A , N/A ,$287.62 , N/A ,$107.54 ,$267.62 , N/A ,$276.85 , N/A ,$276.85 ,$276.85 ,$276.85 ,$298.38 ,$249.16 ,$276.85 ,$276.85 ,$276.85 ,$276.85 ST. JOSEPH'S - CHIPPEWA FALLS,42400035,97001,HC PT EVALUATION 75MIN,424,1 ,$751.95 ,$563.96 ,$18.31 ,$751.95 ,$484.26 , N/A ,$526.37 ,$18.31 ,$265.00 , N/A ,$212.00 ,$714.35 , N/A ,$601.56 ,$684.27 ,$18.31 ,$706.83 ,$714.35 ,$676.76 ,$563.96 ,$18.31 ,$18.31 ,$18.31 ,$548.92 , N/A ,$669.24 ,$676.76 ,$676.76 ,$601.56 , N/A ,$413.57 ,$676.76 , N/A ,$676.76 , N/A ,$714.35 , N/A ,$691.79 , N/A ,$684.27 , N/A ,$462.75 ,$484.26 ,$462.75 ,$676.76 ,$676.76 ,$563.96 ,$153.12 , N/A ,$19.23 ,$703.07 , N/A , N/A ,$654.20 , N/A ,$676.76 , N/A ,$676.76 ,$676.76 ,$676.76 ,$729.39 ,$609.08 ,$676.76 ,$676.76 ,$676.76 ,$676.76 ST. JOSEPH'S - CHIPPEWA FALLS,42400036,97001,HC PT EVALUATION 90MIN,424,1 ,$902.40 ,$676.80 ,$18.31 ,$902.40 ,$581.15 , N/A ,$631.68 ,$18.31 ,$265.00 , N/A ,$212.00 ,$857.28 , N/A ,$721.92 ,$821.18 ,$18.31 ,$848.26 ,$857.28 ,$812.16 ,$676.80 ,$18.31 ,$18.31 ,$18.31 ,$658.75 , N/A ,$803.14 ,$812.16 ,$812.16 ,$721.92 , N/A ,$496.32 ,$812.16 , N/A ,$812.16 , N/A ,$857.28 , N/A ,$830.21 , N/A ,$821.18 , N/A ,$555.34 ,$581.15 ,$555.34 ,$812.16 ,$812.16 ,$676.80 ,$153.12 , N/A ,$19.23 ,$843.74 , N/A , N/A ,$785.09 , N/A ,$812.16 , N/A ,$812.16 ,$812.16 ,$812.16 ,$875.33 ,$730.94 ,$812.16 ,$812.16 ,$812.16 ,$812.16 ST. JOSEPH'S - CHIPPEWA FALLS,42400039,97002,HC PT RE EVALUATION 75MIN,424,1 ,$776.45 ,$582.34 ,$13.70 ,$776.45 ,$500.03 , N/A ,$543.52 ,$13.70 ,$265.00 , N/A ,$212.00 ,$737.63 , N/A ,$621.16 ,$706.57 ,$13.70 ,$729.86 ,$737.63 ,$698.81 ,$582.34 ,$13.70 ,$13.70 ,$13.70 ,$566.81 , N/A ,$691.04 ,$698.81 ,$698.81 ,$621.16 , N/A ,$427.05 ,$698.81 , N/A ,$698.81 , N/A ,$737.63 , N/A ,$714.33 , N/A ,$706.57 , N/A ,$477.83 ,$500.03 ,$477.83 ,$698.81 ,$698.81 ,$582.34 ,$153.12 , N/A ,$14.39 ,$725.98 , N/A , N/A ,$675.51 , N/A ,$698.81 , N/A ,$698.81 ,$698.81 ,$698.81 ,$753.16 ,$628.92 ,$698.81 ,$698.81 ,$698.81 ,$698.81 ST. JOSEPH'S - CHIPPEWA FALLS,42400040,97002,HC PT RE EVALUATION 90MIN,424,1 ,$922.84 ,$692.13 ,$13.70 ,$922.84 ,$594.31 , N/A ,$645.99 ,$13.70 ,$265.00 , N/A ,$212.00 ,$876.70 , N/A ,$738.27 ,$839.78 ,$13.70 ,$867.47 ,$876.70 ,$830.56 ,$692.13 ,$13.70 ,$13.70 ,$13.70 ,$673.67 , N/A ,$821.33 ,$830.56 ,$830.56 ,$738.27 , N/A ,$507.56 ,$830.56 , N/A ,$830.56 , N/A ,$876.70 , N/A ,$849.01 , N/A ,$839.78 , N/A ,$567.92 ,$594.31 ,$567.92 ,$830.56 ,$830.56 ,$692.13 ,$153.12 , N/A ,$14.39 ,$862.86 , N/A , N/A ,$802.87 , N/A ,$830.56 , N/A ,$830.56 ,$830.56 ,$830.56 ,$895.15 ,$747.50 ,$830.56 ,$830.56 ,$830.56 ,$830.56 ST. JOSEPH'S - CHIPPEWA FALLS,42400087,97161,HC PT EVAL LOW COMPLEXITY,424,1 ,$178.92 ,$134.19 ,$62.66 ,$220.43 ,$115.22 ,$97.97 ,$125.24 ,$62.66 ,$178.92 , N/A ,$178.92 ,$169.97 , N/A ,$143.14 ,$162.82 ,$62.66 ,$168.18 ,$169.97 ,$161.03 ,$134.19 ,$62.66 ,$62.66 ,$62.66 ,$130.61 ,$97.97 ,$159.24 ,$161.03 ,$161.03 ,$143.14 ,$100.91 ,$98.41 ,$161.03 ,$97.97 ,$161.03 ,$97.97 ,$169.97 ,$220.43 ,$164.61 ,$76.43 ,$162.82 ,$97.97 ,$110.11 ,$115.22 ,$110.11 ,$161.03 ,$161.03 ,$134.19 ,$153.12 ,$98.95 ,$65.79 ,$167.29 ,$102.87 ,$72.10 ,$155.66 ,$97.97 ,$161.03 ,$97.97 ,$161.03 ,$161.03 ,$161.03 ,$173.55 ,$144.93 ,$161.03 ,$161.03 ,$161.03 ,$161.03 ST. JOSEPH'S - CHIPPEWA FALLS,42400088,97162,HC PT EVAL MOD COMPLEXITY,424,1 ,$289.47 ,$217.10 ,$62.66 ,$289.47 ,$186.42 ,$97.97 ,$202.63 ,$62.66 ,$265.00 , N/A ,$212.00 ,$275.00 , N/A ,$231.58 ,$263.42 ,$62.66 ,$272.10 ,$275.00 ,$260.52 ,$217.10 ,$62.66 ,$62.66 ,$62.66 ,$211.31 ,$97.97 ,$257.63 ,$260.52 ,$260.52 ,$231.58 ,$100.91 ,$159.21 ,$260.52 ,$97.97 ,$260.52 ,$97.97 ,$275.00 ,$220.43 ,$266.31 ,$76.43 ,$263.42 ,$97.97 ,$178.14 ,$186.42 ,$178.14 ,$260.52 ,$260.52 ,$217.10 ,$153.12 ,$98.95 ,$65.79 ,$270.65 ,$102.87 ,$72.10 ,$251.84 ,$97.97 ,$260.52 ,$97.97 ,$260.52 ,$260.52 ,$260.52 ,$280.79 ,$234.47 ,$260.52 ,$260.52 ,$260.52 ,$260.52 ST. JOSEPH'S - CHIPPEWA FALLS,42400089,97163,HC PT EVAL HIGH COMPLEXITY,424,1 ,$491.24 ,$368.43 ,$62.66 ,$491.24 ,$316.36 ,$97.97 ,$343.87 ,$62.66 ,$265.00 , N/A ,$212.00 ,$466.68 , N/A ,$392.99 ,$447.03 ,$62.66 ,$461.77 ,$466.68 ,$442.12 ,$368.43 ,$62.66 ,$62.66 ,$62.66 ,$358.61 ,$97.97 ,$437.20 ,$442.12 ,$442.12 ,$392.99 ,$100.91 ,$270.18 ,$442.12 ,$97.97 ,$442.12 ,$97.97 ,$466.68 ,$220.43 ,$451.94 ,$76.43 ,$447.03 ,$97.97 ,$302.31 ,$316.36 ,$302.31 ,$442.12 ,$442.12 ,$368.43 ,$153.12 ,$98.95 ,$65.79 ,$459.31 ,$102.87 ,$72.10 ,$427.38 ,$97.97 ,$442.12 ,$97.97 ,$442.12 ,$442.12 ,$442.12 ,$476.50 ,$397.90 ,$442.12 ,$442.12 ,$442.12 ,$442.12 ST. JOSEPH'S - CHIPPEWA FALLS,42400090,97164,HC PT RE-EVAL,424,1 ,$163.50 ,$122.63 ,$62.66 ,$163.50 ,$105.29 ,$66.78 ,$114.45 ,$62.66 ,$163.50 , N/A ,$163.50 ,$155.33 , N/A ,$130.80 ,$148.79 ,$62.66 ,$153.69 ,$155.33 ,$147.15 ,$122.63 ,$62.66 ,$62.66 ,$62.66 ,$119.36 ,$66.78 ,$145.52 ,$147.15 ,$147.15 ,$130.80 ,$68.78 ,$89.93 ,$147.15 ,$66.78 ,$147.15 ,$66.78 ,$155.33 ,$150.26 ,$150.42 ,$76.43 ,$148.79 ,$66.78 ,$100.62 ,$105.29 ,$100.62 ,$147.15 ,$147.15 ,$122.63 ,$147.15 ,$67.45 ,$65.79 ,$152.87 ,$70.12 ,$72.10 ,$142.25 ,$66.78 ,$147.15 ,$66.78 ,$147.15 ,$147.15 ,$147.15 ,$158.60 ,$132.44 ,$147.15 ,$147.15 ,$147.15 ,$147.15 ST. JOSEPH'S - CHIPPEWA FALLS,43000012,97018,HC PARAFFIN BATH,430,1 ,$80.26 ,$60.20 ,$5.48 ,$80.26 ,$51.69 ,$5.48 ,$56.18 ,$18.94 ,$80.26 , N/A ,$80.26 ,$76.25 , N/A ,$64.21 ,$73.04 ,$18.94 ,$75.44 ,$76.25 ,$72.23 ,$60.20 ,$18.94 ,$18.94 ,$18.94 ,$58.59 ,$5.48 ,$71.43 ,$72.23 ,$72.23 ,$64.21 ,$5.64 ,$44.14 ,$72.23 ,$5.48 ,$72.23 ,$5.48 ,$76.25 ,$12.33 ,$73.84 ,$10.80 ,$73.04 ,$5.48 ,$49.39 ,$51.69 ,$49.39 ,$72.23 ,$72.23 ,$60.20 ,$72.23 ,$5.53 ,$19.89 ,$75.04 ,$5.75 ,$10.19 ,$69.83 ,$5.48 ,$72.23 ,$5.48 ,$72.23 ,$72.23 ,$72.23 ,$77.85 ,$65.01 ,$72.23 ,$72.23 ,$72.23 ,$72.23 ST. JOSEPH'S - CHIPPEWA FALLS,43000013,97034,HC CONTRAST BATH EA 15 MIN,430,1 ,$98.85 ,$74.14 ,$10.19 ,$98.85 ,$63.66 ,$14.33 ,$69.20 ,$15.93 ,$98.85 , N/A ,$98.85 ,$93.91 , N/A ,$79.08 ,$89.95 ,$15.93 ,$92.92 ,$93.91 ,$88.97 ,$74.14 ,$15.93 ,$15.93 ,$15.93 ,$72.16 ,$14.33 ,$87.98 ,$88.97 ,$88.97 ,$79.08 ,$14.76 ,$54.37 ,$88.97 ,$14.33 ,$88.97 ,$14.33 ,$93.91 ,$32.24 ,$90.94 ,$10.80 ,$89.95 ,$14.33 ,$60.83 ,$63.66 ,$60.83 ,$88.97 ,$88.97 ,$74.14 ,$88.97 ,$14.47 ,$16.73 ,$92.42 ,$15.05 ,$10.19 ,$86.00 ,$14.33 ,$88.97 ,$14.33 ,$88.97 ,$88.97 ,$88.97 ,$95.88 ,$80.07 ,$88.97 ,$88.97 ,$88.97 ,$88.97 ST. JOSEPH'S - CHIPPEWA FALLS,43000015,97533,HC PERCEPTUAL ACTIVITY EA 15 MIN,430,1 ,$114.05 ,$85.54 ,$12.17 ,$129.85 ,$73.45 ,$57.71 ,$79.84 ,$18.87 ,$114.05 , N/A ,$114.05 ,$108.35 , N/A ,$91.24 ,$103.79 ,$18.87 ,$107.21 ,$108.35 ,$102.65 ,$85.54 ,$18.87 ,$18.87 ,$18.87 ,$83.26 ,$57.71 ,$101.50 ,$102.65 ,$102.65 ,$91.24 ,$59.44 ,$62.73 ,$102.65 ,$57.71 ,$102.65 ,$57.71 ,$108.35 ,$129.85 ,$104.93 ,$12.90 ,$103.79 ,$57.71 ,$70.19 ,$73.45 ,$70.19 ,$102.65 ,$102.65 ,$85.54 ,$102.65 ,$58.29 ,$19.81 ,$106.64 ,$60.60 ,$12.17 ,$99.22 ,$57.71 ,$102.65 ,$57.71 ,$102.65 ,$102.65 ,$102.65 ,$110.63 ,$92.38 ,$102.65 ,$102.65 ,$102.65 ,$102.65 ST. JOSEPH'S - CHIPPEWA FALLS,43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$111.63 ,$83.72 ,$10.19 ,$111.63 ,$71.89 ,$32.34 ,$78.14 ,$20.93 ,$111.63 , N/A ,$111.63 ,$106.05 , N/A ,$89.30 ,$101.58 ,$20.93 ,$104.93 ,$106.05 ,$100.47 ,$83.72 ,$20.93 ,$20.93 ,$20.93 ,$81.49 ,$32.34 ,$99.35 ,$100.47 ,$100.47 ,$89.30 ,$33.31 ,$61.40 ,$100.47 ,$32.34 ,$100.47 ,$32.34 ,$106.05 ,$72.77 ,$102.70 ,$10.80 ,$101.58 ,$32.34 ,$68.70 ,$71.89 ,$68.70 ,$100.47 ,$100.47 ,$83.72 ,$100.47 ,$32.66 ,$21.98 ,$104.37 ,$33.96 ,$10.19 ,$97.12 ,$32.34 ,$100.47 ,$32.34 ,$100.47 ,$100.47 ,$100.47 ,$108.28 ,$90.42 ,$100.47 ,$100.47 ,$100.47 ,$100.47 ST. JOSEPH'S - CHIPPEWA FALLS,43000023,97537,HC WORK TASK ANALYSIS EA 15 MIN,430,1 ,$137.29 ,$102.97 ,$12.17 ,$137.29 ,$88.41 ,$31.09 ,$96.10 , N/A ,$137.29 , N/A ,$137.29 ,$130.43 , N/A ,$109.83 ,$124.93 , N/A ,$129.05 ,$130.43 ,$123.56 ,$102.97 , N/A , N/A , N/A ,$100.22 ,$31.09 ,$122.19 ,$123.56 ,$123.56 ,$109.83 ,$32.02 ,$75.51 ,$123.56 ,$31.09 ,$123.56 ,$31.09 ,$130.43 ,$69.95 ,$126.31 ,$12.90 ,$124.93 ,$31.09 ,$84.49 ,$88.41 ,$84.49 ,$123.56 ,$123.56 ,$102.97 ,$123.56 ,$31.40 , N/A ,$128.37 ,$32.64 ,$12.17 ,$119.44 ,$31.09 ,$123.56 ,$31.09 ,$123.56 ,$123.56 ,$123.56 ,$133.17 ,$111.20 ,$123.56 ,$123.56 ,$123.56 ,$123.56 ST. JOSEPH'S - CHIPPEWA FALLS,43000024,97542,HC SEATING CLINIC EA 15 MIN,430,1 ,$91.02 ,$68.27 ,$12.17 ,$91.02 ,$58.62 ,$31.42 ,$63.71 ,$18.94 ,$91.02 , N/A ,$91.02 ,$86.47 , N/A ,$72.82 ,$82.83 ,$18.94 ,$85.56 ,$86.47 ,$81.92 ,$68.27 ,$18.94 ,$18.94 ,$18.94 ,$66.44 ,$31.42 ,$81.01 ,$81.92 ,$81.92 ,$72.82 ,$32.36 ,$50.06 ,$81.92 ,$31.42 ,$81.92 ,$31.42 ,$86.47 ,$70.70 ,$83.74 ,$12.90 ,$82.83 ,$31.42 ,$56.01 ,$58.62 ,$56.01 ,$81.92 ,$81.92 ,$68.27 ,$81.92 ,$31.73 ,$19.89 ,$85.10 ,$32.99 ,$12.17 ,$79.19 ,$31.42 ,$81.92 ,$31.42 ,$81.92 ,$81.92 ,$81.92 ,$88.29 ,$73.73 ,$81.92 ,$81.92 ,$81.92 ,$81.92 ST. JOSEPH'S - CHIPPEWA FALLS,43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$159.60 ,$119.70 ,$12.17 ,$159.60 ,$102.78 ,$47.89 ,$111.72 , N/A ,$159.60 , N/A ,$159.60 ,$151.62 , N/A ,$127.68 ,$145.24 , N/A ,$150.02 ,$151.62 ,$143.64 ,$119.70 , N/A , N/A , N/A ,$116.51 ,$47.89 ,$142.04 ,$143.64 ,$143.64 ,$127.68 ,$49.33 ,$87.78 ,$143.64 ,$47.89 ,$143.64 ,$47.89 ,$151.62 ,$107.75 ,$146.83 ,$12.90 ,$145.24 ,$47.89 ,$98.22 ,$102.78 ,$98.22 ,$143.64 ,$143.64 ,$119.70 ,$143.64 ,$48.37 , N/A ,$149.23 ,$50.28 ,$12.17 ,$138.85 ,$47.89 ,$143.64 ,$47.89 ,$143.64 ,$143.64 ,$143.64 ,$154.81 ,$129.28 ,$143.64 ,$143.64 ,$143.64 ,$143.64 ST. JOSEPH'S - CHIPPEWA FALLS,43000035,97545,HC WORK HARDENING/CONDITIONING FIRST 2 HRS,430,1 ,$252.93 ,$189.70 ,$10.19 ,$252.93 ,$162.89 , N/A ,$177.05 , N/A ,$252.93 , N/A ,$212.00 ,$240.28 , N/A ,$202.34 ,$230.17 , N/A ,$237.75 ,$240.28 ,$227.64 ,$189.70 , N/A , N/A , N/A ,$184.64 , N/A ,$225.11 ,$227.64 ,$227.64 ,$202.34 , N/A ,$139.11 ,$227.64 , N/A ,$227.64 , N/A ,$240.28 , N/A ,$232.70 ,$10.80 ,$230.17 , N/A ,$155.65 ,$162.89 ,$155.65 ,$227.64 ,$227.64 ,$189.70 ,$153.12 , N/A , N/A ,$236.49 , N/A ,$10.19 ,$220.05 , N/A ,$227.64 , N/A ,$227.64 ,$227.64 ,$227.64 ,$245.34 ,$204.87 ,$227.64 ,$227.64 ,$227.64 ,$227.64 ST. JOSEPH'S - CHIPPEWA FALLS,43000036,97546,HC WORK HARDENING/CONDITIONINS ADD 1 HOUR,430,1 ,$125.69 ,$94.27 ,$10.19 ,$125.69 ,$80.94 , N/A ,$87.98 , N/A ,$125.69 , N/A ,$125.69 ,$119.41 , N/A ,$100.55 ,$114.38 , N/A ,$118.15 ,$119.41 ,$113.12 ,$94.27 , N/A , N/A , N/A ,$91.75 , N/A ,$111.86 ,$113.12 ,$113.12 ,$100.55 , N/A ,$69.13 ,$113.12 , N/A ,$113.12 , N/A ,$119.41 , N/A ,$115.63 ,$10.80 ,$114.38 , N/A ,$77.35 ,$80.94 ,$77.35 ,$113.12 ,$113.12 ,$94.27 ,$113.12 , N/A , N/A ,$117.52 , N/A ,$10.19 ,$109.35 , N/A ,$113.12 , N/A ,$113.12 ,$113.12 ,$113.12 ,$121.92 ,$101.81 ,$113.12 ,$113.12 ,$113.12 ,$113.12 ST. JOSEPH'S - CHIPPEWA FALLS,43000037,N/A,HC POST-OFFER JOB SCREEN,430,1 ,$36.23 ,$27.17 ,$19.93 ,$36.23 ,$23.33 , N/A ,$25.36 , N/A ,$36.23 , N/A ,$36.23 ,$34.42 , N/A ,$28.98 ,$32.97 , N/A ,$34.06 ,$34.42 ,$32.61 ,$27.17 , N/A , N/A , N/A ,$26.45 , N/A ,$32.24 ,$32.61 ,$32.61 ,$28.98 , N/A ,$19.93 ,$32.61 , N/A ,$32.61 , N/A ,$34.42 , N/A ,$33.33 , N/A ,$32.97 , N/A ,$22.30 ,$23.33 ,$22.30 ,$32.61 ,$32.61 ,$27.17 ,$32.61 , N/A , N/A ,$33.88 , N/A , N/A ,$31.52 , N/A ,$32.61 , N/A ,$32.61 ,$32.61 ,$32.61 ,$35.14 ,$29.35 ,$32.61 ,$32.61 ,$32.61 ,$32.61 ST. JOSEPH'S - CHIPPEWA FALLS,43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$67.95 ,$50.96 ,$18.86 ,$67.95 ,$43.76 ,$22.58 ,$47.57 , N/A ,$67.95 , N/A ,$67.95 ,$64.55 , N/A ,$54.36 ,$61.83 , N/A ,$63.87 ,$64.55 ,$61.16 ,$50.96 , N/A , N/A , N/A ,$49.60 ,$22.58 ,$60.48 ,$61.16 ,$61.16 ,$54.36 ,$23.26 ,$37.37 ,$61.16 ,$22.58 ,$61.16 ,$22.58 ,$64.55 ,$50.81 ,$62.51 ,$19.99 ,$61.83 ,$22.58 ,$41.82 ,$43.76 ,$41.82 ,$61.16 ,$61.16 ,$50.96 ,$61.16 ,$22.81 , N/A ,$63.53 ,$23.71 ,$18.86 ,$59.12 ,$22.58 ,$61.16 ,$22.58 ,$61.16 ,$61.16 ,$61.16 ,$65.91 ,$55.04 ,$61.16 ,$61.16 ,$61.16 ,$61.16 ST. JOSEPH'S - CHIPPEWA FALLS,43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$67.95 ,$50.96 ,$18.01 ,$67.95 ,$43.76 ,$21.89 ,$47.57 , N/A ,$67.95 , N/A ,$67.95 ,$64.55 , N/A ,$54.36 ,$61.83 , N/A ,$63.87 ,$64.55 ,$61.16 ,$50.96 , N/A , N/A , N/A ,$49.60 ,$21.89 ,$60.48 ,$61.16 ,$61.16 ,$54.36 ,$22.55 ,$37.37 ,$61.16 ,$21.89 ,$61.16 ,$21.89 ,$64.55 ,$49.25 ,$62.51 ,$19.09 ,$61.83 ,$21.89 ,$41.82 ,$43.76 ,$41.82 ,$61.16 ,$61.16 ,$50.96 ,$61.16 ,$22.11 , N/A ,$63.53 ,$22.98 ,$18.01 ,$59.12 ,$21.89 ,$61.16 ,$21.89 ,$61.16 ,$61.16 ,$61.16 ,$65.91 ,$55.04 ,$61.16 ,$61.16 ,$61.16 ,$61.16 ST. JOSEPH'S - CHIPPEWA FALLS,43400009,97003,HC OT EVAL LEVEL 2,434,1 ,$329.46 ,$247.10 ,$18.31 ,$329.46 ,$212.17 , N/A ,$230.62 ,$18.31 ,$265.00 , N/A ,$212.00 ,$312.99 , N/A ,$263.57 ,$299.81 ,$18.31 ,$309.69 ,$312.99 ,$296.51 ,$247.10 ,$18.31 ,$18.31 ,$18.31 ,$240.51 , N/A ,$293.22 ,$296.51 ,$296.51 ,$263.57 , N/A ,$181.20 ,$296.51 , N/A ,$296.51 , N/A ,$312.99 , N/A ,$303.10 , N/A ,$299.81 , N/A ,$202.75 ,$212.17 ,$202.75 ,$296.51 ,$296.51 ,$247.10 ,$153.12 , N/A ,$19.23 ,$308.05 , N/A , N/A ,$286.63 , N/A ,$296.51 , N/A ,$296.51 ,$296.51 ,$296.51 ,$319.58 ,$266.86 ,$296.51 ,$296.51 ,$296.51 ,$296.51 ST. JOSEPH'S - CHIPPEWA FALLS,43400023,97799,HC OT PATIENT TEAM EVAL,434,1 ,$76.35 ,$57.26 ,$10.19 ,$85.82 ,$49.17 , N/A ,$53.45 ,$76.35 ,$76.35 ,$84.18 ,$76.35 ,$72.53 , N/A ,$61.08 ,$69.48 ,$76.35 ,$71.77 ,$72.53 ,$68.72 ,$57.26 ,$81.73 ,$81.73 ,$81.73 ,$55.74 , N/A ,$67.95 ,$68.72 ,$68.72 ,$61.08 , N/A ,$41.99 ,$68.72 , N/A ,$68.72 , N/A ,$72.53 ,$45.81 ,$70.24 ,$10.80 ,$69.48 , N/A ,$46.99 ,$49.17 ,$46.99 ,$68.72 ,$68.72 ,$57.26 ,$68.72 ,$62.61 ,$85.82 ,$71.39 , N/A ,$10.19 ,$66.42 , N/A ,$68.72 , N/A ,$68.72 ,$68.72 ,$68.72 ,$74.06 ,$61.84 ,$68.72 ,$68.72 ,$68.72 ,$68.72 ST. JOSEPH'S - CHIPPEWA FALLS,43400024,97003,HC OT EVAL 75MIN,434,1 ,$648.49 ,$486.37 ,$18.31 ,$648.49 ,$417.63 , N/A ,$453.94 ,$18.31 ,$265.00 , N/A ,$212.00 ,$616.07 , N/A ,$518.79 ,$590.13 ,$18.31 ,$609.58 ,$616.07 ,$583.64 ,$486.37 ,$18.31 ,$18.31 ,$18.31 ,$473.40 , N/A ,$577.16 ,$583.64 ,$583.64 ,$518.79 , N/A ,$356.67 ,$583.64 , N/A ,$583.64 , N/A ,$616.07 , N/A ,$596.61 , N/A ,$590.13 , N/A ,$399.08 ,$417.63 ,$399.08 ,$583.64 ,$583.64 ,$486.37 ,$153.12 , N/A ,$19.23 ,$606.34 , N/A , N/A ,$564.19 , N/A ,$583.64 , N/A ,$583.64 ,$583.64 ,$583.64 ,$629.04 ,$525.28 ,$583.64 ,$583.64 ,$583.64 ,$583.64 ST. JOSEPH'S - CHIPPEWA FALLS,43400025,97003,HC OT EVAL 90MIN,434,1 ,$755.76 ,$566.82 ,$18.31 ,$755.76 ,$486.71 , N/A ,$529.03 ,$18.31 ,$265.00 , N/A ,$212.00 ,$717.97 , N/A ,$604.61 ,$687.74 ,$18.31 ,$710.41 ,$717.97 ,$680.18 ,$566.82 ,$18.31 ,$18.31 ,$18.31 ,$551.70 , N/A ,$672.63 ,$680.18 ,$680.18 ,$604.61 , N/A ,$415.67 ,$680.18 , N/A ,$680.18 , N/A ,$717.97 , N/A ,$695.30 , N/A ,$687.74 , N/A ,$465.09 ,$486.71 ,$465.09 ,$680.18 ,$680.18 ,$566.82 ,$153.12 , N/A ,$19.23 ,$706.64 , N/A , N/A ,$657.51 , N/A ,$680.18 , N/A ,$680.18 ,$680.18 ,$680.18 ,$733.09 ,$612.17 ,$680.18 ,$680.18 ,$680.18 ,$680.18 ST. JOSEPH'S - CHIPPEWA FALLS,43400028,97004,HC OT RE-EVAL 75MIN,434,1 ,$559.10 ,$419.33 ,$13.70 ,$559.10 ,$360.06 , N/A ,$391.37 ,$13.70 ,$265.00 , N/A ,$212.00 ,$531.15 , N/A ,$447.28 ,$508.78 ,$13.70 ,$525.55 ,$531.15 ,$503.19 ,$419.33 ,$13.70 ,$13.70 ,$13.70 ,$408.14 , N/A ,$497.60 ,$503.19 ,$503.19 ,$447.28 , N/A ,$307.51 ,$503.19 , N/A ,$503.19 , N/A ,$531.15 , N/A ,$514.37 , N/A ,$508.78 , N/A ,$344.07 ,$360.06 ,$344.07 ,$503.19 ,$503.19 ,$419.33 ,$153.12 , N/A ,$14.39 ,$522.76 , N/A , N/A ,$486.42 , N/A ,$503.19 , N/A ,$503.19 ,$503.19 ,$503.19 ,$542.33 ,$452.87 ,$503.19 ,$503.19 ,$503.19 ,$503.19 ST. JOSEPH'S - CHIPPEWA FALLS,43400029,97004,HC OT RE-EVAL 90MIN,434,1 ,$619.24 ,$464.43 ,$13.70 ,$619.24 ,$398.79 , N/A ,$433.47 ,$13.70 ,$265.00 , N/A ,$212.00 ,$588.28 , N/A ,$495.39 ,$563.51 ,$13.70 ,$582.09 ,$588.28 ,$557.32 ,$464.43 ,$13.70 ,$13.70 ,$13.70 ,$452.05 , N/A ,$551.12 ,$557.32 ,$557.32 ,$495.39 , N/A ,$340.58 ,$557.32 , N/A ,$557.32 , N/A ,$588.28 , N/A ,$569.70 , N/A ,$563.51 , N/A ,$381.08 ,$398.79 ,$381.08 ,$557.32 ,$557.32 ,$464.43 ,$153.12 , N/A ,$14.39 ,$578.99 , N/A , N/A ,$538.74 , N/A ,$557.32 , N/A ,$557.32 ,$557.32 ,$557.32 ,$600.66 ,$501.58 ,$557.32 ,$557.32 ,$557.32 ,$557.32 ST. JOSEPH'S - CHIPPEWA FALLS,43400078,97165,HC OT EVAL LOW COMPLEXITY,434,1 ,$185.33 ,$139.00 ,$55.64 ,$213.77 ,$119.35 ,$95.01 ,$129.73 ,$62.66 ,$185.33 , N/A ,$185.33 ,$176.06 , N/A ,$148.26 ,$168.65 ,$62.66 ,$174.21 ,$176.06 ,$166.80 ,$139.00 ,$62.66 ,$62.66 ,$62.66 ,$135.29 ,$95.01 ,$164.94 ,$166.80 ,$166.80 ,$148.26 ,$97.86 ,$101.93 ,$166.80 ,$95.01 ,$166.80 ,$95.01 ,$176.06 ,$213.77 ,$170.50 ,$58.98 ,$168.65 ,$95.01 ,$114.05 ,$119.35 ,$114.05 ,$166.80 ,$166.80 ,$139.00 ,$153.12 ,$95.96 ,$65.79 ,$173.28 ,$99.76 ,$55.64 ,$161.24 ,$95.01 ,$166.80 ,$95.01 ,$166.80 ,$166.80 ,$166.80 ,$179.77 ,$150.12 ,$166.80 ,$166.80 ,$166.80 ,$166.80 ST. JOSEPH'S - CHIPPEWA FALLS,43400079,97166,HC OT EVAL MOD COMPLEXITY,434,1 ,$293.64 ,$220.23 ,$55.64 ,$293.64 ,$189.10 ,$95.01 ,$205.55 ,$62.66 ,$265.00 , N/A ,$212.00 ,$278.96 , N/A ,$234.91 ,$267.21 ,$62.66 ,$276.02 ,$278.96 ,$264.28 ,$220.23 ,$62.66 ,$62.66 ,$62.66 ,$214.36 ,$95.01 ,$261.34 ,$264.28 ,$264.28 ,$234.91 ,$97.86 ,$161.50 ,$264.28 ,$95.01 ,$264.28 ,$95.01 ,$278.96 ,$213.77 ,$270.15 ,$58.98 ,$267.21 ,$95.01 ,$180.71 ,$189.10 ,$180.71 ,$264.28 ,$264.28 ,$220.23 ,$153.12 ,$95.96 ,$65.79 ,$274.55 ,$99.76 ,$55.64 ,$255.47 ,$95.01 ,$264.28 ,$95.01 ,$264.28 ,$264.28 ,$264.28 ,$284.83 ,$237.85 ,$264.28 ,$264.28 ,$264.28 ,$264.28 ST. JOSEPH'S - CHIPPEWA FALLS,43400080,97167,HC OT EVAL HIGH COMPLEXITY,434,1 ,$479.63 ,$359.72 ,$55.64 ,$479.63 ,$308.88 ,$95.01 ,$335.74 ,$62.66 ,$265.00 , N/A ,$212.00 ,$455.65 , N/A ,$383.70 ,$436.46 ,$62.66 ,$450.85 ,$455.65 ,$431.67 ,$359.72 ,$62.66 ,$62.66 ,$62.66 ,$350.13 ,$95.01 ,$426.87 ,$431.67 ,$431.67 ,$383.70 ,$97.86 ,$263.80 ,$431.67 ,$95.01 ,$431.67 ,$95.01 ,$455.65 ,$213.77 ,$441.26 ,$58.98 ,$436.46 ,$95.01 ,$295.16 ,$308.88 ,$295.16 ,$431.67 ,$431.67 ,$359.72 ,$153.12 ,$95.96 ,$65.79 ,$448.45 ,$99.76 ,$55.64 ,$417.28 ,$95.01 ,$431.67 ,$95.01 ,$431.67 ,$431.67 ,$431.67 ,$465.24 ,$388.50 ,$431.67 ,$431.67 ,$431.67 ,$431.67 ST. JOSEPH'S - CHIPPEWA FALLS,43400081,97168,HC OT RE-EVAL,434,1 ,$166.41 ,$124.81 ,$55.64 ,$166.41 ,$107.17 ,$63.82 ,$116.49 ,$62.66 ,$166.41 , N/A ,$166.41 ,$158.09 , N/A ,$133.13 ,$151.43 ,$62.66 ,$156.43 ,$158.09 ,$149.77 ,$124.81 ,$62.66 ,$62.66 ,$62.66 ,$121.48 ,$63.82 ,$148.10 ,$149.77 ,$149.77 ,$133.13 ,$65.73 ,$91.53 ,$149.77 ,$63.82 ,$149.77 ,$63.82 ,$158.09 ,$143.60 ,$153.10 ,$58.98 ,$151.43 ,$63.82 ,$102.41 ,$107.17 ,$102.41 ,$149.77 ,$149.77 ,$124.81 ,$149.77 ,$64.46 ,$65.79 ,$155.59 ,$67.01 ,$55.64 ,$144.78 ,$63.82 ,$149.77 ,$63.82 ,$149.77 ,$149.77 ,$149.77 ,$161.42 ,$134.79 ,$149.77 ,$149.77 ,$149.77 ,$149.77 ST. JOSEPH'S - CHIPPEWA FALLS,44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$145.64 ,$109.23 ,$47.91 ,$169.04 ,$93.79 ,$75.13 ,$101.95 ,$47.91 ,$145.64 ,$89.23 ,$145.64 ,$138.36 , N/A ,$116.51 ,$132.53 ,$47.91 ,$136.90 ,$138.36 ,$131.08 ,$109.23 ,$47.91 ,$47.91 ,$47.91 ,$106.32 ,$75.13 ,$129.62 ,$131.08 ,$131.08 ,$116.51 ,$77.38 ,$80.10 ,$131.08 ,$75.13 ,$131.08 ,$75.13 ,$138.36 ,$169.04 ,$133.99 ,$73.78 ,$132.53 ,$75.13 ,$89.63 ,$93.79 ,$89.63 ,$131.08 ,$131.08 ,$109.23 ,$131.08 ,$75.88 ,$50.31 ,$136.17 ,$78.89 ,$69.60 ,$126.71 ,$75.13 ,$131.08 ,$75.13 ,$131.08 ,$131.08 ,$131.08 ,$141.27 ,$117.97 ,$131.08 ,$131.08 ,$131.08 ,$131.08 ST. JOSEPH'S - CHIPPEWA FALLS,44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$303.91 ,$227.93 ,$47.91 ,$303.91 ,$195.72 ,$75.13 ,$212.74 ,$47.91 ,$303.91 ,$89.23 ,$255.00 ,$288.71 , N/A ,$243.13 ,$276.56 ,$47.91 ,$285.68 ,$288.71 ,$273.52 ,$227.93 ,$47.91 ,$47.91 ,$47.91 ,$221.85 ,$75.13 ,$270.48 ,$273.52 ,$273.52 ,$243.13 ,$77.38 ,$167.15 ,$273.52 ,$75.13 ,$273.52 ,$75.13 ,$288.71 ,$169.04 ,$279.60 ,$73.78 ,$276.56 ,$75.13 ,$187.03 ,$195.72 ,$187.03 ,$273.52 ,$273.52 ,$227.93 ,$153.12 ,$75.88 ,$50.31 ,$284.16 ,$78.89 ,$69.60 ,$264.40 ,$75.13 ,$273.52 ,$75.13 ,$273.52 ,$273.52 ,$273.52 ,$294.79 ,$246.17 ,$273.52 ,$273.52 ,$273.52 ,$273.52 ST. JOSEPH'S - CHIPPEWA FALLS,44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$462.18 ,$346.64 ,$47.91 ,$462.18 ,$297.64 ,$75.13 ,$323.53 ,$47.91 ,$319.00 ,$89.23 ,$255.00 ,$439.07 , N/A ,$369.74 ,$420.58 ,$47.91 ,$434.45 ,$439.07 ,$415.96 ,$346.64 ,$47.91 ,$47.91 ,$47.91 ,$337.39 ,$75.13 ,$411.34 ,$415.96 ,$415.96 ,$369.74 ,$77.38 ,$254.20 ,$415.96 ,$75.13 ,$415.96 ,$75.13 ,$439.07 ,$169.04 ,$425.21 ,$73.78 ,$420.58 ,$75.13 ,$284.43 ,$297.64 ,$284.43 ,$415.96 ,$415.96 ,$346.64 ,$153.12 ,$75.88 ,$50.31 ,$432.14 ,$78.89 ,$69.60 ,$402.10 ,$75.13 ,$415.96 ,$75.13 ,$415.96 ,$415.96 ,$415.96 ,$448.31 ,$374.37 ,$415.96 ,$415.96 ,$415.96 ,$415.96 ST. JOSEPH'S - CHIPPEWA FALLS,44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$620.45 ,$465.34 ,$47.91 ,$620.45 ,$399.57 ,$75.13 ,$434.32 ,$47.91 ,$319.00 ,$89.23 ,$255.00 ,$589.43 , N/A ,$496.36 ,$564.61 ,$47.91 ,$583.22 ,$589.43 ,$558.41 ,$465.34 ,$47.91 ,$47.91 ,$47.91 ,$452.93 ,$75.13 ,$552.20 ,$558.41 ,$558.41 ,$496.36 ,$77.38 ,$341.25 ,$558.41 ,$75.13 ,$558.41 ,$75.13 ,$589.43 ,$169.04 ,$570.81 ,$73.78 ,$564.61 ,$75.13 ,$381.82 ,$399.57 ,$381.82 ,$558.41 ,$558.41 ,$465.34 ,$153.12 ,$75.88 ,$50.31 ,$580.12 ,$78.89 ,$69.60 ,$539.79 ,$75.13 ,$558.41 ,$75.13 ,$558.41 ,$558.41 ,$558.41 ,$601.84 ,$502.56 ,$558.41 ,$558.41 ,$558.41 ,$558.41 ST. JOSEPH'S - CHIPPEWA FALLS,44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$140.41 ,$105.31 ,$12.17 ,$186.98 ,$90.42 ,$83.10 ,$98.29 ,$48.82 ,$140.41 , N/A ,$140.41 ,$133.39 , N/A ,$112.33 ,$127.77 ,$48.82 ,$131.99 ,$133.39 ,$126.37 ,$105.31 ,$48.82 ,$48.82 ,$48.82 ,$102.50 ,$83.10 ,$124.96 ,$126.37 ,$126.37 ,$112.33 ,$85.59 ,$77.23 ,$126.37 ,$83.10 ,$126.37 ,$83.10 ,$133.39 ,$186.98 ,$129.18 ,$12.90 ,$127.77 ,$83.10 ,$86.41 ,$90.42 ,$86.41 ,$126.37 ,$126.37 ,$105.31 ,$126.37 ,$83.93 ,$51.26 ,$131.28 ,$87.26 ,$12.17 ,$122.16 ,$83.10 ,$126.37 ,$83.10 ,$126.37 ,$126.37 ,$126.37 ,$136.20 ,$113.73 ,$126.37 ,$126.37 ,$126.37 ,$126.37 ST. JOSEPH'S - CHIPPEWA FALLS,44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$233.89 ,$175.42 ,$12.17 ,$233.89 ,$150.63 ,$83.10 ,$163.72 ,$48.82 ,$233.89 , N/A ,$233.89 ,$222.20 , N/A ,$187.11 ,$212.84 ,$48.82 ,$219.86 ,$222.20 ,$210.50 ,$175.42 ,$48.82 ,$48.82 ,$48.82 ,$170.74 ,$83.10 ,$208.16 ,$210.50 ,$210.50 ,$187.11 ,$85.59 ,$128.64 ,$210.50 ,$83.10 ,$210.50 ,$83.10 ,$222.20 ,$186.98 ,$215.18 ,$12.90 ,$212.84 ,$83.10 ,$143.94 ,$150.63 ,$143.94 ,$210.50 ,$210.50 ,$175.42 ,$153.12 ,$83.93 ,$51.26 ,$218.69 ,$87.26 ,$12.17 ,$203.48 ,$83.10 ,$210.50 ,$83.10 ,$210.50 ,$210.50 ,$210.50 ,$226.87 ,$189.45 ,$210.50 ,$210.50 ,$210.50 ,$210.50 ST. JOSEPH'S - CHIPPEWA FALLS,44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$350.74 ,$263.06 ,$12.17 ,$350.74 ,$225.88 ,$83.10 ,$245.52 ,$48.82 ,$319.00 , N/A ,$255.00 ,$333.20 , N/A ,$280.59 ,$319.17 ,$48.82 ,$329.70 ,$333.20 ,$315.67 ,$263.06 ,$48.82 ,$48.82 ,$48.82 ,$256.04 ,$83.10 ,$312.16 ,$315.67 ,$315.67 ,$280.59 ,$85.59 ,$192.91 ,$315.67 ,$83.10 ,$315.67 ,$83.10 ,$333.20 ,$186.98 ,$322.68 ,$12.90 ,$319.17 ,$83.10 ,$215.85 ,$225.88 ,$215.85 ,$315.67 ,$315.67 ,$263.06 ,$153.12 ,$83.93 ,$51.26 ,$327.94 ,$87.26 ,$12.17 ,$305.14 ,$83.10 ,$315.67 ,$83.10 ,$315.67 ,$315.67 ,$315.67 ,$340.22 ,$284.10 ,$315.67 ,$315.67 ,$315.67 ,$315.67 ST. JOSEPH'S - CHIPPEWA FALLS,44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$467.59 ,$350.69 ,$12.17 ,$467.59 ,$301.13 ,$83.10 ,$327.31 ,$48.82 ,$319.00 , N/A ,$255.00 ,$444.21 , N/A ,$374.07 ,$425.51 ,$48.82 ,$439.53 ,$444.21 ,$420.83 ,$350.69 ,$48.82 ,$48.82 ,$48.82 ,$341.34 ,$83.10 ,$416.16 ,$420.83 ,$420.83 ,$374.07 ,$85.59 ,$257.17 ,$420.83 ,$83.10 ,$420.83 ,$83.10 ,$444.21 ,$186.98 ,$430.18 ,$12.90 ,$425.51 ,$83.10 ,$287.75 ,$301.13 ,$287.75 ,$420.83 ,$420.83 ,$350.69 ,$153.12 ,$83.93 ,$51.26 ,$437.20 ,$87.26 ,$12.17 ,$406.80 ,$83.10 ,$420.83 ,$83.10 ,$420.83 ,$420.83 ,$420.83 ,$453.56 ,$378.75 ,$420.83 ,$420.83 ,$420.83 ,$420.83 ST. JOSEPH'S - CHIPPEWA FALLS,44000022,92507,HC SPEECH THERAPY TREATMENT 75MIN,440,1 ,$715.45 ,$536.59 ,$47.91 ,$715.45 ,$460.75 ,$75.13 ,$500.82 ,$47.91 ,$319.00 ,$89.23 ,$255.00 ,$679.68 , N/A ,$572.36 ,$651.06 ,$47.91 ,$672.52 ,$679.68 ,$643.91 ,$536.59 ,$47.91 ,$47.91 ,$47.91 ,$522.28 ,$75.13 ,$636.75 ,$643.91 ,$643.91 ,$572.36 ,$77.38 ,$393.50 ,$643.91 ,$75.13 ,$643.91 ,$75.13 ,$679.68 ,$169.04 ,$658.21 ,$73.78 ,$651.06 ,$75.13 ,$440.29 ,$460.75 ,$440.29 ,$643.91 ,$643.91 ,$536.59 ,$153.12 ,$75.88 ,$50.31 ,$668.95 ,$78.89 ,$69.60 ,$622.44 ,$75.13 ,$643.91 ,$75.13 ,$643.91 ,$643.91 ,$643.91 ,$693.99 ,$579.51 ,$643.91 ,$643.91 ,$643.91 ,$643.91 ST. JOSEPH'S - CHIPPEWA FALLS,44000023,92507,HC SPEECH THERAPY TREATMENT 90MIN,440,1 ,$777.58 ,$583.19 ,$47.91 ,$777.58 ,$500.76 ,$75.13 ,$544.31 ,$47.91 ,$319.00 ,$89.23 ,$255.00 ,$738.70 , N/A ,$622.06 ,$707.60 ,$47.91 ,$730.93 ,$738.70 ,$699.82 ,$583.19 ,$47.91 ,$47.91 ,$47.91 ,$567.63 ,$75.13 ,$692.05 ,$699.82 ,$699.82 ,$622.06 ,$77.38 ,$427.67 ,$699.82 ,$75.13 ,$699.82 ,$75.13 ,$738.70 ,$169.04 ,$715.37 ,$73.78 ,$707.60 ,$75.13 ,$478.52 ,$500.76 ,$478.52 ,$699.82 ,$699.82 ,$583.19 ,$153.12 ,$75.88 ,$50.31 ,$727.04 ,$78.89 ,$69.60 ,$676.49 ,$75.13 ,$699.82 ,$75.13 ,$699.82 ,$699.82 ,$699.82 ,$754.25 ,$629.84 ,$699.82 ,$699.82 ,$699.82 ,$699.82 ST. JOSEPH'S - CHIPPEWA FALLS,44000024,92507,HC SPEECH THERAPY TREATMENT 105MIN,440,1 ,$969.57 ,$727.18 ,$47.91 ,$969.57 ,$624.40 ,$75.13 ,$678.70 ,$47.91 ,$319.00 ,$89.23 ,$255.00 ,$921.09 , N/A ,$775.66 ,$882.31 ,$47.91 ,$911.40 ,$921.09 ,$872.61 ,$727.18 ,$47.91 ,$47.91 ,$47.91 ,$707.79 ,$75.13 ,$862.92 ,$872.61 ,$872.61 ,$775.66 ,$77.38 ,$533.26 ,$872.61 ,$75.13 ,$872.61 ,$75.13 ,$921.09 ,$169.04 ,$892.00 ,$73.78 ,$882.31 ,$75.13 ,$596.67 ,$624.40 ,$596.67 ,$872.61 ,$872.61 ,$727.18 ,$153.12 ,$75.88 ,$50.31 ,$906.55 ,$78.89 ,$69.60 ,$843.53 ,$75.13 ,$872.61 ,$75.13 ,$872.61 ,$872.61 ,$872.61 ,$940.48 ,$785.35 ,$872.61 ,$872.61 ,$872.61 ,$872.61 ST. JOSEPH'S - CHIPPEWA FALLS,44000032,92508,HC SPEECH THERAPY TREATMENT GROUP 15MIN,440,1 ,$49.21 ,$36.91 ,$12.17 ,$52.02 ,$31.69 ,$23.12 ,$34.45 ,$28.29 ,$49.21 , N/A ,$49.21 ,$46.75 , N/A ,$39.37 ,$44.78 ,$28.29 ,$46.26 ,$46.75 ,$44.29 ,$36.91 ,$28.29 ,$28.29 ,$28.29 ,$35.92 ,$23.12 ,$43.80 ,$44.29 ,$44.29 ,$39.37 ,$23.81 ,$27.07 ,$44.29 ,$23.12 ,$44.29 ,$23.12 ,$46.75 ,$52.02 ,$45.27 ,$12.90 ,$44.78 ,$23.12 ,$30.28 ,$31.69 ,$30.28 ,$44.29 ,$44.29 ,$36.91 ,$44.29 ,$23.35 ,$29.70 ,$46.01 ,$24.28 ,$12.17 ,$42.81 ,$23.12 ,$44.29 ,$23.12 ,$44.29 ,$44.29 ,$44.29 ,$47.73 ,$39.86 ,$44.29 ,$44.29 ,$44.29 ,$44.29 ST. JOSEPH'S - CHIPPEWA FALLS,44000033,92508,HC SPEECH THERAPY TREATMENT GROUP 30MIN,440,1 ,$97.47 ,$73.10 ,$12.17 ,$97.47 ,$62.77 ,$23.12 ,$68.23 ,$28.29 ,$97.47 , N/A ,$97.47 ,$92.60 , N/A ,$77.98 ,$88.70 ,$28.29 ,$91.62 ,$92.60 ,$87.72 ,$73.10 ,$28.29 ,$28.29 ,$28.29 ,$71.15 ,$23.12 ,$86.75 ,$87.72 ,$87.72 ,$77.98 ,$23.81 ,$53.61 ,$87.72 ,$23.12 ,$87.72 ,$23.12 ,$92.60 ,$52.02 ,$89.67 ,$12.90 ,$88.70 ,$23.12 ,$59.98 ,$62.77 ,$59.98 ,$87.72 ,$87.72 ,$73.10 ,$87.72 ,$23.35 ,$29.70 ,$91.13 ,$24.28 ,$12.17 ,$84.80 ,$23.12 ,$87.72 ,$23.12 ,$87.72 ,$87.72 ,$87.72 ,$94.55 ,$78.95 ,$87.72 ,$87.72 ,$87.72 ,$87.72 ST. JOSEPH'S - CHIPPEWA FALLS,44000034,92508,HC SPEECH THERAPY TREATMENT GROUP 45MIN,440,1 ,$136.14 ,$102.11 ,$12.17 ,$136.14 ,$87.67 ,$23.12 ,$95.30 ,$28.29 ,$136.14 , N/A ,$136.14 ,$129.33 , N/A ,$108.91 ,$123.89 ,$28.29 ,$127.97 ,$129.33 ,$122.53 ,$102.11 ,$28.29 ,$28.29 ,$28.29 ,$99.38 ,$23.12 ,$121.16 ,$122.53 ,$122.53 ,$108.91 ,$23.81 ,$74.88 ,$122.53 ,$23.12 ,$122.53 ,$23.12 ,$129.33 ,$52.02 ,$125.25 ,$12.90 ,$123.89 ,$23.12 ,$83.78 ,$87.67 ,$83.78 ,$122.53 ,$122.53 ,$102.11 ,$122.53 ,$23.35 ,$29.70 ,$127.29 ,$24.28 ,$12.17 ,$118.44 ,$23.12 ,$122.53 ,$23.12 ,$122.53 ,$122.53 ,$122.53 ,$132.06 ,$110.27 ,$122.53 ,$122.53 ,$122.53 ,$122.53 ST. JOSEPH'S - CHIPPEWA FALLS,44000035,92508,HC SPEECH THERAPY TREATMENT GROUP 60MIN,440,1 ,$195.04 ,$146.28 ,$12.17 ,$195.04 ,$125.61 ,$23.12 ,$136.53 ,$28.29 ,$195.04 , N/A ,$195.04 ,$185.29 , N/A ,$156.03 ,$177.49 ,$28.29 ,$183.34 ,$185.29 ,$175.54 ,$146.28 ,$28.29 ,$28.29 ,$28.29 ,$142.38 ,$23.12 ,$173.59 ,$175.54 ,$175.54 ,$156.03 ,$23.81 ,$107.27 ,$175.54 ,$23.12 ,$175.54 ,$23.12 ,$185.29 ,$52.02 ,$179.44 ,$12.90 ,$177.49 ,$23.12 ,$120.03 ,$125.61 ,$120.03 ,$175.54 ,$175.54 ,$146.28 ,$153.12 ,$23.35 ,$29.70 ,$182.36 ,$24.28 ,$12.17 ,$169.68 ,$23.12 ,$175.54 ,$23.12 ,$175.54 ,$175.54 ,$175.54 ,$189.19 ,$157.98 ,$175.54 ,$175.54 ,$175.54 ,$175.54 ST. JOSEPH'S - CHIPPEWA FALLS,44000036,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 75MIN,440,1 ,$519.65 ,$389.74 ,$12.17 ,$519.65 ,$334.65 ,$83.10 ,$363.76 ,$48.82 ,$319.00 , N/A ,$255.00 ,$493.67 , N/A ,$415.72 ,$472.88 ,$48.82 ,$488.47 ,$493.67 ,$467.69 ,$389.74 ,$48.82 ,$48.82 ,$48.82 ,$379.34 ,$83.10 ,$462.49 ,$467.69 ,$467.69 ,$415.72 ,$85.59 ,$285.81 ,$467.69 ,$83.10 ,$467.69 ,$83.10 ,$493.67 ,$186.98 ,$478.08 ,$12.90 ,$472.88 ,$83.10 ,$319.79 ,$334.65 ,$319.79 ,$467.69 ,$467.69 ,$389.74 ,$153.12 ,$83.93 ,$51.26 ,$485.87 ,$87.26 ,$12.17 ,$452.10 ,$83.10 ,$467.69 ,$83.10 ,$467.69 ,$467.69 ,$467.69 ,$504.06 ,$420.92 ,$467.69 ,$467.69 ,$467.69 ,$467.69 ST. JOSEPH'S - CHIPPEWA FALLS,44000037,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 90MIN,440,1 ,$567.15 ,$425.36 ,$12.17 ,$567.15 ,$365.24 ,$83.10 ,$397.01 ,$48.82 ,$319.00 , N/A ,$255.00 ,$538.79 , N/A ,$453.72 ,$516.11 ,$48.82 ,$533.12 ,$538.79 ,$510.44 ,$425.36 ,$48.82 ,$48.82 ,$48.82 ,$414.02 ,$83.10 ,$504.76 ,$510.44 ,$510.44 ,$453.72 ,$85.59 ,$311.93 ,$510.44 ,$83.10 ,$510.44 ,$83.10 ,$538.79 ,$186.98 ,$521.78 ,$12.90 ,$516.11 ,$83.10 ,$349.02 ,$365.24 ,$349.02 ,$510.44 ,$510.44 ,$425.36 ,$153.12 ,$83.93 ,$51.26 ,$530.29 ,$87.26 ,$12.17 ,$493.42 ,$83.10 ,$510.44 ,$83.10 ,$510.44 ,$510.44 ,$510.44 ,$550.14 ,$459.39 ,$510.44 ,$510.44 ,$510.44 ,$510.44 ST. JOSEPH'S - CHIPPEWA FALLS,44000038,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 105MIN,440,1 ,$614.65 ,$460.99 ,$12.17 ,$614.65 ,$395.83 ,$83.10 ,$430.26 ,$48.82 ,$319.00 , N/A ,$255.00 ,$583.92 , N/A ,$491.72 ,$559.33 ,$48.82 ,$577.77 ,$583.92 ,$553.19 ,$460.99 ,$48.82 ,$48.82 ,$48.82 ,$448.69 ,$83.10 ,$547.04 ,$553.19 ,$553.19 ,$491.72 ,$85.59 ,$338.06 ,$553.19 ,$83.10 ,$553.19 ,$83.10 ,$583.92 ,$186.98 ,$565.48 ,$12.90 ,$559.33 ,$83.10 ,$378.26 ,$395.83 ,$378.26 ,$553.19 ,$553.19 ,$460.99 ,$153.12 ,$83.93 ,$51.26 ,$574.70 ,$87.26 ,$12.17 ,$534.75 ,$83.10 ,$553.19 ,$83.10 ,$553.19 ,$553.19 ,$553.19 ,$596.21 ,$497.87 ,$553.19 ,$553.19 ,$553.19 ,$553.19 ST. JOSEPH'S - CHIPPEWA FALLS,44000041,97799,HC SPEECH THERAPY EVAL TEAM INIT,440,1 ,$76.72 ,$57.54 ,$10.19 ,$85.82 ,$49.41 , N/A ,$53.70 ,$76.72 ,$76.72 ,$84.18 ,$76.72 ,$72.88 , N/A ,$61.38 ,$69.82 ,$76.72 ,$72.12 ,$72.88 ,$69.05 ,$57.54 ,$81.73 ,$81.73 ,$81.73 ,$56.01 , N/A ,$68.28 ,$69.05 ,$69.05 ,$61.38 , N/A ,$42.20 ,$69.05 , N/A ,$69.05 , N/A ,$72.88 ,$46.03 ,$70.58 ,$10.80 ,$69.82 , N/A ,$47.21 ,$49.41 ,$47.21 ,$69.05 ,$69.05 ,$57.54 ,$69.05 ,$62.91 ,$85.82 ,$71.73 , N/A ,$10.19 ,$66.75 , N/A ,$69.05 , N/A ,$69.05 ,$69.05 ,$69.05 ,$74.42 ,$62.14 ,$69.05 ,$69.05 ,$69.05 ,$69.05 ST. JOSEPH'S - CHIPPEWA FALLS,44000042,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 15MIN,440,1 ,$74.01 ,$55.51 ,$12.17 ,$230.60 ,$47.66 ,$102.49 ,$51.81 ,$47.64 ,$74.01 , N/A ,$74.01 ,$70.31 , N/A ,$59.21 ,$67.35 ,$47.64 ,$69.57 ,$70.31 ,$66.61 ,$55.51 ,$47.64 ,$47.64 ,$47.64 ,$54.03 ,$102.49 ,$65.87 ,$66.61 ,$66.61 ,$59.21 ,$105.56 ,$40.71 ,$66.61 ,$102.49 ,$66.61 ,$102.49 ,$70.31 ,$230.60 ,$68.09 ,$12.90 ,$67.35 ,$102.49 ,$45.55 ,$47.66 ,$45.55 ,$66.61 ,$66.61 ,$55.51 ,$66.61 ,$103.51 ,$50.02 ,$69.20 ,$107.61 ,$12.17 ,$64.39 ,$102.49 ,$66.61 ,$102.49 ,$66.61 ,$66.61 ,$66.61 ,$71.79 ,$59.95 ,$66.61 ,$66.61 ,$66.61 ,$66.61 ST. JOSEPH'S - CHIPPEWA FALLS,44000043,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 30MIN,440,1 ,$97.47 ,$73.10 ,$12.17 ,$230.60 ,$62.77 ,$102.49 ,$68.23 ,$47.64 ,$97.47 , N/A ,$97.47 ,$92.60 , N/A ,$77.98 ,$88.70 ,$47.64 ,$91.62 ,$92.60 ,$87.72 ,$73.10 ,$47.64 ,$47.64 ,$47.64 ,$71.15 ,$102.49 ,$86.75 ,$87.72 ,$87.72 ,$77.98 ,$105.56 ,$53.61 ,$87.72 ,$102.49 ,$87.72 ,$102.49 ,$92.60 ,$230.60 ,$89.67 ,$12.90 ,$88.70 ,$102.49 ,$59.98 ,$62.77 ,$59.98 ,$87.72 ,$87.72 ,$73.10 ,$87.72 ,$103.51 ,$50.02 ,$91.13 ,$107.61 ,$12.17 ,$84.80 ,$102.49 ,$87.72 ,$102.49 ,$87.72 ,$87.72 ,$87.72 ,$94.55 ,$78.95 ,$87.72 ,$87.72 ,$87.72 ,$87.72 ST. JOSEPH'S - CHIPPEWA FALLS,44000044,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 45MIN,440,1 ,$122.46 ,$91.85 ,$12.17 ,$230.60 ,$78.86 ,$102.49 ,$85.72 ,$47.64 ,$122.46 , N/A ,$122.46 ,$116.34 , N/A ,$97.97 ,$111.44 ,$47.64 ,$115.11 ,$116.34 ,$110.21 ,$91.85 ,$47.64 ,$47.64 ,$47.64 ,$89.40 ,$102.49 ,$108.99 ,$110.21 ,$110.21 ,$97.97 ,$105.56 ,$67.35 ,$110.21 ,$102.49 ,$110.21 ,$102.49 ,$116.34 ,$230.60 ,$112.66 ,$12.90 ,$111.44 ,$102.49 ,$75.36 ,$78.86 ,$75.36 ,$110.21 ,$110.21 ,$91.85 ,$110.21 ,$103.51 ,$50.02 ,$114.50 ,$107.61 ,$12.17 ,$106.54 ,$102.49 ,$110.21 ,$102.49 ,$110.21 ,$110.21 ,$110.21 ,$118.79 ,$99.19 ,$110.21 ,$110.21 ,$110.21 ,$110.21 ST. JOSEPH'S - CHIPPEWA FALLS,44000045,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 60MIN,440,1 ,$147.16 ,$110.37 ,$12.17 ,$230.60 ,$94.77 ,$102.49 ,$103.01 ,$47.64 ,$147.16 , N/A ,$147.16 ,$139.80 , N/A ,$117.73 ,$133.92 ,$47.64 ,$138.33 ,$139.80 ,$132.44 ,$110.37 ,$47.64 ,$47.64 ,$47.64 ,$107.43 ,$102.49 ,$130.97 ,$132.44 ,$132.44 ,$117.73 ,$105.56 ,$80.94 ,$132.44 ,$102.49 ,$132.44 ,$102.49 ,$139.80 ,$230.60 ,$135.39 ,$12.90 ,$133.92 ,$102.49 ,$90.56 ,$94.77 ,$90.56 ,$132.44 ,$132.44 ,$110.37 ,$132.44 ,$103.51 ,$50.02 ,$137.59 ,$107.61 ,$12.17 ,$128.03 ,$102.49 ,$132.44 ,$102.49 ,$132.44 ,$132.44 ,$132.44 ,$142.75 ,$119.20 ,$132.44 ,$132.44 ,$132.44 ,$132.44 ST. JOSEPH'S - CHIPPEWA FALLS,44000050,99499,HC EVAL/TREATMENT CLINICAL,440,1 ,$33.75 ,$25.31 ,$18.56 ,$50.31 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$50.31 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.31 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 ST. JOSEPH'S - CHIPPEWA FALLS,44000051,99499,HC IFSP TEAM MEETING,440,1 ,$33.75 ,$25.31 ,$18.56 ,$50.31 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$50.31 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.31 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 ST. JOSEPH'S - CHIPPEWA FALLS,44000052,99499,HC IFSP ELIGIBILITY ASMNT 15MN-GN,440,1 ,$33.75 ,$25.31 ,$18.56 ,$50.31 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$50.31 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.31 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 ST. JOSEPH'S - CHIPPEWA FALLS,44000053,99499,HC VISIT COACHING/JOINT,440,1 ,$33.75 ,$25.31 ,$18.56 ,$50.31 ,$21.74 , N/A ,$23.63 , N/A ,$33.75 , N/A ,$33.75 ,$32.06 , N/A ,$27.00 ,$30.71 , N/A ,$31.73 ,$32.06 ,$30.38 ,$25.31 , N/A , N/A , N/A ,$24.64 , N/A ,$30.04 ,$30.38 ,$30.38 ,$27.00 , N/A ,$18.56 ,$30.38 , N/A ,$30.38 , N/A ,$32.06 , N/A ,$31.05 ,$50.31 ,$30.71 , N/A ,$20.77 ,$21.74 ,$20.77 ,$30.38 ,$30.38 ,$25.31 ,$30.38 , N/A , N/A ,$31.56 , N/A ,$33.75 ,$29.36 , N/A ,$30.38 , N/A ,$30.38 ,$30.38 ,$30.38 ,$32.74 ,$27.34 ,$30.38 ,$30.38 ,$30.38 ,$30.38 ST. JOSEPH'S - CHIPPEWA FALLS,44000054,99499,HC CONF MIXED DISCIPLINE 15MIN-GN,440,1 ,$2.25 ,$1.69 ,$1.24 ,$50.31 ,$1.45 , N/A ,$1.58 , N/A ,$2.25 , N/A ,$2.25 ,$2.14 , N/A ,$1.80 ,$2.05 , N/A ,$2.12 ,$2.14 ,$2.03 ,$1.69 , N/A , N/A , N/A ,$1.64 , N/A ,$2.00 ,$2.03 ,$2.03 ,$1.80 , N/A ,$1.24 ,$2.03 , N/A ,$2.03 , N/A ,$2.14 , N/A ,$2.07 ,$50.31 ,$2.05 , N/A ,$1.38 ,$1.45 ,$1.38 ,$2.03 ,$2.03 ,$1.69 ,$2.03 , N/A , N/A ,$2.10 , N/A ,$2.25 ,$1.96 , N/A ,$2.03 , N/A ,$2.03 ,$2.03 ,$2.03 ,$2.18 ,$1.82 ,$2.03 ,$2.03 ,$2.03 ,$2.03 ST. JOSEPH'S - CHIPPEWA FALLS,44000056,92508,HC SPEECH THERAPY TREATMENT GROUP 75MIN,440,1 ,$231.99 ,$173.99 ,$12.17 ,$231.99 ,$149.40 ,$23.12 ,$162.39 ,$28.29 ,$231.99 , N/A ,$231.99 ,$220.39 , N/A ,$185.59 ,$211.11 ,$28.29 ,$218.07 ,$220.39 ,$208.79 ,$173.99 ,$28.29 ,$28.29 ,$28.29 ,$169.35 ,$23.12 ,$206.47 ,$208.79 ,$208.79 ,$185.59 ,$23.81 ,$127.59 ,$208.79 ,$23.12 ,$208.79 ,$23.12 ,$220.39 ,$52.02 ,$213.43 ,$12.90 ,$211.11 ,$23.12 ,$142.77 ,$149.40 ,$142.77 ,$208.79 ,$208.79 ,$173.99 ,$153.12 ,$23.35 ,$29.70 ,$216.91 ,$24.28 ,$12.17 ,$201.83 ,$23.12 ,$208.79 ,$23.12 ,$208.79 ,$208.79 ,$208.79 ,$225.03 ,$187.91 ,$208.79 ,$208.79 ,$208.79 ,$208.79 ST. JOSEPH'S - CHIPPEWA FALLS,44000057,92508,HC SPEECH THERAPY TREATMENT GROUP 90MIN,440,1 ,$249.89 ,$187.42 ,$12.17 ,$249.89 ,$160.93 ,$23.12 ,$174.92 ,$28.29 ,$249.89 , N/A ,$249.89 ,$237.40 , N/A ,$199.91 ,$227.40 ,$28.29 ,$234.90 ,$237.40 ,$224.90 ,$187.42 ,$28.29 ,$28.29 ,$28.29 ,$182.42 ,$23.12 ,$222.40 ,$224.90 ,$224.90 ,$199.91 ,$23.81 ,$137.44 ,$224.90 ,$23.12 ,$224.90 ,$23.12 ,$237.40 ,$52.02 ,$229.90 ,$12.90 ,$227.40 ,$23.12 ,$153.78 ,$160.93 ,$153.78 ,$224.90 ,$224.90 ,$187.42 ,$153.12 ,$23.35 ,$29.70 ,$233.65 ,$24.28 ,$12.17 ,$217.40 ,$23.12 ,$224.90 ,$23.12 ,$224.90 ,$224.90 ,$224.90 ,$242.39 ,$202.41 ,$224.90 ,$224.90 ,$224.90 ,$224.90 ST. JOSEPH'S - CHIPPEWA FALLS,44000058,92508,HC SPEECH THERAPY TREATMENT GROUP 105MIN,440,1 ,$291.22 ,$218.42 ,$12.17 ,$291.22 ,$187.55 ,$23.12 ,$203.85 ,$28.29 ,$291.22 , N/A ,$255.00 ,$276.66 , N/A ,$232.98 ,$265.01 ,$28.29 ,$273.75 ,$276.66 ,$262.10 ,$218.42 ,$28.29 ,$28.29 ,$28.29 ,$212.59 ,$23.12 ,$259.19 ,$262.10 ,$262.10 ,$232.98 ,$23.81 ,$160.17 ,$262.10 ,$23.12 ,$262.10 ,$23.12 ,$276.66 ,$52.02 ,$267.92 ,$12.90 ,$265.01 ,$23.12 ,$179.22 ,$187.55 ,$179.22 ,$262.10 ,$262.10 ,$218.42 ,$153.12 ,$23.35 ,$29.70 ,$272.29 ,$24.28 ,$12.17 ,$253.36 ,$23.12 ,$262.10 ,$23.12 ,$262.10 ,$262.10 ,$262.10 ,$282.48 ,$235.89 ,$262.10 ,$262.10 ,$262.10 ,$262.10 ST. JOSEPH'S - CHIPPEWA FALLS,44000059,92508,HC SPEECH THERAPY TREATMENT GROUP 120MIN,440,1 ,$332.57 ,$249.43 ,$12.17 ,$332.57 ,$214.18 ,$23.12 ,$232.80 ,$28.29 ,$319.00 , N/A ,$255.00 ,$315.94 , N/A ,$266.06 ,$302.64 ,$28.29 ,$312.62 ,$315.94 ,$299.31 ,$249.43 ,$28.29 ,$28.29 ,$28.29 ,$242.78 ,$23.12 ,$295.99 ,$299.31 ,$299.31 ,$266.06 ,$23.81 ,$182.91 ,$299.31 ,$23.12 ,$299.31 ,$23.12 ,$315.94 ,$52.02 ,$305.96 ,$12.90 ,$302.64 ,$23.12 ,$204.66 ,$214.18 ,$204.66 ,$299.31 ,$299.31 ,$249.43 ,$153.12 ,$23.35 ,$29.70 ,$310.95 ,$24.28 ,$12.17 ,$289.34 ,$23.12 ,$299.31 ,$23.12 ,$299.31 ,$299.31 ,$299.31 ,$322.59 ,$269.38 ,$299.31 ,$299.31 ,$299.31 ,$299.31 ST. JOSEPH'S - CHIPPEWA FALLS,44000060,92508,HC SPEECH THERAPY TREATMENT GROUP 150MIN,440,1 ,$426.55 ,$319.91 ,$12.17 ,$426.55 ,$274.70 ,$23.12 ,$298.59 ,$28.29 ,$319.00 , N/A ,$255.00 ,$405.22 , N/A ,$341.24 ,$388.16 ,$28.29 ,$400.96 ,$405.22 ,$383.90 ,$319.91 ,$28.29 ,$28.29 ,$28.29 ,$311.38 ,$23.12 ,$379.63 ,$383.90 ,$383.90 ,$341.24 ,$23.81 ,$234.60 ,$383.90 ,$23.12 ,$383.90 ,$23.12 ,$405.22 ,$52.02 ,$392.43 ,$12.90 ,$388.16 ,$23.12 ,$262.50 ,$274.70 ,$262.50 ,$383.90 ,$383.90 ,$319.91 ,$153.12 ,$23.35 ,$29.70 ,$398.82 ,$24.28 ,$12.17 ,$371.10 ,$23.12 ,$383.90 ,$23.12 ,$383.90 ,$383.90 ,$383.90 ,$413.75 ,$345.51 ,$383.90 ,$383.90 ,$383.90 ,$383.90 ST. JOSEPH'S - CHIPPEWA FALLS,44000061,92508,HC SPEECH THERAPY TREATMENT GROUP 180MIN,440,1 ,$498.80 ,$374.10 ,$12.17 ,$498.80 ,$321.23 ,$23.12 ,$349.16 ,$28.29 ,$319.00 , N/A ,$255.00 ,$473.86 , N/A ,$399.04 ,$453.91 ,$28.29 ,$468.87 ,$473.86 ,$448.92 ,$374.10 ,$28.29 ,$28.29 ,$28.29 ,$364.12 ,$23.12 ,$443.93 ,$448.92 ,$448.92 ,$399.04 ,$23.81 ,$274.34 ,$448.92 ,$23.12 ,$448.92 ,$23.12 ,$473.86 ,$52.02 ,$458.90 ,$12.90 ,$453.91 ,$23.12 ,$306.96 ,$321.23 ,$306.96 ,$448.92 ,$448.92 ,$374.10 ,$153.12 ,$23.35 ,$29.70 ,$466.38 ,$24.28 ,$12.17 ,$433.96 ,$23.12 ,$448.92 ,$23.12 ,$448.92 ,$448.92 ,$448.92 ,$483.84 ,$404.03 ,$448.92 ,$448.92 ,$448.92 ,$448.92 ST. JOSEPH'S - CHIPPEWA FALLS,44200001,96105,HC ASSESS. APHASIA PER HOUR,442,1 ,$201.25 ,$150.94 ,$96.94 ,$218.12 ,$129.61 ,$96.94 ,$140.88 , N/A ,$201.25 , N/A ,$201.25 ,$191.19 , N/A ,$161.00 ,$183.14 , N/A ,$189.18 ,$191.19 ,$181.13 ,$150.94 , N/A , N/A , N/A ,$146.91 ,$96.94 ,$179.11 ,$181.13 ,$181.13 ,$161.00 ,$99.85 ,$110.69 ,$181.13 ,$96.94 ,$181.13 ,$96.94 ,$191.19 ,$218.12 ,$185.15 ,$187.19 ,$183.14 ,$96.94 ,$123.85 ,$129.61 ,$123.85 ,$181.13 ,$181.13 ,$150.94 ,$153.12 ,$97.91 , N/A ,$188.17 ,$101.79 ,$176.59 ,$175.09 ,$96.94 ,$181.13 ,$96.94 ,$181.13 ,$181.13 ,$181.13 ,$195.21 ,$163.01 ,$181.13 ,$181.13 ,$181.13 ,$181.13 ST. JOSEPH'S - CHIPPEWA FALLS,44400015,92597,HC VOICE PROST EVAL/FITTING,444,1 ,$264.53 ,$198.40 ,$69.60 ,$264.53 ,$170.36 ,$69.79 ,$185.17 ,$75.94 ,$264.53 , N/A ,$255.00 ,$251.30 , N/A ,$211.62 ,$240.72 ,$75.94 ,$248.66 ,$251.30 ,$238.08 ,$198.40 ,$75.94 ,$75.94 ,$75.94 ,$193.11 ,$69.79 ,$235.43 ,$238.08 ,$238.08 ,$211.62 ,$71.88 ,$145.49 ,$238.08 ,$69.79 ,$238.08 ,$69.79 ,$251.30 ,$157.03 ,$243.37 ,$73.78 ,$240.72 ,$69.79 ,$162.79 ,$170.36 ,$162.79 ,$238.08 ,$238.08 ,$198.40 ,$153.12 ,$70.49 ,$79.74 ,$247.34 ,$73.28 ,$69.60 ,$230.14 ,$69.79 ,$238.08 ,$69.79 ,$238.08 ,$238.08 ,$238.08 ,$256.59 ,$214.27 ,$238.08 ,$238.08 ,$238.08 ,$238.08 ST. JOSEPH'S - CHIPPEWA FALLS,44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$109.63 ,$82.22 ,$60.30 ,$186.80 ,$70.60 ,$83.02 ,$76.74 ,$72.23 ,$109.63 , N/A ,$109.63 ,$104.15 , N/A ,$87.70 ,$99.76 ,$72.23 ,$103.05 ,$104.15 ,$98.67 ,$82.22 ,$72.23 ,$72.23 ,$72.23 ,$80.03 ,$83.02 ,$97.57 ,$98.67 ,$98.67 ,$87.70 ,$85.51 ,$60.30 ,$98.67 ,$83.02 ,$98.67 ,$83.02 ,$104.15 ,$186.80 ,$100.86 ,$73.78 ,$99.76 ,$83.02 ,$67.47 ,$70.60 ,$67.47 ,$98.67 ,$98.67 ,$82.22 ,$98.67 ,$83.85 ,$75.84 ,$102.50 ,$87.17 ,$69.60 ,$95.38 ,$83.02 ,$98.67 ,$83.02 ,$98.67 ,$98.67 ,$98.67 ,$106.34 ,$88.80 ,$98.67 ,$98.67 ,$98.67 ,$98.67 ST. JOSEPH'S - CHIPPEWA FALLS,44400018,92610,HC DYSPHAGIA EVALUATION 30MIN,444,1 ,$196.08 ,$147.06 ,$69.60 ,$196.08 ,$126.28 ,$83.02 ,$137.26 ,$72.23 ,$196.08 , N/A ,$196.08 ,$186.28 , N/A ,$156.86 ,$178.43 ,$72.23 ,$184.32 ,$186.28 ,$176.47 ,$147.06 ,$72.23 ,$72.23 ,$72.23 ,$143.14 ,$83.02 ,$174.51 ,$176.47 ,$176.47 ,$156.86 ,$85.51 ,$107.84 ,$176.47 ,$83.02 ,$176.47 ,$83.02 ,$186.28 ,$186.80 ,$180.39 ,$73.78 ,$178.43 ,$83.02 ,$120.67 ,$126.28 ,$120.67 ,$176.47 ,$176.47 ,$147.06 ,$153.12 ,$83.85 ,$75.84 ,$183.33 ,$87.17 ,$69.60 ,$170.59 ,$83.02 ,$176.47 ,$83.02 ,$176.47 ,$176.47 ,$176.47 ,$190.20 ,$158.82 ,$176.47 ,$176.47 ,$176.47 ,$176.47 ST. JOSEPH'S - CHIPPEWA FALLS,44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$262.39 ,$196.79 ,$69.60 ,$262.39 ,$168.98 ,$83.02 ,$183.67 ,$72.23 ,$262.39 , N/A ,$255.00 ,$249.27 , N/A ,$209.91 ,$238.77 ,$72.23 ,$246.65 ,$249.27 ,$236.15 ,$196.79 ,$72.23 ,$72.23 ,$72.23 ,$191.54 ,$83.02 ,$233.53 ,$236.15 ,$236.15 ,$209.91 ,$85.51 ,$144.31 ,$236.15 ,$83.02 ,$236.15 ,$83.02 ,$249.27 ,$186.80 ,$241.40 ,$73.78 ,$238.77 ,$83.02 ,$161.47 ,$168.98 ,$161.47 ,$236.15 ,$236.15 ,$196.79 ,$153.12 ,$83.85 ,$75.84 ,$245.33 ,$87.17 ,$69.60 ,$228.28 ,$83.02 ,$236.15 ,$83.02 ,$236.15 ,$236.15 ,$236.15 ,$254.52 ,$212.54 ,$236.15 ,$236.15 ,$236.15 ,$236.15 ST. JOSEPH'S - CHIPPEWA FALLS,44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$329.75 ,$247.31 ,$69.60 ,$329.75 ,$212.36 ,$83.02 ,$230.83 ,$72.23 ,$319.00 , N/A ,$255.00 ,$313.26 , N/A ,$263.80 ,$300.07 ,$72.23 ,$309.97 ,$313.26 ,$296.78 ,$247.31 ,$72.23 ,$72.23 ,$72.23 ,$240.72 ,$83.02 ,$293.48 ,$296.78 ,$296.78 ,$263.80 ,$85.51 ,$181.36 ,$296.78 ,$83.02 ,$296.78 ,$83.02 ,$313.26 ,$186.80 ,$303.37 ,$73.78 ,$300.07 ,$83.02 ,$202.93 ,$212.36 ,$202.93 ,$296.78 ,$296.78 ,$247.31 ,$153.12 ,$83.85 ,$75.84 ,$308.32 ,$87.17 ,$69.60 ,$286.88 ,$83.02 ,$296.78 ,$83.02 ,$296.78 ,$296.78 ,$296.78 ,$319.86 ,$267.10 ,$296.78 ,$296.78 ,$296.78 ,$296.78 ST. JOSEPH'S - CHIPPEWA FALLS,44400031,92611,HC DYSPHAGIA EVAL-VIDEO 45MIN,444,1 ,$400.90 ,$300.68 ,$37.66 ,$400.90 ,$258.18 ,$89.10 ,$280.63 ,$116.92 ,$319.00 , N/A ,$255.00 ,$380.86 , N/A ,$320.72 ,$364.82 ,$116.92 ,$376.85 ,$380.86 ,$360.81 ,$300.68 ,$116.92 ,$116.92 ,$116.92 ,$292.66 ,$89.10 ,$356.80 ,$360.81 ,$360.81 ,$320.72 ,$91.77 ,$220.50 ,$360.81 ,$89.10 ,$360.81 ,$89.10 ,$380.86 ,$200.48 ,$368.83 ,$39.92 ,$364.82 ,$89.10 ,$246.71 ,$258.18 ,$246.71 ,$360.81 ,$360.81 ,$300.68 ,$153.12 ,$89.99 ,$122.77 ,$374.84 ,$93.56 ,$37.66 ,$348.78 ,$89.10 ,$360.81 ,$89.10 ,$360.81 ,$360.81 ,$360.81 ,$388.87 ,$324.73 ,$360.81 ,$360.81 ,$360.81 ,$360.81 ST. JOSEPH'S - CHIPPEWA FALLS,44400032,92611,HC DYSPHAGIA EVAL-VIDEO 60MIN,444,1 ,$505.65 ,$379.24 ,$37.66 ,$505.65 ,$325.64 ,$89.10 ,$353.96 ,$116.92 ,$319.00 , N/A ,$255.00 ,$480.37 , N/A ,$404.52 ,$460.14 ,$116.92 ,$475.31 ,$480.37 ,$455.09 ,$379.24 ,$116.92 ,$116.92 ,$116.92 ,$369.12 ,$89.10 ,$450.03 ,$455.09 ,$455.09 ,$404.52 ,$91.77 ,$278.11 ,$455.09 ,$89.10 ,$455.09 ,$89.10 ,$480.37 ,$200.48 ,$465.20 ,$39.92 ,$460.14 ,$89.10 ,$311.18 ,$325.64 ,$311.18 ,$455.09 ,$455.09 ,$379.24 ,$153.12 ,$89.99 ,$122.77 ,$472.78 ,$93.56 ,$37.66 ,$439.92 ,$89.10 ,$455.09 ,$89.10 ,$455.09 ,$455.09 ,$455.09 ,$490.48 ,$409.58 ,$455.09 ,$455.09 ,$455.09 ,$455.09 ST. JOSEPH'S - CHIPPEWA FALLS,44400040,92521,HC EVALUATION OF SPEECH FLUENCY 15 MIN,444,1 ,$181.93 ,$136.45 ,$30.27 ,$295.54 ,$117.16 ,$131.35 ,$127.35 ,$30.27 ,$181.93 , N/A ,$181.93 ,$172.83 , N/A ,$145.54 ,$165.56 ,$30.27 ,$171.01 ,$172.83 ,$163.74 ,$136.45 ,$30.27 ,$30.27 ,$30.27 ,$132.81 ,$131.35 ,$161.92 ,$163.74 ,$163.74 ,$145.54 ,$135.29 ,$100.06 ,$163.74 ,$131.35 ,$163.74 ,$131.35 ,$172.83 ,$295.54 ,$167.38 ,$73.78 ,$165.56 ,$131.35 ,$111.96 ,$117.16 ,$111.96 ,$163.74 ,$163.74 ,$136.45 ,$153.12 ,$132.66 ,$31.78 ,$170.10 ,$137.92 ,$69.60 ,$158.28 ,$131.35 ,$163.74 ,$131.35 ,$163.74 ,$163.74 ,$163.74 ,$176.47 ,$147.36 ,$163.74 ,$163.74 ,$163.74 ,$163.74 ST. JOSEPH'S - CHIPPEWA FALLS,44400041,92522,HC EVALUATE SPEECH PRODUCTION 15MIN,444,1 ,$187.34 ,$140.51 ,$24.58 ,$246.24 ,$120.65 ,$109.44 ,$131.14 ,$24.58 ,$187.34 , N/A ,$187.34 ,$177.97 , N/A ,$149.87 ,$170.48 ,$24.58 ,$176.10 ,$177.97 ,$168.61 ,$140.51 ,$24.58 ,$24.58 ,$24.58 ,$136.76 ,$109.44 ,$166.73 ,$168.61 ,$168.61 ,$149.87 ,$112.72 ,$103.04 ,$168.61 ,$109.44 ,$168.61 ,$109.44 ,$177.97 ,$246.24 ,$172.35 ,$73.78 ,$170.48 ,$109.44 ,$115.29 ,$120.65 ,$115.29 ,$168.61 ,$168.61 ,$140.51 ,$153.12 ,$110.53 ,$25.81 ,$175.16 ,$114.91 ,$69.60 ,$162.99 ,$109.44 ,$168.61 ,$109.44 ,$168.61 ,$168.61 ,$168.61 ,$181.72 ,$151.75 ,$168.61 ,$168.61 ,$168.61 ,$168.61 ST. JOSEPH'S - CHIPPEWA FALLS,44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$181.93 ,$136.45 ,$48.63 ,$508.34 ,$117.16 ,$225.93 ,$127.35 ,$48.63 ,$181.93 , N/A ,$181.93 ,$172.83 , N/A ,$145.54 ,$165.56 ,$48.63 ,$171.01 ,$172.83 ,$163.74 ,$136.45 ,$48.63 ,$48.63 ,$48.63 ,$132.81 ,$225.93 ,$161.92 ,$163.74 ,$163.74 ,$145.54 ,$232.71 ,$100.06 ,$163.74 ,$225.93 ,$163.74 ,$225.93 ,$172.83 ,$508.34 ,$167.38 ,$73.78 ,$165.56 ,$225.93 ,$111.96 ,$117.16 ,$111.96 ,$163.74 ,$163.74 ,$136.45 ,$153.12 ,$228.19 ,$51.06 ,$170.10 ,$237.23 ,$69.60 ,$158.28 ,$225.93 ,$163.74 ,$225.93 ,$163.74 ,$163.74 ,$163.74 ,$176.47 ,$147.36 ,$163.74 ,$163.74 ,$163.74 ,$163.74 ST. JOSEPH'S - CHIPPEWA FALLS,44400043,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 15MIN,444,1 ,$181.93 ,$136.45 ,$25.62 ,$241.58 ,$117.16 ,$107.37 ,$127.35 ,$25.62 ,$181.93 , N/A ,$181.93 ,$172.83 , N/A ,$145.54 ,$165.56 ,$25.62 ,$171.01 ,$172.83 ,$163.74 ,$136.45 ,$25.62 ,$25.62 ,$25.62 ,$132.81 ,$107.37 ,$161.92 ,$163.74 ,$163.74 ,$145.54 ,$110.59 ,$100.06 ,$163.74 ,$107.37 ,$163.74 ,$107.37 ,$172.83 ,$241.58 ,$167.38 ,$73.78 ,$165.56 ,$107.37 ,$111.96 ,$117.16 ,$111.96 ,$163.74 ,$163.74 ,$136.45 ,$153.12 ,$108.44 ,$26.90 ,$170.10 ,$112.74 ,$69.60 ,$158.28 ,$107.37 ,$163.74 ,$107.37 ,$163.74 ,$163.74 ,$163.74 ,$176.47 ,$147.36 ,$163.74 ,$163.74 ,$163.74 ,$163.74 ST. JOSEPH'S - CHIPPEWA FALLS,44400045,92607,HC EVAL AAC; SP GEN 1ST HR,444,1 ,$298.78 ,$224.09 ,$63.60 ,$298.78 ,$192.41 ,$122.69 ,$209.15 ,$63.60 ,$298.78 , N/A ,$255.00 ,$283.84 , N/A ,$239.02 ,$271.89 ,$63.60 ,$280.85 ,$283.84 ,$268.90 ,$224.09 ,$63.60 ,$63.60 ,$63.60 ,$218.11 ,$122.69 ,$265.91 ,$268.90 ,$268.90 ,$239.02 ,$126.37 ,$164.33 ,$268.90 ,$122.69 ,$268.90 ,$122.69 ,$283.84 ,$276.05 ,$274.88 ,$73.78 ,$271.89 ,$122.69 ,$183.87 ,$192.41 ,$183.87 ,$268.90 ,$268.90 ,$224.09 ,$153.12 ,$123.92 ,$66.78 ,$279.36 ,$128.82 ,$69.60 ,$259.94 ,$122.69 ,$268.90 ,$122.69 ,$268.90 ,$268.90 ,$268.90 ,$289.82 ,$242.01 ,$268.90 ,$268.90 ,$268.90 ,$268.90 ST. JOSEPH'S - CHIPPEWA FALLS,44400046,92608,HC EVAL AAC ADD 1/2 HR,444,1 ,$267.46 ,$200.60 ,$31.79 ,$267.46 ,$172.24 ,$48.83 ,$187.22 ,$31.79 ,$267.46 , N/A ,$255.00 ,$254.09 , N/A ,$213.97 ,$243.39 ,$31.79 ,$251.41 ,$254.09 ,$240.71 ,$200.60 ,$31.79 ,$31.79 ,$31.79 ,$195.25 ,$48.83 ,$238.04 ,$240.71 ,$240.71 ,$213.97 ,$50.29 ,$147.10 ,$240.71 ,$48.83 ,$240.71 ,$48.83 ,$254.09 ,$109.87 ,$246.06 ,$73.78 ,$243.39 ,$48.83 ,$164.59 ,$172.24 ,$164.59 ,$240.71 ,$240.71 ,$200.60 ,$153.12 ,$49.32 ,$33.38 ,$250.08 ,$51.27 ,$69.60 ,$232.69 ,$48.83 ,$240.71 ,$48.83 ,$240.71 ,$240.71 ,$240.71 ,$259.44 ,$216.64 ,$240.71 ,$240.71 ,$240.71 ,$240.71 ST. JOSEPH'S - CHIPPEWA FALLS,44400052,92521,HC EVALUATION OF SPEECH FLUENCY 30MIN,444,1 ,$318.87 ,$239.15 ,$30.27 ,$318.87 ,$205.35 ,$131.35 ,$223.21 ,$30.27 ,$318.87 , N/A ,$255.00 ,$302.93 , N/A ,$255.10 ,$290.17 ,$30.27 ,$299.74 ,$302.93 ,$286.98 ,$239.15 ,$30.27 ,$30.27 ,$30.27 ,$232.78 ,$131.35 ,$283.79 ,$286.98 ,$286.98 ,$255.10 ,$135.29 ,$175.38 ,$286.98 ,$131.35 ,$286.98 ,$131.35 ,$302.93 ,$295.54 ,$293.36 ,$73.78 ,$290.17 ,$131.35 ,$196.23 ,$205.35 ,$196.23 ,$286.98 ,$286.98 ,$239.15 ,$153.12 ,$132.66 ,$31.78 ,$298.14 ,$137.92 ,$69.60 ,$277.42 ,$131.35 ,$286.98 ,$131.35 ,$286.98 ,$286.98 ,$286.98 ,$309.30 ,$258.28 ,$286.98 ,$286.98 ,$286.98 ,$286.98 ST. JOSEPH'S - CHIPPEWA FALLS,44400053,92521,HC EVALUATION OF SPEECH FLUENCY 45MIN,444,1 ,$455.53 ,$341.65 ,$30.27 ,$455.53 ,$293.36 ,$131.35 ,$318.87 ,$30.27 ,$319.00 , N/A ,$255.00 ,$432.75 , N/A ,$364.42 ,$414.53 ,$30.27 ,$428.20 ,$432.75 ,$409.98 ,$341.65 ,$30.27 ,$30.27 ,$30.27 ,$332.54 ,$131.35 ,$405.42 ,$409.98 ,$409.98 ,$364.42 ,$135.29 ,$250.54 ,$409.98 ,$131.35 ,$409.98 ,$131.35 ,$432.75 ,$295.54 ,$419.09 ,$73.78 ,$414.53 ,$131.35 ,$280.33 ,$293.36 ,$280.33 ,$409.98 ,$409.98 ,$341.65 ,$153.12 ,$132.66 ,$31.78 ,$425.92 ,$137.92 ,$69.60 ,$396.31 ,$131.35 ,$409.98 ,$131.35 ,$409.98 ,$409.98 ,$409.98 ,$441.86 ,$368.98 ,$409.98 ,$409.98 ,$409.98 ,$409.98 ST. JOSEPH'S - CHIPPEWA FALLS,44400054,92521,HC EVALUATION OF SPEECH FLUENCY 60MIN,444,1 ,$592.18 ,$444.14 ,$30.27 ,$592.18 ,$381.36 ,$131.35 ,$414.53 ,$30.27 ,$319.00 , N/A ,$255.00 ,$562.57 , N/A ,$473.74 ,$538.88 ,$30.27 ,$556.65 ,$562.57 ,$532.96 ,$444.14 ,$30.27 ,$30.27 ,$30.27 ,$432.29 ,$131.35 ,$527.04 ,$532.96 ,$532.96 ,$473.74 ,$135.29 ,$325.70 ,$532.96 ,$131.35 ,$532.96 ,$131.35 ,$562.57 ,$295.54 ,$544.81 ,$73.78 ,$538.88 ,$131.35 ,$364.43 ,$381.36 ,$364.43 ,$532.96 ,$532.96 ,$444.14 ,$153.12 ,$132.66 ,$31.78 ,$553.69 ,$137.92 ,$69.60 ,$515.20 ,$131.35 ,$532.96 ,$131.35 ,$532.96 ,$532.96 ,$532.96 ,$574.41 ,$479.67 ,$532.96 ,$532.96 ,$532.96 ,$532.96 ST. JOSEPH'S - CHIPPEWA FALLS,44400055,92522,HC EVALUATE SPEECH PRODUCTION 30MIN,444,1 ,$328.42 ,$246.32 ,$24.58 ,$328.42 ,$211.50 ,$109.44 ,$229.89 ,$24.58 ,$319.00 , N/A ,$255.00 ,$312.00 , N/A ,$262.74 ,$298.86 ,$24.58 ,$308.71 ,$312.00 ,$295.58 ,$246.32 ,$24.58 ,$24.58 ,$24.58 ,$239.75 ,$109.44 ,$292.29 ,$295.58 ,$295.58 ,$262.74 ,$112.72 ,$180.63 ,$295.58 ,$109.44 ,$295.58 ,$109.44 ,$312.00 ,$246.24 ,$302.15 ,$73.78 ,$298.86 ,$109.44 ,$202.11 ,$211.50 ,$202.11 ,$295.58 ,$295.58 ,$246.32 ,$153.12 ,$110.53 ,$25.81 ,$307.07 ,$114.91 ,$69.60 ,$285.73 ,$109.44 ,$295.58 ,$109.44 ,$295.58 ,$295.58 ,$295.58 ,$318.57 ,$266.02 ,$295.58 ,$295.58 ,$295.58 ,$295.58 ST. JOSEPH'S - CHIPPEWA FALLS,44400056,92522,HC EVALUATE SPEECH PRODUCTION 45MIN,444,1 ,$469.21 ,$351.91 ,$24.58 ,$469.21 ,$302.17 ,$109.44 ,$328.45 ,$24.58 ,$319.00 , N/A ,$255.00 ,$445.75 , N/A ,$375.37 ,$426.98 ,$24.58 ,$441.06 ,$445.75 ,$422.29 ,$351.91 ,$24.58 ,$24.58 ,$24.58 ,$342.52 ,$109.44 ,$417.60 ,$422.29 ,$422.29 ,$375.37 ,$112.72 ,$258.07 ,$422.29 ,$109.44 ,$422.29 ,$109.44 ,$445.75 ,$246.24 ,$431.67 ,$73.78 ,$426.98 ,$109.44 ,$288.75 ,$302.17 ,$288.75 ,$422.29 ,$422.29 ,$351.91 ,$153.12 ,$110.53 ,$25.81 ,$438.71 ,$114.91 ,$69.60 ,$408.21 ,$109.44 ,$422.29 ,$109.44 ,$422.29 ,$422.29 ,$422.29 ,$455.13 ,$380.06 ,$422.29 ,$422.29 ,$422.29 ,$422.29 ST. JOSEPH'S - CHIPPEWA FALLS,44400057,92522,HC EVALUATE SPEECH PRODUCTION 60MIN,444,1 ,$610.00 ,$457.50 ,$24.58 ,$610.00 ,$392.84 ,$109.44 ,$427.00 ,$24.58 ,$319.00 , N/A ,$255.00 ,$579.50 , N/A ,$488.00 ,$555.10 ,$24.58 ,$573.40 ,$579.50 ,$549.00 ,$457.50 ,$24.58 ,$24.58 ,$24.58 ,$445.30 ,$109.44 ,$542.90 ,$549.00 ,$549.00 ,$488.00 ,$112.72 ,$335.50 ,$549.00 ,$109.44 ,$549.00 ,$109.44 ,$579.50 ,$246.24 ,$561.20 ,$73.78 ,$555.10 ,$109.44 ,$375.39 ,$392.84 ,$375.39 ,$549.00 ,$549.00 ,$457.50 ,$153.12 ,$110.53 ,$25.81 ,$570.35 ,$114.91 ,$69.60 ,$530.70 ,$109.44 ,$549.00 ,$109.44 ,$549.00 ,$549.00 ,$549.00 ,$591.70 ,$494.10 ,$549.00 ,$549.00 ,$549.00 ,$549.00 ST. JOSEPH'S - CHIPPEWA FALLS,44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$328.42 ,$246.32 ,$48.63 ,$508.34 ,$211.50 ,$225.93 ,$229.89 ,$48.63 ,$319.00 , N/A ,$255.00 ,$312.00 , N/A ,$262.74 ,$298.86 ,$48.63 ,$308.71 ,$312.00 ,$295.58 ,$246.32 ,$48.63 ,$48.63 ,$48.63 ,$239.75 ,$225.93 ,$292.29 ,$295.58 ,$295.58 ,$262.74 ,$232.71 ,$180.63 ,$295.58 ,$225.93 ,$295.58 ,$225.93 ,$312.00 ,$508.34 ,$302.15 ,$73.78 ,$298.86 ,$225.93 ,$202.11 ,$211.50 ,$202.11 ,$295.58 ,$295.58 ,$246.32 ,$153.12 ,$228.19 ,$51.06 ,$307.07 ,$237.23 ,$69.60 ,$285.73 ,$225.93 ,$295.58 ,$225.93 ,$295.58 ,$295.58 ,$295.58 ,$318.57 ,$266.02 ,$295.58 ,$295.58 ,$295.58 ,$295.58 ST. JOSEPH'S - CHIPPEWA FALLS,44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$469.21 ,$351.91 ,$48.63 ,$508.34 ,$302.17 ,$225.93 ,$328.45 ,$48.63 ,$319.00 , N/A ,$255.00 ,$445.75 , N/A ,$375.37 ,$426.98 ,$48.63 ,$441.06 ,$445.75 ,$422.29 ,$351.91 ,$48.63 ,$48.63 ,$48.63 ,$342.52 ,$225.93 ,$417.60 ,$422.29 ,$422.29 ,$375.37 ,$232.71 ,$258.07 ,$422.29 ,$225.93 ,$422.29 ,$225.93 ,$445.75 ,$508.34 ,$431.67 ,$73.78 ,$426.98 ,$225.93 ,$288.75 ,$302.17 ,$288.75 ,$422.29 ,$422.29 ,$351.91 ,$153.12 ,$228.19 ,$51.06 ,$438.71 ,$237.23 ,$69.60 ,$408.21 ,$225.93 ,$422.29 ,$225.93 ,$422.29 ,$422.29 ,$422.29 ,$455.13 ,$380.06 ,$422.29 ,$422.29 ,$422.29 ,$422.29 ST. JOSEPH'S - CHIPPEWA FALLS,44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$610.00 ,$457.50 ,$48.63 ,$610.00 ,$392.84 ,$225.93 ,$427.00 ,$48.63 ,$319.00 , N/A ,$255.00 ,$579.50 , N/A ,$488.00 ,$555.10 ,$48.63 ,$573.40 ,$579.50 ,$549.00 ,$457.50 ,$48.63 ,$48.63 ,$48.63 ,$445.30 ,$225.93 ,$542.90 ,$549.00 ,$549.00 ,$488.00 ,$232.71 ,$335.50 ,$549.00 ,$225.93 ,$549.00 ,$225.93 ,$579.50 ,$508.34 ,$561.20 ,$73.78 ,$555.10 ,$225.93 ,$375.39 ,$392.84 ,$375.39 ,$549.00 ,$549.00 ,$457.50 ,$153.12 ,$228.19 ,$51.06 ,$570.35 ,$237.23 ,$69.60 ,$530.70 ,$225.93 ,$549.00 ,$225.93 ,$549.00 ,$549.00 ,$549.00 ,$591.70 ,$494.10 ,$549.00 ,$549.00 ,$549.00 ,$549.00 ST. JOSEPH'S - CHIPPEWA FALLS,44400061,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 30MIN,444,1 ,$318.87 ,$239.15 ,$25.62 ,$318.87 ,$205.35 ,$107.37 ,$223.21 ,$25.62 ,$318.87 , N/A ,$255.00 ,$302.93 , N/A ,$255.10 ,$290.17 ,$25.62 ,$299.74 ,$302.93 ,$286.98 ,$239.15 ,$25.62 ,$25.62 ,$25.62 ,$232.78 ,$107.37 ,$283.79 ,$286.98 ,$286.98 ,$255.10 ,$110.59 ,$175.38 ,$286.98 ,$107.37 ,$286.98 ,$107.37 ,$302.93 ,$241.58 ,$293.36 ,$73.78 ,$290.17 ,$107.37 ,$196.23 ,$205.35 ,$196.23 ,$286.98 ,$286.98 ,$239.15 ,$153.12 ,$108.44 ,$26.90 ,$298.14 ,$112.74 ,$69.60 ,$277.42 ,$107.37 ,$286.98 ,$107.37 ,$286.98 ,$286.98 ,$286.98 ,$309.30 ,$258.28 ,$286.98 ,$286.98 ,$286.98 ,$286.98 ST. JOSEPH'S - CHIPPEWA FALLS,44400062,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 45MIN,444,1 ,$455.53 ,$341.65 ,$25.62 ,$455.53 ,$293.36 ,$107.37 ,$318.87 ,$25.62 ,$319.00 , N/A ,$255.00 ,$432.75 , N/A ,$364.42 ,$414.53 ,$25.62 ,$428.20 ,$432.75 ,$409.98 ,$341.65 ,$25.62 ,$25.62 ,$25.62 ,$332.54 ,$107.37 ,$405.42 ,$409.98 ,$409.98 ,$364.42 ,$110.59 ,$250.54 ,$409.98 ,$107.37 ,$409.98 ,$107.37 ,$432.75 ,$241.58 ,$419.09 ,$73.78 ,$414.53 ,$107.37 ,$280.33 ,$293.36 ,$280.33 ,$409.98 ,$409.98 ,$341.65 ,$153.12 ,$108.44 ,$26.90 ,$425.92 ,$112.74 ,$69.60 ,$396.31 ,$107.37 ,$409.98 ,$107.37 ,$409.98 ,$409.98 ,$409.98 ,$441.86 ,$368.98 ,$409.98 ,$409.98 ,$409.98 ,$409.98 ST. JOSEPH'S - CHIPPEWA FALLS,44400063,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 60MIN,444,1 ,$592.18 ,$444.14 ,$25.62 ,$592.18 ,$381.36 ,$107.37 ,$414.53 ,$25.62 ,$319.00 , N/A ,$255.00 ,$562.57 , N/A ,$473.74 ,$538.88 ,$25.62 ,$556.65 ,$562.57 ,$532.96 ,$444.14 ,$25.62 ,$25.62 ,$25.62 ,$432.29 ,$107.37 ,$527.04 ,$532.96 ,$532.96 ,$473.74 ,$110.59 ,$325.70 ,$532.96 ,$107.37 ,$532.96 ,$107.37 ,$562.57 ,$241.58 ,$544.81 ,$73.78 ,$538.88 ,$107.37 ,$364.43 ,$381.36 ,$364.43 ,$532.96 ,$532.96 ,$444.14 ,$153.12 ,$108.44 ,$26.90 ,$553.69 ,$112.74 ,$69.60 ,$515.20 ,$107.37 ,$532.96 ,$107.37 ,$532.96 ,$532.96 ,$532.96 ,$574.41 ,$479.67 ,$532.96 ,$532.96 ,$532.96 ,$532.96 ST. JOSEPH'S - CHIPPEWA FALLS,44400064,92521,HC EVALUATION SPEECH FLUENCY 75MIN,444,1 ,$728.84 ,$546.63 ,$30.27 ,$728.84 ,$469.37 ,$131.35 ,$510.19 ,$30.27 ,$319.00 , N/A ,$255.00 ,$692.40 , N/A ,$583.07 ,$663.24 ,$30.27 ,$685.11 ,$692.40 ,$655.96 ,$546.63 ,$30.27 ,$30.27 ,$30.27 ,$532.05 ,$131.35 ,$648.67 ,$655.96 ,$655.96 ,$583.07 ,$135.29 ,$400.86 ,$655.96 ,$131.35 ,$655.96 ,$131.35 ,$692.40 ,$295.54 ,$670.53 ,$73.78 ,$663.24 ,$131.35 ,$448.53 ,$469.37 ,$448.53 ,$655.96 ,$655.96 ,$546.63 ,$153.12 ,$132.66 ,$31.78 ,$681.47 ,$137.92 ,$69.60 ,$634.09 ,$131.35 ,$655.96 ,$131.35 ,$655.96 ,$655.96 ,$655.96 ,$706.97 ,$590.36 ,$655.96 ,$655.96 ,$655.96 ,$655.96 ST. JOSEPH'S - CHIPPEWA FALLS,44400065,92521,HC EVALUATION SPEECH FLUENCY 90MIN,444,1 ,$865.50 ,$649.13 ,$30.27 ,$865.50 ,$557.38 ,$131.35 ,$605.85 ,$30.27 ,$319.00 , N/A ,$255.00 ,$822.23 , N/A ,$692.40 ,$787.61 ,$30.27 ,$813.57 ,$822.23 ,$778.95 ,$649.13 ,$30.27 ,$30.27 ,$30.27 ,$631.82 ,$131.35 ,$770.30 ,$778.95 ,$778.95 ,$692.40 ,$135.29 ,$476.03 ,$778.95 ,$131.35 ,$778.95 ,$131.35 ,$822.23 ,$295.54 ,$796.26 ,$73.78 ,$787.61 ,$131.35 ,$532.63 ,$557.38 ,$532.63 ,$778.95 ,$778.95 ,$649.13 ,$153.12 ,$132.66 ,$31.78 ,$809.24 ,$137.92 ,$69.60 ,$752.99 ,$131.35 ,$778.95 ,$131.35 ,$778.95 ,$778.95 ,$778.95 ,$839.54 ,$701.06 ,$778.95 ,$778.95 ,$778.95 ,$778.95 ST. JOSEPH'S - CHIPPEWA FALLS,44400066,92521,HC EVALUATION SPEECH FLUENCY 105MIN,444,1 ,"$1,002.16 ",$751.62 ,$30.27 ,"$1,002.16 ",$645.39 ,$131.35 ,$701.51 ,$30.27 ,$319.00 , N/A ,$255.00 ,$952.05 , N/A ,$801.73 ,$911.97 ,$30.27 ,$942.03 ,$952.05 ,$901.94 ,$751.62 ,$30.27 ,$30.27 ,$30.27 ,$731.58 ,$131.35 ,$891.92 ,$901.94 ,$901.94 ,$801.73 ,$135.29 ,$551.19 ,$901.94 ,$131.35 ,$901.94 ,$131.35 ,$952.05 ,$295.54 ,$921.99 ,$73.78 ,$911.97 ,$131.35 ,$616.73 ,$645.39 ,$616.73 ,$901.94 ,$901.94 ,$751.62 ,$153.12 ,$132.66 ,$31.78 ,$937.02 ,$137.92 ,$69.60 ,$871.88 ,$131.35 ,$901.94 ,$131.35 ,$901.94 ,$901.94 ,$901.94 ,$972.10 ,$811.75 ,$901.94 ,$901.94 ,$901.94 ,$901.94 ST. JOSEPH'S - CHIPPEWA FALLS,44400067,92521,HC EVALUATION SPEECH FLUENCY 120MIN,444,1 ,"$1,138.81 ",$854.11 ,$30.27 ,"$1,138.81 ",$733.39 ,$131.35 ,$797.17 ,$30.27 ,$319.00 , N/A ,$255.00 ,"$1,081.87 ", N/A ,$911.05 ,"$1,036.32 ",$30.27 ,"$1,070.48 ","$1,081.87 ","$1,024.93 ",$854.11 ,$30.27 ,$30.27 ,$30.27 ,$831.33 ,$131.35 ,"$1,013.54 ","$1,024.93 ","$1,024.93 ",$911.05 ,$135.29 ,$626.35 ,"$1,024.93 ",$131.35 ,"$1,024.93 ",$131.35 ,"$1,081.87 ",$295.54 ,"$1,047.71 ",$73.78 ,"$1,036.32 ",$131.35 ,$700.82 ,$733.39 ,$700.82 ,"$1,024.93 ","$1,024.93 ",$854.11 ,$153.12 ,$132.66 ,$31.78 ,"$1,064.79 ",$137.92 ,$69.60 ,$990.76 ,$131.35 ,"$1,024.93 ",$131.35 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,104.65 ",$922.44 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,024.93 " ST. JOSEPH'S - CHIPPEWA FALLS,44400068,92522,HC EVALUATE SPEECH PRODUCTION 75MIN,444,1 ,$750.69 ,$563.02 ,$24.58 ,$750.69 ,$483.44 ,$109.44 ,$525.48 ,$24.58 ,$319.00 , N/A ,$255.00 ,$713.16 , N/A ,$600.55 ,$683.13 ,$24.58 ,$705.65 ,$713.16 ,$675.62 ,$563.02 ,$24.58 ,$24.58 ,$24.58 ,$548.00 ,$109.44 ,$668.11 ,$675.62 ,$675.62 ,$600.55 ,$112.72 ,$412.88 ,$675.62 ,$109.44 ,$675.62 ,$109.44 ,$713.16 ,$246.24 ,$690.63 ,$73.78 ,$683.13 ,$109.44 ,$461.97 ,$483.44 ,$461.97 ,$675.62 ,$675.62 ,$563.02 ,$153.12 ,$110.53 ,$25.81 ,$701.90 ,$114.91 ,$69.60 ,$653.10 ,$109.44 ,$675.62 ,$109.44 ,$675.62 ,$675.62 ,$675.62 ,$728.17 ,$608.06 ,$675.62 ,$675.62 ,$675.62 ,$675.62 ST. JOSEPH'S - CHIPPEWA FALLS,44400069,92522,HC EVALUATE SPEECH PRODUCTION 90MIN,444,1 ,$865.50 ,$649.13 ,$24.58 ,$865.50 ,$557.38 ,$109.44 ,$605.85 ,$24.58 ,$319.00 , N/A ,$255.00 ,$822.23 , N/A ,$692.40 ,$787.61 ,$24.58 ,$813.57 ,$822.23 ,$778.95 ,$649.13 ,$24.58 ,$24.58 ,$24.58 ,$631.82 ,$109.44 ,$770.30 ,$778.95 ,$778.95 ,$692.40 ,$112.72 ,$476.03 ,$778.95 ,$109.44 ,$778.95 ,$109.44 ,$822.23 ,$246.24 ,$796.26 ,$73.78 ,$787.61 ,$109.44 ,$532.63 ,$557.38 ,$532.63 ,$778.95 ,$778.95 ,$649.13 ,$153.12 ,$110.53 ,$25.81 ,$809.24 ,$114.91 ,$69.60 ,$752.99 ,$109.44 ,$778.95 ,$109.44 ,$778.95 ,$778.95 ,$778.95 ,$839.54 ,$701.06 ,$778.95 ,$778.95 ,$778.95 ,$778.95 ST. JOSEPH'S - CHIPPEWA FALLS,44400070,92522,HC EVALUATE SPEECH PRODUCTION 105MIN,444,1 ,"$1,002.16 ",$751.62 ,$24.58 ,"$1,002.16 ",$645.39 ,$109.44 ,$701.51 ,$24.58 ,$319.00 , N/A ,$255.00 ,$952.05 , N/A ,$801.73 ,$911.97 ,$24.58 ,$942.03 ,$952.05 ,$901.94 ,$751.62 ,$24.58 ,$24.58 ,$24.58 ,$731.58 ,$109.44 ,$891.92 ,$901.94 ,$901.94 ,$801.73 ,$112.72 ,$551.19 ,$901.94 ,$109.44 ,$901.94 ,$109.44 ,$952.05 ,$246.24 ,$921.99 ,$73.78 ,$911.97 ,$109.44 ,$616.73 ,$645.39 ,$616.73 ,$901.94 ,$901.94 ,$751.62 ,$153.12 ,$110.53 ,$25.81 ,$937.02 ,$114.91 ,$69.60 ,$871.88 ,$109.44 ,$901.94 ,$109.44 ,$901.94 ,$901.94 ,$901.94 ,$972.10 ,$811.75 ,$901.94 ,$901.94 ,$901.94 ,$901.94 ST. JOSEPH'S - CHIPPEWA FALLS,44400071,92522,HC EVALUATE SPEECH PRODUCTION 120MIN,444,1 ,"$1,138.81 ",$854.11 ,$24.58 ,"$1,138.81 ",$733.39 ,$109.44 ,$797.17 ,$24.58 ,$319.00 , N/A ,$255.00 ,"$1,081.87 ", N/A ,$911.05 ,"$1,036.32 ",$24.58 ,"$1,070.48 ","$1,081.87 ","$1,024.93 ",$854.11 ,$24.58 ,$24.58 ,$24.58 ,$831.33 ,$109.44 ,"$1,013.54 ","$1,024.93 ","$1,024.93 ",$911.05 ,$112.72 ,$626.35 ,"$1,024.93 ",$109.44 ,"$1,024.93 ",$109.44 ,"$1,081.87 ",$246.24 ,"$1,047.71 ",$73.78 ,"$1,036.32 ",$109.44 ,$700.82 ,$733.39 ,$700.82 ,"$1,024.93 ","$1,024.93 ",$854.11 ,$153.12 ,$110.53 ,$25.81 ,"$1,064.79 ",$114.91 ,$69.60 ,$990.76 ,$109.44 ,"$1,024.93 ",$109.44 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,104.65 ",$922.44 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,024.93 " ST. JOSEPH'S - CHIPPEWA FALLS,44400072,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 75MIN,444,1 ,$728.84 ,$546.63 ,$48.63 ,$728.84 ,$469.37 ,$225.93 ,$510.19 ,$48.63 ,$319.00 , N/A ,$255.00 ,$692.40 , N/A ,$583.07 ,$663.24 ,$48.63 ,$685.11 ,$692.40 ,$655.96 ,$546.63 ,$48.63 ,$48.63 ,$48.63 ,$532.05 ,$225.93 ,$648.67 ,$655.96 ,$655.96 ,$583.07 ,$232.71 ,$400.86 ,$655.96 ,$225.93 ,$655.96 ,$225.93 ,$692.40 ,$508.34 ,$670.53 ,$73.78 ,$663.24 ,$225.93 ,$448.53 ,$469.37 ,$448.53 ,$655.96 ,$655.96 ,$546.63 ,$153.12 ,$228.19 ,$51.06 ,$681.47 ,$237.23 ,$69.60 ,$634.09 ,$225.93 ,$655.96 ,$225.93 ,$655.96 ,$655.96 ,$655.96 ,$706.97 ,$590.36 ,$655.96 ,$655.96 ,$655.96 ,$655.96 ST. JOSEPH'S - CHIPPEWA FALLS,44400073,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 90MIN,444,1 ,$865.50 ,$649.13 ,$48.63 ,$865.50 ,$557.38 ,$225.93 ,$605.85 ,$48.63 ,$319.00 , N/A ,$255.00 ,$822.23 , N/A ,$692.40 ,$787.61 ,$48.63 ,$813.57 ,$822.23 ,$778.95 ,$649.13 ,$48.63 ,$48.63 ,$48.63 ,$631.82 ,$225.93 ,$770.30 ,$778.95 ,$778.95 ,$692.40 ,$232.71 ,$476.03 ,$778.95 ,$225.93 ,$778.95 ,$225.93 ,$822.23 ,$508.34 ,$796.26 ,$73.78 ,$787.61 ,$225.93 ,$532.63 ,$557.38 ,$532.63 ,$778.95 ,$778.95 ,$649.13 ,$153.12 ,$228.19 ,$51.06 ,$809.24 ,$237.23 ,$69.60 ,$752.99 ,$225.93 ,$778.95 ,$225.93 ,$778.95 ,$778.95 ,$778.95 ,$839.54 ,$701.06 ,$778.95 ,$778.95 ,$778.95 ,$778.95 ST. JOSEPH'S - CHIPPEWA FALLS,44400074,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 105MIN,444,1 ,"$1,002.16 ",$751.62 ,$48.63 ,"$1,002.16 ",$645.39 ,$225.93 ,$701.51 ,$48.63 ,$319.00 , N/A ,$255.00 ,$952.05 , N/A ,$801.73 ,$911.97 ,$48.63 ,$942.03 ,$952.05 ,$901.94 ,$751.62 ,$48.63 ,$48.63 ,$48.63 ,$731.58 ,$225.93 ,$891.92 ,$901.94 ,$901.94 ,$801.73 ,$232.71 ,$551.19 ,$901.94 ,$225.93 ,$901.94 ,$225.93 ,$952.05 ,$508.34 ,$921.99 ,$73.78 ,$911.97 ,$225.93 ,$616.73 ,$645.39 ,$616.73 ,$901.94 ,$901.94 ,$751.62 ,$153.12 ,$228.19 ,$51.06 ,$937.02 ,$237.23 ,$69.60 ,$871.88 ,$225.93 ,$901.94 ,$225.93 ,$901.94 ,$901.94 ,$901.94 ,$972.10 ,$811.75 ,$901.94 ,$901.94 ,$901.94 ,$901.94 ST. JOSEPH'S - CHIPPEWA FALLS,44400075,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 120MIN,444,1 ,"$1,138.81 ",$854.11 ,$48.63 ,"$1,138.81 ",$733.39 ,$225.93 ,$797.17 ,$48.63 ,$319.00 , N/A ,$255.00 ,"$1,081.87 ", N/A ,$911.05 ,"$1,036.32 ",$48.63 ,"$1,070.48 ","$1,081.87 ","$1,024.93 ",$854.11 ,$48.63 ,$48.63 ,$48.63 ,$831.33 ,$225.93 ,"$1,013.54 ","$1,024.93 ","$1,024.93 ",$911.05 ,$232.71 ,$626.35 ,"$1,024.93 ",$225.93 ,"$1,024.93 ",$225.93 ,"$1,081.87 ",$508.34 ,"$1,047.71 ",$73.78 ,"$1,036.32 ",$225.93 ,$700.82 ,$733.39 ,$700.82 ,"$1,024.93 ","$1,024.93 ",$854.11 ,$153.12 ,$228.19 ,$51.06 ,"$1,064.79 ",$237.23 ,$69.60 ,$990.76 ,$225.93 ,"$1,024.93 ",$225.93 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,104.65 ",$922.44 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,024.93 " ST. JOSEPH'S - CHIPPEWA FALLS,44400076,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 75MIN,444,1 ,$728.84 ,$546.63 ,$25.62 ,$728.84 ,$469.37 ,$107.37 ,$510.19 ,$25.62 ,$319.00 , N/A ,$255.00 ,$692.40 , N/A ,$583.07 ,$663.24 ,$25.62 ,$685.11 ,$692.40 ,$655.96 ,$546.63 ,$25.62 ,$25.62 ,$25.62 ,$532.05 ,$107.37 ,$648.67 ,$655.96 ,$655.96 ,$583.07 ,$110.59 ,$400.86 ,$655.96 ,$107.37 ,$655.96 ,$107.37 ,$692.40 ,$241.58 ,$670.53 ,$73.78 ,$663.24 ,$107.37 ,$448.53 ,$469.37 ,$448.53 ,$655.96 ,$655.96 ,$546.63 ,$153.12 ,$108.44 ,$26.90 ,$681.47 ,$112.74 ,$69.60 ,$634.09 ,$107.37 ,$655.96 ,$107.37 ,$655.96 ,$655.96 ,$655.96 ,$706.97 ,$590.36 ,$655.96 ,$655.96 ,$655.96 ,$655.96 ST. JOSEPH'S - CHIPPEWA FALLS,44400077,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 90MIN,444,1 ,$865.50 ,$649.13 ,$25.62 ,$865.50 ,$557.38 ,$107.37 ,$605.85 ,$25.62 ,$319.00 , N/A ,$255.00 ,$822.23 , N/A ,$692.40 ,$787.61 ,$25.62 ,$813.57 ,$822.23 ,$778.95 ,$649.13 ,$25.62 ,$25.62 ,$25.62 ,$631.82 ,$107.37 ,$770.30 ,$778.95 ,$778.95 ,$692.40 ,$110.59 ,$476.03 ,$778.95 ,$107.37 ,$778.95 ,$107.37 ,$822.23 ,$241.58 ,$796.26 ,$73.78 ,$787.61 ,$107.37 ,$532.63 ,$557.38 ,$532.63 ,$778.95 ,$778.95 ,$649.13 ,$153.12 ,$108.44 ,$26.90 ,$809.24 ,$112.74 ,$69.60 ,$752.99 ,$107.37 ,$778.95 ,$107.37 ,$778.95 ,$778.95 ,$778.95 ,$839.54 ,$701.06 ,$778.95 ,$778.95 ,$778.95 ,$778.95 ST. JOSEPH'S - CHIPPEWA FALLS,44400078,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 105MIN,444,1 ,"$1,002.16 ",$751.62 ,$25.62 ,"$1,002.16 ",$645.39 ,$107.37 ,$701.51 ,$25.62 ,$319.00 , N/A ,$255.00 ,$952.05 , N/A ,$801.73 ,$911.97 ,$25.62 ,$942.03 ,$952.05 ,$901.94 ,$751.62 ,$25.62 ,$25.62 ,$25.62 ,$731.58 ,$107.37 ,$891.92 ,$901.94 ,$901.94 ,$801.73 ,$110.59 ,$551.19 ,$901.94 ,$107.37 ,$901.94 ,$107.37 ,$952.05 ,$241.58 ,$921.99 ,$73.78 ,$911.97 ,$107.37 ,$616.73 ,$645.39 ,$616.73 ,$901.94 ,$901.94 ,$751.62 ,$153.12 ,$108.44 ,$26.90 ,$937.02 ,$112.74 ,$69.60 ,$871.88 ,$107.37 ,$901.94 ,$107.37 ,$901.94 ,$901.94 ,$901.94 ,$972.10 ,$811.75 ,$901.94 ,$901.94 ,$901.94 ,$901.94 ST. JOSEPH'S - CHIPPEWA FALLS,44400079,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 120MIN,444,1 ,"$1,138.81 ",$854.11 ,$25.62 ,"$1,138.81 ",$733.39 ,$107.37 ,$797.17 ,$25.62 ,$319.00 , N/A ,$255.00 ,"$1,081.87 ", N/A ,$911.05 ,"$1,036.32 ",$25.62 ,"$1,070.48 ","$1,081.87 ","$1,024.93 ",$854.11 ,$25.62 ,$25.62 ,$25.62 ,$831.33 ,$107.37 ,"$1,013.54 ","$1,024.93 ","$1,024.93 ",$911.05 ,$110.59 ,$626.35 ,"$1,024.93 ",$107.37 ,"$1,024.93 ",$107.37 ,"$1,081.87 ",$241.58 ,"$1,047.71 ",$73.78 ,"$1,036.32 ",$107.37 ,$700.82 ,$733.39 ,$700.82 ,"$1,024.93 ","$1,024.93 ",$854.11 ,$153.12 ,$108.44 ,$26.90 ,"$1,064.79 ",$112.74 ,$69.60 ,$990.76 ,$107.37 ,"$1,024.93 ",$107.37 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,104.65 ",$922.44 ,"$1,024.93 ","$1,024.93 ","$1,024.93 ","$1,024.93 " ST. JOSEPH'S - CHIPPEWA FALLS,44400084,92611,HC DYSPHAGIA EVAL-VIDEO 75MIN,444,1 ,$453.27 ,$339.95 ,$37.66 ,$453.27 ,$291.91 ,$89.10 ,$317.29 ,$116.92 ,$319.00 , N/A ,$255.00 ,$430.61 , N/A ,$362.62 ,$412.48 ,$116.92 ,$426.07 ,$430.61 ,$407.94 ,$339.95 ,$116.92 ,$116.92 ,$116.92 ,$330.89 ,$89.10 ,$403.41 ,$407.94 ,$407.94 ,$362.62 ,$91.77 ,$249.30 ,$407.94 ,$89.10 ,$407.94 ,$89.10 ,$430.61 ,$200.48 ,$417.01 ,$39.92 ,$412.48 ,$89.10 ,$278.94 ,$291.91 ,$278.94 ,$407.94 ,$407.94 ,$339.95 ,$153.12 ,$89.99 ,$122.77 ,$423.81 ,$93.56 ,$37.66 ,$394.34 ,$89.10 ,$407.94 ,$89.10 ,$407.94 ,$407.94 ,$407.94 ,$439.67 ,$367.15 ,$407.94 ,$407.94 ,$407.94 ,$407.94 ST. JOSEPH'S - CHIPPEWA FALLS,44400085,92611,HC DYSPHAGIA EVAL-VIDEO 90MIN,444,1 ,$558.03 ,$418.52 ,$37.66 ,$558.03 ,$359.37 ,$89.10 ,$390.62 ,$116.92 ,$319.00 , N/A ,$255.00 ,$530.13 , N/A ,$446.42 ,$507.81 ,$116.92 ,$524.55 ,$530.13 ,$502.23 ,$418.52 ,$116.92 ,$116.92 ,$116.92 ,$407.36 ,$89.10 ,$496.65 ,$502.23 ,$502.23 ,$446.42 ,$91.77 ,$306.92 ,$502.23 ,$89.10 ,$502.23 ,$89.10 ,$530.13 ,$200.48 ,$513.39 ,$39.92 ,$507.81 ,$89.10 ,$343.41 ,$359.37 ,$343.41 ,$502.23 ,$502.23 ,$418.52 ,$153.12 ,$89.99 ,$122.77 ,$521.76 ,$93.56 ,$37.66 ,$485.49 ,$89.10 ,$502.23 ,$89.10 ,$502.23 ,$502.23 ,$502.23 ,$541.29 ,$452.00 ,$502.23 ,$502.23 ,$502.23 ,$502.23 ST. JOSEPH'S - CHIPPEWA FALLS,45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$421.07 ,$315.80 ,$74.70 ,$753.63 ,$271.17 ,$334.95 ,$294.75 ,$74.70 ,$349.49 ,$76.94 ,$277.91 ,$400.02 , N/A ,$336.86 ,$383.17 ,$74.70 ,$395.81 ,$400.02 ,$378.96 ,$357.91 ,$74.70 ,$74.70 ,$74.70 ,$307.38 ,$334.95 ,$374.75 ,$378.96 ,$378.96 ,$336.86 ,$344.99 ,$231.59 ,$378.96 ,$334.95 ,$378.96 ,$334.95 ,$400.02 ,$753.63 ,$387.38 ,$79.18 ,$383.17 ,$334.95 ,$259.13 ,$271.17 ,$259.13 ,$378.96 ,$378.96 ,$315.80 ,$294.75 ,$338.30 ,$78.44 ,$393.70 ,$351.70 ,$74.70 ,$366.33 ,$334.95 ,$378.96 ,$334.95 ,$378.96 ,$378.96 ,$378.96 ,$408.44 ,$341.07 ,$378.96 ,$378.96 ,$378.96 ,$378.96 ST. JOSEPH'S - CHIPPEWA FALLS,45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,$559.35 ,$419.51 ,$74.70 ,"$1,355.35 ",$360.22 ,$602.38 ,$391.55 ,$74.70 ,$464.26 ,$76.94 ,$369.17 ,$531.38 , N/A ,$447.48 ,$509.01 ,$74.70 ,$525.79 ,$531.38 ,$503.42 ,$475.45 ,$74.70 ,$74.70 ,$74.70 ,$408.33 ,$602.38 ,$497.82 ,$503.42 ,$503.42 ,$447.48 ,$620.45 ,$307.64 ,$503.42 ,$602.38 ,$503.42 ,$602.38 ,$531.38 ,"$1,355.35 ",$514.60 ,$79.18 ,$509.01 ,$602.38 ,$344.22 ,$360.22 ,$344.22 ,$503.42 ,$503.42 ,$419.51 ,$391.55 ,$608.40 ,$78.44 ,$522.99 ,$632.50 ,$74.70 ,$486.63 ,$602.38 ,$503.42 ,$602.38 ,$503.42 ,$503.42 ,$503.42 ,$542.57 ,$453.07 ,$503.42 ,$503.42 ,$503.42 ,$503.42 ST. JOSEPH'S - CHIPPEWA FALLS,45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$338.04 ,$253.53 ,$74.70 ,$753.63 ,$217.70 ,$334.95 ,$236.63 ,$74.70 ,$280.57 ,$76.94 ,$223.11 ,$321.14 , N/A ,$270.43 ,$307.62 ,$74.70 ,$317.76 ,$321.14 ,$304.24 ,$287.33 ,$74.70 ,$74.70 ,$74.70 ,$246.77 ,$334.95 ,$300.86 ,$304.24 ,$304.24 ,$270.43 ,$344.99 ,$185.92 ,$304.24 ,$334.95 ,$304.24 ,$334.95 ,$321.14 ,$753.63 ,$311.00 ,$79.18 ,$307.62 ,$334.95 ,$208.03 ,$217.70 ,$208.03 ,$304.24 ,$304.24 ,$253.53 ,$236.63 ,$338.30 ,$78.44 ,$316.07 ,$351.70 ,$74.70 ,$294.09 ,$334.95 ,$304.24 ,$334.95 ,$304.24 ,$304.24 ,$304.24 ,$327.90 ,$273.81 ,$304.24 ,$304.24 ,$304.24 ,$304.24 ST. JOSEPH'S - CHIPPEWA FALLS,45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$287.08 ,$215.31 ,$31.89 ,$391.26 ,$184.88 ,$173.89 ,$200.96 ,$31.89 ,$238.28 ,$32.85 ,$189.47 ,$272.73 , N/A ,$229.66 ,$261.24 ,$31.89 ,$269.86 ,$272.73 ,$258.37 ,$244.02 ,$31.89 ,$31.89 ,$31.89 ,$209.57 ,$173.89 ,$255.50 ,$258.37 ,$258.37 ,$229.66 ,$179.11 ,$157.89 ,$258.37 ,$173.89 ,$258.37 ,$173.89 ,$272.73 ,$391.26 ,$264.11 ,$33.80 ,$261.24 ,$173.89 ,$176.67 ,$184.88 ,$176.67 ,$258.37 ,$258.37 ,$215.31 ,$200.96 ,$175.63 ,$33.48 ,$268.42 ,$182.58 ,$31.89 ,$249.76 ,$173.89 ,$258.37 ,$173.89 ,$258.37 ,$258.37 ,$258.37 ,$278.47 ,$232.53 ,$258.37 ,$258.37 ,$258.37 ,$258.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$287.08 ,$215.31 ,$31.89 ,$287.08 ,$184.88 , N/A ,$200.96 ,$31.89 ,$238.28 ,$32.85 ,$189.47 ,$272.73 , N/A ,$229.66 ,$261.24 ,$31.89 ,$269.86 ,$272.73 ,$258.37 ,$244.02 ,$31.89 ,$31.89 ,$31.89 ,$209.57 , N/A ,$255.50 ,$258.37 ,$258.37 ,$229.66 , N/A ,$157.89 ,$258.37 , N/A ,$258.37 , N/A ,$272.73 , N/A ,$264.11 ,$33.80 ,$261.24 , N/A ,$176.67 ,$184.88 ,$176.67 ,$258.37 ,$258.37 ,$215.31 ,$200.96 , N/A ,$33.48 ,$268.42 , N/A ,$31.89 ,$249.76 , N/A ,$258.37 , N/A ,$258.37 ,$258.37 ,$258.37 ,$278.47 ,$232.53 ,$258.37 ,$258.37 ,$258.37 ,$258.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$203.58 ,$152.69 ,$31.89 ,$243.95 ,$131.11 ,$108.42 ,$142.51 ,$31.89 ,$168.97 ,$32.85 ,$134.36 ,$193.40 , N/A ,$162.86 ,$185.26 ,$31.89 ,$191.37 ,$193.40 ,$183.22 ,$173.04 ,$31.89 ,$31.89 ,$31.89 ,$148.61 ,$108.42 ,$181.19 ,$183.22 ,$183.22 ,$162.86 ,$111.68 ,$111.97 ,$183.22 ,$108.42 ,$183.22 ,$108.42 ,$193.40 ,$243.95 ,$187.29 ,$33.80 ,$185.26 ,$108.42 ,$125.28 ,$131.11 ,$125.28 ,$183.22 ,$183.22 ,$152.69 ,$142.51 ,$109.51 ,$33.48 ,$190.35 ,$113.84 ,$31.89 ,$177.11 ,$108.42 ,$183.22 ,$108.42 ,$183.22 ,$183.22 ,$183.22 ,$197.47 ,$164.90 ,$183.22 ,$183.22 ,$183.22 ,$183.22 ST. JOSEPH'S - CHIPPEWA FALLS,45000012,11760,HC REPAIR NAIL BED,450,1 ,$211.25 ,$158.44 ,$31.89 ,"$1,142.23 ",$136.05 ,$507.66 ,$147.88 ,$31.89 ,$175.34 ,$32.85 ,$139.43 ,$200.69 , N/A ,$169.00 ,$192.24 ,$31.89 ,$198.58 ,$200.69 ,$190.13 ,$179.56 ,$31.89 ,$31.89 ,$31.89 ,$154.21 ,$507.66 ,$188.01 ,$190.13 ,$190.13 ,$169.00 ,$522.89 ,$116.19 ,$190.13 ,$507.66 ,$190.13 ,$507.66 ,$200.69 ,"$1,142.23 ",$194.35 ,$33.80 ,$192.24 ,$507.66 ,$130.00 ,$136.05 ,$130.00 ,$190.13 ,$190.13 ,$158.44 ,$147.88 ,$512.74 ,$33.48 ,$197.52 ,$533.04 ,$31.89 ,$183.79 ,$507.66 ,$190.13 ,$507.66 ,$190.13 ,$190.13 ,$190.13 ,$204.91 ,$171.11 ,$190.13 ,$190.13 ,$190.13 ,$190.13 ST. JOSEPH'S - CHIPPEWA FALLS,45000013,11765,HC EXC WEDGE SKIN NAIL FOLD,450,1 ,$175.35 ,$131.51 ,$31.89 ,$753.63 ,$112.93 ,$334.95 ,$122.75 ,$31.89 ,$145.54 ,$32.85 ,$115.73 ,$166.58 , N/A ,$140.28 ,$159.57 ,$31.89 ,$164.83 ,$166.58 ,$157.82 ,$149.05 ,$31.89 ,$31.89 ,$31.89 ,$128.01 ,$334.95 ,$156.06 ,$157.82 ,$157.82 ,$140.28 ,$344.99 ,$96.44 ,$157.82 ,$334.95 ,$157.82 ,$334.95 ,$166.58 ,$753.63 ,$161.32 ,$33.80 ,$159.57 ,$334.95 ,$107.91 ,$112.93 ,$107.91 ,$157.82 ,$157.82 ,$131.51 ,$122.75 ,$338.30 ,$33.48 ,$163.95 ,$351.70 ,$31.89 ,$152.55 ,$334.95 ,$157.82 ,$334.95 ,$157.82 ,$157.82 ,$157.82 ,$170.09 ,$142.03 ,$157.82 ,$157.82 ,$157.82 ,$157.82 ST. JOSEPH'S - CHIPPEWA FALLS,45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$631.69 ,$473.77 ,$84.29 ,$631.69 ,$406.81 ,$173.89 ,$442.18 ,$84.29 ,$524.30 ,$86.82 ,$416.92 ,$600.11 , N/A ,$505.35 ,$574.84 ,$84.29 ,$593.79 ,$600.11 ,$568.52 ,$536.94 ,$84.29 ,$84.29 ,$84.29 ,$461.13 ,$173.89 ,$562.20 ,$568.52 ,$568.52 ,$505.35 ,$179.11 ,$347.43 ,$568.52 ,$173.89 ,$568.52 ,$173.89 ,$600.11 ,$391.26 ,$581.15 ,$89.35 ,$574.84 ,$173.89 ,$388.74 ,$406.81 ,$388.74 ,$568.52 ,$568.52 ,$473.77 ,$442.18 ,$175.63 ,$88.50 ,$590.63 ,$182.58 ,$84.29 ,$549.57 ,$173.89 ,$568.52 ,$173.89 ,$568.52 ,$568.52 ,$568.52 ,$612.74 ,$511.67 ,$568.52 ,$568.52 ,$568.52 ,$568.52 ST. JOSEPH'S - CHIPPEWA FALLS,45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$347.14 ,$260.36 ,$84.29 ,$391.26 ,$223.56 ,$173.89 ,$243.00 ,$84.29 ,$288.13 ,$86.82 ,$229.11 ,$329.78 , N/A ,$277.71 ,$315.90 ,$84.29 ,$326.31 ,$329.78 ,$312.43 ,$295.07 ,$84.29 ,$84.29 ,$84.29 ,$253.41 ,$173.89 ,$308.95 ,$312.43 ,$312.43 ,$277.71 ,$179.11 ,$190.93 ,$312.43 ,$173.89 ,$312.43 ,$173.89 ,$329.78 ,$391.26 ,$319.37 ,$89.35 ,$315.90 ,$173.89 ,$213.63 ,$223.56 ,$213.63 ,$312.43 ,$312.43 ,$260.36 ,$243.00 ,$175.63 ,$88.50 ,$324.58 ,$182.58 ,$84.29 ,$302.01 ,$173.89 ,$312.43 ,$173.89 ,$312.43 ,$312.43 ,$312.43 ,$336.73 ,$281.18 ,$312.43 ,$312.43 ,$312.43 ,$312.43 ST. JOSEPH'S - CHIPPEWA FALLS,45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$444.06 ,$333.05 ,$84.29 ,$444.06 ,$285.97 ,$173.89 ,$310.84 ,$84.29 ,$368.57 ,$86.82 ,$293.08 ,$421.86 , N/A ,$355.25 ,$404.09 ,$84.29 ,$417.42 ,$421.86 ,$399.65 ,$377.45 ,$84.29 ,$84.29 ,$84.29 ,$324.16 ,$173.89 ,$395.21 ,$399.65 ,$399.65 ,$355.25 ,$179.11 ,$244.23 ,$399.65 ,$173.89 ,$399.65 ,$173.89 ,$421.86 ,$391.26 ,$408.54 ,$89.35 ,$404.09 ,$173.89 ,$273.27 ,$285.97 ,$273.27 ,$399.65 ,$399.65 ,$333.05 ,$310.84 ,$175.63 ,$88.50 ,$415.20 ,$182.58 ,$84.29 ,$386.33 ,$173.89 ,$399.65 ,$173.89 ,$399.65 ,$399.65 ,$399.65 ,$430.74 ,$359.69 ,$399.65 ,$399.65 ,$399.65 ,$399.65 ST. JOSEPH'S - CHIPPEWA FALLS,45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$469.22 ,$351.92 ,$84.29 ,$753.63 ,$302.18 ,$334.95 ,$328.45 ,$84.29 ,$389.45 ,$86.82 ,$309.69 ,$445.76 , N/A ,$375.38 ,$426.99 ,$84.29 ,$441.07 ,$445.76 ,$422.30 ,$398.84 ,$84.29 ,$84.29 ,$84.29 ,$342.53 ,$334.95 ,$417.61 ,$422.30 ,$422.30 ,$375.38 ,$344.99 ,$258.07 ,$422.30 ,$334.95 ,$422.30 ,$334.95 ,$445.76 ,$753.63 ,$431.68 ,$89.35 ,$426.99 ,$334.95 ,$288.76 ,$302.18 ,$288.76 ,$422.30 ,$422.30 ,$351.92 ,$328.45 ,$338.30 ,$88.50 ,$438.72 ,$351.70 ,$84.29 ,$408.22 ,$334.95 ,$422.30 ,$334.95 ,$422.30 ,$422.30 ,$422.30 ,$455.14 ,$380.07 ,$422.30 ,$422.30 ,$422.30 ,$422.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$555.64 ,$416.73 ,$84.29 ,$555.64 ,$357.83 ,$173.89 ,$388.95 ,$84.29 ,$461.18 ,$86.82 ,$366.72 ,$527.86 , N/A ,$444.51 ,$505.63 ,$84.29 ,$522.30 ,$527.86 ,$500.08 ,$472.29 ,$84.29 ,$84.29 ,$84.29 ,$405.62 ,$173.89 ,$494.52 ,$500.08 ,$500.08 ,$444.51 ,$179.11 ,$305.60 ,$500.08 ,$173.89 ,$500.08 ,$173.89 ,$527.86 ,$391.26 ,$511.19 ,$89.35 ,$505.63 ,$173.89 ,$341.94 ,$357.83 ,$341.94 ,$500.08 ,$500.08 ,$416.73 ,$388.95 ,$175.63 ,$88.50 ,$519.52 ,$182.58 ,$84.29 ,$483.41 ,$173.89 ,$500.08 ,$173.89 ,$500.08 ,$500.08 ,$500.08 ,$538.97 ,$450.07 ,$500.08 ,$500.08 ,$500.08 ,$500.08 ST. JOSEPH'S - CHIPPEWA FALLS,45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$557.98 ,$418.49 ,$84.29 ,$557.98 ,$359.34 ,$173.89 ,$390.59 ,$84.29 ,$463.12 ,$86.82 ,$368.27 ,$530.08 , N/A ,$446.38 ,$507.76 ,$84.29 ,$524.50 ,$530.08 ,$502.18 ,$474.28 ,$84.29 ,$84.29 ,$84.29 ,$407.33 ,$173.89 ,$496.60 ,$502.18 ,$502.18 ,$446.38 ,$179.11 ,$306.89 ,$502.18 ,$173.89 ,$502.18 ,$173.89 ,$530.08 ,$391.26 ,$513.34 ,$89.35 ,$507.76 ,$173.89 ,$343.38 ,$359.34 ,$343.38 ,$502.18 ,$502.18 ,$418.49 ,$390.59 ,$175.63 ,$88.50 ,$521.71 ,$182.58 ,$84.29 ,$485.44 ,$173.89 ,$502.18 ,$173.89 ,$502.18 ,$502.18 ,$502.18 ,$541.24 ,$451.96 ,$502.18 ,$502.18 ,$502.18 ,$502.18 ST. JOSEPH'S - CHIPPEWA FALLS,45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$252.64 ,$189.48 ,$84.29 ,$391.26 ,$162.70 ,$173.89 ,$176.85 ,$84.29 ,$209.69 ,$86.82 ,$166.74 ,$240.01 , N/A ,$202.11 ,$229.90 ,$84.29 ,$237.48 ,$240.01 ,$227.38 ,$214.74 ,$84.29 ,$84.29 ,$84.29 ,$184.43 ,$173.89 ,$224.85 ,$227.38 ,$227.38 ,$202.11 ,$179.11 ,$138.95 ,$227.38 ,$173.89 ,$227.38 ,$173.89 ,$240.01 ,$391.26 ,$232.43 ,$89.35 ,$229.90 ,$173.89 ,$155.47 ,$162.70 ,$155.47 ,$227.38 ,$227.38 ,$189.48 ,$176.85 ,$175.63 ,$88.50 ,$236.22 ,$182.58 ,$84.29 ,$219.80 ,$173.89 ,$227.38 ,$173.89 ,$227.38 ,$227.38 ,$227.38 ,$245.06 ,$204.64 ,$227.38 ,$227.38 ,$227.38 ,$227.38 ST. JOSEPH'S - CHIPPEWA FALLS,45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$288.19 ,$216.14 ,$84.29 ,$391.26 ,$185.59 ,$173.89 ,$201.73 ,$84.29 ,$239.20 ,$86.82 ,$190.21 ,$273.78 , N/A ,$230.55 ,$262.25 ,$84.29 ,$270.90 ,$273.78 ,$259.37 ,$244.96 ,$84.29 ,$84.29 ,$84.29 ,$210.38 ,$173.89 ,$256.49 ,$259.37 ,$259.37 ,$230.55 ,$179.11 ,$158.50 ,$259.37 ,$173.89 ,$259.37 ,$173.89 ,$273.78 ,$391.26 ,$265.13 ,$89.35 ,$262.25 ,$173.89 ,$177.35 ,$185.59 ,$177.35 ,$259.37 ,$259.37 ,$216.14 ,$201.73 ,$175.63 ,$88.50 ,$269.46 ,$182.58 ,$84.29 ,$250.73 ,$173.89 ,$259.37 ,$173.89 ,$259.37 ,$259.37 ,$259.37 ,$279.54 ,$233.43 ,$259.37 ,$259.37 ,$259.37 ,$259.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$340.32 ,$255.24 ,$84.29 ,$753.63 ,$219.17 ,$334.95 ,$238.22 ,$84.29 ,$282.47 ,$86.82 ,$224.61 ,$323.30 , N/A ,$272.26 ,$309.69 ,$84.29 ,$319.90 ,$323.30 ,$306.29 ,$289.27 ,$84.29 ,$84.29 ,$84.29 ,$248.43 ,$334.95 ,$302.88 ,$306.29 ,$306.29 ,$272.26 ,$344.99 ,$187.18 ,$306.29 ,$334.95 ,$306.29 ,$334.95 ,$323.30 ,$753.63 ,$313.09 ,$89.35 ,$309.69 ,$334.95 ,$209.43 ,$219.17 ,$209.43 ,$306.29 ,$306.29 ,$255.24 ,$238.22 ,$338.30 ,$88.50 ,$318.20 ,$351.70 ,$84.29 ,$296.08 ,$334.95 ,$306.29 ,$334.95 ,$306.29 ,$306.29 ,$306.29 ,$330.11 ,$275.66 ,$306.29 ,$306.29 ,$306.29 ,$306.29 ST. JOSEPH'S - CHIPPEWA FALLS,45000027,12020,HC SIMP SUPERFICIAL DEHISCENCE,450,1 ,$766.08 ,$574.56 ,$107.54 ,"$1,142.23 ",$493.36 ,$507.66 ,$536.26 ,$107.54 ,$635.85 ,$110.77 ,$505.61 ,$727.78 , N/A ,$612.86 ,$697.13 ,$107.54 ,$720.12 ,$727.78 ,$689.47 ,$651.17 ,$107.54 ,$107.54 ,$107.54 ,$559.24 ,$507.66 ,$681.81 ,$689.47 ,$689.47 ,$612.86 ,$522.89 ,$421.34 ,$689.47 ,$507.66 ,$689.47 ,$507.66 ,$727.78 ,"$1,142.23 ",$704.79 ,$113.99 ,$697.13 ,$507.66 ,$471.45 ,$493.36 ,$471.45 ,$689.47 ,$689.47 ,$574.56 ,$536.26 ,$512.74 ,$112.92 ,$716.28 ,$533.04 ,$107.54 ,$666.49 ,$507.66 ,$689.47 ,$507.66 ,$689.47 ,$689.47 ,$689.47 ,$743.10 ,$620.52 ,$689.47 ,$689.47 ,$689.47 ,$689.47 ST. JOSEPH'S - CHIPPEWA FALLS,45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$257.76 ,$193.32 ,$107.54 ,$753.63 ,$166.00 ,$334.95 ,$180.43 ,$107.54 ,$213.94 ,$110.77 ,$170.12 ,$244.87 , N/A ,$206.21 ,$234.56 ,$107.54 ,$242.29 ,$244.87 ,$231.98 ,$219.10 ,$107.54 ,$107.54 ,$107.54 ,$188.16 ,$334.95 ,$229.41 ,$231.98 ,$231.98 ,$206.21 ,$344.99 ,$141.77 ,$231.98 ,$334.95 ,$231.98 ,$334.95 ,$244.87 ,$753.63 ,$237.14 ,$113.99 ,$234.56 ,$334.95 ,$158.63 ,$166.00 ,$158.63 ,$231.98 ,$231.98 ,$193.32 ,$180.43 ,$338.30 ,$112.92 ,$241.01 ,$351.70 ,$107.54 ,$224.25 ,$334.95 ,$231.98 ,$334.95 ,$231.98 ,$231.98 ,$231.98 ,$250.03 ,$208.79 ,$231.98 ,$231.98 ,$231.98 ,$231.98 ST. JOSEPH'S - CHIPPEWA FALLS,45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$220.71 ,$165.53 ,$107.54 ,$753.63 ,$142.14 ,$334.95 ,$154.50 ,$107.54 ,$183.19 ,$110.77 ,$145.67 ,$209.67 , N/A ,$176.57 ,$200.85 ,$107.54 ,$207.47 ,$209.67 ,$198.64 ,$187.60 ,$107.54 ,$107.54 ,$107.54 ,$161.12 ,$334.95 ,$196.43 ,$198.64 ,$198.64 ,$176.57 ,$344.99 ,$121.39 ,$198.64 ,$334.95 ,$198.64 ,$334.95 ,$209.67 ,$753.63 ,$203.05 ,$113.99 ,$200.85 ,$334.95 ,$135.82 ,$142.14 ,$135.82 ,$198.64 ,$198.64 ,$165.53 ,$154.50 ,$338.30 ,$112.92 ,$206.36 ,$351.70 ,$107.54 ,$192.02 ,$334.95 ,$198.64 ,$334.95 ,$198.64 ,$198.64 ,$198.64 ,$214.09 ,$178.78 ,$198.64 ,$198.64 ,$198.64 ,$198.64 ST. JOSEPH'S - CHIPPEWA FALLS,45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$339.61 ,$254.71 ,$107.54 ,$753.63 ,$218.71 ,$334.95 ,$237.73 ,$107.54 ,$281.88 ,$110.77 ,$224.14 ,$322.63 , N/A ,$271.69 ,$309.05 ,$107.54 ,$319.23 ,$322.63 ,$305.65 ,$288.67 ,$107.54 ,$107.54 ,$107.54 ,$247.92 ,$334.95 ,$302.25 ,$305.65 ,$305.65 ,$271.69 ,$344.99 ,$186.79 ,$305.65 ,$334.95 ,$305.65 ,$334.95 ,$322.63 ,$753.63 ,$312.44 ,$113.99 ,$309.05 ,$334.95 ,$209.00 ,$218.71 ,$209.00 ,$305.65 ,$305.65 ,$254.71 ,$237.73 ,$338.30 ,$112.92 ,$317.54 ,$351.70 ,$107.54 ,$295.46 ,$334.95 ,$305.65 ,$334.95 ,$305.65 ,$305.65 ,$305.65 ,$329.42 ,$275.08 ,$305.65 ,$305.65 ,$305.65 ,$305.65 ST. JOSEPH'S - CHIPPEWA FALLS,45000032,12035,HC INTRM S/A/T/EXT 12.6-20.0CM,450,1 ,$425.42 ,$319.07 ,$107.54 ,$753.63 ,$273.97 ,$334.95 ,$297.79 ,$107.54 ,$353.10 ,$110.77 ,$280.78 ,$404.15 , N/A ,$340.34 ,$387.13 ,$107.54 ,$399.89 ,$404.15 ,$382.88 ,$361.61 ,$107.54 ,$107.54 ,$107.54 ,$310.56 ,$334.95 ,$378.62 ,$382.88 ,$382.88 ,$340.34 ,$344.99 ,$233.98 ,$382.88 ,$334.95 ,$382.88 ,$334.95 ,$404.15 ,$753.63 ,$391.39 ,$113.99 ,$387.13 ,$334.95 ,$261.80 ,$273.97 ,$261.80 ,$382.88 ,$382.88 ,$319.07 ,$297.79 ,$338.30 ,$112.92 ,$397.77 ,$351.70 ,$107.54 ,$370.12 ,$334.95 ,$382.88 ,$334.95 ,$382.88 ,$382.88 ,$382.88 ,$412.66 ,$344.59 ,$382.88 ,$382.88 ,$382.88 ,$382.88 ST. JOSEPH'S - CHIPPEWA FALLS,45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$257.76 ,$193.32 ,$107.54 ,$753.63 ,$166.00 ,$334.95 ,$180.43 ,$107.54 ,$213.94 ,$110.77 ,$170.12 ,$244.87 , N/A ,$206.21 ,$234.56 ,$107.54 ,$242.29 ,$244.87 ,$231.98 ,$219.10 ,$107.54 ,$107.54 ,$107.54 ,$188.16 ,$334.95 ,$229.41 ,$231.98 ,$231.98 ,$206.21 ,$344.99 ,$141.77 ,$231.98 ,$334.95 ,$231.98 ,$334.95 ,$244.87 ,$753.63 ,$237.14 ,$113.99 ,$234.56 ,$334.95 ,$158.63 ,$166.00 ,$158.63 ,$231.98 ,$231.98 ,$193.32 ,$180.43 ,$338.30 ,$112.92 ,$241.01 ,$351.70 ,$107.54 ,$224.25 ,$334.95 ,$231.98 ,$334.95 ,$231.98 ,$231.98 ,$231.98 ,$250.03 ,$208.79 ,$231.98 ,$231.98 ,$231.98 ,$231.98 ST. JOSEPH'S - CHIPPEWA FALLS,45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$257.66 ,$193.25 ,$107.54 ,$753.63 ,$165.93 ,$334.95 ,$180.36 ,$107.54 ,$213.86 ,$110.77 ,$170.06 ,$244.78 , N/A ,$206.13 ,$234.47 ,$107.54 ,$242.20 ,$244.78 ,$231.89 ,$219.01 ,$107.54 ,$107.54 ,$107.54 ,$188.09 ,$334.95 ,$229.32 ,$231.89 ,$231.89 ,$206.13 ,$344.99 ,$141.71 ,$231.89 ,$334.95 ,$231.89 ,$334.95 ,$244.78 ,$753.63 ,$237.05 ,$113.99 ,$234.47 ,$334.95 ,$158.56 ,$165.93 ,$158.56 ,$231.89 ,$231.89 ,$193.25 ,$180.36 ,$338.30 ,$112.92 ,$240.91 ,$351.70 ,$107.54 ,$224.16 ,$334.95 ,$231.89 ,$334.95 ,$231.89 ,$231.89 ,$231.89 ,$249.93 ,$208.70 ,$231.89 ,$231.89 ,$231.89 ,$231.89 ST. JOSEPH'S - CHIPPEWA FALLS,45000037,12044,HC INTRM N/H/F/GEN 7.6-12.5CM,450,1 ,$271.40 ,$203.55 ,$107.54 ,"$1,142.23 ",$174.78 ,$507.66 ,$189.98 ,$107.54 ,$225.26 ,$110.77 ,$179.12 ,$257.83 , N/A ,$217.12 ,$246.97 ,$107.54 ,$255.12 ,$257.83 ,$244.26 ,$230.69 ,$107.54 ,$107.54 ,$107.54 ,$198.12 ,$507.66 ,$241.55 ,$244.26 ,$244.26 ,$217.12 ,$522.89 ,$149.27 ,$244.26 ,$507.66 ,$244.26 ,$507.66 ,$257.83 ,"$1,142.23 ",$249.69 ,$113.99 ,$246.97 ,$507.66 ,$167.02 ,$174.78 ,$167.02 ,$244.26 ,$244.26 ,$203.55 ,$189.98 ,$512.74 ,$112.92 ,$253.76 ,$533.04 ,$107.54 ,$236.12 ,$507.66 ,$244.26 ,$507.66 ,$244.26 ,$244.26 ,$244.26 ,$263.26 ,$219.83 ,$244.26 ,$244.26 ,$244.26 ,$244.26 ST. JOSEPH'S - CHIPPEWA FALLS,45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$396.67 ,$297.50 ,$107.54 ,$753.63 ,$255.46 ,$334.95 ,$277.67 ,$107.54 ,$329.24 ,$110.77 ,$261.80 ,$376.84 , N/A ,$317.34 ,$360.97 ,$107.54 ,$372.87 ,$376.84 ,$357.00 ,$337.17 ,$107.54 ,$107.54 ,$107.54 ,$289.57 ,$334.95 ,$353.04 ,$357.00 ,$357.00 ,$317.34 ,$344.99 ,$218.17 ,$357.00 ,$334.95 ,$357.00 ,$334.95 ,$376.84 ,$753.63 ,$364.94 ,$113.99 ,$360.97 ,$334.95 ,$244.11 ,$255.46 ,$244.11 ,$357.00 ,$357.00 ,$297.50 ,$277.67 ,$338.30 ,$112.92 ,$370.89 ,$351.70 ,$107.54 ,$345.10 ,$334.95 ,$357.00 ,$334.95 ,$357.00 ,$357.00 ,$357.00 ,$384.77 ,$321.30 ,$357.00 ,$357.00 ,$357.00 ,$357.00 ST. JOSEPH'S - CHIPPEWA FALLS,45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$488.24 ,$366.18 ,$107.54 ,$753.63 ,$314.43 ,$334.95 ,$341.77 ,$107.54 ,$405.24 ,$110.77 ,$322.24 ,$463.83 , N/A ,$390.59 ,$444.30 ,$107.54 ,$458.95 ,$463.83 ,$439.42 ,$415.00 ,$107.54 ,$107.54 ,$107.54 ,$356.42 ,$334.95 ,$434.53 ,$439.42 ,$439.42 ,$390.59 ,$344.99 ,$268.53 ,$439.42 ,$334.95 ,$439.42 ,$334.95 ,$463.83 ,$753.63 ,$449.18 ,$113.99 ,$444.30 ,$334.95 ,$300.46 ,$314.43 ,$300.46 ,$439.42 ,$439.42 ,$366.18 ,$341.77 ,$338.30 ,$112.92 ,$456.50 ,$351.70 ,$107.54 ,$424.77 ,$334.95 ,$439.42 ,$334.95 ,$439.42 ,$439.42 ,$439.42 ,$473.59 ,$395.47 ,$439.42 ,$439.42 ,$439.42 ,$439.42 ST. JOSEPH'S - CHIPPEWA FALLS,45000043,12053,HC INTRM F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$472.59 ,$354.44 ,$107.54 ,$753.63 ,$304.35 ,$334.95 ,$330.81 ,$107.54 ,$392.25 ,$110.77 ,$311.91 ,$448.96 , N/A ,$378.07 ,$430.06 ,$107.54 ,$444.23 ,$448.96 ,$425.33 ,$401.70 ,$107.54 ,$107.54 ,$107.54 ,$344.99 ,$334.95 ,$420.61 ,$425.33 ,$425.33 ,$378.07 ,$344.99 ,$259.92 ,$425.33 ,$334.95 ,$425.33 ,$334.95 ,$448.96 ,$753.63 ,$434.78 ,$113.99 ,$430.06 ,$334.95 ,$290.83 ,$304.35 ,$290.83 ,$425.33 ,$425.33 ,$354.44 ,$330.81 ,$338.30 ,$112.92 ,$441.87 ,$351.70 ,$107.54 ,$411.15 ,$334.95 ,$425.33 ,$334.95 ,$425.33 ,$425.33 ,$425.33 ,$458.41 ,$382.80 ,$425.33 ,$425.33 ,$425.33 ,$425.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000045,12055,HC INTRM F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$562.48 ,$421.86 ,$107.54 ,$753.63 ,$362.24 ,$334.95 ,$393.74 ,$107.54 ,$466.86 ,$110.77 ,$371.24 ,$534.36 , N/A ,$449.98 ,$511.86 ,$107.54 ,$528.73 ,$534.36 ,$506.23 ,$478.11 ,$107.54 ,$107.54 ,$107.54 ,$410.61 ,$334.95 ,$500.61 ,$506.23 ,$506.23 ,$449.98 ,$344.99 ,$309.36 ,$506.23 ,$334.95 ,$506.23 ,$334.95 ,$534.36 ,$753.63 ,$517.48 ,$113.99 ,$511.86 ,$334.95 ,$346.15 ,$362.24 ,$346.15 ,$506.23 ,$506.23 ,$421.86 ,$393.74 ,$338.30 ,$112.92 ,$525.92 ,$351.70 ,$107.54 ,$489.36 ,$334.95 ,$506.23 ,$334.95 ,$506.23 ,$506.23 ,$506.23 ,$545.61 ,$455.61 ,$506.23 ,$506.23 ,$506.23 ,$506.23 ST. JOSEPH'S - CHIPPEWA FALLS,45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,$455.13 ,$341.35 ,$161.28 ,"$1,142.23 ",$293.10 ,$507.66 ,$318.59 ,$161.28 ,$377.76 ,$166.12 ,$300.39 ,$432.37 , N/A ,$364.10 ,$414.17 ,$161.28 ,$427.82 ,$432.37 ,$409.62 ,$386.86 ,$161.28 ,$161.28 ,$161.28 ,$332.24 ,$507.66 ,$405.07 ,$409.62 ,$409.62 ,$364.10 ,$522.89 ,$250.32 ,$409.62 ,$507.66 ,$409.62 ,$507.66 ,$432.37 ,"$1,142.23 ",$418.72 ,$170.96 ,$414.17 ,$507.66 ,$280.09 ,$293.10 ,$280.09 ,$409.62 ,$409.62 ,$341.35 ,$318.59 ,$512.74 ,$169.34 ,$425.55 ,$533.04 ,$161.28 ,$395.96 ,$507.66 ,$409.62 ,$507.66 ,$409.62 ,$409.62 ,$409.62 ,$441.48 ,$368.66 ,$409.62 ,$409.62 ,$409.62 ,$409.62 ST. JOSEPH'S - CHIPPEWA FALLS,45000054,13131,HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM,450,1 ,$247.18 ,$185.39 ,$135.95 ,$753.63 ,$159.18 ,$334.95 ,$173.03 ,$161.28 ,$205.16 ,$166.12 ,$163.14 ,$234.82 , N/A ,$197.74 ,$224.93 ,$161.28 ,$232.35 ,$234.82 ,$222.46 ,$210.10 ,$161.28 ,$161.28 ,$161.28 ,$180.44 ,$334.95 ,$219.99 ,$222.46 ,$222.46 ,$197.74 ,$344.99 ,$135.95 ,$222.46 ,$334.95 ,$222.46 ,$334.95 ,$234.82 ,$753.63 ,$227.41 ,$170.96 ,$224.93 ,$334.95 ,$152.11 ,$159.18 ,$152.11 ,$222.46 ,$222.46 ,$185.39 ,$173.03 ,$338.30 ,$169.34 ,$231.11 ,$351.70 ,$161.28 ,$215.05 ,$334.95 ,$222.46 ,$334.95 ,$222.46 ,$222.46 ,$222.46 ,$239.76 ,$200.22 ,$222.46 ,$222.46 ,$222.46 ,$222.46 ST. JOSEPH'S - CHIPPEWA FALLS,45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,$384.73 ,$288.55 ,$161.28 ,"$1,142.23 ",$247.77 ,$507.66 ,$269.31 ,$161.28 ,$319.33 ,$166.12 ,$253.92 ,$365.49 , N/A ,$307.78 ,$350.10 ,$161.28 ,$361.65 ,$365.49 ,$346.26 ,$327.02 ,$161.28 ,$161.28 ,$161.28 ,$280.85 ,$507.66 ,$342.41 ,$346.26 ,$346.26 ,$307.78 ,$522.89 ,$211.60 ,$346.26 ,$507.66 ,$346.26 ,$507.66 ,$365.49 ,"$1,142.23 ",$353.95 ,$170.96 ,$350.10 ,$507.66 ,$236.76 ,$247.77 ,$236.76 ,$346.26 ,$346.26 ,$288.55 ,$269.31 ,$512.74 ,$169.34 ,$359.72 ,$533.04 ,$161.28 ,$334.72 ,$507.66 ,$346.26 ,$507.66 ,$346.26 ,$346.26 ,$346.26 ,$373.19 ,$311.63 ,$346.26 ,$346.26 ,$346.26 ,$346.26 ST. JOSEPH'S - CHIPPEWA FALLS,45000058,13151,HC CMPLX E/N/E/L 1.1-2.5 CM,450,1 ,$289.78 ,$217.34 ,$159.38 ,"$1,142.23 ",$186.62 ,$507.66 ,$202.85 ,$161.28 ,$240.52 ,$166.12 ,$191.25 ,$275.29 , N/A ,$231.82 ,$263.70 ,$161.28 ,$272.39 ,$275.29 ,$260.80 ,$246.31 ,$161.28 ,$161.28 ,$161.28 ,$211.54 ,$507.66 ,$257.90 ,$260.80 ,$260.80 ,$231.82 ,$522.89 ,$159.38 ,$260.80 ,$507.66 ,$260.80 ,$507.66 ,$275.29 ,"$1,142.23 ",$266.60 ,$170.96 ,$263.70 ,$507.66 ,$178.33 ,$186.62 ,$178.33 ,$260.80 ,$260.80 ,$217.34 ,$202.85 ,$512.74 ,$169.34 ,$270.94 ,$533.04 ,$161.28 ,$252.11 ,$507.66 ,$260.80 ,$507.66 ,$260.80 ,$260.80 ,$260.80 ,$281.09 ,$234.72 ,$260.80 ,$260.80 ,$260.80 ,$260.80 ST. JOSEPH'S - CHIPPEWA FALLS,45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,$286.22 ,$214.67 ,$157.42 ,"$1,142.23 ",$184.33 ,$507.66 ,$200.35 ,$161.28 ,$237.56 ,$166.12 ,$188.91 ,$271.91 , N/A ,$228.98 ,$260.46 ,$161.28 ,$269.05 ,$271.91 ,$257.60 ,$243.29 ,$161.28 ,$161.28 ,$161.28 ,$208.94 ,$507.66 ,$254.74 ,$257.60 ,$257.60 ,$228.98 ,$522.89 ,$157.42 ,$257.60 ,$507.66 ,$257.60 ,$507.66 ,$271.91 ,"$1,142.23 ",$263.32 ,$170.96 ,$260.46 ,$507.66 ,$176.14 ,$184.33 ,$176.14 ,$257.60 ,$257.60 ,$214.67 ,$200.35 ,$512.74 ,$169.34 ,$267.62 ,$533.04 ,$161.28 ,$249.01 ,$507.66 ,$257.60 ,$507.66 ,$257.60 ,$257.60 ,$257.60 ,$277.63 ,$231.84 ,$257.60 ,$257.60 ,$257.60 ,$257.60 ST. JOSEPH'S - CHIPPEWA FALLS,45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,$147.86 ,$110.90 ,$81.32 ,$391.26 ,$95.22 ,$173.89 ,$103.50 ,$84.29 ,$122.72 ,$86.82 ,$97.59 ,$140.47 , N/A ,$118.29 ,$134.55 ,$84.29 ,$138.99 ,$140.47 ,$133.07 ,$125.68 ,$84.29 ,$84.29 ,$84.29 ,$107.94 ,$173.89 ,$131.60 ,$133.07 ,$133.07 ,$118.29 ,$179.11 ,$81.32 ,$133.07 ,$173.89 ,$133.07 ,$173.89 ,$140.47 ,$391.26 ,$136.03 ,$89.35 ,$134.55 ,$173.89 ,$90.99 ,$95.22 ,$90.99 ,$133.07 ,$133.07 ,$110.90 ,$103.50 ,$175.63 ,$88.50 ,$138.25 ,$182.58 ,$84.29 ,$128.64 ,$173.89 ,$133.07 ,$173.89 ,$133.07 ,$133.07 ,$133.07 ,$143.42 ,$119.77 ,$133.07 ,$133.07 ,$133.07 ,$133.07 ST. JOSEPH'S - CHIPPEWA FALLS,45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$519.44 ,$389.58 ,$84.29 ,$519.44 ,$334.52 ,$173.89 ,$363.61 ,$84.29 ,$431.14 ,$86.82 ,$342.83 ,$493.47 , N/A ,$415.55 ,$472.69 ,$84.29 ,$488.27 ,$493.47 ,$467.50 ,$441.52 ,$84.29 ,$84.29 ,$84.29 ,$379.19 ,$173.89 ,$462.30 ,$467.50 ,$467.50 ,$415.55 ,$179.11 ,$285.69 ,$467.50 ,$173.89 ,$467.50 ,$173.89 ,$493.47 ,$391.26 ,$477.88 ,$89.35 ,$472.69 ,$173.89 ,$319.66 ,$334.52 ,$319.66 ,$467.50 ,$467.50 ,$389.58 ,$363.61 ,$175.63 ,$88.50 ,$485.68 ,$182.58 ,$84.29 ,$451.91 ,$173.89 ,$467.50 ,$173.89 ,$467.50 ,$467.50 ,$467.50 ,$503.86 ,$420.75 ,$467.50 ,$467.50 ,$467.50 ,$467.50 ST. JOSEPH'S - CHIPPEWA FALLS,45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$519.44 ,$389.58 ,$84.29 ,$519.44 ,$334.52 ,$173.89 ,$363.61 ,$84.29 ,$431.14 ,$86.82 ,$342.83 ,$493.47 , N/A ,$415.55 ,$472.69 ,$84.29 ,$488.27 ,$493.47 ,$467.50 ,$441.52 ,$84.29 ,$84.29 ,$84.29 ,$379.19 ,$173.89 ,$462.30 ,$467.50 ,$467.50 ,$415.55 ,$179.11 ,$285.69 ,$467.50 ,$173.89 ,$467.50 ,$173.89 ,$493.47 ,$391.26 ,$477.88 ,$89.35 ,$472.69 ,$173.89 ,$319.66 ,$334.52 ,$319.66 ,$467.50 ,$467.50 ,$389.58 ,$363.61 ,$175.63 ,$88.50 ,$485.68 ,$182.58 ,$84.29 ,$451.91 ,$173.89 ,$467.50 ,$173.89 ,$467.50 ,$467.50 ,$467.50 ,$503.86 ,$420.75 ,$467.50 ,$467.50 ,$467.50 ,$467.50 ST. JOSEPH'S - CHIPPEWA FALLS,45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,$490.06 ,$367.55 ,$107.54 ,$753.63 ,$315.60 ,$334.95 ,$343.04 ,$107.54 ,$406.75 ,$110.77 ,$323.44 ,$465.56 , N/A ,$392.05 ,$445.95 ,$107.54 ,$460.66 ,$465.56 ,$441.05 ,$416.55 ,$107.54 ,$107.54 ,$107.54 ,$357.74 ,$334.95 ,$436.15 ,$441.05 ,$441.05 ,$392.05 ,$344.99 ,$269.53 ,$441.05 ,$334.95 ,$441.05 ,$334.95 ,$465.56 ,$753.63 ,$450.86 ,$113.99 ,$445.95 ,$334.95 ,$301.58 ,$315.60 ,$301.58 ,$441.05 ,$441.05 ,$367.55 ,$343.04 ,$338.30 ,$112.92 ,$458.21 ,$351.70 ,$107.54 ,$426.35 ,$334.95 ,$441.05 ,$334.95 ,$441.05 ,$441.05 ,$441.05 ,$475.36 ,$396.95 ,$441.05 ,$441.05 ,$441.05 ,$441.05 ST. JOSEPH'S - CHIPPEWA FALLS,45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$519.44 ,$389.58 ,$74.70 ,$519.44 ,$334.52 ,$173.89 ,$363.61 ,$74.70 ,$431.14 ,$76.94 ,$342.83 ,$493.47 , N/A ,$415.55 ,$472.69 ,$74.70 ,$488.27 ,$493.47 ,$467.50 ,$441.52 ,$74.70 ,$74.70 ,$74.70 ,$379.19 ,$173.89 ,$462.30 ,$467.50 ,$467.50 ,$415.55 ,$179.11 ,$285.69 ,$467.50 ,$173.89 ,$467.50 ,$173.89 ,$493.47 ,$391.26 ,$477.88 ,$79.18 ,$472.69 ,$173.89 ,$319.66 ,$334.52 ,$319.66 ,$467.50 ,$467.50 ,$389.58 ,$363.61 ,$175.63 ,$78.44 ,$485.68 ,$182.58 ,$74.70 ,$451.91 ,$173.89 ,$467.50 ,$173.89 ,$467.50 ,$467.50 ,$467.50 ,$503.86 ,$420.75 ,$467.50 ,$467.50 ,$467.50 ,$467.50 ST. JOSEPH'S - CHIPPEWA FALLS,45000068,20103,HC EXPL PENTR WOUND EXTREMITY,450,1 ,$281.24 ,$210.93 ,$107.54 ,"$1,355.35 ",$181.12 ,$602.38 ,$196.87 ,$107.54 ,$233.43 ,$110.77 ,$185.62 ,$267.18 , N/A ,$224.99 ,$255.93 ,$107.54 ,$264.37 ,$267.18 ,$253.12 ,$239.05 ,$107.54 ,$107.54 ,$107.54 ,$205.31 ,$602.38 ,$250.30 ,$253.12 ,$253.12 ,$224.99 ,$620.45 ,$154.68 ,$253.12 ,$602.38 ,$253.12 ,$602.38 ,$267.18 ,"$1,355.35 ",$258.74 ,$113.99 ,$255.93 ,$602.38 ,$173.08 ,$181.12 ,$173.08 ,$253.12 ,$253.12 ,$210.93 ,$196.87 ,$608.40 ,$112.92 ,$262.96 ,$632.50 ,$107.54 ,$244.68 ,$602.38 ,$253.12 ,$602.38 ,$253.12 ,$253.12 ,$253.12 ,$272.80 ,$227.80 ,$253.12 ,$253.12 ,$253.12 ,$253.12 ST. JOSEPH'S - CHIPPEWA FALLS,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,"$1,010.29 ",$757.72 ,$101.56 ,"$1,010.29 ",$650.63 ,$252.94 ,$707.20 ,$101.56 ,$838.54 ,$104.61 ,$666.79 ,$959.78 , N/A ,$808.23 ,$919.36 ,$101.56 ,$949.67 ,$959.78 ,$909.26 ,$858.75 ,$101.56 ,$101.56 ,$101.56 ,$737.51 ,$252.94 ,$899.16 ,$909.26 ,$909.26 ,$808.23 ,$260.53 ,$555.66 ,$909.26 ,$252.94 ,$909.26 ,$252.94 ,$959.78 ,$569.12 ,$929.47 ,$107.65 ,$919.36 ,$252.94 ,$621.73 ,$650.63 ,$621.73 ,$909.26 ,$909.26 ,$757.72 ,$707.20 ,$255.47 ,$106.64 ,$944.62 ,$265.59 ,$101.56 ,$878.95 ,$252.94 ,$909.26 ,$252.94 ,$909.26 ,$909.26 ,$909.26 ,$979.98 ,$818.33 ,$909.26 ,$909.26 ,$909.26 ,$909.26 ST. JOSEPH'S - CHIPPEWA FALLS,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,$583.62 ,$437.72 ,$101.56 ,$583.62 ,$375.85 ,$252.94 ,$408.53 ,$101.56 ,$484.40 ,$104.61 ,$385.19 ,$554.44 , N/A ,$466.90 ,$531.09 ,$101.56 ,$548.60 ,$554.44 ,$525.26 ,$496.08 ,$101.56 ,$101.56 ,$101.56 ,$426.04 ,$252.94 ,$519.42 ,$525.26 ,$525.26 ,$466.90 ,$260.53 ,$320.99 ,$525.26 ,$252.94 ,$525.26 ,$252.94 ,$554.44 ,$569.12 ,$536.93 ,$107.65 ,$531.09 ,$252.94 ,$359.16 ,$375.85 ,$359.16 ,$525.26 ,$525.26 ,$437.72 ,$408.53 ,$255.47 ,$106.64 ,$545.68 ,$265.59 ,$101.56 ,$507.75 ,$252.94 ,$525.26 ,$252.94 ,$525.26 ,$525.26 ,$525.26 ,$566.11 ,$472.73 ,$525.26 ,$525.26 ,$525.26 ,$525.26 ST. JOSEPH'S - CHIPPEWA FALLS,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,$526.97 ,$395.23 ,$101.56 ,$569.12 ,$339.37 ,$252.94 ,$368.88 ,$101.56 ,$437.39 ,$104.61 ,$347.80 ,$500.62 , N/A ,$421.58 ,$479.54 ,$101.56 ,$495.35 ,$500.62 ,$474.27 ,$447.92 ,$101.56 ,$101.56 ,$101.56 ,$384.69 ,$252.94 ,$469.00 ,$474.27 ,$474.27 ,$421.58 ,$260.53 ,$289.83 ,$474.27 ,$252.94 ,$474.27 ,$252.94 ,$500.62 ,$569.12 ,$484.81 ,$107.65 ,$479.54 ,$252.94 ,$324.30 ,$339.37 ,$324.30 ,$474.27 ,$474.27 ,$395.23 ,$368.88 ,$255.47 ,$106.64 ,$492.72 ,$265.59 ,$101.56 ,$458.46 ,$252.94 ,$474.27 ,$252.94 ,$474.27 ,$474.27 ,$474.27 ,$511.16 ,$426.85 ,$474.27 ,$474.27 ,$474.27 ,$474.27 ST. JOSEPH'S - CHIPPEWA FALLS,45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$374.85 ,$281.14 ,$193.84 ,$449.31 ,$241.40 ,$199.70 ,$262.40 ,$193.84 ,$311.13 ,$199.66 ,$247.40 ,$356.11 , N/A ,$299.88 ,$341.11 ,$193.84 ,$352.36 ,$356.11 ,$337.37 ,$318.62 ,$193.84 ,$193.84 ,$193.84 ,$273.64 ,$199.70 ,$333.62 ,$337.37 ,$337.37 ,$299.88 ,$205.69 ,$206.17 ,$337.37 ,$199.70 ,$337.37 ,$199.70 ,$356.11 ,$449.31 ,$344.86 ,$205.47 ,$341.11 ,$199.70 ,$230.68 ,$241.40 ,$230.68 ,$337.37 ,$337.37 ,$281.14 ,$262.40 ,$201.69 ,$203.53 ,$350.48 ,$209.69 ,$193.84 ,$326.12 ,$199.70 ,$337.37 ,$199.70 ,$337.37 ,$337.37 ,$337.37 ,$363.60 ,$303.63 ,$337.37 ,$337.37 ,$337.37 ,$337.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000075,23655,HC TX DISL SHLDR W/MAN/ANES CLS,450,1 ,$143.90 ,$107.93 ,$79.15 ,"$3,034.10 ",$92.67 ,"$1,348.49 ",$100.73 ,$143.90 ,$119.44 ,$340.45 ,$94.97 ,$136.71 , N/A ,$115.12 ,$130.95 ,$143.90 ,$135.27 ,$136.71 ,$129.51 ,$122.32 ,$330.53 ,$330.53 ,$330.53 ,$105.05 ,"$1,348.49 ",$128.07 ,$129.51 ,$129.51 ,$115.12 ,"$1,388.95 ",$79.15 ,$129.51 ,"$1,348.49 ",$129.51 ,"$1,348.49 ",$136.71 ,"$3,034.10 ",$132.39 ,$350.36 ,$130.95 ,"$1,348.49 ",$88.56 ,$92.67 ,$88.56 ,$129.51 ,$129.51 ,$107.93 ,$100.73 ,"$1,361.98 ",$347.06 ,$134.55 ,"$1,415.91 ",$143.90 ,$125.19 ,"$1,348.49 ",$129.51 ,"$1,348.49 ",$129.51 ,$129.51 ,$129.51 ,$139.58 ,$116.56 ,$129.51 ,$129.51 ,$129.51 ,$129.51 ST. JOSEPH'S - CHIPPEWA FALLS,45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$162.55 ,$121.91 ,$89.40 ,$449.31 ,$104.68 ,$199.70 ,$113.79 ,$162.55 ,$134.92 ,$199.66 ,$107.28 ,$154.42 , N/A ,$130.04 ,$147.92 ,$162.55 ,$152.80 ,$154.42 ,$146.30 ,$138.17 ,$193.84 ,$193.84 ,$193.84 ,$118.66 ,$199.70 ,$144.67 ,$146.30 ,$146.30 ,$130.04 ,$205.69 ,$89.40 ,$146.30 ,$199.70 ,$146.30 ,$199.70 ,$154.42 ,$449.31 ,$149.55 ,$205.47 ,$147.92 ,$199.70 ,$100.03 ,$104.68 ,$100.03 ,$146.30 ,$146.30 ,$121.91 ,$113.79 ,$201.69 ,$203.53 ,$151.98 ,$209.69 ,$162.55 ,$141.42 ,$199.70 ,$146.30 ,$199.70 ,$146.30 ,$146.30 ,$146.30 ,$157.67 ,$131.67 ,$146.30 ,$146.30 ,$146.30 ,$146.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$129.34 ,$97.01 ,$71.14 ,$449.31 ,$83.30 ,$199.70 ,$90.54 ,$129.34 ,$107.35 ,$199.66 ,$85.36 ,$122.87 , N/A ,$103.47 ,$117.70 ,$129.34 ,$121.58 ,$122.87 ,$116.41 ,$109.94 ,$193.84 ,$193.84 ,$193.84 ,$94.42 ,$199.70 ,$115.11 ,$116.41 ,$116.41 ,$103.47 ,$205.69 ,$71.14 ,$116.41 ,$199.70 ,$116.41 ,$199.70 ,$122.87 ,$449.31 ,$118.99 ,$205.47 ,$117.70 ,$199.70 ,$79.60 ,$83.30 ,$79.60 ,$116.41 ,$116.41 ,$97.01 ,$90.54 ,$201.69 ,$203.53 ,$120.93 ,$209.69 ,$129.34 ,$112.53 ,$199.70 ,$116.41 ,$199.70 ,$116.41 ,$116.41 ,$116.41 ,$125.46 ,$104.77 ,$116.41 ,$116.41 ,$116.41 ,$116.41 ST. JOSEPH'S - CHIPPEWA FALLS,45000081,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP,450,1 ,$519.25 ,$389.44 ,$193.84 ,"$3,034.10 ",$334.40 ,"$1,348.49 ",$363.48 ,$193.84 ,$430.98 ,$199.66 ,$342.71 ,$493.29 , N/A ,$415.40 ,$472.52 ,$193.84 ,$488.10 ,$493.29 ,$467.33 ,$441.36 ,$193.84 ,$193.84 ,$193.84 ,$379.05 ,"$1,348.49 ",$462.13 ,$467.33 ,$467.33 ,$415.40 ,"$1,388.95 ",$285.59 ,$467.33 ,"$1,348.49 ",$467.33 ,"$1,348.49 ",$493.29 ,"$3,034.10 ",$477.71 ,$205.47 ,$472.52 ,"$1,348.49 ",$319.55 ,$334.40 ,$319.55 ,$467.33 ,$467.33 ,$389.44 ,$363.48 ,"$1,361.98 ",$203.53 ,$485.50 ,"$1,415.91 ",$193.84 ,$451.75 ,"$1,348.49 ",$467.33 ,"$1,348.49 ",$467.33 ,$467.33 ,$467.33 ,$503.67 ,$420.59 ,$467.33 ,$467.33 ,$467.33 ,$467.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,$519.62 ,$389.72 ,$193.84 ,"$3,034.10 ",$334.64 ,"$1,348.49 ",$363.73 ,$193.84 ,$431.28 ,$199.66 ,$342.95 ,$493.64 , N/A ,$415.70 ,$472.85 ,$193.84 ,$488.44 ,$493.64 ,$467.66 ,$441.68 ,$193.84 ,$193.84 ,$193.84 ,$379.32 ,"$1,348.49 ",$462.46 ,$467.66 ,$467.66 ,$415.70 ,"$1,388.95 ",$285.79 ,$467.66 ,"$1,348.49 ",$467.66 ,"$1,348.49 ",$493.64 ,"$3,034.10 ",$478.05 ,$205.47 ,$472.85 ,"$1,348.49 ",$319.77 ,$334.64 ,$319.77 ,$467.66 ,$467.66 ,$389.72 ,$363.73 ,"$1,361.98 ",$203.53 ,$485.84 ,"$1,415.91 ",$193.84 ,$452.07 ,"$1,348.49 ",$467.66 ,"$1,348.49 ",$467.66 ,$467.66 ,$467.66 ,$504.03 ,$420.89 ,$467.66 ,$467.66 ,$467.66 ,$467.66 ST. JOSEPH'S - CHIPPEWA FALLS,45000083,26010,HC DRAIN ABSC FINGER SIMPLE,450,1 ,$262.20 ,$196.65 ,$74.70 ,$391.26 ,$168.86 ,$173.89 ,$183.54 ,$74.70 ,$217.63 ,$76.94 ,$173.05 ,$249.09 , N/A ,$209.76 ,$238.60 ,$74.70 ,$246.47 ,$249.09 ,$235.98 ,$222.87 ,$74.70 ,$74.70 ,$74.70 ,$191.41 ,$173.89 ,$233.36 ,$235.98 ,$235.98 ,$209.76 ,$179.11 ,$144.21 ,$235.98 ,$173.89 ,$235.98 ,$173.89 ,$249.09 ,$391.26 ,$241.22 ,$79.18 ,$238.60 ,$173.89 ,$161.36 ,$168.86 ,$161.36 ,$235.98 ,$235.98 ,$196.65 ,$183.54 ,$175.63 ,$78.44 ,$245.16 ,$182.58 ,$74.70 ,$228.11 ,$173.89 ,$235.98 ,$173.89 ,$235.98 ,$235.98 ,$235.98 ,$254.33 ,$212.38 ,$235.98 ,$235.98 ,$235.98 ,$235.98 ST. JOSEPH'S - CHIPPEWA FALLS,45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$131.39 ,$98.54 ,$72.26 ,$449.31 ,$84.62 ,$199.70 ,$91.97 ,$131.39 ,$109.05 ,$199.66 ,$86.72 ,$124.82 , N/A ,$105.11 ,$119.56 ,$131.39 ,$123.51 ,$124.82 ,$118.25 ,$111.68 ,$193.84 ,$193.84 ,$193.84 ,$95.91 ,$199.70 ,$116.94 ,$118.25 ,$118.25 ,$105.11 ,$205.69 ,$72.26 ,$118.25 ,$199.70 ,$118.25 ,$199.70 ,$124.82 ,$449.31 ,$120.88 ,$205.47 ,$119.56 ,$199.70 ,$80.86 ,$84.62 ,$80.86 ,$118.25 ,$118.25 ,$98.54 ,$91.97 ,$201.69 ,$203.53 ,$122.85 ,$209.69 ,$131.39 ,$114.31 ,$199.70 ,$118.25 ,$199.70 ,$118.25 ,$118.25 ,$118.25 ,$127.45 ,$106.43 ,$118.25 ,$118.25 ,$118.25 ,$118.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000088,26742,HC TX FX (M-P)(I-P) JT W/MAN,450,1 ,"$1,838.12 ","$1,378.59 ",$193.84 ,"$3,034.10 ","$1,183.75 ","$1,348.49 ","$1,286.68 ",$193.84 ,"$1,525.64 ",$199.66 ,"$1,213.16 ","$1,746.21 ", N/A ,"$1,470.50 ","$1,672.69 ",$193.84 ,"$1,727.83 ","$1,746.21 ","$1,654.31 ","$1,562.40 ",$193.84 ,$193.84 ,$193.84 ,"$1,341.83 ","$1,348.49 ","$1,635.93 ","$1,654.31 ","$1,654.31 ","$1,470.50 ","$1,388.95 ","$1,010.97 ","$1,654.31 ","$1,348.49 ","$1,654.31 ","$1,348.49 ","$1,746.21 ","$3,034.10 ","$1,691.07 ",$205.47 ,"$1,672.69 ","$1,348.49 ","$1,131.18 ","$1,183.75 ","$1,131.18 ","$1,654.31 ","$1,654.31 ","$1,378.59 ","$1,286.68 ","$1,361.98 ",$203.53 ,"$1,718.64 ","$1,415.91 ",$193.84 ,"$1,599.16 ","$1,348.49 ","$1,654.31 ","$1,348.49 ","$1,654.31 ","$1,654.31 ","$1,654.31 ","$1,782.98 ","$1,488.88 ","$1,654.31 ","$1,654.31 ","$1,654.31 ","$1,654.31 " ST. JOSEPH'S - CHIPPEWA FALLS,45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$146.68 ,$110.01 ,$80.67 ,$449.31 ,$94.46 ,$199.70 ,$102.68 ,$146.68 ,$121.74 ,$199.66 ,$96.81 ,$139.35 , N/A ,$117.34 ,$133.48 ,$146.68 ,$137.88 ,$139.35 ,$132.01 ,$124.68 ,$193.84 ,$193.84 ,$193.84 ,$107.08 ,$199.70 ,$130.55 ,$132.01 ,$132.01 ,$117.34 ,$205.69 ,$80.67 ,$132.01 ,$199.70 ,$132.01 ,$199.70 ,$139.35 ,$449.31 ,$134.95 ,$205.47 ,$133.48 ,$199.70 ,$90.27 ,$94.46 ,$90.27 ,$132.01 ,$132.01 ,$110.01 ,$102.68 ,$201.69 ,$203.53 ,$137.15 ,$209.69 ,$146.68 ,$127.61 ,$199.70 ,$132.01 ,$199.70 ,$132.01 ,$132.01 ,$132.01 ,$142.28 ,$118.81 ,$132.01 ,$132.01 ,$132.01 ,$132.01 ST. JOSEPH'S - CHIPPEWA FALLS,45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,$269.78 ,$202.34 ,$148.38 ,"$6,167.80 ",$173.74 ,"$2,741.24 ",$188.85 ,$269.78 ,$223.92 ,$403.89 ,$178.05 ,$256.29 , N/A ,$215.82 ,$245.50 ,$269.78 ,$253.59 ,$256.29 ,$242.80 ,$229.31 ,$392.13 ,$392.13 ,$392.13 ,$196.94 ,"$2,741.24 ",$240.10 ,$242.80 ,$242.80 ,$215.82 ,"$2,823.48 ",$148.38 ,$242.80 ,"$2,741.24 ",$242.80 ,"$2,741.24 ",$256.29 ,"$6,167.80 ",$248.20 ,$415.66 ,$245.50 ,"$2,741.24 ",$166.02 ,$173.74 ,$166.02 ,$242.80 ,$242.80 ,$202.34 ,$188.85 ,"$2,768.65 ",$411.74 ,$252.24 ,"$2,878.30 ",$269.78 ,$234.71 ,"$2,741.24 ",$242.80 ,"$2,741.24 ",$242.80 ,$242.80 ,$242.80 ,$261.69 ,$218.52 ,$242.80 ,$242.80 ,$242.80 ,$242.80 ST. JOSEPH'S - CHIPPEWA FALLS,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$656.72 ,$492.54 ,$193.84 ,$656.72 ,$422.93 ,$199.70 ,$459.70 ,$193.84 ,$545.08 ,$199.66 ,$433.44 ,$623.88 , N/A ,$525.38 ,$597.62 ,$193.84 ,$617.32 ,$623.88 ,$591.05 ,$558.21 ,$193.84 ,$193.84 ,$193.84 ,$479.41 ,$199.70 ,$584.48 ,$591.05 ,$591.05 ,$525.38 ,$205.69 ,$361.20 ,$591.05 ,$199.70 ,$591.05 ,$199.70 ,$623.88 ,$449.31 ,$604.18 ,$205.47 ,$597.62 ,$199.70 ,$404.15 ,$422.93 ,$404.15 ,$591.05 ,$591.05 ,$492.54 ,$459.70 ,$201.69 ,$203.53 ,$614.03 ,$209.69 ,$193.84 ,$571.35 ,$199.70 ,$591.05 ,$199.70 ,$591.05 ,$591.05 ,$591.05 ,$637.02 ,$531.94 ,$591.05 ,$591.05 ,$591.05 ,$591.05 ST. JOSEPH'S - CHIPPEWA FALLS,45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$422.48 ,$316.86 ,$193.84 ,$449.31 ,$272.08 ,$199.70 ,$295.74 ,$193.84 ,$350.66 ,$199.66 ,$278.84 ,$401.36 , N/A ,$337.98 ,$384.46 ,$193.84 ,$397.13 ,$401.36 ,$380.23 ,$359.11 ,$193.84 ,$193.84 ,$193.84 ,$308.41 ,$199.70 ,$376.01 ,$380.23 ,$380.23 ,$337.98 ,$205.69 ,$232.36 ,$380.23 ,$199.70 ,$380.23 ,$199.70 ,$401.36 ,$449.31 ,$388.68 ,$205.47 ,$384.46 ,$199.70 ,$259.99 ,$272.08 ,$259.99 ,$380.23 ,$380.23 ,$316.86 ,$295.74 ,$201.69 ,$203.53 ,$395.02 ,$209.69 ,$193.84 ,$367.56 ,$199.70 ,$380.23 ,$199.70 ,$380.23 ,$380.23 ,$380.23 ,$409.81 ,$342.21 ,$380.23 ,$380.23 ,$380.23 ,$380.23 ST. JOSEPH'S - CHIPPEWA FALLS,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,"$1,233.96 ",$925.47 ,$161.28 ,"$1,355.35 ",$794.67 ,$602.38 ,$863.77 ,$161.28 ,"$1,024.19 ",$166.12 ,$814.41 ,"$1,172.26 ", N/A ,$987.17 ,"$1,122.90 ",$161.28 ,"$1,159.92 ","$1,172.26 ","$1,110.56 ","$1,048.87 ",$161.28 ,$161.28 ,$161.28 ,$900.79 ,$602.38 ,"$1,098.22 ","$1,110.56 ","$1,110.56 ",$987.17 ,$620.45 ,$678.68 ,"$1,110.56 ",$602.38 ,"$1,110.56 ",$602.38 ,"$1,172.26 ","$1,355.35 ","$1,135.24 ",$170.96 ,"$1,122.90 ",$602.38 ,$759.38 ,$794.67 ,$759.38 ,"$1,110.56 ","$1,110.56 ",$925.47 ,$863.77 ,$608.40 ,$169.34 ,"$1,153.75 ",$632.50 ,$161.28 ,"$1,073.55 ",$602.38 ,"$1,110.56 ",$602.38 ,"$1,110.56 ","$1,110.56 ","$1,110.56 ","$1,196.94 ",$999.51 ,"$1,110.56 ","$1,110.56 ","$1,110.56 ","$1,110.56 " ST. JOSEPH'S - CHIPPEWA FALLS,45000098,29065,HC APPL CAST ARM LONG,450,1 ,$636.59 ,$477.44 ,$57.61 ,$636.59 ,$409.96 ,$233.57 ,$445.61 ,$57.61 ,$528.37 ,$59.34 ,$420.15 ,$604.76 , N/A ,$509.27 ,$579.30 ,$57.61 ,$598.39 ,$604.76 ,$572.93 ,$541.10 ,$57.61 ,$57.61 ,$57.61 ,$464.71 ,$233.57 ,$566.57 ,$572.93 ,$572.93 ,$509.27 ,$240.58 ,$350.12 ,$572.93 ,$233.57 ,$572.93 ,$233.57 ,$604.76 ,$525.54 ,$585.66 ,$61.07 ,$579.30 ,$233.57 ,$391.76 ,$409.96 ,$391.76 ,$572.93 ,$572.93 ,$477.44 ,$445.61 ,$235.91 ,$60.49 ,$595.21 ,$245.25 ,$57.61 ,$553.83 ,$233.57 ,$572.93 ,$233.57 ,$572.93 ,$572.93 ,$572.93 ,$617.49 ,$515.64 ,$572.93 ,$572.93 ,$572.93 ,$572.93 ST. JOSEPH'S - CHIPPEWA FALLS,45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$392.09 ,$294.07 ,$57.61 ,$525.54 ,$252.51 ,$233.57 ,$274.46 ,$57.61 ,$325.43 ,$59.34 ,$258.78 ,$372.49 , N/A ,$313.67 ,$356.80 ,$57.61 ,$368.56 ,$372.49 ,$352.88 ,$333.28 ,$57.61 ,$57.61 ,$57.61 ,$286.23 ,$233.57 ,$348.96 ,$352.88 ,$352.88 ,$313.67 ,$240.58 ,$215.65 ,$352.88 ,$233.57 ,$352.88 ,$233.57 ,$372.49 ,$525.54 ,$360.72 ,$61.07 ,$356.80 ,$233.57 ,$241.29 ,$252.51 ,$241.29 ,$352.88 ,$352.88 ,$294.07 ,$274.46 ,$235.91 ,$60.49 ,$366.60 ,$245.25 ,$57.61 ,$341.12 ,$233.57 ,$352.88 ,$233.57 ,$352.88 ,$352.88 ,$352.88 ,$380.33 ,$317.59 ,$352.88 ,$352.88 ,$352.88 ,$352.88 ST. JOSEPH'S - CHIPPEWA FALLS,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$344.26 ,$258.20 ,$21.22 ,$344.26 ,$221.70 ,$136.73 ,$240.98 ,$21.22 ,$285.74 ,$21.86 ,$227.21 ,$327.05 , N/A ,$275.41 ,$313.28 ,$21.22 ,$323.60 ,$327.05 ,$309.83 ,$292.62 ,$21.22 ,$21.22 ,$21.22 ,$251.31 ,$136.73 ,$306.39 ,$309.83 ,$309.83 ,$275.41 ,$140.83 ,$189.34 ,$309.83 ,$136.73 ,$309.83 ,$136.73 ,$327.05 ,$307.65 ,$316.72 ,$22.49 ,$313.28 ,$136.73 ,$211.86 ,$221.70 ,$211.86 ,$309.83 ,$309.83 ,$258.20 ,$240.98 ,$138.10 ,$22.28 ,$321.88 ,$143.57 ,$21.22 ,$299.51 ,$136.73 ,$309.83 ,$136.73 ,$309.83 ,$309.83 ,$309.83 ,$333.93 ,$278.85 ,$309.83 ,$309.83 ,$309.83 ,$309.83 ST. JOSEPH'S - CHIPPEWA FALLS,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$210.21 ,$157.66 ,$21.22 ,$243.95 ,$135.38 ,$108.42 ,$147.15 ,$21.22 ,$174.47 ,$21.86 ,$138.74 ,$199.70 , N/A ,$168.17 ,$191.29 ,$21.22 ,$197.60 ,$199.70 ,$189.19 ,$178.68 ,$21.22 ,$21.22 ,$21.22 ,$153.45 ,$108.42 ,$187.09 ,$189.19 ,$189.19 ,$168.17 ,$111.68 ,$115.62 ,$189.19 ,$108.42 ,$189.19 ,$108.42 ,$199.70 ,$243.95 ,$193.39 ,$22.49 ,$191.29 ,$108.42 ,$129.36 ,$135.38 ,$129.36 ,$189.19 ,$189.19 ,$157.66 ,$147.15 ,$109.51 ,$22.28 ,$196.55 ,$113.84 ,$21.22 ,$182.88 ,$108.42 ,$189.19 ,$108.42 ,$189.19 ,$189.19 ,$189.19 ,$203.90 ,$170.27 ,$189.19 ,$189.19 ,$189.19 ,$189.19 ST. JOSEPH'S - CHIPPEWA FALLS,45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$240.45 ,$180.34 ,$21.22 ,$243.95 ,$154.85 ,$108.42 ,$168.32 ,$21.22 ,$199.57 ,$21.86 ,$158.70 ,$228.43 , N/A ,$192.36 ,$218.81 ,$21.22 ,$226.02 ,$228.43 ,$216.41 ,$204.38 ,$21.22 ,$21.22 ,$21.22 ,$175.53 ,$108.42 ,$214.00 ,$216.41 ,$216.41 ,$192.36 ,$111.68 ,$132.25 ,$216.41 ,$108.42 ,$216.41 ,$108.42 ,$228.43 ,$243.95 ,$221.21 ,$22.49 ,$218.81 ,$108.42 ,$147.97 ,$154.85 ,$147.97 ,$216.41 ,$216.41 ,$180.34 ,$168.32 ,$109.51 ,$22.28 ,$224.82 ,$113.84 ,$21.22 ,$209.19 ,$108.42 ,$216.41 ,$108.42 ,$216.41 ,$216.41 ,$216.41 ,$233.24 ,$194.76 ,$216.41 ,$216.41 ,$216.41 ,$216.41 ST. JOSEPH'S - CHIPPEWA FALLS,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$133.61 ,$100.21 ,$21.22 ,$243.95 ,$86.04 ,$108.42 ,$93.53 ,$21.22 ,$110.90 ,$21.86 ,$88.18 ,$126.93 , N/A ,$106.89 ,$121.59 ,$21.22 ,$125.59 ,$126.93 ,$120.25 ,$113.57 ,$21.22 ,$21.22 ,$21.22 ,$97.54 ,$108.42 ,$118.91 ,$120.25 ,$120.25 ,$106.89 ,$111.68 ,$73.49 ,$120.25 ,$108.42 ,$120.25 ,$108.42 ,$126.93 ,$243.95 ,$122.92 ,$22.49 ,$121.59 ,$108.42 ,$82.22 ,$86.04 ,$82.22 ,$120.25 ,$120.25 ,$100.21 ,$93.53 ,$109.51 ,$22.28 ,$124.93 ,$113.84 ,$21.22 ,$116.24 ,$108.42 ,$120.25 ,$108.42 ,$120.25 ,$120.25 ,$120.25 ,$129.60 ,$108.22 ,$120.25 ,$120.25 ,$120.25 ,$120.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000104,29131,HC APPL FINGER SPLINT DYNAMIC,450,1 ,$143.66 ,$107.75 ,$21.22 ,$143.66 ,$92.52 ,$53.91 ,$100.56 ,$21.22 ,$119.24 ,$21.86 ,$94.82 ,$136.48 , N/A ,$114.93 ,$130.73 ,$21.22 ,$135.04 ,$136.48 ,$129.29 ,$122.11 ,$21.22 ,$21.22 ,$21.22 ,$104.87 ,$53.91 ,$127.86 ,$129.29 ,$129.29 ,$114.93 ,$55.52 ,$79.01 ,$129.29 ,$53.91 ,$129.29 ,$53.91 ,$136.48 ,$121.29 ,$132.17 ,$22.49 ,$130.73 ,$53.91 ,$88.41 ,$92.52 ,$88.41 ,$129.29 ,$129.29 ,$107.75 ,$100.56 ,$54.45 ,$22.28 ,$134.32 ,$56.61 ,$21.22 ,$124.98 ,$53.91 ,$129.29 ,$53.91 ,$129.29 ,$129.29 ,$129.29 ,$139.35 ,$116.36 ,$129.29 ,$129.29 ,$129.29 ,$129.29 ST. JOSEPH'S - CHIPPEWA FALLS,45000105,29240,HC STRAPPING SHLDR,450,1 ,$205.77 ,$154.33 ,$21.22 ,$243.95 ,$132.52 ,$108.42 ,$144.04 ,$21.22 ,$170.79 ,$21.86 ,$135.81 ,$195.48 , N/A ,$164.62 ,$187.25 ,$21.22 ,$193.42 ,$195.48 ,$185.19 ,$174.90 ,$21.22 ,$21.22 ,$21.22 ,$150.21 ,$108.42 ,$183.14 ,$185.19 ,$185.19 ,$164.62 ,$111.68 ,$113.17 ,$185.19 ,$108.42 ,$185.19 ,$108.42 ,$195.48 ,$243.95 ,$189.31 ,$22.49 ,$187.25 ,$108.42 ,$126.63 ,$132.52 ,$126.63 ,$185.19 ,$185.19 ,$154.33 ,$144.04 ,$109.51 ,$22.28 ,$192.40 ,$113.84 ,$21.22 ,$179.02 ,$108.42 ,$185.19 ,$108.42 ,$185.19 ,$185.19 ,$185.19 ,$199.60 ,$166.67 ,$185.19 ,$185.19 ,$185.19 ,$185.19 ST. JOSEPH'S - CHIPPEWA FALLS,45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$695.16 ,$521.37 ,$57.61 ,$695.16 ,$447.68 ,$233.57 ,$486.61 ,$57.61 ,$576.98 ,$59.34 ,$458.81 ,$660.40 , N/A ,$556.13 ,$632.60 ,$57.61 ,$653.45 ,$660.40 ,$625.64 ,$590.89 ,$57.61 ,$57.61 ,$57.61 ,$507.47 ,$233.57 ,$618.69 ,$625.64 ,$625.64 ,$556.13 ,$240.58 ,$382.34 ,$625.64 ,$233.57 ,$625.64 ,$233.57 ,$660.40 ,$525.54 ,$639.55 ,$61.07 ,$632.60 ,$233.57 ,$427.80 ,$447.68 ,$427.80 ,$625.64 ,$625.64 ,$521.37 ,$486.61 ,$235.91 ,$60.49 ,$649.97 ,$245.25 ,$57.61 ,$604.79 ,$233.57 ,$625.64 ,$233.57 ,$625.64 ,$625.64 ,$625.64 ,$674.31 ,$563.08 ,$625.64 ,$625.64 ,$625.64 ,$625.64 ST. JOSEPH'S - CHIPPEWA FALLS,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$747.18 ,$560.39 ,$21.22 ,$747.18 ,$481.18 ,$136.73 ,$523.03 ,$21.22 ,$620.16 ,$21.86 ,$493.14 ,$709.82 , N/A ,$597.74 ,$679.93 ,$21.22 ,$702.35 ,$709.82 ,$672.46 ,$635.10 ,$21.22 ,$21.22 ,$21.22 ,$545.44 ,$136.73 ,$664.99 ,$672.46 ,$672.46 ,$597.74 ,$140.83 ,$410.95 ,$672.46 ,$136.73 ,$672.46 ,$136.73 ,$709.82 ,$307.65 ,$687.41 ,$22.49 ,$679.93 ,$136.73 ,$459.81 ,$481.18 ,$459.81 ,$672.46 ,$672.46 ,$560.39 ,$523.03 ,$138.10 ,$22.28 ,$698.61 ,$143.57 ,$21.22 ,$650.05 ,$136.73 ,$672.46 ,$136.73 ,$672.46 ,$672.46 ,$672.46 ,$724.76 ,$605.22 ,$672.46 ,$672.46 ,$672.46 ,$672.46 ST. JOSEPH'S - CHIPPEWA FALLS,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$677.91 ,$508.43 ,$21.22 ,$677.91 ,$436.57 ,$136.73 ,$474.54 ,$21.22 ,$562.67 ,$21.86 ,$447.42 ,$644.01 , N/A ,$542.33 ,$616.90 ,$21.22 ,$637.24 ,$644.01 ,$610.12 ,$576.22 ,$21.22 ,$21.22 ,$21.22 ,$494.87 ,$136.73 ,$603.34 ,$610.12 ,$610.12 ,$542.33 ,$140.83 ,$372.85 ,$610.12 ,$136.73 ,$610.12 ,$136.73 ,$644.01 ,$307.65 ,$623.68 ,$22.49 ,$616.90 ,$136.73 ,$417.19 ,$436.57 ,$417.19 ,$610.12 ,$610.12 ,$508.43 ,$474.54 ,$138.10 ,$22.28 ,$633.85 ,$143.57 ,$21.22 ,$589.78 ,$136.73 ,$610.12 ,$136.73 ,$610.12 ,$610.12 ,$610.12 ,$657.57 ,$549.11 ,$610.12 ,$610.12 ,$610.12 ,$610.12 ST. JOSEPH'S - CHIPPEWA FALLS,45000110,30300,HC REM FB INTRANASAL,450,1 ,$238.52 ,$178.89 ,$35.67 ,$243.95 ,$153.61 ,$108.42 ,$166.96 ,$35.67 ,$197.97 ,$36.74 ,$157.42 ,$226.59 , N/A ,$190.82 ,$217.05 ,$35.67 ,$224.21 ,$226.59 ,$214.67 ,$202.74 ,$35.67 ,$35.67 ,$35.67 ,$174.12 ,$108.42 ,$212.28 ,$214.67 ,$214.67 ,$190.82 ,$111.68 ,$131.19 ,$214.67 ,$108.42 ,$214.67 ,$108.42 ,$226.59 ,$243.95 ,$219.44 ,$37.81 ,$217.05 ,$108.42 ,$146.79 ,$153.61 ,$146.79 ,$214.67 ,$214.67 ,$178.89 ,$166.96 ,$109.51 ,$37.45 ,$223.02 ,$113.84 ,$35.67 ,$207.51 ,$108.42 ,$214.67 ,$108.42 ,$214.67 ,$214.67 ,$214.67 ,$231.36 ,$193.20 ,$214.67 ,$214.67 ,$214.67 ,$214.67 ST. JOSEPH'S - CHIPPEWA FALLS,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$428.17 ,$321.13 ,$35.67 ,$428.17 ,$275.74 ,$108.42 ,$299.72 ,$35.67 ,$355.38 ,$36.74 ,$282.59 ,$406.76 , N/A ,$342.54 ,$389.63 ,$35.67 ,$402.48 ,$406.76 ,$385.35 ,$363.94 ,$35.67 ,$35.67 ,$35.67 ,$312.56 ,$108.42 ,$381.07 ,$385.35 ,$385.35 ,$342.54 ,$111.68 ,$235.49 ,$385.35 ,$108.42 ,$385.35 ,$108.42 ,$406.76 ,$243.95 ,$393.92 ,$37.81 ,$389.63 ,$108.42 ,$263.50 ,$275.74 ,$263.50 ,$385.35 ,$385.35 ,$321.13 ,$299.72 ,$109.51 ,$37.45 ,$400.34 ,$113.84 ,$35.67 ,$372.51 ,$108.42 ,$385.35 ,$108.42 ,$385.35 ,$385.35 ,$385.35 ,$415.32 ,$346.82 ,$385.35 ,$385.35 ,$385.35 ,$385.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$537.81 ,$403.36 ,$35.67 ,$537.81 ,$346.35 ,$108.42 ,$376.47 ,$35.67 ,$446.38 ,$36.74 ,$354.95 ,$510.92 , N/A ,$430.25 ,$489.41 ,$35.67 ,$505.54 ,$510.92 ,$484.03 ,$457.14 ,$35.67 ,$35.67 ,$35.67 ,$392.60 ,$108.42 ,$478.65 ,$484.03 ,$484.03 ,$430.25 ,$111.68 ,$295.80 ,$484.03 ,$108.42 ,$484.03 ,$108.42 ,$510.92 ,$243.95 ,$494.79 ,$37.81 ,$489.41 ,$108.42 ,$330.97 ,$346.35 ,$330.97 ,$484.03 ,$484.03 ,$403.36 ,$376.47 ,$109.51 ,$37.45 ,$502.85 ,$113.84 ,$35.67 ,$467.89 ,$108.42 ,$484.03 ,$108.42 ,$484.03 ,$484.03 ,$484.03 ,$521.68 ,$435.63 ,$484.03 ,$484.03 ,$484.03 ,$484.03 ST. JOSEPH'S - CHIPPEWA FALLS,45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$338.05 ,$253.54 ,$35.67 ,$338.05 ,$217.70 ,$108.42 ,$236.64 ,$35.67 ,$280.58 ,$36.74 ,$223.11 ,$321.15 , N/A ,$270.44 ,$307.63 ,$35.67 ,$317.77 ,$321.15 ,$304.25 ,$287.34 ,$35.67 ,$35.67 ,$35.67 ,$246.78 ,$108.42 ,$300.86 ,$304.25 ,$304.25 ,$270.44 ,$111.68 ,$185.93 ,$304.25 ,$108.42 ,$304.25 ,$108.42 ,$321.15 ,$243.95 ,$311.01 ,$37.81 ,$307.63 ,$108.42 ,$208.04 ,$217.70 ,$208.04 ,$304.25 ,$304.25 ,$253.54 ,$236.64 ,$109.51 ,$37.45 ,$316.08 ,$113.84 ,$35.67 ,$294.10 ,$108.42 ,$304.25 ,$108.42 ,$304.25 ,$304.25 ,$304.25 ,$327.91 ,$273.82 ,$304.25 ,$304.25 ,$304.25 ,$304.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$576.56 ,$432.42 ,$101.56 ,$588.84 ,$371.30 ,$261.71 ,$403.59 ,$101.56 ,$478.54 ,$104.61 ,$380.53 ,$547.73 , N/A ,$461.25 ,$524.67 ,$101.56 ,$541.97 ,$547.73 ,$518.90 ,$490.08 ,$101.56 ,$101.56 ,$101.56 ,$420.89 ,$261.71 ,$513.14 ,$518.90 ,$518.90 ,$461.25 ,$269.56 ,$317.11 ,$518.90 ,$261.71 ,$518.90 ,$261.71 ,$547.73 ,$588.84 ,$530.44 ,$107.65 ,$524.67 ,$261.71 ,$354.82 ,$371.30 ,$354.82 ,$518.90 ,$518.90 ,$432.42 ,$403.59 ,$264.33 ,$106.64 ,$539.08 ,$274.80 ,$101.56 ,$501.61 ,$261.71 ,$518.90 ,$261.71 ,$518.90 ,$518.90 ,$518.90 ,$559.26 ,$467.01 ,$518.90 ,$518.90 ,$518.90 ,$518.90 ST. JOSEPH'S - CHIPPEWA FALLS,45000133,40650,HC RPR LIP FULL THICK VERMILN,450,1 ,$280.39 ,$210.29 ,$154.21 ,$985.75 ,$180.57 ,$438.11 ,$196.27 ,$280.39 ,$232.72 ,$289.20 ,$185.06 ,$266.37 , N/A ,$224.31 ,$255.15 ,$280.39 ,$263.57 ,$266.37 ,$252.35 ,$238.33 ,$280.78 ,$280.78 ,$280.78 ,$204.68 ,$438.11 ,$249.55 ,$252.35 ,$252.35 ,$224.31 ,$451.25 ,$154.21 ,$252.35 ,$438.11 ,$252.35 ,$438.11 ,$266.37 ,$985.75 ,$257.96 ,$297.63 ,$255.15 ,$438.11 ,$172.55 ,$180.57 ,$172.55 ,$252.35 ,$252.35 ,$210.29 ,$196.27 ,$442.49 ,$294.82 ,$262.16 ,$460.02 ,$280.39 ,$243.94 ,$438.11 ,$252.35 ,$438.11 ,$252.35 ,$252.35 ,$252.35 ,$271.98 ,$227.12 ,$252.35 ,$252.35 ,$252.35 ,$252.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,$466.20 ,$349.65 ,$35.67 ,"$1,355.35 ",$300.23 ,$602.38 ,$326.34 ,$35.67 ,$386.95 ,$36.74 ,$307.69 ,$442.89 , N/A ,$372.96 ,$424.24 ,$35.67 ,$438.23 ,$442.89 ,$419.58 ,$396.27 ,$35.67 ,$35.67 ,$35.67 ,$340.33 ,$602.38 ,$414.92 ,$419.58 ,$419.58 ,$372.96 ,$620.45 ,$256.41 ,$419.58 ,$602.38 ,$419.58 ,$602.38 ,$442.89 ,"$1,355.35 ",$428.90 ,$37.81 ,$424.24 ,$602.38 ,$286.90 ,$300.23 ,$286.90 ,$419.58 ,$419.58 ,$349.65 ,$326.34 ,$608.40 ,$37.45 ,$435.90 ,$632.50 ,$35.67 ,$405.59 ,$602.38 ,$419.58 ,$602.38 ,$419.58 ,$419.58 ,$419.58 ,$452.21 ,$377.62 ,$419.58 ,$419.58 ,$419.58 ,$419.58 ST. JOSEPH'S - CHIPPEWA FALLS,45000138,41250,HC RPR LAC MOUTH/TONGUE <2.5CM,450,1 ,$437.57 ,$328.18 ,$35.67 ,$588.84 ,$281.80 ,$261.71 ,$306.30 ,$35.67 ,$363.18 ,$36.74 ,$288.80 ,$415.69 , N/A ,$350.06 ,$398.19 ,$35.67 ,$411.32 ,$415.69 ,$393.81 ,$371.93 ,$35.67 ,$35.67 ,$35.67 ,$319.43 ,$261.71 ,$389.44 ,$393.81 ,$393.81 ,$350.06 ,$269.56 ,$240.66 ,$393.81 ,$261.71 ,$393.81 ,$261.71 ,$415.69 ,$588.84 ,$402.56 ,$37.81 ,$398.19 ,$261.71 ,$269.28 ,$281.80 ,$269.28 ,$393.81 ,$393.81 ,$328.18 ,$306.30 ,$264.33 ,$37.45 ,$409.13 ,$274.80 ,$35.67 ,$380.69 ,$261.71 ,$393.81 ,$261.71 ,$393.81 ,$393.81 ,$393.81 ,$424.44 ,$354.43 ,$393.81 ,$393.81 ,$393.81 ,$393.81 ST. JOSEPH'S - CHIPPEWA FALLS,45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$154.04 ,$115.53 ,$35.67 ,$243.95 ,$99.20 ,$108.42 ,$107.83 ,$35.67 ,$127.85 ,$36.74 ,$101.67 ,$146.34 , N/A ,$123.23 ,$140.18 ,$35.67 ,$144.80 ,$146.34 ,$138.64 ,$130.93 ,$35.67 ,$35.67 ,$35.67 ,$112.45 ,$108.42 ,$137.10 ,$138.64 ,$138.64 ,$123.23 ,$111.68 ,$84.72 ,$138.64 ,$108.42 ,$138.64 ,$108.42 ,$146.34 ,$243.95 ,$141.72 ,$37.81 ,$140.18 ,$108.42 ,$94.80 ,$99.20 ,$94.80 ,$138.64 ,$138.64 ,$115.53 ,$107.83 ,$109.51 ,$37.45 ,$144.03 ,$113.84 ,$35.67 ,$134.01 ,$108.42 ,$138.64 ,$108.42 ,$138.64 ,$138.64 ,$138.64 ,$149.42 ,$124.77 ,$138.64 ,$138.64 ,$138.64 ,$138.64 ST. JOSEPH'S - CHIPPEWA FALLS,45000140,42700,HC I AND D ABSC PERITONSILLAR,450,1 ,$224.93 ,$168.70 ,$35.67 ,$461.10 ,$144.85 ,$204.93 ,$157.45 ,$35.67 ,$186.69 ,$36.74 ,$148.45 ,$213.68 , N/A ,$179.94 ,$204.69 ,$35.67 ,$211.43 ,$213.68 ,$202.44 ,$191.19 ,$35.67 ,$35.67 ,$35.67 ,$164.20 ,$204.93 ,$200.19 ,$202.44 ,$202.44 ,$179.94 ,$211.08 ,$123.71 ,$202.44 ,$204.93 ,$202.44 ,$204.93 ,$213.68 ,$461.10 ,$206.94 ,$37.81 ,$204.69 ,$204.93 ,$138.42 ,$144.85 ,$138.42 ,$202.44 ,$202.44 ,$168.70 ,$157.45 ,$206.98 ,$37.45 ,$210.31 ,$215.18 ,$35.67 ,$195.69 ,$204.93 ,$202.44 ,$204.93 ,$202.44 ,$202.44 ,$202.44 ,$218.18 ,$182.19 ,$202.44 ,$202.44 ,$202.44 ,$202.44 ST. JOSEPH'S - CHIPPEWA FALLS,45000141,42809,HC REMOVE PHARYNX FOREIGN BODY,450,1 ,$758.96 ,$569.22 ,$35.67 ,$758.96 ,$488.77 ,$261.71 ,$531.27 ,$35.67 ,$629.94 ,$36.74 ,$500.91 ,$721.01 , N/A ,$607.17 ,$690.65 ,$35.67 ,$713.42 ,$721.01 ,$683.06 ,$645.12 ,$35.67 ,$35.67 ,$35.67 ,$554.04 ,$261.71 ,$675.47 ,$683.06 ,$683.06 ,$607.17 ,$269.56 ,$417.43 ,$683.06 ,$261.71 ,$683.06 ,$261.71 ,$721.01 ,$588.84 ,$698.24 ,$37.81 ,$690.65 ,$261.71 ,$467.06 ,$488.77 ,$467.06 ,$683.06 ,$683.06 ,$569.22 ,$531.27 ,$264.33 ,$37.45 ,$709.63 ,$274.80 ,$35.67 ,$660.30 ,$261.71 ,$683.06 ,$261.71 ,$683.06 ,$683.06 ,$683.06 ,$736.19 ,$614.76 ,$683.06 ,$683.06 ,$683.06 ,$683.06 ST. JOSEPH'S - CHIPPEWA FALLS,45000143,43753,HC GASTRIC LAVAGE,450,1 ,$518.91 ,$389.18 ,$199.12 ,$576.27 ,$334.18 ,$256.12 ,$363.24 ,$199.12 ,$430.70 ,$205.09 ,$342.48 ,$492.96 , N/A ,$415.13 ,$472.21 ,$199.12 ,$487.78 ,$492.96 ,$467.02 ,$441.07 ,$199.12 ,$199.12 ,$199.12 ,$378.80 ,$256.12 ,$461.83 ,$467.02 ,$467.02 ,$415.13 ,$263.80 ,$285.40 ,$467.02 ,$256.12 ,$467.02 ,$256.12 ,$492.96 ,$576.27 ,$477.40 ,$211.07 ,$472.21 ,$256.12 ,$319.34 ,$334.18 ,$319.34 ,$467.02 ,$467.02 ,$389.18 ,$363.24 ,$258.68 ,$209.08 ,$485.18 ,$268.93 ,$199.12 ,$451.45 ,$256.12 ,$467.02 ,$256.12 ,$467.02 ,$467.02 ,$467.02 ,$503.34 ,$420.32 ,$467.02 ,$467.02 ,$467.02 ,$467.02 ST. JOSEPH'S - CHIPPEWA FALLS,45000146,46040,HC INCISION RECTAL ABSCESS,450,1 ,"$1,649.24 ","$1,236.93 ",$481.41 ,"$2,259.67 ","$1,062.11 ","$1,004.30 ","$1,154.47 ",$481.41 ,"$1,368.87 ",$495.85 ,"$1,088.50 ","$1,566.78 ", N/A ,"$1,319.39 ","$1,500.81 ",$481.41 ,"$1,550.29 ","$1,566.78 ","$1,484.32 ","$1,401.85 ",$481.41 ,$481.41 ,$481.41 ,"$1,203.95 ","$1,004.30 ","$1,467.82 ","$1,484.32 ","$1,484.32 ","$1,319.39 ","$1,034.42 ",$907.08 ,"$1,484.32 ","$1,004.30 ","$1,484.32 ","$1,004.30 ","$1,566.78 ","$2,259.67 ","$1,517.30 ",$510.29 ,"$1,500.81 ","$1,004.30 ","$1,014.94 ","$1,062.11 ","$1,014.94 ","$1,484.32 ","$1,484.32 ","$1,236.93 ","$1,154.47 ","$1,014.34 ",$505.48 ,"$1,542.04 ","$1,054.52 ",$481.41 ,"$1,434.84 ","$1,004.30 ","$1,484.32 ","$1,004.30 ","$1,484.32 ","$1,484.32 ","$1,484.32 ","$1,599.76 ","$1,335.88 ","$1,484.32 ","$1,484.32 ","$1,484.32 ","$1,484.32 " ST. JOSEPH'S - CHIPPEWA FALLS,45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,$332.62 ,$249.47 ,$182.94 ,"$1,729.46 ",$214.21 ,$768.65 ,$232.83 ,$332.62 ,$276.07 ,$495.85 ,$219.53 ,$315.99 , N/A ,$266.10 ,$302.68 ,$332.62 ,$312.66 ,$315.99 ,$299.36 ,$282.73 ,$481.41 ,$481.41 ,$481.41 ,$242.81 ,$768.65 ,$296.03 ,$299.36 ,$299.36 ,$266.10 ,$791.71 ,$182.94 ,$299.36 ,$768.65 ,$299.36 ,$768.65 ,$315.99 ,"$1,729.46 ",$306.01 ,$510.29 ,$302.68 ,$768.65 ,$204.69 ,$214.21 ,$204.69 ,$299.36 ,$299.36 ,$249.47 ,$232.83 ,$776.34 ,$505.48 ,$311.00 ,$807.08 ,$332.62 ,$289.38 ,$768.65 ,$299.36 ,$768.65 ,$299.36 ,$299.36 ,$299.36 ,$322.64 ,$269.42 ,$299.36 ,$299.36 ,$299.36 ,$299.36 ST. JOSEPH'S - CHIPPEWA FALLS,45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,$212.50 ,$159.38 ,$116.88 ,$579.95 ,$136.85 ,$257.76 ,$148.75 ,$212.50 ,$176.38 ,$495.85 ,$140.25 ,$201.88 , N/A ,$170.00 ,$193.38 ,$212.50 ,$199.75 ,$201.88 ,$191.25 ,$180.63 ,$481.41 ,$481.41 ,$481.41 ,$155.13 ,$257.76 ,$189.13 ,$191.25 ,$191.25 ,$170.00 ,$265.49 ,$116.88 ,$191.25 ,$257.76 ,$191.25 ,$257.76 ,$201.88 ,$579.95 ,$195.50 ,$510.29 ,$193.38 ,$257.76 ,$130.77 ,$136.85 ,$130.77 ,$191.25 ,$191.25 ,$159.38 ,$148.75 ,$260.33 ,$505.48 ,$198.69 ,$270.65 ,$212.50 ,$184.88 ,$257.76 ,$191.25 ,$257.76 ,$191.25 ,$191.25 ,$191.25 ,$206.13 ,$172.13 ,$191.25 ,$191.25 ,$191.25 ,$191.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000150,46600,HC ANOSCOPY,450,1 ,$183.39 ,$137.54 ,$53.35 ,$243.95 ,$118.10 ,$108.42 ,$128.37 ,$53.35 ,$152.21 ,$54.95 ,$121.04 ,$174.22 , N/A ,$146.71 ,$166.88 ,$53.35 ,$172.39 ,$174.22 ,$165.05 ,$155.88 ,$53.35 ,$53.35 ,$53.35 ,$133.87 ,$108.42 ,$163.22 ,$165.05 ,$165.05 ,$146.71 ,$111.68 ,$100.86 ,$165.05 ,$108.42 ,$165.05 ,$108.42 ,$174.22 ,$243.95 ,$168.72 ,$56.55 ,$166.88 ,$108.42 ,$112.86 ,$118.10 ,$112.86 ,$165.05 ,$165.05 ,$137.54 ,$128.37 ,$109.51 ,$56.02 ,$171.47 ,$113.84 ,$53.35 ,$159.55 ,$108.42 ,$165.05 ,$108.42 ,$165.05 ,$165.05 ,$165.05 ,$177.89 ,$148.55 ,$165.05 ,$165.05 ,$165.05 ,$165.05 ST. JOSEPH'S - CHIPPEWA FALLS,45000151,46608,HC ANOSCOPY W FB REMOVAL,450,1 ,$368.19 ,$276.14 ,$202.50 ,"$1,729.46 ",$237.11 ,$768.65 ,$257.73 ,$293.78 ,$305.60 ,$302.59 ,$243.01 ,$349.78 , N/A ,$294.55 ,$335.05 ,$293.78 ,$346.10 ,$349.78 ,$331.37 ,$312.96 ,$293.78 ,$293.78 ,$293.78 ,$268.78 ,$768.65 ,$327.69 ,$331.37 ,$331.37 ,$294.55 ,$791.71 ,$202.50 ,$331.37 ,$768.65 ,$331.37 ,$768.65 ,$349.78 ,"$1,729.46 ",$338.73 ,$311.41 ,$335.05 ,$768.65 ,$226.58 ,$237.11 ,$226.58 ,$331.37 ,$331.37 ,$276.14 ,$257.73 ,$776.34 ,$308.47 ,$344.26 ,$807.08 ,$293.78 ,$320.33 ,$768.65 ,$331.37 ,$768.65 ,$331.37 ,$331.37 ,$331.37 ,$357.14 ,$298.23 ,$331.37 ,$331.37 ,$331.37 ,$331.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$370.93 ,$278.20 ,$22.97 ,$579.95 ,$238.88 ,$257.76 ,$259.65 ,$22.97 ,$307.87 ,$23.66 ,$244.81 ,$352.38 , N/A ,$296.74 ,$337.55 ,$22.97 ,$348.67 ,$352.38 ,$333.84 ,$315.29 ,$22.97 ,$22.97 ,$22.97 ,$270.78 ,$257.76 ,$330.13 ,$333.84 ,$333.84 ,$296.74 ,$265.49 ,$204.01 ,$333.84 ,$257.76 ,$333.84 ,$257.76 ,$352.38 ,$579.95 ,$341.26 ,$24.35 ,$337.55 ,$257.76 ,$228.27 ,$238.88 ,$228.27 ,$333.84 ,$333.84 ,$278.20 ,$259.65 ,$260.33 ,$24.12 ,$346.82 ,$270.65 ,$22.97 ,$322.71 ,$257.76 ,$333.84 ,$257.76 ,$333.84 ,$333.84 ,$333.84 ,$359.80 ,$300.45 ,$333.84 ,$333.84 ,$333.84 ,$333.84 ST. JOSEPH'S - CHIPPEWA FALLS,45000157,51705,HC CHG TUBE CYSTOSTOMY SMP,450,1 ,$501.78 ,$376.34 ,$60.28 ,$579.95 ,$323.15 ,$257.76 ,$351.25 ,$60.28 ,$416.48 ,$62.09 ,$331.17 ,$476.69 , N/A ,$401.42 ,$456.62 ,$60.28 ,$471.67 ,$476.69 ,$451.60 ,$426.51 ,$60.28 ,$60.28 ,$60.28 ,$366.30 ,$257.76 ,$446.58 ,$451.60 ,$451.60 ,$401.42 ,$265.49 ,$275.98 ,$451.60 ,$257.76 ,$451.60 ,$257.76 ,$476.69 ,$579.95 ,$461.64 ,$63.90 ,$456.62 ,$257.76 ,$308.80 ,$323.15 ,$308.80 ,$451.60 ,$451.60 ,$376.34 ,$351.25 ,$260.33 ,$63.29 ,$469.16 ,$270.65 ,$60.28 ,$436.55 ,$257.76 ,$451.60 ,$257.76 ,$451.60 ,$451.60 ,$451.60 ,$486.73 ,$406.44 ,$451.60 ,$451.60 ,$451.60 ,$451.60 ST. JOSEPH'S - CHIPPEWA FALLS,45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$378.83 ,$284.12 ,$63.69 ,$613.38 ,$243.97 ,$272.61 ,$265.18 ,$63.69 ,$314.43 ,$65.60 ,$250.03 ,$359.89 , N/A ,$303.06 ,$344.74 ,$63.69 ,$356.10 ,$359.89 ,$340.95 ,$322.01 ,$63.69 ,$63.69 ,$63.69 ,$276.55 ,$272.61 ,$337.16 ,$340.95 ,$340.95 ,$303.06 ,$280.79 ,$208.36 ,$340.95 ,$272.61 ,$340.95 ,$272.61 ,$359.89 ,$613.38 ,$348.52 ,$67.51 ,$344.74 ,$272.61 ,$233.13 ,$243.97 ,$233.13 ,$340.95 ,$340.95 ,$284.12 ,$265.18 ,$275.34 ,$66.87 ,$354.21 ,$286.24 ,$63.69 ,$329.58 ,$272.61 ,$340.95 ,$272.61 ,$340.95 ,$340.95 ,$340.95 ,$367.47 ,$306.85 ,$340.95 ,$340.95 ,$340.95 ,$340.95 ST. JOSEPH'S - CHIPPEWA FALLS,45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$157.05 ,$117.79 ,$63.69 ,$371.15 ,$101.14 ,$164.95 ,$109.94 ,$63.69 ,$130.35 ,$65.60 ,$103.65 ,$149.20 , N/A ,$125.64 ,$142.92 ,$63.69 ,$147.63 ,$149.20 ,$141.35 ,$133.49 ,$63.69 ,$63.69 ,$63.69 ,$114.65 ,$164.95 ,$139.77 ,$141.35 ,$141.35 ,$125.64 ,$169.90 ,$86.38 ,$141.35 ,$164.95 ,$141.35 ,$164.95 ,$149.20 ,$371.15 ,$144.49 ,$67.51 ,$142.92 ,$164.95 ,$96.65 ,$101.14 ,$96.65 ,$141.35 ,$141.35 ,$117.79 ,$109.94 ,$166.60 ,$66.87 ,$146.84 ,$173.20 ,$63.69 ,$136.63 ,$164.95 ,$141.35 ,$164.95 ,$141.35 ,$141.35 ,$141.35 ,$152.34 ,$127.21 ,$141.35 ,$141.35 ,$141.35 ,$141.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000168,64400,HC DENTAL BLOCK,450,1 ,$568.87 ,$426.65 ,$121.61 ,$569.12 ,$366.35 ,$252.94 ,$398.21 ,$121.61 ,$472.16 ,$125.26 ,$375.45 ,$540.43 , N/A ,$455.10 ,$517.67 ,$121.61 ,$534.74 ,$540.43 ,$511.98 ,$483.54 ,$121.61 ,$121.61 ,$121.61 ,$415.28 ,$252.94 ,$506.29 ,$511.98 ,$511.98 ,$455.10 ,$260.53 ,$312.88 ,$511.98 ,$252.94 ,$511.98 ,$252.94 ,$540.43 ,$569.12 ,$523.36 ,$128.91 ,$517.67 ,$252.94 ,$350.08 ,$366.35 ,$350.08 ,$511.98 ,$511.98 ,$426.65 ,$398.21 ,$255.47 ,$127.69 ,$531.89 ,$265.59 ,$121.61 ,$494.92 ,$252.94 ,$511.98 ,$252.94 ,$511.98 ,$511.98 ,$511.98 ,$551.80 ,$460.78 ,$511.98 ,$511.98 ,$511.98 ,$511.98 ST. JOSEPH'S - CHIPPEWA FALLS,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,$929.26 ,$696.95 ,$121.61 ,$929.26 ,$598.44 ,$252.94 ,$650.48 ,$121.61 ,$771.29 ,$125.26 ,$613.31 ,$882.80 , N/A ,$743.41 ,$845.63 ,$121.61 ,$873.50 ,$882.80 ,$836.33 ,$789.87 ,$121.61 ,$121.61 ,$121.61 ,$678.36 ,$252.94 ,$827.04 ,$836.33 ,$836.33 ,$743.41 ,$260.53 ,$511.09 ,$836.33 ,$252.94 ,$836.33 ,$252.94 ,$882.80 ,$569.12 ,$854.92 ,$128.91 ,$845.63 ,$252.94 ,$571.87 ,$598.44 ,$571.87 ,$836.33 ,$836.33 ,$696.95 ,$650.48 ,$255.47 ,$127.69 ,$868.86 ,$265.59 ,$121.61 ,$808.46 ,$252.94 ,$836.33 ,$252.94 ,$836.33 ,$836.33 ,$836.33 ,$901.38 ,$752.70 ,$836.33 ,$836.33 ,$836.33 ,$836.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,$615.71 ,$461.78 ,$121.61 ,"$1,382.85 ",$396.52 ,$614.60 ,$431.00 ,$121.61 ,$511.04 ,$125.26 ,$406.37 ,$584.92 , N/A ,$492.57 ,$560.30 ,$121.61 ,$578.77 ,$584.92 ,$554.14 ,$523.35 ,$121.61 ,$121.61 ,$121.61 ,$449.47 ,$614.60 ,$547.98 ,$554.14 ,$554.14 ,$492.57 ,$633.04 ,$338.64 ,$554.14 ,$614.60 ,$554.14 ,$614.60 ,$584.92 ,"$1,382.85 ",$566.45 ,$128.91 ,$560.30 ,$614.60 ,$378.91 ,$396.52 ,$378.91 ,$554.14 ,$554.14 ,$461.78 ,$431.00 ,$620.75 ,$127.69 ,$575.69 ,$645.33 ,$121.61 ,$535.67 ,$614.60 ,$554.14 ,$614.60 ,$554.14 ,$554.14 ,$554.14 ,$597.24 ,$498.73 ,$554.14 ,$554.14 ,$554.14 ,$554.14 ST. JOSEPH'S - CHIPPEWA FALLS,45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$393.73 ,$295.30 ,$18.36 ,$393.73 ,$253.56 ,$108.42 ,$275.61 ,$18.36 ,$326.80 ,$18.91 ,$259.86 ,$374.04 , N/A ,$314.98 ,$358.29 ,$18.36 ,$370.11 ,$374.04 ,$354.36 ,$334.67 ,$18.36 ,$18.36 ,$18.36 ,$287.42 ,$108.42 ,$350.42 ,$354.36 ,$354.36 ,$314.98 ,$111.68 ,$216.55 ,$354.36 ,$108.42 ,$354.36 ,$108.42 ,$374.04 ,$243.95 ,$362.23 ,$19.46 ,$358.29 ,$108.42 ,$242.30 ,$253.56 ,$242.30 ,$354.36 ,$354.36 ,$295.30 ,$275.61 ,$109.51 ,$19.28 ,$368.14 ,$113.84 ,$18.36 ,$342.55 ,$108.42 ,$354.36 ,$108.42 ,$354.36 ,$354.36 ,$354.36 ,$381.92 ,$318.92 ,$354.36 ,$354.36 ,$354.36 ,$354.36 ST. JOSEPH'S - CHIPPEWA FALLS,45000172,65210,HC REM EYE FB CONJUCT EMBED,450,1 ,$151.88 ,$113.91 ,$18.36 ,$588.84 ,$97.81 ,$261.71 ,$106.32 ,$18.36 ,$126.06 ,$18.91 ,$100.24 ,$144.29 , N/A ,$121.50 ,$138.21 ,$18.36 ,$142.77 ,$144.29 ,$136.69 ,$129.10 ,$18.36 ,$18.36 ,$18.36 ,$110.87 ,$261.71 ,$135.17 ,$136.69 ,$136.69 ,$121.50 ,$269.56 ,$83.53 ,$136.69 ,$261.71 ,$136.69 ,$261.71 ,$144.29 ,$588.84 ,$139.73 ,$19.46 ,$138.21 ,$261.71 ,$93.47 ,$97.81 ,$93.47 ,$136.69 ,$136.69 ,$113.91 ,$106.32 ,$264.33 ,$19.28 ,$142.01 ,$274.80 ,$18.36 ,$132.14 ,$261.71 ,$136.69 ,$261.71 ,$136.69 ,$136.69 ,$136.69 ,$147.32 ,$123.02 ,$136.69 ,$136.69 ,$136.69 ,$136.69 ST. JOSEPH'S - CHIPPEWA FALLS,45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,$143.55 ,$107.66 ,$18.36 ,$588.84 ,$92.45 ,$261.71 ,$100.49 ,$18.36 ,$119.15 ,$18.91 ,$94.74 ,$136.37 , N/A ,$114.84 ,$130.63 ,$18.36 ,$134.94 ,$136.37 ,$129.20 ,$122.02 ,$18.36 ,$18.36 ,$18.36 ,$104.79 ,$261.71 ,$127.76 ,$129.20 ,$129.20 ,$114.84 ,$269.56 ,$78.95 ,$129.20 ,$261.71 ,$129.20 ,$261.71 ,$136.37 ,$588.84 ,$132.07 ,$19.46 ,$130.63 ,$261.71 ,$88.34 ,$92.45 ,$88.34 ,$129.20 ,$129.20 ,$107.66 ,$100.49 ,$264.33 ,$19.28 ,$134.22 ,$274.80 ,$18.36 ,$124.89 ,$261.71 ,$129.20 ,$261.71 ,$129.20 ,$129.20 ,$129.20 ,$139.24 ,$116.28 ,$129.20 ,$129.20 ,$129.20 ,$129.20 ST. JOSEPH'S - CHIPPEWA FALLS,45000174,65222,HC REM FB CORNL W/ SLIT LA,450,1 ,$143.95 ,$107.96 ,$18.36 ,$243.95 ,$92.70 ,$108.42 ,$100.77 ,$18.36 ,$119.48 ,$18.91 ,$95.01 ,$136.75 , N/A ,$115.16 ,$130.99 ,$18.36 ,$135.31 ,$136.75 ,$129.56 ,$122.36 ,$18.36 ,$18.36 ,$18.36 ,$105.08 ,$108.42 ,$128.12 ,$129.56 ,$129.56 ,$115.16 ,$111.68 ,$79.17 ,$129.56 ,$108.42 ,$129.56 ,$108.42 ,$136.75 ,$243.95 ,$132.43 ,$19.46 ,$130.99 ,$108.42 ,$88.59 ,$92.70 ,$88.59 ,$129.56 ,$129.56 ,$107.96 ,$100.77 ,$109.51 ,$19.28 ,$134.59 ,$113.84 ,$18.36 ,$125.24 ,$108.42 ,$129.56 ,$108.42 ,$129.56 ,$129.56 ,$129.56 ,$139.63 ,$116.60 ,$129.56 ,$129.56 ,$129.56 ,$129.56 ST. JOSEPH'S - CHIPPEWA FALLS,45000179,69000,HC DRAIN ABSC/HEMA EAR EXT SMP,450,1 ,$275.90 ,$206.93 ,$35.67 ,"$1,355.35 ",$177.68 ,$602.38 ,$193.13 ,$35.67 ,$229.00 ,$36.74 ,$182.09 ,$262.11 , N/A ,$220.72 ,$251.07 ,$35.67 ,$259.35 ,$262.11 ,$248.31 ,$234.52 ,$35.67 ,$35.67 ,$35.67 ,$201.41 ,$602.38 ,$245.55 ,$248.31 ,$248.31 ,$220.72 ,$620.45 ,$151.75 ,$248.31 ,$602.38 ,$248.31 ,$602.38 ,$262.11 ,"$1,355.35 ",$253.83 ,$37.81 ,$251.07 ,$602.38 ,$169.79 ,$177.68 ,$169.79 ,$248.31 ,$248.31 ,$206.93 ,$193.13 ,$608.40 ,$37.45 ,$257.97 ,$632.50 ,$35.67 ,$240.03 ,$602.38 ,$248.31 ,$602.38 ,$248.31 ,$248.31 ,$248.31 ,$267.62 ,$223.48 ,$248.31 ,$248.31 ,$248.31 ,$248.31 ST. JOSEPH'S - CHIPPEWA FALLS,45000181,69200,HC FB REMOVAL EAR,450,1 ,$97.96 ,$73.47 ,$35.67 ,$243.95 ,$63.09 ,$108.42 ,$68.57 ,$35.67 ,$81.31 ,$36.74 ,$64.65 ,$93.06 , N/A ,$78.37 ,$89.14 ,$35.67 ,$92.08 ,$93.06 ,$88.16 ,$83.27 ,$35.67 ,$35.67 ,$35.67 ,$71.51 ,$108.42 ,$87.18 ,$88.16 ,$88.16 ,$78.37 ,$111.68 ,$53.88 ,$88.16 ,$108.42 ,$88.16 ,$108.42 ,$93.06 ,$243.95 ,$90.12 ,$37.81 ,$89.14 ,$108.42 ,$60.28 ,$63.09 ,$60.28 ,$88.16 ,$88.16 ,$73.47 ,$68.57 ,$109.51 ,$37.45 ,$91.59 ,$113.84 ,$35.67 ,$85.23 ,$108.42 ,$88.16 ,$108.42 ,$88.16 ,$88.16 ,$88.16 ,$95.02 ,$79.35 ,$88.16 ,$88.16 ,$88.16 ,$88.16 ST. JOSEPH'S - CHIPPEWA FALLS,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$214.81 ,$161.11 ,$35.67 ,$214.81 ,$138.34 ,$53.91 ,$150.37 ,$35.67 ,$178.29 ,$36.74 ,$141.77 ,$204.07 , N/A ,$171.85 ,$195.48 ,$35.67 ,$201.92 ,$204.07 ,$193.33 ,$182.59 ,$35.67 ,$35.67 ,$35.67 ,$156.81 ,$53.91 ,$191.18 ,$193.33 ,$193.33 ,$171.85 ,$55.52 ,$118.15 ,$193.33 ,$53.91 ,$193.33 ,$53.91 ,$204.07 ,$121.29 ,$197.63 ,$37.81 ,$195.48 ,$53.91 ,$132.19 ,$138.34 ,$132.19 ,$193.33 ,$193.33 ,$161.11 ,$150.37 ,$54.45 ,$37.45 ,$200.85 ,$56.61 ,$35.67 ,$186.88 ,$53.91 ,$193.33 ,$53.91 ,$193.33 ,$193.33 ,$193.33 ,$208.37 ,$174.00 ,$193.33 ,$193.33 ,$193.33 ,$193.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000187,92977,HC THROMBOLYSIS CORONARY IV INFS,450,1 ,$541.80 ,$406.35 ,$145.88 ,$677.16 ,$348.92 ,$300.96 ,$379.26 ,$145.88 ,$449.69 ,$150.26 ,$357.59 ,$514.71 , N/A ,$433.44 ,$493.04 ,$145.88 ,$509.29 ,$514.71 ,$487.62 ,$460.53 ,$145.88 ,$145.88 ,$145.88 ,$395.51 ,$300.96 ,$482.20 ,$487.62 ,$487.62 ,$433.44 ,$309.99 ,$297.99 ,$487.62 ,$300.96 ,$487.62 ,$300.96 ,$514.71 ,$677.16 ,$498.46 ,$154.63 ,$493.04 ,$300.96 ,$333.42 ,$348.92 ,$333.42 ,$487.62 ,$487.62 ,$406.35 ,$379.26 ,$303.97 ,$153.17 ,$506.58 ,$316.01 ,$145.88 ,$471.37 ,$300.96 ,$487.62 ,$300.96 ,$487.62 ,$487.62 ,$487.62 ,$525.55 ,$438.86 ,$487.62 ,$487.62 ,$487.62 ,$487.62 ST. JOSEPH'S - CHIPPEWA FALLS,45000188,99281,HC ER LEVEL 1,450,1 ,$160.90 ,$120.68 ,$47.46 ,$160.90 ,$103.62 ,$70.31 ,$112.63 ,$47.46 ,$160.90 ,$48.88 ,$160.90 ,$152.86 , N/A ,$128.72 ,$146.42 ,$47.46 ,$151.25 ,$152.86 ,$144.81 ,$136.77 ,$47.46 ,$47.46 ,$47.46 ,$117.46 ,$70.31 ,$143.20 ,$144.81 ,$144.81 ,$128.72 ,$72.42 ,$88.50 ,$144.81 ,$70.31 ,$144.81 ,$70.31 ,$152.86 ,$158.20 ,$148.03 ,$50.31 ,$146.42 ,$70.31 ,$99.02 ,$103.62 ,$99.02 ,$144.81 ,$144.81 ,$120.68 ,$144.81 ,$71.02 ,$49.83 ,$150.44 ,$73.83 ,$47.46 ,$139.98 ,$70.31 ,$144.81 ,$70.31 ,$144.81 ,$144.81 ,$144.81 ,$156.07 ,$130.33 ,$144.81 ,$144.81 ,$144.81 ,$144.81 ST. JOSEPH'S - CHIPPEWA FALLS,45000189,99282,HC ER LEVEL 2,450,1 ,$234.70 ,$176.03 ,$47.46 ,$286.75 ,$151.15 ,$127.44 ,$164.29 ,$47.46 ,$234.70 ,$48.88 ,$234.70 ,$222.97 , N/A ,$187.76 ,$213.58 ,$47.46 ,$220.62 ,$222.97 ,$211.23 ,$199.50 ,$47.46 ,$47.46 ,$47.46 ,$171.33 ,$127.44 ,$208.88 ,$211.23 ,$211.23 ,$187.76 ,$131.27 ,$129.09 ,$211.23 ,$127.44 ,$211.23 ,$127.44 ,$222.97 ,$286.75 ,$215.92 ,$50.31 ,$213.58 ,$127.44 ,$144.43 ,$151.15 ,$144.43 ,$211.23 ,$211.23 ,$176.03 ,$211.23 ,$128.72 ,$49.83 ,$219.44 ,$133.81 ,$47.46 ,$204.19 ,$127.44 ,$211.23 ,$127.44 ,$211.23 ,$211.23 ,$211.23 ,$227.66 ,$190.11 ,$211.23 ,$211.23 ,$211.23 ,$211.23 ST. JOSEPH'S - CHIPPEWA FALLS,45000190,99283,HC ER LEVEL 3,450,1 ,$500.40 ,$375.30 ,$47.46 ,$504.69 ,$322.26 ,$224.30 ,$350.28 ,$47.46 ,$500.40 ,$48.88 ,$500.40 ,$475.38 , N/A ,$400.32 ,$455.36 ,$47.46 ,$470.38 ,$475.38 ,$450.36 ,$425.34 ,$47.46 ,$47.46 ,$47.46 ,$365.29 ,$224.30 ,$445.36 ,$450.36 ,$450.36 ,$400.32 ,$231.03 ,$275.22 ,$450.36 ,$224.30 ,$450.36 ,$224.30 ,$475.38 ,$504.69 ,$460.37 ,$50.31 ,$455.36 ,$224.30 ,$307.95 ,$322.26 ,$307.95 ,$450.36 ,$450.36 ,$375.30 ,$450.36 ,$226.55 ,$49.83 ,$467.87 ,$235.52 ,$47.46 ,$435.35 ,$224.30 ,$450.36 ,$224.30 ,$450.36 ,$450.36 ,$450.36 ,$485.39 ,$405.32 ,$450.36 ,$450.36 ,$450.36 ,$450.36 ST. JOSEPH'S - CHIPPEWA FALLS,45000191,99284,HC ER LEVEL 4,450,1 ,$993.00 ,$744.75 ,$47.46 ,$993.00 ,$639.49 ,$352.28 ,$695.10 ,$47.46 ,$993.00 ,$48.88 ,$993.00 ,$943.35 , N/A ,$794.40 ,$903.63 ,$47.46 ,$933.42 ,$943.35 ,$893.70 ,$844.05 ,$47.46 ,$47.46 ,$47.46 ,$724.89 ,$352.28 ,$883.77 ,$893.70 ,$893.70 ,$794.40 ,$362.85 ,$546.15 ,$893.70 ,$352.28 ,$893.70 ,$352.28 ,$943.35 ,$792.63 ,$913.56 ,$50.31 ,$903.63 ,$352.28 ,$611.09 ,$639.49 ,$611.09 ,$893.70 ,$893.70 ,$744.75 ,$893.70 ,$355.81 ,$49.83 ,$928.46 ,$369.89 ,$47.46 ,$863.91 ,$352.28 ,$893.70 ,$352.28 ,$893.70 ,$893.70 ,$893.70 ,$963.21 ,$804.33 ,$893.70 ,$893.70 ,$893.70 ,$893.70 ST. JOSEPH'S - CHIPPEWA FALLS,45000192,99285,HC ER LEVEL 5,450,1 ,"$1,455.30 ","$1,091.48 ",$47.46 ,"$1,455.30 ",$937.21 ,$505.67 ,"$1,018.71 ",$47.46 ,"$1,455.30 ",$48.88 ,"$1,455.30 ","$1,382.54 ", N/A ,"$1,164.24 ","$1,324.32 ",$47.46 ,"$1,367.98 ","$1,382.54 ","$1,309.77 ","$1,237.01 ",$47.46 ,$47.46 ,$47.46 ,"$1,062.37 ",$505.67 ,"$1,295.22 ","$1,309.77 ","$1,309.77 ","$1,164.24 ",$520.84 ,$800.42 ,"$1,309.77 ",$505.67 ,"$1,309.77 ",$505.67 ,"$1,382.54 ","$1,137.76 ","$1,338.88 ",$50.31 ,"$1,324.32 ",$505.67 ,$895.59 ,$937.21 ,$895.59 ,"$1,309.77 ","$1,309.77 ","$1,091.48 ","$1,309.77 ",$510.73 ,$49.83 ,"$1,360.71 ",$530.95 ,$47.46 ,"$1,266.11 ",$505.67 ,"$1,309.77 ",$505.67 ,"$1,309.77 ","$1,309.77 ","$1,309.77 ","$1,411.64 ","$1,178.79 ","$1,309.77 ","$1,309.77 ","$1,309.77 ","$1,309.77 " ST. JOSEPH'S - CHIPPEWA FALLS,45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$2,004.80 ","$1,503.60 ",$47.46 ,"$2,004.80 ","$1,291.09 ",$670.86 ,"$1,403.36 ",$47.46 ,"$2,004.80 ",$48.88 ,"$2,004.80 ","$1,904.56 ", N/A ,"$1,603.84 ","$1,824.37 ",$47.46 ,"$1,884.51 ","$1,904.56 ","$1,804.32 ","$1,704.08 ",$47.46 ,$47.46 ,$47.46 ,"$1,463.50 ",$670.86 ,"$1,784.27 ","$1,804.32 ","$1,804.32 ","$1,603.84 ",$690.99 ,"$1,102.64 ","$1,804.32 ",$670.86 ,"$1,804.32 ",$670.86 ,"$1,904.56 ","$1,509.44 ","$1,844.42 ",$50.31 ,"$1,824.37 ",$670.86 ,"$1,233.75 ","$1,291.09 ","$1,233.75 ","$1,804.32 ","$1,804.32 ","$1,503.60 ","$1,804.32 ",$677.57 ,$49.83 ,"$1,874.49 ",$704.40 ,$47.46 ,"$1,744.18 ",$670.86 ,"$1,804.32 ",$670.86 ,"$1,804.32 ","$1,804.32 ","$1,804.32 ","$1,944.66 ","$1,623.89 ","$1,804.32 ","$1,804.32 ","$1,804.32 ","$1,804.32 " ST. JOSEPH'S - CHIPPEWA FALLS,45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,$299.20 ,$224.40 ,$47.46 ,$299.20 ,$192.68 , N/A ,$209.44 ,$47.46 ,$248.34 ,$48.88 ,$197.47 ,$284.24 , N/A ,$239.36 ,$272.27 ,$47.46 ,$281.25 ,$284.24 ,$269.28 ,$254.32 ,$47.46 ,$47.46 ,$47.46 ,$218.42 , N/A ,$266.29 ,$269.28 ,$269.28 ,$239.36 , N/A ,$164.56 ,$269.28 , N/A ,$269.28 , N/A ,$284.24 , N/A ,$275.26 ,$50.31 ,$272.27 , N/A ,$184.13 ,$192.68 ,$184.13 ,$269.28 ,$269.28 ,$224.40 ,$209.44 , N/A ,$49.83 ,$279.75 , N/A ,$47.46 ,$260.30 , N/A ,$269.28 , N/A ,$269.28 ,$269.28 ,$269.28 ,$290.22 ,$242.35 ,$269.28 ,$269.28 ,$269.28 ,$269.28 ST. JOSEPH'S - CHIPPEWA FALLS,45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$119.37 ,$89.53 ,$65.65 ,$449.31 ,$76.87 ,$199.70 ,$83.56 ,$119.37 ,$99.08 ,$199.66 ,$78.78 ,$113.40 , N/A ,$95.50 ,$108.63 ,$119.37 ,$112.21 ,$113.40 ,$107.43 ,$101.46 ,$193.84 ,$193.84 ,$193.84 ,$87.14 ,$199.70 ,$106.24 ,$107.43 ,$107.43 ,$95.50 ,$205.69 ,$65.65 ,$107.43 ,$199.70 ,$107.43 ,$199.70 ,$113.40 ,$449.31 ,$109.82 ,$205.47 ,$108.63 ,$199.70 ,$73.46 ,$76.87 ,$73.46 ,$107.43 ,$107.43 ,$89.53 ,$83.56 ,$201.69 ,$203.53 ,$111.61 ,$209.69 ,$119.37 ,$103.85 ,$199.70 ,$107.43 ,$199.70 ,$107.43 ,$107.43 ,$107.43 ,$115.79 ,$96.69 ,$107.43 ,$107.43 ,$107.43 ,$107.43 ST. JOSEPH'S - CHIPPEWA FALLS,45000198,21480,HC TX DISL JAW CLS-UNI,450,1 ,$164.38 ,$123.29 ,$35.67 ,$449.31 ,$105.86 ,$199.70 ,$115.07 ,$35.67 ,$136.44 ,$36.74 ,$108.49 ,$156.16 , N/A ,$131.50 ,$149.59 ,$35.67 ,$154.52 ,$156.16 ,$147.94 ,$139.72 ,$35.67 ,$35.67 ,$35.67 ,$120.00 ,$199.70 ,$146.30 ,$147.94 ,$147.94 ,$131.50 ,$205.69 ,$90.41 ,$147.94 ,$199.70 ,$147.94 ,$199.70 ,$156.16 ,$449.31 ,$151.23 ,$37.81 ,$149.59 ,$199.70 ,$101.16 ,$105.86 ,$101.16 ,$147.94 ,$147.94 ,$123.29 ,$115.07 ,$201.69 ,$37.45 ,$153.70 ,$209.69 ,$35.67 ,$143.01 ,$199.70 ,$147.94 ,$199.70 ,$147.94 ,$147.94 ,$147.94 ,$159.45 ,$133.15 ,$147.94 ,$147.94 ,$147.94 ,$147.94 ST. JOSEPH'S - CHIPPEWA FALLS,45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,$385.48 ,$289.11 ,$212.01 ,"$3,066.03 ",$248.25 ,"$1,362.68 ",$269.84 ,$385.48 ,$319.95 ,$511.63 ,$254.42 ,$366.21 , N/A ,$308.38 ,$350.79 ,$385.48 ,$362.35 ,$366.21 ,$346.93 ,$327.66 ,$496.73 ,$496.73 ,$496.73 ,$281.40 ,"$1,362.68 ",$343.08 ,$346.93 ,$346.93 ,$308.38 ,"$1,403.56 ",$212.01 ,$346.93 ,"$1,362.68 ",$346.93 ,"$1,362.68 ",$366.21 ,"$3,066.03 ",$354.64 ,$526.53 ,$350.79 ,"$1,362.68 ",$237.22 ,$248.25 ,$237.22 ,$346.93 ,$346.93 ,$289.11 ,$269.84 ,"$1,376.31 ",$521.57 ,$360.42 ,"$1,430.81 ",$385.48 ,$335.37 ,"$1,362.68 ",$346.93 ,"$1,362.68 ",$346.93 ,$346.93 ,$346.93 ,$373.92 ,$312.24 ,$346.93 ,$346.93 ,$346.93 ,$346.93 ST. JOSEPH'S - CHIPPEWA FALLS,45000208,45005,HC I AND D RECTAL ABSCESS,450,1 ,$328.60 ,$246.45 ,$180.73 ,"$2,259.67 ",$211.62 ,"$1,004.30 ",$230.02 ,$328.60 ,$272.74 ,$495.85 ,$216.88 ,$312.17 , N/A ,$262.88 ,$299.03 ,$328.60 ,$308.88 ,$312.17 ,$295.74 ,$279.31 ,$481.41 ,$481.41 ,$481.41 ,$239.88 ,"$1,004.30 ",$292.45 ,$295.74 ,$295.74 ,$262.88 ,"$1,034.42 ",$180.73 ,$295.74 ,"$1,004.30 ",$295.74 ,"$1,004.30 ",$312.17 ,"$2,259.67 ",$302.31 ,$510.29 ,$299.03 ,"$1,004.30 ",$202.22 ,$211.62 ,$202.22 ,$295.74 ,$295.74 ,$246.45 ,$230.02 ,"$1,014.34 ",$505.48 ,$307.24 ,"$1,054.52 ",$328.60 ,$285.88 ,"$1,004.30 ",$295.74 ,"$1,004.30 ",$295.74 ,$295.74 ,$295.74 ,$318.74 ,$266.17 ,$295.74 ,$295.74 ,$295.74 ,$295.74 ST. JOSEPH'S - CHIPPEWA FALLS,45000211,26641,HC CLSD DISCL THUMB W/MANIP,450,1 ,$284.73 ,$213.55 ,$156.60 ,$449.31 ,$183.37 ,$199.70 ,$199.31 ,$193.84 ,$236.33 ,$199.66 ,$187.92 ,$270.49 , N/A ,$227.78 ,$259.10 ,$193.84 ,$267.65 ,$270.49 ,$256.26 ,$242.02 ,$193.84 ,$193.84 ,$193.84 ,$207.85 ,$199.70 ,$253.41 ,$256.26 ,$256.26 ,$227.78 ,$205.69 ,$156.60 ,$256.26 ,$199.70 ,$256.26 ,$199.70 ,$270.49 ,$449.31 ,$261.95 ,$205.47 ,$259.10 ,$199.70 ,$175.22 ,$183.37 ,$175.22 ,$256.26 ,$256.26 ,$213.55 ,$199.31 ,$201.69 ,$203.53 ,$266.22 ,$209.69 ,$193.84 ,$247.72 ,$199.70 ,$256.26 ,$199.70 ,$256.26 ,$256.26 ,$256.26 ,$276.19 ,$230.63 ,$256.26 ,$256.26 ,$256.26 ,$256.26 ST. JOSEPH'S - CHIPPEWA FALLS,45000213,26720,HC FINGER FX W/O MANIP,450,1 ,$856.18 ,$642.14 ,$193.84 ,$856.18 ,$551.38 ,$199.70 ,$599.33 ,$193.84 ,$710.63 ,$199.66 ,$565.08 ,$813.37 , N/A ,$684.94 ,$779.12 ,$193.84 ,$804.81 ,$813.37 ,$770.56 ,$727.75 ,$193.84 ,$193.84 ,$193.84 ,$625.01 ,$199.70 ,$762.00 ,$770.56 ,$770.56 ,$684.94 ,$205.69 ,$470.90 ,$770.56 ,$199.70 ,$770.56 ,$199.70 ,$813.37 ,$449.31 ,$787.69 ,$205.47 ,$779.12 ,$199.70 ,$526.89 ,$551.38 ,$526.89 ,$770.56 ,$770.56 ,$642.14 ,$599.33 ,$201.69 ,$203.53 ,$800.53 ,$209.69 ,$193.84 ,$744.88 ,$199.70 ,$770.56 ,$199.70 ,$770.56 ,$770.56 ,$770.56 ,$830.49 ,$693.51 ,$770.56 ,$770.56 ,$770.56 ,$770.56 ST. JOSEPH'S - CHIPPEWA FALLS,45000215,27786,HC DIST FIB FX W/O MANIP,450,1 ,$748.99 ,$561.74 ,$193.84 ,$748.99 ,$482.35 ,$199.70 ,$524.29 ,$193.84 ,$621.66 ,$199.66 ,$494.33 ,$711.54 , N/A ,$599.19 ,$681.58 ,$193.84 ,$704.05 ,$711.54 ,$674.09 ,$636.64 ,$193.84 ,$193.84 ,$193.84 ,$546.76 ,$199.70 ,$666.60 ,$674.09 ,$674.09 ,$599.19 ,$205.69 ,$411.94 ,$674.09 ,$199.70 ,$674.09 ,$199.70 ,$711.54 ,$449.31 ,$689.07 ,$205.47 ,$681.58 ,$199.70 ,$460.93 ,$482.35 ,$460.93 ,$674.09 ,$674.09 ,$561.74 ,$524.29 ,$201.69 ,$203.53 ,$700.31 ,$209.69 ,$193.84 ,$651.62 ,$199.70 ,$674.09 ,$199.70 ,$674.09 ,$674.09 ,$674.09 ,$726.52 ,$606.68 ,$674.09 ,$674.09 ,$674.09 ,$674.09 ST. JOSEPH'S - CHIPPEWA FALLS,45000218,23500,HC CLOSED TREATMENT CLAVICLE FX,450,1 ,"$1,024.47 ",$768.35 ,$193.84 ,"$1,024.47 ",$659.76 ,$199.70 ,$717.13 ,$193.84 ,$850.31 ,$199.66 ,$676.15 ,$973.25 , N/A ,$819.58 ,$932.27 ,$193.84 ,$963.00 ,$973.25 ,$922.02 ,$870.80 ,$193.84 ,$193.84 ,$193.84 ,$747.86 ,$199.70 ,$911.78 ,$922.02 ,$922.02 ,$819.58 ,$205.69 ,$563.46 ,$922.02 ,$199.70 ,$922.02 ,$199.70 ,$973.25 ,$449.31 ,$942.51 ,$205.47 ,$932.27 ,$199.70 ,$630.46 ,$659.76 ,$630.46 ,$922.02 ,$922.02 ,$768.35 ,$717.13 ,$201.69 ,$203.53 ,$957.88 ,$209.69 ,$193.84 ,$891.29 ,$199.70 ,$922.02 ,$199.70 ,$922.02 ,$922.02 ,$922.02 ,$993.74 ,$829.82 ,$922.02 ,$922.02 ,$922.02 ,$922.02 ST. JOSEPH'S - CHIPPEWA FALLS,45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,$367.38 ,$275.54 ,$193.84 ,"$3,034.10 ",$236.59 ,"$1,348.49 ",$257.17 ,$193.84 ,$304.93 ,$199.66 ,$242.47 ,$349.01 , N/A ,$293.90 ,$334.32 ,$193.84 ,$345.34 ,$349.01 ,$330.64 ,$312.27 ,$193.84 ,$193.84 ,$193.84 ,$268.19 ,"$1,348.49 ",$326.97 ,$330.64 ,$330.64 ,$293.90 ,"$1,388.95 ",$202.06 ,$330.64 ,"$1,348.49 ",$330.64 ,"$1,348.49 ",$349.01 ,"$3,034.10 ",$337.99 ,$205.47 ,$334.32 ,"$1,348.49 ",$226.09 ,$236.59 ,$226.09 ,$330.64 ,$330.64 ,$275.54 ,$257.17 ,"$1,361.98 ",$203.53 ,$343.50 ,"$1,415.91 ",$193.84 ,$319.62 ,"$1,348.49 ",$330.64 ,"$1,348.49 ",$330.64 ,$330.64 ,$330.64 ,$356.36 ,$297.58 ,$330.64 ,$330.64 ,$330.64 ,$330.64 ST. JOSEPH'S - CHIPPEWA FALLS,45000220,29280,HC STRAPPING HAND/FINGER,450,1 ,$189.42 ,$142.07 ,$21.22 ,$189.42 ,$121.99 ,$53.91 ,$132.59 ,$21.22 ,$157.22 ,$21.86 ,$125.02 ,$179.95 , N/A ,$151.54 ,$172.37 ,$21.22 ,$178.05 ,$179.95 ,$170.48 ,$161.01 ,$21.22 ,$21.22 ,$21.22 ,$138.28 ,$53.91 ,$168.58 ,$170.48 ,$170.48 ,$151.54 ,$55.52 ,$104.18 ,$170.48 ,$53.91 ,$170.48 ,$53.91 ,$179.95 ,$121.29 ,$174.27 ,$22.49 ,$172.37 ,$53.91 ,$116.57 ,$121.99 ,$116.57 ,$170.48 ,$170.48 ,$142.07 ,$132.59 ,$54.45 ,$22.28 ,$177.11 ,$56.61 ,$21.22 ,$164.80 ,$53.91 ,$170.48 ,$53.91 ,$170.48 ,$170.48 ,$170.48 ,$183.74 ,$153.43 ,$170.48 ,$170.48 ,$170.48 ,$170.48 ST. JOSEPH'S - CHIPPEWA FALLS,45000224,25630,HC CLSD CARPAL BONE FX,450,1 ,$239.36 ,$179.52 ,$131.65 ,$449.31 ,$154.15 ,$199.70 ,$167.55 ,$193.84 ,$198.67 ,$199.66 ,$157.98 ,$227.39 , N/A ,$191.49 ,$217.82 ,$193.84 ,$225.00 ,$227.39 ,$215.42 ,$203.46 ,$193.84 ,$193.84 ,$193.84 ,$174.73 ,$199.70 ,$213.03 ,$215.42 ,$215.42 ,$191.49 ,$205.69 ,$131.65 ,$215.42 ,$199.70 ,$215.42 ,$199.70 ,$227.39 ,$449.31 ,$220.21 ,$205.47 ,$217.82 ,$199.70 ,$147.30 ,$154.15 ,$147.30 ,$215.42 ,$215.42 ,$179.52 ,$167.55 ,$201.69 ,$203.53 ,$223.80 ,$209.69 ,$193.84 ,$208.24 ,$199.70 ,$215.42 ,$199.70 ,$215.42 ,$215.42 ,$215.42 ,$232.18 ,$193.88 ,$215.42 ,$215.42 ,$215.42 ,$215.42 ST. JOSEPH'S - CHIPPEWA FALLS,45000225,23540,HC CLOSED ACROM.W/O MANIP,450,1 ,"$1,170.85 ",$878.14 ,$193.84 ,"$1,170.85 ",$754.03 ,$199.70 ,$819.60 ,$193.84 ,$971.81 ,$199.66 ,$772.76 ,"$1,112.31 ", N/A ,$936.68 ,"$1,065.47 ",$193.84 ,"$1,100.60 ","$1,112.31 ","$1,053.77 ",$995.22 ,$193.84 ,$193.84 ,$193.84 ,$854.72 ,$199.70 ,"$1,042.06 ","$1,053.77 ","$1,053.77 ",$936.68 ,$205.69 ,$643.97 ,"$1,053.77 ",$199.70 ,"$1,053.77 ",$199.70 ,"$1,112.31 ",$449.31 ,"$1,077.18 ",$205.47 ,"$1,065.47 ",$199.70 ,$720.54 ,$754.03 ,$720.54 ,"$1,053.77 ","$1,053.77 ",$878.14 ,$819.60 ,$201.69 ,$203.53 ,"$1,094.74 ",$209.69 ,$193.84 ,"$1,018.64 ",$199.70 ,"$1,053.77 ",$199.70 ,"$1,053.77 ","$1,053.77 ","$1,053.77 ","$1,135.72 ",$948.39 ,"$1,053.77 ","$1,053.77 ","$1,053.77 ","$1,053.77 " ST. JOSEPH'S - CHIPPEWA FALLS,45000228,26750,HC CLSD DIST PHALANGEAL W/O MANIP,450,1 ,$856.18 ,$642.14 ,$193.84 ,$856.18 ,$551.38 ,$199.70 ,$599.33 ,$193.84 ,$710.63 ,$199.66 ,$565.08 ,$813.37 , N/A ,$684.94 ,$779.12 ,$193.84 ,$804.81 ,$813.37 ,$770.56 ,$727.75 ,$193.84 ,$193.84 ,$193.84 ,$625.01 ,$199.70 ,$762.00 ,$770.56 ,$770.56 ,$684.94 ,$205.69 ,$470.90 ,$770.56 ,$199.70 ,$770.56 ,$199.70 ,$813.37 ,$449.31 ,$787.69 ,$205.47 ,$779.12 ,$199.70 ,$526.89 ,$551.38 ,$526.89 ,$770.56 ,$770.56 ,$642.14 ,$599.33 ,$201.69 ,$203.53 ,$800.53 ,$209.69 ,$193.84 ,$744.88 ,$199.70 ,$770.56 ,$199.70 ,$770.56 ,$770.56 ,$770.56 ,$830.49 ,$693.51 ,$770.56 ,$770.56 ,$770.56 ,$770.56 ST. JOSEPH'S - CHIPPEWA FALLS,45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$308.64 ,$231.48 ,$169.75 ,$449.31 ,$198.76 ,$199.70 ,$216.05 ,$193.84 ,$256.17 ,$199.66 ,$203.70 ,$293.21 , N/A ,$246.91 ,$280.86 ,$193.84 ,$290.12 ,$293.21 ,$277.78 ,$262.34 ,$193.84 ,$193.84 ,$193.84 ,$225.31 ,$199.70 ,$274.69 ,$277.78 ,$277.78 ,$246.91 ,$205.69 ,$169.75 ,$277.78 ,$199.70 ,$277.78 ,$199.70 ,$293.21 ,$449.31 ,$283.95 ,$205.47 ,$280.86 ,$199.70 ,$189.94 ,$198.76 ,$189.94 ,$277.78 ,$277.78 ,$231.48 ,$216.05 ,$201.69 ,$203.53 ,$288.58 ,$209.69 ,$193.84 ,$268.52 ,$199.70 ,$277.78 ,$199.70 ,$277.78 ,$277.78 ,$277.78 ,$299.38 ,$250.00 ,$277.78 ,$277.78 ,$277.78 ,$277.78 ST. JOSEPH'S - CHIPPEWA FALLS,45000231,25505,HC RADIUS FX W MANIP,450,1 ,$472.59 ,$354.44 ,$193.84 ,"$3,034.10 ",$304.35 ,"$1,348.49 ",$330.81 ,$193.84 ,$392.25 ,$199.66 ,$311.91 ,$448.96 , N/A ,$378.07 ,$430.06 ,$193.84 ,$444.23 ,$448.96 ,$425.33 ,$401.70 ,$193.84 ,$193.84 ,$193.84 ,$344.99 ,"$1,348.49 ",$420.61 ,$425.33 ,$425.33 ,$378.07 ,"$1,388.95 ",$259.92 ,$425.33 ,"$1,348.49 ",$425.33 ,"$1,348.49 ",$448.96 ,"$3,034.10 ",$434.78 ,$205.47 ,$430.06 ,"$1,348.49 ",$290.83 ,$304.35 ,$290.83 ,$425.33 ,$425.33 ,$354.44 ,$330.81 ,"$1,361.98 ",$203.53 ,$441.87 ,"$1,415.91 ",$193.84 ,$411.15 ,"$1,348.49 ",$425.33 ,"$1,348.49 ",$425.33 ,$425.33 ,$425.33 ,$458.41 ,$382.80 ,$425.33 ,$425.33 ,$425.33 ,$425.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000232,26600,HC CLSD METACARPAL W/O MANIP,450,1 ,$239.36 ,$179.52 ,$131.65 ,$449.31 ,$154.15 ,$199.70 ,$167.55 ,$193.84 ,$198.67 ,$199.66 ,$157.98 ,$227.39 , N/A ,$191.49 ,$217.82 ,$193.84 ,$225.00 ,$227.39 ,$215.42 ,$203.46 ,$193.84 ,$193.84 ,$193.84 ,$174.73 ,$199.70 ,$213.03 ,$215.42 ,$215.42 ,$191.49 ,$205.69 ,$131.65 ,$215.42 ,$199.70 ,$215.42 ,$199.70 ,$227.39 ,$449.31 ,$220.21 ,$205.47 ,$217.82 ,$199.70 ,$147.30 ,$154.15 ,$147.30 ,$215.42 ,$215.42 ,$179.52 ,$167.55 ,$201.69 ,$203.53 ,$223.80 ,$209.69 ,$193.84 ,$208.24 ,$199.70 ,$215.42 ,$199.70 ,$215.42 ,$215.42 ,$215.42 ,$232.18 ,$193.88 ,$215.42 ,$215.42 ,$215.42 ,$215.42 ST. JOSEPH'S - CHIPPEWA FALLS,45000235,28470,HC CLSD METATARSAL W/O MANIP,450,1 ,$152.00 ,$114.00 ,$83.60 ,$449.31 ,$97.89 ,$199.70 ,$106.40 ,$152.00 ,$126.16 ,$199.66 ,$100.32 ,$144.40 , N/A ,$121.60 ,$138.32 ,$152.00 ,$142.88 ,$144.40 ,$136.80 ,$129.20 ,$193.84 ,$193.84 ,$193.84 ,$110.96 ,$199.70 ,$135.28 ,$136.80 ,$136.80 ,$121.60 ,$205.69 ,$83.60 ,$136.80 ,$199.70 ,$136.80 ,$199.70 ,$144.40 ,$449.31 ,$139.84 ,$205.47 ,$138.32 ,$199.70 ,$93.54 ,$97.89 ,$93.54 ,$136.80 ,$136.80 ,$114.00 ,$106.40 ,$201.69 ,$203.53 ,$142.12 ,$209.69 ,$152.00 ,$132.24 ,$199.70 ,$136.80 ,$199.70 ,$136.80 ,$136.80 ,$136.80 ,$147.44 ,$123.12 ,$136.80 ,$136.80 ,$136.80 ,$136.80 ST. JOSEPH'S - CHIPPEWA FALLS,45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,$390.15 ,$292.61 ,$193.84 ,$449.31 ,$251.26 ,$199.70 ,$273.11 ,$193.84 ,$323.82 ,$199.66 ,$257.50 ,$370.64 , N/A ,$312.12 ,$355.04 ,$193.84 ,$366.74 ,$370.64 ,$351.14 ,$331.63 ,$193.84 ,$193.84 ,$193.84 ,$284.81 ,$199.70 ,$347.23 ,$351.14 ,$351.14 ,$312.12 ,$205.69 ,$214.58 ,$351.14 ,$199.70 ,$351.14 ,$199.70 ,$370.64 ,$449.31 ,$358.94 ,$205.47 ,$355.04 ,$199.70 ,$240.10 ,$251.26 ,$240.10 ,$351.14 ,$351.14 ,$292.61 ,$273.11 ,$201.69 ,$203.53 ,$364.79 ,$209.69 ,$193.84 ,$339.43 ,$199.70 ,$351.14 ,$199.70 ,$351.14 ,$351.14 ,$351.14 ,$378.45 ,$316.02 ,$351.14 ,$351.14 ,$351.14 ,$351.14 ST. JOSEPH'S - CHIPPEWA FALLS,45000240,27750,HC TIBIA SHAFT FX W/O MANIP,450,1 ,$339.47 ,$254.60 ,$186.71 ,$449.31 ,$218.62 ,$199.70 ,$237.63 ,$193.84 ,$281.76 ,$199.66 ,$224.05 ,$322.50 , N/A ,$271.58 ,$308.92 ,$193.84 ,$319.10 ,$322.50 ,$305.52 ,$288.55 ,$193.84 ,$193.84 ,$193.84 ,$247.81 ,$199.70 ,$302.13 ,$305.52 ,$305.52 ,$271.58 ,$205.69 ,$186.71 ,$305.52 ,$199.70 ,$305.52 ,$199.70 ,$322.50 ,$449.31 ,$312.31 ,$205.47 ,$308.92 ,$199.70 ,$208.91 ,$218.62 ,$208.91 ,$305.52 ,$305.52 ,$254.60 ,$237.63 ,$201.69 ,$203.53 ,$317.40 ,$209.69 ,$193.84 ,$295.34 ,$199.70 ,$305.52 ,$199.70 ,$305.52 ,$305.52 ,$305.52 ,$329.29 ,$274.97 ,$305.52 ,$305.52 ,$305.52 ,$305.52 ST. JOSEPH'S - CHIPPEWA FALLS,45000245,28490,HC GREAT TOE W/O RED FX,450,1 ,$667.55 ,$500.66 ,$193.84 ,$667.55 ,$429.90 ,$199.70 ,$467.29 ,$193.84 ,$554.07 ,$199.66 ,$440.58 ,$634.17 , N/A ,$534.04 ,$607.47 ,$193.84 ,$627.50 ,$634.17 ,$600.80 ,$567.42 ,$193.84 ,$193.84 ,$193.84 ,$487.31 ,$199.70 ,$594.12 ,$600.80 ,$600.80 ,$534.04 ,$205.69 ,$367.15 ,$600.80 ,$199.70 ,$600.80 ,$199.70 ,$634.17 ,$449.31 ,$614.15 ,$205.47 ,$607.47 ,$199.70 ,$410.81 ,$429.90 ,$410.81 ,$600.80 ,$600.80 ,$500.66 ,$467.29 ,$201.69 ,$203.53 ,$624.16 ,$209.69 ,$193.84 ,$580.77 ,$199.70 ,$600.80 ,$199.70 ,$600.80 ,$600.80 ,$600.80 ,$647.52 ,$540.72 ,$600.80 ,$600.80 ,$600.80 ,$600.80 ST. JOSEPH'S - CHIPPEWA FALLS,45000249,28515,HC TOE FX W/MANIP,450,1 ,$157.05 ,$117.79 ,$86.38 ,$449.31 ,$101.14 ,$199.70 ,$109.94 ,$157.05 ,$130.35 ,$199.66 ,$103.65 ,$149.20 , N/A ,$125.64 ,$142.92 ,$157.05 ,$147.63 ,$149.20 ,$141.35 ,$133.49 ,$193.84 ,$193.84 ,$193.84 ,$114.65 ,$199.70 ,$139.77 ,$141.35 ,$141.35 ,$125.64 ,$205.69 ,$86.38 ,$141.35 ,$199.70 ,$141.35 ,$199.70 ,$149.20 ,$449.31 ,$144.49 ,$205.47 ,$142.92 ,$199.70 ,$96.65 ,$101.14 ,$96.65 ,$141.35 ,$141.35 ,$117.79 ,$109.94 ,$201.69 ,$203.53 ,$146.84 ,$209.69 ,$157.05 ,$136.63 ,$199.70 ,$141.35 ,$199.70 ,$141.35 ,$141.35 ,$141.35 ,$152.34 ,$127.21 ,$141.35 ,$141.35 ,$141.35 ,$141.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000250,28510,HC TOE FX W/O MANIP EACH,450,1 ,$642.75 ,$482.06 ,$193.84 ,$642.75 ,$413.93 ,$199.70 ,$449.93 ,$193.84 ,$533.48 ,$199.66 ,$424.22 ,$610.61 , N/A ,$514.20 ,$584.90 ,$193.84 ,$604.19 ,$610.61 ,$578.48 ,$546.34 ,$193.84 ,$193.84 ,$193.84 ,$469.21 ,$199.70 ,$572.05 ,$578.48 ,$578.48 ,$514.20 ,$205.69 ,$353.51 ,$578.48 ,$199.70 ,$578.48 ,$199.70 ,$610.61 ,$449.31 ,$591.33 ,$205.47 ,$584.90 ,$199.70 ,$395.55 ,$413.93 ,$395.55 ,$578.48 ,$578.48 ,$482.06 ,$449.93 ,$201.69 ,$203.53 ,$600.97 ,$209.69 ,$193.84 ,$559.19 ,$199.70 ,$578.48 ,$199.70 ,$578.48 ,$578.48 ,$578.48 ,$623.47 ,$520.63 ,$578.48 ,$578.48 ,$578.48 ,$578.48 ST. JOSEPH'S - CHIPPEWA FALLS,45000251,24650,HC RADIAL HEAD W/O RED;ADULT,450,1 ,"$1,390.17 ","$1,042.63 ",$193.84 ,"$1,390.17 ",$895.27 ,$199.70 ,$973.12 ,$193.84 ,"$1,153.84 ",$199.66 ,$917.51 ,"$1,320.66 ", N/A ,"$1,112.14 ","$1,265.05 ",$193.84 ,"$1,306.76 ","$1,320.66 ","$1,251.15 ","$1,181.64 ",$193.84 ,$193.84 ,$193.84 ,"$1,014.82 ",$199.70 ,"$1,237.25 ","$1,251.15 ","$1,251.15 ","$1,112.14 ",$205.69 ,$764.59 ,"$1,251.15 ",$199.70 ,"$1,251.15 ",$199.70 ,"$1,320.66 ",$449.31 ,"$1,278.96 ",$205.47 ,"$1,265.05 ",$199.70 ,$855.51 ,$895.27 ,$855.51 ,"$1,251.15 ","$1,251.15 ","$1,042.63 ",$973.12 ,$201.69 ,$203.53 ,"$1,299.81 ",$209.69 ,$193.84 ,"$1,209.45 ",$199.70 ,"$1,251.15 ",$199.70 ,"$1,251.15 ","$1,251.15 ","$1,251.15 ","$1,348.46 ","$1,126.04 ","$1,251.15 ","$1,251.15 ","$1,251.15 ","$1,251.15 " ST. JOSEPH'S - CHIPPEWA FALLS,45000252,20520,HC MUSCLE FB REM W/ INC,450,1 ,$719.36 ,$539.52 ,$395.65 ,"$3,066.03 ",$463.27 ,"$1,362.68 ",$503.55 ,$496.73 ,$597.07 ,$511.63 ,$474.78 ,$683.39 , N/A ,$575.49 ,$654.62 ,$496.73 ,$676.20 ,$683.39 ,$647.42 ,$611.46 ,$496.73 ,$496.73 ,$496.73 ,$525.13 ,"$1,362.68 ",$640.23 ,$647.42 ,$647.42 ,$575.49 ,"$1,403.56 ",$395.65 ,$647.42 ,"$1,362.68 ",$647.42 ,"$1,362.68 ",$683.39 ,"$3,066.03 ",$661.81 ,$526.53 ,$654.62 ,"$1,362.68 ",$442.69 ,$463.27 ,$442.69 ,$647.42 ,$647.42 ,$539.52 ,$503.55 ,"$1,376.31 ",$521.57 ,$672.60 ,"$1,430.81 ",$496.73 ,$625.84 ,"$1,362.68 ",$647.42 ,"$1,362.68 ",$647.42 ,$647.42 ,$647.42 ,$697.78 ,$582.68 ,$647.42 ,$647.42 ,$647.42 ,$647.42 ST. JOSEPH'S - CHIPPEWA FALLS,45000258,29345,HC LONG LEG CAST,450,1 ,"$1,023.61 ",$767.71 ,$57.61 ,"$1,023.61 ",$659.20 ,$233.57 ,$716.53 ,$57.61 ,$849.60 ,$59.34 ,$675.58 ,$972.43 , N/A ,$818.89 ,$931.49 ,$57.61 ,$962.19 ,$972.43 ,$921.25 ,$870.07 ,$57.61 ,$57.61 ,$57.61 ,$747.24 ,$233.57 ,$911.01 ,$921.25 ,$921.25 ,$818.89 ,$240.58 ,$562.99 ,$921.25 ,$233.57 ,$921.25 ,$233.57 ,$972.43 ,$525.54 ,$941.72 ,$61.07 ,$931.49 ,$233.57 ,$629.93 ,$659.20 ,$629.93 ,$921.25 ,$921.25 ,$767.71 ,$716.53 ,$235.91 ,$60.49 ,$957.08 ,$245.25 ,$57.61 ,$890.54 ,$233.57 ,$921.25 ,$233.57 ,$921.25 ,$921.25 ,$921.25 ,$992.90 ,$829.12 ,$921.25 ,$921.25 ,$921.25 ,$921.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000264,11400,HC EXC LESION 0.5<,450,1 ,$244.05 ,$183.04 ,$134.23 ,"$1,355.35 ",$157.17 ,$602.38 ,$170.84 ,$161.28 ,$202.56 ,$166.12 ,$161.07 ,$231.85 , N/A ,$195.24 ,$222.09 ,$161.28 ,$229.41 ,$231.85 ,$219.65 ,$207.44 ,$161.28 ,$161.28 ,$161.28 ,$178.16 ,$602.38 ,$217.20 ,$219.65 ,$219.65 ,$195.24 ,$620.45 ,$134.23 ,$219.65 ,$602.38 ,$219.65 ,$602.38 ,$231.85 ,"$1,355.35 ",$224.53 ,$170.96 ,$222.09 ,$602.38 ,$150.19 ,$157.17 ,$150.19 ,$219.65 ,$219.65 ,$183.04 ,$170.84 ,$608.40 ,$169.34 ,$228.19 ,$632.50 ,$161.28 ,$212.32 ,$602.38 ,$219.65 ,$602.38 ,$219.65 ,$219.65 ,$219.65 ,$236.73 ,$197.68 ,$219.65 ,$219.65 ,$219.65 ,$219.65 ST. JOSEPH'S - CHIPPEWA FALLS,45000270,20606,HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA,450,1 ,"$1,743.17 ","$1,307.38 ",$162.48 ,"$1,743.17 ","$1,122.60 ",$614.60 ,"$1,220.22 ",$162.48 ,"$1,446.83 ",$167.35 ,"$1,150.49 ","$1,656.01 ", N/A ,"$1,394.54 ","$1,586.28 ",$162.48 ,"$1,638.58 ","$1,656.01 ","$1,568.85 ","$1,481.69 ",$162.48 ,$162.48 ,$162.48 ,"$1,272.51 ",$614.60 ,"$1,551.42 ","$1,568.85 ","$1,568.85 ","$1,394.54 ",$633.04 ,$958.74 ,"$1,568.85 ",$614.60 ,"$1,568.85 ",$614.60 ,"$1,656.01 ","$1,382.85 ","$1,603.72 ",$172.23 ,"$1,586.28 ",$614.60 ,"$1,072.75 ","$1,122.60 ","$1,072.75 ","$1,568.85 ","$1,568.85 ","$1,307.38 ","$1,220.22 ",$620.75 ,$170.60 ,"$1,629.86 ",$645.33 ,$162.48 ,"$1,516.56 ",$614.60 ,"$1,568.85 ",$614.60 ,"$1,568.85 ","$1,568.85 ","$1,568.85 ","$1,690.87 ","$1,411.97 ","$1,568.85 ","$1,568.85 ","$1,568.85 ","$1,568.85 " ST. JOSEPH'S - CHIPPEWA FALLS,45000271,20604,HC ARTHROCNT ASP/INJ JT SMALL W/ULTRA,450,1 ,"$1,656.01 ","$1,242.01 ",$162.48 ,"$1,656.01 ","$1,066.47 ",$252.94 ,"$1,159.21 ",$162.48 ,"$1,374.49 ",$167.35 ,"$1,092.97 ","$1,573.21 ", N/A ,"$1,324.81 ","$1,506.97 ",$162.48 ,"$1,556.65 ","$1,573.21 ","$1,490.41 ","$1,407.61 ",$162.48 ,$162.48 ,$162.48 ,"$1,208.89 ",$252.94 ,"$1,473.85 ","$1,490.41 ","$1,490.41 ","$1,324.81 ",$260.53 ,$910.81 ,"$1,490.41 ",$252.94 ,"$1,490.41 ",$252.94 ,"$1,573.21 ",$569.12 ,"$1,523.53 ",$172.23 ,"$1,506.97 ",$252.94 ,"$1,019.11 ","$1,066.47 ","$1,019.11 ","$1,490.41 ","$1,490.41 ","$1,242.01 ","$1,159.21 ",$255.47 ,$170.60 ,"$1,548.37 ",$265.59 ,$162.48 ,"$1,440.73 ",$252.94 ,"$1,490.41 ",$252.94 ,"$1,490.41 ","$1,490.41 ","$1,490.41 ","$1,606.33 ","$1,341.37 ","$1,490.41 ","$1,490.41 ","$1,490.41 ","$1,490.41 " ST. JOSEPH'S - CHIPPEWA FALLS,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,"$1,350.01 ","$1,012.51 ",$162.48 ,"$1,350.01 ",$869.41 ,$252.94 ,$945.01 ,$162.48 ,"$1,120.51 ",$167.35 ,$891.01 ,"$1,282.51 ", N/A ,"$1,080.01 ","$1,228.51 ",$162.48 ,"$1,269.01 ","$1,282.51 ","$1,215.01 ","$1,147.51 ",$162.48 ,$162.48 ,$162.48 ,$985.51 ,$252.94 ,"$1,201.51 ","$1,215.01 ","$1,215.01 ","$1,080.01 ",$260.53 ,$742.51 ,"$1,215.01 ",$252.94 ,"$1,215.01 ",$252.94 ,"$1,282.51 ",$569.12 ,"$1,242.01 ",$172.23 ,"$1,228.51 ",$252.94 ,$830.80 ,$869.41 ,$830.80 ,"$1,215.01 ","$1,215.01 ","$1,012.51 ",$945.01 ,$255.47 ,$170.60 ,"$1,262.26 ",$265.59 ,$162.48 ,"$1,174.51 ",$252.94 ,"$1,215.01 ",$252.94 ,"$1,215.01 ","$1,215.01 ","$1,215.01 ","$1,309.51 ","$1,093.51 ","$1,215.01 ","$1,215.01 ","$1,215.01 ","$1,215.01 " ST. JOSEPH'S - CHIPPEWA FALLS,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$105.94 ,$79.46 ,$35.67 ,$121.29 ,$68.23 ,$53.91 ,$74.16 ,$35.67 ,$87.93 ,$36.74 ,$69.92 ,$100.64 , N/A ,$84.75 ,$96.41 ,$35.67 ,$99.58 ,$100.64 ,$95.35 ,$90.05 ,$35.67 ,$35.67 ,$35.67 ,$77.34 ,$53.91 ,$94.29 ,$95.35 ,$95.35 ,$84.75 ,$55.52 ,$58.27 ,$95.35 ,$53.91 ,$95.35 ,$53.91 ,$100.64 ,$121.29 ,$97.46 ,$37.81 ,$96.41 ,$53.91 ,$65.20 ,$68.23 ,$65.20 ,$95.35 ,$95.35 ,$79.46 ,$74.16 ,$54.45 ,$37.45 ,$99.05 ,$56.61 ,$35.67 ,$92.17 ,$53.91 ,$95.35 ,$53.91 ,$95.35 ,$95.35 ,$95.35 ,$102.76 ,$85.81 ,$95.35 ,$95.35 ,$95.35 ,$95.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000274,99281,HC ER LEVEL 1-25,450,1 ,$160.90 ,$120.68 ,$47.46 ,$160.90 ,$103.62 ,$70.31 ,$112.63 ,$47.46 ,$160.90 ,$48.88 ,$160.90 ,$152.86 , N/A ,$128.72 ,$146.42 ,$47.46 ,$151.25 ,$152.86 ,$144.81 ,$136.77 ,$47.46 ,$47.46 ,$47.46 ,$117.46 ,$70.31 ,$143.20 ,$144.81 ,$144.81 ,$128.72 ,$72.42 ,$88.50 ,$144.81 ,$70.31 ,$144.81 ,$70.31 ,$152.86 ,$158.20 ,$148.03 ,$50.31 ,$146.42 ,$70.31 ,$99.02 ,$103.62 ,$99.02 ,$144.81 ,$144.81 ,$120.68 ,$144.81 ,$71.02 ,$49.83 ,$150.44 ,$73.83 ,$47.46 ,$139.98 ,$70.31 ,$144.81 ,$70.31 ,$144.81 ,$144.81 ,$144.81 ,$156.07 ,$130.33 ,$144.81 ,$144.81 ,$144.81 ,$144.81 ST. JOSEPH'S - CHIPPEWA FALLS,45000275,99282,HC ER LEVEL 2-25,450,1 ,$234.70 ,$176.03 ,$47.46 ,$286.75 ,$151.15 ,$127.44 ,$164.29 ,$47.46 ,$234.70 ,$48.88 ,$234.70 ,$222.97 , N/A ,$187.76 ,$213.58 ,$47.46 ,$220.62 ,$222.97 ,$211.23 ,$199.50 ,$47.46 ,$47.46 ,$47.46 ,$171.33 ,$127.44 ,$208.88 ,$211.23 ,$211.23 ,$187.76 ,$131.27 ,$129.09 ,$211.23 ,$127.44 ,$211.23 ,$127.44 ,$222.97 ,$286.75 ,$215.92 ,$50.31 ,$213.58 ,$127.44 ,$144.43 ,$151.15 ,$144.43 ,$211.23 ,$211.23 ,$176.03 ,$211.23 ,$128.72 ,$49.83 ,$219.44 ,$133.81 ,$47.46 ,$204.19 ,$127.44 ,$211.23 ,$127.44 ,$211.23 ,$211.23 ,$211.23 ,$227.66 ,$190.11 ,$211.23 ,$211.23 ,$211.23 ,$211.23 ST. JOSEPH'S - CHIPPEWA FALLS,45000276,99283,HC ER LEVEL 3-25,450,1 ,$500.40 ,$375.30 ,$47.46 ,$504.69 ,$322.26 ,$224.30 ,$350.28 ,$47.46 ,$500.40 ,$48.88 ,$500.40 ,$475.38 , N/A ,$400.32 ,$455.36 ,$47.46 ,$470.38 ,$475.38 ,$450.36 ,$425.34 ,$47.46 ,$47.46 ,$47.46 ,$365.29 ,$224.30 ,$445.36 ,$450.36 ,$450.36 ,$400.32 ,$231.03 ,$275.22 ,$450.36 ,$224.30 ,$450.36 ,$224.30 ,$475.38 ,$504.69 ,$460.37 ,$50.31 ,$455.36 ,$224.30 ,$307.95 ,$322.26 ,$307.95 ,$450.36 ,$450.36 ,$375.30 ,$450.36 ,$226.55 ,$49.83 ,$467.87 ,$235.52 ,$47.46 ,$435.35 ,$224.30 ,$450.36 ,$224.30 ,$450.36 ,$450.36 ,$450.36 ,$485.39 ,$405.32 ,$450.36 ,$450.36 ,$450.36 ,$450.36 ST. JOSEPH'S - CHIPPEWA FALLS,45000277,99284,HC ER LEVEL 4-25,450,1 ,$993.00 ,$744.75 ,$47.46 ,$993.00 ,$639.49 ,$352.28 ,$695.10 ,$47.46 ,$993.00 ,$48.88 ,$993.00 ,$943.35 , N/A ,$794.40 ,$903.63 ,$47.46 ,$933.42 ,$943.35 ,$893.70 ,$844.05 ,$47.46 ,$47.46 ,$47.46 ,$724.89 ,$352.28 ,$883.77 ,$893.70 ,$893.70 ,$794.40 ,$362.85 ,$546.15 ,$893.70 ,$352.28 ,$893.70 ,$352.28 ,$943.35 ,$792.63 ,$913.56 ,$50.31 ,$903.63 ,$352.28 ,$611.09 ,$639.49 ,$611.09 ,$893.70 ,$893.70 ,$744.75 ,$893.70 ,$355.81 ,$49.83 ,$928.46 ,$369.89 ,$47.46 ,$863.91 ,$352.28 ,$893.70 ,$352.28 ,$893.70 ,$893.70 ,$893.70 ,$963.21 ,$804.33 ,$893.70 ,$893.70 ,$893.70 ,$893.70 ST. JOSEPH'S - CHIPPEWA FALLS,45000278,99285,HC ER LEVEL 5-25,450,1 ,"$1,455.30 ","$1,091.48 ",$47.46 ,"$1,455.30 ",$937.21 ,$505.67 ,"$1,018.71 ",$47.46 ,"$1,455.30 ",$48.88 ,"$1,455.30 ","$1,382.54 ", N/A ,"$1,164.24 ","$1,324.32 ",$47.46 ,"$1,367.98 ","$1,382.54 ","$1,309.77 ","$1,237.01 ",$47.46 ,$47.46 ,$47.46 ,"$1,062.37 ",$505.67 ,"$1,295.22 ","$1,309.77 ","$1,309.77 ","$1,164.24 ",$520.84 ,$800.42 ,"$1,309.77 ",$505.67 ,"$1,309.77 ",$505.67 ,"$1,382.54 ","$1,137.76 ","$1,338.88 ",$50.31 ,"$1,324.32 ",$505.67 ,$895.59 ,$937.21 ,$895.59 ,"$1,309.77 ","$1,309.77 ","$1,091.48 ","$1,309.77 ",$510.73 ,$49.83 ,"$1,360.71 ",$530.95 ,$47.46 ,"$1,266.11 ",$505.67 ,"$1,309.77 ",$505.67 ,"$1,309.77 ","$1,309.77 ","$1,309.77 ","$1,411.64 ","$1,178.79 ","$1,309.77 ","$1,309.77 ","$1,309.77 ","$1,309.77 " ST. JOSEPH'S - CHIPPEWA FALLS,45000279,99291,HC CRITICAL CARE 30-74 MIN -25,450,1 ,"$2,004.80 ","$1,503.60 ",$47.46 ,"$2,004.80 ","$1,291.09 ",$670.86 ,"$1,403.36 ",$47.46 ,"$2,004.80 ",$48.88 ,"$2,004.80 ","$1,904.56 ", N/A ,"$1,603.84 ","$1,824.37 ",$47.46 ,"$1,884.51 ","$1,904.56 ","$1,804.32 ","$1,704.08 ",$47.46 ,$47.46 ,$47.46 ,"$1,463.50 ",$670.86 ,"$1,784.27 ","$1,804.32 ","$1,804.32 ","$1,603.84 ",$690.99 ,"$1,102.64 ","$1,804.32 ",$670.86 ,"$1,804.32 ",$670.86 ,"$1,904.56 ","$1,509.44 ","$1,844.42 ",$50.31 ,"$1,824.37 ",$670.86 ,"$1,233.75 ","$1,291.09 ","$1,233.75 ","$1,804.32 ","$1,804.32 ","$1,503.60 ","$1,804.32 ",$677.57 ,$49.83 ,"$1,874.49 ",$704.40 ,$47.46 ,"$1,744.18 ",$670.86 ,"$1,804.32 ",$670.86 ,"$1,804.32 ","$1,804.32 ","$1,804.32 ","$1,944.66 ","$1,623.89 ","$1,804.32 ","$1,804.32 ","$1,804.32 ","$1,804.32 " ST. JOSEPH'S - CHIPPEWA FALLS,45000280,99292,HC CRITICAL CARE ADDL 30MIN -25,450,1 ,$299.20 ,$224.40 ,$47.46 ,$299.20 ,$192.68 , N/A ,$209.44 ,$47.46 ,$248.34 ,$48.88 ,$197.47 ,$284.24 , N/A ,$239.36 ,$272.27 ,$47.46 ,$281.25 ,$284.24 ,$269.28 ,$254.32 ,$47.46 ,$47.46 ,$47.46 ,$218.42 , N/A ,$266.29 ,$269.28 ,$269.28 ,$239.36 , N/A ,$164.56 ,$269.28 , N/A ,$269.28 , N/A ,$284.24 , N/A ,$275.26 ,$50.31 ,$272.27 , N/A ,$184.13 ,$192.68 ,$184.13 ,$269.28 ,$269.28 ,$224.40 ,$209.44 , N/A ,$49.83 ,$279.75 , N/A ,$47.46 ,$260.30 , N/A ,$269.28 , N/A ,$269.28 ,$269.28 ,$269.28 ,$290.22 ,$242.35 ,$269.28 ,$269.28 ,$269.28 ,$269.28 ST. JOSEPH'S - CHIPPEWA FALLS,45000281,N/A,HC ED PROC LEVEL 1,450,1 ,$200.66 ,$150.50 ,$110.36 ,$200.66 ,$129.23 , N/A ,$140.46 , N/A ,$166.55 , N/A ,$132.44 ,$190.63 , N/A ,$160.53 ,$182.60 , N/A ,$188.62 ,$190.63 ,$180.59 ,$170.56 , N/A , N/A , N/A ,$146.48 , N/A ,$178.59 ,$180.59 ,$180.59 ,$160.53 , N/A ,$110.36 ,$180.59 , N/A ,$180.59 , N/A ,$190.63 , N/A ,$184.61 , N/A ,$182.60 , N/A ,$123.49 ,$129.23 ,$123.49 ,$180.59 ,$180.59 ,$150.50 ,$140.46 , N/A , N/A ,$187.62 , N/A , N/A ,$174.57 , N/A ,$180.59 , N/A ,$180.59 ,$180.59 ,$180.59 ,$194.64 ,$162.53 ,$180.59 ,$180.59 ,$180.59 ,$180.59 ST. JOSEPH'S - CHIPPEWA FALLS,45000282,N/A,HC ED PROC LEVEL 2,450,1 ,$339.84 ,$254.88 ,$186.91 ,$339.84 ,$218.86 , N/A ,$237.89 , N/A ,$282.07 , N/A ,$224.29 ,$322.85 , N/A ,$271.87 ,$309.25 , N/A ,$319.45 ,$322.85 ,$305.86 ,$288.86 , N/A , N/A , N/A ,$248.08 , N/A ,$302.46 ,$305.86 ,$305.86 ,$271.87 , N/A ,$186.91 ,$305.86 , N/A ,$305.86 , N/A ,$322.85 , N/A ,$312.65 , N/A ,$309.25 , N/A ,$209.14 ,$218.86 ,$209.14 ,$305.86 ,$305.86 ,$254.88 ,$237.89 , N/A , N/A ,$317.75 , N/A , N/A ,$295.66 , N/A ,$305.86 , N/A ,$305.86 ,$305.86 ,$305.86 ,$329.64 ,$275.27 ,$305.86 ,$305.86 ,$305.86 ,$305.86 ST. JOSEPH'S - CHIPPEWA FALLS,45000283,N/A,HC ED PROC LEVEL 3,450,1 ,$446.16 ,$334.62 ,$245.39 ,$446.16 ,$287.33 , N/A ,$312.31 , N/A ,$370.31 , N/A ,$294.47 ,$423.85 , N/A ,$356.93 ,$406.01 , N/A ,$419.39 ,$423.85 ,$401.54 ,$379.24 , N/A , N/A , N/A ,$325.70 , N/A ,$397.08 ,$401.54 ,$401.54 ,$356.93 , N/A ,$245.39 ,$401.54 , N/A ,$401.54 , N/A ,$423.85 , N/A ,$410.47 , N/A ,$406.01 , N/A ,$274.57 ,$287.33 ,$274.57 ,$401.54 ,$401.54 ,$334.62 ,$312.31 , N/A , N/A ,$417.16 , N/A , N/A ,$388.16 , N/A ,$401.54 , N/A ,$401.54 ,$401.54 ,$401.54 ,$432.78 ,$361.39 ,$401.54 ,$401.54 ,$401.54 ,$401.54 ST. JOSEPH'S - CHIPPEWA FALLS,45000284,N/A,HC ED PROC LEVEL 4,450,1 ,$552.46 ,$414.35 ,$303.85 ,$552.46 ,$355.78 , N/A ,$386.72 , N/A ,$458.54 , N/A ,$364.62 ,$524.84 , N/A ,$441.97 ,$502.74 , N/A ,$519.31 ,$524.84 ,$497.21 ,$469.59 , N/A , N/A , N/A ,$403.30 , N/A ,$491.69 ,$497.21 ,$497.21 ,$441.97 , N/A ,$303.85 ,$497.21 , N/A ,$497.21 , N/A ,$524.84 , N/A ,$508.26 , N/A ,$502.74 , N/A ,$339.98 ,$355.78 ,$339.98 ,$497.21 ,$497.21 ,$414.35 ,$386.72 , N/A , N/A ,$516.55 , N/A , N/A ,$480.64 , N/A ,$497.21 , N/A ,$497.21 ,$497.21 ,$497.21 ,$535.89 ,$447.49 ,$497.21 ,$497.21 ,$497.21 ,$497.21 ST. JOSEPH'S - CHIPPEWA FALLS,45000285,N/A,HC ED PROC LEVEL 5,450,1 ,$764.76 ,$573.57 ,$420.62 ,$764.76 ,$492.51 , N/A ,$535.33 , N/A ,$634.75 , N/A ,$504.74 ,$726.52 , N/A ,$611.81 ,$695.93 , N/A ,$718.87 ,$726.52 ,$688.28 ,$650.05 , N/A , N/A , N/A ,$558.27 , N/A ,$680.64 ,$688.28 ,$688.28 ,$611.81 , N/A ,$420.62 ,$688.28 , N/A ,$688.28 , N/A ,$726.52 , N/A ,$703.58 , N/A ,$695.93 , N/A ,$470.63 ,$492.51 ,$470.63 ,$688.28 ,$688.28 ,$573.57 ,$535.33 , N/A , N/A ,$715.05 , N/A , N/A ,$665.34 , N/A ,$688.28 , N/A ,$688.28 ,$688.28 ,$688.28 ,$741.82 ,$619.46 ,$688.28 ,$688.28 ,$688.28 ,$688.28 ST. JOSEPH'S - CHIPPEWA FALLS,45000286,11401,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 0.6-1.0CM,450,1 ,$576.20 ,$432.15 ,$161.28 ,$753.63 ,$371.07 ,$334.95 ,$403.34 ,$161.28 ,$478.25 ,$166.12 ,$380.29 ,$547.39 , N/A ,$460.96 ,$524.34 ,$161.28 ,$541.63 ,$547.39 ,$518.58 ,$489.77 ,$161.28 ,$161.28 ,$161.28 ,$420.63 ,$334.95 ,$512.82 ,$518.58 ,$518.58 ,$460.96 ,$344.99 ,$316.91 ,$518.58 ,$334.95 ,$518.58 ,$334.95 ,$547.39 ,$753.63 ,$530.10 ,$170.96 ,$524.34 ,$334.95 ,$354.59 ,$371.07 ,$354.59 ,$518.58 ,$518.58 ,$432.15 ,$403.34 ,$338.30 ,$169.34 ,$538.75 ,$351.70 ,$161.28 ,$501.29 ,$334.95 ,$518.58 ,$334.95 ,$518.58 ,$518.58 ,$518.58 ,$558.91 ,$466.72 ,$518.58 ,$518.58 ,$518.58 ,$518.58 ST. JOSEPH'S - CHIPPEWA FALLS,45000288,11403,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM,450,1 ,"$2,175.17 ","$1,631.38 ",$161.28 ,"$2,175.17 ","$1,400.81 ",$602.38 ,"$1,522.62 ",$161.28 ,"$1,805.39 ",$166.12 ,"$1,435.61 ","$2,066.41 ", N/A ,"$1,740.14 ","$1,979.40 ",$161.28 ,"$2,044.66 ","$2,066.41 ","$1,957.65 ","$1,848.89 ",$161.28 ,$161.28 ,$161.28 ,"$1,587.87 ",$602.38 ,"$1,935.90 ","$1,957.65 ","$1,957.65 ","$1,740.14 ",$620.45 ,"$1,196.34 ","$1,957.65 ",$602.38 ,"$1,957.65 ",$602.38 ,"$2,066.41 ","$1,355.35 ","$2,001.16 ",$170.96 ,"$1,979.40 ",$602.38 ,"$1,338.60 ","$1,400.81 ","$1,338.60 ","$1,957.65 ","$1,957.65 ","$1,631.38 ","$1,522.62 ",$608.40 ,$169.34 ,"$2,033.78 ",$632.50 ,$161.28 ,"$1,892.40 ",$602.38 ,"$1,957.65 ",$602.38 ,"$1,957.65 ","$1,957.65 ","$1,957.65 ","$2,109.91 ","$1,761.89 ","$1,957.65 ","$1,957.65 ","$1,957.65 ","$1,957.65 " ST. JOSEPH'S - CHIPPEWA FALLS,45000294,11441,HC EXCISION LESION BENIGN FACE/EAR 0.6-1.0CM,450,1 ,$249.36 ,$187.02 ,$137.15 ,"$1,355.35 ",$160.59 ,$602.38 ,$174.55 ,$161.28 ,$206.97 ,$166.12 ,$164.58 ,$236.89 , N/A ,$199.49 ,$226.92 ,$161.28 ,$234.40 ,$236.89 ,$224.42 ,$211.96 ,$161.28 ,$161.28 ,$161.28 ,$182.03 ,$602.38 ,$221.93 ,$224.42 ,$224.42 ,$199.49 ,$620.45 ,$137.15 ,$224.42 ,$602.38 ,$224.42 ,$602.38 ,$236.89 ,"$1,355.35 ",$229.41 ,$170.96 ,$226.92 ,$602.38 ,$153.46 ,$160.59 ,$153.46 ,$224.42 ,$224.42 ,$187.02 ,$174.55 ,$608.40 ,$169.34 ,$233.15 ,$632.50 ,$161.28 ,$216.94 ,$602.38 ,$224.42 ,$602.38 ,$224.42 ,$224.42 ,$224.42 ,$241.88 ,$201.98 ,$224.42 ,$224.42 ,$224.42 ,$224.42 ST. JOSEPH'S - CHIPPEWA FALLS,45000298,20102,HC EXPLORE WOUND ABDOMEN/FLANK/BACK,450,1 ,"$2,850.59 ","$2,137.94 ",$288.83 ,"$3,737.98 ","$1,835.78 ","$1,661.33 ","$1,995.41 ",$288.83 ,"$2,365.99 ",$297.49 ,"$1,881.39 ","$2,708.06 ", N/A ,"$2,280.47 ","$2,594.04 ",$288.83 ,"$2,679.55 ","$2,708.06 ","$2,565.53 ","$2,423.00 ",$288.83 ,$288.83 ,$288.83 ,"$2,080.93 ","$1,661.33 ","$2,537.03 ","$2,565.53 ","$2,565.53 ","$2,280.47 ","$1,711.17 ","$1,567.82 ","$2,565.53 ","$1,661.33 ","$2,565.53 ","$1,661.33 ","$2,708.06 ","$3,737.98 ","$2,622.54 ",$306.16 ,"$2,594.04 ","$1,661.33 ","$1,754.25 ","$1,835.78 ","$1,754.25 ","$2,565.53 ","$2,565.53 ","$2,137.94 ","$1,995.41 ","$1,677.94 ",$303.27 ,"$2,665.30 ","$1,744.40 ",$288.83 ,"$2,480.01 ","$1,661.33 ","$2,565.53 ","$1,661.33 ","$2,565.53 ","$2,565.53 ","$2,565.53 ","$2,765.07 ","$2,308.98 ","$2,565.53 ","$2,565.53 ","$2,565.53 ","$2,565.53 " ST. JOSEPH'S - CHIPPEWA FALLS,45000299,20525,HC REMOVAL FOREIGN BODY MUSCLE DEEP/COMPLICATED,450,1 ,"$2,138.00 ","$1,603.50 ",$496.73 ,"$5,164.55 ","$1,376.87 ","$2,295.35 ","$1,496.60 ",$496.73 ,"$1,774.54 ",$511.63 ,"$1,411.08 ","$2,031.10 ", N/A ,"$1,710.40 ","$1,945.58 ",$496.73 ,"$2,009.72 ","$2,031.10 ","$1,924.20 ","$1,817.30 ",$496.73 ,$496.73 ,$496.73 ,"$1,560.74 ","$2,295.35 ","$1,902.82 ","$1,924.20 ","$1,924.20 ","$1,710.40 ","$2,364.22 ","$1,175.90 ","$1,924.20 ","$2,295.35 ","$1,924.20 ","$2,295.35 ","$2,031.10 ","$5,164.55 ","$1,966.96 ",$526.53 ,"$1,945.58 ","$2,295.35 ","$1,315.73 ","$1,376.87 ","$1,315.73 ","$1,924.20 ","$1,924.20 ","$1,603.50 ","$1,496.60 ","$2,318.31 ",$521.57 ,"$1,999.03 ","$2,410.12 ",$496.73 ,"$1,860.06 ","$2,295.35 ","$1,924.20 ","$2,295.35 ","$1,924.20 ","$1,924.20 ","$1,924.20 ","$2,073.86 ","$1,731.78 ","$1,924.20 ","$1,924.20 ","$1,924.20 ","$1,924.20 " ST. JOSEPH'S - CHIPPEWA FALLS,45000300,21310,HC CLOSED TX FX NASAL BONE W/O MANIPULATION,450,1 ,$90.02 ,$67.52 ,$35.67 ,$449.31 ,$57.97 ,$199.70 ,$63.01 ,$35.67 ,$74.72 ,$36.74 ,$59.41 ,$85.52 , N/A ,$72.02 ,$81.92 ,$35.67 ,$84.62 ,$85.52 ,$81.02 ,$76.52 ,$35.67 ,$35.67 ,$35.67 ,$65.71 ,$199.70 ,$80.12 ,$81.02 ,$81.02 ,$72.02 ,$205.69 ,$49.51 ,$81.02 ,$199.70 ,$81.02 ,$199.70 ,$85.52 ,$449.31 ,$82.82 ,$37.81 ,$81.92 ,$199.70 ,$55.40 ,$57.97 ,$55.40 ,$81.02 ,$81.02 ,$67.52 ,$63.01 ,$201.69 ,$37.45 ,$84.17 ,$209.69 ,$35.67 ,$78.32 ,$199.70 ,$81.02 ,$199.70 ,$81.02 ,$81.02 ,$81.02 ,$87.32 ,$72.92 ,$81.02 ,$81.02 ,$81.02 ,$81.02 ST. JOSEPH'S - CHIPPEWA FALLS,45000302,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP,450,1 ,$371.36 ,$278.52 ,$193.84 ,"$3,034.10 ",$239.16 ,"$1,348.49 ",$259.95 ,$193.84 ,$308.23 ,$199.66 ,$245.10 ,$352.79 , N/A ,$297.09 ,$337.94 ,$193.84 ,$349.08 ,$352.79 ,$334.22 ,$315.66 ,$193.84 ,$193.84 ,$193.84 ,$271.09 ,"$1,348.49 ",$330.51 ,$334.22 ,$334.22 ,$297.09 ,"$1,388.95 ",$204.25 ,$334.22 ,"$1,348.49 ",$334.22 ,"$1,348.49 ",$352.79 ,"$3,034.10 ",$341.65 ,$205.47 ,$337.94 ,"$1,348.49 ",$228.53 ,$239.16 ,$228.53 ,$334.22 ,$334.22 ,$278.52 ,$259.95 ,"$1,361.98 ",$203.53 ,$347.22 ,"$1,415.91 ",$193.84 ,$323.08 ,"$1,348.49 ",$334.22 ,"$1,348.49 ",$334.22 ,$334.22 ,$334.22 ,$360.22 ,$300.80 ,$334.22 ,$334.22 ,$334.22 ,$334.22 ST. JOSEPH'S - CHIPPEWA FALLS,45000303,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP,450,1 ,$371.36 ,$278.52 ,$193.84 ,"$3,034.10 ",$239.16 ,"$1,348.49 ",$259.95 ,$193.84 ,$308.23 ,$199.66 ,$245.10 ,$352.79 , N/A ,$297.09 ,$337.94 ,$193.84 ,$349.08 ,$352.79 ,$334.22 ,$315.66 ,$193.84 ,$193.84 ,$193.84 ,$271.09 ,"$1,348.49 ",$330.51 ,$334.22 ,$334.22 ,$297.09 ,"$1,388.95 ",$204.25 ,$334.22 ,"$1,348.49 ",$334.22 ,"$1,348.49 ",$352.79 ,"$3,034.10 ",$341.65 ,$205.47 ,$337.94 ,"$1,348.49 ",$228.53 ,$239.16 ,$228.53 ,$334.22 ,$334.22 ,$278.52 ,$259.95 ,"$1,361.98 ",$203.53 ,$347.22 ,"$1,415.91 ",$193.84 ,$323.08 ,"$1,348.49 ",$334.22 ,"$1,348.49 ",$334.22 ,$334.22 ,$334.22 ,$360.22 ,$300.80 ,$334.22 ,$334.22 ,$334.22 ,$334.22 ST. JOSEPH'S - CHIPPEWA FALLS,45000304,25650,HC CLOSED TX ULNAR STYLOID FX,450,1 ,$759.23 ,$569.42 ,$193.84 ,$759.23 ,$488.94 ,$199.70 ,$531.46 ,$193.84 ,$630.16 ,$199.66 ,$501.09 ,$721.27 , N/A ,$607.38 ,$690.90 ,$193.84 ,$713.68 ,$721.27 ,$683.31 ,$645.35 ,$193.84 ,$193.84 ,$193.84 ,$554.24 ,$199.70 ,$675.71 ,$683.31 ,$683.31 ,$607.38 ,$205.69 ,$417.58 ,$683.31 ,$199.70 ,$683.31 ,$199.70 ,$721.27 ,$449.31 ,$698.49 ,$205.47 ,$690.90 ,$199.70 ,$467.23 ,$488.94 ,$467.23 ,$683.31 ,$683.31 ,$569.42 ,$531.46 ,$201.69 ,$203.53 ,$709.88 ,$209.69 ,$193.84 ,$660.53 ,$199.70 ,$683.31 ,$199.70 ,$683.31 ,$683.31 ,$683.31 ,$736.45 ,$614.98 ,$683.31 ,$683.31 ,$683.31 ,$683.31 ST. JOSEPH'S - CHIPPEWA FALLS,45000305,26160,HC REMOVE TENDON SHEATH LESION,450,1 ,$210.27 ,$157.70 ,$115.65 ,"$3,034.10 ",$135.41 ,"$1,348.49 ",$147.19 ,$210.27 ,$174.52 ,$403.89 ,$138.78 ,$199.76 , N/A ,$168.22 ,$191.35 ,$210.27 ,$197.65 ,$199.76 ,$189.24 ,$178.73 ,$392.13 ,$392.13 ,$392.13 ,$153.50 ,"$1,348.49 ",$187.14 ,$189.24 ,$189.24 ,$168.22 ,"$1,388.95 ",$115.65 ,$189.24 ,"$1,348.49 ",$189.24 ,"$1,348.49 ",$199.76 ,"$3,034.10 ",$193.45 ,$415.66 ,$191.35 ,"$1,348.49 ",$129.40 ,$135.41 ,$129.40 ,$189.24 ,$189.24 ,$157.70 ,$147.19 ,"$1,361.98 ",$411.74 ,$196.60 ,"$1,415.91 ",$210.27 ,$182.93 ,"$1,348.49 ",$189.24 ,"$1,348.49 ",$189.24 ,$189.24 ,$189.24 ,$203.96 ,$170.32 ,$189.24 ,$189.24 ,$189.24 ,$189.24 ST. JOSEPH'S - CHIPPEWA FALLS,45000308,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES,450,1 ,$333.44 ,$250.08 ,$183.39 ,$449.31 ,$214.74 ,$199.70 ,$233.41 ,$193.84 ,$276.76 ,$199.66 ,$220.07 ,$316.77 , N/A ,$266.75 ,$303.43 ,$193.84 ,$313.43 ,$316.77 ,$300.10 ,$283.42 ,$193.84 ,$193.84 ,$193.84 ,$243.41 ,$199.70 ,$296.76 ,$300.10 ,$300.10 ,$266.75 ,$205.69 ,$183.39 ,$300.10 ,$199.70 ,$300.10 ,$199.70 ,$316.77 ,$449.31 ,$306.76 ,$205.47 ,$303.43 ,$199.70 ,$205.20 ,$214.74 ,$205.20 ,$300.10 ,$300.10 ,$250.08 ,$233.41 ,$201.69 ,$203.53 ,$311.77 ,$209.69 ,$193.84 ,$290.09 ,$199.70 ,$300.10 ,$199.70 ,$300.10 ,$300.10 ,$300.10 ,$323.44 ,$270.09 ,$300.10 ,$300.10 ,$300.10 ,$300.10 ST. JOSEPH'S - CHIPPEWA FALLS,45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$547.08 ,$410.31 ,$193.84 ,$547.08 ,$352.32 ,$199.70 ,$382.96 ,$193.84 ,$454.08 ,$199.66 ,$361.07 ,$519.73 , N/A ,$437.66 ,$497.84 ,$193.84 ,$514.26 ,$519.73 ,$492.37 ,$465.02 ,$193.84 ,$193.84 ,$193.84 ,$399.37 ,$199.70 ,$486.90 ,$492.37 ,$492.37 ,$437.66 ,$205.69 ,$300.89 ,$492.37 ,$199.70 ,$492.37 ,$199.70 ,$519.73 ,$449.31 ,$503.31 ,$205.47 ,$497.84 ,$199.70 ,$336.67 ,$352.32 ,$336.67 ,$492.37 ,$492.37 ,$410.31 ,$382.96 ,$201.69 ,$203.53 ,$511.52 ,$209.69 ,$193.84 ,$475.96 ,$199.70 ,$492.37 ,$199.70 ,$492.37 ,$492.37 ,$492.37 ,$530.67 ,$443.13 ,$492.37 ,$492.37 ,$492.37 ,$492.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000313,41008,HC DRAINAGE OF MOUTH LESION,450,1 ,$166.20 ,$124.65 ,$91.41 ,"$5,962.94 ",$107.03 ,"$2,650.19 ",$116.34 ,$166.20 ,$137.95 ,$289.20 ,$109.69 ,$157.89 , N/A ,$132.96 ,$151.24 ,$166.20 ,$156.23 ,$157.89 ,$149.58 ,$141.27 ,$280.78 ,$280.78 ,$280.78 ,$121.33 ,"$2,650.19 ",$147.92 ,$149.58 ,$149.58 ,$132.96 ,"$2,729.70 ",$91.41 ,$149.58 ,"$2,650.19 ",$149.58 ,"$2,650.19 ",$157.89 ,"$5,962.94 ",$152.90 ,$297.63 ,$151.24 ,"$2,650.19 ",$102.28 ,$107.03 ,$102.28 ,$149.58 ,$149.58 ,$124.65 ,$116.34 ,"$2,676.70 ",$294.82 ,$155.40 ,"$2,782.70 ",$166.20 ,$144.59 ,"$2,650.19 ",$149.58 ,"$2,650.19 ",$149.58 ,$149.58 ,$149.58 ,$161.21 ,$134.62 ,$149.58 ,$149.58 ,$149.58 ,$149.58 ST. JOSEPH'S - CHIPPEWA FALLS,45000314,41252,HC RPR LAC MOUTH/TONGUE >2.6CM OR COMPLEX,450,1 ,"$2,253.46 ","$1,690.10 ",$35.67 ,"$2,253.46 ","$1,451.23 ",$204.93 ,"$1,577.42 ",$35.67 ,"$1,870.37 ",$36.74 ,"$1,487.28 ","$2,140.79 ", N/A ,"$1,802.77 ","$2,050.65 ",$35.67 ,"$2,118.25 ","$2,140.79 ","$2,028.11 ","$1,915.44 ",$35.67 ,$35.67 ,$35.67 ,"$1,645.03 ",$204.93 ,"$2,005.58 ","$2,028.11 ","$2,028.11 ","$1,802.77 ",$211.08 ,"$1,239.40 ","$2,028.11 ",$204.93 ,"$2,028.11 ",$204.93 ,"$2,140.79 ",$461.10 ,"$2,073.18 ",$37.81 ,"$2,050.65 ",$204.93 ,"$1,386.78 ","$1,451.23 ","$1,386.78 ","$2,028.11 ","$2,028.11 ","$1,690.10 ","$1,577.42 ",$206.98 ,$37.45 ,"$2,106.99 ",$215.18 ,$35.67 ,"$1,960.51 ",$204.93 ,"$2,028.11 ",$204.93 ,"$2,028.11 ","$2,028.11 ","$2,028.11 ","$2,185.86 ","$1,825.30 ","$2,028.11 ","$2,028.11 ","$2,028.11 ","$2,028.11 " ST. JOSEPH'S - CHIPPEWA FALLS,45000315,46500,HC INJ SCLEROSING SOLUT HEMORRHOID,450,1 ,$368.08 ,$276.06 ,$202.44 ,"$1,729.46 ",$237.04 ,$768.65 ,$257.66 ,$368.08 ,$305.51 ,$495.85 ,$242.93 ,$349.68 , N/A ,$294.46 ,$334.95 ,$368.08 ,$346.00 ,$349.68 ,$331.27 ,$312.87 ,$481.41 ,$481.41 ,$481.41 ,$268.70 ,$768.65 ,$327.59 ,$331.27 ,$331.27 ,$294.46 ,$791.71 ,$202.44 ,$331.27 ,$768.65 ,$331.27 ,$768.65 ,$349.68 ,"$1,729.46 ",$338.63 ,$510.29 ,$334.95 ,$768.65 ,$226.52 ,$237.04 ,$226.52 ,$331.27 ,$331.27 ,$276.06 ,$257.66 ,$776.34 ,$505.48 ,$344.15 ,$807.08 ,$368.08 ,$320.23 ,$768.65 ,$331.27 ,$768.65 ,$331.27 ,$331.27 ,$331.27 ,$357.04 ,$298.14 ,$331.27 ,$331.27 ,$331.27 ,$331.27 ST. JOSEPH'S - CHIPPEWA FALLS,45000316,66720,HC DESTRUCTION CILIARY BODY,450,1 ,$215.49 ,$161.62 ,$118.52 ,"$4,363.37 ",$138.78 ,"$1,939.28 ",$150.84 ,$215.49 ,$178.86 ,$450.93 ,$142.22 ,$204.72 , N/A ,$172.39 ,$196.10 ,$215.49 ,$202.56 ,$204.72 ,$193.94 ,$183.17 ,$437.80 ,$437.80 ,$437.80 ,$157.31 ,"$1,939.28 ",$191.79 ,$193.94 ,$193.94 ,$172.39 ,"$1,997.45 ",$118.52 ,$193.94 ,"$1,939.28 ",$193.94 ,"$1,939.28 ",$204.72 ,"$4,363.37 ",$198.25 ,$464.07 ,$196.10 ,"$1,939.28 ",$132.61 ,$138.78 ,$132.61 ,$193.94 ,$193.94 ,$161.62 ,$150.84 ,"$1,958.67 ",$459.69 ,$201.48 ,"$2,036.24 ",$215.49 ,$187.48 ,"$1,939.28 ",$193.94 ,"$1,939.28 ",$193.94 ,$193.94 ,$193.94 ,$209.03 ,$174.55 ,$193.94 ,$193.94 ,$193.94 ,$193.94 ST. JOSEPH'S - CHIPPEWA FALLS,45000317,67208,HC TX RETINAL LESION,450,1 ,$215.49 ,$161.62 ,$118.52 ,$851.42 ,$138.78 ,$253.05 ,$150.84 ,$215.49 ,$178.86 ,$827.33 ,$142.22 ,$204.72 , N/A ,$172.39 ,$196.10 ,$215.49 ,$202.56 ,$204.72 ,$193.94 ,$183.17 ,$803.23 ,$803.23 ,$803.23 ,$157.31 ,$253.05 ,$191.79 ,$193.94 ,$193.94 ,$172.39 ,$260.64 ,$118.52 ,$193.94 ,$253.05 ,$193.94 ,$253.05 ,$204.72 ,$569.36 ,$198.25 ,$851.42 ,$196.10 ,$253.05 ,$132.61 ,$138.78 ,$132.61 ,$193.94 ,$193.94 ,$161.62 ,$150.84 ,$255.58 ,$843.39 ,$201.48 ,$265.70 ,$215.49 ,$187.48 ,$253.05 ,$193.94 ,$253.05 ,$193.94 ,$193.94 ,$193.94 ,$209.03 ,$174.55 ,$193.94 ,$193.94 ,$193.94 ,$193.94 ST. JOSEPH'S - CHIPPEWA FALLS,45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$571.24 ,$428.43 ,$193.84 ,$571.24 ,$367.88 ,$199.70 ,$399.87 ,$193.84 ,$474.13 ,$199.66 ,$377.02 ,$542.68 , N/A ,$456.99 ,$519.83 ,$193.84 ,$536.97 ,$542.68 ,$514.12 ,$485.55 ,$193.84 ,$193.84 ,$193.84 ,$417.01 ,$199.70 ,$508.40 ,$514.12 ,$514.12 ,$456.99 ,$205.69 ,$314.18 ,$514.12 ,$199.70 ,$514.12 ,$199.70 ,$542.68 ,$449.31 ,$525.54 ,$205.47 ,$519.83 ,$199.70 ,$351.54 ,$367.88 ,$351.54 ,$514.12 ,$514.12 ,$428.43 ,$399.87 ,$201.69 ,$203.53 ,$534.11 ,$209.69 ,$193.84 ,$496.98 ,$199.70 ,$514.12 ,$199.70 ,$514.12 ,$514.12 ,$514.12 ,$554.10 ,$462.70 ,$514.12 ,$514.12 ,$514.12 ,$514.12 ST. JOSEPH'S - CHIPPEWA FALLS,45000332,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP,450,1 ,$368.34 ,$276.26 ,$193.84 ,$449.31 ,$237.21 ,$199.70 ,$257.84 ,$193.84 ,$305.72 ,$199.66 ,$243.10 ,$349.92 , N/A ,$294.67 ,$335.19 ,$193.84 ,$346.24 ,$349.92 ,$331.51 ,$313.09 ,$193.84 ,$193.84 ,$193.84 ,$268.89 ,$199.70 ,$327.82 ,$331.51 ,$331.51 ,$294.67 ,$205.69 ,$202.59 ,$331.51 ,$199.70 ,$331.51 ,$199.70 ,$349.92 ,$449.31 ,$338.87 ,$205.47 ,$335.19 ,$199.70 ,$226.68 ,$237.21 ,$226.68 ,$331.51 ,$331.51 ,$276.26 ,$257.84 ,$201.69 ,$203.53 ,$344.40 ,$209.69 ,$193.84 ,$320.46 ,$199.70 ,$331.51 ,$199.70 ,$331.51 ,$331.51 ,$331.51 ,$357.29 ,$298.36 ,$331.51 ,$331.51 ,$331.51 ,$331.51 ST. JOSEPH'S - CHIPPEWA FALLS,45000334,29260,HC STRAPPING ELBOW/WRIST,450,1 ,$151.12 ,$113.34 ,$21.22 ,$151.12 ,$97.32 ,$53.91 ,$105.78 ,$21.22 ,$125.43 ,$21.86 ,$99.74 ,$143.56 , N/A ,$120.90 ,$137.52 ,$21.22 ,$142.05 ,$143.56 ,$136.01 ,$128.45 ,$21.22 ,$21.22 ,$21.22 ,$110.32 ,$53.91 ,$134.50 ,$136.01 ,$136.01 ,$120.90 ,$55.52 ,$83.12 ,$136.01 ,$53.91 ,$136.01 ,$53.91 ,$143.56 ,$121.29 ,$139.03 ,$22.49 ,$137.52 ,$53.91 ,$93.00 ,$97.32 ,$93.00 ,$136.01 ,$136.01 ,$113.34 ,$105.78 ,$54.45 ,$22.28 ,$141.30 ,$56.61 ,$21.22 ,$131.47 ,$53.91 ,$136.01 ,$53.91 ,$136.01 ,$136.01 ,$136.01 ,$146.59 ,$122.41 ,$136.01 ,$136.01 ,$136.01 ,$136.01 ST. JOSEPH'S - CHIPPEWA FALLS,45000335,29530,HC STRAPPING KNEE,450,1 ,$306.04 ,$229.53 ,$21.22 ,$306.04 ,$197.09 ,$108.42 ,$214.23 ,$21.22 ,$254.01 ,$21.86 ,$201.99 ,$290.74 , N/A ,$244.83 ,$278.50 ,$21.22 ,$287.68 ,$290.74 ,$275.44 ,$260.13 ,$21.22 ,$21.22 ,$21.22 ,$223.41 ,$108.42 ,$272.38 ,$275.44 ,$275.44 ,$244.83 ,$111.68 ,$168.32 ,$275.44 ,$108.42 ,$275.44 ,$108.42 ,$290.74 ,$243.95 ,$281.56 ,$22.49 ,$278.50 ,$108.42 ,$188.34 ,$197.09 ,$188.34 ,$275.44 ,$275.44 ,$229.53 ,$214.23 ,$109.51 ,$22.28 ,$286.15 ,$113.84 ,$21.22 ,$266.25 ,$108.42 ,$275.44 ,$108.42 ,$275.44 ,$275.44 ,$275.44 ,$296.86 ,$247.89 ,$275.44 ,$275.44 ,$275.44 ,$275.44 ST. JOSEPH'S - CHIPPEWA FALLS,45000336,29550,HC STRAPPING TOES,450,1 ,$103.38 ,$77.54 ,$21.22 ,$121.29 ,$66.58 ,$53.91 ,$72.37 ,$21.22 ,$85.81 ,$21.86 ,$68.23 ,$98.21 , N/A ,$82.70 ,$94.08 ,$21.22 ,$97.18 ,$98.21 ,$93.04 ,$87.87 ,$21.22 ,$21.22 ,$21.22 ,$75.47 ,$53.91 ,$92.01 ,$93.04 ,$93.04 ,$82.70 ,$55.52 ,$56.86 ,$93.04 ,$53.91 ,$93.04 ,$53.91 ,$98.21 ,$121.29 ,$95.11 ,$22.49 ,$94.08 ,$53.91 ,$63.62 ,$66.58 ,$63.62 ,$93.04 ,$93.04 ,$77.54 ,$72.37 ,$54.45 ,$22.28 ,$96.66 ,$56.61 ,$21.22 ,$89.94 ,$53.91 ,$93.04 ,$53.91 ,$93.04 ,$93.04 ,$93.04 ,$100.28 ,$83.74 ,$93.04 ,$93.04 ,$93.04 ,$93.04 ST. JOSEPH'S - CHIPPEWA FALLS,45000344,11040,HC DEBRIDEMENT PARTIAL THICKNESS,450,1 ,$195.02 ,$146.27 ,$107.26 ,$195.02 ,$125.59 , N/A ,$136.51 , N/A ,$161.87 , N/A ,$128.71 ,$185.27 , N/A ,$156.02 ,$177.47 , N/A ,$183.32 ,$185.27 ,$175.52 ,$165.77 , N/A , N/A , N/A ,$142.36 , N/A ,$173.57 ,$175.52 ,$175.52 ,$156.02 , N/A ,$107.26 ,$175.52 , N/A ,$175.52 , N/A ,$185.27 , N/A ,$179.42 , N/A ,$177.47 , N/A ,$120.02 ,$125.59 ,$120.02 ,$175.52 ,$175.52 ,$146.27 ,$136.51 , N/A , N/A ,$182.34 , N/A , N/A ,$169.67 , N/A ,$175.52 , N/A ,$175.52 ,$175.52 ,$175.52 ,$189.17 ,$157.97 ,$175.52 ,$175.52 ,$175.52 ,$175.52 ST. JOSEPH'S - CHIPPEWA FALLS,45000345,11041,HC DEBRIDEMENT FULL THICKNESS,450,1 ,$375.52 ,$281.64 ,$206.54 ,$375.52 ,$241.83 , N/A ,$262.86 , N/A ,$311.68 , N/A ,$247.84 ,$356.74 , N/A ,$300.42 ,$341.72 , N/A ,$352.99 ,$356.74 ,$337.97 ,$319.19 , N/A , N/A , N/A ,$274.13 , N/A ,$334.21 ,$337.97 ,$337.97 ,$300.42 , N/A ,$206.54 ,$337.97 , N/A ,$337.97 , N/A ,$356.74 , N/A ,$345.48 , N/A ,$341.72 , N/A ,$231.10 ,$241.83 ,$231.10 ,$337.97 ,$337.97 ,$281.64 ,$262.86 , N/A , N/A ,$351.11 , N/A , N/A ,$326.70 , N/A ,$337.97 , N/A ,$337.97 ,$337.97 ,$337.97 ,$364.25 ,$304.17 ,$337.97 ,$337.97 ,$337.97 ,$337.97 ST. JOSEPH'S - CHIPPEWA FALLS,45000346,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP,450,1 ,$395.18 ,$296.39 ,$193.84 ,"$3,034.10 ",$254.50 ,"$1,348.49 ",$276.63 ,$193.84 ,$328.00 ,$199.66 ,$260.82 ,$375.42 , N/A ,$316.14 ,$359.61 ,$193.84 ,$371.47 ,$375.42 ,$355.66 ,$335.90 ,$193.84 ,$193.84 ,$193.84 ,$288.48 ,"$1,348.49 ",$351.71 ,$355.66 ,$355.66 ,$316.14 ,"$1,388.95 ",$217.35 ,$355.66 ,"$1,348.49 ",$355.66 ,"$1,348.49 ",$375.42 ,"$3,034.10 ",$363.57 ,$205.47 ,$359.61 ,"$1,348.49 ",$243.19 ,$254.50 ,$243.19 ,$355.66 ,$355.66 ,$296.39 ,$276.63 ,"$1,361.98 ",$203.53 ,$369.49 ,"$1,415.91 ",$193.84 ,$343.81 ,"$1,348.49 ",$355.66 ,"$1,348.49 ",$355.66 ,$355.66 ,$355.66 ,$383.32 ,$320.10 ,$355.66 ,$355.66 ,$355.66 ,$355.66 ST. JOSEPH'S - CHIPPEWA FALLS,45000347,28665,HC CLSD TX DISLOC (I-P) JOINT W/ANES,450,1 ,$215.63 ,$161.72 ,$118.60 ,$525.54 ,$138.87 ,$233.57 ,$150.94 ,$215.63 ,$178.97 ,$340.45 ,$142.32 ,$204.85 , N/A ,$172.50 ,$196.22 ,$215.63 ,$202.69 ,$204.85 ,$194.07 ,$183.29 ,$330.53 ,$330.53 ,$330.53 ,$157.41 ,$233.57 ,$191.91 ,$194.07 ,$194.07 ,$172.50 ,$240.58 ,$118.60 ,$194.07 ,$233.57 ,$194.07 ,$233.57 ,$204.85 ,$525.54 ,$198.38 ,$350.36 ,$196.22 ,$233.57 ,$132.70 ,$138.87 ,$132.70 ,$194.07 ,$194.07 ,$161.72 ,$150.94 ,$235.91 ,$347.06 ,$201.61 ,$245.25 ,$215.63 ,$187.60 ,$233.57 ,$194.07 ,$233.57 ,$194.07 ,$194.07 ,$194.07 ,$209.16 ,$174.66 ,$194.07 ,$194.07 ,$194.07 ,$194.07 ST. JOSEPH'S - CHIPPEWA FALLS,45000350,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT,450,1 ,$92.70 ,$69.53 ,$35.67 ,$121.29 ,$59.70 ,$53.91 ,$64.89 ,$35.67 ,$76.94 ,$36.74 ,$61.18 ,$88.07 , N/A ,$74.16 ,$84.36 ,$35.67 ,$87.14 ,$88.07 ,$83.43 ,$78.80 ,$35.67 ,$35.67 ,$35.67 ,$67.67 ,$53.91 ,$82.50 ,$83.43 ,$83.43 ,$74.16 ,$55.52 ,$50.99 ,$83.43 ,$53.91 ,$83.43 ,$53.91 ,$88.07 ,$121.29 ,$85.28 ,$37.81 ,$84.36 ,$53.91 ,$57.05 ,$59.70 ,$57.05 ,$83.43 ,$83.43 ,$69.53 ,$64.89 ,$54.45 ,$37.45 ,$86.67 ,$56.61 ,$35.67 ,$80.65 ,$53.91 ,$83.43 ,$53.91 ,$83.43 ,$83.43 ,$83.43 ,$89.92 ,$75.09 ,$83.43 ,$83.43 ,$83.43 ,$83.43 ST. JOSEPH'S - CHIPPEWA FALLS,45000351,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT,450,1 ,$92.70 ,$69.53 ,$35.67 ,$121.29 ,$59.70 ,$53.91 ,$64.89 ,$35.67 ,$76.94 ,$36.74 ,$61.18 ,$88.07 , N/A ,$74.16 ,$84.36 ,$35.67 ,$87.14 ,$88.07 ,$83.43 ,$78.80 ,$35.67 ,$35.67 ,$35.67 ,$67.67 ,$53.91 ,$82.50 ,$83.43 ,$83.43 ,$74.16 ,$55.52 ,$50.99 ,$83.43 ,$53.91 ,$83.43 ,$53.91 ,$88.07 ,$121.29 ,$85.28 ,$37.81 ,$84.36 ,$53.91 ,$57.05 ,$59.70 ,$57.05 ,$83.43 ,$83.43 ,$69.53 ,$64.89 ,$54.45 ,$37.45 ,$86.67 ,$56.61 ,$35.67 ,$80.65 ,$53.91 ,$83.43 ,$53.91 ,$83.43 ,$83.43 ,$83.43 ,$89.92 ,$75.09 ,$83.43 ,$83.43 ,$83.43 ,$83.43 ST. JOSEPH'S - CHIPPEWA FALLS,45000352,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-50,450,1 ,$92.70 ,$69.53 ,$50.99 ,$121.29 ,$59.70 ,$53.91 ,$64.89 ,$53.51 ,$76.94 ,$55.12 ,$61.18 ,$88.07 , N/A ,$74.16 ,$84.36 ,$53.51 ,$87.14 ,$88.07 ,$83.43 ,$78.80 ,$53.51 ,$53.51 ,$53.51 ,$67.67 ,$53.91 ,$82.50 ,$83.43 ,$83.43 ,$74.16 ,$55.52 ,$50.99 ,$83.43 ,$53.91 ,$83.43 ,$53.91 ,$88.07 ,$121.29 ,$85.28 ,$56.72 ,$84.36 ,$53.91 ,$57.05 ,$59.70 ,$57.05 ,$83.43 ,$83.43 ,$69.53 ,$64.89 ,$54.45 ,$56.19 ,$86.67 ,$56.61 ,$53.51 ,$80.65 ,$53.91 ,$83.43 ,$53.91 ,$83.43 ,$83.43 ,$83.43 ,$89.92 ,$75.09 ,$83.43 ,$83.43 ,$83.43 ,$83.43 ST. JOSEPH'S - CHIPPEWA FALLS,45000353,21480,HC TX DISL JAW CLS-LT,450,1 ,$164.38 ,$123.29 ,$35.67 ,$449.31 ,$105.86 ,$199.70 ,$115.07 ,$35.67 ,$136.44 ,$36.74 ,$108.49 ,$156.16 , N/A ,$131.50 ,$149.59 ,$35.67 ,$154.52 ,$156.16 ,$147.94 ,$139.72 ,$35.67 ,$35.67 ,$35.67 ,$120.00 ,$199.70 ,$146.30 ,$147.94 ,$147.94 ,$131.50 ,$205.69 ,$90.41 ,$147.94 ,$199.70 ,$147.94 ,$199.70 ,$156.16 ,$449.31 ,$151.23 ,$37.81 ,$149.59 ,$199.70 ,$101.16 ,$105.86 ,$101.16 ,$147.94 ,$147.94 ,$123.29 ,$115.07 ,$201.69 ,$37.45 ,$153.70 ,$209.69 ,$35.67 ,$143.01 ,$199.70 ,$147.94 ,$199.70 ,$147.94 ,$147.94 ,$147.94 ,$159.45 ,$133.15 ,$147.94 ,$147.94 ,$147.94 ,$147.94 ST. JOSEPH'S - CHIPPEWA FALLS,45000354,21480,HC TX DISL JAW CLS-RT,450,1 ,$164.38 ,$123.29 ,$35.67 ,$449.31 ,$105.86 ,$199.70 ,$115.07 ,$35.67 ,$136.44 ,$36.74 ,$108.49 ,$156.16 , N/A ,$131.50 ,$149.59 ,$35.67 ,$154.52 ,$156.16 ,$147.94 ,$139.72 ,$35.67 ,$35.67 ,$35.67 ,$120.00 ,$199.70 ,$146.30 ,$147.94 ,$147.94 ,$131.50 ,$205.69 ,$90.41 ,$147.94 ,$199.70 ,$147.94 ,$199.70 ,$156.16 ,$449.31 ,$151.23 ,$37.81 ,$149.59 ,$199.70 ,$101.16 ,$105.86 ,$101.16 ,$147.94 ,$147.94 ,$123.29 ,$115.07 ,$201.69 ,$37.45 ,$153.70 ,$209.69 ,$35.67 ,$143.01 ,$199.70 ,$147.94 ,$199.70 ,$147.94 ,$147.94 ,$147.94 ,$159.45 ,$133.15 ,$147.94 ,$147.94 ,$147.94 ,$147.94 ST. JOSEPH'S - CHIPPEWA FALLS,45000355,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP-LT,450,1 ,$395.18 ,$296.39 ,$193.84 ,"$3,034.10 ",$254.50 ,"$1,348.49 ",$276.63 ,$193.84 ,$328.00 ,$199.66 ,$260.82 ,$375.42 , N/A ,$316.14 ,$359.61 ,$193.84 ,$371.47 ,$375.42 ,$355.66 ,$335.90 ,$193.84 ,$193.84 ,$193.84 ,$288.48 ,"$1,348.49 ",$351.71 ,$355.66 ,$355.66 ,$316.14 ,"$1,388.95 ",$217.35 ,$355.66 ,"$1,348.49 ",$355.66 ,"$1,348.49 ",$375.42 ,"$3,034.10 ",$363.57 ,$205.47 ,$359.61 ,"$1,348.49 ",$243.19 ,$254.50 ,$243.19 ,$355.66 ,$355.66 ,$296.39 ,$276.63 ,"$1,361.98 ",$203.53 ,$369.49 ,"$1,415.91 ",$193.84 ,$343.81 ,"$1,348.49 ",$355.66 ,"$1,348.49 ",$355.66 ,$355.66 ,$355.66 ,$383.32 ,$320.10 ,$355.66 ,$355.66 ,$355.66 ,$355.66 ST. JOSEPH'S - CHIPPEWA FALLS,45000356,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP-RT,450,1 ,$395.18 ,$296.39 ,$193.84 ,"$3,034.10 ",$254.50 ,"$1,348.49 ",$276.63 ,$193.84 ,$328.00 ,$199.66 ,$260.82 ,$375.42 , N/A ,$316.14 ,$359.61 ,$193.84 ,$371.47 ,$375.42 ,$355.66 ,$335.90 ,$193.84 ,$193.84 ,$193.84 ,$288.48 ,"$1,348.49 ",$351.71 ,$355.66 ,$355.66 ,$316.14 ,"$1,388.95 ",$217.35 ,$355.66 ,"$1,348.49 ",$355.66 ,"$1,348.49 ",$375.42 ,"$3,034.10 ",$363.57 ,$205.47 ,$359.61 ,"$1,348.49 ",$243.19 ,$254.50 ,$243.19 ,$355.66 ,$355.66 ,$296.39 ,$276.63 ,"$1,361.98 ",$203.53 ,$369.49 ,"$1,415.91 ",$193.84 ,$343.81 ,"$1,348.49 ",$355.66 ,"$1,348.49 ",$355.66 ,$355.66 ,$355.66 ,$383.32 ,$320.10 ,$355.66 ,$355.66 ,$355.66 ,$355.66 ST. JOSEPH'S - CHIPPEWA FALLS,45000357,23650,HC TX DISL SHLDR W/MAN CLS-LT,450,1 ,$374.85 ,$281.14 ,$193.84 ,$449.31 ,$241.40 ,$199.70 ,$262.40 ,$193.84 ,$311.13 ,$199.66 ,$247.40 ,$356.11 , N/A ,$299.88 ,$341.11 ,$193.84 ,$352.36 ,$356.11 ,$337.37 ,$318.62 ,$193.84 ,$193.84 ,$193.84 ,$273.64 ,$199.70 ,$333.62 ,$337.37 ,$337.37 ,$299.88 ,$205.69 ,$206.17 ,$337.37 ,$199.70 ,$337.37 ,$199.70 ,$356.11 ,$449.31 ,$344.86 ,$205.47 ,$341.11 ,$199.70 ,$230.68 ,$241.40 ,$230.68 ,$337.37 ,$337.37 ,$281.14 ,$262.40 ,$201.69 ,$203.53 ,$350.48 ,$209.69 ,$193.84 ,$326.12 ,$199.70 ,$337.37 ,$199.70 ,$337.37 ,$337.37 ,$337.37 ,$363.60 ,$303.63 ,$337.37 ,$337.37 ,$337.37 ,$337.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000358,23650,HC TX DISL SHLDR W/MAN CLS-RT,450,1 ,$374.85 ,$281.14 ,$193.84 ,$449.31 ,$241.40 ,$199.70 ,$262.40 ,$193.84 ,$311.13 ,$199.66 ,$247.40 ,$356.11 , N/A ,$299.88 ,$341.11 ,$193.84 ,$352.36 ,$356.11 ,$337.37 ,$318.62 ,$193.84 ,$193.84 ,$193.84 ,$273.64 ,$199.70 ,$333.62 ,$337.37 ,$337.37 ,$299.88 ,$205.69 ,$206.17 ,$337.37 ,$199.70 ,$337.37 ,$199.70 ,$356.11 ,$449.31 ,$344.86 ,$205.47 ,$341.11 ,$199.70 ,$230.68 ,$241.40 ,$230.68 ,$337.37 ,$337.37 ,$281.14 ,$262.40 ,$201.69 ,$203.53 ,$350.48 ,$209.69 ,$193.84 ,$326.12 ,$199.70 ,$337.37 ,$199.70 ,$337.37 ,$337.37 ,$337.37 ,$363.60 ,$303.63 ,$337.37 ,$337.37 ,$337.37 ,$337.37 ST. JOSEPH'S - CHIPPEWA FALLS,45000359,23655,HC TX DISL SHLDR W/MAN/ANES CLS-LT,450,1 ,$143.90 ,$107.93 ,$79.15 ,"$3,034.10 ",$92.67 ,"$1,348.49 ",$100.73 ,$143.90 ,$119.44 ,$340.45 ,$94.97 ,$136.71 , N/A ,$115.12 ,$130.95 ,$143.90 ,$135.27 ,$136.71 ,$129.51 ,$122.32 ,$330.53 ,$330.53 ,$330.53 ,$105.05 ,"$1,348.49 ",$128.07 ,$129.51 ,$129.51 ,$115.12 ,"$1,388.95 ",$79.15 ,$129.51 ,"$1,348.49 ",$129.51 ,"$1,348.49 ",$136.71 ,"$3,034.10 ",$132.39 ,$350.36 ,$130.95 ,"$1,348.49 ",$88.56 ,$92.67 ,$88.56 ,$129.51 ,$129.51 ,$107.93 ,$100.73 ,"$1,361.98 ",$347.06 ,$134.55 ,"$1,415.91 ",$143.90 ,$125.19 ,"$1,348.49 ",$129.51 ,"$1,348.49 ",$129.51 ,$129.51 ,$129.51 ,$139.58 ,$116.56 ,$129.51 ,$129.51 ,$129.51 ,$129.51 ST. JOSEPH'S - CHIPPEWA FALLS,45000360,23655,HC TX DISL SHLDR W/MAN/ANES CLS-RT,450,1 ,$143.90 ,$107.93 ,$79.15 ,"$3,034.10 ",$92.67 ,"$1,348.49 ",$100.73 ,$143.90 ,$119.44 ,$340.45 ,$94.97 ,$136.71 , N/A ,$115.12 ,$130.95 ,$143.90 ,$135.27 ,$136.71 ,$129.51 ,$122.32 ,$330.53 ,$330.53 ,$330.53 ,$105.05 ,"$1,348.49 ",$128.07 ,$129.51 ,$129.51 ,$115.12 ,"$1,388.95 ",$79.15 ,$129.51 ,"$1,348.49 ",$129.51 ,"$1,348.49 ",$136.71 ,"$3,034.10 ",$132.39 ,$350.36 ,$130.95 ,"$1,348.49 ",$88.56 ,$92.67 ,$88.56 ,$129.51 ,$129.51 ,$107.93 ,$100.73 ,"$1,361.98 ",$347.06 ,$134.55 ,"$1,415.91 ",$143.90 ,$125.19 ,"$1,348.49 ",$129.51 ,"$1,348.49 ",$129.51 ,$129.51 ,$129.51 ,$139.58 ,$116.56 ,$129.51 ,$129.51 ,$129.51 ,$129.51 ST. JOSEPH'S - CHIPPEWA FALLS,45000361,23931,HC I AND D BURSA ELBOW/ARM-LT,450,1 ,$370.15 ,$277.61 ,$203.58 ,"$3,066.03 ",$238.38 ,"$1,362.68 ",$259.11 ,$370.15 ,$307.22 ,$511.63 ,$244.30 ,$351.64 , N/A ,$296.12 ,$336.84 ,$370.15 ,$347.94 ,$351.64 ,$333.14 ,$314.63 ,$496.73 ,$496.73 ,$496.73 ,$270.21 ,"$1,362.68 ",$329.43 ,$333.14 ,$333.14 ,$296.12 ,"$1,403.56 ",$203.58 ,$333.14 ,"$1,362.68 ",$333.14 ,"$1,362.68 ",$351.64 ,"$3,066.03 ",$340.54 ,$526.53 ,$336.84 ,"$1,362.68 ",$227.79 ,$238.38 ,$227.79 ,$333.14 ,$333.14 ,$277.61 ,$259.11 ,"$1,376.31 ",$521.57 ,$346.09 ,"$1,430.81 ",$370.15 ,$322.03 ,"$1,362.68 ",$333.14 ,"$1,362.68 ",$333.14 ,$333.14 ,$333.14 ,$359.05 ,$299.82 ,$333.14 ,$333.14 ,$333.14 ,$333.14 ST. JOSEPH'S - CHIPPEWA FALLS,45000362,23931,HC I AND D BURSA ELBOW/ARM-RT,450,1 ,$370.15 ,$277.61 ,$203.58 ,"$3,066.03 ",$238.38 ,"$1,362.68 ",$259.11 ,$370.15 ,$307.22 ,$511.63 ,$244.30 ,$351.64 , N/A ,$296.12 ,$336.84 ,$370.15 ,$347.94 ,$351.64 ,$333.14 ,$314.63 ,$496.73 ,$496.73 ,$496.73 ,$270.21 ,"$1,362.68 ",$329.43 ,$333.14 ,$333.14 ,$296.12 ,"$1,403.56 ",$203.58 ,$333.14 ,"$1,362.68 ",$333.14 ,"$1,362.68 ",$351.64 ,"$3,066.03 ",$340.54 ,$526.53 ,$336.84 ,"$1,362.68 ",$227.79 ,$238.38 ,$227.79 ,$333.14 ,$333.14 ,$277.61 ,$259.11 ,"$1,376.31 ",$521.57 ,$346.09 ,"$1,430.81 ",$370.15 ,$322.03 ,"$1,362.68 ",$333.14 ,"$1,362.68 ",$333.14 ,$333.14 ,$333.14 ,$359.05 ,$299.82 ,$333.14 ,$333.14 ,$333.14 ,$333.14 ST. JOSEPH'S - CHIPPEWA FALLS,45000363,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP-LT,450,1 ,$356.32 ,$267.24 ,$193.84 ,"$3,034.10 ",$229.47 ,"$1,348.49 ",$249.42 ,$193.84 ,$295.75 ,$199.66 ,$235.17 ,$338.50 , N/A ,$285.06 ,$324.25 ,$193.84 ,$334.94 ,$338.50 ,$320.69 ,$302.87 ,$193.84 ,$193.84 ,$193.84 ,$260.11 ,"$1,348.49 ",$317.12 ,$320.69 ,$320.69 ,$285.06 ,"$1,388.95 ",$195.98 ,$320.69 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$338.50 ,"$3,034.10 ",$327.81 ,$205.47 ,$324.25 ,"$1,348.49 ",$219.28 ,$229.47 ,$219.28 ,$320.69 ,$320.69 ,$267.24 ,$249.42 ,"$1,361.98 ",$203.53 ,$333.16 ,"$1,415.91 ",$193.84 ,$310.00 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$320.69 ,$320.69 ,$320.69 ,$345.63 ,$288.62 ,$320.69 ,$320.69 ,$320.69 ,$320.69 ST. JOSEPH'S - CHIPPEWA FALLS,45000364,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP-RT,450,1 ,$356.32 ,$267.24 ,$193.84 ,"$3,034.10 ",$229.47 ,"$1,348.49 ",$249.42 ,$193.84 ,$295.75 ,$199.66 ,$235.17 ,$338.50 , N/A ,$285.06 ,$324.25 ,$193.84 ,$334.94 ,$338.50 ,$320.69 ,$302.87 ,$193.84 ,$193.84 ,$193.84 ,$260.11 ,"$1,348.49 ",$317.12 ,$320.69 ,$320.69 ,$285.06 ,"$1,388.95 ",$195.98 ,$320.69 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$338.50 ,"$3,034.10 ",$327.81 ,$205.47 ,$324.25 ,"$1,348.49 ",$219.28 ,$229.47 ,$219.28 ,$320.69 ,$320.69 ,$267.24 ,$249.42 ,"$1,361.98 ",$203.53 ,$333.16 ,"$1,415.91 ",$193.84 ,$310.00 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$320.69 ,$320.69 ,$320.69 ,$345.63 ,$288.62 ,$320.69 ,$320.69 ,$320.69 ,$320.69 ST. JOSEPH'S - CHIPPEWA FALLS,45000365,24600,HC TX DISL ELBOW W/O ANES CLS-LT,450,1 ,$162.55 ,$121.91 ,$89.40 ,$449.31 ,$104.68 ,$199.70 ,$113.79 ,$162.55 ,$134.92 ,$199.66 ,$107.28 ,$154.42 , N/A ,$130.04 ,$147.92 ,$162.55 ,$152.80 ,$154.42 ,$146.30 ,$138.17 ,$193.84 ,$193.84 ,$193.84 ,$118.66 ,$199.70 ,$144.67 ,$146.30 ,$146.30 ,$130.04 ,$205.69 ,$89.40 ,$146.30 ,$199.70 ,$146.30 ,$199.70 ,$154.42 ,$449.31 ,$149.55 ,$205.47 ,$147.92 ,$199.70 ,$100.03 ,$104.68 ,$100.03 ,$146.30 ,$146.30 ,$121.91 ,$113.79 ,$201.69 ,$203.53 ,$151.98 ,$209.69 ,$162.55 ,$141.42 ,$199.70 ,$146.30 ,$199.70 ,$146.30 ,$146.30 ,$146.30 ,$157.67 ,$131.67 ,$146.30 ,$146.30 ,$146.30 ,$146.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000366,24600,HC TX DISL ELBOW W/O ANES CLS-RT,450,1 ,$162.55 ,$121.91 ,$89.40 ,$449.31 ,$104.68 ,$199.70 ,$113.79 ,$162.55 ,$134.92 ,$199.66 ,$107.28 ,$154.42 , N/A ,$130.04 ,$147.92 ,$162.55 ,$152.80 ,$154.42 ,$146.30 ,$138.17 ,$193.84 ,$193.84 ,$193.84 ,$118.66 ,$199.70 ,$144.67 ,$146.30 ,$146.30 ,$130.04 ,$205.69 ,$89.40 ,$146.30 ,$199.70 ,$146.30 ,$199.70 ,$154.42 ,$449.31 ,$149.55 ,$205.47 ,$147.92 ,$199.70 ,$100.03 ,$104.68 ,$100.03 ,$146.30 ,$146.30 ,$121.91 ,$113.79 ,$201.69 ,$203.53 ,$151.98 ,$209.69 ,$162.55 ,$141.42 ,$199.70 ,$146.30 ,$199.70 ,$146.30 ,$146.30 ,$146.30 ,$157.67 ,$131.67 ,$146.30 ,$146.30 ,$146.30 ,$146.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000367,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP-LT,450,1 ,$356.32 ,$267.24 ,$193.84 ,"$3,034.10 ",$229.47 ,"$1,348.49 ",$249.42 ,$193.84 ,$295.75 ,$199.66 ,$235.17 ,$338.50 , N/A ,$285.06 ,$324.25 ,$193.84 ,$334.94 ,$338.50 ,$320.69 ,$302.87 ,$193.84 ,$193.84 ,$193.84 ,$260.11 ,"$1,348.49 ",$317.12 ,$320.69 ,$320.69 ,$285.06 ,"$1,388.95 ",$195.98 ,$320.69 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$338.50 ,"$3,034.10 ",$327.81 ,$205.47 ,$324.25 ,"$1,348.49 ",$219.28 ,$229.47 ,$219.28 ,$320.69 ,$320.69 ,$267.24 ,$249.42 ,"$1,361.98 ",$203.53 ,$333.16 ,"$1,415.91 ",$193.84 ,$310.00 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$320.69 ,$320.69 ,$320.69 ,$345.63 ,$288.62 ,$320.69 ,$320.69 ,$320.69 ,$320.69 ST. JOSEPH'S - CHIPPEWA FALLS,45000368,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP-RT,450,1 ,$356.32 ,$267.24 ,$193.84 ,"$3,034.10 ",$229.47 ,"$1,348.49 ",$249.42 ,$193.84 ,$295.75 ,$199.66 ,$235.17 ,$338.50 , N/A ,$285.06 ,$324.25 ,$193.84 ,$334.94 ,$338.50 ,$320.69 ,$302.87 ,$193.84 ,$193.84 ,$193.84 ,$260.11 ,"$1,348.49 ",$317.12 ,$320.69 ,$320.69 ,$285.06 ,"$1,388.95 ",$195.98 ,$320.69 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$338.50 ,"$3,034.10 ",$327.81 ,$205.47 ,$324.25 ,"$1,348.49 ",$219.28 ,$229.47 ,$219.28 ,$320.69 ,$320.69 ,$267.24 ,$249.42 ,"$1,361.98 ",$203.53 ,$333.16 ,"$1,415.91 ",$193.84 ,$310.00 ,"$1,348.49 ",$320.69 ,"$1,348.49 ",$320.69 ,$320.69 ,$320.69 ,$345.63 ,$288.62 ,$320.69 ,$320.69 ,$320.69 ,$320.69 ST. JOSEPH'S - CHIPPEWA FALLS,45000369,24640,HC DISLOCATION NURSEMAID ELBOW-LT,450,1 ,$129.34 ,$97.01 ,$71.14 ,$449.31 ,$83.30 ,$199.70 ,$90.54 ,$129.34 ,$107.35 ,$199.66 ,$85.36 ,$122.87 , N/A ,$103.47 ,$117.70 ,$129.34 ,$121.58 ,$122.87 ,$116.41 ,$109.94 ,$193.84 ,$193.84 ,$193.84 ,$94.42 ,$199.70 ,$115.11 ,$116.41 ,$116.41 ,$103.47 ,$205.69 ,$71.14 ,$116.41 ,$199.70 ,$116.41 ,$199.70 ,$122.87 ,$449.31 ,$118.99 ,$205.47 ,$117.70 ,$199.70 ,$79.60 ,$83.30 ,$79.60 ,$116.41 ,$116.41 ,$97.01 ,$90.54 ,$201.69 ,$203.53 ,$120.93 ,$209.69 ,$129.34 ,$112.53 ,$199.70 ,$116.41 ,$199.70 ,$116.41 ,$116.41 ,$116.41 ,$125.46 ,$104.77 ,$116.41 ,$116.41 ,$116.41 ,$116.41 ST. JOSEPH'S - CHIPPEWA FALLS,45000370,24640,HC DISLOCATION NURSEMAID ELBOW-RT,450,1 ,$129.34 ,$97.01 ,$71.14 ,$449.31 ,$83.30 ,$199.70 ,$90.54 ,$129.34 ,$107.35 ,$199.66 ,$85.36 ,$122.87 , N/A ,$103.47 ,$117.70 ,$129.34 ,$121.58 ,$122.87 ,$116.41 ,$109.94 ,$193.84 ,$193.84 ,$193.84 ,$94.42 ,$199.70 ,$115.11 ,$116.41 ,$116.41 ,$103.47 ,$205.69 ,$71.14 ,$116.41 ,$199.70 ,$116.41 ,$199.70 ,$122.87 ,$449.31 ,$118.99 ,$205.47 ,$117.70 ,$199.70 ,$79.60 ,$83.30 ,$79.60 ,$116.41 ,$116.41 ,$97.01 ,$90.54 ,$201.69 ,$203.53 ,$120.93 ,$209.69 ,$129.34 ,$112.53 ,$199.70 ,$116.41 ,$199.70 ,$116.41 ,$116.41 ,$116.41 ,$125.46 ,$104.77 ,$116.41 ,$116.41 ,$116.41 ,$116.41 ST. JOSEPH'S - CHIPPEWA FALLS,45000371,25505,HC RADIUS FX W MANIP-LT,450,1 ,$503.97 ,$377.98 ,$193.84 ,"$3,034.10 ",$324.56 ,"$1,348.49 ",$352.78 ,$193.84 ,$418.30 ,$199.66 ,$332.62 ,$478.77 , N/A ,$403.18 ,$458.61 ,$193.84 ,$473.73 ,$478.77 ,$453.57 ,$428.37 ,$193.84 ,$193.84 ,$193.84 ,$367.90 ,"$1,348.49 ",$448.53 ,$453.57 ,$453.57 ,$403.18 ,"$1,388.95 ",$277.18 ,$453.57 ,"$1,348.49 ",$453.57 ,"$1,348.49 ",$478.77 ,"$3,034.10 ",$463.65 ,$205.47 ,$458.61 ,"$1,348.49 ",$310.14 ,$324.56 ,$310.14 ,$453.57 ,$453.57 ,$377.98 ,$352.78 ,"$1,361.98 ",$203.53 ,$471.21 ,"$1,415.91 ",$193.84 ,$438.45 ,"$1,348.49 ",$453.57 ,"$1,348.49 ",$453.57 ,$453.57 ,$453.57 ,$488.85 ,$408.22 ,$453.57 ,$453.57 ,$453.57 ,$453.57 ST. JOSEPH'S - CHIPPEWA FALLS,45000372,25505,HC RADIUS FX W MANIP-RT,450,1 ,$503.97 ,$377.98 ,$193.84 ,"$3,034.10 ",$324.56 ,"$1,348.49 ",$352.78 ,$193.84 ,$418.30 ,$199.66 ,$332.62 ,$478.77 , N/A ,$403.18 ,$458.61 ,$193.84 ,$473.73 ,$478.77 ,$453.57 ,$428.37 ,$193.84 ,$193.84 ,$193.84 ,$367.90 ,"$1,348.49 ",$448.53 ,$453.57 ,$453.57 ,$403.18 ,"$1,388.95 ",$277.18 ,$453.57 ,"$1,348.49 ",$453.57 ,"$1,348.49 ",$478.77 ,"$3,034.10 ",$463.65 ,$205.47 ,$458.61 ,"$1,348.49 ",$310.14 ,$324.56 ,$310.14 ,$453.57 ,$453.57 ,$377.98 ,$352.78 ,"$1,361.98 ",$203.53 ,$471.21 ,"$1,415.91 ",$193.84 ,$438.45 ,"$1,348.49 ",$453.57 ,"$1,348.49 ",$453.57 ,$453.57 ,$453.57 ,$488.85 ,$408.22 ,$453.57 ,$453.57 ,$453.57 ,$453.57 ST. JOSEPH'S - CHIPPEWA FALLS,45000373,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-LT,450,1 ,$519.25 ,$389.44 ,$193.84 ,"$3,034.10 ",$334.40 ,"$1,348.49 ",$363.48 ,$193.84 ,$430.98 ,$199.66 ,$342.71 ,$493.29 , N/A ,$415.40 ,$472.52 ,$193.84 ,$488.10 ,$493.29 ,$467.33 ,$441.36 ,$193.84 ,$193.84 ,$193.84 ,$379.05 ,"$1,348.49 ",$462.13 ,$467.33 ,$467.33 ,$415.40 ,"$1,388.95 ",$285.59 ,$467.33 ,"$1,348.49 ",$467.33 ,"$1,348.49 ",$493.29 ,"$3,034.10 ",$477.71 ,$205.47 ,$472.52 ,"$1,348.49 ",$319.55 ,$334.40 ,$319.55 ,$467.33 ,$467.33 ,$389.44 ,$363.48 ,"$1,361.98 ",$203.53 ,$485.50 ,"$1,415.91 ",$193.84 ,$451.75 ,"$1,348.49 ",$467.33 ,"$1,348.49 ",$467.33 ,$467.33 ,$467.33 ,$503.67 ,$420.59 ,$467.33 ,$467.33 ,$467.33 ,$467.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000374,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-RT,450,1 ,$519.25 ,$389.44 ,$193.84 ,"$3,034.10 ",$334.40 ,"$1,348.49 ",$363.48 ,$193.84 ,$430.98 ,$199.66 ,$342.71 ,$493.29 , N/A ,$415.40 ,$472.52 ,$193.84 ,$488.10 ,$493.29 ,$467.33 ,$441.36 ,$193.84 ,$193.84 ,$193.84 ,$379.05 ,"$1,348.49 ",$462.13 ,$467.33 ,$467.33 ,$415.40 ,"$1,388.95 ",$285.59 ,$467.33 ,"$1,348.49 ",$467.33 ,"$1,348.49 ",$493.29 ,"$3,034.10 ",$477.71 ,$205.47 ,$472.52 ,"$1,348.49 ",$319.55 ,$334.40 ,$319.55 ,$467.33 ,$467.33 ,$389.44 ,$363.48 ,"$1,361.98 ",$203.53 ,$485.50 ,"$1,415.91 ",$193.84 ,$451.75 ,"$1,348.49 ",$467.33 ,"$1,348.49 ",$467.33 ,$467.33 ,$467.33 ,$503.67 ,$420.59 ,$467.33 ,$467.33 ,$467.33 ,$467.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000375,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-LT",450,1 ,$519.62 ,$389.72 ,$193.84 ,"$3,034.10 ",$334.64 ,"$1,348.49 ",$363.73 ,$193.84 ,$431.28 ,$199.66 ,$342.95 ,$493.64 , N/A ,$415.70 ,$472.85 ,$193.84 ,$488.44 ,$493.64 ,$467.66 ,$441.68 ,$193.84 ,$193.84 ,$193.84 ,$379.32 ,"$1,348.49 ",$462.46 ,$467.66 ,$467.66 ,$415.70 ,"$1,388.95 ",$285.79 ,$467.66 ,"$1,348.49 ",$467.66 ,"$1,348.49 ",$493.64 ,"$3,034.10 ",$478.05 ,$205.47 ,$472.85 ,"$1,348.49 ",$319.77 ,$334.64 ,$319.77 ,$467.66 ,$467.66 ,$389.72 ,$363.73 ,"$1,361.98 ",$203.53 ,$485.84 ,"$1,415.91 ",$193.84 ,$452.07 ,"$1,348.49 ",$467.66 ,"$1,348.49 ",$467.66 ,$467.66 ,$467.66 ,$504.03 ,$420.89 ,$467.66 ,$467.66 ,$467.66 ,$467.66 ST. JOSEPH'S - CHIPPEWA FALLS,45000376,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-RT",450,1 ,$519.62 ,$389.72 ,$193.84 ,"$3,034.10 ",$334.64 ,"$1,348.49 ",$363.73 ,$193.84 ,$431.28 ,$199.66 ,$342.95 ,$493.64 , N/A ,$415.70 ,$472.85 ,$193.84 ,$488.44 ,$493.64 ,$467.66 ,$441.68 ,$193.84 ,$193.84 ,$193.84 ,$379.32 ,"$1,348.49 ",$462.46 ,$467.66 ,$467.66 ,$415.70 ,"$1,388.95 ",$285.79 ,$467.66 ,"$1,348.49 ",$467.66 ,"$1,348.49 ",$493.64 ,"$3,034.10 ",$478.05 ,$205.47 ,$472.85 ,"$1,348.49 ",$319.77 ,$334.64 ,$319.77 ,$467.66 ,$467.66 ,$389.72 ,$363.73 ,"$1,361.98 ",$203.53 ,$485.84 ,"$1,415.91 ",$193.84 ,$452.07 ,"$1,348.49 ",$467.66 ,"$1,348.49 ",$467.66 ,$467.66 ,$467.66 ,$504.03 ,$420.89 ,$467.66 ,$467.66 ,$467.66 ,$467.66 ST. JOSEPH'S - CHIPPEWA FALLS,45000377,25630,HC CLSD CARPAL BONE FX-LT,450,1 ,$270.75 ,$203.06 ,$148.91 ,$449.31 ,$174.36 ,$199.70 ,$189.53 ,$193.84 ,$224.72 ,$199.66 ,$178.70 ,$257.21 , N/A ,$216.60 ,$246.38 ,$193.84 ,$254.51 ,$257.21 ,$243.68 ,$230.14 ,$193.84 ,$193.84 ,$193.84 ,$197.65 ,$199.70 ,$240.97 ,$243.68 ,$243.68 ,$216.60 ,$205.69 ,$148.91 ,$243.68 ,$199.70 ,$243.68 ,$199.70 ,$257.21 ,$449.31 ,$249.09 ,$205.47 ,$246.38 ,$199.70 ,$166.62 ,$174.36 ,$166.62 ,$243.68 ,$243.68 ,$203.06 ,$189.53 ,$201.69 ,$203.53 ,$253.15 ,$209.69 ,$193.84 ,$235.55 ,$199.70 ,$243.68 ,$199.70 ,$243.68 ,$243.68 ,$243.68 ,$262.63 ,$219.31 ,$243.68 ,$243.68 ,$243.68 ,$243.68 ST. JOSEPH'S - CHIPPEWA FALLS,45000378,25630,HC CLSD CARPAL BONE FX-RT,450,1 ,$270.75 ,$203.06 ,$148.91 ,$449.31 ,$174.36 ,$199.70 ,$189.53 ,$193.84 ,$224.72 ,$199.66 ,$178.70 ,$257.21 , N/A ,$216.60 ,$246.38 ,$193.84 ,$254.51 ,$257.21 ,$243.68 ,$230.14 ,$193.84 ,$193.84 ,$193.84 ,$197.65 ,$199.70 ,$240.97 ,$243.68 ,$243.68 ,$216.60 ,$205.69 ,$148.91 ,$243.68 ,$199.70 ,$243.68 ,$199.70 ,$257.21 ,$449.31 ,$249.09 ,$205.47 ,$246.38 ,$199.70 ,$166.62 ,$174.36 ,$166.62 ,$243.68 ,$243.68 ,$203.06 ,$189.53 ,$201.69 ,$203.53 ,$253.15 ,$209.69 ,$193.84 ,$235.55 ,$199.70 ,$243.68 ,$199.70 ,$243.68 ,$243.68 ,$243.68 ,$262.63 ,$219.31 ,$243.68 ,$243.68 ,$243.68 ,$243.68 ST. JOSEPH'S - CHIPPEWA FALLS,45000379,26600,HC CLSD METACARPAL W/O MANIP-LT,450,1 ,$270.75 ,$203.06 ,$148.91 ,$449.31 ,$174.36 ,$199.70 ,$189.53 ,$193.84 ,$224.72 ,$199.66 ,$178.70 ,$257.21 , N/A ,$216.60 ,$246.38 ,$193.84 ,$254.51 ,$257.21 ,$243.68 ,$230.14 ,$193.84 ,$193.84 ,$193.84 ,$197.65 ,$199.70 ,$240.97 ,$243.68 ,$243.68 ,$216.60 ,$205.69 ,$148.91 ,$243.68 ,$199.70 ,$243.68 ,$199.70 ,$257.21 ,$449.31 ,$249.09 ,$205.47 ,$246.38 ,$199.70 ,$166.62 ,$174.36 ,$166.62 ,$243.68 ,$243.68 ,$203.06 ,$189.53 ,$201.69 ,$203.53 ,$253.15 ,$209.69 ,$193.84 ,$235.55 ,$199.70 ,$243.68 ,$199.70 ,$243.68 ,$243.68 ,$243.68 ,$262.63 ,$219.31 ,$243.68 ,$243.68 ,$243.68 ,$243.68 ST. JOSEPH'S - CHIPPEWA FALLS,45000380,26600,HC CLSD METACARPAL W/O MANIP-RT,450,1 ,$270.75 ,$203.06 ,$148.91 ,$449.31 ,$174.36 ,$199.70 ,$189.53 ,$193.84 ,$224.72 ,$199.66 ,$178.70 ,$257.21 , N/A ,$216.60 ,$246.38 ,$193.84 ,$254.51 ,$257.21 ,$243.68 ,$230.14 ,$193.84 ,$193.84 ,$193.84 ,$197.65 ,$199.70 ,$240.97 ,$243.68 ,$243.68 ,$216.60 ,$205.69 ,$148.91 ,$243.68 ,$199.70 ,$243.68 ,$199.70 ,$257.21 ,$449.31 ,$249.09 ,$205.47 ,$246.38 ,$199.70 ,$166.62 ,$174.36 ,$166.62 ,$243.68 ,$243.68 ,$203.06 ,$189.53 ,$201.69 ,$203.53 ,$253.15 ,$209.69 ,$193.84 ,$235.55 ,$199.70 ,$243.68 ,$199.70 ,$243.68 ,$243.68 ,$243.68 ,$262.63 ,$219.31 ,$243.68 ,$243.68 ,$243.68 ,$243.68 ST. JOSEPH'S - CHIPPEWA FALLS,45000381,26605,HC CLSD METACARPAL FX W/MANIP-LT,450,1 ,$308.64 ,$231.48 ,$169.75 ,$449.31 ,$198.76 ,$199.70 ,$216.05 ,$193.84 ,$256.17 ,$199.66 ,$203.70 ,$293.21 , N/A ,$246.91 ,$280.86 ,$193.84 ,$290.12 ,$293.21 ,$277.78 ,$262.34 ,$193.84 ,$193.84 ,$193.84 ,$225.31 ,$199.70 ,$274.69 ,$277.78 ,$277.78 ,$246.91 ,$205.69 ,$169.75 ,$277.78 ,$199.70 ,$277.78 ,$199.70 ,$293.21 ,$449.31 ,$283.95 ,$205.47 ,$280.86 ,$199.70 ,$189.94 ,$198.76 ,$189.94 ,$277.78 ,$277.78 ,$231.48 ,$216.05 ,$201.69 ,$203.53 ,$288.58 ,$209.69 ,$193.84 ,$268.52 ,$199.70 ,$277.78 ,$199.70 ,$277.78 ,$277.78 ,$277.78 ,$299.38 ,$250.00 ,$277.78 ,$277.78 ,$277.78 ,$277.78 ST. JOSEPH'S - CHIPPEWA FALLS,45000382,26605,HC CLSD METACARPAL FX W/MANIP-RT,450,1 ,$308.64 ,$231.48 ,$169.75 ,$449.31 ,$198.76 ,$199.70 ,$216.05 ,$193.84 ,$256.17 ,$199.66 ,$203.70 ,$293.21 , N/A ,$246.91 ,$280.86 ,$193.84 ,$290.12 ,$293.21 ,$277.78 ,$262.34 ,$193.84 ,$193.84 ,$193.84 ,$225.31 ,$199.70 ,$274.69 ,$277.78 ,$277.78 ,$246.91 ,$205.69 ,$169.75 ,$277.78 ,$199.70 ,$277.78 ,$199.70 ,$293.21 ,$449.31 ,$283.95 ,$205.47 ,$280.86 ,$199.70 ,$189.94 ,$198.76 ,$189.94 ,$277.78 ,$277.78 ,$231.48 ,$216.05 ,$201.69 ,$203.53 ,$288.58 ,$209.69 ,$193.84 ,$268.52 ,$199.70 ,$277.78 ,$199.70 ,$277.78 ,$277.78 ,$277.78 ,$299.38 ,$250.00 ,$277.78 ,$277.78 ,$277.78 ,$277.78 ST. JOSEPH'S - CHIPPEWA FALLS,45000383,26641,HC CLSD DISCL THUMB W/MANIP-LT,450,1 ,$316.11 ,$237.08 ,$173.86 ,$449.31 ,$203.57 ,$199.70 ,$221.28 ,$193.84 ,$262.37 ,$199.66 ,$208.63 ,$300.30 , N/A ,$252.89 ,$287.66 ,$193.84 ,$297.14 ,$300.30 ,$284.50 ,$268.69 ,$193.84 ,$193.84 ,$193.84 ,$230.76 ,$199.70 ,$281.34 ,$284.50 ,$284.50 ,$252.89 ,$205.69 ,$173.86 ,$284.50 ,$199.70 ,$284.50 ,$199.70 ,$300.30 ,$449.31 ,$290.82 ,$205.47 ,$287.66 ,$199.70 ,$194.53 ,$203.57 ,$194.53 ,$284.50 ,$284.50 ,$237.08 ,$221.28 ,$201.69 ,$203.53 ,$295.56 ,$209.69 ,$193.84 ,$275.02 ,$199.70 ,$284.50 ,$199.70 ,$284.50 ,$284.50 ,$284.50 ,$306.63 ,$256.05 ,$284.50 ,$284.50 ,$284.50 ,$284.50 ST. JOSEPH'S - CHIPPEWA FALLS,45000384,26641,HC CLSD DISCL THUMB W/MANIP-RT,450,1 ,$316.11 ,$237.08 ,$173.86 ,$449.31 ,$203.57 ,$199.70 ,$221.28 ,$193.84 ,$262.37 ,$199.66 ,$208.63 ,$300.30 , N/A ,$252.89 ,$287.66 ,$193.84 ,$297.14 ,$300.30 ,$284.50 ,$268.69 ,$193.84 ,$193.84 ,$193.84 ,$230.76 ,$199.70 ,$281.34 ,$284.50 ,$284.50 ,$252.89 ,$205.69 ,$173.86 ,$284.50 ,$199.70 ,$284.50 ,$199.70 ,$300.30 ,$449.31 ,$290.82 ,$205.47 ,$287.66 ,$199.70 ,$194.53 ,$203.57 ,$194.53 ,$284.50 ,$284.50 ,$237.08 ,$221.28 ,$201.69 ,$203.53 ,$295.56 ,$209.69 ,$193.84 ,$275.02 ,$199.70 ,$284.50 ,$199.70 ,$284.50 ,$284.50 ,$284.50 ,$306.63 ,$256.05 ,$284.50 ,$284.50 ,$284.50 ,$284.50 ST. JOSEPH'S - CHIPPEWA FALLS,45000385,26670,HC HAND DISL W/MANIP W/O ANES-LT,450,1 ,$421.53 ,$316.15 ,$193.84 ,$449.31 ,$271.47 ,$199.70 ,$295.07 ,$193.84 ,$349.87 ,$199.66 ,$278.21 ,$400.45 , N/A ,$337.22 ,$383.59 ,$193.84 ,$396.24 ,$400.45 ,$379.38 ,$358.30 ,$193.84 ,$193.84 ,$193.84 ,$307.72 ,$199.70 ,$375.16 ,$379.38 ,$379.38 ,$337.22 ,$205.69 ,$231.84 ,$379.38 ,$199.70 ,$379.38 ,$199.70 ,$400.45 ,$449.31 ,$387.81 ,$205.47 ,$383.59 ,$199.70 ,$259.41 ,$271.47 ,$259.41 ,$379.38 ,$379.38 ,$316.15 ,$295.07 ,$201.69 ,$203.53 ,$394.13 ,$209.69 ,$193.84 ,$366.73 ,$199.70 ,$379.38 ,$199.70 ,$379.38 ,$379.38 ,$379.38 ,$408.88 ,$341.44 ,$379.38 ,$379.38 ,$379.38 ,$379.38 ST. JOSEPH'S - CHIPPEWA FALLS,45000386,26670,HC HAND DISL W/MANIP W/O ANES-RT,450,1 ,$421.53 ,$316.15 ,$193.84 ,$449.31 ,$271.47 ,$199.70 ,$295.07 ,$193.84 ,$349.87 ,$199.66 ,$278.21 ,$400.45 , N/A ,$337.22 ,$383.59 ,$193.84 ,$396.24 ,$400.45 ,$379.38 ,$358.30 ,$193.84 ,$193.84 ,$193.84 ,$307.72 ,$199.70 ,$375.16 ,$379.38 ,$379.38 ,$337.22 ,$205.69 ,$231.84 ,$379.38 ,$199.70 ,$379.38 ,$199.70 ,$400.45 ,$449.31 ,$387.81 ,$205.47 ,$383.59 ,$199.70 ,$259.41 ,$271.47 ,$259.41 ,$379.38 ,$379.38 ,$316.15 ,$295.07 ,$201.69 ,$203.53 ,$394.13 ,$209.69 ,$193.84 ,$366.73 ,$199.70 ,$379.38 ,$199.70 ,$379.38 ,$379.38 ,$379.38 ,$408.88 ,$341.44 ,$379.38 ,$379.38 ,$379.38 ,$379.38 ST. JOSEPH'S - CHIPPEWA FALLS,45000387,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-LT,450,1 ,$656.72 ,$492.54 ,$193.84 ,$656.72 ,$422.93 ,$199.70 ,$459.70 ,$193.84 ,$545.08 ,$199.66 ,$433.44 ,$623.88 , N/A ,$525.38 ,$597.62 ,$193.84 ,$617.32 ,$623.88 ,$591.05 ,$558.21 ,$193.84 ,$193.84 ,$193.84 ,$479.41 ,$199.70 ,$584.48 ,$591.05 ,$591.05 ,$525.38 ,$205.69 ,$361.20 ,$591.05 ,$199.70 ,$591.05 ,$199.70 ,$623.88 ,$449.31 ,$604.18 ,$205.47 ,$597.62 ,$199.70 ,$404.15 ,$422.93 ,$404.15 ,$591.05 ,$591.05 ,$492.54 ,$459.70 ,$201.69 ,$203.53 ,$614.03 ,$209.69 ,$193.84 ,$571.35 ,$199.70 ,$591.05 ,$199.70 ,$591.05 ,$591.05 ,$591.05 ,$637.02 ,$531.94 ,$591.05 ,$591.05 ,$591.05 ,$591.05 ST. JOSEPH'S - CHIPPEWA FALLS,45000388,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-RT,450,1 ,$656.72 ,$492.54 ,$193.84 ,$656.72 ,$422.93 ,$199.70 ,$459.70 ,$193.84 ,$545.08 ,$199.66 ,$433.44 ,$623.88 , N/A ,$525.38 ,$597.62 ,$193.84 ,$617.32 ,$623.88 ,$591.05 ,$558.21 ,$193.84 ,$193.84 ,$193.84 ,$479.41 ,$199.70 ,$584.48 ,$591.05 ,$591.05 ,$525.38 ,$205.69 ,$361.20 ,$591.05 ,$199.70 ,$591.05 ,$199.70 ,$623.88 ,$449.31 ,$604.18 ,$205.47 ,$597.62 ,$199.70 ,$404.15 ,$422.93 ,$404.15 ,$591.05 ,$591.05 ,$492.54 ,$459.70 ,$201.69 ,$203.53 ,$614.03 ,$209.69 ,$193.84 ,$571.35 ,$199.70 ,$591.05 ,$199.70 ,$591.05 ,$591.05 ,$591.05 ,$637.02 ,$531.94 ,$591.05 ,$591.05 ,$591.05 ,$591.05 ST. JOSEPH'S - CHIPPEWA FALLS,45000389,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-LT,450,1 ,$571.24 ,$428.43 ,$193.84 ,$571.24 ,$367.88 ,$199.70 ,$399.87 ,$193.84 ,$474.13 ,$199.66 ,$377.02 ,$542.68 , N/A ,$456.99 ,$519.83 ,$193.84 ,$536.97 ,$542.68 ,$514.12 ,$485.55 ,$193.84 ,$193.84 ,$193.84 ,$417.01 ,$199.70 ,$508.40 ,$514.12 ,$514.12 ,$456.99 ,$205.69 ,$314.18 ,$514.12 ,$199.70 ,$514.12 ,$199.70 ,$542.68 ,$449.31 ,$525.54 ,$205.47 ,$519.83 ,$199.70 ,$351.54 ,$367.88 ,$351.54 ,$514.12 ,$514.12 ,$428.43 ,$399.87 ,$201.69 ,$203.53 ,$534.11 ,$209.69 ,$193.84 ,$496.98 ,$199.70 ,$514.12 ,$199.70 ,$514.12 ,$514.12 ,$514.12 ,$554.10 ,$462.70 ,$514.12 ,$514.12 ,$514.12 ,$514.12 ST. JOSEPH'S - CHIPPEWA FALLS,45000390,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-RT,450,1 ,$571.24 ,$428.43 ,$193.84 ,$571.24 ,$367.88 ,$199.70 ,$399.87 ,$193.84 ,$474.13 ,$199.66 ,$377.02 ,$542.68 , N/A ,$456.99 ,$519.83 ,$193.84 ,$536.97 ,$542.68 ,$514.12 ,$485.55 ,$193.84 ,$193.84 ,$193.84 ,$417.01 ,$199.70 ,$508.40 ,$514.12 ,$514.12 ,$456.99 ,$205.69 ,$314.18 ,$514.12 ,$199.70 ,$514.12 ,$199.70 ,$542.68 ,$449.31 ,$525.54 ,$205.47 ,$519.83 ,$199.70 ,$351.54 ,$367.88 ,$351.54 ,$514.12 ,$514.12 ,$428.43 ,$399.87 ,$201.69 ,$203.53 ,$534.11 ,$209.69 ,$193.84 ,$496.98 ,$199.70 ,$514.12 ,$199.70 ,$514.12 ,$514.12 ,$514.12 ,$554.10 ,$462.70 ,$514.12 ,$514.12 ,$514.12 ,$514.12 ST. JOSEPH'S - CHIPPEWA FALLS,45000391,27560,HC TX DSL PTLR W/O ANS CL-LT,450,1 ,$422.48 ,$316.86 ,$193.84 ,$449.31 ,$272.08 ,$199.70 ,$295.74 ,$193.84 ,$350.66 ,$199.66 ,$278.84 ,$401.36 , N/A ,$337.98 ,$384.46 ,$193.84 ,$397.13 ,$401.36 ,$380.23 ,$359.11 ,$193.84 ,$193.84 ,$193.84 ,$308.41 ,$199.70 ,$376.01 ,$380.23 ,$380.23 ,$337.98 ,$205.69 ,$232.36 ,$380.23 ,$199.70 ,$380.23 ,$199.70 ,$401.36 ,$449.31 ,$388.68 ,$205.47 ,$384.46 ,$199.70 ,$259.99 ,$272.08 ,$259.99 ,$380.23 ,$380.23 ,$316.86 ,$295.74 ,$201.69 ,$203.53 ,$395.02 ,$209.69 ,$193.84 ,$367.56 ,$199.70 ,$380.23 ,$199.70 ,$380.23 ,$380.23 ,$380.23 ,$409.81 ,$342.21 ,$380.23 ,$380.23 ,$380.23 ,$380.23 ST. JOSEPH'S - CHIPPEWA FALLS,45000392,27560,HC TX DSL PTLR W/O ANS CL-RT,450,1 ,$422.48 ,$316.86 ,$193.84 ,$449.31 ,$272.08 ,$199.70 ,$295.74 ,$193.84 ,$350.66 ,$199.66 ,$278.84 ,$401.36 , N/A ,$337.98 ,$384.46 ,$193.84 ,$397.13 ,$401.36 ,$380.23 ,$359.11 ,$193.84 ,$193.84 ,$193.84 ,$308.41 ,$199.70 ,$376.01 ,$380.23 ,$380.23 ,$337.98 ,$205.69 ,$232.36 ,$380.23 ,$199.70 ,$380.23 ,$199.70 ,$401.36 ,$449.31 ,$388.68 ,$205.47 ,$384.46 ,$199.70 ,$259.99 ,$272.08 ,$259.99 ,$380.23 ,$380.23 ,$316.86 ,$295.74 ,$201.69 ,$203.53 ,$395.02 ,$209.69 ,$193.84 ,$367.56 ,$199.70 ,$380.23 ,$199.70 ,$380.23 ,$380.23 ,$380.23 ,$409.81 ,$342.21 ,$380.23 ,$380.23 ,$380.23 ,$380.23 ST. JOSEPH'S - CHIPPEWA FALLS,45000393,27750,HC TIBIA SHAFT FX W/O MANIP-LT,450,1 ,$329.89 ,$247.42 ,$181.44 ,$449.31 ,$212.45 ,$199.70 ,$230.92 ,$193.84 ,$273.81 ,$199.66 ,$217.73 ,$313.40 , N/A ,$263.91 ,$300.20 ,$193.84 ,$310.10 ,$313.40 ,$296.90 ,$280.41 ,$193.84 ,$193.84 ,$193.84 ,$240.82 ,$199.70 ,$293.60 ,$296.90 ,$296.90 ,$263.91 ,$205.69 ,$181.44 ,$296.90 ,$199.70 ,$296.90 ,$199.70 ,$313.40 ,$449.31 ,$303.50 ,$205.47 ,$300.20 ,$199.70 ,$203.01 ,$212.45 ,$203.01 ,$296.90 ,$296.90 ,$247.42 ,$230.92 ,$201.69 ,$203.53 ,$308.45 ,$209.69 ,$193.84 ,$287.00 ,$199.70 ,$296.90 ,$199.70 ,$296.90 ,$296.90 ,$296.90 ,$319.99 ,$267.21 ,$296.90 ,$296.90 ,$296.90 ,$296.90 ST. JOSEPH'S - CHIPPEWA FALLS,45000394,27750,HC TIBIA SHAFT FX W/O MANIP-RT,450,1 ,$329.89 ,$247.42 ,$181.44 ,$449.31 ,$212.45 ,$199.70 ,$230.92 ,$193.84 ,$273.81 ,$199.66 ,$217.73 ,$313.40 , N/A ,$263.91 ,$300.20 ,$193.84 ,$310.10 ,$313.40 ,$296.90 ,$280.41 ,$193.84 ,$193.84 ,$193.84 ,$240.82 ,$199.70 ,$293.60 ,$296.90 ,$296.90 ,$263.91 ,$205.69 ,$181.44 ,$296.90 ,$199.70 ,$296.90 ,$199.70 ,$313.40 ,$449.31 ,$303.50 ,$205.47 ,$300.20 ,$199.70 ,$203.01 ,$212.45 ,$203.01 ,$296.90 ,$296.90 ,$247.42 ,$230.92 ,$201.69 ,$203.53 ,$308.45 ,$209.69 ,$193.84 ,$287.00 ,$199.70 ,$296.90 ,$199.70 ,$296.90 ,$296.90 ,$296.90 ,$319.99 ,$267.21 ,$296.90 ,$296.90 ,$296.90 ,$296.90 ST. JOSEPH'S - CHIPPEWA FALLS,45000395,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP-LT,450,1 ,$368.34 ,$276.26 ,$193.84 ,$449.31 ,$237.21 ,$199.70 ,$257.84 ,$193.84 ,$305.72 ,$199.66 ,$243.10 ,$349.92 , N/A ,$294.67 ,$335.19 ,$193.84 ,$346.24 ,$349.92 ,$331.51 ,$313.09 ,$193.84 ,$193.84 ,$193.84 ,$268.89 ,$199.70 ,$327.82 ,$331.51 ,$331.51 ,$294.67 ,$205.69 ,$202.59 ,$331.51 ,$199.70 ,$331.51 ,$199.70 ,$349.92 ,$449.31 ,$338.87 ,$205.47 ,$335.19 ,$199.70 ,$226.68 ,$237.21 ,$226.68 ,$331.51 ,$331.51 ,$276.26 ,$257.84 ,$201.69 ,$203.53 ,$344.40 ,$209.69 ,$193.84 ,$320.46 ,$199.70 ,$331.51 ,$199.70 ,$331.51 ,$331.51 ,$331.51 ,$357.29 ,$298.36 ,$331.51 ,$331.51 ,$331.51 ,$331.51 ST. JOSEPH'S - CHIPPEWA FALLS,45000396,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP-RT,450,1 ,$368.34 ,$276.26 ,$193.84 ,$449.31 ,$237.21 ,$199.70 ,$257.84 ,$193.84 ,$305.72 ,$199.66 ,$243.10 ,$349.92 , N/A ,$294.67 ,$335.19 ,$193.84 ,$346.24 ,$349.92 ,$331.51 ,$313.09 ,$193.84 ,$193.84 ,$193.84 ,$268.89 ,$199.70 ,$327.82 ,$331.51 ,$331.51 ,$294.67 ,$205.69 ,$202.59 ,$331.51 ,$199.70 ,$331.51 ,$199.70 ,$349.92 ,$449.31 ,$338.87 ,$205.47 ,$335.19 ,$199.70 ,$226.68 ,$237.21 ,$226.68 ,$331.51 ,$331.51 ,$276.26 ,$257.84 ,$201.69 ,$203.53 ,$344.40 ,$209.69 ,$193.84 ,$320.46 ,$199.70 ,$331.51 ,$199.70 ,$331.51 ,$331.51 ,$331.51 ,$357.29 ,$298.36 ,$331.51 ,$331.51 ,$331.51 ,$331.51 ST. JOSEPH'S - CHIPPEWA FALLS,45000397,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-LT,450,1 ,$400.24 ,$300.18 ,$193.84 ,"$3,034.10 ",$257.75 ,"$1,348.49 ",$280.17 ,$193.84 ,$332.20 ,$199.66 ,$264.16 ,$380.23 , N/A ,$320.19 ,$364.22 ,$193.84 ,$376.23 ,$380.23 ,$360.22 ,$340.20 ,$193.84 ,$193.84 ,$193.84 ,$292.18 ,"$1,348.49 ",$356.21 ,$360.22 ,$360.22 ,$320.19 ,"$1,388.95 ",$220.13 ,$360.22 ,"$1,348.49 ",$360.22 ,"$1,348.49 ",$380.23 ,"$3,034.10 ",$368.22 ,$205.47 ,$364.22 ,"$1,348.49 ",$246.31 ,$257.75 ,$246.31 ,$360.22 ,$360.22 ,$300.18 ,$280.17 ,"$1,361.98 ",$203.53 ,$374.22 ,"$1,415.91 ",$193.84 ,$348.21 ,"$1,348.49 ",$360.22 ,"$1,348.49 ",$360.22 ,$360.22 ,$360.22 ,$388.23 ,$324.19 ,$360.22 ,$360.22 ,$360.22 ,$360.22 ST. JOSEPH'S - CHIPPEWA FALLS,45000398,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-RT,450,1 ,$400.24 ,$300.18 ,$193.84 ,"$3,034.10 ",$257.75 ,"$1,348.49 ",$280.17 ,$193.84 ,$332.20 ,$199.66 ,$264.16 ,$380.23 , N/A ,$320.19 ,$364.22 ,$193.84 ,$376.23 ,$380.23 ,$360.22 ,$340.20 ,$193.84 ,$193.84 ,$193.84 ,$292.18 ,"$1,348.49 ",$356.21 ,$360.22 ,$360.22 ,$320.19 ,"$1,388.95 ",$220.13 ,$360.22 ,"$1,348.49 ",$360.22 ,"$1,348.49 ",$380.23 ,"$3,034.10 ",$368.22 ,$205.47 ,$364.22 ,"$1,348.49 ",$246.31 ,$257.75 ,$246.31 ,$360.22 ,$360.22 ,$300.18 ,$280.17 ,"$1,361.98 ",$203.53 ,$374.22 ,"$1,415.91 ",$193.84 ,$348.21 ,"$1,348.49 ",$360.22 ,"$1,348.49 ",$360.22 ,$360.22 ,$360.22 ,$388.23 ,$324.19 ,$360.22 ,$360.22 ,$360.22 ,$360.22 ST. JOSEPH'S - CHIPPEWA FALLS,45000399,28470,HC CLSD METATARSAL W/O MANIP-LT,450,1 ,$183.38 ,$137.54 ,$100.86 ,$449.31 ,$118.10 ,$199.70 ,$128.37 ,$183.38 ,$152.21 ,$199.66 ,$121.03 ,$174.21 , N/A ,$146.70 ,$166.88 ,$183.38 ,$172.38 ,$174.21 ,$165.04 ,$155.87 ,$193.84 ,$193.84 ,$193.84 ,$133.87 ,$199.70 ,$163.21 ,$165.04 ,$165.04 ,$146.70 ,$205.69 ,$100.86 ,$165.04 ,$199.70 ,$165.04 ,$199.70 ,$174.21 ,$449.31 ,$168.71 ,$205.47 ,$166.88 ,$199.70 ,$112.85 ,$118.10 ,$112.85 ,$165.04 ,$165.04 ,$137.54 ,$128.37 ,$201.69 ,$203.53 ,$171.46 ,$209.69 ,$183.38 ,$159.54 ,$199.70 ,$165.04 ,$199.70 ,$165.04 ,$165.04 ,$165.04 ,$177.88 ,$148.54 ,$165.04 ,$165.04 ,$165.04 ,$165.04 ST. JOSEPH'S - CHIPPEWA FALLS,45000400,28470,HC CLSD METATARSAL W/O MANIP-RT,450,1 ,$183.38 ,$137.54 ,$100.86 ,$449.31 ,$118.10 ,$199.70 ,$128.37 ,$183.38 ,$152.21 ,$199.66 ,$121.03 ,$174.21 , N/A ,$146.70 ,$166.88 ,$183.38 ,$172.38 ,$174.21 ,$165.04 ,$155.87 ,$193.84 ,$193.84 ,$193.84 ,$133.87 ,$199.70 ,$163.21 ,$165.04 ,$165.04 ,$146.70 ,$205.69 ,$100.86 ,$165.04 ,$199.70 ,$165.04 ,$199.70 ,$174.21 ,$449.31 ,$168.71 ,$205.47 ,$166.88 ,$199.70 ,$112.85 ,$118.10 ,$112.85 ,$165.04 ,$165.04 ,$137.54 ,$128.37 ,$201.69 ,$203.53 ,$171.46 ,$209.69 ,$183.38 ,$159.54 ,$199.70 ,$165.04 ,$199.70 ,$165.04 ,$165.04 ,$165.04 ,$177.88 ,$148.54 ,$165.04 ,$165.04 ,$165.04 ,$165.04 ST. JOSEPH'S - CHIPPEWA FALLS,45000401,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES-LT,450,1 ,$323.14 ,$242.36 ,$177.73 ,$449.31 ,$208.10 ,$199.70 ,$226.20 ,$193.84 ,$268.21 ,$199.66 ,$213.27 ,$306.98 , N/A ,$258.51 ,$294.06 ,$193.84 ,$303.75 ,$306.98 ,$290.83 ,$274.67 ,$193.84 ,$193.84 ,$193.84 ,$235.89 ,$199.70 ,$287.59 ,$290.83 ,$290.83 ,$258.51 ,$205.69 ,$177.73 ,$290.83 ,$199.70 ,$290.83 ,$199.70 ,$306.98 ,$449.31 ,$297.29 ,$205.47 ,$294.06 ,$199.70 ,$198.86 ,$208.10 ,$198.86 ,$290.83 ,$290.83 ,$242.36 ,$226.20 ,$201.69 ,$203.53 ,$302.14 ,$209.69 ,$193.84 ,$281.13 ,$199.70 ,$290.83 ,$199.70 ,$290.83 ,$290.83 ,$290.83 ,$313.45 ,$261.74 ,$290.83 ,$290.83 ,$290.83 ,$290.83 ST. JOSEPH'S - CHIPPEWA FALLS,45000402,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES-RT,450,1 ,$323.14 ,$242.36 ,$177.73 ,$449.31 ,$208.10 ,$199.70 ,$226.20 ,$193.84 ,$268.21 ,$199.66 ,$213.27 ,$306.98 , N/A ,$258.51 ,$294.06 ,$193.84 ,$303.75 ,$306.98 ,$290.83 ,$274.67 ,$193.84 ,$193.84 ,$193.84 ,$235.89 ,$199.70 ,$287.59 ,$290.83 ,$290.83 ,$258.51 ,$205.69 ,$177.73 ,$290.83 ,$199.70 ,$290.83 ,$199.70 ,$306.98 ,$449.31 ,$297.29 ,$205.47 ,$294.06 ,$199.70 ,$198.86 ,$208.10 ,$198.86 ,$290.83 ,$290.83 ,$242.36 ,$226.20 ,$201.69 ,$203.53 ,$302.14 ,$209.69 ,$193.84 ,$281.13 ,$199.70 ,$290.83 ,$199.70 ,$290.83 ,$290.83 ,$290.83 ,$313.45 ,$261.74 ,$290.83 ,$290.83 ,$290.83 ,$290.83 ST. JOSEPH'S - CHIPPEWA FALLS,45000403,29065,HC APPL CAST ARM LONG-LT,450,1 ,$636.59 ,$477.44 ,$57.61 ,$636.59 ,$409.96 ,$233.57 ,$445.61 ,$57.61 ,$528.37 ,$59.34 ,$420.15 ,$604.76 , N/A ,$509.27 ,$579.30 ,$57.61 ,$598.39 ,$604.76 ,$572.93 ,$541.10 ,$57.61 ,$57.61 ,$57.61 ,$464.71 ,$233.57 ,$566.57 ,$572.93 ,$572.93 ,$509.27 ,$240.58 ,$350.12 ,$572.93 ,$233.57 ,$572.93 ,$233.57 ,$604.76 ,$525.54 ,$585.66 ,$61.07 ,$579.30 ,$233.57 ,$391.76 ,$409.96 ,$391.76 ,$572.93 ,$572.93 ,$477.44 ,$445.61 ,$235.91 ,$60.49 ,$595.21 ,$245.25 ,$57.61 ,$553.83 ,$233.57 ,$572.93 ,$233.57 ,$572.93 ,$572.93 ,$572.93 ,$617.49 ,$515.64 ,$572.93 ,$572.93 ,$572.93 ,$572.93 ST. JOSEPH'S - CHIPPEWA FALLS,45000404,29065,HC APPL CAST ARM LONG-RT,450,1 ,$636.59 ,$477.44 ,$57.61 ,$636.59 ,$409.96 ,$233.57 ,$445.61 ,$57.61 ,$528.37 ,$59.34 ,$420.15 ,$604.76 , N/A ,$509.27 ,$579.30 ,$57.61 ,$598.39 ,$604.76 ,$572.93 ,$541.10 ,$57.61 ,$57.61 ,$57.61 ,$464.71 ,$233.57 ,$566.57 ,$572.93 ,$572.93 ,$509.27 ,$240.58 ,$350.12 ,$572.93 ,$233.57 ,$572.93 ,$233.57 ,$604.76 ,$525.54 ,$585.66 ,$61.07 ,$579.30 ,$233.57 ,$391.76 ,$409.96 ,$391.76 ,$572.93 ,$572.93 ,$477.44 ,$445.61 ,$235.91 ,$60.49 ,$595.21 ,$245.25 ,$57.61 ,$553.83 ,$233.57 ,$572.93 ,$233.57 ,$572.93 ,$572.93 ,$572.93 ,$617.49 ,$515.64 ,$572.93 ,$572.93 ,$572.93 ,$572.93 ST. JOSEPH'S - CHIPPEWA FALLS,45000405,29105,HC APPL SPLNT ARM LONG-LT,450,1 ,$344.26 ,$258.20 ,$21.22 ,$344.26 ,$221.70 ,$136.73 ,$240.98 ,$21.22 ,$285.74 ,$21.86 ,$227.21 ,$327.05 , N/A ,$275.41 ,$313.28 ,$21.22 ,$323.60 ,$327.05 ,$309.83 ,$292.62 ,$21.22 ,$21.22 ,$21.22 ,$251.31 ,$136.73 ,$306.39 ,$309.83 ,$309.83 ,$275.41 ,$140.83 ,$189.34 ,$309.83 ,$136.73 ,$309.83 ,$136.73 ,$327.05 ,$307.65 ,$316.72 ,$22.49 ,$313.28 ,$136.73 ,$211.86 ,$221.70 ,$211.86 ,$309.83 ,$309.83 ,$258.20 ,$240.98 ,$138.10 ,$22.28 ,$321.88 ,$143.57 ,$21.22 ,$299.51 ,$136.73 ,$309.83 ,$136.73 ,$309.83 ,$309.83 ,$309.83 ,$333.93 ,$278.85 ,$309.83 ,$309.83 ,$309.83 ,$309.83 ST. JOSEPH'S - CHIPPEWA FALLS,45000406,29105,HC APPL SPLNT ARM LONG-RT,450,1 ,$344.26 ,$258.20 ,$21.22 ,$344.26 ,$221.70 ,$136.73 ,$240.98 ,$21.22 ,$285.74 ,$21.86 ,$227.21 ,$327.05 , N/A ,$275.41 ,$313.28 ,$21.22 ,$323.60 ,$327.05 ,$309.83 ,$292.62 ,$21.22 ,$21.22 ,$21.22 ,$251.31 ,$136.73 ,$306.39 ,$309.83 ,$309.83 ,$275.41 ,$140.83 ,$189.34 ,$309.83 ,$136.73 ,$309.83 ,$136.73 ,$327.05 ,$307.65 ,$316.72 ,$22.49 ,$313.28 ,$136.73 ,$211.86 ,$221.70 ,$211.86 ,$309.83 ,$309.83 ,$258.20 ,$240.98 ,$138.10 ,$22.28 ,$321.88 ,$143.57 ,$21.22 ,$299.51 ,$136.73 ,$309.83 ,$136.73 ,$309.83 ,$309.83 ,$309.83 ,$333.93 ,$278.85 ,$309.83 ,$309.83 ,$309.83 ,$309.83 ST. JOSEPH'S - CHIPPEWA FALLS,45000407,29126,HC APPL SHRT ARM SPLNT DYNAM-LT,450,1 ,$271.83 ,$203.87 ,$21.22 ,$271.83 ,$175.06 ,$108.42 ,$190.28 ,$21.22 ,$225.62 ,$21.86 ,$179.41 ,$258.24 , N/A ,$217.46 ,$247.37 ,$21.22 ,$255.52 ,$258.24 ,$244.65 ,$231.06 ,$21.22 ,$21.22 ,$21.22 ,$198.44 ,$108.42 ,$241.93 ,$244.65 ,$244.65 ,$217.46 ,$111.68 ,$149.51 ,$244.65 ,$108.42 ,$244.65 ,$108.42 ,$258.24 ,$243.95 ,$250.08 ,$22.49 ,$247.37 ,$108.42 ,$167.28 ,$175.06 ,$167.28 ,$244.65 ,$244.65 ,$203.87 ,$190.28 ,$109.51 ,$22.28 ,$254.16 ,$113.84 ,$21.22 ,$236.49 ,$108.42 ,$244.65 ,$108.42 ,$244.65 ,$244.65 ,$244.65 ,$263.68 ,$220.18 ,$244.65 ,$244.65 ,$244.65 ,$244.65 ST. JOSEPH'S - CHIPPEWA FALLS,45000408,29126,HC APPL SHRT ARM SPLNT DYNAM-RT,450,1 ,$271.83 ,$203.87 ,$21.22 ,$271.83 ,$175.06 ,$108.42 ,$190.28 ,$21.22 ,$225.62 ,$21.86 ,$179.41 ,$258.24 , N/A ,$217.46 ,$247.37 ,$21.22 ,$255.52 ,$258.24 ,$244.65 ,$231.06 ,$21.22 ,$21.22 ,$21.22 ,$198.44 ,$108.42 ,$241.93 ,$244.65 ,$244.65 ,$217.46 ,$111.68 ,$149.51 ,$244.65 ,$108.42 ,$244.65 ,$108.42 ,$258.24 ,$243.95 ,$250.08 ,$22.49 ,$247.37 ,$108.42 ,$167.28 ,$175.06 ,$167.28 ,$244.65 ,$244.65 ,$203.87 ,$190.28 ,$109.51 ,$22.28 ,$254.16 ,$113.84 ,$21.22 ,$236.49 ,$108.42 ,$244.65 ,$108.42 ,$244.65 ,$244.65 ,$244.65 ,$263.68 ,$220.18 ,$244.65 ,$244.65 ,$244.65 ,$244.65 ST. JOSEPH'S - CHIPPEWA FALLS,45000409,29240,HC STRAPPING SHLDR-LT,450,1 ,$205.77 ,$154.33 ,$21.22 ,$243.95 ,$132.52 ,$108.42 ,$144.04 ,$21.22 ,$170.79 ,$21.86 ,$135.81 ,$195.48 , N/A ,$164.62 ,$187.25 ,$21.22 ,$193.42 ,$195.48 ,$185.19 ,$174.90 ,$21.22 ,$21.22 ,$21.22 ,$150.21 ,$108.42 ,$183.14 ,$185.19 ,$185.19 ,$164.62 ,$111.68 ,$113.17 ,$185.19 ,$108.42 ,$185.19 ,$108.42 ,$195.48 ,$243.95 ,$189.31 ,$22.49 ,$187.25 ,$108.42 ,$126.63 ,$132.52 ,$126.63 ,$185.19 ,$185.19 ,$154.33 ,$144.04 ,$109.51 ,$22.28 ,$192.40 ,$113.84 ,$21.22 ,$179.02 ,$108.42 ,$185.19 ,$108.42 ,$185.19 ,$185.19 ,$185.19 ,$199.60 ,$166.67 ,$185.19 ,$185.19 ,$185.19 ,$185.19 ST. JOSEPH'S - CHIPPEWA FALLS,45000410,29240,HC STRAPPING SHLDR-RT,450,1 ,$205.77 ,$154.33 ,$21.22 ,$243.95 ,$132.52 ,$108.42 ,$144.04 ,$21.22 ,$170.79 ,$21.86 ,$135.81 ,$195.48 , N/A ,$164.62 ,$187.25 ,$21.22 ,$193.42 ,$195.48 ,$185.19 ,$174.90 ,$21.22 ,$21.22 ,$21.22 ,$150.21 ,$108.42 ,$183.14 ,$185.19 ,$185.19 ,$164.62 ,$111.68 ,$113.17 ,$185.19 ,$108.42 ,$185.19 ,$108.42 ,$195.48 ,$243.95 ,$189.31 ,$22.49 ,$187.25 ,$108.42 ,$126.63 ,$132.52 ,$126.63 ,$185.19 ,$185.19 ,$154.33 ,$144.04 ,$109.51 ,$22.28 ,$192.40 ,$113.84 ,$21.22 ,$179.02 ,$108.42 ,$185.19 ,$108.42 ,$185.19 ,$185.19 ,$185.19 ,$199.60 ,$166.67 ,$185.19 ,$185.19 ,$185.19 ,$185.19 ST. JOSEPH'S - CHIPPEWA FALLS,45000411,29260,HC STRAPPING ELBOW/WRIST-LT,450,1 ,$151.12 ,$113.34 ,$21.22 ,$151.12 ,$97.32 ,$53.91 ,$105.78 ,$21.22 ,$125.43 ,$21.86 ,$99.74 ,$143.56 , N/A ,$120.90 ,$137.52 ,$21.22 ,$142.05 ,$143.56 ,$136.01 ,$128.45 ,$21.22 ,$21.22 ,$21.22 ,$110.32 ,$53.91 ,$134.50 ,$136.01 ,$136.01 ,$120.90 ,$55.52 ,$83.12 ,$136.01 ,$53.91 ,$136.01 ,$53.91 ,$143.56 ,$121.29 ,$139.03 ,$22.49 ,$137.52 ,$53.91 ,$93.00 ,$97.32 ,$93.00 ,$136.01 ,$136.01 ,$113.34 ,$105.78 ,$54.45 ,$22.28 ,$141.30 ,$56.61 ,$21.22 ,$131.47 ,$53.91 ,$136.01 ,$53.91 ,$136.01 ,$136.01 ,$136.01 ,$146.59 ,$122.41 ,$136.01 ,$136.01 ,$136.01 ,$136.01 ST. JOSEPH'S - CHIPPEWA FALLS,45000412,29260,HC STRAPPING ELBOW/WRIST-RT,450,1 ,$151.12 ,$113.34 ,$21.22 ,$151.12 ,$97.32 ,$53.91 ,$105.78 ,$21.22 ,$125.43 ,$21.86 ,$99.74 ,$143.56 , N/A ,$120.90 ,$137.52 ,$21.22 ,$142.05 ,$143.56 ,$136.01 ,$128.45 ,$21.22 ,$21.22 ,$21.22 ,$110.32 ,$53.91 ,$134.50 ,$136.01 ,$136.01 ,$120.90 ,$55.52 ,$83.12 ,$136.01 ,$53.91 ,$136.01 ,$53.91 ,$143.56 ,$121.29 ,$139.03 ,$22.49 ,$137.52 ,$53.91 ,$93.00 ,$97.32 ,$93.00 ,$136.01 ,$136.01 ,$113.34 ,$105.78 ,$54.45 ,$22.28 ,$141.30 ,$56.61 ,$21.22 ,$131.47 ,$53.91 ,$136.01 ,$53.91 ,$136.01 ,$136.01 ,$136.01 ,$146.59 ,$122.41 ,$136.01 ,$136.01 ,$136.01 ,$136.01 ST. JOSEPH'S - CHIPPEWA FALLS,45000413,29345,HC LONG LEG CAST-LT,450,1 ,"$1,023.61 ",$767.71 ,$57.61 ,"$1,023.61 ",$659.20 ,$233.57 ,$716.53 ,$57.61 ,$849.60 ,$59.34 ,$675.58 ,$972.43 , N/A ,$818.89 ,$931.49 ,$57.61 ,$962.19 ,$972.43 ,$921.25 ,$870.07 ,$57.61 ,$57.61 ,$57.61 ,$747.24 ,$233.57 ,$911.01 ,$921.25 ,$921.25 ,$818.89 ,$240.58 ,$562.99 ,$921.25 ,$233.57 ,$921.25 ,$233.57 ,$972.43 ,$525.54 ,$941.72 ,$61.07 ,$931.49 ,$233.57 ,$629.93 ,$659.20 ,$629.93 ,$921.25 ,$921.25 ,$767.71 ,$716.53 ,$235.91 ,$60.49 ,$957.08 ,$245.25 ,$57.61 ,$890.54 ,$233.57 ,$921.25 ,$233.57 ,$921.25 ,$921.25 ,$921.25 ,$992.90 ,$829.12 ,$921.25 ,$921.25 ,$921.25 ,$921.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000414,29345,HC LONG LEG CAST-RT,450,1 ,"$1,023.61 ",$767.71 ,$57.61 ,"$1,023.61 ",$659.20 ,$233.57 ,$716.53 ,$57.61 ,$849.60 ,$59.34 ,$675.58 ,$972.43 , N/A ,$818.89 ,$931.49 ,$57.61 ,$962.19 ,$972.43 ,$921.25 ,$870.07 ,$57.61 ,$57.61 ,$57.61 ,$747.24 ,$233.57 ,$911.01 ,$921.25 ,$921.25 ,$818.89 ,$240.58 ,$562.99 ,$921.25 ,$233.57 ,$921.25 ,$233.57 ,$972.43 ,$525.54 ,$941.72 ,$61.07 ,$931.49 ,$233.57 ,$629.93 ,$659.20 ,$629.93 ,$921.25 ,$921.25 ,$767.71 ,$716.53 ,$235.91 ,$60.49 ,$957.08 ,$245.25 ,$57.61 ,$890.54 ,$233.57 ,$921.25 ,$233.57 ,$921.25 ,$921.25 ,$921.25 ,$992.90 ,$829.12 ,$921.25 ,$921.25 ,$921.25 ,$921.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000415,29405,HC APPLY SHORT LEG CAST-LT,450,1 ,$612.19 ,$459.14 ,$57.61 ,$612.19 ,$394.25 ,$233.57 ,$428.53 ,$57.61 ,$508.12 ,$59.34 ,$404.05 ,$581.58 , N/A ,$489.75 ,$557.09 ,$57.61 ,$575.46 ,$581.58 ,$550.97 ,$520.36 ,$57.61 ,$57.61 ,$57.61 ,$446.90 ,$233.57 ,$544.85 ,$550.97 ,$550.97 ,$489.75 ,$240.58 ,$336.70 ,$550.97 ,$233.57 ,$550.97 ,$233.57 ,$581.58 ,$525.54 ,$563.21 ,$61.07 ,$557.09 ,$233.57 ,$376.74 ,$394.25 ,$376.74 ,$550.97 ,$550.97 ,$459.14 ,$428.53 ,$235.91 ,$60.49 ,$572.40 ,$245.25 ,$57.61 ,$532.61 ,$233.57 ,$550.97 ,$233.57 ,$550.97 ,$550.97 ,$550.97 ,$593.82 ,$495.87 ,$550.97 ,$550.97 ,$550.97 ,$550.97 ST. JOSEPH'S - CHIPPEWA FALLS,45000416,29405,HC APPLY SHORT LEG CAST-RT,450,1 ,$612.19 ,$459.14 ,$57.61 ,$612.19 ,$394.25 ,$233.57 ,$428.53 ,$57.61 ,$508.12 ,$59.34 ,$404.05 ,$581.58 , N/A ,$489.75 ,$557.09 ,$57.61 ,$575.46 ,$581.58 ,$550.97 ,$520.36 ,$57.61 ,$57.61 ,$57.61 ,$446.90 ,$233.57 ,$544.85 ,$550.97 ,$550.97 ,$489.75 ,$240.58 ,$336.70 ,$550.97 ,$233.57 ,$550.97 ,$233.57 ,$581.58 ,$525.54 ,$563.21 ,$61.07 ,$557.09 ,$233.57 ,$376.74 ,$394.25 ,$376.74 ,$550.97 ,$550.97 ,$459.14 ,$428.53 ,$235.91 ,$60.49 ,$572.40 ,$245.25 ,$57.61 ,$532.61 ,$233.57 ,$550.97 ,$233.57 ,$550.97 ,$550.97 ,$550.97 ,$593.82 ,$495.87 ,$550.97 ,$550.97 ,$550.97 ,$550.97 ST. JOSEPH'S - CHIPPEWA FALLS,45000417,29505,HC APPL LONG LEG SPLNT-LT,450,1 ,$747.18 ,$560.39 ,$21.22 ,$747.18 ,$481.18 ,$136.73 ,$523.03 ,$21.22 ,$620.16 ,$21.86 ,$493.14 ,$709.82 , N/A ,$597.74 ,$679.93 ,$21.22 ,$702.35 ,$709.82 ,$672.46 ,$635.10 ,$21.22 ,$21.22 ,$21.22 ,$545.44 ,$136.73 ,$664.99 ,$672.46 ,$672.46 ,$597.74 ,$140.83 ,$410.95 ,$672.46 ,$136.73 ,$672.46 ,$136.73 ,$709.82 ,$307.65 ,$687.41 ,$22.49 ,$679.93 ,$136.73 ,$459.81 ,$481.18 ,$459.81 ,$672.46 ,$672.46 ,$560.39 ,$523.03 ,$138.10 ,$22.28 ,$698.61 ,$143.57 ,$21.22 ,$650.05 ,$136.73 ,$672.46 ,$136.73 ,$672.46 ,$672.46 ,$672.46 ,$724.76 ,$605.22 ,$672.46 ,$672.46 ,$672.46 ,$672.46 ST. JOSEPH'S - CHIPPEWA FALLS,45000418,29505,HC APPL LONG LEG SPLNT-RT,450,1 ,$747.18 ,$560.39 ,$21.22 ,$747.18 ,$481.18 ,$136.73 ,$523.03 ,$21.22 ,$620.16 ,$21.86 ,$493.14 ,$709.82 , N/A ,$597.74 ,$679.93 ,$21.22 ,$702.35 ,$709.82 ,$672.46 ,$635.10 ,$21.22 ,$21.22 ,$21.22 ,$545.44 ,$136.73 ,$664.99 ,$672.46 ,$672.46 ,$597.74 ,$140.83 ,$410.95 ,$672.46 ,$136.73 ,$672.46 ,$136.73 ,$709.82 ,$307.65 ,$687.41 ,$22.49 ,$679.93 ,$136.73 ,$459.81 ,$481.18 ,$459.81 ,$672.46 ,$672.46 ,$560.39 ,$523.03 ,$138.10 ,$22.28 ,$698.61 ,$143.57 ,$21.22 ,$650.05 ,$136.73 ,$672.46 ,$136.73 ,$672.46 ,$672.46 ,$672.46 ,$724.76 ,$605.22 ,$672.46 ,$672.46 ,$672.46 ,$672.46 ST. JOSEPH'S - CHIPPEWA FALLS,45000419,29515,HC APPL SHRT LEG SPLNT FAC-LT,450,1 ,$710.24 ,$532.68 ,$21.22 ,$710.24 ,$457.39 ,$136.73 ,$497.17 ,$21.22 ,$589.50 ,$21.86 ,$468.76 ,$674.73 , N/A ,$568.19 ,$646.32 ,$21.22 ,$667.63 ,$674.73 ,$639.22 ,$603.70 ,$21.22 ,$21.22 ,$21.22 ,$518.48 ,$136.73 ,$632.11 ,$639.22 ,$639.22 ,$568.19 ,$140.83 ,$390.63 ,$639.22 ,$136.73 ,$639.22 ,$136.73 ,$674.73 ,$307.65 ,$653.42 ,$22.49 ,$646.32 ,$136.73 ,$437.08 ,$457.39 ,$437.08 ,$639.22 ,$639.22 ,$532.68 ,$497.17 ,$138.10 ,$22.28 ,$664.07 ,$143.57 ,$21.22 ,$617.91 ,$136.73 ,$639.22 ,$136.73 ,$639.22 ,$639.22 ,$639.22 ,$688.93 ,$575.29 ,$639.22 ,$639.22 ,$639.22 ,$639.22 ST. JOSEPH'S - CHIPPEWA FALLS,45000420,29515,HC APPL SHRT LEG SPLNT FAC-RT,450,1 ,$710.24 ,$532.68 ,$21.22 ,$710.24 ,$457.39 ,$136.73 ,$497.17 ,$21.22 ,$589.50 ,$21.86 ,$468.76 ,$674.73 , N/A ,$568.19 ,$646.32 ,$21.22 ,$667.63 ,$674.73 ,$639.22 ,$603.70 ,$21.22 ,$21.22 ,$21.22 ,$518.48 ,$136.73 ,$632.11 ,$639.22 ,$639.22 ,$568.19 ,$140.83 ,$390.63 ,$639.22 ,$136.73 ,$639.22 ,$136.73 ,$674.73 ,$307.65 ,$653.42 ,$22.49 ,$646.32 ,$136.73 ,$437.08 ,$457.39 ,$437.08 ,$639.22 ,$639.22 ,$532.68 ,$497.17 ,$138.10 ,$22.28 ,$664.07 ,$143.57 ,$21.22 ,$617.91 ,$136.73 ,$639.22 ,$136.73 ,$639.22 ,$639.22 ,$639.22 ,$688.93 ,$575.29 ,$639.22 ,$639.22 ,$639.22 ,$639.22 ST. JOSEPH'S - CHIPPEWA FALLS,45000421,29530,HC STRAPPING KNEE-LT,450,1 ,$337.42 ,$253.07 ,$21.22 ,$337.42 ,$217.30 ,$108.42 ,$236.19 ,$21.22 ,$280.06 ,$21.86 ,$222.70 ,$320.55 , N/A ,$269.94 ,$307.05 ,$21.22 ,$317.17 ,$320.55 ,$303.68 ,$286.81 ,$21.22 ,$21.22 ,$21.22 ,$246.32 ,$108.42 ,$300.30 ,$303.68 ,$303.68 ,$269.94 ,$111.68 ,$185.58 ,$303.68 ,$108.42 ,$303.68 ,$108.42 ,$320.55 ,$243.95 ,$310.43 ,$22.49 ,$307.05 ,$108.42 ,$207.65 ,$217.30 ,$207.65 ,$303.68 ,$303.68 ,$253.07 ,$236.19 ,$109.51 ,$22.28 ,$315.49 ,$113.84 ,$21.22 ,$293.56 ,$108.42 ,$303.68 ,$108.42 ,$303.68 ,$303.68 ,$303.68 ,$327.30 ,$273.31 ,$303.68 ,$303.68 ,$303.68 ,$303.68 ST. JOSEPH'S - CHIPPEWA FALLS,45000422,29530,HC STRAPPING KNEE-RT,450,1 ,$337.42 ,$253.07 ,$21.22 ,$337.42 ,$217.30 ,$108.42 ,$236.19 ,$21.22 ,$280.06 ,$21.86 ,$222.70 ,$320.55 , N/A ,$269.94 ,$307.05 ,$21.22 ,$317.17 ,$320.55 ,$303.68 ,$286.81 ,$21.22 ,$21.22 ,$21.22 ,$246.32 ,$108.42 ,$300.30 ,$303.68 ,$303.68 ,$269.94 ,$111.68 ,$185.58 ,$303.68 ,$108.42 ,$303.68 ,$108.42 ,$320.55 ,$243.95 ,$310.43 ,$22.49 ,$307.05 ,$108.42 ,$207.65 ,$217.30 ,$207.65 ,$303.68 ,$303.68 ,$253.07 ,$236.19 ,$109.51 ,$22.28 ,$315.49 ,$113.84 ,$21.22 ,$293.56 ,$108.42 ,$303.68 ,$108.42 ,$303.68 ,$303.68 ,$303.68 ,$327.30 ,$273.31 ,$303.68 ,$303.68 ,$303.68 ,$303.68 ST. JOSEPH'S - CHIPPEWA FALLS,45000423,30300,HC REMOVE NASAL FOREIGN BODY-LT,450,1 ,$238.52 ,$178.89 ,$35.67 ,$243.95 ,$153.61 ,$108.42 ,$166.96 ,$35.67 ,$197.97 ,$36.74 ,$157.42 ,$226.59 , N/A ,$190.82 ,$217.05 ,$35.67 ,$224.21 ,$226.59 ,$214.67 ,$202.74 ,$35.67 ,$35.67 ,$35.67 ,$174.12 ,$108.42 ,$212.28 ,$214.67 ,$214.67 ,$190.82 ,$111.68 ,$131.19 ,$214.67 ,$108.42 ,$214.67 ,$108.42 ,$226.59 ,$243.95 ,$219.44 ,$37.81 ,$217.05 ,$108.42 ,$146.79 ,$153.61 ,$146.79 ,$214.67 ,$214.67 ,$178.89 ,$166.96 ,$109.51 ,$37.45 ,$223.02 ,$113.84 ,$35.67 ,$207.51 ,$108.42 ,$214.67 ,$108.42 ,$214.67 ,$214.67 ,$214.67 ,$231.36 ,$193.20 ,$214.67 ,$214.67 ,$214.67 ,$214.67 ST. JOSEPH'S - CHIPPEWA FALLS,45000424,30300,HC REMOVE NASAL FOREIGN BODY-RT,450,1 ,$238.52 ,$178.89 ,$35.67 ,$243.95 ,$153.61 ,$108.42 ,$166.96 ,$35.67 ,$197.97 ,$36.74 ,$157.42 ,$226.59 , N/A ,$190.82 ,$217.05 ,$35.67 ,$224.21 ,$226.59 ,$214.67 ,$202.74 ,$35.67 ,$35.67 ,$35.67 ,$174.12 ,$108.42 ,$212.28 ,$214.67 ,$214.67 ,$190.82 ,$111.68 ,$131.19 ,$214.67 ,$108.42 ,$214.67 ,$108.42 ,$226.59 ,$243.95 ,$219.44 ,$37.81 ,$217.05 ,$108.42 ,$146.79 ,$153.61 ,$146.79 ,$214.67 ,$214.67 ,$178.89 ,$166.96 ,$109.51 ,$37.45 ,$223.02 ,$113.84 ,$35.67 ,$207.51 ,$108.42 ,$214.67 ,$108.42 ,$214.67 ,$214.67 ,$214.67 ,$231.36 ,$193.20 ,$214.67 ,$214.67 ,$214.67 ,$214.67 ST. JOSEPH'S - CHIPPEWA FALLS,45000425,30901,HC CNTRL NOSEBLEED ANT SMP-LT,450,1 ,$428.17 ,$321.13 ,$35.67 ,$428.17 ,$275.74 ,$108.42 ,$299.72 ,$35.67 ,$355.38 ,$36.74 ,$282.59 ,$406.76 , N/A ,$342.54 ,$389.63 ,$35.67 ,$402.48 ,$406.76 ,$385.35 ,$363.94 ,$35.67 ,$35.67 ,$35.67 ,$312.56 ,$108.42 ,$381.07 ,$385.35 ,$385.35 ,$342.54 ,$111.68 ,$235.49 ,$385.35 ,$108.42 ,$385.35 ,$108.42 ,$406.76 ,$243.95 ,$393.92 ,$37.81 ,$389.63 ,$108.42 ,$263.50 ,$275.74 ,$263.50 ,$385.35 ,$385.35 ,$321.13 ,$299.72 ,$109.51 ,$37.45 ,$400.34 ,$113.84 ,$35.67 ,$372.51 ,$108.42 ,$385.35 ,$108.42 ,$385.35 ,$385.35 ,$385.35 ,$415.32 ,$346.82 ,$385.35 ,$385.35 ,$385.35 ,$385.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000426,30901,HC CNTRL NOSEBLEED ANT SMP-RT,450,1 ,$428.17 ,$321.13 ,$35.67 ,$428.17 ,$275.74 ,$108.42 ,$299.72 ,$35.67 ,$355.38 ,$36.74 ,$282.59 ,$406.76 , N/A ,$342.54 ,$389.63 ,$35.67 ,$402.48 ,$406.76 ,$385.35 ,$363.94 ,$35.67 ,$35.67 ,$35.67 ,$312.56 ,$108.42 ,$381.07 ,$385.35 ,$385.35 ,$342.54 ,$111.68 ,$235.49 ,$385.35 ,$108.42 ,$385.35 ,$108.42 ,$406.76 ,$243.95 ,$393.92 ,$37.81 ,$389.63 ,$108.42 ,$263.50 ,$275.74 ,$263.50 ,$385.35 ,$385.35 ,$321.13 ,$299.72 ,$109.51 ,$37.45 ,$400.34 ,$113.84 ,$35.67 ,$372.51 ,$108.42 ,$385.35 ,$108.42 ,$385.35 ,$385.35 ,$385.35 ,$415.32 ,$346.82 ,$385.35 ,$385.35 ,$385.35 ,$385.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000427,30903,HC CNTRL NOSEBLEED ANT CPLX-LT,450,1 ,$537.81 ,$403.36 ,$35.67 ,$537.81 ,$346.35 ,$108.42 ,$376.47 ,$35.67 ,$446.38 ,$36.74 ,$354.95 ,$510.92 , N/A ,$430.25 ,$489.41 ,$35.67 ,$505.54 ,$510.92 ,$484.03 ,$457.14 ,$35.67 ,$35.67 ,$35.67 ,$392.60 ,$108.42 ,$478.65 ,$484.03 ,$484.03 ,$430.25 ,$111.68 ,$295.80 ,$484.03 ,$108.42 ,$484.03 ,$108.42 ,$510.92 ,$243.95 ,$494.79 ,$37.81 ,$489.41 ,$108.42 ,$330.97 ,$346.35 ,$330.97 ,$484.03 ,$484.03 ,$403.36 ,$376.47 ,$109.51 ,$37.45 ,$502.85 ,$113.84 ,$35.67 ,$467.89 ,$108.42 ,$484.03 ,$108.42 ,$484.03 ,$484.03 ,$484.03 ,$521.68 ,$435.63 ,$484.03 ,$484.03 ,$484.03 ,$484.03 ST. JOSEPH'S - CHIPPEWA FALLS,45000428,30903,HC CNTRL NOSEBLEED ANT CPLX-RT,450,1 ,$537.81 ,$403.36 ,$35.67 ,$537.81 ,$346.35 ,$108.42 ,$376.47 ,$35.67 ,$446.38 ,$36.74 ,$354.95 ,$510.92 , N/A ,$430.25 ,$489.41 ,$35.67 ,$505.54 ,$510.92 ,$484.03 ,$457.14 ,$35.67 ,$35.67 ,$35.67 ,$392.60 ,$108.42 ,$478.65 ,$484.03 ,$484.03 ,$430.25 ,$111.68 ,$295.80 ,$484.03 ,$108.42 ,$484.03 ,$108.42 ,$510.92 ,$243.95 ,$494.79 ,$37.81 ,$489.41 ,$108.42 ,$330.97 ,$346.35 ,$330.97 ,$484.03 ,$484.03 ,$403.36 ,$376.47 ,$109.51 ,$37.45 ,$502.85 ,$113.84 ,$35.67 ,$467.89 ,$108.42 ,$484.03 ,$108.42 ,$484.03 ,$484.03 ,$484.03 ,$521.68 ,$435.63 ,$484.03 ,$484.03 ,$484.03 ,$484.03 ST. JOSEPH'S - CHIPPEWA FALLS,45000429,30905,HC CONTROL OF NOSEBLEED-LT,450,1 ,$338.05 ,$253.54 ,$35.67 ,$338.05 ,$217.70 ,$108.42 ,$236.64 ,$35.67 ,$280.58 ,$36.74 ,$223.11 ,$321.15 , N/A ,$270.44 ,$307.63 ,$35.67 ,$317.77 ,$321.15 ,$304.25 ,$287.34 ,$35.67 ,$35.67 ,$35.67 ,$246.78 ,$108.42 ,$300.86 ,$304.25 ,$304.25 ,$270.44 ,$111.68 ,$185.93 ,$304.25 ,$108.42 ,$304.25 ,$108.42 ,$321.15 ,$243.95 ,$311.01 ,$37.81 ,$307.63 ,$108.42 ,$208.04 ,$217.70 ,$208.04 ,$304.25 ,$304.25 ,$253.54 ,$236.64 ,$109.51 ,$37.45 ,$316.08 ,$113.84 ,$35.67 ,$294.10 ,$108.42 ,$304.25 ,$108.42 ,$304.25 ,$304.25 ,$304.25 ,$327.91 ,$273.82 ,$304.25 ,$304.25 ,$304.25 ,$304.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000430,30905,HC CONTROL OF NOSEBLEED-RT,450,1 ,$338.05 ,$253.54 ,$35.67 ,$338.05 ,$217.70 ,$108.42 ,$236.64 ,$35.67 ,$280.58 ,$36.74 ,$223.11 ,$321.15 , N/A ,$270.44 ,$307.63 ,$35.67 ,$317.77 ,$321.15 ,$304.25 ,$287.34 ,$35.67 ,$35.67 ,$35.67 ,$246.78 ,$108.42 ,$300.86 ,$304.25 ,$304.25 ,$270.44 ,$111.68 ,$185.93 ,$304.25 ,$108.42 ,$304.25 ,$108.42 ,$321.15 ,$243.95 ,$311.01 ,$37.81 ,$307.63 ,$108.42 ,$208.04 ,$217.70 ,$208.04 ,$304.25 ,$304.25 ,$253.54 ,$236.64 ,$109.51 ,$37.45 ,$316.08 ,$113.84 ,$35.67 ,$294.10 ,$108.42 ,$304.25 ,$108.42 ,$304.25 ,$304.25 ,$304.25 ,$327.91 ,$273.82 ,$304.25 ,$304.25 ,$304.25 ,$304.25 ST. JOSEPH'S - CHIPPEWA FALLS,45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,$668.68 ,$501.51 ,$258.10 ,"$3,064.15 ",$430.63 ,"$1,361.85 ",$468.08 ,$258.10 ,$555.00 ,$265.84 ,$441.33 ,$635.25 , N/A ,$534.94 ,$608.50 ,$258.10 ,$628.56 ,$635.25 ,$601.81 ,$568.38 ,$258.10 ,$258.10 ,$258.10 ,$488.14 ,"$1,361.85 ",$595.13 ,$601.81 ,$601.81 ,$534.94 ,"$1,402.70 ",$367.77 ,$601.81 ,"$1,361.85 ",$601.81 ,"$1,361.85 ",$635.25 ,"$3,064.15 ",$615.19 ,$273.59 ,$608.50 ,"$1,361.85 ",$411.51 ,$430.63 ,$411.51 ,$601.81 ,$601.81 ,$501.51 ,$468.08 ,"$1,375.47 ",$271.01 ,$625.22 ,"$1,429.94 ",$258.10 ,$581.75 ,"$1,361.85 ",$601.81 ,"$1,361.85 ",$601.81 ,$601.81 ,$601.81 ,$648.62 ,$541.63 ,$601.81 ,$601.81 ,$601.81 ,$601.81 ST. JOSEPH'S - CHIPPEWA FALLS,45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,$668.68 ,$501.51 ,$258.10 ,"$3,064.15 ",$430.63 ,"$1,361.85 ",$468.08 ,$258.10 ,$555.00 ,$265.84 ,$441.33 ,$635.25 , N/A ,$534.94 ,$608.50 ,$258.10 ,$628.56 ,$635.25 ,$601.81 ,$568.38 ,$258.10 ,$258.10 ,$258.10 ,$488.14 ,"$1,361.85 ",$595.13 ,$601.81 ,$601.81 ,$534.94 ,"$1,402.70 ",$367.77 ,$601.81 ,"$1,361.85 ",$601.81 ,"$1,361.85 ",$635.25 ,"$3,064.15 ",$615.19 ,$273.59 ,$608.50 ,"$1,361.85 ",$411.51 ,$430.63 ,$411.51 ,$601.81 ,$601.81 ,$501.51 ,$468.08 ,"$1,375.47 ",$271.01 ,$625.22 ,"$1,429.94 ",$258.10 ,$581.75 ,"$1,361.85 ",$601.81 ,"$1,361.85 ",$601.81 ,$601.81 ,$601.81 ,$648.62 ,$541.63 ,$601.81 ,$601.81 ,$601.81 ,$601.81 ST. JOSEPH'S - CHIPPEWA FALLS,45000433,32554,HC THORACENTESIS ASPIRATION WO IMAGING-LT,450,1 ,"$1,209.86 ",$907.40 ,$258.10 ,"$1,209.86 ",$779.15 ,$524.56 ,$846.90 ,$258.10 ,"$1,004.18 ",$265.84 ,$798.51 ,"$1,149.37 ", N/A ,$967.89 ,"$1,100.97 ",$258.10 ,"$1,137.27 ","$1,149.37 ","$1,088.87 ","$1,028.38 ",$258.10 ,$258.10 ,$258.10 ,$883.20 ,$524.56 ,"$1,076.78 ","$1,088.87 ","$1,088.87 ",$967.89 ,$540.30 ,$665.42 ,"$1,088.87 ",$524.56 ,"$1,088.87 ",$524.56 ,"$1,149.37 ","$1,180.26 ","$1,113.07 ",$273.59 ,"$1,100.97 ",$524.56 ,$744.55 ,$779.15 ,$744.55 ,"$1,088.87 ","$1,088.87 ",$907.40 ,$846.90 ,$529.80 ,$271.01 ,"$1,131.22 ",$550.79 ,$258.10 ,"$1,052.58 ",$524.56 ,"$1,088.87 ",$524.56 ,"$1,088.87 ","$1,088.87 ","$1,088.87 ","$1,173.56 ",$979.99 ,"$1,088.87 ","$1,088.87 ","$1,088.87 ","$1,088.87 " ST. JOSEPH'S - CHIPPEWA FALLS,45000434,32554,HC THORACENTESIS ASPIRATION WO IMAGING-RT,450,1 ,"$1,209.86 ",$907.40 ,$258.10 ,"$1,209.86 ",$779.15 ,$524.56 ,$846.90 ,$258.10 ,"$1,004.18 ",$265.84 ,$798.51 ,"$1,149.37 ", N/A ,$967.89 ,"$1,100.97 ",$258.10 ,"$1,137.27 ","$1,149.37 ","$1,088.87 ","$1,028.38 ",$258.10 ,$258.10 ,$258.10 ,$883.20 ,$524.56 ,"$1,076.78 ","$1,088.87 ","$1,088.87 ",$967.89 ,$540.30 ,$665.42 ,"$1,088.87 ",$524.56 ,"$1,088.87 ",$524.56 ,"$1,149.37 ","$1,180.26 ","$1,113.07 ",$273.59 ,"$1,100.97 ",$524.56 ,$744.55 ,$779.15 ,$744.55 ,"$1,088.87 ","$1,088.87 ",$907.40 ,$846.90 ,$529.80 ,$271.01 ,"$1,131.22 ",$550.79 ,$258.10 ,"$1,052.58 ",$524.56 ,"$1,088.87 ",$524.56 ,"$1,088.87 ","$1,088.87 ","$1,088.87 ","$1,173.56 ",$979.99 ,"$1,088.87 ","$1,088.87 ","$1,088.87 ","$1,088.87 " ST. JOSEPH'S - CHIPPEWA FALLS,45000435,56420,HC I AND D ABSC GLAND BARTHOLINS-LT,450,1 ,$157.05 ,$117.79 ,$63.69 ,$371.15 ,$101.14 ,$164.95 ,$109.94 ,$63.69 ,$130.35 ,$65.60 ,$103.65 ,$149.20 , N/A ,$125.64 ,$142.92 ,$63.69 ,$147.63 ,$149.20 ,$141.35 ,$133.49 ,$63.69 ,$63.69 ,$63.69 ,$114.65 ,$164.95 ,$139.77 ,$141.35 ,$141.35 ,$125.64 ,$169.90 ,$86.38 ,$141.35 ,$164.95 ,$141.35 ,$164.95 ,$149.20 ,$371.15 ,$144.49 ,$67.51 ,$142.92 ,$164.95 ,$96.65 ,$101.14 ,$96.65 ,$141.35 ,$141.35 ,$117.79 ,$109.94 ,$166.60 ,$66.87 ,$146.84 ,$173.20 ,$63.69 ,$136.63 ,$164.95 ,$141.35 ,$164.95 ,$141.35 ,$141.35 ,$141.35 ,$152.34 ,$127.21 ,$141.35 ,$141.35 ,$141.35 ,$141.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000436,56420,HC I AND D ABSC GLAND BARTHOLINS-RT,450,1 ,$157.05 ,$117.79 ,$63.69 ,$371.15 ,$101.14 ,$164.95 ,$109.94 ,$63.69 ,$130.35 ,$65.60 ,$103.65 ,$149.20 , N/A ,$125.64 ,$142.92 ,$63.69 ,$147.63 ,$149.20 ,$141.35 ,$133.49 ,$63.69 ,$63.69 ,$63.69 ,$114.65 ,$164.95 ,$139.77 ,$141.35 ,$141.35 ,$125.64 ,$169.90 ,$86.38 ,$141.35 ,$164.95 ,$141.35 ,$164.95 ,$149.20 ,$371.15 ,$144.49 ,$67.51 ,$142.92 ,$164.95 ,$96.65 ,$101.14 ,$96.65 ,$141.35 ,$141.35 ,$117.79 ,$109.94 ,$166.60 ,$66.87 ,$146.84 ,$173.20 ,$63.69 ,$136.63 ,$164.95 ,$141.35 ,$164.95 ,$141.35 ,$141.35 ,$141.35 ,$152.34 ,$127.21 ,$141.35 ,$141.35 ,$141.35 ,$141.35 ST. JOSEPH'S - CHIPPEWA FALLS,45000437,64400,HC NERVE BLOCK TRIGEMINAL-LT,450,1 ,$568.87 ,$426.65 ,$121.61 ,$569.12 ,$366.35 ,$252.94 ,$398.21 ,$121.61 ,$472.16 ,$125.26 ,$375.45 ,$540.43 , N/A ,$455.10 ,$517.67 ,$121.61 ,$534.74 ,$540.43 ,$511.98 ,$483.54 ,$121.61 ,$121.61 ,$121.61 ,$415.28 ,$252.94 ,$506.29 ,$511.98 ,$511.98 ,$455.10 ,$260.53 ,$312.88 ,$511.98 ,$252.94 ,$511.98 ,$252.94 ,$540.43 ,$569.12 ,$523.36 ,$128.91 ,$517.67 ,$252.94 ,$350.08 ,$366.35 ,$350.08 ,$511.98 ,$511.98 ,$426.65 ,$398.21 ,$255.47 ,$127.69 ,$531.89 ,$265.59 ,$121.61 ,$494.92 ,$252.94 ,$511.98 ,$252.94 ,$511.98 ,$511.98 ,$511.98 ,$551.80 ,$460.78 ,$511.98 ,$511.98 ,$511.98 ,$511.98 ST. JOSEPH'S - CHIPPEWA FALLS,45000438,64400,HC NERVE BLOCK TRIGEMINAL-RT,450,1 ,$568.87 ,$426.65 ,$121.61 ,$569.12 ,$366.35 ,$252.94 ,$398.21 ,$121.61 ,$472.16 ,$125.26 ,$375.45 ,$540.43 , N/A ,$455.10 ,$517.67 ,$121.61 ,$534.74 ,$540.43 ,$511.98 ,$483.54 ,$121.61 ,$121.61 ,$121.61 ,$415.28 ,$252.94 ,$506.29 ,$511.98 ,$511.98 ,$455.10 ,$260.53 ,$312.88 ,$511.98 ,$252.94 ,$511.98 ,$252.94 ,$540.43 ,$569.12 ,$523.36 ,$128.91 ,$517.67 ,$252.94 ,$350.08 ,$366.35 ,$350.08 ,$511.98 ,$511.98 ,$426.65 ,$398.21 ,$255.47 ,$127.69 ,$531.89 ,$265.59 ,$121.61 ,$494.92 ,$252.94 ,$511.98 ,$252.94 ,$511.98 ,$511.98 ,$511.98 ,$551.80 ,$460.78 ,$511.98 ,$511.98 ,$511.98 ,$511.98 ST. JOSEPH'S - CHIPPEWA FALLS,45000439,64450,HC INJ ANES OTHER THAN PERIPHERAL-LT,450,1 ,$489.77 ,$367.33 ,$121.61 ,"$1,382.85 ",$315.41 ,$614.60 ,$342.84 ,$121.61 ,$406.51 ,$125.26 ,$323.25 ,$465.28 , N/A ,$391.82 ,$445.69 ,$121.61 ,$460.38 ,$465.28 ,$440.79 ,$416.30 ,$121.61 ,$121.61 ,$121.61 ,$357.53 ,$614.60 ,$435.90 ,$440.79 ,$440.79 ,$391.82 ,$633.04 ,$269.37 ,$440.79 ,$614.60 ,$440.79 ,$614.60 ,$465.28 ,"$1,382.85 ",$450.59 ,$128.91 ,$445.69 ,$614.60 ,$301.40 ,$315.41 ,$301.40 ,$440.79 ,$440.79 ,$367.33 ,$342.84 ,$620.75 ,$127.69 ,$457.94 ,$645.33 ,$121.61 ,$426.10 ,$614.60 ,$440.79 ,$614.60 ,$440.79 ,$440.79 ,$440.79 ,$475.08 ,$396.71 ,$440.79 ,$440.79 ,$440.79 ,$440.79 ST. JOSEPH'S - CHIPPEWA FALLS,45000440,64450,HC INJ ANES OTHER THAN PERIPHERAL-RT,450,1 ,$489.77 ,$367.33 ,$121.61 ,"$1,382.85 ",$315.41 ,$614.60 ,$342.84 ,$121.61 ,$406.51 ,$125.26 ,$323.25 ,$465.28 , N/A ,$391.82 ,$445.69 ,$121.61 ,$460.38 ,$465.28 ,$440.79 ,$416.30 ,$121.61 ,$121.61 ,$121.61 ,$357.53 ,$614.60 ,$435.90 ,$440.79 ,$440.79 ,$391.82 ,$633.04 ,$269.37 ,$440.79 ,$614.60 ,$440.79 ,$614.60 ,$465.28 ,"$1,382.85 ",$450.59 ,$128.91 ,$445.69 ,$614.60 ,$301.40 ,$315.41 ,$301.40 ,$440.79 ,$440.79 ,$367.33 ,$342.84 ,$620.75 ,$127.69 ,$457.94 ,$645.33 ,$121.61 ,$426.10 ,$614.60 ,$440.79 ,$614.60 ,$440.79 ,$440.79 ,$440.79 ,$475.08 ,$396.71 ,$440.79 ,$440.79 ,$440.79 ,$440.79 ST. JOSEPH'S - CHIPPEWA FALLS,45000441,65210,HC REMOVE EYE FB CONJUCT EMBED-LT,450,1 ,$151.88 ,$113.91 ,$18.36 ,$588.84 ,$97.81 ,$261.71 ,$106.32 ,$18.36 ,$126.06 ,$18.91 ,$100.24 ,$144.29 , N/A ,$121.50 ,$138.21 ,$18.36 ,$142.77 ,$144.29 ,$136.69 ,$129.10 ,$18.36 ,$18.36 ,$18.36 ,$110.87 ,$261.71 ,$135.17 ,$136.69 ,$136.69 ,$121.50 ,$269.56 ,$83.53 ,$136.69 ,$261.71 ,$136.69 ,$261.71 ,$144.29 ,$588.84 ,$139.73 ,$19.46 ,$138.21 ,$261.71 ,$93.47 ,$97.81 ,$93.47 ,$136.69 ,$136.69 ,$113.91 ,$106.32 ,$264.33 ,$19.28 ,$142.01 ,$274.80 ,$18.36 ,$132.14 ,$261.71 ,$136.69 ,$261.71 ,$136.69 ,$136.69 ,$136.69 ,$147.32 ,$123.02 ,$136.69 ,$136.69 ,$136.69 ,$136.69 ST. JOSEPH'S - CHIPPEWA FALLS,45000442,65210,HC REMOVE EYE FB CONJUCT EMBED-RT,450,1 ,$151.88 ,$113.91 ,$18.36 ,$588.84 ,$97.81 ,$261.71 ,$106.32 ,$18.36 ,$126.06 ,$18.91 ,$100.24 ,$144.29 , N/A ,$121.50 ,$138.21 ,$18.36 ,$142.77 ,$144.29 ,$136.69 ,$129.10 ,$18.36 ,$18.36 ,$18.36 ,$110.87 ,$261.71 ,$135.17 ,$136.69 ,$136.69 ,$121.50 ,$269.56 ,$83.53 ,$136.69 ,$261.71 ,$136.69 ,$261.71 ,$144.29 ,$588.84 ,$139.73 ,$19.46 ,$138.21 ,$261.71 ,$93.47 ,$97.81 ,$93.47 ,$136.69 ,$136.69 ,$113.91 ,$106.32 ,$264.33 ,$19.28 ,$142.01 ,$274.80 ,$18.36 ,$132.14 ,$261.71 ,$136.69 ,$261.71 ,$136.69 ,$136.69 ,$136.69 ,$147.32 ,$123.02 ,$136.69 ,$136.69 ,$136.69 ,$136.69 ST. JOSEPH'S - CHIPPEWA FALLS,45000443,65220,HC REMOVE FB CORNL W/O SLIT LAMP-LT,450,1 ,$143.55 ,$107.66 ,$18.36 ,$588.84 ,$92.45 ,$261.71 ,$100.49 ,$18.36 ,$119.15 ,$18.91 ,$94.74 ,$136.37 , N/A ,$114.84 ,$130.63 ,$18.36 ,$134.94 ,$136.37 ,$129.20 ,$122.02 ,$18.36 ,$18.36 ,$18.36 ,$104.79 ,$261.71 ,$127.76 ,$129.20 ,$129.20 ,$114.84 ,$269.56 ,$78.95 ,$129.20 ,$261.71 ,$129.20 ,$261.71 ,$136.37 ,$588.84 ,$132.07 ,$19.46 ,$130.63 ,$261.71 ,$88.34 ,$92.45 ,$88.34 ,$129.20 ,$129.20 ,$107.66 ,$100.49 ,$264.33 ,$19.28 ,$134.22 ,$274.80 ,$18.36 ,$124.89 ,$261.71 ,$129.20 ,$261.71 ,$129.20 ,$129.20 ,$129.20 ,$139.24 ,$116.28 ,$129.20 ,$129.20 ,$129.20 ,$129.20 ST. JOSEPH'S - CHIPPEWA FALLS,45000444,65220,HC REMOVE FB CORNL W/O SLIT LAMP-RT,450,1 ,$143.55 ,$107.66 ,$18.36 ,$588.84 ,$92.45 ,$261.71 ,$100.49 ,$18.36 ,$119.15 ,$18.91 ,$94.74 ,$136.37 , N/A ,$114.84 ,$130.63 ,$18.36 ,$134.94 ,$136.37 ,$129.20 ,$122.02 ,$18.36 ,$18.36 ,$18.36 ,$104.79 ,$261.71 ,$127.76 ,$129.20 ,$129.20 ,$114.84 ,$269.56 ,$78.95 ,$129.20 ,$261.71 ,$129.20 ,$261.71 ,$136.37 ,$588.84 ,$132.07 ,$19.46 ,$130.63 ,$261.71 ,$88.34 ,$92.45 ,$88.34 ,$129.20 ,$129.20 ,$107.66 ,$100.49 ,$264.33 ,$19.28 ,$134.22 ,$274.80 ,$18.36 ,$124.89 ,$261.71 ,$129.20 ,$261.71 ,$129.20 ,$129.20 ,$129.20 ,$139.24 ,$116.28 ,$129.20 ,$129.20 ,$129.20 ,$129.20 ST. JOSEPH'S - CHIPPEWA FALLS,45000445,65222,HC REMOVE FB CORNL W/ SLIT LAMP-LT,450,1 ,$143.95 ,$107.96 ,$18.36 ,$243.95 ,$92.70 ,$108.42 ,$100.77 ,$18.36 ,$119.48 ,$18.91 ,$95.01 ,$136.75 , N/A ,$115.16 ,$130.99 ,$18.36 ,$135.31 ,$136.75 ,$129.56 ,$122.36 ,$18.36 ,$18.36 ,$18.36 ,$105.08 ,$108.42 ,$128.12 ,$129.56 ,$129.56 ,$115.16 ,$111.68 ,$79.17 ,$129.56 ,$108.42 ,$129.56 ,$108.42 ,$136.75 ,$243.95 ,$132.43 ,$19.46 ,$130.99 ,$108.42 ,$88.59 ,$92.70 ,$88.59 ,$129.56 ,$129.56 ,$107.96 ,$100.77 ,$109.51 ,$19.28 ,$134.59 ,$113.84 ,$18.36 ,$125.24 ,$108.42 ,$129.56 ,$108.42 ,$129.56 ,$129.56 ,$129.56 ,$139.63 ,$116.60 ,$129.56 ,$129.56 ,$129.56 ,$129.56 ST. JOSEPH'S - CHIPPEWA FALLS,45000446,65222,HC REMOVE FB CORNL W/ SLIT LAMP-RT,450,1 ,$143.95 ,$107.96 ,$18.36 ,$243.95 ,$92.70 ,$108.42 ,$100.77 ,$18.36 ,$119.48 ,$18.91 ,$95.01 ,$136.75 , N/A ,$115.16 ,$130.99 ,$18.36 ,$135.31 ,$136.75 ,$129.56 ,$122.36 ,$18.36 ,$18.36 ,$18.36 ,$105.08 ,$108.42 ,$128.12 ,$129.56 ,$129.56 ,$115.16 ,$111.68 ,$79.17 ,$129.56 ,$108.42 ,$129.56 ,$108.42 ,$136.75 ,$243.95 ,$132.43 ,$19.46 ,$130.99 ,$108.42 ,$88.59 ,$92.70 ,$88.59 ,$129.56 ,$129.56 ,$107.96 ,$100.77 ,$109.51 ,$19.28 ,$134.59 ,$113.84 ,$18.36 ,$125.24 ,$108.42 ,$129.56 ,$108.42 ,$129.56 ,$129.56 ,$129.56 ,$139.63 ,$116.60 ,$129.56 ,$129.56 ,$129.56 ,$129.56 ST. JOSEPH'S - CHIPPEWA FALLS,45000447,66720,HC DESTRUCTION CILIARY BODY-LT,450,1 ,$198.11 ,$148.58 ,$108.96 ,"$4,363.37 ",$127.58 ,"$1,939.28 ",$138.68 ,$198.11 ,$164.43 ,$450.93 ,$130.75 ,$188.20 , N/A ,$158.49 ,$180.28 ,$198.11 ,$186.22 ,$188.20 ,$178.30 ,$168.39 ,$437.80 ,$437.80 ,$437.80 ,$144.62 ,"$1,939.28 ",$176.32 ,$178.30 ,$178.30 ,$158.49 ,"$1,997.45 ",$108.96 ,$178.30 ,"$1,939.28 ",$178.30 ,"$1,939.28 ",$188.20 ,"$4,363.37 ",$182.26 ,$464.07 ,$180.28 ,"$1,939.28 ",$121.92 ,$127.58 ,$121.92 ,$178.30 ,$178.30 ,$148.58 ,$138.68 ,"$1,958.67 ",$459.69 ,$185.23 ,"$2,036.24 ",$198.11 ,$172.36 ,"$1,939.28 ",$178.30 ,"$1,939.28 ",$178.30 ,$178.30 ,$178.30 ,$192.17 ,$160.47 ,$178.30 ,$178.30 ,$178.30 ,$178.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000448,66720,HC DESTRUCTION CILIARY BODY-RT,450,1 ,$198.11 ,$148.58 ,$108.96 ,"$4,363.37 ",$127.58 ,"$1,939.28 ",$138.68 ,$198.11 ,$164.43 ,$450.93 ,$130.75 ,$188.20 , N/A ,$158.49 ,$180.28 ,$198.11 ,$186.22 ,$188.20 ,$178.30 ,$168.39 ,$437.80 ,$437.80 ,$437.80 ,$144.62 ,"$1,939.28 ",$176.32 ,$178.30 ,$178.30 ,$158.49 ,"$1,997.45 ",$108.96 ,$178.30 ,"$1,939.28 ",$178.30 ,"$1,939.28 ",$188.20 ,"$4,363.37 ",$182.26 ,$464.07 ,$180.28 ,"$1,939.28 ",$121.92 ,$127.58 ,$121.92 ,$178.30 ,$178.30 ,$148.58 ,$138.68 ,"$1,958.67 ",$459.69 ,$185.23 ,"$2,036.24 ",$198.11 ,$172.36 ,"$1,939.28 ",$178.30 ,"$1,939.28 ",$178.30 ,$178.30 ,$178.30 ,$192.17 ,$160.47 ,$178.30 ,$178.30 ,$178.30 ,$178.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000449,67208,HC TX RETINAL LESION-LT,450,1 ,$198.11 ,$148.58 ,$108.96 ,$851.42 ,$127.58 ,$253.05 ,$138.68 ,$198.11 ,$164.43 ,$827.33 ,$130.75 ,$188.20 , N/A ,$158.49 ,$180.28 ,$198.11 ,$186.22 ,$188.20 ,$178.30 ,$168.39 ,$803.23 ,$803.23 ,$803.23 ,$144.62 ,$253.05 ,$176.32 ,$178.30 ,$178.30 ,$158.49 ,$260.64 ,$108.96 ,$178.30 ,$253.05 ,$178.30 ,$253.05 ,$188.20 ,$569.36 ,$182.26 ,$851.42 ,$180.28 ,$253.05 ,$121.92 ,$127.58 ,$121.92 ,$178.30 ,$178.30 ,$148.58 ,$138.68 ,$255.58 ,$843.39 ,$185.23 ,$265.70 ,$198.11 ,$172.36 ,$253.05 ,$178.30 ,$253.05 ,$178.30 ,$178.30 ,$178.30 ,$192.17 ,$160.47 ,$178.30 ,$178.30 ,$178.30 ,$178.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000450,67208,HC TX RETINAL LESION-RT,450,1 ,$198.11 ,$148.58 ,$108.96 ,$851.42 ,$127.58 ,$253.05 ,$138.68 ,$198.11 ,$164.43 ,$827.33 ,$130.75 ,$188.20 , N/A ,$158.49 ,$180.28 ,$198.11 ,$186.22 ,$188.20 ,$178.30 ,$168.39 ,$803.23 ,$803.23 ,$803.23 ,$144.62 ,$253.05 ,$176.32 ,$178.30 ,$178.30 ,$158.49 ,$260.64 ,$108.96 ,$178.30 ,$253.05 ,$178.30 ,$253.05 ,$188.20 ,$569.36 ,$182.26 ,$851.42 ,$180.28 ,$253.05 ,$121.92 ,$127.58 ,$121.92 ,$178.30 ,$178.30 ,$148.58 ,$138.68 ,$255.58 ,$843.39 ,$185.23 ,$265.70 ,$198.11 ,$172.36 ,$253.05 ,$178.30 ,$253.05 ,$178.30 ,$178.30 ,$178.30 ,$192.17 ,$160.47 ,$178.30 ,$178.30 ,$178.30 ,$178.30 ST. JOSEPH'S - CHIPPEWA FALLS,45000451,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-LT,450,1 ,$275.90 ,$206.93 ,$35.67 ,"$1,355.35 ",$177.68 ,$602.38 ,$193.13 ,$35.67 ,$229.00 ,$36.74 ,$182.09 ,$262.11 , N/A ,$220.72 ,$251.07 ,$35.67 ,$259.35 ,$262.11 ,$248.31 ,$234.52 ,$35.67 ,$35.67 ,$35.67 ,$201.41 ,$602.38 ,$245.55 ,$248.31 ,$248.31 ,$220.72 ,$620.45 ,$151.75 ,$248.31 ,$602.38 ,$248.31 ,$602.38 ,$262.11 ,"$1,355.35 ",$253.83 ,$37.81 ,$251.07 ,$602.38 ,$169.79 ,$177.68 ,$169.79 ,$248.31 ,$248.31 ,$206.93 ,$193.13 ,$608.40 ,$37.45 ,$257.97 ,$632.50 ,$35.67 ,$240.03 ,$602.38 ,$248.31 ,$602.38 ,$248.31 ,$248.31 ,$248.31 ,$267.62 ,$223.48 ,$248.31 ,$248.31 ,$248.31 ,$248.31 ST. JOSEPH'S - CHIPPEWA FALLS,45000452,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-RT,450,1 ,$275.90 ,$206.93 ,$35.67 ,"$1,355.35 ",$177.68 ,$602.38 ,$193.13 ,$35.67 ,$229.00 ,$36.74 ,$182.09 ,$262.11 , N/A ,$220.72 ,$251.07 ,$35.67 ,$259.35 ,$262.11 ,$248.31 ,$234.52 ,$35.67 ,$35.67 ,$35.67 ,$201.41 ,$602.38 ,$245.55 ,$248.31 ,$248.31 ,$220.72 ,$620.45 ,$151.75 ,$248.31 ,$602.38 ,$248.31 ,$602.38 ,$262.11 ,"$1,355.35 ",$253.83 ,$37.81 ,$251.07 ,$602.38 ,$169.79 ,$177.68 ,$169.79 ,$248.31 ,$248.31 ,$206.93 ,$193.13 ,$608.40 ,$37.45 ,$257.97 ,$632.50 ,$35.67 ,$240.03 ,$602.38 ,$248.31 ,$602.38 ,$248.31 ,$248.31 ,$248.31 ,$267.62 ,$223.48 ,$248.31 ,$248.31 ,$248.31 ,$248.31 ST. JOSEPH'S - CHIPPEWA FALLS,45000453,69200,HC REM FOREIGN BODY CANAL AUD EXT-LT,450,1 ,$97.96 ,$73.47 ,$35.67 ,$243.95 ,$63.09 ,$108.42 ,$68.57 ,$35.67 ,$81.31 ,$36.74 ,$64.65 ,$93.06 , N/A ,$78.37 ,$89.14 ,$35.67 ,$92.08 ,$93.06 ,$88.16 ,$83.27 ,$35.67 ,$35.67 ,$35.67 ,$71.51 ,$108.42 ,$87.18 ,$88.16 ,$88.16 ,$78.37 ,$111.68 ,$53.88 ,$88.16 ,$108.42 ,$88.16 ,$108.42 ,$93.06 ,$243.95 ,$90.12 ,$37.81 ,$89.14 ,$108.42 ,$60.28 ,$63.09 ,$60.28 ,$88.16 ,$88.16 ,$73.47 ,$68.57 ,$109.51 ,$37.45 ,$91.59 ,$113.84 ,$35.67 ,$85.23 ,$108.42 ,$88.16 ,$108.42 ,$88.16 ,$88.16 ,$88.16 ,$95.02 ,$79.35 ,$88.16 ,$88.16 ,$88.16 ,$88.16 ST. JOSEPH'S - CHIPPEWA FALLS,45000454,69200,HC REM FOREIGN BODY CANAL AUD EXT-RT,450,1 ,$97.96 ,$73.47 ,$35.67 ,$243.95 ,$63.09 ,$108.42 ,$68.57 ,$35.67 ,$81.31 ,$36.74 ,$64.65 ,$93.06 , N/A ,$78.37 ,$89.14 ,$35.67 ,$92.08 ,$93.06 ,$88.16 ,$83.27 ,$35.67 ,$35.67 ,$35.67 ,$71.51 ,$108.42 ,$87.18 ,$88.16 ,$88.16 ,$78.37 ,$111.68 ,$53.88 ,$88.16 ,$108.42 ,$88.16 ,$108.42 ,$93.06 ,$243.95 ,$90.12 ,$37.81 ,$89.14 ,$108.42 ,$60.28 ,$63.09 ,$60.28 ,$88.16 ,$88.16 ,$73.47 ,$68.57 ,$109.51 ,$37.45 ,$91.59 ,$113.84 ,$35.67 ,$85.23 ,$108.42 ,$88.16 ,$108.42 ,$88.16 ,$88.16 ,$88.16 ,$95.02 ,$79.35 ,$88.16 ,$88.16 ,$88.16 ,$88.16 ST. JOSEPH'S - CHIPPEWA FALLS,45000455,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,450,1 ,$214.81 ,$161.11 ,$35.67 ,$214.81 ,$138.34 ,$53.91 ,$150.37 ,$35.67 ,$178.29 ,$36.74 ,$141.77 ,$204.07 , N/A ,$171.85 ,$195.48 ,$35.67 ,$201.92 ,$204.07 ,$193.33 ,$182.59 ,$35.67 ,$35.67 ,$35.67 ,$156.81 ,$53.91 ,$191.18 ,$193.33 ,$193.33 ,$171.85 ,$55.52 ,$118.15 ,$193.33 ,$53.91 ,$193.33 ,$53.91 ,$204.07 ,$121.29 ,$197.63 ,$37.81 ,$195.48 ,$53.91 ,$132.19 ,$138.34 ,$132.19 ,$193.33 ,$193.33 ,$161.11 ,$150.37 ,$54.45 ,$37.45 ,$200.85 ,$56.61 ,$35.67 ,$186.88 ,$53.91 ,$193.33 ,$53.91 ,$193.33 ,$193.33 ,$193.33 ,$208.37 ,$174.00 ,$193.33 ,$193.33 ,$193.33 ,$193.33 ST. JOSEPH'S - CHIPPEWA FALLS,45000456,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,450,1 ,$214.81 ,$161.11 ,$35.67 ,$214.81 ,$138.34 ,$53.91 ,$150.37 ,$35.67 ,$178.29 ,$36.74 ,$141.77 ,$204.07 , N/A ,$171.85 ,$195.48 ,$35.67 ,$201.92 ,$204.07 ,$193.33 ,$182.59 ,$35.67 ,$35.67 ,$35.67 ,$156.81 ,$53.91 ,$191.18 ,$193.33 ,$193.33 ,$171.85 ,$55.52 ,$118.15 ,$193.33 ,$53.91 ,$193.33 ,$53.91 ,$204.07 ,$121.29 ,$197.63 ,$37.81 ,$195.48 ,$53.91 ,$132.19 ,$138.34 ,$132.19 ,$193.33 ,$193.33 ,$161.11 ,$150.37 ,$54.45 ,$37.45 ,$200.85 ,$56.61 ,$35.67 ,$186.88 ,$53.91 ,$193.33 ,$53.91 ,$193.33 ,$193.33 ,$193.33 ,$208.37 ,$174.00 ,$193.33 ,$193.33 ,$193.33 ,$193.33 ST. JOSEPH'S - CHIPPEWA FALLS,45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$581.14 ,$435.86 ,$60.28 ,$581.14 ,$374.25 ,$257.76 ,$406.80 ,$60.28 ,$482.35 ,$62.09 ,$383.55 ,$552.08 , N/A ,$464.91 ,$528.84 ,$60.28 ,$546.27 ,$552.08 ,$523.03 ,$493.97 ,$60.28 ,$60.28 ,$60.28 ,$424.23 ,$257.76 ,$517.21 ,$523.03 ,$523.03 ,$464.91 ,$265.49 ,$319.63 ,$523.03 ,$257.76 ,$523.03 ,$257.76 ,$552.08 ,$579.95 ,$534.65 ,$63.90 ,$528.84 ,$257.76 ,$357.63 ,$374.25 ,$357.63 ,$523.03 ,$523.03 ,$435.86 ,$406.80 ,$260.33 ,$63.29 ,$543.37 ,$270.65 ,$60.28 ,$505.59 ,$257.76 ,$523.03 ,$257.76 ,$523.03 ,$523.03 ,$523.03 ,$563.71 ,$470.72 ,$523.03 ,$523.03 ,$523.03 ,$523.03 ST. JOSEPH'S - CHIPPEWA FALLS,45080001,10060,HC I AND D ABSC SMP,450,1 ,$193.51 ,$145.13 ,$74.70 ,$391.26 ,$124.62 ,$173.89 ,$135.46 ,$74.70 ,$160.61 ,$76.94 ,$127.72 ,$183.83 , N/A ,$154.81 ,$176.09 ,$74.70 ,$181.90 ,$183.83 ,$174.16 ,$164.48 ,$74.70 ,$74.70 ,$74.70 ,$141.26 ,$173.89 ,$172.22 ,$174.16 ,$174.16 ,$154.81 ,$179.11 ,$106.43 ,$174.16 ,$173.89 ,$174.16 ,$173.89 ,$183.83 ,$391.26 ,$178.03 ,$79.18 ,$176.09 ,$173.89 ,$119.09 ,$124.62 ,$119.09 ,$174.16 ,$174.16 ,$145.13 ,$135.46 ,$175.63 ,$78.44 ,$180.93 ,$182.58 ,$74.70 ,$168.35 ,$173.89 ,$174.16 ,$173.89 ,$174.16 ,$174.16 ,$174.16 ,$187.70 ,$156.74 ,$174.16 ,$174.16 ,$174.16 ,$174.16 ST. JOSEPH'S - CHIPPEWA FALLS,46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$326.87 ,$245.15 ,$73.19 ,$326.87 ,$210.50 ,$135.15 ,$228.81 ,$73.19 ,$271.30 ,$75.39 ,$215.73 ,$310.53 , N/A ,$261.50 ,$297.45 ,$73.19 ,$307.26 ,$310.53 ,$294.18 ,$277.84 ,$73.19 ,$73.19 ,$73.19 ,$238.62 ,$135.15 ,$290.91 ,$294.18 ,$294.18 ,$261.50 ,$139.21 ,$179.78 ,$294.18 ,$135.15 ,$294.18 ,$135.15 ,$310.53 ,$304.10 ,$300.72 ,$77.58 ,$297.45 ,$135.15 ,$201.16 ,$210.50 ,$201.16 ,$294.18 ,$294.18 ,$245.15 ,$228.81 ,$136.51 ,$76.85 ,$305.62 ,$141.91 ,$73.19 ,$284.38 ,$135.15 ,$294.18 ,$135.15 ,$294.18 ,$294.18 ,$294.18 ,$317.06 ,$264.76 ,$294.18 ,$294.18 ,$294.18 ,$294.18 ST. JOSEPH'S - CHIPPEWA FALLS,46000004,94060,HC SPIROMETRY/PFT PRE AND POST,460,1 ,$585.04 ,$438.78 ,$73.19 ,$585.04 ,$376.77 ,$256.12 ,$409.53 ,$73.19 ,$485.58 ,$75.39 ,$386.13 ,$555.79 , N/A ,$468.03 ,$532.39 ,$73.19 ,$549.94 ,$555.79 ,$526.54 ,$497.28 ,$73.19 ,$73.19 ,$73.19 ,$427.08 ,$256.12 ,$520.69 ,$526.54 ,$526.54 ,$468.03 ,$263.80 ,$321.77 ,$526.54 ,$256.12 ,$526.54 ,$256.12 ,$555.79 ,$576.27 ,$538.24 ,$77.58 ,$532.39 ,$256.12 ,$360.03 ,$376.77 ,$360.03 ,$526.54 ,$526.54 ,$438.78 ,$409.53 ,$258.68 ,$76.85 ,$547.01 ,$268.93 ,$73.19 ,$508.98 ,$256.12 ,$526.54 ,$256.12 ,$526.54 ,$526.54 ,$526.54 ,$567.49 ,$473.88 ,$526.54 ,$526.54 ,$526.54 ,$526.54 ST. JOSEPH'S - CHIPPEWA FALLS,46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,$910.82 ,$683.12 ,$73.19 ,$910.82 ,$586.57 ,$256.12 ,$637.57 ,$73.19 ,$755.98 ,$75.39 ,$601.14 ,$865.28 , N/A ,$728.66 ,$828.85 ,$73.19 ,$856.17 ,$865.28 ,$819.74 ,$774.20 ,$73.19 ,$73.19 ,$73.19 ,$664.90 ,$256.12 ,$810.63 ,$819.74 ,$819.74 ,$728.66 ,$263.80 ,$500.95 ,$819.74 ,$256.12 ,$819.74 ,$256.12 ,$865.28 ,$576.27 ,$837.95 ,$77.58 ,$828.85 ,$256.12 ,$560.52 ,$586.57 ,$560.52 ,$819.74 ,$819.74 ,$683.12 ,$637.57 ,$258.68 ,$76.85 ,$851.62 ,$268.93 ,$73.19 ,$792.41 ,$256.12 ,$819.74 ,$256.12 ,$819.74 ,$819.74 ,$819.74 ,$883.50 ,$737.76 ,$819.74 ,$819.74 ,$819.74 ,$819.74 ST. JOSEPH'S - CHIPPEWA FALLS,46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$198.18 ,$148.64 ,$21.41 ,$304.10 ,$127.63 ,$135.15 ,$138.73 ,$21.41 ,$164.49 ,$22.05 ,$130.80 ,$188.27 , N/A ,$158.54 ,$180.34 ,$21.41 ,$186.29 ,$188.27 ,$178.36 ,$168.45 ,$21.41 ,$21.41 ,$21.41 ,$144.67 ,$135.15 ,$176.38 ,$178.36 ,$178.36 ,$158.54 ,$139.21 ,$109.00 ,$178.36 ,$135.15 ,$178.36 ,$135.15 ,$188.27 ,$304.10 ,$182.33 ,$22.69 ,$180.34 ,$135.15 ,$121.96 ,$127.63 ,$121.96 ,$178.36 ,$178.36 ,$148.64 ,$138.73 ,$136.51 ,$22.48 ,$185.30 ,$141.91 ,$21.41 ,$172.42 ,$135.15 ,$178.36 ,$135.15 ,$178.36 ,$178.36 ,$178.36 ,$192.23 ,$160.53 ,$178.36 ,$178.36 ,$178.36 ,$178.36 ST. JOSEPH'S - CHIPPEWA FALLS,46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,$278.12 ,$208.59 ,$21.41 ,$576.27 ,$179.11 ,$256.12 ,$194.68 ,$21.41 ,$230.84 ,$22.05 ,$183.56 ,$264.21 , N/A ,$222.50 ,$253.09 ,$21.41 ,$261.43 ,$264.21 ,$250.31 ,$236.40 ,$21.41 ,$21.41 ,$21.41 ,$203.03 ,$256.12 ,$247.53 ,$250.31 ,$250.31 ,$222.50 ,$263.80 ,$152.97 ,$250.31 ,$256.12 ,$250.31 ,$256.12 ,$264.21 ,$576.27 ,$255.87 ,$22.69 ,$253.09 ,$256.12 ,$171.16 ,$179.11 ,$171.16 ,$250.31 ,$250.31 ,$208.59 ,$194.68 ,$258.68 ,$22.48 ,$260.04 ,$268.93 ,$21.41 ,$241.96 ,$256.12 ,$250.31 ,$256.12 ,$250.31 ,$250.31 ,$250.31 ,$269.78 ,$225.28 ,$250.31 ,$250.31 ,$250.31 ,$250.31 ST. JOSEPH'S - CHIPPEWA FALLS,46000014,94618,HC WALK TEST 6 MIN,460,1 ,$115.58 ,$86.69 ,$63.57 ,$243.95 ,$74.43 ,$108.42 ,$80.91 ,$73.19 ,$95.93 ,$75.39 ,$76.28 ,$109.80 , N/A ,$92.46 ,$105.18 ,$73.19 ,$108.65 ,$109.80 ,$104.02 ,$98.24 ,$73.19 ,$73.19 ,$73.19 ,$84.37 ,$108.42 ,$102.87 ,$104.02 ,$104.02 ,$92.46 ,$111.68 ,$63.57 ,$104.02 ,$108.42 ,$104.02 ,$108.42 ,$109.80 ,$243.95 ,$106.33 ,$77.58 ,$105.18 ,$108.42 ,$71.13 ,$74.43 ,$71.13 ,$104.02 ,$104.02 ,$86.69 ,$80.91 ,$109.51 ,$76.85 ,$108.07 ,$113.84 ,$73.19 ,$100.55 ,$108.42 ,$104.02 ,$108.42 ,$104.02 ,$104.02 ,$104.02 ,$112.11 ,$93.62 ,$104.02 ,$104.02 ,$104.02 ,$104.02 ST. JOSEPH'S - CHIPPEWA FALLS,46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$370.79 ,$278.09 ,$21.41 ,$370.79 ,$238.79 , N/A ,$259.55 ,$21.41 ,$307.76 ,$22.05 ,$244.72 ,$352.25 , N/A ,$296.63 ,$337.42 ,$21.41 ,$348.54 ,$352.25 ,$333.71 ,$315.17 ,$21.41 ,$21.41 ,$21.41 ,$270.68 , N/A ,$330.00 ,$333.71 ,$333.71 ,$296.63 , N/A ,$203.93 ,$333.71 , N/A ,$333.71 , N/A ,$352.25 , N/A ,$341.13 ,$22.69 ,$337.42 , N/A ,$228.18 ,$238.79 ,$228.18 ,$333.71 ,$333.71 ,$278.09 ,$259.55 , N/A ,$22.48 ,$346.69 , N/A ,$21.41 ,$322.59 , N/A ,$333.71 , N/A ,$333.71 ,$333.71 ,$333.71 ,$359.67 ,$300.34 ,$333.71 ,$333.71 ,$333.71 ,$333.71 ST. JOSEPH'S - CHIPPEWA FALLS,46000018,94762,HC OXIMETRY OVERNIGHT,460,1 ,$293.70 ,$220.28 ,$21.41 ,$304.10 ,$189.14 ,$135.15 ,$205.59 ,$21.41 ,$243.77 ,$22.05 ,$193.84 ,$279.02 , N/A ,$234.96 ,$267.27 ,$21.41 ,$276.08 ,$279.02 ,$264.33 ,$249.65 ,$21.41 ,$21.41 ,$21.41 ,$214.40 ,$135.15 ,$261.39 ,$264.33 ,$264.33 ,$234.96 ,$139.21 ,$161.54 ,$264.33 ,$135.15 ,$264.33 ,$135.15 ,$279.02 ,$304.10 ,$270.20 ,$22.69 ,$267.27 ,$135.15 ,$180.74 ,$189.14 ,$180.74 ,$264.33 ,$264.33 ,$220.28 ,$205.59 ,$136.51 ,$22.48 ,$274.61 ,$141.91 ,$21.41 ,$255.52 ,$135.15 ,$264.33 ,$135.15 ,$264.33 ,$264.33 ,$264.33 ,$284.89 ,$237.90 ,$264.33 ,$264.33 ,$264.33 ,$264.33 ST. JOSEPH'S - CHIPPEWA FALLS,46000021,94760,HC PULSE OX SINGLE,460,1 ,$75.52 ,$56.64 ,$41.54 ,$75.52 ,$48.63 , N/A ,$52.86 , N/A ,$62.68 , N/A ,$49.84 ,$71.74 , N/A ,$60.42 ,$68.72 , N/A ,$70.99 ,$71.74 ,$67.97 ,$64.19 , N/A , N/A , N/A ,$55.13 , N/A ,$67.21 ,$67.97 ,$67.97 ,$60.42 , N/A ,$41.54 ,$67.97 , N/A ,$67.97 , N/A ,$71.74 , N/A ,$69.48 , N/A ,$68.72 , N/A ,$46.48 ,$48.63 ,$46.48 ,$67.97 ,$67.97 ,$56.64 ,$52.86 , N/A , N/A ,$70.61 , N/A , N/A ,$65.70 , N/A ,$67.97 , N/A ,$67.97 ,$67.97 ,$67.97 ,$73.25 ,$61.17 ,$67.97 ,$67.97 ,$67.97 ,$67.97 ST. JOSEPH'S - CHIPPEWA FALLS,46000023,94761,HC PULSE OX MULTI DETERMIN,360,1 ,$214.51 ,$160.88 ,$117.98 ,$214.51 ,$138.14 , N/A ,$150.16 , N/A , N/A , N/A , N/A ,$203.78 , N/A ,$171.61 ,$195.20 , N/A , N/A ,$203.78 ,$193.06 ,$182.33 , N/A , N/A , N/A ,$156.59 , N/A ,$190.91 ,$193.06 ,$193.06 ,$171.61 , N/A ,$117.98 ,$193.06 , N/A ,$193.06 , N/A ,$201.64 , N/A ,$197.35 , N/A ,$195.20 , N/A ,$132.01 ,$138.14 ,$132.01 ,$193.06 ,$193.06 ,$160.88 , N/A , N/A , N/A ,$200.57 , N/A , N/A ,$186.62 , N/A ,$193.06 , N/A ,$193.06 ,$193.06 ,$193.06 ,$208.07 ,$173.75 ,$193.06 ,$193.06 ,$193.06 ,$193.06 ST. JOSEPH'S - CHIPPEWA FALLS,46000026,94770,HC ETCO2 INITIAL DAY,460,1 ,$243.97 ,$182.98 ,$134.18 ,$243.97 ,$157.12 , N/A ,$170.78 , N/A ,$202.50 , N/A ,$161.02 ,$231.77 , N/A ,$195.18 ,$222.01 , N/A ,$229.33 ,$231.77 ,$219.57 ,$207.37 , N/A , N/A , N/A ,$178.10 , N/A ,$217.13 ,$219.57 ,$219.57 ,$195.18 , N/A ,$134.18 ,$219.57 , N/A ,$219.57 , N/A ,$231.77 , N/A ,$224.45 , N/A ,$222.01 , N/A ,$150.14 ,$157.12 ,$150.14 ,$219.57 ,$219.57 ,$182.98 ,$170.78 , N/A , N/A ,$228.11 , N/A , N/A ,$212.25 , N/A ,$219.57 , N/A ,$219.57 ,$219.57 ,$219.57 ,$236.65 ,$197.62 ,$219.57 ,$219.57 ,$219.57 ,$219.57 ST. JOSEPH'S - CHIPPEWA FALLS,46000027,94770,HC ETCO2 SUBS DAY,460,1 ,$243.97 ,$182.98 ,$134.18 ,$243.97 ,$157.12 , N/A ,$170.78 , N/A ,$202.50 , N/A ,$161.02 ,$231.77 , N/A ,$195.18 ,$222.01 , N/A ,$229.33 ,$231.77 ,$219.57 ,$207.37 , N/A , N/A , N/A ,$178.10 , N/A ,$217.13 ,$219.57 ,$219.57 ,$195.18 , N/A ,$134.18 ,$219.57 , N/A ,$219.57 , N/A ,$231.77 , N/A ,$224.45 , N/A ,$222.01 , N/A ,$150.14 ,$157.12 ,$150.14 ,$219.57 ,$219.57 ,$182.98 ,$170.78 , N/A , N/A ,$228.11 , N/A , N/A ,$212.25 , N/A ,$219.57 , N/A ,$219.57 ,$219.57 ,$219.57 ,$236.65 ,$197.62 ,$219.57 ,$219.57 ,$219.57 ,$219.57 ST. JOSEPH'S - CHIPPEWA FALLS,47000000,92585,HC AUDITORY EVOKED POTENT COMPR,470,1 ,$950.34 ,$712.76 ,$522.69 ,$950.34 ,$612.02 , N/A ,$665.24 , N/A ,$788.78 , N/A ,$627.22 ,$902.82 , N/A ,$760.27 ,$864.81 , N/A ,$893.32 ,$902.82 ,$855.31 ,$807.79 , N/A , N/A , N/A ,$693.75 , N/A ,$845.80 ,$855.31 ,$855.31 ,$760.27 , N/A ,$522.69 ,$855.31 , N/A ,$855.31 , N/A ,$902.82 , N/A ,$874.31 , N/A ,$864.81 , N/A ,$584.84 ,$612.02 ,$584.84 ,$855.31 ,$855.31 ,$712.76 ,$665.24 , N/A , N/A ,$888.57 , N/A , N/A ,$826.80 , N/A ,$855.31 , N/A ,$855.31 ,$855.31 ,$855.31 ,$921.83 ,$769.78 ,$855.31 ,$855.31 ,$855.31 ,$855.31 ST. JOSEPH'S - CHIPPEWA FALLS,47000003,92586,HC NEWBORN HEARING SCREENING,470,1 ,$580.86 ,$435.65 ,$319.47 ,$580.86 ,$374.07 , N/A ,$406.60 , N/A ,$482.11 , N/A ,$383.37 ,$551.82 , N/A ,$464.69 ,$528.58 , N/A ,$546.01 ,$551.82 ,$522.77 ,$493.73 , N/A , N/A , N/A ,$424.03 , N/A ,$516.97 ,$522.77 ,$522.77 ,$464.69 , N/A ,$319.47 ,$522.77 , N/A ,$522.77 , N/A ,$551.82 , N/A ,$534.39 , N/A ,$528.58 , N/A ,$357.46 ,$374.07 ,$357.46 ,$522.77 ,$522.77 ,$435.65 ,$406.60 , N/A , N/A ,$543.10 , N/A , N/A ,$505.35 , N/A ,$522.77 , N/A ,$522.77 ,$522.77 ,$522.77 ,$563.43 ,$470.50 ,$522.77 ,$522.77 ,$522.77 ,$522.77 ST. JOSEPH'S - CHIPPEWA FALLS,47000004,92626,HC EVAL AUDITORY REHAB 1ST HR,470,1 ,$475.37 ,$356.53 ,$69.60 ,$475.37 ,$306.14 ,$135.15 ,$332.76 ,$69.60 ,$394.56 ,$71.69 ,$313.74 ,$451.60 , N/A ,$380.30 ,$432.59 ,$69.60 ,$446.85 ,$451.60 ,$427.83 ,$404.06 ,$69.60 ,$69.60 ,$69.60 ,$347.02 ,$135.15 ,$423.08 ,$427.83 ,$427.83 ,$380.30 ,$139.21 ,$261.45 ,$427.83 ,$135.15 ,$427.83 ,$135.15 ,$451.60 ,$304.10 ,$437.34 ,$73.78 ,$432.59 ,$135.15 ,$292.54 ,$306.14 ,$292.54 ,$427.83 ,$427.83 ,$356.53 ,$332.76 ,$136.51 ,$73.08 ,$444.47 ,$141.91 ,$69.60 ,$413.57 ,$135.15 ,$427.83 ,$135.15 ,$427.83 ,$427.83 ,$427.83 ,$461.11 ,$385.05 ,$427.83 ,$427.83 ,$427.83 ,$427.83 ST. JOSEPH'S - CHIPPEWA FALLS,47000005,92627,HC EVAL AUDITORY REHAB EA ADDL 15MIN,470,1 ,$119.09 ,$89.32 ,$65.50 ,$119.09 ,$76.69 , N/A ,$83.36 ,$69.60 ,$98.84 ,$71.69 ,$78.60 ,$113.14 , N/A ,$95.27 ,$108.37 ,$69.60 ,$111.94 ,$113.14 ,$107.18 ,$101.23 ,$69.60 ,$69.60 ,$69.60 ,$86.94 , N/A ,$105.99 ,$107.18 ,$107.18 ,$95.27 , N/A ,$65.50 ,$107.18 , N/A ,$107.18 , N/A ,$113.14 , N/A ,$109.56 ,$73.78 ,$108.37 , N/A ,$73.29 ,$76.69 ,$73.29 ,$107.18 ,$107.18 ,$89.32 ,$83.36 , N/A ,$73.08 ,$111.35 , N/A ,$69.60 ,$103.61 , N/A ,$107.18 , N/A ,$107.18 ,$107.18 ,$107.18 ,$115.52 ,$96.46 ,$107.18 ,$107.18 ,$107.18 ,$107.18 ST. JOSEPH'S - CHIPPEWA FALLS,47000006,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 15MIN,470,1 ,$132.46 ,$99.35 ,$10.19 ,$132.46 ,$85.30 , N/A ,$92.72 ,$10.19 ,$109.94 ,$10.50 ,$87.42 ,$125.84 , N/A ,$105.97 ,$120.54 ,$10.19 ,$124.51 ,$125.84 ,$119.21 ,$112.59 ,$10.19 ,$10.19 ,$10.19 ,$96.70 , N/A ,$117.89 ,$119.21 ,$119.21 ,$105.97 , N/A ,$72.85 ,$119.21 , N/A ,$119.21 , N/A ,$125.84 , N/A ,$121.86 ,$10.80 ,$120.54 , N/A ,$81.52 ,$85.30 ,$81.52 ,$119.21 ,$119.21 ,$99.35 ,$92.72 , N/A ,$10.70 ,$123.85 , N/A ,$10.19 ,$115.24 , N/A ,$119.21 , N/A ,$119.21 ,$119.21 ,$119.21 ,$128.49 ,$107.29 ,$119.21 ,$119.21 ,$119.21 ,$119.21 ST. JOSEPH'S - CHIPPEWA FALLS,47000007,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 30MIN,470,1 ,$263.84 ,$197.88 ,$10.19 ,$263.84 ,$169.91 , N/A ,$184.69 ,$10.19 ,$218.99 ,$10.50 ,$174.13 ,$250.65 , N/A ,$211.07 ,$240.09 ,$10.19 ,$248.01 ,$250.65 ,$237.46 ,$224.26 ,$10.19 ,$10.19 ,$10.19 ,$192.60 , N/A ,$234.82 ,$237.46 ,$237.46 ,$211.07 , N/A ,$145.11 ,$237.46 , N/A ,$237.46 , N/A ,$250.65 , N/A ,$242.73 ,$10.80 ,$240.09 , N/A ,$162.37 ,$169.91 ,$162.37 ,$237.46 ,$237.46 ,$197.88 ,$184.69 , N/A ,$10.70 ,$246.69 , N/A ,$10.19 ,$229.54 , N/A ,$237.46 , N/A ,$237.46 ,$237.46 ,$237.46 ,$255.92 ,$213.71 ,$237.46 ,$237.46 ,$237.46 ,$237.46 ST. JOSEPH'S - CHIPPEWA FALLS,47000008,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 45MIN,470,1 ,$396.31 ,$297.23 ,$10.19 ,$396.31 ,$255.22 , N/A ,$277.42 ,$10.19 ,$328.94 ,$10.50 ,$261.56 ,$376.49 , N/A ,$317.05 ,$360.64 ,$10.19 ,$372.53 ,$376.49 ,$356.68 ,$336.86 ,$10.19 ,$10.19 ,$10.19 ,$289.31 , N/A ,$352.72 ,$356.68 ,$356.68 ,$317.05 , N/A ,$217.97 ,$356.68 , N/A ,$356.68 , N/A ,$376.49 , N/A ,$364.61 ,$10.80 ,$360.64 , N/A ,$243.89 ,$255.22 ,$243.89 ,$356.68 ,$356.68 ,$297.23 ,$277.42 , N/A ,$10.70 ,$370.55 , N/A ,$10.19 ,$344.79 , N/A ,$356.68 , N/A ,$356.68 ,$356.68 ,$356.68 ,$384.42 ,$321.01 ,$356.68 ,$356.68 ,$356.68 ,$356.68 ST. JOSEPH'S - CHIPPEWA FALLS,47000009,92630,HC AUDITORY REHAB PRELINGUAL HEARING LOSS 60MIN,470,1 ,$528.67 ,$396.50 ,$10.19 ,$528.67 ,$340.46 , N/A ,$370.07 ,$10.19 ,$438.80 ,$10.50 ,$348.92 ,$502.24 , N/A ,$422.94 ,$481.09 ,$10.19 ,$496.95 ,$502.24 ,$475.80 ,$449.37 ,$10.19 ,$10.19 ,$10.19 ,$385.93 , N/A ,$470.52 ,$475.80 ,$475.80 ,$422.94 , N/A ,$290.77 ,$475.80 , N/A ,$475.80 , N/A ,$502.24 , N/A ,$486.38 ,$10.80 ,$481.09 , N/A ,$325.34 ,$340.46 ,$325.34 ,$475.80 ,$475.80 ,$396.50 ,$370.07 , N/A ,$10.70 ,$494.31 , N/A ,$10.19 ,$459.94 , N/A ,$475.80 , N/A ,$475.80 ,$475.80 ,$475.80 ,$512.81 ,$428.22 ,$475.80 ,$475.80 ,$475.80 ,$475.80 ST. JOSEPH'S - CHIPPEWA FALLS,47000010,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 15MIN,470,1 ,$132.46 ,$99.35 ,$10.19 ,$132.46 ,$85.30 , N/A ,$92.72 ,$10.19 ,$109.94 ,$10.50 ,$87.42 ,$125.84 , N/A ,$105.97 ,$120.54 ,$10.19 ,$124.51 ,$125.84 ,$119.21 ,$112.59 ,$10.19 ,$10.19 ,$10.19 ,$96.70 , N/A ,$117.89 ,$119.21 ,$119.21 ,$105.97 , N/A ,$72.85 ,$119.21 , N/A ,$119.21 , N/A ,$125.84 , N/A ,$121.86 ,$10.80 ,$120.54 , N/A ,$81.52 ,$85.30 ,$81.52 ,$119.21 ,$119.21 ,$99.35 ,$92.72 , N/A ,$10.70 ,$123.85 , N/A ,$10.19 ,$115.24 , N/A ,$119.21 , N/A ,$119.21 ,$119.21 ,$119.21 ,$128.49 ,$107.29 ,$119.21 ,$119.21 ,$119.21 ,$119.21 ST. JOSEPH'S - CHIPPEWA FALLS,47000011,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 30MIN,470,1 ,$263.84 ,$197.88 ,$10.19 ,$263.84 ,$169.91 , N/A ,$184.69 ,$10.19 ,$218.99 ,$10.50 ,$174.13 ,$250.65 , N/A ,$211.07 ,$240.09 ,$10.19 ,$248.01 ,$250.65 ,$237.46 ,$224.26 ,$10.19 ,$10.19 ,$10.19 ,$192.60 , N/A ,$234.82 ,$237.46 ,$237.46 ,$211.07 , N/A ,$145.11 ,$237.46 , N/A ,$237.46 , N/A ,$250.65 , N/A ,$242.73 ,$10.80 ,$240.09 , N/A ,$162.37 ,$169.91 ,$162.37 ,$237.46 ,$237.46 ,$197.88 ,$184.69 , N/A ,$10.70 ,$246.69 , N/A ,$10.19 ,$229.54 , N/A ,$237.46 , N/A ,$237.46 ,$237.46 ,$237.46 ,$255.92 ,$213.71 ,$237.46 ,$237.46 ,$237.46 ,$237.46 ST. JOSEPH'S - CHIPPEWA FALLS,47000012,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 45MIN,470,1 ,$396.31 ,$297.23 ,$10.19 ,$396.31 ,$255.22 , N/A ,$277.42 ,$10.19 ,$328.94 ,$10.50 ,$261.56 ,$376.49 , N/A ,$317.05 ,$360.64 ,$10.19 ,$372.53 ,$376.49 ,$356.68 ,$336.86 ,$10.19 ,$10.19 ,$10.19 ,$289.31 , N/A ,$352.72 ,$356.68 ,$356.68 ,$317.05 , N/A ,$217.97 ,$356.68 , N/A ,$356.68 , N/A ,$376.49 , N/A ,$364.61 ,$10.80 ,$360.64 , N/A ,$243.89 ,$255.22 ,$243.89 ,$356.68 ,$356.68 ,$297.23 ,$277.42 , N/A ,$10.70 ,$370.55 , N/A ,$10.19 ,$344.79 , N/A ,$356.68 , N/A ,$356.68 ,$356.68 ,$356.68 ,$384.42 ,$321.01 ,$356.68 ,$356.68 ,$356.68 ,$356.68 ST. JOSEPH'S - CHIPPEWA FALLS,47000013,92633,HC AUDITORY REHAB POSTLINGUAL HEARING LOSS 60MIN,470,1 ,$528.67 ,$396.50 ,$10.19 ,$528.67 ,$340.46 , N/A ,$370.07 ,$10.19 ,$438.80 ,$10.50 ,$348.92 ,$502.24 , N/A ,$422.94 ,$481.09 ,$10.19 ,$496.95 ,$502.24 ,$475.80 ,$449.37 ,$10.19 ,$10.19 ,$10.19 ,$385.93 , N/A ,$470.52 ,$475.80 ,$475.80 ,$422.94 , N/A ,$290.77 ,$475.80 , N/A ,$475.80 , N/A ,$502.24 , N/A ,$486.38 ,$10.80 ,$481.09 , N/A ,$325.34 ,$340.46 ,$325.34 ,$475.80 ,$475.80 ,$396.50 ,$370.07 , N/A ,$10.70 ,$494.31 , N/A ,$10.19 ,$459.94 , N/A ,$475.80 , N/A ,$475.80 ,$475.80 ,$475.80 ,$512.81 ,$428.22 ,$475.80 ,$475.80 ,$475.80 ,$475.80 ST. JOSEPH'S - CHIPPEWA FALLS,48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,"$1,932.70 ","$1,449.53 ",$185.89 ,"$1,932.70 ","$1,244.66 ",$544.21 ,"$1,352.89 ",$185.89 ,"$1,604.14 ",$191.47 ,"$1,275.58 ","$1,836.07 ", N/A ,"$1,546.16 ","$1,758.76 ",$185.89 ,"$1,816.74 ","$1,836.07 ","$1,739.43 ","$1,642.80 ",$185.89 ,$185.89 ,$185.89 ,"$1,410.87 ",$544.21 ,"$1,720.10 ","$1,739.43 ","$1,739.43 ","$1,546.16 ",$560.54 ,"$1,062.99 ","$1,739.43 ",$544.21 ,"$1,739.43 ",$544.21 ,"$1,836.07 ","$1,224.47 ","$1,778.08 ",$197.04 ,"$1,758.76 ",$544.21 ,"$1,189.38 ","$1,244.66 ","$1,189.38 ","$1,739.43 ","$1,739.43 ","$1,449.53 ","$1,352.89 ",$549.65 ,$195.18 ,"$1,807.07 ",$571.42 ,$185.89 ,"$1,681.45 ",$544.21 ,"$1,739.43 ",$544.21 ,"$1,739.43 ","$1,739.43 ","$1,739.43 ","$1,874.72 ","$1,565.49 ","$1,739.43 ","$1,739.43 ","$1,739.43 ","$1,739.43 " ST. JOSEPH'S - CHIPPEWA FALLS,48100002,33206,HC INS/REPL PCMKR PERM ATRIAL 33206,481,1 ,"$15,172.93 ","$11,379.70 ","$2,452.48 ","$22,663.23 ","$9,771.37 ","$10,072.55 ","$10,621.05 ","$2,452.48 ","$15,172.93 ","$2,526.05 ","$14,858.00 ","$14,414.28 ", N/A ,"$12,138.34 ","$13,807.37 ","$2,452.48 ","$14,262.55 ","$14,414.28 ","$13,655.64 ","$12,896.99 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$11,076.24 ","$10,072.55 ","$13,503.91 ","$13,655.64 ","$13,655.64 ","$12,138.34 ","$10,374.72 ","$8,345.11 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$14,414.28 ","$22,663.23 ","$13,959.10 ","$2,599.63 ","$13,807.37 ","$10,072.55 ","$9,337.42 ","$9,771.37 ","$9,337.42 ","$13,655.64 ","$13,655.64 ","$11,379.70 ","$7,586.47 ","$10,173.27 ","$2,575.10 ","$14,186.69 ","$10,576.18 ","$2,452.48 ","$13,200.45 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$14,717.74 ","$12,290.07 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$13,655.64 " ST. JOSEPH'S - CHIPPEWA FALLS,48100003,33207,HC INS/REPL PACEMKR PERM VENTRIC 33207,481,1 ,"$15,172.93 ","$11,379.70 ","$2,452.48 ","$22,663.23 ","$9,771.37 ","$10,072.55 ","$10,621.05 ","$2,452.48 ","$15,172.93 ","$2,526.05 ","$14,858.00 ","$14,414.28 ", N/A ,"$12,138.34 ","$13,807.37 ","$2,452.48 ","$14,262.55 ","$14,414.28 ","$13,655.64 ","$12,896.99 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$11,076.24 ","$10,072.55 ","$13,503.91 ","$13,655.64 ","$13,655.64 ","$12,138.34 ","$10,374.72 ","$8,345.11 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$14,414.28 ","$22,663.23 ","$13,959.10 ","$2,599.63 ","$13,807.37 ","$10,072.55 ","$9,337.42 ","$9,771.37 ","$9,337.42 ","$13,655.64 ","$13,655.64 ","$11,379.70 ","$7,586.47 ","$10,173.27 ","$2,575.10 ","$14,186.69 ","$10,576.18 ","$2,452.48 ","$13,200.45 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$14,717.74 ","$12,290.07 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$13,655.64 " ST. JOSEPH'S - CHIPPEWA FALLS,48100004,33208,HC INS/REPL PACEMKR PERM A/V 33208,481,1 ,"$15,172.93 ","$11,379.70 ","$2,452.48 ","$22,663.23 ","$9,771.37 ","$10,072.55 ","$10,621.05 ","$2,452.48 ","$15,172.93 ","$2,526.05 ","$14,858.00 ","$14,414.28 ", N/A ,"$12,138.34 ","$13,807.37 ","$2,452.48 ","$14,262.55 ","$14,414.28 ","$13,655.64 ","$12,896.99 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$11,076.24 ","$10,072.55 ","$13,503.91 ","$13,655.64 ","$13,655.64 ","$12,138.34 ","$10,374.72 ","$8,345.11 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$14,414.28 ","$22,663.23 ","$13,959.10 ","$2,599.63 ","$13,807.37 ","$10,072.55 ","$9,337.42 ","$9,771.37 ","$9,337.42 ","$13,655.64 ","$13,655.64 ","$11,379.70 ","$7,586.47 ","$10,173.27 ","$2,575.10 ","$14,186.69 ","$10,576.18 ","$2,452.48 ","$13,200.45 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$14,717.74 ","$12,290.07 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$13,655.64 " ST. JOSEPH'S - CHIPPEWA FALLS,48100005,33210,HC INS/REPL TPM SGL ELEC/CATH 33210,481,1 ,"$4,832.40 ","$3,624.30 ",$430.13 ,"$17,765.49 ","$3,112.07 ","$7,895.77 ","$3,382.68 ",$430.13 ,"$4,832.40 ",$443.03 ,"$4,832.40 ","$4,590.78 ", N/A ,"$3,865.92 ","$4,397.48 ",$430.13 ,"$4,542.46 ","$4,590.78 ","$4,349.16 ","$4,107.54 ",$430.13 ,$430.13 ,$430.13 ,"$3,527.65 ","$7,895.77 ","$4,300.84 ","$4,349.16 ","$4,349.16 ","$3,865.92 ","$8,132.65 ","$2,657.82 ","$4,349.16 ","$7,895.77 ","$4,349.16 ","$7,895.77 ","$4,590.78 ","$17,765.49 ","$4,445.81 ",$455.94 ,"$4,397.48 ","$7,895.77 ","$2,973.86 ","$3,112.07 ","$2,973.86 ","$4,349.16 ","$4,349.16 ","$3,624.30 ","$4,349.16 ","$7,974.73 ",$451.64 ,"$4,518.29 ","$8,290.56 ",$430.13 ,"$4,204.19 ","$7,895.77 ","$4,349.16 ","$7,895.77 ","$4,349.16 ","$4,349.16 ","$4,349.16 ","$4,687.43 ","$3,914.24 ","$4,349.16 ","$4,349.16 ","$4,349.16 ","$4,349.16 " ST. JOSEPH'S - CHIPPEWA FALLS,48100007,33213,HC INS PULSE GEN DUAL CHAMBER 33213,481,1 ,"$15,172.93 ","$11,379.70 ","$2,452.48 ","$22,663.23 ","$9,771.37 ","$10,072.55 ","$10,621.05 ","$2,452.48 ","$15,172.93 ","$2,526.05 ","$14,858.00 ","$14,414.28 ", N/A ,"$12,138.34 ","$13,807.37 ","$2,452.48 ","$14,262.55 ","$14,414.28 ","$13,655.64 ","$12,896.99 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$11,076.24 ","$10,072.55 ","$13,503.91 ","$13,655.64 ","$13,655.64 ","$12,138.34 ","$10,374.72 ","$8,345.11 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$14,414.28 ","$22,663.23 ","$13,959.10 ","$2,599.63 ","$13,807.37 ","$10,072.55 ","$9,337.42 ","$9,771.37 ","$9,337.42 ","$13,655.64 ","$13,655.64 ","$11,379.70 ","$7,586.47 ","$10,173.27 ","$2,575.10 ","$14,186.69 ","$10,576.18 ","$2,452.48 ","$13,200.45 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$14,717.74 ","$12,290.07 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$13,655.64 " ST. JOSEPH'S - CHIPPEWA FALLS,48100008,33214,HC UPGRADE PACEMAKER SYSTEM 33214,481,1 ,"$15,172.93 ","$11,379.70 ","$2,452.48 ","$22,663.23 ","$9,771.37 ","$10,072.55 ","$10,621.05 ","$2,452.48 ","$15,172.93 ","$2,526.05 ","$14,858.00 ","$14,414.28 ", N/A ,"$12,138.34 ","$13,807.37 ","$2,452.48 ","$14,262.55 ","$14,414.28 ","$13,655.64 ","$12,896.99 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$11,076.24 ","$10,072.55 ","$13,503.91 ","$13,655.64 ","$13,655.64 ","$12,138.34 ","$10,374.72 ","$8,345.11 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$14,414.28 ","$22,663.23 ","$13,959.10 ","$2,599.63 ","$13,807.37 ","$10,072.55 ","$9,337.42 ","$9,771.37 ","$9,337.42 ","$13,655.64 ","$13,655.64 ","$11,379.70 ","$7,586.47 ","$10,173.27 ","$2,575.10 ","$14,186.69 ","$10,576.18 ","$2,452.48 ","$13,200.45 ","$10,072.55 ","$13,655.64 ","$10,072.55 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$14,717.74 ","$12,290.07 ","$13,655.64 ","$13,655.64 ","$13,655.64 ","$13,655.64 " ST. JOSEPH'S - CHIPPEWA FALLS,48100009,33215,HC REPOSITION PACE/DEFIB LEAD 33215,481,1 ,"$5,446.46 ","$4,084.85 ",$430.13 ,"$6,235.91 ","$3,507.52 ","$2,771.52 ","$3,812.52 ",$430.13 ,"$5,446.46 ",$443.03 ,"$5,446.46 ","$5,174.14 ", N/A ,"$4,357.17 ","$4,956.28 ",$430.13 ,"$5,119.67 ","$5,174.14 ","$4,901.81 ","$4,629.49 ",$430.13 ,$430.13 ,$430.13 ,"$3,975.92 ","$2,771.52 ","$4,847.35 ","$4,901.81 ","$4,901.81 ","$4,357.17 ","$2,854.66 ","$2,995.55 ","$4,901.81 ","$2,771.52 ","$4,901.81 ","$2,771.52 ","$5,174.14 ","$6,235.91 ","$5,010.74 ",$455.94 ,"$4,956.28 ","$2,771.52 ","$3,351.75 ","$3,507.52 ","$3,351.75 ","$4,901.81 ","$4,901.81 ","$4,084.85 ","$4,901.81 ","$2,799.23 ",$451.64 ,"$5,092.44 ","$2,910.10 ",$430.13 ,"$4,738.42 ","$2,771.52 ","$4,901.81 ","$2,771.52 ","$4,901.81 ","$4,901.81 ","$4,901.81 ","$5,283.07 ","$4,411.63 ","$4,901.81 ","$4,901.81 ","$4,901.81 ","$4,901.81 " ST. JOSEPH'S - CHIPPEWA FALLS,48100010,33216,HC INS ELECTRODE SGL CHAMBER 33216,481,1 ,"$6,733.33 ","$5,050.00 ",$430.13 ,"$17,765.49 ","$4,336.26 ","$7,895.77 ","$4,713.33 ",$430.13 ,"$6,733.33 ",$443.03 ,"$6,733.33 ","$6,396.66 ", N/A ,"$5,386.66 ","$6,127.33 ",$430.13 ,"$6,329.33 ","$6,396.66 ","$6,060.00 ","$5,723.33 ",$430.13 ,$430.13 ,$430.13 ,"$4,915.33 ","$7,895.77 ","$5,992.66 ","$6,060.00 ","$6,060.00 ","$5,386.66 ","$8,132.65 ","$3,703.33 ","$6,060.00 ","$7,895.77 ","$6,060.00 ","$7,895.77 ","$6,396.66 ","$17,765.49 ","$6,194.66 ",$455.94 ,"$6,127.33 ","$7,895.77 ","$4,143.69 ","$4,336.26 ","$4,143.69 ","$6,060.00 ","$6,060.00 ","$5,050.00 ","$6,060.00 ","$7,974.73 ",$451.64 ,"$6,295.66 ","$8,290.56 ",$430.13 ,"$5,858.00 ","$7,895.77 ","$6,060.00 ","$7,895.77 ","$6,060.00 ","$6,060.00 ","$6,060.00 ","$6,531.33 ","$5,454.00 ","$6,060.00 ","$6,060.00 ","$6,060.00 ","$6,060.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100011,33217,HC INS ELECTRODE DUAL CHAMBER 33217,481,1 ,"$6,733.33 ","$5,050.00 ",$430.13 ,"$17,765.49 ","$4,336.26 ","$7,895.77 ","$4,713.33 ",$430.13 ,"$6,733.33 ",$443.03 ,"$6,733.33 ","$6,396.66 ", N/A ,"$5,386.66 ","$6,127.33 ",$430.13 ,"$6,329.33 ","$6,396.66 ","$6,060.00 ","$5,723.33 ",$430.13 ,$430.13 ,$430.13 ,"$4,915.33 ","$7,895.77 ","$5,992.66 ","$6,060.00 ","$6,060.00 ","$5,386.66 ","$8,132.65 ","$3,703.33 ","$6,060.00 ","$7,895.77 ","$6,060.00 ","$7,895.77 ","$6,396.66 ","$17,765.49 ","$6,194.66 ",$455.94 ,"$6,127.33 ","$7,895.77 ","$4,143.69 ","$4,336.26 ","$4,143.69 ","$6,060.00 ","$6,060.00 ","$5,050.00 ","$6,060.00 ","$7,974.73 ",$451.64 ,"$6,295.66 ","$8,290.56 ",$430.13 ,"$5,858.00 ","$7,895.77 ","$6,060.00 ","$7,895.77 ","$6,060.00 ","$6,060.00 ","$6,060.00 ","$6,531.33 ","$5,454.00 ","$6,060.00 ","$6,060.00 ","$6,060.00 ","$6,060.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100012,33222,HC REVISE PACEMAKER POCKET 33222,481,1 ,"$5,661.45 ","$4,246.09 ",$430.13 ,"$5,661.45 ","$3,645.97 ","$1,661.33 ","$3,963.02 ",$430.13 ,"$4,776.00 ",$443.03 ,"$3,821.00 ","$5,378.38 ", N/A ,"$4,529.16 ","$5,151.92 ",$430.13 ,"$5,321.76 ","$5,378.38 ","$5,095.31 ","$4,812.23 ",$430.13 ,$430.13 ,$430.13 ,"$4,132.86 ","$1,661.33 ","$5,038.69 ","$5,095.31 ","$5,095.31 ","$4,529.16 ","$1,711.17 ","$3,113.80 ","$5,095.31 ","$1,661.33 ","$5,095.31 ","$1,661.33 ","$5,378.38 ","$3,737.98 ","$5,208.53 ",$455.94 ,"$5,151.92 ","$1,661.33 ","$3,484.06 ","$3,645.97 ","$3,484.06 ","$5,095.31 ","$5,095.31 ","$4,246.09 ","$3,310.58 ","$1,677.94 ",$451.64 ,"$5,293.46 ","$1,744.40 ",$430.13 ,"$4,925.46 ","$1,661.33 ","$5,095.31 ","$1,661.33 ","$5,095.31 ","$5,095.31 ","$5,095.31 ","$5,491.61 ","$4,585.77 ","$5,095.31 ","$5,095.31 ","$5,095.31 ","$5,095.31 " ST. JOSEPH'S - CHIPPEWA FALLS,48100013,33223,HC REVISE C-D POCKET 33223,481,1 ,"$1,046.46 ",$784.85 ,$430.13 ,"$3,737.98 ",$673.92 ,"$1,661.33 ",$732.52 ,$430.13 ,"$1,046.46 ",$443.03 ,"$1,046.46 ",$994.14 , N/A ,$837.17 ,$952.28 ,$430.13 ,$983.67 ,$994.14 ,$941.81 ,$889.49 ,$430.13 ,$430.13 ,$430.13 ,$763.92 ,"$1,661.33 ",$931.35 ,$941.81 ,$941.81 ,$837.17 ,"$1,711.17 ",$575.55 ,$941.81 ,"$1,661.33 ",$941.81 ,"$1,661.33 ",$994.14 ,"$3,737.98 ",$962.74 ,$455.94 ,$952.28 ,"$1,661.33 ",$643.99 ,$673.92 ,$643.99 ,$941.81 ,$941.81 ,$784.85 ,$941.81 ,"$1,677.94 ",$451.64 ,$978.44 ,"$1,744.40 ",$430.13 ,$910.42 ,"$1,661.33 ",$941.81 ,"$1,661.33 ",$941.81 ,$941.81 ,$941.81 ,"$1,015.07 ",$847.63 ,$941.81 ,$941.81 ,$941.81 ,$941.81 ST. JOSEPH'S - CHIPPEWA FALLS,48100014,33224,HC INSERT LV PACING ELECTRODE 33224,481,1 ,"$13,498.47 ","$10,123.85 ","$2,452.48 ","$22,663.23 ","$8,693.01 ","$10,072.55 ","$9,448.93 ","$2,452.48 ","$13,498.47 ","$2,526.05 ","$13,498.47 ","$12,823.55 ", N/A ,"$10,798.78 ","$12,283.61 ","$2,452.48 ","$12,688.56 ","$12,823.55 ","$12,148.62 ","$11,473.70 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$9,853.88 ","$10,072.55 ","$12,013.64 ","$12,148.62 ","$12,148.62 ","$10,798.78 ","$10,374.72 ","$7,424.16 ","$12,148.62 ","$10,072.55 ","$12,148.62 ","$10,072.55 ","$12,823.55 ","$22,663.23 ","$12,418.59 ","$2,599.63 ","$12,283.61 ","$10,072.55 ","$8,306.96 ","$8,693.01 ","$8,306.96 ","$12,148.62 ","$12,148.62 ","$10,123.85 ","$6,749.24 ","$10,173.27 ","$2,575.10 ","$12,621.07 ","$10,576.18 ","$2,452.48 ","$11,743.67 ","$10,072.55 ","$12,148.62 ","$10,072.55 ","$12,148.62 ","$12,148.62 ","$12,148.62 ","$13,093.52 ","$10,933.76 ","$12,148.62 ","$12,148.62 ","$12,148.62 ","$12,148.62 " ST. JOSEPH'S - CHIPPEWA FALLS,48100015,33225,HC INS LV PACING ELCT W/C-D/PACE 33225,481,1 ,"$5,661.45 ","$4,246.09 ","$2,452.48 ","$5,661.45 ","$3,645.97 ", N/A ,"$3,963.02 ","$2,452.48 ","$5,466.00 ","$2,526.05 ","$4,372.00 ","$5,378.38 ", N/A ,"$4,529.16 ","$5,151.92 ","$2,452.48 ","$5,321.76 ","$5,378.38 ","$5,095.31 ","$4,812.23 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$4,132.86 ", N/A ,"$5,038.69 ","$5,095.31 ","$5,095.31 ","$4,529.16 ", N/A ,"$3,113.80 ","$5,095.31 ", N/A ,"$5,095.31 ", N/A ,"$5,378.38 ", N/A ,"$5,208.53 ","$2,599.63 ","$5,151.92 ", N/A ,"$3,484.06 ","$3,645.97 ","$3,484.06 ","$5,095.31 ","$5,095.31 ","$4,246.09 ","$3,963.02 ", N/A ,"$2,575.10 ","$5,293.46 ", N/A ,"$2,452.48 ","$4,925.46 ", N/A ,"$5,095.31 ", N/A ,"$5,095.31 ","$5,095.31 ","$5,095.31 ","$5,491.61 ","$4,585.77 ","$5,095.31 ","$5,095.31 ","$5,095.31 ","$5,095.31 " ST. JOSEPH'S - CHIPPEWA FALLS,48100016,33226,HC REPOSITION LV ELECTRODE 33226,481,1 ,"$4,011.45 ","$3,008.59 ","$1,718.12 ","$6,235.91 ","$2,583.37 ","$2,771.52 ","$2,808.02 ","$1,718.12 ","$4,011.45 ","$1,769.66 ","$4,011.45 ","$3,810.88 ", N/A ,"$3,209.16 ","$3,650.42 ","$1,718.12 ","$3,770.76 ","$3,810.88 ","$3,610.31 ","$3,409.73 ","$1,718.12 ","$1,718.12 ","$1,718.12 ","$2,928.36 ","$2,771.52 ","$3,570.19 ","$3,610.31 ","$3,610.31 ","$3,209.16 ","$2,854.66 ","$2,206.30 ","$3,610.31 ","$2,771.52 ","$3,610.31 ","$2,771.52 ","$3,810.88 ","$6,235.91 ","$3,690.53 ","$1,821.21 ","$3,650.42 ","$2,771.52 ","$2,468.65 ","$2,583.37 ","$2,468.65 ","$3,610.31 ","$3,610.31 ","$3,008.59 ","$3,610.31 ","$2,799.23 ","$1,804.03 ","$3,750.71 ","$2,910.10 ","$1,718.12 ","$3,489.96 ","$2,771.52 ","$3,610.31 ","$2,771.52 ","$3,610.31 ","$3,610.31 ","$3,610.31 ","$3,891.11 ","$3,249.27 ","$3,610.31 ","$3,610.31 ","$3,610.31 ","$3,610.31 " ST. JOSEPH'S - CHIPPEWA FALLS,48100017,33233,HC REMOVE PPM 33233,481,1 ,"$6,733.33 ","$5,050.00 ","$1,718.12 ","$17,765.49 ","$4,336.26 ","$7,895.77 ","$4,713.33 ","$1,718.12 ","$6,733.33 ","$1,769.66 ","$6,733.33 ","$6,396.66 ", N/A ,"$5,386.66 ","$6,127.33 ","$1,718.12 ","$6,329.33 ","$6,396.66 ","$6,060.00 ","$5,723.33 ","$1,718.12 ","$1,718.12 ","$1,718.12 ","$4,915.33 ","$7,895.77 ","$5,992.66 ","$6,060.00 ","$6,060.00 ","$5,386.66 ","$8,132.65 ","$3,703.33 ","$6,060.00 ","$7,895.77 ","$6,060.00 ","$7,895.77 ","$6,396.66 ","$17,765.49 ","$6,194.66 ","$1,821.21 ","$6,127.33 ","$7,895.77 ","$4,143.69 ","$4,336.26 ","$4,143.69 ","$6,060.00 ","$6,060.00 ","$5,050.00 ","$6,060.00 ","$7,974.73 ","$1,804.03 ","$6,295.66 ","$8,290.56 ","$1,718.12 ","$5,858.00 ","$7,895.77 ","$6,060.00 ","$7,895.77 ","$6,060.00 ","$6,060.00 ","$6,060.00 ","$6,531.33 ","$5,454.00 ","$6,060.00 ","$6,060.00 ","$6,060.00 ","$6,060.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100018,33234,HC REMOVE ELECTRODE SGL 33234,481,1 ,"$13,498.47 ","$10,123.85 ",$430.13 ,"$13,498.47 ","$8,693.01 ","$3,332.00 ","$9,448.93 ",$430.13 ,"$9,553.00 ",$443.03 ,"$7,642.00 ","$12,823.55 ", N/A ,"$10,798.78 ","$12,283.61 ",$430.13 ,"$12,688.56 ","$12,823.55 ","$12,148.62 ","$11,473.70 ",$430.13 ,$430.13 ,$430.13 ,"$9,853.88 ","$3,332.00 ","$12,013.64 ","$12,148.62 ","$12,148.62 ","$10,798.78 ","$3,431.96 ","$7,424.16 ","$12,148.62 ","$3,332.00 ","$12,148.62 ","$3,332.00 ","$12,823.55 ","$7,497.00 ","$12,418.59 ",$455.94 ,"$12,283.61 ","$3,332.00 ","$8,306.96 ","$8,693.01 ","$8,306.96 ","$12,148.62 ","$12,148.62 ","$10,123.85 ","$6,749.24 ","$3,365.32 ",$451.64 ,"$12,621.07 ","$3,498.60 ",$430.13 ,"$11,743.67 ","$3,332.00 ","$12,148.62 ","$3,332.00 ","$12,148.62 ","$12,148.62 ","$12,148.62 ","$13,093.52 ","$10,933.76 ","$12,148.62 ","$12,148.62 ","$12,148.62 ","$12,148.62 " ST. JOSEPH'S - CHIPPEWA FALLS,48100019,33235,HC REMOVE ELECTRODE DUAL 33235,481,1 ,"$13,498.47 ","$10,123.85 ",$430.13 ,"$13,498.47 ","$8,693.01 ","$3,332.00 ","$9,448.93 ",$430.13 ,"$9,553.00 ",$443.03 ,"$7,642.00 ","$12,823.55 ", N/A ,"$10,798.78 ","$12,283.61 ",$430.13 ,"$12,688.56 ","$12,823.55 ","$12,148.62 ","$11,473.70 ",$430.13 ,$430.13 ,$430.13 ,"$9,853.88 ","$3,332.00 ","$12,013.64 ","$12,148.62 ","$12,148.62 ","$10,798.78 ","$3,431.96 ","$7,424.16 ","$12,148.62 ","$3,332.00 ","$12,148.62 ","$3,332.00 ","$12,823.55 ","$7,497.00 ","$12,418.59 ",$455.94 ,"$12,283.61 ","$3,332.00 ","$8,306.96 ","$8,693.01 ","$8,306.96 ","$12,148.62 ","$12,148.62 ","$10,123.85 ","$6,749.24 ","$3,365.32 ",$451.64 ,"$12,621.07 ","$3,498.60 ",$430.13 ,"$11,743.67 ","$3,332.00 ","$12,148.62 ","$3,332.00 ","$12,148.62 ","$12,148.62 ","$12,148.62 ","$13,093.52 ","$10,933.76 ","$12,148.62 ","$12,148.62 ","$12,148.62 ","$12,148.62 " ST. JOSEPH'S - CHIPPEWA FALLS,48100022,33241,HC REMOVE C-D PULSE GENERATOR 33241,481,1 ,"$5,111.45 ","$3,833.59 ","$1,718.12 ","$7,497.00 ","$3,291.77 ","$3,332.00 ","$3,578.02 ","$1,718.12 ","$5,111.45 ","$1,769.66 ","$5,111.45 ","$4,855.88 ", N/A ,"$4,089.16 ","$4,651.42 ","$1,718.12 ","$4,804.76 ","$4,855.88 ","$4,600.31 ","$4,344.73 ","$1,718.12 ","$1,718.12 ","$1,718.12 ","$3,731.36 ","$3,332.00 ","$4,549.19 ","$4,600.31 ","$4,600.31 ","$4,089.16 ","$3,431.96 ","$2,811.30 ","$4,600.31 ","$3,332.00 ","$4,600.31 ","$3,332.00 ","$4,855.88 ","$7,497.00 ","$4,702.53 ","$1,821.21 ","$4,651.42 ","$3,332.00 ","$3,145.59 ","$3,291.77 ","$3,145.59 ","$4,600.31 ","$4,600.31 ","$3,833.59 ","$4,600.31 ","$3,365.32 ","$1,804.03 ","$4,779.21 ","$3,498.60 ","$1,718.12 ","$4,446.96 ","$3,332.00 ","$4,600.31 ","$3,332.00 ","$4,600.31 ","$4,600.31 ","$4,600.31 ","$4,958.11 ","$4,140.27 ","$4,600.31 ","$4,600.31 ","$4,600.31 ","$4,600.31 " ST. JOSEPH'S - CHIPPEWA FALLS,48100023,33244,HC REMOVE C-D ELECTRODES 33244,481,1 ,"$5,111.45 ","$3,833.59 ",$430.13 ,"$7,497.00 ","$3,291.77 ","$3,332.00 ","$3,578.02 ",$430.13 ,"$5,111.45 ",$443.03 ,"$5,111.45 ","$4,855.88 ", N/A ,"$4,089.16 ","$4,651.42 ",$430.13 ,"$4,804.76 ","$4,855.88 ","$4,600.31 ","$4,344.73 ",$430.13 ,$430.13 ,$430.13 ,"$3,731.36 ","$3,332.00 ","$4,549.19 ","$4,600.31 ","$4,600.31 ","$4,089.16 ","$3,431.96 ","$2,811.30 ","$4,600.31 ","$3,332.00 ","$4,600.31 ","$3,332.00 ","$4,855.88 ","$7,497.00 ","$4,702.53 ",$455.94 ,"$4,651.42 ","$3,332.00 ","$3,145.59 ","$3,291.77 ","$3,145.59 ","$4,600.31 ","$4,600.31 ","$3,833.59 ","$4,600.31 ","$3,365.32 ",$451.64 ,"$4,779.21 ","$3,498.60 ",$430.13 ,"$4,446.96 ","$3,332.00 ","$4,600.31 ","$3,332.00 ","$4,600.31 ","$4,600.31 ","$4,600.31 ","$4,958.11 ","$4,140.27 ","$4,600.31 ","$4,600.31 ","$4,600.31 ","$4,600.31 " ST. JOSEPH'S - CHIPPEWA FALLS,48100024,33249,HC INS/REPOS DEFIB LEAD/GEN 33249,481,1 ,"$3,436.84 ","$2,577.63 ","$1,890.26 ","$71,560.05 ","$2,213.33 ","$31,804.47 ","$2,405.79 ","$3,436.84 ","$3,436.84 ","$7,789.96 ","$3,436.84 ","$3,265.00 ", N/A ,"$2,749.47 ","$3,127.52 ","$3,436.84 ","$3,230.63 ","$3,265.00 ","$3,093.16 ","$2,921.31 ","$7,563.07 ","$7,563.07 ","$7,563.07 ","$2,508.89 ","$31,804.47 ","$3,058.79 ","$3,093.16 ","$3,093.16 ","$2,749.47 ","$32,758.60 ","$1,890.26 ","$3,093.16 ","$31,804.47 ","$3,093.16 ","$31,804.47 ","$3,265.00 ","$71,560.05 ","$3,161.89 ","$8,016.85 ","$3,127.52 ","$31,804.47 ","$2,115.03 ","$2,213.33 ","$2,115.03 ","$3,093.16 ","$3,093.16 ","$2,577.63 ","$3,093.16 ","$32,122.51 ","$7,941.22 ","$3,213.45 ","$33,394.69 ","$3,436.84 ","$2,990.05 ","$31,804.47 ","$3,093.16 ","$31,804.47 ","$3,093.16 ","$3,093.16 ","$3,093.16 ","$3,333.73 ","$2,783.84 ","$3,093.16 ","$3,093.16 ","$3,093.16 ","$3,093.16 " ST. JOSEPH'S - CHIPPEWA FALLS,48100028,33285,HC IMPLANT CARDIAC EVENT RECORDER,481,1 ,"$5,592.32 ","$4,194.24 ","$3,075.78 ","$17,765.49 ","$3,601.45 ","$7,895.77 ","$3,914.62 ","$4,893.94 ","$5,592.32 ","$5,040.76 ","$5,592.32 ","$5,312.70 ", N/A ,"$4,473.86 ","$5,089.01 ","$4,893.94 ","$5,256.78 ","$5,312.70 ","$5,033.09 ","$4,753.47 ","$4,893.94 ","$4,893.94 ","$4,893.94 ","$4,082.39 ","$7,895.77 ","$4,977.16 ","$5,033.09 ","$5,033.09 ","$4,473.86 ","$8,132.65 ","$3,075.78 ","$5,033.09 ","$7,895.77 ","$5,033.09 ","$7,895.77 ","$5,312.70 ","$17,765.49 ","$5,144.93 ","$5,187.58 ","$5,089.01 ","$7,895.77 ","$3,441.51 ","$3,601.45 ","$3,441.51 ","$5,033.09 ","$5,033.09 ","$4,194.24 ","$5,033.09 ","$7,974.73 ","$5,138.64 ","$5,228.82 ","$8,290.56 ","$4,893.94 ","$4,865.32 ","$7,895.77 ","$5,033.09 ","$7,895.77 ","$5,033.09 ","$5,033.09 ","$5,033.09 ","$5,424.55 ","$4,529.78 ","$5,033.09 ","$5,033.09 ","$5,033.09 ","$5,033.09 " ST. JOSEPH'S - CHIPPEWA FALLS,48100029,33286,HC REMOVE CARDIAC EVENT RECORDER,481,1 ,"$1,922.03 ","$1,441.52 ",$430.13 ,"$1,922.03 ","$1,237.79 ",$602.38 ,"$1,345.42 ",$430.13 ,"$1,922.03 ",$443.03 ,"$1,922.03 ","$1,825.93 ", N/A ,"$1,537.62 ","$1,749.05 ",$430.13 ,"$1,806.71 ","$1,825.93 ","$1,729.83 ","$1,633.73 ",$430.13 ,$430.13 ,$430.13 ,"$1,403.08 ",$602.38 ,"$1,710.61 ","$1,729.83 ","$1,729.83 ","$1,537.62 ",$620.45 ,"$1,057.12 ","$1,729.83 ",$602.38 ,"$1,729.83 ",$602.38 ,"$1,825.93 ","$1,355.35 ","$1,768.27 ",$455.94 ,"$1,749.05 ",$602.38 ,"$1,182.82 ","$1,237.79 ","$1,182.82 ","$1,729.83 ","$1,729.83 ","$1,441.52 ","$1,729.83 ",$608.40 ,$451.64 ,"$1,797.10 ",$632.50 ,$430.13 ,"$1,672.17 ",$602.38 ,"$1,729.83 ",$602.38 ,"$1,729.83 ","$1,729.83 ","$1,729.83 ","$1,864.37 ","$1,556.84 ","$1,729.83 ","$1,729.83 ","$1,729.83 ","$1,729.83 " ST. JOSEPH'S - CHIPPEWA FALLS,48100030,33967,HC IABP INSERTION 33967,481,1 ,"$3,969.02 ","$2,976.77 ","$2,182.96 ","$3,969.02 ","$2,556.05 ", N/A ,"$2,778.31 ","$2,452.48 ","$3,969.02 ","$2,526.05 ","$3,969.02 ","$3,770.57 ", N/A ,"$3,175.22 ","$3,611.81 ","$2,452.48 ","$3,730.88 ","$3,770.57 ","$3,572.12 ","$3,373.67 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$2,897.38 ", N/A ,"$3,532.43 ","$3,572.12 ","$3,572.12 ","$3,175.22 ", N/A ,"$2,182.96 ","$3,572.12 ", N/A ,"$3,572.12 ", N/A ,"$3,770.57 ", N/A ,"$3,651.50 ","$2,599.63 ","$3,611.81 ", N/A ,"$2,442.53 ","$2,556.05 ","$2,442.53 ","$3,572.12 ","$3,572.12 ","$2,976.77 ","$3,572.12 ", N/A ,"$2,575.10 ","$3,711.03 ", N/A ,"$2,452.48 ","$3,453.05 ", N/A ,"$3,572.12 ", N/A ,"$3,572.12 ","$3,572.12 ","$3,572.12 ","$3,849.95 ","$3,214.91 ","$3,572.12 ","$3,572.12 ","$3,572.12 ","$3,572.12 " ST. JOSEPH'S - CHIPPEWA FALLS,48100039,36010,HC INTRO CATH VENA CAVA SUP/IN,481,1 ,$896.89 ,$672.67 ,$202.63 ,$896.89 ,$577.60 , N/A ,$627.82 ,$202.63 ,$896.89 ,$208.71 ,$896.89 ,$852.05 , N/A ,$717.51 ,$816.17 ,$202.63 ,$843.08 ,$852.05 ,$807.20 ,$762.36 ,$202.63 ,$202.63 ,$202.63 ,$654.73 , N/A ,$798.23 ,$807.20 ,$807.20 ,$717.51 , N/A ,$493.29 ,$807.20 , N/A ,$807.20 , N/A ,$852.05 , N/A ,$825.14 ,$214.79 ,$816.17 , N/A ,$551.95 ,$577.60 ,$551.95 ,$807.20 ,$807.20 ,$672.67 ,$807.20 , N/A ,$212.76 ,$838.59 , N/A ,$202.63 ,$780.29 , N/A ,$807.20 , N/A ,$807.20 ,$807.20 ,$807.20 ,$869.98 ,$726.48 ,$807.20 ,$807.20 ,$807.20 ,$807.20 ST. JOSEPH'S - CHIPPEWA FALLS,48100040,36011,"HC CATH PLCMT VENOUS, 1ST ORDER",481,1 ,$771.21 ,$578.41 ,$202.63 ,$771.21 ,$496.66 , N/A ,$539.85 ,$202.63 ,$771.21 ,$208.71 ,$771.21 ,$732.65 , N/A ,$616.97 ,$701.80 ,$202.63 ,$724.94 ,$732.65 ,$694.09 ,$655.53 ,$202.63 ,$202.63 ,$202.63 ,$562.98 , N/A ,$686.38 ,$694.09 ,$694.09 ,$616.97 , N/A ,$424.17 ,$694.09 , N/A ,$694.09 , N/A ,$732.65 , N/A ,$709.51 ,$214.79 ,$701.80 , N/A ,$474.60 ,$496.66 ,$474.60 ,$694.09 ,$694.09 ,$578.41 ,$694.09 , N/A ,$212.76 ,$721.08 , N/A ,$202.63 ,$670.95 , N/A ,$694.09 , N/A ,$694.09 ,$694.09 ,$694.09 ,$748.07 ,$624.68 ,$694.09 ,$694.09 ,$694.09 ,$694.09 ST. JOSEPH'S - CHIPPEWA FALLS,48100041,36012,"HC CATH PLCMT VENOUS, 2ND ORDER",481,1 ,$535.46 ,$401.60 ,$202.63 ,$535.46 ,$344.84 , N/A ,$374.82 ,$202.63 ,$535.46 ,$208.71 ,$535.46 ,$508.69 , N/A ,$428.37 ,$487.27 ,$202.63 ,$503.33 ,$508.69 ,$481.91 ,$455.14 ,$202.63 ,$202.63 ,$202.63 ,$390.89 , N/A ,$476.56 ,$481.91 ,$481.91 ,$428.37 , N/A ,$294.50 ,$481.91 , N/A ,$481.91 , N/A ,$508.69 , N/A ,$492.62 ,$214.79 ,$487.27 , N/A ,$329.52 ,$344.84 ,$329.52 ,$481.91 ,$481.91 ,$401.60 ,$481.91 , N/A ,$212.76 ,$500.66 , N/A ,$202.63 ,$465.85 , N/A ,$481.91 , N/A ,$481.91 ,$481.91 ,$481.91 ,$519.40 ,$433.72 ,$481.91 ,$481.91 ,$481.91 ,$481.91 ST. JOSEPH'S - CHIPPEWA FALLS,48100042,36013,HC INTRO CATH ARTERY HEART/PULM,481,1 ,$945.00 ,$708.75 ,$202.63 ,$945.00 ,$608.58 , N/A ,$661.50 ,$202.63 ,$945.00 ,$208.71 ,$945.00 ,$897.75 , N/A ,$756.00 ,$859.95 ,$202.63 ,$888.30 ,$897.75 ,$850.50 ,$803.25 ,$202.63 ,$202.63 ,$202.63 ,$689.85 , N/A ,$841.05 ,$850.50 ,$850.50 ,$756.00 , N/A ,$519.75 ,$850.50 , N/A ,$850.50 , N/A ,$897.75 , N/A ,$869.40 ,$214.79 ,$859.95 , N/A ,$581.55 ,$608.58 ,$581.55 ,$850.50 ,$850.50 ,$708.75 ,$850.50 , N/A ,$212.76 ,$883.58 , N/A ,$202.63 ,$822.15 , N/A ,$850.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,$916.65 ,$765.45 ,$850.50 ,$850.50 ,$850.50 ,$850.50 ST. JOSEPH'S - CHIPPEWA FALLS,48100043,36014,HC SELECT CATH L/R PULM ART,481,1 ,$664.73 ,$498.55 ,$202.63 ,$664.73 ,$428.09 , N/A ,$465.31 ,$202.63 ,$664.73 ,$208.71 ,$664.73 ,$631.49 , N/A ,$531.78 ,$604.90 ,$202.63 ,$624.85 ,$631.49 ,$598.26 ,$565.02 ,$202.63 ,$202.63 ,$202.63 ,$485.25 , N/A ,$591.61 ,$598.26 ,$598.26 ,$531.78 , N/A ,$365.60 ,$598.26 , N/A ,$598.26 , N/A ,$631.49 , N/A ,$611.55 ,$214.79 ,$604.90 , N/A ,$409.07 ,$428.09 ,$409.07 ,$598.26 ,$598.26 ,$498.55 ,$598.26 , N/A ,$212.76 ,$621.52 , N/A ,$202.63 ,$578.32 , N/A ,$598.26 , N/A ,$598.26 ,$598.26 ,$598.26 ,$644.79 ,$538.43 ,$598.26 ,$598.26 ,$598.26 ,$598.26 ST. JOSEPH'S - CHIPPEWA FALLS,48100044,36015,HC PLACE CATH ARTERY PULM SEG,481,1 ,$945.00 ,$708.75 ,$202.63 ,$945.00 ,$608.58 , N/A ,$661.50 ,$202.63 ,$945.00 ,$208.71 ,$945.00 ,$897.75 , N/A ,$756.00 ,$859.95 ,$202.63 ,$888.30 ,$897.75 ,$850.50 ,$803.25 ,$202.63 ,$202.63 ,$202.63 ,$689.85 , N/A ,$841.05 ,$850.50 ,$850.50 ,$756.00 , N/A ,$519.75 ,$850.50 , N/A ,$850.50 , N/A ,$897.75 , N/A ,$869.40 ,$214.79 ,$859.95 , N/A ,$581.55 ,$608.58 ,$581.55 ,$850.50 ,$850.50 ,$708.75 ,$850.50 , N/A ,$212.76 ,$883.58 , N/A ,$202.63 ,$822.15 , N/A ,$850.50 , N/A ,$850.50 ,$850.50 ,$850.50 ,$916.65 ,$765.45 ,$850.50 ,$850.50 ,$850.50 ,$850.50 ST. JOSEPH'S - CHIPPEWA FALLS,48100047,36140,HC INTRO NDL/CATH ARTERY EXTREM 36140,481,1 ,"$1,144.85 ",$858.64 ,$202.63 ,"$1,144.85 ",$737.28 , N/A ,$801.40 ,$202.63 ,"$1,144.85 ",$208.71 ,"$1,144.85 ","$1,087.61 ", N/A ,$915.88 ,"$1,041.81 ",$202.63 ,"$1,076.16 ","$1,087.61 ","$1,030.37 ",$973.12 ,$202.63 ,$202.63 ,$202.63 ,$835.74 , N/A ,"$1,018.92 ","$1,030.37 ","$1,030.37 ",$915.88 , N/A ,$629.67 ,"$1,030.37 ", N/A ,"$1,030.37 ", N/A ,"$1,087.61 ", N/A ,"$1,053.26 ",$214.79 ,"$1,041.81 ", N/A ,$704.54 ,$737.28 ,$704.54 ,"$1,030.37 ","$1,030.37 ",$858.64 ,$782.50 , N/A ,$212.76 ,"$1,070.43 ", N/A ,$202.63 ,$996.02 , N/A ,"$1,030.37 ", N/A ,"$1,030.37 ","$1,030.37 ","$1,030.37 ","$1,110.50 ",$927.33 ,"$1,030.37 ","$1,030.37 ","$1,030.37 ","$1,030.37 " ST. JOSEPH'S - CHIPPEWA FALLS,48100051,36200,HC INTRO CATH AORTA 36200,481,1 ,$774.27 ,$580.70 ,$202.63 ,$774.27 ,$498.63 , N/A ,$541.99 ,$202.63 ,$774.27 ,$208.71 ,$774.27 ,$735.56 , N/A ,$619.42 ,$704.59 ,$202.63 ,$727.81 ,$735.56 ,$696.84 ,$658.13 ,$202.63 ,$202.63 ,$202.63 ,$565.22 , N/A ,$689.10 ,$696.84 ,$696.84 ,$619.42 , N/A ,$425.85 ,$696.84 , N/A ,$696.84 , N/A ,$735.56 , N/A ,$712.33 ,$214.79 ,$704.59 , N/A ,$476.49 ,$498.63 ,$476.49 ,$696.84 ,$696.84 ,$580.70 ,$696.84 , N/A ,$212.76 ,$723.94 , N/A ,$202.63 ,$673.61 , N/A ,$696.84 , N/A ,$696.84 ,$696.84 ,$696.84 ,$751.04 ,$627.16 ,$696.84 ,$696.84 ,$696.84 ,$696.84 ST. JOSEPH'S - CHIPPEWA FALLS,48100052,36215,HC PLACE CATH THOR/BRAC 1ST ORDER 36215,481,1 ,"$3,107.25 ","$2,330.44 ",$202.63 ,"$3,107.25 ","$2,001.07 ", N/A ,"$2,175.08 ",$202.63 ,"$3,107.25 ",$208.71 ,"$3,107.25 ","$2,951.89 ", N/A ,"$2,485.80 ","$2,827.60 ",$202.63 ,"$2,920.82 ","$2,951.89 ","$2,796.53 ","$2,641.16 ",$202.63 ,$202.63 ,$202.63 ,"$2,268.29 ", N/A ,"$2,765.45 ","$2,796.53 ","$2,796.53 ","$2,485.80 ", N/A ,"$1,708.99 ","$2,796.53 ", N/A ,"$2,796.53 ", N/A ,"$2,951.89 ", N/A ,"$2,858.67 ",$214.79 ,"$2,827.60 ", N/A ,"$1,912.20 ","$2,001.07 ","$1,912.20 ","$2,796.53 ","$2,796.53 ","$2,330.44 ","$2,482.67 ", N/A ,$212.76 ,"$2,905.28 ", N/A ,$202.63 ,"$2,703.31 ", N/A ,"$2,796.53 ", N/A ,"$2,796.53 ","$2,796.53 ","$2,796.53 ","$3,014.03 ","$2,516.87 ","$2,796.53 ","$2,796.53 ","$2,796.53 ","$2,796.53 " ST. JOSEPH'S - CHIPPEWA FALLS,48100053,36216,HC PL CATH THOR/BRAC 2ND ORDER 36216,481,1 ,"$1,891.55 ","$1,418.66 ",$202.63 ,"$1,891.55 ","$1,218.16 ", N/A ,"$1,324.09 ",$202.63 ,"$1,891.55 ",$208.71 ,"$1,891.55 ","$1,796.97 ", N/A ,"$1,513.24 ","$1,721.31 ",$202.63 ,"$1,778.06 ","$1,796.97 ","$1,702.40 ","$1,607.82 ",$202.63 ,$202.63 ,$202.63 ,"$1,380.83 ", N/A ,"$1,683.48 ","$1,702.40 ","$1,702.40 ","$1,513.24 ", N/A ,"$1,040.35 ","$1,702.40 ", N/A ,"$1,702.40 ", N/A ,"$1,796.97 ", N/A ,"$1,740.23 ",$214.79 ,"$1,721.31 ", N/A ,"$1,164.06 ","$1,218.16 ","$1,164.06 ","$1,702.40 ","$1,702.40 ","$1,418.66 ","$1,702.40 ", N/A ,$212.76 ,"$1,768.60 ", N/A ,$202.63 ,"$1,645.65 ", N/A ,"$1,702.40 ", N/A ,"$1,702.40 ","$1,702.40 ","$1,702.40 ","$1,834.80 ","$1,532.16 ","$1,702.40 ","$1,702.40 ","$1,702.40 ","$1,702.40 " ST. JOSEPH'S - CHIPPEWA FALLS,48100054,36217,HC PL CATH THOR/BRAC 3RD ORDER 36217,481,1 ,"$1,891.55 ","$1,418.66 ",$202.63 ,"$1,891.55 ","$1,218.16 ", N/A ,"$1,324.09 ",$202.63 ,"$1,891.55 ",$208.71 ,"$1,891.55 ","$1,796.97 ", N/A ,"$1,513.24 ","$1,721.31 ",$202.63 ,"$1,778.06 ","$1,796.97 ","$1,702.40 ","$1,607.82 ",$202.63 ,$202.63 ,$202.63 ,"$1,380.83 ", N/A ,"$1,683.48 ","$1,702.40 ","$1,702.40 ","$1,513.24 ", N/A ,"$1,040.35 ","$1,702.40 ", N/A ,"$1,702.40 ", N/A ,"$1,796.97 ", N/A ,"$1,740.23 ",$214.79 ,"$1,721.31 ", N/A ,"$1,164.06 ","$1,218.16 ","$1,164.06 ","$1,702.40 ","$1,702.40 ","$1,418.66 ","$1,702.40 ", N/A ,$212.76 ,"$1,768.60 ", N/A ,$202.63 ,"$1,645.65 ", N/A ,"$1,702.40 ", N/A ,"$1,702.40 ","$1,702.40 ","$1,702.40 ","$1,834.80 ","$1,532.16 ","$1,702.40 ","$1,702.40 ","$1,702.40 ","$1,702.40 " ST. JOSEPH'S - CHIPPEWA FALLS,48100055,36218,HC PL CATH THOR/BRAC ADDL 36218,481,1 ,"$1,797.96 ","$1,348.47 ",$202.63 ,"$1,797.96 ","$1,157.89 ", N/A ,"$1,258.57 ",$202.63 ,"$1,797.96 ",$208.71 ,"$1,797.96 ","$1,708.06 ", N/A ,"$1,438.37 ","$1,636.14 ",$202.63 ,"$1,690.08 ","$1,708.06 ","$1,618.16 ","$1,528.27 ",$202.63 ,$202.63 ,$202.63 ,"$1,312.51 ", N/A ,"$1,600.18 ","$1,618.16 ","$1,618.16 ","$1,438.37 ", N/A ,$988.88 ,"$1,618.16 ", N/A ,"$1,618.16 ", N/A ,"$1,708.06 ", N/A ,"$1,654.12 ",$214.79 ,"$1,636.14 ", N/A ,"$1,106.46 ","$1,157.89 ","$1,106.46 ","$1,618.16 ","$1,618.16 ","$1,348.47 ",$898.98 , N/A ,$212.76 ,"$1,681.09 ", N/A ,$202.63 ,"$1,564.23 ", N/A ,"$1,618.16 ", N/A ,"$1,618.16 ","$1,618.16 ","$1,618.16 ","$1,744.02 ","$1,456.35 ","$1,618.16 ","$1,618.16 ","$1,618.16 ","$1,618.16 " ST. JOSEPH'S - CHIPPEWA FALLS,48100056,36245,HC ABD 1ST ORDER 36245,481,1 ,"$3,173.79 ","$2,380.34 ",$202.63 ,"$3,173.79 ","$2,043.92 ", N/A ,"$2,221.65 ",$202.63 ,"$3,173.79 ",$208.71 ,"$3,173.79 ","$3,015.10 ", N/A ,"$2,539.03 ","$2,888.15 ",$202.63 ,"$2,983.36 ","$3,015.10 ","$2,856.41 ","$2,697.72 ",$202.63 ,$202.63 ,$202.63 ,"$2,316.87 ", N/A ,"$2,824.67 ","$2,856.41 ","$2,856.41 ","$2,539.03 ", N/A ,"$1,745.58 ","$2,856.41 ", N/A ,"$2,856.41 ", N/A ,"$3,015.10 ", N/A ,"$2,919.89 ",$214.79 ,"$2,888.15 ", N/A ,"$1,953.15 ","$2,043.92 ","$1,953.15 ","$2,856.41 ","$2,856.41 ","$2,380.34 ","$2,482.67 ", N/A ,$212.76 ,"$2,967.49 ", N/A ,$202.63 ,"$2,761.20 ", N/A ,"$2,856.41 ", N/A ,"$2,856.41 ","$2,856.41 ","$2,856.41 ","$3,078.58 ","$2,570.77 ","$2,856.41 ","$2,856.41 ","$2,856.41 ","$2,856.41 " ST. JOSEPH'S - CHIPPEWA FALLS,48100057,36246,HC ABD INITIAL 2ND ORDER 36246,481,1 ,"$1,869.89 ","$1,402.42 ",$202.63 ,"$1,869.89 ","$1,204.21 ", N/A ,"$1,308.92 ",$202.63 ,"$1,869.89 ",$208.71 ,"$1,869.89 ","$1,776.40 ", N/A ,"$1,495.91 ","$1,701.60 ",$202.63 ,"$1,757.70 ","$1,776.40 ","$1,682.90 ","$1,589.41 ",$202.63 ,$202.63 ,$202.63 ,"$1,365.02 ", N/A ,"$1,664.20 ","$1,682.90 ","$1,682.90 ","$1,495.91 ", N/A ,"$1,028.44 ","$1,682.90 ", N/A ,"$1,682.90 ", N/A ,"$1,776.40 ", N/A ,"$1,720.30 ",$214.79 ,"$1,701.60 ", N/A ,"$1,150.73 ","$1,204.21 ","$1,150.73 ","$1,682.90 ","$1,682.90 ","$1,402.42 ","$1,682.90 ", N/A ,$212.76 ,"$1,748.35 ", N/A ,$202.63 ,"$1,626.80 ", N/A ,"$1,682.90 ", N/A ,"$1,682.90 ","$1,682.90 ","$1,682.90 ","$1,813.79 ","$1,514.61 ","$1,682.90 ","$1,682.90 ","$1,682.90 ","$1,682.90 " ST. JOSEPH'S - CHIPPEWA FALLS,48100058,36247,HC ABD INT 3RD/PLUS ORDER 36247,481,1 ,"$1,931.89 ","$1,448.92 ",$202.63 ,"$1,931.89 ","$1,244.14 ", N/A ,"$1,352.32 ",$202.63 ,"$1,931.89 ",$208.71 ,"$1,931.89 ","$1,835.30 ", N/A ,"$1,545.51 ","$1,758.02 ",$202.63 ,"$1,815.98 ","$1,835.30 ","$1,738.70 ","$1,642.11 ",$202.63 ,$202.63 ,$202.63 ,"$1,410.28 ", N/A ,"$1,719.38 ","$1,738.70 ","$1,738.70 ","$1,545.51 ", N/A ,"$1,062.54 ","$1,738.70 ", N/A ,"$1,738.70 ", N/A ,"$1,835.30 ", N/A ,"$1,777.34 ",$214.79 ,"$1,758.02 ", N/A ,"$1,188.89 ","$1,244.14 ","$1,188.89 ","$1,738.70 ","$1,738.70 ","$1,448.92 ","$1,738.70 ", N/A ,$212.76 ,"$1,806.32 ", N/A ,$202.63 ,"$1,680.74 ", N/A ,"$1,738.70 ", N/A ,"$1,738.70 ","$1,738.70 ","$1,738.70 ","$1,873.93 ","$1,564.83 ","$1,738.70 ","$1,738.70 ","$1,738.70 ","$1,738.70 " ST. JOSEPH'S - CHIPPEWA FALLS,48100059,36248,HC ABD ADDL 2ND/PLUS ORDER 36248,481,1 ,"$1,869.89 ","$1,402.42 ",$202.63 ,"$1,869.89 ","$1,204.21 ", N/A ,"$1,308.92 ",$202.63 ,"$1,869.89 ",$208.71 ,"$1,869.89 ","$1,776.40 ", N/A ,"$1,495.91 ","$1,701.60 ",$202.63 ,"$1,757.70 ","$1,776.40 ","$1,682.90 ","$1,589.41 ",$202.63 ,$202.63 ,$202.63 ,"$1,365.02 ", N/A ,"$1,664.20 ","$1,682.90 ","$1,682.90 ","$1,495.91 ", N/A ,"$1,028.44 ","$1,682.90 ", N/A ,"$1,682.90 ", N/A ,"$1,776.40 ", N/A ,"$1,720.30 ",$214.79 ,"$1,701.60 ", N/A ,"$1,150.73 ","$1,204.21 ","$1,150.73 ","$1,682.90 ","$1,682.90 ","$1,402.42 ",$934.95 , N/A ,$212.76 ,"$1,748.35 ", N/A ,$202.63 ,"$1,626.80 ", N/A ,"$1,682.90 ", N/A ,"$1,682.90 ","$1,682.90 ","$1,682.90 ","$1,813.79 ","$1,514.61 ","$1,682.90 ","$1,682.90 ","$1,682.90 ","$1,682.90 " ST. JOSEPH'S - CHIPPEWA FALLS,48100060,37184,HC PERIPH THROMBECK ONLY W/TPA 37184,481,1 ,"$1,767.99 ","$1,325.99 ",$972.39 ,"$21,884.82 ","$1,138.59 ","$9,726.59 ","$1,237.59 ","$1,767.99 ","$1,767.99 ","$1,856.35 ","$1,767.99 ","$1,679.59 ", N/A ,"$1,414.39 ","$1,608.87 ","$1,767.99 ","$1,661.91 ","$1,679.59 ","$1,591.19 ","$1,502.79 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,290.63 ","$9,726.59 ","$1,573.51 ","$1,591.19 ","$1,591.19 ","$1,414.39 ","$10,018.39 ",$972.39 ,"$1,591.19 ","$9,726.59 ","$1,591.19 ","$9,726.59 ","$1,679.59 ","$21,884.82 ","$1,626.55 ","$1,910.42 ","$1,608.87 ","$9,726.59 ","$1,088.02 ","$1,138.59 ","$1,088.02 ","$1,591.19 ","$1,591.19 ","$1,325.99 ","$1,591.19 ","$9,823.85 ","$1,892.39 ","$1,653.07 ","$10,212.92 ","$1,767.99 ","$1,538.15 ","$9,726.59 ","$1,591.19 ","$9,726.59 ","$1,591.19 ","$1,591.19 ","$1,591.19 ","$1,714.95 ","$1,432.07 ","$1,591.19 ","$1,591.19 ","$1,591.19 ","$1,591.19 " ST. JOSEPH'S - CHIPPEWA FALLS,48100061,37185,HC PRIM PERC THROMB EA ADDL 37185,481,1 ,"$1,977.34 ","$1,483.01 ",$988.67 ,"$1,977.34 ","$1,273.41 ", N/A ,"$1,384.14 ","$1,802.28 ","$1,977.34 ","$1,856.35 ","$1,977.34 ","$1,878.47 ", N/A ,"$1,581.87 ","$1,799.38 ","$1,802.28 ","$1,858.70 ","$1,878.47 ","$1,779.61 ","$1,680.74 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,443.46 ", N/A ,"$1,759.83 ","$1,779.61 ","$1,779.61 ","$1,581.87 ", N/A ,"$1,087.54 ","$1,779.61 ", N/A ,"$1,779.61 ", N/A ,"$1,878.47 ", N/A ,"$1,819.15 ","$1,910.42 ","$1,799.38 ", N/A ,"$1,216.86 ","$1,273.41 ","$1,216.86 ","$1,779.61 ","$1,779.61 ","$1,483.01 ",$988.67 , N/A ,"$1,892.39 ","$1,848.81 ", N/A ,"$1,802.28 ","$1,720.29 ", N/A ,"$1,779.61 ", N/A ,"$1,779.61 ","$1,779.61 ","$1,779.61 ","$1,918.02 ","$1,601.65 ","$1,779.61 ","$1,779.61 ","$1,779.61 ","$1,779.61 " ST. JOSEPH'S - CHIPPEWA FALLS,48100062,37186,HC SEC PERC THROMB EA VESSEL ADDL 37186,481,1 ,"$1,977.34 ","$1,483.01 ",$988.67 ,"$3,538.30 ","$1,273.41 ", N/A ,"$1,384.14 ","$1,977.34 ","$1,977.34 ","$3,438.16 ","$1,977.34 ","$1,878.47 ", N/A ,"$1,581.87 ","$1,799.38 ","$1,977.34 ","$1,858.70 ","$1,878.47 ","$1,779.61 ","$1,680.74 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,443.46 ", N/A ,"$1,759.83 ","$1,779.61 ","$1,779.61 ","$1,581.87 ", N/A ,"$1,087.54 ","$1,779.61 ", N/A ,"$1,779.61 ", N/A ,"$1,878.47 ", N/A ,"$1,819.15 ","$3,538.30 ","$1,799.38 ", N/A ,"$1,216.86 ","$1,273.41 ","$1,216.86 ","$1,779.61 ","$1,779.61 ","$1,483.01 ",$988.67 , N/A ,"$3,504.92 ","$1,848.81 ", N/A ,"$1,977.34 ","$1,720.29 ", N/A ,"$1,779.61 ", N/A ,"$1,779.61 ","$1,779.61 ","$1,779.61 ","$1,918.02 ","$1,601.65 ","$1,779.61 ","$1,779.61 ","$1,779.61 ","$1,779.61 " ST. JOSEPH'S - CHIPPEWA FALLS,48100063,37187,HC PRIMARY VENOUS THROMBECTOMY,481,1 ,"$1,767.99 ","$1,325.99 ",$972.39 ,"$21,884.82 ","$1,138.59 ","$9,726.59 ","$1,237.59 ","$1,095.68 ","$1,767.99 ","$1,128.55 ","$1,767.99 ","$1,679.59 ", N/A ,"$1,414.39 ","$1,608.87 ","$1,095.68 ","$1,661.91 ","$1,679.59 ","$1,591.19 ","$1,502.79 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$1,290.63 ","$9,726.59 ","$1,573.51 ","$1,591.19 ","$1,591.19 ","$1,414.39 ","$10,018.39 ",$972.39 ,"$1,591.19 ","$9,726.59 ","$1,591.19 ","$9,726.59 ","$1,679.59 ","$21,884.82 ","$1,626.55 ","$1,161.42 ","$1,608.87 ","$9,726.59 ","$1,088.02 ","$1,138.59 ","$1,088.02 ","$1,591.19 ","$1,591.19 ","$1,325.99 ","$1,591.19 ","$9,823.85 ","$1,150.46 ","$1,653.07 ","$10,212.92 ","$1,095.68 ","$1,538.15 ","$9,726.59 ","$1,591.19 ","$9,726.59 ","$1,591.19 ","$1,591.19 ","$1,591.19 ","$1,714.95 ","$1,432.07 ","$1,591.19 ","$1,591.19 ","$1,591.19 ","$1,591.19 " ST. JOSEPH'S - CHIPPEWA FALLS,48100064,37188,HC SUBSEQUENT VENOUS THROMBECTOMY,481,1 ,"$1,874.32 ","$1,405.74 ","$1,030.88 ","$6,235.91 ","$1,207.06 ","$2,771.52 ","$1,312.02 ","$1,095.68 ","$1,874.32 ","$1,128.55 ","$1,874.32 ","$1,780.60 ", N/A ,"$1,499.46 ","$1,705.63 ","$1,095.68 ","$1,761.86 ","$1,780.60 ","$1,686.89 ","$1,593.17 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$1,368.25 ","$2,771.52 ","$1,668.14 ","$1,686.89 ","$1,686.89 ","$1,499.46 ","$2,854.66 ","$1,030.88 ","$1,686.89 ","$2,771.52 ","$1,686.89 ","$2,771.52 ","$1,780.60 ","$6,235.91 ","$1,724.37 ","$1,161.42 ","$1,705.63 ","$2,771.52 ","$1,153.46 ","$1,207.06 ","$1,153.46 ","$1,686.89 ","$1,686.89 ","$1,405.74 ","$1,686.89 ","$2,799.23 ","$1,150.46 ","$1,752.49 ","$2,910.10 ","$1,095.68 ","$1,630.66 ","$2,771.52 ","$1,686.89 ","$2,771.52 ","$1,686.89 ","$1,686.89 ","$1,686.89 ","$1,818.09 ","$1,518.20 ","$1,686.89 ","$1,686.89 ","$1,686.89 ","$1,686.89 " ST. JOSEPH'S - CHIPPEWA FALLS,48100065,37200,HC BIOPSY TRANSCATHETER,481,1 ,"$1,559.60 ","$1,169.70 ",$857.78 ,"$10,395.23 ","$1,004.38 ","$4,620.10 ","$1,091.72 ","$1,095.68 ","$1,559.60 ","$1,128.55 ","$1,559.60 ","$1,481.62 ", N/A ,"$1,247.68 ","$1,419.24 ","$1,095.68 ","$1,466.02 ","$1,481.62 ","$1,403.64 ","$1,325.66 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$1,138.51 ","$4,620.10 ","$1,388.04 ","$1,403.64 ","$1,403.64 ","$1,247.68 ","$4,758.71 ",$857.78 ,"$1,403.64 ","$4,620.10 ","$1,403.64 ","$4,620.10 ","$1,481.62 ","$10,395.23 ","$1,434.83 ","$1,161.42 ","$1,419.24 ","$4,620.10 ",$959.78 ,"$1,004.38 ",$959.78 ,"$1,403.64 ","$1,403.64 ","$1,169.70 ","$1,403.64 ","$4,666.30 ","$1,150.46 ","$1,458.23 ","$4,851.11 ","$1,095.68 ","$1,356.85 ","$4,620.10 ","$1,403.64 ","$4,620.10 ","$1,403.64 ","$1,403.64 ","$1,403.64 ","$1,512.81 ","$1,263.28 ","$1,403.64 ","$1,403.64 ","$1,403.64 ","$1,403.64 " ST. JOSEPH'S - CHIPPEWA FALLS,48100067,61650,HC THPY INFS NON-THROMBO INTITIAL,481,1 ,$928.36 ,$696.27 ,$510.60 ,"$1,161.42 ",$597.86 , N/A ,$649.85 ,$928.36 ,$928.36 ,"$1,128.55 ",$928.36 ,$881.94 , N/A ,$742.69 ,$844.81 ,$928.36 ,$872.66 ,$881.94 ,$835.52 ,$789.11 ,"$1,095.68 ","$1,095.68 ","$1,095.68 ",$677.70 , N/A ,$826.24 ,$835.52 ,$835.52 ,$742.69 , N/A ,$510.60 ,$835.52 , N/A ,$835.52 , N/A ,$881.94 , N/A ,$854.09 ,"$1,161.42 ",$844.81 , N/A ,$571.31 ,$597.86 ,$571.31 ,$835.52 ,$835.52 ,$696.27 ,$649.85 , N/A ,"$1,150.46 ",$868.02 , N/A ,$928.36 ,$807.67 , N/A ,$835.52 , N/A ,$835.52 ,$835.52 ,$835.52 ,$900.51 ,$751.97 ,$835.52 ,$835.52 ,$835.52 ,$835.52 ST. JOSEPH'S - CHIPPEWA FALLS,48100076,37215,HC PL STENT TRNSCATH CAROT ART W/ 37215,481,1 ,"$3,001.61 ","$2,251.21 ","$1,650.89 ","$3,001.61 ","$1,933.04 ", N/A ,"$2,101.13 ","$1,802.28 ","$3,001.61 ","$1,856.35 ","$3,001.61 ","$2,851.53 ", N/A ,"$2,401.29 ","$2,731.47 ","$1,802.28 ","$2,821.51 ","$2,851.53 ","$2,701.45 ","$2,551.37 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$2,191.18 ", N/A ,"$2,671.43 ","$2,701.45 ","$2,701.45 ","$2,401.29 ", N/A ,"$1,650.89 ","$2,701.45 ", N/A ,"$2,701.45 ", N/A ,"$2,851.53 ", N/A ,"$2,761.48 ","$1,910.42 ","$2,731.47 ", N/A ,"$1,847.19 ","$1,933.04 ","$1,847.19 ","$2,701.45 ","$2,701.45 ","$2,251.21 ","$2,101.13 ", N/A ,"$1,892.39 ","$2,806.51 ", N/A ,"$1,802.28 ","$2,611.40 ", N/A ,"$2,701.45 ", N/A ,"$2,701.45 ","$2,701.45 ","$2,701.45 ","$2,911.56 ","$2,431.30 ","$2,701.45 ","$2,701.45 ","$2,701.45 ","$2,701.45 " ST. JOSEPH'S - CHIPPEWA FALLS,48100077,37220,HC RVC EN PRC ICA W/ANG INT VSL 37220,481,1 ,"$14,983.69 ","$11,237.77 ","$1,802.28 ","$14,983.69 ","$9,649.50 ","$4,800.70 ","$10,488.58 ","$1,802.28 ","$14,983.69 ","$1,856.35 ","$14,010.00 ","$14,234.51 ", N/A ,"$11,986.95 ","$13,635.16 ","$1,802.28 ","$14,084.67 ","$14,234.51 ","$13,485.32 ","$12,736.14 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$10,938.09 ","$4,800.70 ","$13,335.48 ","$13,485.32 ","$13,485.32 ","$11,986.95 ","$4,944.72 ","$8,241.03 ","$13,485.32 ","$4,800.70 ","$13,485.32 ","$4,800.70 ","$14,234.51 ","$10,801.57 ","$13,784.99 ","$1,910.42 ","$13,635.16 ","$4,800.70 ","$9,220.96 ","$9,649.50 ","$9,220.96 ","$13,485.32 ","$13,485.32 ","$11,237.77 ","$7,491.85 ","$4,848.71 ","$1,892.39 ","$14,009.75 ","$5,040.74 ","$1,802.28 ","$13,035.81 ","$4,800.70 ","$13,485.32 ","$4,800.70 ","$13,485.32 ","$13,485.32 ","$13,485.32 ","$14,534.18 ","$12,136.79 ","$13,485.32 ","$13,485.32 ","$13,485.32 ","$13,485.32 " ST. JOSEPH'S - CHIPPEWA FALLS,48100078,37221,HC RVC EN PRC ICA W/TRN SNT INT V 37221,481,1 ,"$19,518.09 ","$14,638.57 ","$3,338.02 ","$21,884.82 ","$12,569.65 ","$9,726.59 ","$13,662.66 ","$3,338.02 ","$18,389.00 ","$3,438.16 ","$14,858.00 ","$18,542.19 ", N/A ,"$15,614.47 ","$17,761.46 ","$3,338.02 ","$18,347.00 ","$18,542.19 ","$17,566.28 ","$16,590.38 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$14,248.21 ","$9,726.59 ","$17,371.10 ","$17,566.28 ","$17,566.28 ","$15,614.47 ","$10,018.39 ","$10,734.95 ","$17,566.28 ","$9,726.59 ","$17,566.28 ","$9,726.59 ","$18,542.19 ","$21,884.82 ","$17,956.64 ","$3,538.30 ","$17,761.46 ","$9,726.59 ","$12,011.43 ","$12,569.65 ","$12,011.43 ","$17,566.28 ","$17,566.28 ","$14,638.57 ","$9,759.05 ","$9,823.85 ","$3,504.92 ","$18,249.41 ","$10,212.92 ","$3,338.02 ","$16,980.74 ","$9,726.59 ","$17,566.28 ","$9,726.59 ","$17,566.28 ","$17,566.28 ","$17,566.28 ","$18,932.55 ","$15,809.65 ","$17,566.28 ","$17,566.28 ","$17,566.28 ","$17,566.28 " ST. JOSEPH'S - CHIPPEWA FALLS,48100079,37222,HC RVC EN PRC ICA W/ANG EA AD VS 37222,481,1 ,"$10,110.07 ","$7,582.55 ","$3,338.02 ","$10,110.07 ","$6,510.89 ", N/A ,"$7,077.05 ","$3,338.02 ","$5,466.00 ","$3,438.16 ","$4,372.00 ","$9,604.57 ", N/A ,"$8,088.06 ","$9,200.16 ","$3,338.02 ","$9,503.47 ","$9,604.57 ","$9,099.06 ","$8,593.56 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$7,380.35 ", N/A ,"$8,997.96 ","$9,099.06 ","$9,099.06 ","$8,088.06 ", N/A ,"$5,560.54 ","$9,099.06 ", N/A ,"$9,099.06 ", N/A ,"$9,604.57 ", N/A ,"$9,301.26 ","$3,538.30 ","$9,200.16 ", N/A ,"$6,221.74 ","$6,510.89 ","$6,221.74 ","$9,099.06 ","$9,099.06 ","$7,582.55 ","$7,077.05 ", N/A ,"$3,504.92 ","$9,452.92 ", N/A ,"$3,338.02 ","$8,795.76 ", N/A ,"$9,099.06 ", N/A ,"$9,099.06 ","$9,099.06 ","$9,099.06 ","$9,806.77 ","$8,189.16 ","$9,099.06 ","$9,099.06 ","$9,099.06 ","$9,099.06 " ST. JOSEPH'S - CHIPPEWA FALLS,48100080,37223,HC RVC EN PRC ICA W/TRN ST AD VS 37223,481,1 ,"$14,791.56 ","$11,093.67 ","$3,338.02 ","$14,791.56 ","$9,525.76 ", N/A ,"$10,354.09 ","$3,338.02 ","$5,466.00 ","$3,438.16 ","$4,372.00 ","$14,051.98 ", N/A ,"$11,833.25 ","$13,460.32 ","$3,338.02 ","$13,904.07 ","$14,051.98 ","$13,312.40 ","$12,572.83 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$10,797.84 ", N/A ,"$13,164.49 ","$13,312.40 ","$13,312.40 ","$11,833.25 ", N/A ,"$8,135.36 ","$13,312.40 ", N/A ,"$13,312.40 ", N/A ,"$14,051.98 ", N/A ,"$13,608.24 ","$3,538.30 ","$13,460.32 ", N/A ,"$9,102.73 ","$9,525.76 ","$9,102.73 ","$13,312.40 ","$13,312.40 ","$11,093.67 ","$10,354.09 ", N/A ,"$3,504.92 ","$13,830.11 ", N/A ,"$3,338.02 ","$12,868.66 ", N/A ,"$13,312.40 ", N/A ,"$13,312.40 ","$13,312.40 ","$13,312.40 ","$14,347.81 ","$11,981.16 ","$13,312.40 ","$13,312.40 ","$13,312.40 ","$13,312.40 " ST. JOSEPH'S - CHIPPEWA FALLS,48100081,37224,HC RVC EN PRC R/P W/ANG INT VSL 37224,481,1 ,"$16,870.01 ","$12,652.51 ","$1,802.28 ","$16,870.01 ","$10,864.29 ","$4,800.70 ","$11,809.01 ","$1,802.28 ","$16,870.01 ","$1,856.35 ","$14,010.00 ","$16,026.51 ", N/A ,"$13,496.01 ","$15,351.71 ","$1,802.28 ","$15,857.81 ","$16,026.51 ","$15,183.01 ","$14,339.51 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$12,315.11 ","$4,800.70 ","$15,014.31 ","$15,183.01 ","$15,183.01 ","$13,496.01 ","$4,944.72 ","$9,278.51 ","$15,183.01 ","$4,800.70 ","$15,183.01 ","$4,800.70 ","$16,026.51 ","$10,801.57 ","$15,520.41 ","$1,910.42 ","$15,351.71 ","$4,800.70 ","$10,381.80 ","$10,864.29 ","$10,381.80 ","$15,183.01 ","$15,183.01 ","$12,652.51 ","$8,435.01 ","$4,848.71 ","$1,892.39 ","$15,773.46 ","$5,040.74 ","$1,802.28 ","$14,676.91 ","$4,800.70 ","$15,183.01 ","$4,800.70 ","$15,183.01 ","$15,183.01 ","$15,183.01 ","$16,363.91 ","$13,664.71 ","$15,183.01 ","$15,183.01 ","$15,183.01 ","$15,183.01 " ST. JOSEPH'S - CHIPPEWA FALLS,48100082,37225,HC RVC EN PRC F/P W/ANT INT VSL 37225,481,1 ,"$19,121.25 ","$14,340.94 ","$3,338.02 ","$21,884.82 ","$12,314.09 ","$9,726.59 ","$13,384.88 ","$3,338.02 ","$18,389.00 ","$3,438.16 ","$14,858.00 ","$18,165.19 ", N/A ,"$15,297.00 ","$17,400.34 ","$3,338.02 ","$17,973.98 ","$18,165.19 ","$17,209.13 ","$16,253.06 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$13,958.51 ","$9,726.59 ","$17,017.91 ","$17,209.13 ","$17,209.13 ","$15,297.00 ","$10,018.39 ","$10,516.69 ","$17,209.13 ","$9,726.59 ","$17,209.13 ","$9,726.59 ","$18,165.19 ","$21,884.82 ","$17,591.55 ","$3,538.30 ","$17,400.34 ","$9,726.59 ","$11,767.22 ","$12,314.09 ","$11,767.22 ","$17,209.13 ","$17,209.13 ","$14,340.94 ","$9,560.63 ","$9,823.85 ","$3,504.92 ","$17,878.37 ","$10,212.92 ","$3,338.02 ","$16,635.49 ","$9,726.59 ","$17,209.13 ","$9,726.59 ","$17,209.13 ","$17,209.13 ","$17,209.13 ","$18,547.61 ","$15,488.21 ","$17,209.13 ","$17,209.13 ","$17,209.13 ","$17,209.13 " ST. JOSEPH'S - CHIPPEWA FALLS,48100083,37226,HC RVC EN PRC F/P W/TRN SNT IN VS 37226,481,1 ,"$18,137.23 ","$13,602.92 ","$3,338.02 ","$21,884.82 ","$11,680.38 ","$9,726.59 ","$12,696.06 ","$3,338.02 ","$18,137.23 ","$3,438.16 ","$14,858.00 ","$17,230.37 ", N/A ,"$14,509.78 ","$16,504.88 ","$3,338.02 ","$17,049.00 ","$17,230.37 ","$16,323.51 ","$15,416.65 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$13,240.18 ","$9,726.59 ","$16,142.13 ","$16,323.51 ","$16,323.51 ","$14,509.78 ","$10,018.39 ","$9,975.48 ","$16,323.51 ","$9,726.59 ","$16,323.51 ","$9,726.59 ","$17,230.37 ","$21,884.82 ","$16,686.25 ","$3,538.30 ","$16,504.88 ","$9,726.59 ","$11,161.65 ","$11,680.38 ","$11,161.65 ","$16,323.51 ","$16,323.51 ","$13,602.92 ","$9,068.62 ","$9,823.85 ","$3,504.92 ","$16,958.31 ","$10,212.92 ","$3,338.02 ","$15,779.39 ","$9,726.59 ","$16,323.51 ","$9,726.59 ","$16,323.51 ","$16,323.51 ","$16,323.51 ","$17,593.11 ","$14,691.16 ","$16,323.51 ","$16,323.51 ","$16,323.51 ","$16,323.51 " ST. JOSEPH'S - CHIPPEWA FALLS,48100084,37227,HC RVC EN PRC F/P W/AN/TR ST INT 37227,481,1 ,"$27,296.86 ","$20,472.65 ","$3,338.02 ","$35,005.46 ","$17,579.18 ","$15,557.98 ","$19,107.80 ","$3,338.02 ","$19,104.00 ","$3,438.16 ","$15,283.00 ","$25,932.02 ", N/A ,"$21,837.49 ","$24,840.14 ","$3,338.02 ","$25,659.05 ","$25,932.02 ","$24,567.17 ","$23,202.33 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$19,926.71 ","$15,557.98 ","$24,294.21 ","$24,567.17 ","$24,567.17 ","$21,837.49 ","$16,024.72 ","$15,013.27 ","$24,567.17 ","$15,557.98 ","$24,567.17 ","$15,557.98 ","$25,932.02 ","$35,005.46 ","$25,113.11 ","$3,538.30 ","$24,840.14 ","$15,557.98 ","$16,798.49 ","$17,579.18 ","$16,798.49 ","$24,567.17 ","$24,567.17 ","$20,472.65 ","$13,648.43 ","$15,713.56 ","$3,504.92 ","$25,522.56 ","$16,335.88 ","$3,338.02 ","$23,748.27 ","$15,557.98 ","$24,567.17 ","$15,557.98 ","$24,567.17 ","$24,567.17 ","$24,567.17 ","$26,477.95 ","$22,110.46 ","$24,567.17 ","$24,567.17 ","$24,567.17 ","$24,567.17 " ST. JOSEPH'S - CHIPPEWA FALLS,48100085,37228,HC RVC EN PRC T/P W/ANG INT VSL 37228,481,1 ,"$16,358.18 ","$12,268.64 ","$1,802.28 ","$21,884.82 ","$10,534.67 ","$9,726.59 ","$11,450.73 ","$1,802.28 ","$16,358.18 ","$1,856.35 ","$14,858.00 ","$15,540.27 ", N/A ,"$13,086.54 ","$14,885.94 ","$1,802.28 ","$15,376.69 ","$15,540.27 ","$14,722.36 ","$13,904.45 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$11,941.47 ","$9,726.59 ","$14,558.78 ","$14,722.36 ","$14,722.36 ","$13,086.54 ","$10,018.39 ","$8,997.00 ","$14,722.36 ","$9,726.59 ","$14,722.36 ","$9,726.59 ","$15,540.27 ","$21,884.82 ","$15,049.53 ","$1,910.42 ","$14,885.94 ","$9,726.59 ","$10,066.82 ","$10,534.67 ","$10,066.82 ","$14,722.36 ","$14,722.36 ","$12,268.64 ","$9,530.45 ","$9,823.85 ","$1,892.39 ","$15,294.90 ","$10,212.92 ","$1,802.28 ","$14,231.62 ","$9,726.59 ","$14,722.36 ","$9,726.59 ","$14,722.36 ","$14,722.36 ","$14,722.36 ","$15,867.43 ","$13,250.13 ","$14,722.36 ","$14,722.36 ","$14,722.36 ","$14,722.36 " ST. JOSEPH'S - CHIPPEWA FALLS,48100086,37229,HC RVC EN PRC T/P W/ANT INT VSL 37229,481,1 ,"$17,988.70 ","$13,491.53 ","$3,338.02 ","$35,005.46 ","$11,584.72 ","$15,557.98 ","$12,592.09 ","$3,338.02 ","$17,988.70 ","$3,438.16 ","$15,283.00 ","$17,089.27 ", N/A ,"$14,390.96 ","$16,369.72 ","$3,338.02 ","$16,909.38 ","$17,089.27 ","$16,189.83 ","$15,290.40 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$13,131.75 ","$15,557.98 ","$16,009.94 ","$16,189.83 ","$16,189.83 ","$14,390.96 ","$16,024.72 ","$9,893.79 ","$16,189.83 ","$15,557.98 ","$16,189.83 ","$15,557.98 ","$17,089.27 ","$35,005.46 ","$16,549.60 ","$3,538.30 ","$16,369.72 ","$15,557.98 ","$11,070.25 ","$11,584.72 ","$11,070.25 ","$16,189.83 ","$16,189.83 ","$13,491.53 ","$9,530.45 ","$15,713.56 ","$3,504.92 ","$16,819.43 ","$16,335.88 ","$3,338.02 ","$15,650.17 ","$15,557.98 ","$16,189.83 ","$15,557.98 ","$16,189.83 ","$16,189.83 ","$16,189.83 ","$17,449.04 ","$14,570.85 ","$16,189.83 ","$16,189.83 ","$16,189.83 ","$16,189.83 " ST. JOSEPH'S - CHIPPEWA FALLS,48100087,37230,HC RVC EN PRC T/P W/TRN SNT IN VS 37230,481,1 ,"$20,809.57 ","$15,607.18 ","$3,338.02 ","$35,005.46 ","$13,401.36 ","$15,557.98 ","$14,566.70 ","$3,338.02 ","$19,104.00 ","$3,438.16 ","$15,283.00 ","$19,769.09 ", N/A ,"$16,647.66 ","$18,936.71 ","$3,338.02 ","$19,561.00 ","$19,769.09 ","$18,728.61 ","$17,688.13 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$15,190.99 ","$15,557.98 ","$18,520.52 ","$18,728.61 ","$18,728.61 ","$16,647.66 ","$16,024.72 ","$11,445.26 ","$18,728.61 ","$15,557.98 ","$18,728.61 ","$15,557.98 ","$19,769.09 ","$35,005.46 ","$19,144.80 ","$3,538.30 ","$18,936.71 ","$15,557.98 ","$12,806.21 ","$13,401.36 ","$12,806.21 ","$18,728.61 ","$18,728.61 ","$15,607.18 ","$10,404.79 ","$15,713.56 ","$3,504.92 ","$19,456.95 ","$16,335.88 ","$3,338.02 ","$18,104.33 ","$15,557.98 ","$18,728.61 ","$15,557.98 ","$18,728.61 ","$18,728.61 ","$18,728.61 ","$20,185.28 ","$16,855.75 ","$18,728.61 ","$18,728.61 ","$18,728.61 ","$18,728.61 " ST. JOSEPH'S - CHIPPEWA FALLS,48100088,37231,HC RVC EN PRC T/P W/AN/TR ST IN V 37231,481,1 ,"$24,768.07 ","$18,576.05 ","$3,338.02 ","$35,005.46 ","$15,950.64 ","$15,557.98 ","$17,337.65 ","$3,338.02 ","$19,104.00 ","$3,438.16 ","$15,283.00 ","$23,529.67 ", N/A ,"$19,814.46 ","$22,538.94 ","$3,338.02 ","$23,281.99 ","$23,529.67 ","$22,291.26 ","$21,052.86 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$18,080.69 ","$15,557.98 ","$22,043.58 ","$22,291.26 ","$22,291.26 ","$19,814.46 ","$16,024.72 ","$13,622.44 ","$22,291.26 ","$15,557.98 ","$22,291.26 ","$15,557.98 ","$23,529.67 ","$35,005.46 ","$22,786.62 ","$3,538.30 ","$22,538.94 ","$15,557.98 ","$15,242.27 ","$15,950.64 ","$15,242.27 ","$22,291.26 ","$22,291.26 ","$18,576.05 ","$12,384.04 ","$15,713.56 ","$3,504.92 ","$23,158.15 ","$16,335.88 ","$3,338.02 ","$21,548.22 ","$15,557.98 ","$22,291.26 ","$15,557.98 ","$22,291.26 ","$22,291.26 ","$22,291.26 ","$24,025.03 ","$20,062.14 ","$22,291.26 ","$22,291.26 ","$22,291.26 ","$22,291.26 " ST. JOSEPH'S - CHIPPEWA FALLS,48100089,37232,HC RVC EN PRC T/P W/ANG EA AD VS 37232,481,1 ,"$11,887.29 ","$8,915.47 ","$3,338.02 ","$11,887.29 ","$7,655.41 ", N/A ,"$8,321.10 ","$3,338.02 ","$5,466.00 ","$3,438.16 ","$4,372.00 ","$11,292.93 ", N/A ,"$9,509.83 ","$10,817.43 ","$3,338.02 ","$11,174.05 ","$11,292.93 ","$10,698.56 ","$10,104.20 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$8,677.72 ", N/A ,"$10,579.69 ","$10,698.56 ","$10,698.56 ","$9,509.83 ", N/A ,"$6,538.01 ","$10,698.56 ", N/A ,"$10,698.56 ", N/A ,"$11,292.93 ", N/A ,"$10,936.31 ","$3,538.30 ","$10,817.43 ", N/A ,"$7,315.44 ","$7,655.41 ","$7,315.44 ","$10,698.56 ","$10,698.56 ","$8,915.47 ","$8,321.10 ", N/A ,"$3,504.92 ","$11,114.62 ", N/A ,"$3,338.02 ","$10,341.94 ", N/A ,"$10,698.56 ", N/A ,"$10,698.56 ","$10,698.56 ","$10,698.56 ","$11,530.67 ","$9,628.70 ","$10,698.56 ","$10,698.56 ","$10,698.56 ","$10,698.56 " ST. JOSEPH'S - CHIPPEWA FALLS,48100090,37233,HC RVC EN PRC T/P W/ANT EA AD VS 37233,481,1 ,"$9,344.81 ","$7,008.61 ","$3,338.02 ","$9,344.81 ","$6,018.06 ", N/A ,"$6,541.37 ","$3,338.02 ","$5,466.00 ","$3,438.16 ","$4,372.00 ","$8,877.57 ", N/A ,"$7,475.85 ","$8,503.78 ","$3,338.02 ","$8,784.12 ","$8,877.57 ","$8,410.33 ","$7,943.09 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$6,821.71 ", N/A ,"$8,316.88 ","$8,410.33 ","$8,410.33 ","$7,475.85 ", N/A ,"$5,139.65 ","$8,410.33 ", N/A ,"$8,410.33 ", N/A ,"$8,877.57 ", N/A ,"$8,597.23 ","$3,538.30 ","$8,503.78 ", N/A ,"$5,750.80 ","$6,018.06 ","$5,750.80 ","$8,410.33 ","$8,410.33 ","$7,008.61 ","$8,410.33 ", N/A ,"$3,504.92 ","$8,737.40 ", N/A ,"$3,338.02 ","$8,129.98 ", N/A ,"$8,410.33 ", N/A ,"$8,410.33 ","$8,410.33 ","$8,410.33 ","$9,064.47 ","$7,569.30 ","$8,410.33 ","$8,410.33 ","$8,410.33 ","$8,410.33 " ST. JOSEPH'S - CHIPPEWA FALLS,48100091,37234,HC RVC EN PRC T/P W/TRN SNT EA VS 37234,481,1 ,"$11,776.52 ","$8,832.39 ","$3,338.02 ","$11,776.52 ","$7,584.08 ", N/A ,"$8,243.56 ","$3,338.02 ","$5,466.00 ","$3,438.16 ","$4,372.00 ","$11,187.69 ", N/A ,"$9,421.22 ","$10,716.63 ","$3,338.02 ","$11,069.93 ","$11,187.69 ","$10,598.87 ","$10,010.04 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$8,596.86 ", N/A ,"$10,481.10 ","$10,598.87 ","$10,598.87 ","$9,421.22 ", N/A ,"$6,477.09 ","$10,598.87 ", N/A ,"$10,598.87 ", N/A ,"$11,187.69 ", N/A ,"$10,834.40 ","$3,538.30 ","$10,716.63 ", N/A ,"$7,247.27 ","$7,584.08 ","$7,247.27 ","$10,598.87 ","$10,598.87 ","$8,832.39 ","$8,243.56 ", N/A ,"$3,504.92 ","$11,011.05 ", N/A ,"$3,338.02 ","$10,245.57 ", N/A ,"$10,598.87 ", N/A ,"$10,598.87 ","$10,598.87 ","$10,598.87 ","$11,423.22 ","$9,538.98 ","$10,598.87 ","$10,598.87 ","$10,598.87 ","$10,598.87 " ST. JOSEPH'S - CHIPPEWA FALLS,48100092,37235,HC RVC EN PRC T/P W/AN/TR ST AD V 37235,481,1 ,"$11,203.76 ","$8,402.82 ","$3,338.02 ","$11,203.76 ","$7,215.22 ", N/A ,"$7,842.63 ","$3,338.02 ","$5,466.00 ","$3,438.16 ","$4,372.00 ","$10,643.57 ", N/A ,"$8,963.01 ","$10,195.42 ","$3,338.02 ","$10,531.53 ","$10,643.57 ","$10,083.38 ","$9,523.20 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$8,178.74 ", N/A ,"$9,971.35 ","$10,083.38 ","$10,083.38 ","$8,963.01 ", N/A ,"$6,162.07 ","$10,083.38 ", N/A ,"$10,083.38 ", N/A ,"$10,643.57 ", N/A ,"$10,307.46 ","$3,538.30 ","$10,195.42 ", N/A ,"$6,894.79 ","$7,215.22 ","$6,894.79 ","$10,083.38 ","$10,083.38 ","$8,402.82 ","$7,842.63 ", N/A ,"$3,504.92 ","$10,475.52 ", N/A ,"$3,338.02 ","$9,747.27 ", N/A ,"$10,083.38 ", N/A ,"$10,083.38 ","$10,083.38 ","$10,083.38 ","$10,867.65 ","$9,075.05 ","$10,083.38 ","$10,083.38 ","$10,083.38 ","$10,083.38 " ST. JOSEPH'S - CHIPPEWA FALLS,48100093,37252,HC US VASCULAR NON-CORONARY INIT 37252,481,1 ,"$4,109.92 ","$3,082.44 ",$534.02 ,"$4,109.92 ","$2,646.79 ", N/A ,"$2,876.94 ",$534.02 ,"$4,109.92 ",$550.04 ,"$4,109.92 ","$3,904.42 ", N/A ,"$3,287.94 ","$3,740.03 ",$534.02 ,"$3,863.32 ","$3,904.42 ","$3,698.93 ","$3,493.43 ",$534.02 ,$534.02 ,$534.02 ,"$3,000.24 ", N/A ,"$3,657.83 ","$3,698.93 ","$3,698.93 ","$3,287.94 ", N/A ,"$2,260.46 ","$3,698.93 ", N/A ,"$3,698.93 ", N/A ,"$3,904.42 ", N/A ,"$3,781.13 ",$566.06 ,"$3,740.03 ", N/A ,"$2,529.24 ","$2,646.79 ","$2,529.24 ","$3,698.93 ","$3,698.93 ","$3,082.44 ","$2,054.96 ", N/A ,$560.72 ,"$3,842.78 ", N/A ,$534.02 ,"$3,575.63 ", N/A ,"$3,698.93 ", N/A ,"$3,698.93 ","$3,698.93 ","$3,698.93 ","$3,986.62 ","$3,329.04 ","$3,698.93 ","$3,698.93 ","$3,698.93 ","$3,698.93 " ST. JOSEPH'S - CHIPPEWA FALLS,48100094,37253,HC US VASCULAR NON-CORON ADDL EA 37253,481,1 ,"$2,869.92 ","$2,152.44 ",$534.02 ,"$2,869.92 ","$1,848.23 ", N/A ,"$2,008.94 ",$534.02 ,"$2,869.92 ",$550.04 ,"$2,869.92 ","$2,726.42 ", N/A ,"$2,295.94 ","$2,611.63 ",$534.02 ,"$2,697.72 ","$2,726.42 ","$2,582.93 ","$2,439.43 ",$534.02 ,$534.02 ,$534.02 ,"$2,095.04 ", N/A ,"$2,554.23 ","$2,582.93 ","$2,582.93 ","$2,295.94 ", N/A ,"$1,578.46 ","$2,582.93 ", N/A ,"$2,582.93 ", N/A ,"$2,726.42 ", N/A ,"$2,640.33 ",$566.06 ,"$2,611.63 ", N/A ,"$1,766.15 ","$1,848.23 ","$1,766.15 ","$2,582.93 ","$2,582.93 ","$2,152.44 ","$1,434.96 ", N/A ,$560.72 ,"$2,683.38 ", N/A ,$534.02 ,"$2,496.83 ", N/A ,"$2,582.93 ", N/A ,"$2,582.93 ","$2,582.93 ","$2,582.93 ","$2,783.82 ","$2,324.64 ","$2,582.93 ","$2,582.93 ","$2,582.93 ","$2,582.93 " ST. JOSEPH'S - CHIPPEWA FALLS,48100096,92973,HC PTC TRANSLUM CORONARY THROMB 92973,481,1 ,"$3,597.67 ","$2,698.25 ","$1,978.72 ","$3,597.67 ","$2,316.90 ", N/A ,"$2,518.37 ","$2,710.53 ", N/A ,"$2,791.85 ", N/A ,"$3,417.79 ", N/A ,"$2,878.14 ","$3,273.88 ","$2,710.53 ","$3,381.81 ","$3,417.79 ","$3,237.90 ","$3,058.02 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$2,626.30 ", N/A ,"$3,201.93 ","$3,237.90 ","$3,237.90 ","$2,878.14 ", N/A ,"$1,978.72 ","$3,237.90 ", N/A ,"$3,237.90 ", N/A ,"$3,417.79 ", N/A ,"$3,309.86 ","$2,873.16 ","$3,273.88 ", N/A ,"$2,214.01 ","$2,316.90 ","$2,214.01 ","$3,237.90 ","$3,237.90 ","$2,698.25 ", N/A , N/A ,"$2,846.06 ","$3,363.82 ", N/A ,"$2,710.53 ","$3,129.97 ", N/A ,"$3,237.90 ", N/A ,"$3,237.90 ","$3,237.90 ","$3,237.90 ","$3,489.74 ","$2,914.11 ","$3,237.90 ","$3,237.90 ","$3,237.90 ","$3,237.90 " ST. JOSEPH'S - CHIPPEWA FALLS,48100097,92978,HC INTRAVASCULAR ULTRSOUND INTIAL 92978,481,1 ,"$4,571.46 ","$3,428.60 ",$53.35 ,"$4,571.46 ","$2,944.02 ", N/A ,"$3,200.02 ",$53.35 ,"$4,571.46 ",$54.95 ,"$4,372.00 ","$4,342.89 ", N/A ,"$3,657.17 ","$4,160.03 ",$53.35 ,"$4,297.17 ","$4,342.89 ","$4,114.31 ","$3,885.74 ",$53.35 ,$53.35 ,$53.35 ,"$3,337.17 ", N/A ,"$4,068.60 ","$4,114.31 ","$4,114.31 ","$3,657.17 ", N/A ,"$2,514.30 ","$4,114.31 ", N/A ,"$4,114.31 ", N/A ,"$4,342.89 ", N/A ,"$4,205.74 ",$56.55 ,"$4,160.03 ", N/A ,"$2,813.28 ","$2,944.02 ","$2,813.28 ","$4,114.31 ","$4,114.31 ","$3,428.60 ","$3,200.02 ", N/A ,$56.02 ,"$4,274.32 ", N/A ,$53.35 ,"$3,977.17 ", N/A ,"$4,114.31 ", N/A ,"$4,114.31 ","$4,114.31 ","$4,114.31 ","$4,434.32 ","$3,702.88 ","$4,114.31 ","$4,114.31 ","$4,114.31 ","$4,114.31 " ST. JOSEPH'S - CHIPPEWA FALLS,48100098,92979,HC INTRAVASCULAR ULTRSOUND EA ADD 92979,481,1 ,"$2,482.17 ","$1,861.63 ",$53.35 ,"$2,482.17 ","$1,598.52 ", N/A ,"$1,737.52 ",$53.35 , N/A ,$54.95 , N/A ,"$2,358.06 ", N/A ,"$1,985.74 ","$2,258.77 ",$53.35 ,"$2,333.24 ","$2,358.06 ","$2,233.95 ","$2,109.84 ",$53.35 ,$53.35 ,$53.35 ,"$1,811.98 ", N/A ,"$2,209.13 ","$2,233.95 ","$2,233.95 ","$1,985.74 ", N/A ,"$1,365.19 ","$2,233.95 ", N/A ,"$2,233.95 ", N/A ,"$2,358.06 ", N/A ,"$2,283.60 ",$56.55 ,"$2,258.77 ", N/A ,"$1,527.53 ","$1,598.52 ","$1,527.53 ","$2,233.95 ","$2,233.95 ","$1,861.63 ","$1,737.52 ", N/A ,$56.02 ,"$2,320.83 ", N/A ,$53.35 ,"$2,159.49 ", N/A ,"$2,233.95 ", N/A ,"$2,233.95 ","$2,233.95 ","$2,233.95 ","$2,407.70 ","$2,010.56 ","$2,233.95 ","$2,233.95 ","$2,233.95 ","$2,233.95 " ST. JOSEPH'S - CHIPPEWA FALLS,48100107,93451,HC CATH RIGHT HEART 93451,481,1 ,"$8,166.16 ","$6,124.62 ",$729.19 ,"$8,166.16 ","$5,259.01 ","$2,807.70 ","$5,716.31 ",$729.19 ,"$8,166.16 ",$751.07 ,"$8,166.16 ","$7,757.85 ", N/A ,"$6,532.93 ","$7,431.21 ",$729.19 ,"$7,676.19 ","$7,757.85 ","$7,349.54 ","$6,941.24 ",$729.19 ,$729.19 ,$729.19 ,"$5,961.30 ","$2,807.70 ","$7,267.88 ","$7,349.54 ","$7,349.54 ","$6,532.93 ","$2,891.93 ","$4,491.39 ","$7,349.54 ","$2,807.70 ","$7,349.54 ","$2,807.70 ","$7,757.85 ","$6,317.33 ","$7,512.87 ",$772.94 ,"$7,431.21 ","$2,807.70 ","$5,025.45 ","$5,259.01 ","$5,025.45 ","$7,349.54 ","$7,349.54 ","$6,124.62 ","$7,349.54 ","$2,835.78 ",$765.65 ,"$7,635.36 ","$2,948.09 ",$729.19 ,"$7,104.56 ","$2,807.70 ","$7,349.54 ","$2,807.70 ","$7,349.54 ","$7,349.54 ","$7,349.54 ","$7,921.18 ","$6,614.59 ","$7,349.54 ","$7,349.54 ","$7,349.54 ","$7,349.54 " ST. JOSEPH'S - CHIPPEWA FALLS,48100110,93454,HC CORONARY ANGIO ONLY/NO LV 93454,481,1 ,"$9,895.42 ","$7,421.57 ",$729.19 ,"$9,895.42 ","$6,372.65 ","$2,807.70 ","$6,926.79 ",$729.19 ,"$9,895.42 ",$751.07 ,"$9,895.42 ","$9,400.65 ", N/A ,"$7,916.34 ","$9,004.83 ",$729.19 ,"$9,301.69 ","$9,400.65 ","$8,905.88 ","$8,411.11 ",$729.19 ,$729.19 ,$729.19 ,"$7,223.66 ","$2,807.70 ","$8,806.92 ","$8,905.88 ","$8,905.88 ","$7,916.34 ","$2,891.93 ","$5,442.48 ","$8,905.88 ","$2,807.70 ","$8,905.88 ","$2,807.70 ","$9,400.65 ","$6,317.33 ","$9,103.79 ",$772.94 ,"$9,004.83 ","$2,807.70 ","$6,089.64 ","$6,372.65 ","$6,089.64 ","$8,905.88 ","$8,905.88 ","$7,421.57 ","$8,905.88 ","$2,835.78 ",$765.65 ,"$9,252.22 ","$2,948.09 ",$729.19 ,"$8,609.02 ","$2,807.70 ","$8,905.88 ","$2,807.70 ","$8,905.88 ","$8,905.88 ","$8,905.88 ","$9,598.56 ","$8,015.29 ","$8,905.88 ","$8,905.88 ","$8,905.88 ","$8,905.88 " ST. JOSEPH'S - CHIPPEWA FALLS,48100111,93455,HC CORO ANGIO AND GRAFTS ONLY NO LV 93455,481,1 ,"$10,189.07 ","$7,641.80 ",$729.19 ,"$10,189.07 ","$6,561.76 ","$2,807.70 ","$7,132.35 ",$729.19 ,"$10,189.07 ",$751.07 ,"$10,189.07 ","$9,679.62 ", N/A ,"$8,151.26 ","$9,272.05 ",$729.19 ,"$9,577.73 ","$9,679.62 ","$9,170.16 ","$8,660.71 ",$729.19 ,$729.19 ,$729.19 ,"$7,438.02 ","$2,807.70 ","$9,068.27 ","$9,170.16 ","$9,170.16 ","$8,151.26 ","$2,891.93 ","$5,603.99 ","$9,170.16 ","$2,807.70 ","$9,170.16 ","$2,807.70 ","$9,679.62 ","$6,317.33 ","$9,373.94 ",$772.94 ,"$9,272.05 ","$2,807.70 ","$6,270.35 ","$6,561.76 ","$6,270.35 ","$9,170.16 ","$9,170.16 ","$7,641.80 ","$9,170.16 ","$2,835.78 ",$765.65 ,"$9,526.78 ","$2,948.09 ",$729.19 ,"$8,864.49 ","$2,807.70 ","$9,170.16 ","$2,807.70 ","$9,170.16 ","$9,170.16 ","$9,170.16 ","$9,883.40 ","$8,253.15 ","$9,170.16 ","$9,170.16 ","$9,170.16 ","$9,170.16 " ST. JOSEPH'S - CHIPPEWA FALLS,48100112,93456,HC RHC CORONARY ANGIO/NO LV 93456,481,1 ,"$18,769.04 ","$14,076.78 ",$729.19 ,"$18,769.04 ","$12,087.26 ","$2,807.70 ","$13,138.33 ",$729.19 ,"$15,921.00 ",$751.07 ,"$12,736.00 ","$17,830.59 ", N/A ,"$15,015.23 ","$17,079.83 ",$729.19 ,"$17,642.90 ","$17,830.59 ","$16,892.14 ","$15,953.68 ",$729.19 ,$729.19 ,$729.19 ,"$13,701.40 ","$2,807.70 ","$16,704.45 ","$16,892.14 ","$16,892.14 ","$15,015.23 ","$2,891.93 ","$10,322.97 ","$16,892.14 ","$2,807.70 ","$16,892.14 ","$2,807.70 ","$17,830.59 ","$6,317.33 ","$17,267.52 ",$772.94 ,"$17,079.83 ","$2,807.70 ","$11,550.47 ","$12,087.26 ","$11,550.47 ","$16,892.14 ","$16,892.14 ","$14,076.78 ","$12,038.47 ","$2,835.78 ",$765.65 ,"$17,549.05 ","$2,948.09 ",$729.19 ,"$16,329.06 ","$2,807.70 ","$16,892.14 ","$2,807.70 ","$16,892.14 ","$16,892.14 ","$16,892.14 ","$18,205.97 ","$15,202.92 ","$16,892.14 ","$16,892.14 ","$16,892.14 ","$16,892.14 " ST. JOSEPH'S - CHIPPEWA FALLS,48100113,93457,HC RHC CORO ANGIO AND GRAFTS/NO LV 93457,481,1 ,"$18,475.71 ","$13,856.78 ",$729.19 ,"$18,475.71 ","$11,898.36 ","$2,807.70 ","$12,933.00 ",$729.19 ,"$15,921.00 ",$751.07 ,"$12,736.00 ","$17,551.92 ", N/A ,"$14,780.57 ","$16,812.90 ",$729.19 ,"$17,367.17 ","$17,551.92 ","$16,628.14 ","$15,704.35 ",$729.19 ,$729.19 ,$729.19 ,"$13,487.27 ","$2,807.70 ","$16,443.38 ","$16,628.14 ","$16,628.14 ","$14,780.57 ","$2,891.93 ","$10,161.64 ","$16,628.14 ","$2,807.70 ","$16,628.14 ","$2,807.70 ","$17,551.92 ","$6,317.33 ","$16,997.65 ",$772.94 ,"$16,812.90 ","$2,807.70 ","$11,369.95 ","$11,898.36 ","$11,369.95 ","$16,628.14 ","$16,628.14 ","$13,856.78 ","$12,038.47 ","$2,835.78 ",$765.65 ,"$17,274.79 ","$2,948.09 ",$729.19 ,"$16,073.87 ","$2,807.70 ","$16,628.14 ","$2,807.70 ","$16,628.14 ","$16,628.14 ","$16,628.14 ","$17,921.44 ","$14,965.33 ","$16,628.14 ","$16,628.14 ","$16,628.14 ","$16,628.14 " ST. JOSEPH'S - CHIPPEWA FALLS,48100114,93458,HC CORONARY ANGIO WITH LV 93458,481,1 ,"$11,923.73 ","$8,942.80 ",$729.19 ,"$11,923.73 ","$7,678.88 ","$2,807.70 ","$8,346.61 ",$729.19 ,"$11,923.73 ",$751.07 ,"$11,923.73 ","$11,327.54 ", N/A ,"$9,538.98 ","$10,850.59 ",$729.19 ,"$11,208.31 ","$11,327.54 ","$10,731.36 ","$10,135.17 ",$729.19 ,$729.19 ,$729.19 ,"$8,704.32 ","$2,807.70 ","$10,612.12 ","$10,731.36 ","$10,731.36 ","$9,538.98 ","$2,891.93 ","$6,558.05 ","$10,731.36 ","$2,807.70 ","$10,731.36 ","$2,807.70 ","$11,327.54 ","$6,317.33 ","$10,969.83 ",$772.94 ,"$10,850.59 ","$2,807.70 ","$7,337.86 ","$7,678.88 ","$7,337.86 ","$10,731.36 ","$10,731.36 ","$8,942.80 ","$10,731.36 ","$2,835.78 ",$765.65 ,"$11,148.69 ","$2,948.09 ",$729.19 ,"$10,373.65 ","$2,807.70 ","$10,731.36 ","$2,807.70 ","$10,731.36 ","$10,731.36 ","$10,731.36 ","$11,566.02 ","$9,658.22 ","$10,731.36 ","$10,731.36 ","$10,731.36 ","$10,731.36 " ST. JOSEPH'S - CHIPPEWA FALLS,48100115,93459,HC CORONARY ANGIO W GRAFTS AND LV 93459,481,1 ,"$12,583.70 ","$9,437.78 ",$729.19 ,"$12,583.70 ","$8,103.90 ","$2,807.70 ","$8,808.59 ",$729.19 ,"$12,583.70 ",$751.07 ,"$12,583.70 ","$11,954.52 ", N/A ,"$10,066.96 ","$11,451.17 ",$729.19 ,"$11,828.68 ","$11,954.52 ","$11,325.33 ","$10,696.15 ",$729.19 ,$729.19 ,$729.19 ,"$9,186.10 ","$2,807.70 ","$11,199.49 ","$11,325.33 ","$11,325.33 ","$10,066.96 ","$2,891.93 ","$6,921.04 ","$11,325.33 ","$2,807.70 ","$11,325.33 ","$2,807.70 ","$11,954.52 ","$6,317.33 ","$11,577.00 ",$772.94 ,"$11,451.17 ","$2,807.70 ","$7,744.01 ","$8,103.90 ","$7,744.01 ","$11,325.33 ","$11,325.33 ","$9,437.78 ","$11,325.33 ","$2,835.78 ",$765.65 ,"$11,765.76 ","$2,948.09 ",$729.19 ,"$10,947.82 ","$2,807.70 ","$11,325.33 ","$2,807.70 ","$11,325.33 ","$11,325.33 ","$11,325.33 ","$12,206.19 ","$10,192.80 ","$11,325.33 ","$11,325.33 ","$11,325.33 ","$11,325.33 " ST. JOSEPH'S - CHIPPEWA FALLS,48100116,93460,HC RHC/LHC/CORONAY ANGIO AND LV 93460,481,1 ,"$13,652.77 ","$10,239.58 ",$729.19 ,"$13,652.77 ","$8,792.38 ","$2,807.70 ","$9,556.94 ",$729.19 ,"$13,652.77 ",$751.07 ,"$12,736.00 ","$12,970.13 ", N/A ,"$10,922.22 ","$12,424.02 ",$729.19 ,"$12,833.60 ","$12,970.13 ","$12,287.49 ","$11,604.85 ",$729.19 ,$729.19 ,$729.19 ,"$9,966.52 ","$2,807.70 ","$12,150.97 ","$12,287.49 ","$12,287.49 ","$10,922.22 ","$2,891.93 ","$7,509.02 ","$12,287.49 ","$2,807.70 ","$12,287.49 ","$2,807.70 ","$12,970.13 ","$6,317.33 ","$12,560.55 ",$772.94 ,"$12,424.02 ","$2,807.70 ","$8,401.91 ","$8,792.38 ","$8,401.91 ","$12,287.49 ","$12,287.49 ","$10,239.58 ","$12,038.47 ","$2,835.78 ",$765.65 ,"$12,765.34 ","$2,948.09 ",$729.19 ,"$11,877.91 ","$2,807.70 ","$12,287.49 ","$2,807.70 ","$12,287.49 ","$12,287.49 ","$12,287.49 ","$13,243.19 ","$11,058.74 ","$12,287.49 ","$12,287.49 ","$12,287.49 ","$12,287.49 " ST. JOSEPH'S - CHIPPEWA FALLS,48100117,93461,HC RHC/LHC/CORON ANGIO GRAFTS AND LV 93461,481,1 ,"$12,739.08 ","$9,554.31 ",$729.19 ,"$12,739.08 ","$8,203.97 ","$2,807.70 ","$8,917.36 ",$729.19 ,"$12,739.08 ",$751.07 ,"$12,736.00 ","$12,102.13 ", N/A ,"$10,191.26 ","$11,592.56 ",$729.19 ,"$11,974.74 ","$12,102.13 ","$11,465.17 ","$10,828.22 ",$729.19 ,$729.19 ,$729.19 ,"$9,299.53 ","$2,807.70 ","$11,337.78 ","$11,465.17 ","$11,465.17 ","$10,191.26 ","$2,891.93 ","$7,006.49 ","$11,465.17 ","$2,807.70 ","$11,465.17 ","$2,807.70 ","$12,102.13 ","$6,317.33 ","$11,719.95 ",$772.94 ,"$11,592.56 ","$2,807.70 ","$7,839.63 ","$8,203.97 ","$7,839.63 ","$11,465.17 ","$11,465.17 ","$9,554.31 ","$11,465.17 ","$2,835.78 ",$765.65 ,"$11,911.04 ","$2,948.09 ",$729.19 ,"$11,083.00 ","$2,807.70 ","$11,465.17 ","$2,807.70 ","$11,465.17 ","$11,465.17 ","$11,465.17 ","$12,356.91 ","$10,318.65 ","$11,465.17 ","$11,465.17 ","$11,465.17 ","$11,465.17 " ST. JOSEPH'S - CHIPPEWA FALLS,48100119,93567,HC AORTAGRAM 93567,481,1 ,$390.39 ,$292.79 ,$86.58 ,$390.39 ,$251.41 , N/A ,$273.27 ,$86.58 , N/A ,$89.18 , N/A ,$370.87 , N/A ,$312.31 ,$355.25 ,$86.58 ,$366.97 ,$370.87 ,$351.35 ,$331.83 ,$86.58 ,$86.58 ,$86.58 ,$284.98 , N/A ,$347.45 ,$351.35 ,$351.35 ,$312.31 , N/A ,$214.71 ,$351.35 , N/A ,$351.35 , N/A ,$370.87 , N/A ,$359.16 ,$91.77 ,$355.25 , N/A ,$240.25 ,$251.41 ,$240.25 ,$351.35 ,$351.35 ,$292.79 , N/A , N/A ,$90.91 ,$365.01 , N/A ,$86.58 ,$339.64 , N/A ,$351.35 , N/A ,$351.35 ,$351.35 ,$351.35 ,$378.68 ,$316.22 ,$351.35 ,$351.35 ,$351.35 ,$351.35 ST. JOSEPH'S - CHIPPEWA FALLS,48100120,93571,HC INTRAVASC DOPP COLOR FLOW INIT 93571,481,1 ,"$3,132.19 ","$2,349.14 ",$534.02 ,"$3,132.19 ","$2,017.13 ", N/A ,"$2,192.53 ",$534.02 ,"$3,132.19 ",$550.04 ,"$3,132.19 ","$2,975.58 ", N/A ,"$2,505.75 ","$2,850.29 ",$534.02 ,"$2,944.26 ","$2,975.58 ","$2,818.97 ","$2,662.36 ",$534.02 ,$534.02 ,$534.02 ,"$2,286.50 ", N/A ,"$2,787.65 ","$2,818.97 ","$2,818.97 ","$2,505.75 ", N/A ,"$1,722.70 ","$2,818.97 ", N/A ,"$2,818.97 ", N/A ,"$2,975.58 ", N/A ,"$2,881.61 ",$566.06 ,"$2,850.29 ", N/A ,"$1,927.55 ","$2,017.13 ","$1,927.55 ","$2,818.97 ","$2,818.97 ","$2,349.14 ","$2,192.53 ", N/A ,$560.72 ,"$2,928.60 ", N/A ,$534.02 ,"$2,725.01 ", N/A ,"$2,818.97 ", N/A ,"$2,818.97 ","$2,818.97 ","$2,818.97 ","$3,038.22 ","$2,537.07 ","$2,818.97 ","$2,818.97 ","$2,818.97 ","$2,818.97 " ST. JOSEPH'S - CHIPPEWA FALLS,48100121,93572,HC INTRAVASC DOPP COLOR FLOW ADDL 93572,481,1 ,$868.60 ,$651.45 ,$477.73 ,$868.60 ,$559.38 , N/A ,$608.02 ,$534.02 ,$868.60 ,$550.04 ,$868.60 ,$825.17 , N/A ,$694.88 ,$790.43 ,$534.02 ,$816.48 ,$825.17 ,$781.74 ,$738.31 ,$534.02 ,$534.02 ,$534.02 ,$634.08 , N/A ,$773.05 ,$781.74 ,$781.74 ,$694.88 , N/A ,$477.73 ,$781.74 , N/A ,$781.74 , N/A ,$825.17 , N/A ,$799.11 ,$566.06 ,$790.43 , N/A ,$534.54 ,$559.38 ,$534.54 ,$781.74 ,$781.74 ,$651.45 ,$608.02 , N/A ,$560.72 ,$812.14 , N/A ,$534.02 ,$755.68 , N/A ,$781.74 , N/A ,$781.74 ,$781.74 ,$781.74 ,$842.54 ,$703.57 ,$781.74 ,$781.74 ,$781.74 ,$781.74 ST. JOSEPH'S - CHIPPEWA FALLS,48100133,93641,HC EP EVAL CARDIO/DEFIB GENERATOR 93641,481,1 ,"$3,028.90 ","$2,271.68 ","$1,412.36 ","$3,028.90 ","$1,950.61 ", N/A ,"$2,120.23 ","$1,412.36 ", N/A ,"$1,454.73 ", N/A ,"$2,877.46 ", N/A ,"$2,423.12 ","$2,756.30 ","$1,412.36 ","$2,847.17 ","$2,877.46 ","$2,726.01 ","$2,574.57 ","$1,412.36 ","$1,412.36 ","$1,412.36 ","$2,211.10 ", N/A ,"$2,695.72 ","$2,726.01 ","$2,726.01 ","$2,423.12 ", N/A ,"$1,665.90 ","$2,726.01 ", N/A ,"$2,726.01 ", N/A ,"$2,877.46 ", N/A ,"$2,786.59 ","$1,497.10 ","$2,756.30 ", N/A ,"$1,863.99 ","$1,950.61 ","$1,863.99 ","$2,726.01 ","$2,726.01 ","$2,271.68 ","$2,482.67 ", N/A ,"$1,482.98 ","$2,832.02 ", N/A ,"$1,412.36 ","$2,635.14 ", N/A ,"$2,726.01 ", N/A ,"$2,726.01 ","$2,726.01 ","$2,726.01 ","$2,938.03 ","$2,453.41 ","$2,726.01 ","$2,726.01 ","$2,726.01 ","$2,726.01 " ST. JOSEPH'S - CHIPPEWA FALLS,48100135,93642,HC EP EVAL CARDIO/DEFIB SGL/DUAL 93642,481,1 ,"$1,322.34 ",$991.76 ,$727.29 ,"$2,424.89 ",$851.59 ,"$1,077.73 ",$925.64 ,"$1,322.34 ", N/A ,"$1,454.73 ", N/A ,"$1,256.22 ", N/A ,"$1,057.87 ","$1,203.33 ","$1,322.34 ","$1,243.00 ","$1,256.22 ","$1,190.11 ","$1,123.99 ","$1,412.36 ","$1,412.36 ","$1,412.36 ",$965.31 ,"$1,077.73 ","$1,176.88 ","$1,190.11 ","$1,190.11 ","$1,057.87 ","$1,110.06 ",$727.29 ,"$1,190.11 ","$1,077.73 ","$1,190.11 ","$1,077.73 ","$1,256.22 ","$2,424.89 ","$1,216.55 ","$1,497.10 ","$1,203.33 ","$1,077.73 ",$813.77 ,$851.59 ,$813.77 ,"$1,190.11 ","$1,190.11 ",$991.76 ,"$1,190.11 ","$1,088.50 ","$1,482.98 ","$1,236.39 ","$1,131.62 ","$1,322.34 ","$1,150.44 ","$1,077.73 ","$1,190.11 ","$1,077.73 ","$1,190.11 ","$1,190.11 ","$1,190.11 ","$1,282.67 ","$1,071.10 ","$1,190.11 ","$1,190.11 ","$1,190.11 ","$1,190.11 " ST. JOSEPH'S - CHIPPEWA FALLS,48100139,93660,HC TILT TABLE EVALUATION 93660,481,1 ,"$1,175.60 ",$881.70 ,$76.32 ,"$1,175.60 ",$757.09 ,$472.41 ,$822.92 ,$76.32 ,"$1,175.60 ",$78.61 ,"$1,175.60 ","$1,116.82 ", N/A ,$940.48 ,"$1,069.80 ",$76.32 ,"$1,105.06 ","$1,116.82 ","$1,058.04 ",$999.26 ,$76.32 ,$76.32 ,$76.32 ,$858.19 ,$472.41 ,"$1,046.28 ","$1,058.04 ","$1,058.04 ",$940.48 ,$486.59 ,$646.58 ,"$1,058.04 ",$472.41 ,"$1,058.04 ",$472.41 ,"$1,116.82 ","$1,062.93 ","$1,081.55 ",$80.90 ,"$1,069.80 ",$472.41 ,$723.46 ,$757.09 ,$723.46 ,"$1,058.04 ","$1,058.04 ",$881.70 ,$782.50 ,$477.14 ,$80.14 ,"$1,099.19 ",$496.03 ,$76.32 ,"$1,022.77 ",$472.41 ,"$1,058.04 ",$472.41 ,"$1,058.04 ","$1,058.04 ","$1,058.04 ","$1,140.33 ",$952.24 ,"$1,058.04 ","$1,058.04 ","$1,058.04 ","$1,058.04 " ST. JOSEPH'S - CHIPPEWA FALLS,48100151,33227,HC REM/REPL PCMKR PUL GEN SGL 33227,481,1 ,"$10,088.33 ","$7,566.25 ","$2,452.48 ","$17,765.49 ","$6,496.88 ","$7,895.77 ","$7,061.83 ","$2,452.48 ","$10,088.33 ","$2,526.05 ","$10,088.33 ","$9,583.91 ", N/A ,"$8,070.66 ","$9,180.38 ","$2,452.48 ","$9,483.03 ","$9,583.91 ","$9,079.50 ","$8,575.08 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$7,364.48 ","$7,895.77 ","$8,978.61 ","$9,079.50 ","$9,079.50 ","$8,070.66 ","$8,132.65 ","$5,548.58 ","$9,079.50 ","$7,895.77 ","$9,079.50 ","$7,895.77 ","$9,583.91 ","$17,765.49 ","$9,281.26 ","$2,599.63 ","$9,180.38 ","$7,895.77 ","$6,208.36 ","$6,496.88 ","$6,208.36 ","$9,079.50 ","$9,079.50 ","$7,566.25 ","$6,520.84 ","$7,974.73 ","$2,575.10 ","$9,432.59 ","$8,290.56 ","$2,452.48 ","$8,776.85 ","$7,895.77 ","$9,079.50 ","$7,895.77 ","$9,079.50 ","$9,079.50 ","$9,079.50 ","$9,785.68 ","$8,171.55 ","$9,079.50 ","$9,079.50 ","$9,079.50 ","$9,079.50 " ST. JOSEPH'S - CHIPPEWA FALLS,48100152,33228,HC REM/REPL PCMKR PUL GEN DUAL 33228,481,1 ,"$13,498.91 ","$10,124.18 ","$2,452.48 ","$22,663.23 ","$8,693.30 ","$10,072.55 ","$9,449.24 ","$2,452.48 ","$13,498.91 ","$2,526.05 ","$13,498.91 ","$12,823.96 ", N/A ,"$10,799.13 ","$12,284.01 ","$2,452.48 ","$12,688.98 ","$12,823.96 ","$12,149.02 ","$11,474.07 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$9,854.20 ","$10,072.55 ","$12,014.03 ","$12,149.02 ","$12,149.02 ","$10,799.13 ","$10,374.72 ","$7,424.40 ","$12,149.02 ","$10,072.55 ","$12,149.02 ","$10,072.55 ","$12,823.96 ","$22,663.23 ","$12,419.00 ","$2,599.63 ","$12,284.01 ","$10,072.55 ","$8,307.23 ","$8,693.30 ","$8,307.23 ","$12,149.02 ","$12,149.02 ","$10,124.18 ","$6,749.46 ","$10,173.27 ","$2,575.10 ","$12,621.48 ","$10,576.18 ","$2,452.48 ","$11,744.05 ","$10,072.55 ","$12,149.02 ","$10,072.55 ","$12,149.02 ","$12,149.02 ","$12,149.02 ","$13,093.94 ","$10,934.12 ","$12,149.02 ","$12,149.02 ","$12,149.02 ","$12,149.02 " ST. JOSEPH'S - CHIPPEWA FALLS,48100153,33229,HC REM/REPL PCMKR PUL GEN MULT 33229,481,1 ,"$20,232.25 ","$15,174.19 ","$2,452.48 ","$40,556.26 ","$13,029.57 ","$18,025.01 ","$14,162.58 ","$2,452.48 ","$19,104.00 ","$2,526.05 ","$15,283.00 ","$19,220.64 ", N/A ,"$16,185.80 ","$18,411.35 ","$2,452.48 ","$19,018.32 ","$19,220.64 ","$18,209.03 ","$17,197.41 ","$2,452.48 ","$2,452.48 ","$2,452.48 ","$14,769.54 ","$18,025.01 ","$18,006.70 ","$18,209.03 ","$18,209.03 ","$16,185.80 ","$18,565.76 ","$11,127.74 ","$18,209.03 ","$18,025.01 ","$18,209.03 ","$18,025.01 ","$19,220.64 ","$40,556.26 ","$18,613.67 ","$2,599.63 ","$18,411.35 ","$18,025.01 ","$12,450.93 ","$13,029.57 ","$12,450.93 ","$18,209.03 ","$18,209.03 ","$15,174.19 ","$10,116.13 ","$18,205.26 ","$2,575.10 ","$18,917.15 ","$18,926.26 ","$2,452.48 ","$17,602.06 ","$18,025.01 ","$18,209.03 ","$18,025.01 ","$18,209.03 ","$18,209.03 ","$18,209.03 ","$19,625.28 ","$16,388.12 ","$18,209.03 ","$18,209.03 ","$18,209.03 ","$18,209.03 " ST. JOSEPH'S - CHIPPEWA FALLS,48100154,33262,HC REM/REPL DEFIB PUL GEN SGL 33262,481,1 ,"$28,671.84 ","$21,503.88 ","$7,563.07 ","$50,207.39 ","$18,464.67 ","$22,314.40 ","$20,070.29 ","$7,563.07 ","$19,104.00 ","$7,789.96 ","$15,283.00 ","$27,238.25 ", N/A ,"$22,937.47 ","$26,091.37 ","$7,563.07 ","$26,951.53 ","$27,238.25 ","$25,804.66 ","$24,371.06 ","$7,563.07 ","$7,563.07 ","$7,563.07 ","$20,930.44 ","$22,314.40 ","$25,517.94 ","$25,804.66 ","$25,804.66 ","$22,937.47 ","$22,983.83 ","$15,769.51 ","$25,804.66 ","$22,314.40 ","$25,804.66 ","$22,314.40 ","$27,238.25 ","$50,207.39 ","$26,378.09 ","$8,016.85 ","$26,091.37 ","$22,314.40 ","$17,644.65 ","$18,464.67 ","$17,644.65 ","$25,804.66 ","$25,804.66 ","$21,503.88 ","$14,335.92 ","$22,537.54 ","$7,941.22 ","$26,808.17 ","$23,430.12 ","$7,563.07 ","$24,944.50 ","$22,314.40 ","$25,804.66 ","$22,314.40 ","$25,804.66 ","$25,804.66 ","$25,804.66 ","$27,811.68 ","$23,224.19 ","$25,804.66 ","$25,804.66 ","$25,804.66 ","$25,804.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100155,33263,HC REM/REPL DEFIB PUL GEN DUAL 33263,481,1 ,"$28,671.84 ","$21,503.88 ","$7,563.07 ","$50,207.39 ","$18,464.67 ","$22,314.40 ","$20,070.29 ","$7,563.07 ","$19,104.00 ","$7,789.96 ","$15,283.00 ","$27,238.25 ", N/A ,"$22,937.47 ","$26,091.37 ","$7,563.07 ","$26,951.53 ","$27,238.25 ","$25,804.66 ","$24,371.06 ","$7,563.07 ","$7,563.07 ","$7,563.07 ","$20,930.44 ","$22,314.40 ","$25,517.94 ","$25,804.66 ","$25,804.66 ","$22,937.47 ","$22,983.83 ","$15,769.51 ","$25,804.66 ","$22,314.40 ","$25,804.66 ","$22,314.40 ","$27,238.25 ","$50,207.39 ","$26,378.09 ","$8,016.85 ","$26,091.37 ","$22,314.40 ","$17,644.65 ","$18,464.67 ","$17,644.65 ","$25,804.66 ","$25,804.66 ","$21,503.88 ","$14,335.92 ","$22,537.54 ","$7,941.22 ","$26,808.17 ","$23,430.12 ","$7,563.07 ","$24,944.50 ","$22,314.40 ","$25,804.66 ","$22,314.40 ","$25,804.66 ","$25,804.66 ","$25,804.66 ","$27,811.68 ","$23,224.19 ","$25,804.66 ","$25,804.66 ","$25,804.66 ","$25,804.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100156,33264,HC REM/REPL DEFIB PUL GEN MULT 33264,481,1 ,"$28,671.84 ","$21,503.88 ","$7,563.07 ","$71,560.05 ","$18,464.67 ","$31,804.47 ","$20,070.29 ","$7,563.07 ","$19,104.00 ","$7,789.96 ","$15,283.00 ","$27,238.25 ", N/A ,"$22,937.47 ","$26,091.37 ","$7,563.07 ","$26,951.53 ","$27,238.25 ","$25,804.66 ","$24,371.06 ","$7,563.07 ","$7,563.07 ","$7,563.07 ","$20,930.44 ","$31,804.47 ","$25,517.94 ","$25,804.66 ","$25,804.66 ","$22,937.47 ","$32,758.60 ","$15,769.51 ","$25,804.66 ","$31,804.47 ","$25,804.66 ","$31,804.47 ","$27,238.25 ","$71,560.05 ","$26,378.09 ","$8,016.85 ","$26,091.37 ","$31,804.47 ","$17,644.65 ","$18,464.67 ","$17,644.65 ","$25,804.66 ","$25,804.66 ","$21,503.88 ","$14,335.92 ","$32,122.51 ","$7,941.22 ","$26,808.17 ","$33,394.69 ","$7,563.07 ","$24,944.50 ","$31,804.47 ","$25,804.66 ","$31,804.47 ","$25,804.66 ","$25,804.66 ","$25,804.66 ","$27,811.68 ","$23,224.19 ","$25,804.66 ","$25,804.66 ","$25,804.66 ","$25,804.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100171,36253,HC PLC CATH RENAL ANGIO 1< UNI,481,1 ,"$2,282.24 ","$1,711.68 ","$1,067.27 ","$10,395.23 ","$1,469.76 ","$4,620.10 ","$1,597.57 ","$1,067.27 ","$2,282.24 ","$1,099.29 ","$2,282.24 ","$2,168.13 ", N/A ,"$1,825.79 ","$2,076.84 ","$1,067.27 ","$2,145.31 ","$2,168.13 ","$2,054.02 ","$1,939.90 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$1,666.04 ","$4,620.10 ","$2,031.19 ","$2,054.02 ","$2,054.02 ","$1,825.79 ","$4,758.71 ","$1,255.23 ","$2,054.02 ","$4,620.10 ","$2,054.02 ","$4,620.10 ","$2,168.13 ","$10,395.23 ","$2,099.66 ","$1,131.31 ","$2,076.84 ","$4,620.10 ","$1,404.49 ","$1,469.76 ","$1,404.49 ","$2,054.02 ","$2,054.02 ","$1,711.68 ","$2,054.02 ","$4,666.30 ","$1,120.63 ","$2,133.89 ","$4,851.11 ","$1,067.27 ","$1,985.55 ","$4,620.10 ","$2,054.02 ","$4,620.10 ","$2,054.02 ","$2,054.02 ","$2,054.02 ","$2,213.77 ","$1,848.61 ","$2,054.02 ","$2,054.02 ","$2,054.02 ","$2,054.02 " ST. JOSEPH'S - CHIPPEWA FALLS,48100172,36254,HC PLC CATH RENAL ANGIO 1< BIL,481,1 ,"$3,106.32 ","$2,329.74 ","$1,067.27 ","$6,235.91 ","$2,000.47 ","$2,771.52 ","$2,174.42 ","$1,067.27 ","$3,106.32 ","$1,099.29 ","$3,106.32 ","$2,951.00 ", N/A ,"$2,485.06 ","$2,826.75 ","$1,067.27 ","$2,919.94 ","$2,951.00 ","$2,795.69 ","$2,640.37 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$2,267.61 ","$2,771.52 ","$2,764.62 ","$2,795.69 ","$2,795.69 ","$2,485.06 ","$2,854.66 ","$1,708.48 ","$2,795.69 ","$2,771.52 ","$2,795.69 ","$2,771.52 ","$2,951.00 ","$6,235.91 ","$2,857.81 ","$1,131.31 ","$2,826.75 ","$2,771.52 ","$1,911.63 ","$2,000.47 ","$1,911.63 ","$2,795.69 ","$2,795.69 ","$2,329.74 ","$2,795.69 ","$2,799.23 ","$1,120.63 ","$2,904.41 ","$2,910.10 ","$1,067.27 ","$2,702.50 ","$2,771.52 ","$2,795.69 ","$2,771.52 ","$2,795.69 ","$2,795.69 ","$2,795.69 ","$3,013.13 ","$2,516.12 ","$2,795.69 ","$2,795.69 ","$2,795.69 ","$2,795.69 " ST. JOSEPH'S - CHIPPEWA FALLS,48100173,37193,HC FILTER REMOVAL,481,1 ,"$2,729.96 ","$2,047.47 ","$1,095.68 ","$6,235.91 ","$1,758.09 ","$2,771.52 ","$1,910.97 ","$1,095.68 ","$2,729.96 ","$1,128.55 ","$2,729.96 ","$2,593.46 ", N/A ,"$2,183.97 ","$2,484.26 ","$1,095.68 ","$2,566.16 ","$2,593.46 ","$2,456.96 ","$2,320.47 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$1,992.87 ","$2,771.52 ","$2,429.66 ","$2,456.96 ","$2,456.96 ","$2,183.97 ","$2,854.66 ","$1,501.48 ","$2,456.96 ","$2,771.52 ","$2,456.96 ","$2,771.52 ","$2,593.46 ","$6,235.91 ","$2,511.56 ","$1,161.42 ","$2,484.26 ","$2,771.52 ","$1,680.02 ","$1,758.09 ","$1,680.02 ","$2,456.96 ","$2,456.96 ","$2,047.47 ","$2,456.96 ","$2,799.23 ","$1,150.46 ","$2,552.51 ","$2,910.10 ","$1,095.68 ","$2,375.07 ","$2,771.52 ","$2,456.96 ","$2,771.52 ","$2,456.96 ","$2,456.96 ","$2,456.96 ","$2,648.06 ","$2,211.27 ","$2,456.96 ","$2,456.96 ","$2,456.96 ","$2,456.96 " ST. JOSEPH'S - CHIPPEWA FALLS,48100176,37216,HC PL STENT TRNSCATH CAROT ART W/O,481,1 ,"$2,841.01 ","$2,130.76 ","$1,562.56 ","$2,841.01 ","$1,829.61 ", N/A ,"$1,988.71 ","$1,802.28 ","$2,841.01 ","$1,856.35 ","$2,841.01 ","$2,698.96 ", N/A ,"$2,272.81 ","$2,585.32 ","$1,802.28 ","$2,670.55 ","$2,698.96 ","$2,556.91 ","$2,414.86 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$2,073.94 ", N/A ,"$2,528.50 ","$2,556.91 ","$2,556.91 ","$2,272.81 ", N/A ,"$1,562.56 ","$2,556.91 ", N/A ,"$2,556.91 ", N/A ,"$2,698.96 ", N/A ,"$2,613.73 ","$1,910.42 ","$2,585.32 ", N/A ,"$1,748.36 ","$1,829.61 ","$1,748.36 ","$2,556.91 ","$2,556.91 ","$2,130.76 ","$1,988.71 ", N/A ,"$1,892.39 ","$2,656.34 ", N/A ,"$1,802.28 ","$2,471.68 ", N/A ,"$2,556.91 ", N/A ,"$2,556.91 ","$2,556.91 ","$2,556.91 ","$2,755.78 ","$2,301.22 ","$2,556.91 ","$2,556.91 ","$2,556.91 ","$2,556.91 " ST. JOSEPH'S - CHIPPEWA FALLS,48100181,37212,HC VENOUS THROMBOLYSIS; INIT DAY 37212,481,1 ,"$6,273.98 ","$4,705.49 ","$1,095.68 ","$6,273.98 ","$4,040.44 ","$2,771.52 ","$4,391.79 ","$1,095.68 ","$6,273.98 ","$1,128.55 ","$6,273.98 ","$5,960.28 ", N/A ,"$5,019.18 ","$5,709.32 ","$1,095.68 ","$5,897.54 ","$5,960.28 ","$5,646.58 ","$5,332.88 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$4,580.01 ","$2,771.52 ","$5,583.84 ","$5,646.58 ","$5,646.58 ","$5,019.18 ","$2,854.66 ","$3,450.69 ","$5,646.58 ","$2,771.52 ","$5,646.58 ","$2,771.52 ","$5,960.28 ","$6,235.91 ","$5,772.06 ","$1,161.42 ","$5,709.32 ","$2,771.52 ","$3,861.01 ","$4,040.44 ","$3,861.01 ","$5,646.58 ","$5,646.58 ","$4,705.49 ","$5,016.03 ","$2,799.23 ","$1,150.46 ","$5,866.17 ","$2,910.10 ","$1,095.68 ","$5,458.36 ","$2,771.52 ","$5,646.58 ","$2,771.52 ","$5,646.58 ","$5,646.58 ","$5,646.58 ","$6,085.76 ","$5,081.92 ","$5,646.58 ","$5,646.58 ","$5,646.58 ","$5,646.58 " ST. JOSEPH'S - CHIPPEWA FALLS,48100182,37214,HC THROMBO CESS/CLOS; SUBSQ DAY 37214,481,1 ,"$1,102.28 ",$826.71 ,$606.25 ,"$6,235.91 ",$709.87 ,"$2,771.52 ",$771.60 ,"$1,095.68 ","$1,102.28 ","$1,128.55 ","$1,102.28 ","$1,047.17 ", N/A ,$881.82 ,"$1,003.07 ","$1,095.68 ","$1,036.14 ","$1,047.17 ",$992.05 ,$936.94 ,"$1,095.68 ","$1,095.68 ","$1,095.68 ",$804.66 ,"$2,771.52 ",$981.03 ,$992.05 ,$992.05 ,$881.82 ,"$2,854.66 ",$606.25 ,$992.05 ,"$2,771.52 ",$992.05 ,"$2,771.52 ","$1,047.17 ","$6,235.91 ","$1,014.10 ","$1,161.42 ","$1,003.07 ","$2,771.52 ",$678.34 ,$709.87 ,$678.34 ,$992.05 ,$992.05 ,$826.71 ,$992.05 ,"$2,799.23 ","$1,150.46 ","$1,030.63 ","$2,910.10 ","$1,095.68 ",$958.98 ,"$2,771.52 ",$992.05 ,"$2,771.52 ",$992.05 ,$992.05 ,$992.05 ,"$1,069.21 ",$892.85 ,$992.05 ,$992.05 ,$992.05 ,$992.05 ST. JOSEPH'S - CHIPPEWA FALLS,48100183,36225,HC CATH PLCMT SEL SUBCL/INOM VERTEB UNI 36225,481,1 ,"$11,561.62 ","$8,671.22 ","$1,067.27 ","$11,561.62 ","$7,445.68 ","$2,771.52 ","$8,093.13 ","$1,067.27 ","$9,553.00 ","$1,099.29 ","$7,642.00 ","$10,983.54 ", N/A ,"$9,249.30 ","$10,521.07 ","$1,067.27 ","$10,867.92 ","$10,983.54 ","$10,405.46 ","$9,827.38 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$8,439.98 ","$2,771.52 ","$10,289.84 ","$10,405.46 ","$10,405.46 ","$9,249.30 ","$2,854.66 ","$6,358.89 ","$10,405.46 ","$2,771.52 ","$10,405.46 ","$2,771.52 ","$10,983.54 ","$6,235.91 ","$10,636.69 ","$1,131.31 ","$10,521.07 ","$2,771.52 ","$7,115.02 ","$7,445.68 ","$7,115.02 ","$10,405.46 ","$10,405.46 ","$8,671.22 ","$5,780.81 ","$2,799.23 ","$1,120.63 ","$10,810.11 ","$2,910.10 ","$1,067.27 ","$10,058.61 ","$2,771.52 ","$10,405.46 ","$2,771.52 ","$10,405.46 ","$10,405.46 ","$10,405.46 ","$11,214.77 ","$9,364.91 ","$10,405.46 ","$10,405.46 ","$10,405.46 ","$10,405.46 " ST. JOSEPH'S - CHIPPEWA FALLS,48100184,36228,HC CATH PLCMT SEL EA INTRACRN BRANCH UNI 36228,481,1 ,"$4,377.52 ","$3,283.14 ","$1,067.27 ","$4,377.52 ","$2,819.12 ", N/A ,"$3,064.26 ","$1,067.27 ","$4,377.52 ","$1,099.29 ","$4,372.00 ","$4,158.64 ", N/A ,"$3,502.02 ","$3,983.54 ","$1,067.27 ","$4,114.87 ","$4,158.64 ","$3,939.77 ","$3,720.89 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$3,195.59 ", N/A ,"$3,895.99 ","$3,939.77 ","$3,939.77 ","$3,502.02 ", N/A ,"$2,407.64 ","$3,939.77 ", N/A ,"$3,939.77 ", N/A ,"$4,158.64 ", N/A ,"$4,027.32 ","$1,131.31 ","$3,983.54 ", N/A ,"$2,693.93 ","$2,819.12 ","$2,693.93 ","$3,939.77 ","$3,939.77 ","$3,283.14 ","$2,188.76 ", N/A ,"$1,120.63 ","$4,092.98 ", N/A ,"$1,067.27 ","$3,808.44 ", N/A ,"$3,939.77 ", N/A ,"$3,939.77 ","$3,939.77 ","$3,939.77 ","$4,246.19 ","$3,545.79 ","$3,939.77 ","$3,939.77 ","$3,939.77 ","$3,939.77 " ST. JOSEPH'S - CHIPPEWA FALLS,48100185,37211,HC ARTRL THROMBOLYSIS; INIT DAY 37211,481,1 ,"$6,273.98 ","$4,705.49 ","$1,095.68 ","$10,395.23 ","$4,040.44 ","$4,620.10 ","$4,391.79 ","$1,095.68 ","$6,273.98 ","$1,128.55 ","$6,273.98 ","$5,960.28 ", N/A ,"$5,019.18 ","$5,709.32 ","$1,095.68 ","$5,897.54 ","$5,960.28 ","$5,646.58 ","$5,332.88 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$4,580.01 ","$4,620.10 ","$5,583.84 ","$5,646.58 ","$5,646.58 ","$5,019.18 ","$4,758.71 ","$3,450.69 ","$5,646.58 ","$4,620.10 ","$5,646.58 ","$4,620.10 ","$5,960.28 ","$10,395.23 ","$5,772.06 ","$1,161.42 ","$5,709.32 ","$4,620.10 ","$3,861.01 ","$4,040.44 ","$3,861.01 ","$5,646.58 ","$5,646.58 ","$4,705.49 ","$5,646.58 ","$4,666.30 ","$1,150.46 ","$5,866.17 ","$4,851.11 ","$1,095.68 ","$5,458.36 ","$4,620.10 ","$5,646.58 ","$4,620.10 ","$5,646.58 ","$5,646.58 ","$5,646.58 ","$6,085.76 ","$5,081.92 ","$5,646.58 ","$5,646.58 ","$5,646.58 ","$5,646.58 " ST. JOSEPH'S - CHIPPEWA FALLS,48100186,37213,HC ARTRL/VENOUS THROMBOLYSIS; SUBSQ DAY 37213,481,1 ,$918.57 ,$688.93 ,$505.21 ,"$6,235.91 ",$591.56 ,"$2,771.52 ",$643.00 ,$918.57 ,$918.57 ,"$1,128.55 ",$918.57 ,$872.64 , N/A ,$734.86 ,$835.90 ,$918.57 ,$863.46 ,$872.64 ,$826.71 ,$780.78 ,"$1,095.68 ","$1,095.68 ","$1,095.68 ",$670.56 ,"$2,771.52 ",$817.53 ,$826.71 ,$826.71 ,$734.86 ,"$2,854.66 ",$505.21 ,$826.71 ,"$2,771.52 ",$826.71 ,"$2,771.52 ",$872.64 ,"$6,235.91 ",$845.08 ,"$1,161.42 ",$835.90 ,"$2,771.52 ",$565.29 ,$591.56 ,$565.29 ,$826.71 ,$826.71 ,$688.93 ,$826.71 ,"$2,799.23 ","$1,150.46 ",$858.86 ,"$2,910.10 ",$918.57 ,$799.16 ,"$2,771.52 ",$826.71 ,"$2,771.52 ",$826.71 ,$826.71 ,$826.71 ,$891.01 ,$744.04 ,$826.71 ,$826.71 ,$826.71 ,$826.71 ST. JOSEPH'S - CHIPPEWA FALLS,48100187,37197,HC TRANSCATH RETRVAL FOREIGN BODY 37197,481,1 ,"$3,456.58 ","$2,592.44 ","$1,095.68 ","$6,235.91 ","$2,226.04 ","$2,771.52 ","$2,419.61 ","$1,095.68 ","$3,456.58 ","$1,128.55 ","$3,456.58 ","$3,283.75 ", N/A ,"$2,765.26 ","$3,145.49 ","$1,095.68 ","$3,249.19 ","$3,283.75 ","$3,110.92 ","$2,938.09 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$2,523.30 ","$2,771.52 ","$3,076.36 ","$3,110.92 ","$3,110.92 ","$2,765.26 ","$2,854.66 ","$1,901.12 ","$3,110.92 ","$2,771.52 ","$3,110.92 ","$2,771.52 ","$3,283.75 ","$6,235.91 ","$3,180.05 ","$1,161.42 ","$3,145.49 ","$2,771.52 ","$2,127.18 ","$2,226.04 ","$2,127.18 ","$3,110.92 ","$3,110.92 ","$2,592.44 ","$3,110.92 ","$2,799.23 ","$1,150.46 ","$3,231.90 ","$2,910.10 ","$1,095.68 ","$3,007.22 ","$2,771.52 ","$3,110.92 ","$2,771.52 ","$3,110.92 ","$3,110.92 ","$3,110.92 ","$3,352.88 ","$2,799.83 ","$3,110.92 ","$3,110.92 ","$3,110.92 ","$3,110.92 " ST. JOSEPH'S - CHIPPEWA FALLS,48100188,36221,HC CATH PLCMT NON SEL THORAC AORTA 36221,481,1 ,"$5,159.76 ","$3,869.82 ","$1,067.27 ","$6,235.91 ","$3,322.89 ","$2,771.52 ","$3,611.83 ","$1,067.27 ","$5,159.76 ","$1,099.29 ","$5,159.76 ","$4,901.77 ", N/A ,"$4,127.81 ","$4,695.38 ","$1,067.27 ","$4,850.17 ","$4,901.77 ","$4,643.78 ","$4,385.80 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$3,766.62 ","$2,771.52 ","$4,592.19 ","$4,643.78 ","$4,643.78 ","$4,127.81 ","$2,854.66 ","$2,837.87 ","$4,643.78 ","$2,771.52 ","$4,643.78 ","$2,771.52 ","$4,901.77 ","$6,235.91 ","$4,746.98 ","$1,131.31 ","$4,695.38 ","$2,771.52 ","$3,175.32 ","$3,322.89 ","$3,175.32 ","$4,643.78 ","$4,643.78 ","$3,869.82 ","$4,643.78 ","$2,799.23 ","$1,120.63 ","$4,824.38 ","$2,910.10 ","$1,067.27 ","$4,488.99 ","$2,771.52 ","$4,643.78 ","$2,771.52 ","$4,643.78 ","$4,643.78 ","$4,643.78 ","$5,004.97 ","$4,179.41 ","$4,643.78 ","$4,643.78 ","$4,643.78 ","$4,643.78 " ST. JOSEPH'S - CHIPPEWA FALLS,48100189,36222,HC CATH PLCMT SEL COM CAR/INOM EXTRACRN UNI 36222,481,1 ,"$10,855.02 ","$8,141.27 ","$1,067.27 ","$10,855.02 ","$6,990.63 ","$2,771.52 ","$7,598.51 ","$1,067.27 ","$9,553.00 ","$1,099.29 ","$7,642.00 ","$10,312.27 ", N/A ,"$8,684.02 ","$9,878.07 ","$1,067.27 ","$10,203.72 ","$10,312.27 ","$9,769.52 ","$9,226.77 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$7,924.16 ","$2,771.52 ","$9,660.97 ","$9,769.52 ","$9,769.52 ","$8,684.02 ","$2,854.66 ","$5,970.26 ","$9,769.52 ","$2,771.52 ","$9,769.52 ","$2,771.52 ","$10,312.27 ","$6,235.91 ","$9,986.62 ","$1,131.31 ","$9,878.07 ","$2,771.52 ","$6,680.18 ","$6,990.63 ","$6,680.18 ","$9,769.52 ","$9,769.52 ","$8,141.27 ","$5,427.51 ","$2,799.23 ","$1,120.63 ","$10,149.44 ","$2,910.10 ","$1,067.27 ","$9,443.87 ","$2,771.52 ","$9,769.52 ","$2,771.52 ","$9,769.52 ","$9,769.52 ","$9,769.52 ","$10,529.37 ","$8,792.57 ","$9,769.52 ","$9,769.52 ","$9,769.52 ","$9,769.52 " ST. JOSEPH'S - CHIPPEWA FALLS,48100190,36223,HC CATH PLCMT SEL COM CAR/INOM INTRACRN UNI 36223,481,1 ,"$15,287.40 ","$11,465.55 ","$1,067.27 ","$15,287.40 ","$9,845.09 ","$4,620.10 ","$10,701.18 ","$1,067.27 ","$11,144.00 ","$1,099.29 ","$8,915.00 ","$14,523.03 ", N/A ,"$12,229.92 ","$13,911.53 ","$1,067.27 ","$14,370.16 ","$14,523.03 ","$13,758.66 ","$12,994.29 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$11,159.80 ","$4,620.10 ","$13,605.79 ","$13,758.66 ","$13,758.66 ","$12,229.92 ","$4,758.71 ","$8,408.07 ","$13,758.66 ","$4,620.10 ","$13,758.66 ","$4,620.10 ","$14,523.03 ","$10,395.23 ","$14,064.41 ","$1,131.31 ","$13,911.53 ","$4,620.10 ","$9,407.87 ","$9,845.09 ","$9,407.87 ","$13,758.66 ","$13,758.66 ","$11,465.55 ","$7,643.70 ","$4,666.30 ","$1,120.63 ","$14,293.72 ","$4,851.11 ","$1,067.27 ","$13,300.04 ","$4,620.10 ","$13,758.66 ","$4,620.10 ","$13,758.66 ","$13,758.66 ","$13,758.66 ","$14,828.78 ","$12,382.79 ","$13,758.66 ","$13,758.66 ","$13,758.66 ","$13,758.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100191,36224,HC CATH PLCMT SEL INTERNAL CAR UNI 36224,481,1 ,"$14,540.29 ","$10,905.22 ","$1,067.27 ","$14,540.29 ","$9,363.95 ","$4,620.10 ","$10,178.20 ","$1,067.27 ","$11,144.00 ","$1,099.29 ","$8,915.00 ","$13,813.28 ", N/A ,"$11,632.23 ","$13,231.66 ","$1,067.27 ","$13,667.87 ","$13,813.28 ","$13,086.26 ","$12,359.25 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$10,614.41 ","$4,620.10 ","$12,940.86 ","$13,086.26 ","$13,086.26 ","$11,632.23 ","$4,758.71 ","$7,997.16 ","$13,086.26 ","$4,620.10 ","$13,086.26 ","$4,620.10 ","$13,813.28 ","$10,395.23 ","$13,377.07 ","$1,131.31 ","$13,231.66 ","$4,620.10 ","$8,948.09 ","$9,363.95 ","$8,948.09 ","$13,086.26 ","$13,086.26 ","$10,905.22 ","$7,270.15 ","$4,666.30 ","$1,120.63 ","$13,595.17 ","$4,851.11 ","$1,067.27 ","$12,650.05 ","$4,620.10 ","$13,086.26 ","$4,620.10 ","$13,086.26 ","$13,086.26 ","$13,086.26 ","$14,104.08 ","$11,777.63 ","$13,086.26 ","$13,086.26 ","$13,086.26 ","$13,086.26 " ST. JOSEPH'S - CHIPPEWA FALLS,48100192,36226,HC CATH PLCMT SEL VERTEBRAL UNI 36226,481,1 ,"$11,253.87 ","$8,440.40 ","$1,067.27 ","$11,253.87 ","$7,247.49 ","$4,620.10 ","$7,877.71 ","$1,067.27 ","$11,144.00 ","$1,099.29 ","$8,915.00 ","$10,691.18 ", N/A ,"$9,003.10 ","$10,241.02 ","$1,067.27 ","$10,578.64 ","$10,691.18 ","$10,128.48 ","$9,565.79 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$8,215.33 ","$4,620.10 ","$10,015.94 ","$10,128.48 ","$10,128.48 ","$9,003.10 ","$4,758.71 ","$6,189.63 ","$10,128.48 ","$4,620.10 ","$10,128.48 ","$4,620.10 ","$10,691.18 ","$10,395.23 ","$10,353.56 ","$1,131.31 ","$10,241.02 ","$4,620.10 ","$6,925.63 ","$7,247.49 ","$6,925.63 ","$10,128.48 ","$10,128.48 ","$8,440.40 ","$7,022.44 ","$4,666.30 ","$1,120.63 ","$10,522.37 ","$4,851.11 ","$1,067.27 ","$9,790.87 ","$4,620.10 ","$10,128.48 ","$4,620.10 ","$10,128.48 ","$10,128.48 ","$10,128.48 ","$10,916.25 ","$9,115.63 ","$10,128.48 ","$10,128.48 ","$10,128.48 ","$10,128.48 " ST. JOSEPH'S - CHIPPEWA FALLS,48100193,36227,HC CATH PLCMT SEL EXTERNAL CAR UNI 36227,481,1 ,"$2,800.06 ","$2,100.05 ","$1,067.27 ","$2,800.06 ","$1,803.24 ", N/A ,"$1,960.04 ","$1,067.27 ","$2,800.06 ","$1,099.29 ","$2,800.06 ","$2,660.06 ", N/A ,"$2,240.05 ","$2,548.05 ","$1,067.27 ","$2,632.06 ","$2,660.06 ","$2,520.05 ","$2,380.05 ","$1,067.27 ","$1,067.27 ","$1,067.27 ","$2,044.04 ", N/A ,"$2,492.05 ","$2,520.05 ","$2,520.05 ","$2,240.05 ", N/A ,"$1,540.03 ","$2,520.05 ", N/A ,"$2,520.05 ", N/A ,"$2,660.06 ", N/A ,"$2,576.06 ","$1,131.31 ","$2,548.05 ", N/A ,"$1,723.16 ","$1,803.24 ","$1,723.16 ","$2,520.05 ","$2,520.05 ","$2,100.05 ","$1,400.03 ", N/A ,"$1,120.63 ","$2,618.06 ", N/A ,"$1,067.27 ","$2,436.05 ", N/A ,"$2,520.05 ", N/A ,"$2,520.05 ","$2,520.05 ","$2,520.05 ","$2,716.06 ","$2,268.05 ","$2,520.05 ","$2,520.05 ","$2,520.05 ","$2,520.05 " ST. JOSEPH'S - CHIPPEWA FALLS,48100200,92920,HC PTCA SINGL MAJ ART/BRANCH 92920,481,1 ,"$9,850.38 ","$7,387.79 ","$2,710.53 ","$10,801.57 ","$6,343.64 ","$4,800.70 ","$6,895.27 ","$2,710.53 ","$9,850.38 ","$2,791.85 ","$9,850.38 ","$9,357.86 ", N/A ,"$7,880.30 ","$8,963.85 ","$2,710.53 ","$9,259.36 ","$9,357.86 ","$8,865.34 ","$8,372.82 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$7,190.78 ","$4,800.70 ","$8,766.84 ","$8,865.34 ","$8,865.34 ","$7,880.30 ","$4,944.72 ","$5,417.71 ","$8,865.34 ","$4,800.70 ","$8,865.34 ","$4,800.70 ","$9,357.86 ","$10,801.57 ","$9,062.35 ","$2,873.16 ","$8,963.85 ","$4,800.70 ","$6,061.92 ","$6,343.64 ","$6,061.92 ","$8,865.34 ","$8,865.34 ","$7,387.79 ","$8,865.34 ","$4,848.71 ","$2,846.06 ","$9,210.11 ","$5,040.74 ","$2,710.53 ","$8,569.83 ","$4,800.70 ","$8,865.34 ","$4,800.70 ","$8,865.34 ","$8,865.34 ","$8,865.34 ","$9,554.87 ","$7,978.81 ","$8,865.34 ","$8,865.34 ","$8,865.34 ","$8,865.34 " ST. JOSEPH'S - CHIPPEWA FALLS,48100201,92921,HC PTCA EA ADDL BRANCH MAJ ART 92921,481,1 ,"$5,635.59 ","$4,226.69 ","$2,710.53 ","$5,635.59 ","$3,629.32 ", N/A ,"$3,944.91 ","$2,710.53 ","$5,635.59 ","$2,791.85 ","$5,635.59 ","$5,353.81 ", N/A ,"$4,508.47 ","$5,128.39 ","$2,710.53 ","$5,297.45 ","$5,353.81 ","$5,072.03 ","$4,790.25 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$4,113.98 ", N/A ,"$5,015.68 ","$5,072.03 ","$5,072.03 ","$4,508.47 ", N/A ,"$3,099.57 ","$5,072.03 ", N/A ,"$5,072.03 ", N/A ,"$5,353.81 ", N/A ,"$5,184.74 ","$2,873.16 ","$5,128.39 ", N/A ,"$3,468.14 ","$3,629.32 ","$3,468.14 ","$5,072.03 ","$5,072.03 ","$4,226.69 ","$5,072.03 ", N/A ,"$2,846.06 ","$5,269.28 ", N/A ,"$2,710.53 ","$4,902.96 ", N/A ,"$5,072.03 ", N/A ,"$5,072.03 ","$5,072.03 ","$5,072.03 ","$5,466.52 ","$4,564.83 ","$5,072.03 ","$5,072.03 ","$5,072.03 ","$5,072.03 " ST. JOSEPH'S - CHIPPEWA FALLS,48100202,92924,HC ROTOBLATOR SINGL MAJ ART/BRANCH 92924,481,1 ,"$15,953.96 ","$11,965.47 ","$2,710.53 ","$21,884.82 ","$10,274.35 ","$9,726.59 ","$11,167.77 ","$2,710.53 ","$15,953.96 ","$2,791.85 ","$14,858.00 ","$15,156.26 ", N/A ,"$12,763.17 ","$14,518.10 ","$2,710.53 ","$14,996.72 ","$15,156.26 ","$14,358.56 ","$13,560.87 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$11,646.39 ","$9,726.59 ","$14,199.02 ","$14,358.56 ","$14,358.56 ","$12,763.17 ","$10,018.39 ","$8,774.68 ","$14,358.56 ","$9,726.59 ","$14,358.56 ","$9,726.59 ","$15,156.26 ","$21,884.82 ","$14,677.64 ","$2,873.16 ","$14,518.10 ","$9,726.59 ","$9,818.07 ","$10,274.35 ","$9,818.07 ","$14,358.56 ","$14,358.56 ","$11,965.47 ","$14,358.56 ","$9,823.85 ","$2,846.06 ","$14,916.95 ","$10,212.92 ","$2,710.53 ","$13,879.95 ","$9,726.59 ","$14,358.56 ","$9,726.59 ","$14,358.56 ","$14,358.56 ","$14,358.56 ","$15,475.34 ","$12,922.71 ","$14,358.56 ","$14,358.56 ","$14,358.56 ","$14,358.56 " ST. JOSEPH'S - CHIPPEWA FALLS,48100203,92925,HC ROTOBLATOR EA ADDL BRANCH MAJ ART 92925,481,1 ,"$2,700.39 ","$2,025.29 ","$1,485.21 ","$2,873.16 ","$1,739.05 ", N/A ,"$1,890.27 ","$2,700.39 ","$2,700.39 ","$2,791.85 ","$2,700.39 ","$2,565.37 ", N/A ,"$2,160.31 ","$2,457.35 ","$2,700.39 ","$2,538.37 ","$2,565.37 ","$2,430.35 ","$2,295.33 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$1,971.28 ", N/A ,"$2,403.35 ","$2,430.35 ","$2,430.35 ","$2,160.31 ", N/A ,"$1,485.21 ","$2,430.35 ", N/A ,"$2,430.35 ", N/A ,"$2,565.37 ", N/A ,"$2,484.36 ","$2,873.16 ","$2,457.35 ", N/A ,"$1,661.82 ","$1,739.05 ","$1,661.82 ","$2,430.35 ","$2,430.35 ","$2,025.29 ","$2,430.35 ", N/A ,"$2,846.06 ","$2,524.86 ", N/A ,"$2,700.39 ","$2,349.34 ", N/A ,"$2,430.35 ", N/A ,"$2,430.35 ","$2,430.35 ","$2,430.35 ","$2,619.38 ","$2,187.32 ","$2,430.35 ","$2,430.35 ","$2,430.35 ","$2,430.35 " ST. JOSEPH'S - CHIPPEWA FALLS,48100204,92928,HC BMS SINGL MAJ ART/BRANCH 92928,481,1 ,"$17,910.88 ","$13,433.16 ","$2,710.53 ","$21,884.82 ","$11,534.61 ","$9,726.59 ","$12,537.62 ","$2,710.53 ","$17,910.88 ","$2,791.85 ","$14,858.00 ","$17,015.34 ", N/A ,"$14,328.70 ","$16,298.90 ","$2,710.53 ","$16,836.23 ","$17,015.34 ","$16,119.79 ","$15,224.25 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$13,074.94 ","$9,726.59 ","$15,940.68 ","$16,119.79 ","$16,119.79 ","$14,328.70 ","$10,018.39 ","$9,850.98 ","$16,119.79 ","$9,726.59 ","$16,119.79 ","$9,726.59 ","$17,015.34 ","$21,884.82 ","$16,478.01 ","$2,873.16 ","$16,298.90 ","$9,726.59 ","$11,022.36 ","$11,534.61 ","$11,022.36 ","$16,119.79 ","$16,119.79 ","$13,433.16 ","$16,119.79 ","$9,823.85 ","$2,846.06 ","$16,746.67 ","$10,212.92 ","$2,710.53 ","$15,582.47 ","$9,726.59 ","$16,119.79 ","$9,726.59 ","$16,119.79 ","$16,119.79 ","$16,119.79 ","$17,373.55 ","$14,507.81 ","$16,119.79 ","$16,119.79 ","$16,119.79 ","$16,119.79 " ST. JOSEPH'S - CHIPPEWA FALLS,48100205,92929,HC BMS EA ADDL BRANCH MAJ ART 92929,481,1 ,"$3,853.33 ","$2,890.00 ","$2,119.33 ","$3,853.33 ","$2,481.54 ", N/A ,"$2,697.33 ","$2,710.53 ","$3,853.33 ","$2,791.85 ","$3,853.33 ","$3,660.66 ", N/A ,"$3,082.66 ","$3,506.53 ","$2,710.53 ","$3,622.13 ","$3,660.66 ","$3,468.00 ","$3,275.33 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$2,812.93 ", N/A ,"$3,429.46 ","$3,468.00 ","$3,468.00 ","$3,082.66 ", N/A ,"$2,119.33 ","$3,468.00 ", N/A ,"$3,468.00 ", N/A ,"$3,660.66 ", N/A ,"$3,545.06 ","$2,873.16 ","$3,506.53 ", N/A ,"$2,371.34 ","$2,481.54 ","$2,371.34 ","$3,468.00 ","$3,468.00 ","$2,890.00 ","$3,468.00 ", N/A ,"$2,846.06 ","$3,602.86 ", N/A ,"$2,710.53 ","$3,352.40 ", N/A ,"$3,468.00 ", N/A ,"$3,468.00 ","$3,468.00 ","$3,468.00 ","$3,737.73 ","$3,121.20 ","$3,468.00 ","$3,468.00 ","$3,468.00 ","$3,468.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100206,92933,HC ROTOBLATOR/BMS SINGL MAJ ART/BRANCH 92933,481,1 ,"$25,334.98 ","$19,001.24 ","$2,710.53 ","$35,005.46 ","$16,315.73 ","$15,557.98 ","$17,734.49 ","$2,710.53 ","$19,104.00 ","$2,791.85 ","$15,283.00 ","$24,068.23 ", N/A ,"$20,267.98 ","$23,054.83 ","$2,710.53 ","$23,814.88 ","$24,068.23 ","$22,801.48 ","$21,534.73 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$18,494.54 ","$15,557.98 ","$22,548.13 ","$22,801.48 ","$22,801.48 ","$20,267.98 ","$16,024.72 ","$13,934.24 ","$22,801.48 ","$15,557.98 ","$22,801.48 ","$15,557.98 ","$24,068.23 ","$35,005.46 ","$23,308.18 ","$2,873.16 ","$23,054.83 ","$15,557.98 ","$15,591.15 ","$16,315.73 ","$15,591.15 ","$22,801.48 ","$22,801.48 ","$19,001.24 ","$22,801.48 ","$15,713.56 ","$2,846.06 ","$23,688.21 ","$16,335.88 ","$2,710.53 ","$22,041.43 ","$15,557.98 ","$22,801.48 ","$15,557.98 ","$22,801.48 ","$22,801.48 ","$22,801.48 ","$24,574.93 ","$20,521.33 ","$22,801.48 ","$22,801.48 ","$22,801.48 ","$22,801.48 " ST. JOSEPH'S - CHIPPEWA FALLS,48100207,92934,HC ROTOBLATOR/BMS EA ADDL BRANCH MAJ ART 92934,481,1 ,"$3,726.20 ","$2,794.65 ","$2,049.41 ","$3,726.20 ","$2,399.67 ", N/A ,"$2,608.34 ","$2,710.53 ","$3,726.20 ","$2,791.85 ","$3,726.20 ","$3,539.89 ", N/A ,"$2,980.96 ","$3,390.84 ","$2,710.53 ","$3,502.63 ","$3,539.89 ","$3,353.58 ","$3,167.27 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$2,720.13 ", N/A ,"$3,316.32 ","$3,353.58 ","$3,353.58 ","$2,980.96 ", N/A ,"$2,049.41 ","$3,353.58 ", N/A ,"$3,353.58 ", N/A ,"$3,539.89 ", N/A ,"$3,428.10 ","$2,873.16 ","$3,390.84 ", N/A ,"$2,293.10 ","$2,399.67 ","$2,293.10 ","$3,353.58 ","$3,353.58 ","$2,794.65 ","$3,353.58 ", N/A ,"$2,846.06 ","$3,484.00 ", N/A ,"$2,710.53 ","$3,241.79 ", N/A ,"$3,353.58 ", N/A ,"$3,353.58 ","$3,353.58 ","$3,353.58 ","$3,614.41 ","$3,018.22 ","$3,353.58 ","$3,353.58 ","$3,353.58 ","$3,353.58 " ST. JOSEPH'S - CHIPPEWA FALLS,48100208,92937,HC BYPASS GRAFT BMS SINGL MAJ ART/BRANCH 92937,481,1 ,"$17,456.84 ","$13,092.63 ","$2,710.53 ","$21,884.82 ","$11,242.21 ","$9,726.59 ","$12,219.79 ","$2,710.53 ","$17,456.84 ","$2,791.85 ","$14,858.00 ","$16,584.00 ", N/A ,"$13,965.47 ","$15,885.72 ","$2,710.53 ","$16,409.43 ","$16,584.00 ","$15,711.16 ","$14,838.31 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$12,743.49 ","$9,726.59 ","$15,536.59 ","$15,711.16 ","$15,711.16 ","$13,965.47 ","$10,018.39 ","$9,601.26 ","$15,711.16 ","$9,726.59 ","$15,711.16 ","$9,726.59 ","$16,584.00 ","$21,884.82 ","$16,060.29 ","$2,873.16 ","$15,885.72 ","$9,726.59 ","$10,742.94 ","$11,242.21 ","$10,742.94 ","$15,711.16 ","$15,711.16 ","$13,092.63 ","$15,711.16 ","$9,823.85 ","$2,846.06 ","$16,322.15 ","$10,212.92 ","$2,710.53 ","$15,187.45 ","$9,726.59 ","$15,711.16 ","$9,726.59 ","$15,711.16 ","$15,711.16 ","$15,711.16 ","$16,933.13 ","$14,140.04 ","$15,711.16 ","$15,711.16 ","$15,711.16 ","$15,711.16 " ST. JOSEPH'S - CHIPPEWA FALLS,48100209,92938,HC BYPASS GRAFT BMS EA ADDL BRNCH MAJ ART 92938,481,1 ,"$3,855.53 ","$2,891.65 ","$2,120.54 ","$3,855.53 ","$2,482.96 ", N/A ,"$2,698.87 ","$2,710.53 ","$3,855.53 ","$2,791.85 ","$3,855.53 ","$3,662.75 ", N/A ,"$3,084.42 ","$3,508.53 ","$2,710.53 ","$3,624.20 ","$3,662.75 ","$3,469.98 ","$3,277.20 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$2,814.54 ", N/A ,"$3,431.42 ","$3,469.98 ","$3,469.98 ","$3,084.42 ", N/A ,"$2,120.54 ","$3,469.98 ", N/A ,"$3,469.98 ", N/A ,"$3,662.75 ", N/A ,"$3,547.09 ","$2,873.16 ","$3,508.53 ", N/A ,"$2,372.69 ","$2,482.96 ","$2,372.69 ","$3,469.98 ","$3,469.98 ","$2,891.65 ","$3,469.98 ", N/A ,"$2,846.06 ","$3,604.92 ", N/A ,"$2,710.53 ","$3,354.31 ", N/A ,"$3,469.98 ", N/A ,"$3,469.98 ","$3,469.98 ","$3,469.98 ","$3,739.86 ","$3,122.98 ","$3,469.98 ","$3,469.98 ","$3,469.98 ","$3,469.98 " ST. JOSEPH'S - CHIPPEWA FALLS,48100210,92941,HC STEMI/NSTEMI BMS SING VESS 92941,481,1 ,"$19,886.35 ","$14,914.76 ","$2,710.53 ","$19,886.35 ","$12,806.81 ", N/A ,"$13,920.45 ","$2,710.53 ","$18,389.00 ","$2,791.85 ","$14,858.00 ","$18,892.03 ", N/A ,"$15,909.08 ","$18,096.58 ","$2,710.53 ","$18,693.17 ","$18,892.03 ","$17,897.72 ","$16,903.40 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$14,517.04 ", N/A ,"$17,698.85 ","$17,897.72 ","$17,897.72 ","$15,909.08 ", N/A ,"$10,937.49 ","$17,897.72 ", N/A ,"$17,897.72 ", N/A ,"$18,892.03 ", N/A ,"$18,295.44 ","$2,873.16 ","$18,096.58 ", N/A ,"$12,238.06 ","$12,806.81 ","$12,238.06 ","$17,897.72 ","$17,897.72 ","$14,914.76 ","$17,897.72 ", N/A ,"$2,846.06 ","$18,593.74 ", N/A ,"$2,710.53 ","$17,301.12 ", N/A ,"$17,897.72 ", N/A ,"$17,897.72 ","$17,897.72 ","$17,897.72 ","$19,289.76 ","$16,107.94 ","$17,897.72 ","$17,897.72 ","$17,897.72 ","$17,897.72 " ST. JOSEPH'S - CHIPPEWA FALLS,48100211,92943,HC CTO BMS SING MAJ ART/BRNCH 92943,481,1 ,"$19,606.19 ","$14,704.64 ","$2,710.53 ","$21,884.82 ","$12,626.39 ","$9,726.59 ","$13,724.33 ","$2,710.53 ","$18,389.00 ","$2,791.85 ","$14,858.00 ","$18,625.88 ", N/A ,"$15,684.95 ","$17,841.63 ","$2,710.53 ","$18,429.82 ","$18,625.88 ","$17,645.57 ","$16,665.26 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$14,312.52 ","$9,726.59 ","$17,449.51 ","$17,645.57 ","$17,645.57 ","$15,684.95 ","$10,018.39 ","$10,783.40 ","$17,645.57 ","$9,726.59 ","$17,645.57 ","$9,726.59 ","$18,625.88 ","$21,884.82 ","$18,037.69 ","$2,873.16 ","$17,841.63 ","$9,726.59 ","$12,065.65 ","$12,626.39 ","$12,065.65 ","$17,645.57 ","$17,645.57 ","$14,704.64 ","$17,645.57 ","$9,823.85 ","$2,846.06 ","$18,331.79 ","$10,212.92 ","$2,710.53 ","$17,057.39 ","$9,726.59 ","$17,645.57 ","$9,726.59 ","$17,645.57 ","$17,645.57 ","$17,645.57 ","$19,018.00 ","$15,881.01 ","$17,645.57 ","$17,645.57 ","$17,645.57 ","$17,645.57 " ST. JOSEPH'S - CHIPPEWA FALLS,48100212,92944,HC CTO BMS EA ADD BNCH MAJ ART 92944,481,1 ,"$5,635.06 ","$4,226.30 ","$2,710.53 ","$5,635.06 ","$3,628.98 ", N/A ,"$3,944.54 ","$2,710.53 ","$5,635.06 ","$2,791.85 ","$5,635.06 ","$5,353.31 ", N/A ,"$4,508.05 ","$5,127.90 ","$2,710.53 ","$5,296.96 ","$5,353.31 ","$5,071.55 ","$4,789.80 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$4,113.59 ", N/A ,"$5,015.20 ","$5,071.55 ","$5,071.55 ","$4,508.05 ", N/A ,"$3,099.28 ","$5,071.55 ", N/A ,"$5,071.55 ", N/A ,"$5,353.31 ", N/A ,"$5,184.26 ","$2,873.16 ","$5,127.90 ", N/A ,"$3,467.82 ","$3,628.98 ","$3,467.82 ","$5,071.55 ","$5,071.55 ","$4,226.30 ","$5,071.55 ", N/A ,"$2,846.06 ","$5,268.78 ", N/A ,"$2,710.53 ","$4,902.50 ", N/A ,"$5,071.55 ", N/A ,"$5,071.55 ","$5,071.55 ","$5,071.55 ","$5,466.01 ","$4,564.40 ","$5,071.55 ","$5,071.55 ","$5,071.55 ","$5,071.55 " ST. JOSEPH'S - CHIPPEWA FALLS,48100218,C9600,HC DES SING MAJ ART/BRNCH C9600,481,1 ,"$18,432.96 ","$13,824.72 ","$2,710.53 ","$21,884.82 ","$11,870.83 ","$9,726.59 ","$12,903.07 ","$2,710.53 ","$18,389.00 ","$2,791.85 ","$14,858.00 ","$17,511.31 ", N/A ,"$14,746.37 ","$16,773.99 ","$2,710.53 ","$17,326.98 ","$17,511.31 ","$16,589.66 ","$15,668.02 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$13,456.06 ","$9,726.59 ","$16,405.33 ","$16,589.66 ","$16,589.66 ","$14,746.37 ","$10,018.39 ","$10,138.13 ","$16,589.66 ","$9,726.59 ","$16,589.66 ","$9,726.59 ","$17,511.31 ","$21,884.82 ","$16,958.32 ","$2,873.16 ","$16,773.99 ","$9,726.59 ","$11,343.64 ","$11,870.83 ","$11,343.64 ","$16,589.66 ","$16,589.66 ","$13,824.72 ","$16,589.66 ","$9,823.85 ","$2,846.06 ","$17,234.82 ","$10,212.92 ","$2,710.53 ","$16,036.68 ","$9,726.59 ","$16,589.66 ","$9,726.59 ","$16,589.66 ","$16,589.66 ","$16,589.66 ","$17,879.97 ","$14,930.70 ","$16,589.66 ","$16,589.66 ","$16,589.66 ","$16,589.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100219,C9601,HC DES EA ADD BNCH MAJ ART C9601,481,1 ,"$6,608.78 ","$4,956.59 ","$2,710.53 ","$6,608.78 ","$4,256.05 ", N/A ,"$4,626.15 ","$2,710.53 ","$6,608.78 ","$2,791.85 ","$6,608.78 ","$6,278.34 ", N/A ,"$5,287.02 ","$6,013.99 ","$2,710.53 ","$6,212.25 ","$6,278.34 ","$5,947.90 ","$5,617.46 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$4,824.41 ", N/A ,"$5,881.81 ","$5,947.90 ","$5,947.90 ","$5,287.02 ", N/A ,"$3,634.83 ","$5,947.90 ", N/A ,"$5,947.90 ", N/A ,"$6,278.34 ", N/A ,"$6,080.08 ","$2,873.16 ","$6,013.99 ", N/A ,"$4,067.04 ","$4,256.05 ","$4,067.04 ","$5,947.90 ","$5,947.90 ","$4,956.59 ","$5,947.90 ", N/A ,"$2,846.06 ","$6,179.21 ", N/A ,"$2,710.53 ","$5,749.64 ", N/A ,"$5,947.90 ", N/A ,"$5,947.90 ","$5,947.90 ","$5,947.90 ","$6,410.52 ","$5,353.11 ","$5,947.90 ","$5,947.90 ","$5,947.90 ","$5,947.90 " ST. JOSEPH'S - CHIPPEWA FALLS,48100220,C9602,HC ROTOBLAT/DES SING MAJ ART/BRNCH C9602,481,1 ,"$25,334.93 ","$19,001.20 ","$2,710.53 ","$35,005.46 ","$16,315.69 ","$15,557.98 ","$17,734.45 ","$2,710.53 ","$19,104.00 ","$2,791.85 ","$15,283.00 ","$24,068.18 ", N/A ,"$20,267.94 ","$23,054.79 ","$2,710.53 ","$23,814.83 ","$24,068.18 ","$22,801.44 ","$21,534.69 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$18,494.50 ","$15,557.98 ","$22,548.09 ","$22,801.44 ","$22,801.44 ","$20,267.94 ","$16,024.72 ","$13,934.21 ","$22,801.44 ","$15,557.98 ","$22,801.44 ","$15,557.98 ","$24,068.18 ","$35,005.46 ","$23,308.14 ","$2,873.16 ","$23,054.79 ","$15,557.98 ","$15,591.12 ","$16,315.69 ","$15,591.12 ","$22,801.44 ","$22,801.44 ","$19,001.20 ","$22,801.44 ","$15,713.56 ","$2,846.06 ","$23,688.16 ","$16,335.88 ","$2,710.53 ","$22,041.39 ","$15,557.98 ","$22,801.44 ","$15,557.98 ","$22,801.44 ","$22,801.44 ","$22,801.44 ","$24,574.88 ","$20,521.29 ","$22,801.44 ","$22,801.44 ","$22,801.44 ","$22,801.44 " ST. JOSEPH'S - CHIPPEWA FALLS,48100221,C9603,HC ROTOBLAT/DES EA ADD BNCH MAJ ART C9603,481,1 ,"$4,098.86 ","$3,074.15 ","$2,254.37 ","$4,098.86 ","$2,639.67 ", N/A ,"$2,869.20 ","$2,710.53 ","$4,098.86 ","$2,791.85 ","$4,098.86 ","$3,893.92 ", N/A ,"$3,279.09 ","$3,729.96 ","$2,710.53 ","$3,852.93 ","$3,893.92 ","$3,688.97 ","$3,484.03 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$2,992.17 ", N/A ,"$3,647.99 ","$3,688.97 ","$3,688.97 ","$3,279.09 ", N/A ,"$2,254.37 ","$3,688.97 ", N/A ,"$3,688.97 ", N/A ,"$3,893.92 ", N/A ,"$3,770.95 ","$2,873.16 ","$3,729.96 ", N/A ,"$2,522.44 ","$2,639.67 ","$2,522.44 ","$3,688.97 ","$3,688.97 ","$3,074.15 ","$3,688.97 ", N/A ,"$2,846.06 ","$3,832.43 ", N/A ,"$2,710.53 ","$3,566.01 ", N/A ,"$3,688.97 ", N/A ,"$3,688.97 ","$3,688.97 ","$3,688.97 ","$3,975.89 ","$3,320.08 ","$3,688.97 ","$3,688.97 ","$3,688.97 ","$3,688.97 " ST. JOSEPH'S - CHIPPEWA FALLS,48100222,C9604,HC BYPASS GRAFT DES SING MAJ ART/BRNCH C9604,481,1 ,"$17,456.84 ","$13,092.63 ","$2,710.53 ","$21,884.82 ","$11,242.21 ","$9,726.59 ","$12,219.79 ","$2,710.53 ","$17,456.84 ","$2,791.85 ","$14,858.00 ","$16,584.00 ", N/A ,"$13,965.47 ","$15,885.72 ","$2,710.53 ","$16,409.43 ","$16,584.00 ","$15,711.16 ","$14,838.31 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$12,743.49 ","$9,726.59 ","$15,536.59 ","$15,711.16 ","$15,711.16 ","$13,965.47 ","$10,018.39 ","$9,601.26 ","$15,711.16 ","$9,726.59 ","$15,711.16 ","$9,726.59 ","$16,584.00 ","$21,884.82 ","$16,060.29 ","$2,873.16 ","$15,885.72 ","$9,726.59 ","$10,742.94 ","$11,242.21 ","$10,742.94 ","$15,711.16 ","$15,711.16 ","$13,092.63 ","$15,711.16 ","$9,823.85 ","$2,846.06 ","$16,322.15 ","$10,212.92 ","$2,710.53 ","$15,187.45 ","$9,726.59 ","$15,711.16 ","$9,726.59 ","$15,711.16 ","$15,711.16 ","$15,711.16 ","$16,933.13 ","$14,140.04 ","$15,711.16 ","$15,711.16 ","$15,711.16 ","$15,711.16 " ST. JOSEPH'S - CHIPPEWA FALLS,48100223,C9605,HC BYPASS GRFT DES EA ADD BRNCH MAJ ART C9605,481,1 ,"$3,855.53 ","$2,891.65 ","$2,120.54 ","$3,855.53 ","$2,482.96 ", N/A ,"$2,698.87 ","$2,710.53 ","$3,855.53 ","$2,791.85 ","$3,855.53 ","$3,662.75 ", N/A ,"$3,084.42 ","$3,508.53 ","$2,710.53 ","$3,624.20 ","$3,662.75 ","$3,469.98 ","$3,277.20 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$2,814.54 ", N/A ,"$3,431.42 ","$3,469.98 ","$3,469.98 ","$3,084.42 ", N/A ,"$2,120.54 ","$3,469.98 ", N/A ,"$3,469.98 ", N/A ,"$3,662.75 ", N/A ,"$3,547.09 ","$2,873.16 ","$3,508.53 ", N/A ,"$2,372.69 ","$2,482.96 ","$2,372.69 ","$3,469.98 ","$3,469.98 ","$2,891.65 ","$3,469.98 ", N/A ,"$2,846.06 ","$3,604.92 ", N/A ,"$2,710.53 ","$3,354.31 ", N/A ,"$3,469.98 ", N/A ,"$3,469.98 ","$3,469.98 ","$3,469.98 ","$3,739.86 ","$3,122.98 ","$3,469.98 ","$3,469.98 ","$3,469.98 ","$3,469.98 " ST. JOSEPH'S - CHIPPEWA FALLS,48100224,C9607,HC CTO DES SING MAJ ART/BRNCH C9607,481,1 ,"$19,543.70 ","$14,657.78 ","$2,710.53 ","$35,005.46 ","$12,586.14 ","$15,557.98 ","$13,680.59 ","$2,710.53 ","$19,104.00 ","$2,791.85 ","$15,283.00 ","$18,566.52 ", N/A ,"$15,634.96 ","$17,784.77 ","$2,710.53 ","$18,371.08 ","$18,566.52 ","$17,589.33 ","$16,612.15 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$14,266.90 ","$15,557.98 ","$17,393.89 ","$17,589.33 ","$17,589.33 ","$15,634.96 ","$16,024.72 ","$10,749.04 ","$17,589.33 ","$15,557.98 ","$17,589.33 ","$15,557.98 ","$18,566.52 ","$35,005.46 ","$17,980.20 ","$2,873.16 ","$17,784.77 ","$15,557.98 ","$12,027.19 ","$12,586.14 ","$12,027.19 ","$17,589.33 ","$17,589.33 ","$14,657.78 ","$17,589.33 ","$15,713.56 ","$2,846.06 ","$18,273.36 ","$16,335.88 ","$2,710.53 ","$17,003.02 ","$15,557.98 ","$17,589.33 ","$15,557.98 ","$17,589.33 ","$17,589.33 ","$17,589.33 ","$18,957.39 ","$15,830.40 ","$17,589.33 ","$17,589.33 ","$17,589.33 ","$17,589.33 " ST. JOSEPH'S - CHIPPEWA FALLS,48100225,C9608,HC CTO DES EA ADD BRNCH MAJ ART C9608,481,1 ,"$8,132.40 ","$6,099.30 ","$2,710.53 ","$8,132.40 ","$5,237.27 ", N/A ,"$5,692.68 ","$2,710.53 ","$8,132.40 ","$2,791.85 ","$7,642.00 ","$7,725.78 ", N/A ,"$6,505.92 ","$7,400.48 ","$2,710.53 ","$7,644.46 ","$7,725.78 ","$7,319.16 ","$6,912.54 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$5,936.65 ", N/A ,"$7,237.84 ","$7,319.16 ","$7,319.16 ","$6,505.92 ", N/A ,"$4,472.82 ","$7,319.16 ", N/A ,"$7,319.16 ", N/A ,"$7,725.78 ", N/A ,"$7,481.81 ","$2,873.16 ","$7,400.48 ", N/A ,"$5,004.68 ","$5,237.27 ","$5,004.68 ","$7,319.16 ","$7,319.16 ","$6,099.30 ","$7,319.16 ", N/A ,"$2,846.06 ","$7,603.79 ", N/A ,"$2,710.53 ","$7,075.19 ", N/A ,"$7,319.16 ", N/A ,"$7,319.16 ","$7,319.16 ","$7,319.16 ","$7,888.43 ","$6,587.24 ","$7,319.16 ","$7,319.16 ","$7,319.16 ","$7,319.16 " ST. JOSEPH'S - CHIPPEWA FALLS,48100226,C9606,HC STEMI/NSTEMI DES SINGL VESSEL C9606,481,1 ,"$20,447.42 ","$15,335.57 ","$2,710.53 ","$20,447.42 ","$13,168.14 ", N/A ,"$14,313.19 ","$2,710.53 ","$19,104.00 ","$2,791.85 ","$15,283.00 ","$19,425.05 ", N/A ,"$16,357.94 ","$18,607.15 ","$2,710.53 ","$19,220.57 ","$19,425.05 ","$18,402.68 ","$17,380.31 ","$2,710.53 ","$2,710.53 ","$2,710.53 ","$14,926.62 ", N/A ,"$18,198.20 ","$18,402.68 ","$18,402.68 ","$16,357.94 ", N/A ,"$11,246.08 ","$18,402.68 ", N/A ,"$18,402.68 ", N/A ,"$19,425.05 ", N/A ,"$18,811.63 ","$2,873.16 ","$18,607.15 ", N/A ,"$12,583.34 ","$13,168.14 ","$12,583.34 ","$18,402.68 ","$18,402.68 ","$15,335.57 ","$18,402.68 ", N/A ,"$2,846.06 ","$19,118.34 ", N/A ,"$2,710.53 ","$17,789.26 ", N/A ,"$18,402.68 ", N/A ,"$18,402.68 ","$18,402.68 ","$18,402.68 ","$19,834.00 ","$16,562.41 ","$18,402.68 ","$18,402.68 ","$18,402.68 ","$18,402.68 " ST. JOSEPH'S - CHIPPEWA FALLS,48100230,37241,HC VENOUS EMBO FOR VEIN MALFORMATION 37241,481,1 ,"$8,896.42 ","$6,672.32 ","$3,338.02 ","$21,884.82 ","$5,729.29 ","$9,726.59 ","$6,227.49 ","$3,338.02 ","$8,896.42 ","$3,438.16 ","$8,896.42 ","$8,451.60 ", N/A ,"$7,117.14 ","$8,095.74 ","$3,338.02 ","$8,362.63 ","$8,451.60 ","$8,006.78 ","$7,561.96 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$6,494.39 ","$9,726.59 ","$7,917.81 ","$8,006.78 ","$8,006.78 ","$7,117.14 ","$10,018.39 ","$4,893.03 ","$8,006.78 ","$9,726.59 ","$8,006.78 ","$9,726.59 ","$8,451.60 ","$21,884.82 ","$8,184.71 ","$3,538.30 ","$8,095.74 ","$9,726.59 ","$5,474.86 ","$5,729.29 ","$5,474.86 ","$8,006.78 ","$8,006.78 ","$6,672.32 ","$8,006.78 ","$9,823.85 ","$3,504.92 ","$8,318.15 ","$10,212.92 ","$3,338.02 ","$7,739.89 ","$9,726.59 ","$8,006.78 ","$9,726.59 ","$8,006.78 ","$8,006.78 ","$8,006.78 ","$8,629.53 ","$7,206.10 ","$8,006.78 ","$8,006.78 ","$8,006.78 ","$8,006.78 " ST. JOSEPH'S - CHIPPEWA FALLS,48100231,37242,HC ARTERIAL EMBO FOR AVM ANER PRE/PST AAA 37242,481,1 ,"$8,897.24 ","$6,672.93 ","$3,338.02 ","$21,884.82 ","$5,729.82 ","$9,726.59 ","$6,228.07 ","$3,338.02 ","$8,897.24 ","$3,438.16 ","$8,897.24 ","$8,452.38 ", N/A ,"$7,117.79 ","$8,096.49 ","$3,338.02 ","$8,363.41 ","$8,452.38 ","$8,007.52 ","$7,562.65 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$6,494.99 ","$9,726.59 ","$7,918.54 ","$8,007.52 ","$8,007.52 ","$7,117.79 ","$10,018.39 ","$4,893.48 ","$8,007.52 ","$9,726.59 ","$8,007.52 ","$9,726.59 ","$8,452.38 ","$21,884.82 ","$8,185.46 ","$3,538.30 ","$8,096.49 ","$9,726.59 ","$5,475.36 ","$5,729.82 ","$5,475.36 ","$8,007.52 ","$8,007.52 ","$6,672.93 ","$8,007.52 ","$9,823.85 ","$3,504.92 ","$8,318.92 ","$10,212.92 ","$3,338.02 ","$7,740.60 ","$9,726.59 ","$8,007.52 ","$9,726.59 ","$8,007.52 ","$8,007.52 ","$8,007.52 ","$8,630.32 ","$7,206.76 ","$8,007.52 ","$8,007.52 ","$8,007.52 ","$8,007.52 " ST. JOSEPH'S - CHIPPEWA FALLS,48100232,37243,HC EMBOLIZATION OF TUMOR UFE CHEMO 37243,481,1 ,"$8,896.42 ","$6,672.32 ","$3,338.02 ","$21,884.82 ","$5,729.29 ","$9,726.59 ","$6,227.49 ","$3,338.02 ","$8,896.42 ","$3,438.16 ","$8,896.42 ","$8,451.60 ", N/A ,"$7,117.14 ","$8,095.74 ","$3,338.02 ","$8,362.63 ","$8,451.60 ","$8,006.78 ","$7,561.96 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$6,494.39 ","$9,726.59 ","$7,917.81 ","$8,006.78 ","$8,006.78 ","$7,117.14 ","$10,018.39 ","$4,893.03 ","$8,006.78 ","$9,726.59 ","$8,006.78 ","$9,726.59 ","$8,451.60 ","$21,884.82 ","$8,184.71 ","$3,538.30 ","$8,095.74 ","$9,726.59 ","$5,474.86 ","$5,729.29 ","$5,474.86 ","$8,006.78 ","$8,006.78 ","$6,672.32 ","$8,006.78 ","$9,823.85 ","$3,504.92 ","$8,318.15 ","$10,212.92 ","$3,338.02 ","$7,739.89 ","$9,726.59 ","$8,006.78 ","$9,726.59 ","$8,006.78 ","$8,006.78 ","$8,006.78 ","$8,629.53 ","$7,206.10 ","$8,006.78 ","$8,006.78 ","$8,006.78 ","$8,006.78 " ST. JOSEPH'S - CHIPPEWA FALLS,48100233,37244,HC EMBOLIZATION FOR HEMORRAGE ART/VEN 37244,481,1 ,"$8,897.24 ","$6,672.93 ","$3,338.02 ","$21,884.82 ","$5,729.82 ","$9,726.59 ","$6,228.07 ","$3,338.02 ","$8,897.24 ","$3,438.16 ","$8,897.24 ","$8,452.38 ", N/A ,"$7,117.79 ","$8,096.49 ","$3,338.02 ","$8,363.41 ","$8,452.38 ","$8,007.52 ","$7,562.65 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$6,494.99 ","$9,726.59 ","$7,918.54 ","$8,007.52 ","$8,007.52 ","$7,117.79 ","$10,018.39 ","$4,893.48 ","$8,007.52 ","$9,726.59 ","$8,007.52 ","$9,726.59 ","$8,452.38 ","$21,884.82 ","$8,185.46 ","$3,538.30 ","$8,096.49 ","$9,726.59 ","$5,475.36 ","$5,729.82 ","$5,475.36 ","$8,007.52 ","$8,007.52 ","$6,672.93 ","$8,007.52 ","$9,823.85 ","$3,504.92 ","$8,318.92 ","$10,212.92 ","$3,338.02 ","$7,740.60 ","$9,726.59 ","$8,007.52 ","$9,726.59 ","$8,007.52 ","$8,007.52 ","$8,007.52 ","$8,630.32 ","$7,206.76 ","$8,007.52 ","$8,007.52 ","$8,007.52 ","$8,007.52 " ST. JOSEPH'S - CHIPPEWA FALLS,48100234,37236,HC STENT INIT ARTERY UPPER EXT VISCERAL 37236,481,1 ,"$6,437.44 ","$4,828.08 ","$3,338.02 ","$21,884.82 ","$4,145.71 ","$9,726.59 ","$4,506.21 ","$3,338.02 ","$6,437.44 ","$3,438.16 ","$6,437.44 ","$6,115.57 ", N/A ,"$5,149.95 ","$5,858.07 ","$3,338.02 ","$6,051.19 ","$6,115.57 ","$5,793.70 ","$5,471.82 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$4,699.33 ","$9,726.59 ","$5,729.32 ","$5,793.70 ","$5,793.70 ","$5,149.95 ","$10,018.39 ","$3,540.59 ","$5,793.70 ","$9,726.59 ","$5,793.70 ","$9,726.59 ","$6,115.57 ","$21,884.82 ","$5,922.44 ","$3,538.30 ","$5,858.07 ","$9,726.59 ","$3,961.60 ","$4,145.71 ","$3,961.60 ","$5,793.70 ","$5,793.70 ","$4,828.08 ","$5,793.70 ","$9,823.85 ","$3,504.92 ","$6,019.01 ","$10,212.92 ","$3,338.02 ","$5,600.57 ","$9,726.59 ","$5,793.70 ","$9,726.59 ","$5,793.70 ","$5,793.70 ","$5,793.70 ","$6,244.32 ","$5,214.33 ","$5,793.70 ","$5,793.70 ","$5,793.70 ","$5,793.70 " ST. JOSEPH'S - CHIPPEWA FALLS,48100235,37237,HC STENT ADDN ARTERY UPPER EXT VISERAL 37237,481,1 ,"$1,911.93 ","$1,433.95 ","$1,051.56 ","$3,538.30 ","$1,231.28 ", N/A ,"$1,338.35 ","$1,911.93 ","$1,911.93 ","$3,438.16 ","$1,911.93 ","$1,816.33 ", N/A ,"$1,529.54 ","$1,739.86 ","$1,911.93 ","$1,797.21 ","$1,816.33 ","$1,720.74 ","$1,625.14 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,395.71 ", N/A ,"$1,701.62 ","$1,720.74 ","$1,720.74 ","$1,529.54 ", N/A ,"$1,051.56 ","$1,720.74 ", N/A ,"$1,720.74 ", N/A ,"$1,816.33 ", N/A ,"$1,758.98 ","$3,538.30 ","$1,739.86 ", N/A ,"$1,176.60 ","$1,231.28 ","$1,176.60 ","$1,720.74 ","$1,720.74 ","$1,433.95 ","$1,338.35 ", N/A ,"$3,504.92 ","$1,787.65 ", N/A ,"$1,911.93 ","$1,663.38 ", N/A ,"$1,720.74 ", N/A ,"$1,720.74 ","$1,720.74 ","$1,720.74 ","$1,854.57 ","$1,548.66 ","$1,720.74 ","$1,720.74 ","$1,720.74 ","$1,720.74 " ST. JOSEPH'S - CHIPPEWA FALLS,48100236,37238,HC STENT INIT VENOUS UPPER EXT VISERAL 37238,481,1 ,"$5,337.44 ","$4,003.08 ","$2,935.59 ","$21,884.82 ","$3,437.31 ","$9,726.59 ","$3,736.21 ","$3,338.02 ","$5,337.44 ","$3,438.16 ","$5,337.44 ","$5,070.57 ", N/A ,"$4,269.95 ","$4,857.07 ","$3,338.02 ","$5,017.19 ","$5,070.57 ","$4,803.70 ","$4,536.82 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$3,896.33 ","$9,726.59 ","$4,750.32 ","$4,803.70 ","$4,803.70 ","$4,269.95 ","$10,018.39 ","$2,935.59 ","$4,803.70 ","$9,726.59 ","$4,803.70 ","$9,726.59 ","$5,070.57 ","$21,884.82 ","$4,910.44 ","$3,538.30 ","$4,857.07 ","$9,726.59 ","$3,284.66 ","$3,437.31 ","$3,284.66 ","$4,803.70 ","$4,803.70 ","$4,003.08 ","$4,803.70 ","$9,823.85 ","$3,504.92 ","$4,990.51 ","$10,212.92 ","$3,338.02 ","$4,643.57 ","$9,726.59 ","$4,803.70 ","$9,726.59 ","$4,803.70 ","$4,803.70 ","$4,803.70 ","$5,177.32 ","$4,323.33 ","$4,803.70 ","$4,803.70 ","$4,803.70 ","$4,803.70 " ST. JOSEPH'S - CHIPPEWA FALLS,48100237,37239,HC STENT ADDN VENOUS UPPER EXT VISERAL 37239,481,1 ,"$1,911.93 ","$1,433.95 ","$1,051.56 ","$3,538.30 ","$1,231.28 ", N/A ,"$1,338.35 ","$1,911.93 ","$1,911.93 ","$3,438.16 ","$1,911.93 ","$1,816.33 ", N/A ,"$1,529.54 ","$1,739.86 ","$1,911.93 ","$1,797.21 ","$1,816.33 ","$1,720.74 ","$1,625.14 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,395.71 ", N/A ,"$1,701.62 ","$1,720.74 ","$1,720.74 ","$1,529.54 ", N/A ,"$1,051.56 ","$1,720.74 ", N/A ,"$1,720.74 ", N/A ,"$1,816.33 ", N/A ,"$1,758.98 ","$3,538.30 ","$1,739.86 ", N/A ,"$1,176.60 ","$1,231.28 ","$1,176.60 ","$1,720.74 ","$1,720.74 ","$1,433.95 ","$1,338.35 ", N/A ,"$3,504.92 ","$1,787.65 ", N/A ,"$1,911.93 ","$1,663.38 ", N/A ,"$1,720.74 ", N/A ,"$1,720.74 ","$1,720.74 ","$1,720.74 ","$1,854.57 ","$1,548.66 ","$1,720.74 ","$1,720.74 ","$1,720.74 ","$1,720.74 " ST. JOSEPH'S - CHIPPEWA FALLS,48100238,37217,HC STENT CAROTID OPEN 37217,481,1 ,"$2,425.14 ","$1,818.86 ","$1,333.83 ","$2,425.14 ","$1,561.79 ", N/A ,"$1,697.60 ","$1,802.28 ","$2,425.14 ","$1,856.35 ","$2,425.14 ","$2,303.88 ", N/A ,"$1,940.11 ","$2,206.88 ","$1,802.28 ","$2,279.63 ","$2,303.88 ","$2,182.63 ","$2,061.37 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,770.35 ", N/A ,"$2,158.37 ","$2,182.63 ","$2,182.63 ","$1,940.11 ", N/A ,"$1,333.83 ","$2,182.63 ", N/A ,"$2,182.63 ", N/A ,"$2,303.88 ", N/A ,"$2,231.13 ","$1,910.42 ","$2,206.88 ", N/A ,"$1,492.43 ","$1,561.79 ","$1,492.43 ","$2,182.63 ","$2,182.63 ","$1,818.86 ","$1,697.60 ", N/A ,"$1,892.39 ","$2,267.51 ", N/A ,"$1,802.28 ","$2,109.87 ", N/A ,"$2,182.63 ", N/A ,"$2,182.63 ","$2,182.63 ","$2,182.63 ","$2,352.39 ","$1,964.36 ","$2,182.63 ","$2,182.63 ","$2,182.63 ","$2,182.63 " ST. JOSEPH'S - CHIPPEWA FALLS,48100241,33361,HC REPL TAVR W/PRO PERC FEM ART,481,1 ,"$14,000.00 ","$10,500.00 ","$2,872.01 ","$14,000.00 ","$9,016.00 ", N/A ,"$9,800.00 ","$2,872.01 ","$14,000.00 ","$2,958.17 ","$14,000.00 ","$13,300.00 ", N/A ,"$11,200.00 ","$12,740.00 ","$2,872.01 ","$13,160.00 ","$13,300.00 ","$12,600.00 ","$11,900.00 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$10,220.00 ", N/A ,"$12,460.00 ","$12,600.00 ","$12,600.00 ","$11,200.00 ", N/A ,"$7,700.00 ","$12,600.00 ", N/A ,"$12,600.00 ", N/A ,"$13,300.00 ", N/A ,"$12,880.00 ","$3,044.33 ","$12,740.00 ", N/A ,"$8,615.60 ","$9,016.00 ","$8,615.60 ","$12,600.00 ","$12,600.00 ","$10,500.00 ","$9,800.00 ", N/A ,"$3,015.61 ","$13,090.00 ", N/A ,"$2,872.01 ","$12,180.00 ", N/A ,"$12,600.00 ", N/A ,"$12,600.00 ","$12,600.00 ","$12,600.00 ","$13,580.00 ","$11,340.00 ","$12,600.00 ","$12,600.00 ","$12,600.00 ","$12,600.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100242,33362,HC REPL TAVR W/PRO OPEN FEM ART,481,1 ,"$18,000.00 ","$13,500.00 ","$2,872.01 ","$18,000.00 ","$11,592.00 ", N/A ,"$12,600.00 ","$2,872.01 ","$18,000.00 ","$2,958.17 ","$14,858.00 ","$17,100.00 ", N/A ,"$14,400.00 ","$16,380.00 ","$2,872.01 ","$16,920.00 ","$17,100.00 ","$16,200.00 ","$15,300.00 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$13,140.00 ", N/A ,"$16,020.00 ","$16,200.00 ","$16,200.00 ","$14,400.00 ", N/A ,"$9,900.00 ","$16,200.00 ", N/A ,"$16,200.00 ", N/A ,"$17,100.00 ", N/A ,"$16,560.00 ","$3,044.33 ","$16,380.00 ", N/A ,"$11,077.20 ","$11,592.00 ","$11,077.20 ","$16,200.00 ","$16,200.00 ","$13,500.00 ","$12,600.00 ", N/A ,"$3,015.61 ","$16,830.00 ", N/A ,"$2,872.01 ","$15,660.00 ", N/A ,"$16,200.00 ", N/A ,"$16,200.00 ","$16,200.00 ","$16,200.00 ","$17,460.00 ","$14,580.00 ","$16,200.00 ","$16,200.00 ","$16,200.00 ","$16,200.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100243,33363,HC REPL TAVR W/PRO OPEN AXIL ART,481,1 ,"$18,000.00 ","$13,500.00 ","$2,872.01 ","$18,000.00 ","$11,592.00 ", N/A ,"$12,600.00 ","$2,872.01 ","$18,000.00 ","$2,958.17 ","$14,858.00 ","$17,100.00 ", N/A ,"$14,400.00 ","$16,380.00 ","$2,872.01 ","$16,920.00 ","$17,100.00 ","$16,200.00 ","$15,300.00 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$13,140.00 ", N/A ,"$16,020.00 ","$16,200.00 ","$16,200.00 ","$14,400.00 ", N/A ,"$9,900.00 ","$16,200.00 ", N/A ,"$16,200.00 ", N/A ,"$17,100.00 ", N/A ,"$16,560.00 ","$3,044.33 ","$16,380.00 ", N/A ,"$11,077.20 ","$11,592.00 ","$11,077.20 ","$16,200.00 ","$16,200.00 ","$13,500.00 ","$12,600.00 ", N/A ,"$3,015.61 ","$16,830.00 ", N/A ,"$2,872.01 ","$15,660.00 ", N/A ,"$16,200.00 ", N/A ,"$16,200.00 ","$16,200.00 ","$16,200.00 ","$17,460.00 ","$14,580.00 ","$16,200.00 ","$16,200.00 ","$16,200.00 ","$16,200.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100244,33364,HC REPL TAVR W/PRO OPEN ILIAC ART,481,1 ,"$18,000.00 ","$13,500.00 ","$2,872.01 ","$18,000.00 ","$11,592.00 ", N/A ,"$12,600.00 ","$2,872.01 ","$18,000.00 ","$2,958.17 ","$14,858.00 ","$17,100.00 ", N/A ,"$14,400.00 ","$16,380.00 ","$2,872.01 ","$16,920.00 ","$17,100.00 ","$16,200.00 ","$15,300.00 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$13,140.00 ", N/A ,"$16,020.00 ","$16,200.00 ","$16,200.00 ","$14,400.00 ", N/A ,"$9,900.00 ","$16,200.00 ", N/A ,"$16,200.00 ", N/A ,"$17,100.00 ", N/A ,"$16,560.00 ","$3,044.33 ","$16,380.00 ", N/A ,"$11,077.20 ","$11,592.00 ","$11,077.20 ","$16,200.00 ","$16,200.00 ","$13,500.00 ","$12,600.00 ", N/A ,"$3,015.61 ","$16,830.00 ", N/A ,"$2,872.01 ","$15,660.00 ", N/A ,"$16,200.00 ", N/A ,"$16,200.00 ","$16,200.00 ","$16,200.00 ","$17,460.00 ","$14,580.00 ","$16,200.00 ","$16,200.00 ","$16,200.00 ","$16,200.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100245,33365,HC REPL TAVR TRANSAORTIC APPRCH,481,1 ,"$26,000.00 ","$19,500.00 ","$2,872.01 ","$26,000.00 ","$16,744.00 ", N/A ,"$18,200.00 ","$2,872.01 ","$18,389.00 ","$2,958.17 ","$14,858.00 ","$24,700.00 ", N/A ,"$20,800.00 ","$23,660.00 ","$2,872.01 ","$24,440.00 ","$24,700.00 ","$23,400.00 ","$22,100.00 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$18,980.00 ", N/A ,"$23,140.00 ","$23,400.00 ","$23,400.00 ","$20,800.00 ", N/A ,"$14,300.00 ","$23,400.00 ", N/A ,"$23,400.00 ", N/A ,"$24,700.00 ", N/A ,"$23,920.00 ","$3,044.33 ","$23,660.00 ", N/A ,"$16,000.40 ","$16,744.00 ","$16,000.40 ","$23,400.00 ","$23,400.00 ","$19,500.00 ","$18,200.00 ", N/A ,"$3,015.61 ","$24,310.00 ", N/A ,"$2,872.01 ","$22,620.00 ", N/A ,"$23,400.00 ", N/A ,"$23,400.00 ","$23,400.00 ","$23,400.00 ","$25,220.00 ","$21,060.00 ","$23,400.00 ","$23,400.00 ","$23,400.00 ","$23,400.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100246,33366,HC REPL TAVR TRANSAPICAL APPRCH,481,1 ,"$25,000.00 ","$18,750.00 ","$2,872.01 ","$25,000.00 ","$16,100.00 ", N/A ,"$17,500.00 ","$2,872.01 ","$18,389.00 ","$2,958.17 ","$14,858.00 ","$23,750.00 ", N/A ,"$20,000.00 ","$22,750.00 ","$2,872.01 ","$23,500.00 ","$23,750.00 ","$22,500.00 ","$21,250.00 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$18,250.00 ", N/A ,"$22,250.00 ","$22,500.00 ","$22,500.00 ","$20,000.00 ", N/A ,"$13,750.00 ","$22,500.00 ", N/A ,"$22,500.00 ", N/A ,"$23,750.00 ", N/A ,"$23,000.00 ","$3,044.33 ","$22,750.00 ", N/A ,"$15,385.00 ","$16,100.00 ","$15,385.00 ","$22,500.00 ","$22,500.00 ","$18,750.00 ","$17,500.00 ", N/A ,"$3,015.61 ","$23,375.00 ", N/A ,"$2,872.01 ","$21,750.00 ", N/A ,"$22,500.00 ", N/A ,"$22,500.00 ","$22,500.00 ","$22,500.00 ","$24,250.00 ","$20,250.00 ","$22,500.00 ","$22,500.00 ","$22,500.00 ","$22,500.00 " ST. JOSEPH'S - CHIPPEWA FALLS,48100247,33367,HC REPL TAVR W/ PERC PERIPH BYPASS,481,1 ,"$3,525.00 ","$2,643.75 ","$1,938.75 ","$3,525.00 ","$2,270.10 ", N/A ,"$2,467.50 ","$2,872.01 ","$3,525.00 ","$2,958.17 ","$3,525.00 ","$3,348.75 ", N/A ,"$2,820.00 ","$3,207.75 ","$2,872.01 ","$3,313.50 ","$3,348.75 ","$3,172.50 ","$2,996.25 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$2,573.25 ", N/A ,"$3,137.25 ","$3,172.50 ","$3,172.50 ","$2,820.00 ", N/A ,"$1,938.75 ","$3,172.50 ", N/A ,"$3,172.50 ", N/A ,"$3,348.75 ", N/A ,"$3,243.00 ","$3,044.33 ","$3,207.75 ", N/A ,"$2,169.29 ","$2,270.10 ","$2,169.29 ","$3,172.50 ","$3,172.50 ","$2,643.75 ","$2,467.50 ", N/A ,"$3,015.61 ","$3,295.88 ", N/A ,"$2,872.01 ","$3,066.75 ", N/A ,"$3,172.50 ", N/A ,"$3,172.50 ","$3,172.50 ","$3,172.50 ","$3,419.25 ","$2,855.25 ","$3,172.50 ","$3,172.50 ","$3,172.50 ","$3,172.50 " ST. JOSEPH'S - CHIPPEWA FALLS,48100248,33368,HC REPL TAVR W/OPEN PERIPH BYPASS,481,1 ,"$3,525.00 ","$2,643.75 ","$1,938.75 ","$3,525.00 ","$2,270.10 ", N/A ,"$2,467.50 ","$2,872.01 ","$3,525.00 ","$2,958.17 ","$3,525.00 ","$3,348.75 ", N/A ,"$2,820.00 ","$3,207.75 ","$2,872.01 ","$3,313.50 ","$3,348.75 ","$3,172.50 ","$2,996.25 ","$2,872.01 ","$2,872.01 ","$2,872.01 ","$2,573.25 ", N/A ,"$3,137.25 ","$3,172.50 ","$3,172.50 ","$2,820.00 ", N/A ,"$1,938.75 ","$3,172.50 ", N/A ,"$3,172.50 ", N/A ,"$3,348.75 ", N/A ,"$3,243.00 ","$3,044.33 ","$3,207.75 ", N/A ,"$2,169.29 ","$2,270.10 ","$2,169.29 ","$3,172.50 ","$3,172.50 ","$2,643.75 ","$2,467.50 ", N/A ,"$3,015.61 ","$3,295.88 ", N/A ,"$2,872.01 ","$3,066.75 ", N/A ,"$3,172.50 ", N/A ,"$3,172.50 ","$3,172.50 ","$3,172.50 ","$3,419.25 ","$2,855.25 ","$3,172.50 ","$3,172.50 ","$3,172.50 ","$3,172.50 " ST. JOSEPH'S - CHIPPEWA FALLS,48100255,61651,HC THPY INFS NON-THROMBO ADDNT,481,1 ,"$1,193.23 ",$894.92 ,$656.28 ,"$1,910.42 ",$768.44 , N/A ,$835.26 ,"$1,193.23 ","$1,193.23 ","$1,856.35 ","$1,193.23 ","$1,133.57 ", N/A ,$954.58 ,"$1,085.84 ","$1,193.23 ","$1,121.64 ","$1,133.57 ","$1,073.91 ","$1,014.25 ","$1,802.28 ","$1,802.28 ","$1,802.28 ",$871.06 , N/A ,"$1,061.97 ","$1,073.91 ","$1,073.91 ",$954.58 , N/A ,$656.28 ,"$1,073.91 ", N/A ,"$1,073.91 ", N/A ,"$1,133.57 ", N/A ,"$1,097.77 ","$1,910.42 ","$1,085.84 ", N/A ,$734.31 ,$768.44 ,$734.31 ,"$1,073.91 ","$1,073.91 ",$894.92 ,$835.26 , N/A ,"$1,892.39 ","$1,115.67 ", N/A ,"$1,193.23 ","$1,038.11 ", N/A ,"$1,073.91 ", N/A ,"$1,073.91 ","$1,073.91 ","$1,073.91 ","$1,157.43 ",$966.52 ,"$1,073.91 ","$1,073.91 ","$1,073.91 ","$1,073.91 " ST. JOSEPH'S - CHIPPEWA FALLS,48100256,N/A,HC PACEMAKER INSERTION DURING PROCEDURE,481,1 ,$733.52 ,$550.14 ,$403.44 ,$733.52 ,$472.39 , N/A ,$513.46 , N/A , N/A , N/A , N/A ,$696.84 , N/A ,$586.82 ,$667.50 , N/A ,$689.51 ,$696.84 ,$660.17 ,$623.49 , N/A , N/A , N/A ,$535.47 , N/A ,$652.83 ,$660.17 ,$660.17 ,$586.82 , N/A ,$403.44 ,$660.17 , N/A ,$660.17 , N/A ,$696.84 , N/A ,$674.84 , N/A ,$667.50 , N/A , N/A ,$472.39 , N/A ,$660.17 ,$660.17 ,$550.14 , N/A , N/A , N/A ,$685.84 , N/A , N/A ,$638.16 , N/A ,$660.17 , N/A ,$660.17 ,$660.17 ,$660.17 ,$711.51 ,$594.15 ,$660.17 ,$660.17 ,$660.17 ,$660.17 ST. JOSEPH'S - CHIPPEWA FALLS,48100257,N/A,HC PACEMAKER INSERTION,481,1 ,"$16,655.74 ","$12,491.81 ","$9,160.66 ","$16,655.74 ","$10,726.30 ", N/A ,"$11,659.02 ", N/A , N/A , N/A , N/A ,"$15,822.95 ", N/A ,"$13,324.59 ","$15,156.72 ", N/A ,"$15,656.40 ","$15,822.95 ","$14,990.17 ","$14,157.38 ", N/A , N/A , N/A ,"$12,158.69 ", N/A ,"$14,823.61 ","$14,990.17 ","$14,990.17 ","$13,324.59 ", N/A ,"$9,160.66 ","$14,990.17 ", N/A ,"$14,990.17 ", N/A ,"$15,822.95 ", N/A ,"$15,323.28 ", N/A ,"$15,156.72 ", N/A , N/A ,"$10,726.30 ", N/A ,"$14,990.17 ","$14,990.17 ","$12,491.81 ", N/A , N/A , N/A ,"$15,573.12 ", N/A , N/A ,"$14,490.49 ", N/A ,"$14,990.17 ", N/A ,"$14,990.17 ","$14,990.17 ","$14,990.17 ","$16,156.07 ","$13,491.15 ","$14,990.17 ","$14,990.17 ","$14,990.17 ","$14,990.17 " ST. JOSEPH'S - CHIPPEWA FALLS,48100258,N/A,HC PACEMAKER BATTERY CHANGE,481,1 ,"$7,391.36 ","$5,543.52 ","$4,065.25 ","$7,391.36 ","$4,760.04 ", N/A ,"$5,173.95 ", N/A , N/A , N/A , N/A ,"$7,021.79 ", N/A ,"$5,913.09 ","$6,726.14 ", N/A ,"$6,947.88 ","$7,021.79 ","$6,652.22 ","$6,282.66 ", N/A , N/A , N/A ,"$5,395.69 ", N/A ,"$6,578.31 ","$6,652.22 ","$6,652.22 ","$5,913.09 ", N/A ,"$4,065.25 ","$6,652.22 ", N/A ,"$6,652.22 ", N/A ,"$7,021.79 ", N/A ,"$6,800.05 ", N/A ,"$6,726.14 ", N/A , N/A ,"$4,760.04 ", N/A ,"$6,652.22 ","$6,652.22 ","$5,543.52 ", N/A , N/A , N/A ,"$6,910.92 ", N/A , N/A ,"$6,430.48 ", N/A ,"$6,652.22 ", N/A ,"$6,652.22 ","$6,652.22 ","$6,652.22 ","$7,169.62 ","$5,987.00 ","$6,652.22 ","$6,652.22 ","$6,652.22 ","$6,652.22 " ST. JOSEPH'S - CHIPPEWA FALLS,48100263,36902,HC INTRO CATH/CIRCUIT W/ANGIO 36902,481,1 ,"$1,738.51 ","$1,303.88 ",$956.18 ,"$10,801.57 ","$1,119.60 ","$4,800.70 ","$1,216.96 ","$1,095.68 ","$1,738.51 ","$1,128.55 ","$1,738.51 ","$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,095.68 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$1,269.11 ","$4,800.70 ","$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ","$4,944.72 ",$956.18 ,"$1,564.66 ","$4,800.70 ","$1,564.66 ","$4,800.70 ","$1,651.58 ","$10,801.57 ","$1,599.43 ","$1,161.42 ","$1,582.04 ","$4,800.70 ","$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ","$1,564.66 ","$4,848.71 ","$1,150.46 ","$1,625.51 ","$5,040.74 ","$1,095.68 ","$1,512.50 ","$4,800.70 ","$1,564.66 ","$4,800.70 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100264,36905,HC THROMBECTOMY/INFUS CIRCUIT W/ANGIO 36905,481,1 ,"$1,738.51 ","$1,303.88 ",$956.18 ,"$21,884.82 ","$1,119.60 ","$9,726.59 ","$1,216.96 ","$1,738.51 ","$1,738.51 ","$1,856.35 ","$1,738.51 ","$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,738.51 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,269.11 ","$9,726.59 ","$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ","$10,018.39 ",$956.18 ,"$1,564.66 ","$9,726.59 ","$1,564.66 ","$9,726.59 ","$1,651.58 ","$21,884.82 ","$1,599.43 ","$1,910.42 ","$1,582.04 ","$9,726.59 ","$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ","$1,564.66 ","$9,823.85 ","$1,892.39 ","$1,625.51 ","$10,212.92 ","$1,738.51 ","$1,512.50 ","$9,726.59 ","$1,564.66 ","$9,726.59 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100265,36907,HC ANGIOPLASTY CTR DIALYSIS SEGMENT 36907,481,1 ,"$1,738.51 ","$1,303.88 ",$869.26 ,"$1,910.42 ","$1,119.60 ", N/A ,"$1,216.96 ","$1,738.51 ", N/A ,"$1,856.35 ", N/A ,"$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,738.51 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,269.11 ", N/A ,"$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ", N/A ,$956.18 ,"$1,564.66 ", N/A ,"$1,564.66 ", N/A ,"$1,651.58 ", N/A ,"$1,599.43 ","$1,910.42 ","$1,582.04 ", N/A ,"$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ",$869.26 , N/A ,"$1,892.39 ","$1,625.51 ", N/A ,"$1,738.51 ","$1,512.50 ", N/A ,"$1,564.66 ", N/A ,"$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100266,37246,HC ANGIOPLASTY TRANLUM BALN INIT ARTERY 37246,481,1 ,"$4,158.07 ","$3,118.55 ","$1,095.68 ","$10,801.57 ","$2,677.80 ","$4,800.70 ","$2,910.65 ","$1,095.68 ","$4,158.07 ","$1,128.55 ","$4,158.07 ","$3,950.17 ", N/A ,"$3,326.46 ","$3,783.84 ","$1,095.68 ","$3,908.59 ","$3,950.17 ","$3,742.26 ","$3,534.36 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$3,035.39 ","$4,800.70 ","$3,700.68 ","$3,742.26 ","$3,742.26 ","$3,326.46 ","$4,944.72 ","$2,286.94 ","$3,742.26 ","$4,800.70 ","$3,742.26 ","$4,800.70 ","$3,950.17 ","$10,801.57 ","$3,825.42 ","$1,161.42 ","$3,783.84 ","$4,800.70 ","$2,558.88 ","$2,677.80 ","$2,558.88 ","$3,742.26 ","$3,742.26 ","$3,118.55 ","$3,742.26 ","$4,848.71 ","$1,150.46 ","$3,887.80 ","$5,040.74 ","$1,095.68 ","$3,617.52 ","$4,800.70 ","$3,742.26 ","$4,800.70 ","$3,742.26 ","$3,742.26 ","$3,742.26 ","$4,033.33 ","$3,368.04 ","$3,742.26 ","$3,742.26 ","$3,742.26 ","$3,742.26 " ST. JOSEPH'S - CHIPPEWA FALLS,48100267,37247,HC ANGIOPLASTY TRANLUM BALN ADDL ARTERY 37247,481,1 ,"$3,501.80 ","$2,626.35 ","$1,750.90 ","$3,501.80 ","$2,255.16 ", N/A ,"$2,451.26 ","$1,802.28 ", N/A ,"$1,856.35 ", N/A ,"$3,326.71 ", N/A ,"$2,801.44 ","$3,186.64 ","$1,802.28 ","$3,291.69 ","$3,326.71 ","$3,151.62 ","$2,976.53 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$2,556.31 ", N/A ,"$3,116.60 ","$3,151.62 ","$3,151.62 ","$2,801.44 ", N/A ,"$1,925.99 ","$3,151.62 ", N/A ,"$3,151.62 ", N/A ,"$3,326.71 ", N/A ,"$3,221.66 ","$1,910.42 ","$3,186.64 ", N/A ,"$2,155.01 ","$2,255.16 ","$2,155.01 ","$3,151.62 ","$3,151.62 ","$2,626.35 ","$1,750.90 ", N/A ,"$1,892.39 ","$3,274.18 ", N/A ,"$1,802.28 ","$3,046.57 ", N/A ,"$3,151.62 ", N/A ,"$3,151.62 ","$3,151.62 ","$3,151.62 ","$3,396.75 ","$2,836.46 ","$3,151.62 ","$3,151.62 ","$3,151.62 ","$3,151.62 " ST. JOSEPH'S - CHIPPEWA FALLS,48100268,37248,HC ANGIOPLASTY TRANLUM BALN INIT VEIN 37248,481,1 ,"$3,626.55 ","$2,719.91 ","$1,095.68 ","$10,801.57 ","$2,335.50 ","$4,800.70 ","$2,538.59 ","$1,095.68 ","$3,626.55 ","$1,128.55 ","$3,626.55 ","$3,445.22 ", N/A ,"$2,901.24 ","$3,300.16 ","$1,095.68 ","$3,408.96 ","$3,445.22 ","$3,263.90 ","$3,082.57 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$2,647.38 ","$4,800.70 ","$3,227.63 ","$3,263.90 ","$3,263.90 ","$2,901.24 ","$4,944.72 ","$1,994.60 ","$3,263.90 ","$4,800.70 ","$3,263.90 ","$4,800.70 ","$3,445.22 ","$10,801.57 ","$3,336.43 ","$1,161.42 ","$3,300.16 ","$4,800.70 ","$2,231.78 ","$2,335.50 ","$2,231.78 ","$3,263.90 ","$3,263.90 ","$2,719.91 ","$3,263.90 ","$4,848.71 ","$1,150.46 ","$3,390.82 ","$5,040.74 ","$1,095.68 ","$3,155.10 ","$4,800.70 ","$3,263.90 ","$4,800.70 ","$3,263.90 ","$3,263.90 ","$3,263.90 ","$3,517.75 ","$2,937.51 ","$3,263.90 ","$3,263.90 ","$3,263.90 ","$3,263.90 " ST. JOSEPH'S - CHIPPEWA FALLS,48100269,37249,HC ANGIOPLASTY TRANLUM BALN ADDL VEIN 37249,481,1 ,"$3,063.01 ","$2,297.26 ","$1,531.51 ","$3,063.01 ","$1,972.58 ", N/A ,"$2,144.11 ","$1,802.28 ", N/A ,"$1,856.35 ", N/A ,"$2,909.86 ", N/A ,"$2,450.41 ","$2,787.34 ","$1,802.28 ","$2,879.23 ","$2,909.86 ","$2,756.71 ","$2,603.56 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$2,236.00 ", N/A ,"$2,726.08 ","$2,756.71 ","$2,756.71 ","$2,450.41 ", N/A ,"$1,684.66 ","$2,756.71 ", N/A ,"$2,756.71 ", N/A ,"$2,909.86 ", N/A ,"$2,817.97 ","$1,910.42 ","$2,787.34 ", N/A ,"$1,884.98 ","$1,972.58 ","$1,884.98 ","$2,756.71 ","$2,756.71 ","$2,297.26 ","$1,531.51 ", N/A ,"$1,892.39 ","$2,863.91 ", N/A ,"$1,802.28 ","$2,664.82 ", N/A ,"$2,756.71 ", N/A ,"$2,756.71 ","$2,756.71 ","$2,756.71 ","$2,971.12 ","$2,481.04 ","$2,756.71 ","$2,756.71 ","$2,756.71 ","$2,756.71 " ST. JOSEPH'S - CHIPPEWA FALLS,48100270,36908,HC PLACE STENT CENTRAL DIAL SEGMENT 36908,481,1 ,"$1,738.51 ","$1,303.88 ",$869.26 ,"$1,910.42 ","$1,119.60 ", N/A ,"$1,216.96 ","$1,738.51 ", N/A ,"$1,856.35 ", N/A ,"$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,738.51 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$1,802.28 ","$1,802.28 ","$1,802.28 ","$1,269.11 ", N/A ,"$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ", N/A ,$956.18 ,"$1,564.66 ", N/A ,"$1,564.66 ", N/A ,"$1,651.58 ", N/A ,"$1,599.43 ","$1,910.42 ","$1,582.04 ", N/A ,"$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ",$869.26 , N/A ,"$1,892.39 ","$1,625.51 ", N/A ,"$1,738.51 ","$1,512.50 ", N/A ,"$1,564.66 ", N/A ,"$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100271,36909,HC DIAL CIRCUIT VASC EMBOL/OCCUL 36909,481,1 ,"$1,738.51 ","$1,303.88 ",$869.26 ,"$3,538.30 ","$1,119.60 ", N/A ,"$1,216.96 ","$1,738.51 ", N/A ,"$3,438.16 ", N/A ,"$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,738.51 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,269.11 ", N/A ,"$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ", N/A ,$956.18 ,"$1,564.66 ", N/A ,"$1,564.66 ", N/A ,"$1,651.58 ", N/A ,"$1,599.43 ","$3,538.30 ","$1,582.04 ", N/A ,"$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ",$869.26 , N/A ,"$3,504.92 ","$1,625.51 ", N/A ,"$1,738.51 ","$1,512.50 ", N/A ,"$1,564.66 ", N/A ,"$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100272,36901,HC INTRO CATH DIALYSIS CIRCUIT 36901,481,1 ,"$1,738.51 ","$1,303.88 ",$534.02 ,"$3,064.15 ","$1,119.60 ","$1,361.85 ","$1,216.96 ",$534.02 ,"$1,738.51 ",$550.04 ,"$1,738.51 ","$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ",$534.02 ,"$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ",$534.02 ,$534.02 ,$534.02 ,"$1,269.11 ","$1,361.85 ","$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ","$1,402.70 ",$956.18 ,"$1,564.66 ","$1,361.85 ","$1,564.66 ","$1,361.85 ","$1,651.58 ","$3,064.15 ","$1,599.43 ",$566.06 ,"$1,582.04 ","$1,361.85 ","$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ","$1,564.66 ","$1,375.47 ",$560.72 ,"$1,625.51 ","$1,429.94 ",$534.02 ,"$1,512.50 ","$1,361.85 ","$1,564.66 ","$1,361.85 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100273,36903,HC INTRO CATH/CIRCUIT W/STENT 36903,481,1 ,"$1,738.51 ","$1,303.88 ",$956.18 ,"$21,884.82 ","$1,119.60 ","$9,726.59 ","$1,216.96 ","$1,738.51 ","$1,738.51 ","$3,438.16 ","$1,738.51 ","$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,738.51 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,269.11 ","$9,726.59 ","$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ","$10,018.39 ",$956.18 ,"$1,564.66 ","$9,726.59 ","$1,564.66 ","$9,726.59 ","$1,651.58 ","$21,884.82 ","$1,599.43 ","$3,538.30 ","$1,582.04 ","$9,726.59 ","$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ","$1,564.66 ","$9,823.85 ","$3,504.92 ","$1,625.51 ","$10,212.92 ","$1,738.51 ","$1,512.50 ","$9,726.59 ","$1,564.66 ","$9,726.59 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100274,36904,HC THROMBECTOMY/INFUS DIALYSIS CIRCUIT 36904,481,1 ,"$1,738.51 ","$1,303.88 ",$956.18 ,"$10,801.57 ","$1,119.60 ","$4,800.70 ","$1,216.96 ","$1,095.68 ","$1,738.51 ","$1,128.55 ","$1,738.51 ","$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,095.68 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$1,095.68 ","$1,095.68 ","$1,095.68 ","$1,269.11 ","$4,800.70 ","$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ","$4,944.72 ",$956.18 ,"$1,564.66 ","$4,800.70 ","$1,564.66 ","$4,800.70 ","$1,651.58 ","$10,801.57 ","$1,599.43 ","$1,161.42 ","$1,582.04 ","$4,800.70 ","$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ","$1,564.66 ","$4,848.71 ","$1,150.46 ","$1,625.51 ","$5,040.74 ","$1,095.68 ","$1,512.50 ","$4,800.70 ","$1,564.66 ","$4,800.70 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100275,36906,HC THROMBECTOMY/INFUS CIRCUIT W/STENT 36906,481,1 ,"$1,738.51 ","$1,303.88 ",$956.18 ,"$35,005.46 ","$1,119.60 ","$15,557.98 ","$1,216.96 ","$1,738.51 ","$1,738.51 ","$3,438.16 ","$1,738.51 ","$1,651.58 ", N/A ,"$1,390.81 ","$1,582.04 ","$1,738.51 ","$1,634.20 ","$1,651.58 ","$1,564.66 ","$1,477.73 ","$3,338.02 ","$3,338.02 ","$3,338.02 ","$1,269.11 ","$15,557.98 ","$1,547.27 ","$1,564.66 ","$1,564.66 ","$1,390.81 ","$16,024.72 ",$956.18 ,"$1,564.66 ","$15,557.98 ","$1,564.66 ","$15,557.98 ","$1,651.58 ","$35,005.46 ","$1,599.43 ","$3,538.30 ","$1,582.04 ","$15,557.98 ","$1,069.88 ","$1,119.60 ","$1,069.88 ","$1,564.66 ","$1,564.66 ","$1,303.88 ","$1,564.66 ","$15,713.56 ","$3,504.92 ","$1,625.51 ","$16,335.88 ","$1,738.51 ","$1,512.50 ","$15,557.98 ","$1,564.66 ","$15,557.98 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,686.35 ","$1,408.19 ","$1,564.66 ","$1,564.66 ","$1,564.66 ","$1,564.66 " ST. JOSEPH'S - CHIPPEWA FALLS,48100438,33992,HC REMOVE VAD SEPARATE SESSION,481,1 ,"$1,766.20 ","$1,324.65 ",$971.41 ,"$1,821.21 ","$1,137.43 ", N/A ,"$1,236.34 ","$1,718.12 ","$1,766.20 ","$1,769.66 ","$1,766.20 ","$1,677.89 ", N/A ,"$1,412.96 ","$1,607.24 ","$1,718.12 ","$1,660.23 ","$1,677.89 ","$1,589.58 ","$1,501.27 ","$1,718.12 ","$1,718.12 ","$1,718.12 ","$1,289.33 ", N/A ,"$1,571.92 ","$1,589.58 ","$1,589.58 ","$1,412.96 ", N/A ,$971.41 ,"$1,589.58 ", N/A ,"$1,589.58 ", N/A ,"$1,677.89 ", N/A ,"$1,624.90 ","$1,821.21 ","$1,607.24 ", N/A ,"$1,086.92 ","$1,137.43 ","$1,086.92 ","$1,589.58 ","$1,589.58 ","$1,324.65 ","$1,236.34 ", N/A ,"$1,804.03 ","$1,651.40 ", N/A ,"$1,718.12 ","$1,536.59 ", N/A ,"$1,589.58 ", N/A ,"$1,589.58 ","$1,589.58 ","$1,589.58 ","$1,713.21 ","$1,430.62 ","$1,589.58 ","$1,589.58 ","$1,589.58 ","$1,589.58 " ST. JOSEPH'S - CHIPPEWA FALLS,48100484,33274,HC TRANSCATH INS/REPLC VENTRIC PACEMAKER LEADLESS W/GUIDE,481,1 ,"$6,654.40 ","$4,990.80 ",$444.29 ,"$35,005.46 ","$4,285.43 ","$15,557.98 ","$4,658.08 ",$444.29 ,"$6,654.40 ",$457.62 ,"$6,654.40 ","$6,321.68 ", N/A ,"$5,323.52 ","$6,055.50 ",$444.29 ,"$6,255.14 ","$6,321.68 ","$5,988.96 ","$5,656.24 ",$444.29 ,$444.29 ,$444.29 ,"$4,857.71 ","$15,557.98 ","$5,922.42 ","$5,988.96 ","$5,988.96 ","$5,323.52 ","$16,024.72 ","$3,659.92 ","$5,988.96 ","$15,557.98 ","$5,988.96 ","$15,557.98 ","$6,321.68 ","$35,005.46 ","$6,122.05 ",$470.95 ,"$6,055.50 ","$15,557.98 ","$4,095.12 ","$4,285.43 ","$4,095.12 ","$5,988.96 ","$5,988.96 ","$4,990.80 ","$5,988.96 ","$15,713.56 ",$466.50 ,"$6,221.86 ","$16,335.88 ",$444.29 ,"$5,789.33 ","$15,557.98 ","$5,988.96 ","$15,557.98 ","$5,988.96 ","$5,988.96 ","$5,988.96 ","$6,454.77 ","$5,390.06 ","$5,988.96 ","$5,988.96 ","$5,988.96 ","$5,988.96 " ST. JOSEPH'S - CHIPPEWA FALLS,48100485,33275,HC TRANSCATH REMOVE VENTRIC PACEMAKER LEADLESS,481,1 ,"$5,771.30 ","$4,328.48 ","$1,718.12 ","$6,235.91 ","$3,716.72 ","$2,771.52 ","$4,039.91 ","$1,718.12 ","$5,771.30 ","$1,769.66 ","$5,771.30 ","$5,482.74 ", N/A ,"$4,617.04 ","$5,251.88 ","$1,718.12 ","$5,425.02 ","$5,482.74 ","$5,194.17 ","$4,905.61 ","$1,718.12 ","$1,718.12 ","$1,718.12 ","$4,213.05 ","$2,771.52 ","$5,136.46 ","$5,194.17 ","$5,194.17 ","$4,617.04 ","$2,854.66 ","$3,174.22 ","$5,194.17 ","$2,771.52 ","$5,194.17 ","$2,771.52 ","$5,482.74 ","$6,235.91 ","$5,309.60 ","$1,821.21 ","$5,251.88 ","$2,771.52 ","$3,551.66 ","$3,716.72 ","$3,551.66 ","$5,194.17 ","$5,194.17 ","$4,328.48 ","$5,016.03 ","$2,799.23 ","$1,804.03 ","$5,396.17 ","$2,910.10 ","$1,718.12 ","$5,021.03 ","$2,771.52 ","$5,194.17 ","$2,771.52 ","$5,194.17 ","$5,194.17 ","$5,194.17 ","$5,598.16 ","$4,674.75 ","$5,194.17 ","$5,194.17 ","$5,194.17 ","$5,194.17 " ST. JOSEPH'S - CHIPPEWA FALLS,48100494,33993,HC REPOSTION PERC VAD W/IMAGE GUIDE 2ND SESSION,481,1 ,"$2,051.20 ","$1,538.40 ","$1,128.16 ","$2,051.20 ","$1,320.97 ", N/A ,"$1,435.84 ","$1,718.12 ","$2,051.20 ","$1,769.66 ","$2,051.20 ","$1,948.64 ", N/A ,"$1,640.96 ","$1,866.59 ","$1,718.12 ","$1,928.13 ","$1,948.64 ","$1,846.08 ","$1,743.52 ","$1,718.12 ","$1,718.12 ","$1,718.12 ","$1,497.38 ", N/A ,"$1,825.57 ","$1,846.08 ","$1,846.08 ","$1,640.96 ", N/A ,"$1,128.16 ","$1,846.08 ", N/A ,"$1,846.08 ", N/A ,"$1,948.64 ", N/A ,"$1,887.10 ","$1,821.21 ","$1,866.59 ", N/A ,"$1,262.31 ","$1,320.97 ","$1,262.31 ","$1,846.08 ","$1,846.08 ","$1,538.40 ","$1,435.84 ", N/A ,"$1,804.03 ","$1,917.87 ", N/A ,"$1,718.12 ","$1,784.54 ", N/A ,"$1,846.08 ", N/A ,"$1,846.08 ","$1,846.08 ","$1,846.08 ","$1,989.66 ","$1,661.47 ","$1,846.08 ","$1,846.08 ","$1,846.08 ","$1,846.08 " ST. JOSEPH'S - CHIPPEWA FALLS,48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,"$1,023.80 ",$767.85 ,$76.32 ,"$1,023.80 ",$659.33 ,$256.12 ,$716.66 ,$76.32 ,$849.75 ,$78.61 ,$675.71 ,$972.61 , N/A ,$819.04 ,$931.66 ,$76.32 ,$962.37 ,$972.61 ,$921.42 ,$870.23 ,$76.32 ,$76.32 ,$76.32 ,$747.37 ,$256.12 ,$911.18 ,$921.42 ,$921.42 ,$819.04 ,$263.80 ,$563.09 ,$921.42 ,$256.12 ,$921.42 ,$256.12 ,$972.61 ,$576.27 ,$941.90 ,$80.90 ,$931.66 ,$256.12 ,$630.05 ,$659.33 ,$630.05 ,$921.42 ,$921.42 ,$767.85 ,$716.66 ,$258.68 ,$80.14 ,$957.25 ,$268.93 ,$76.32 ,$890.71 ,$256.12 ,$921.42 ,$256.12 ,$921.42 ,$921.42 ,$921.42 ,$993.09 ,$829.28 ,$921.42 ,$921.42 ,$921.42 ,$921.42 ST. JOSEPH'S - CHIPPEWA FALLS,48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$3,543.52 ","$2,657.64 ",$133.42 ,"$3,543.52 ","$2,282.03 ",$467.68 ,"$2,480.46 ",$133.42 ,"$2,941.12 ",$137.42 ,"$2,338.72 ","$3,366.34 ", N/A ,"$2,834.82 ","$3,224.60 ",$133.42 ,"$3,330.91 ","$3,366.34 ","$3,189.17 ","$3,011.99 ",$133.42 ,$133.42 ,$133.42 ,"$2,586.77 ",$467.68 ,"$3,153.73 ","$3,189.17 ","$3,189.17 ","$2,834.82 ",$481.71 ,"$1,948.94 ","$3,189.17 ",$467.68 ,"$3,189.17 ",$467.68 ,"$3,366.34 ","$1,052.28 ","$3,260.04 ",$141.43 ,"$3,224.60 ",$467.68 ,"$2,180.68 ","$2,282.03 ","$2,180.68 ","$3,189.17 ","$3,189.17 ","$2,657.64 ","$2,480.46 ",$472.36 ,$140.09 ,"$3,313.19 ",$491.06 ,$133.42 ,"$3,082.86 ",$467.68 ,"$3,189.17 ",$467.68 ,"$3,189.17 ","$3,189.17 ","$3,189.17 ","$3,437.21 ","$2,870.25 ","$3,189.17 ","$3,189.17 ","$3,189.17 ","$3,189.17 " ST. JOSEPH'S - CHIPPEWA FALLS,48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,$687.38 ,$515.54 ,$133.42 ,$687.38 ,$442.67 ,$222.88 ,$481.17 ,$133.42 ,$570.53 ,$137.42 ,$453.67 ,$653.01 , N/A ,$549.90 ,$625.52 ,$133.42 ,$646.14 ,$653.01 ,$618.64 ,$584.27 ,$133.42 ,$133.42 ,$133.42 ,$501.79 ,$222.88 ,$611.77 ,$618.64 ,$618.64 ,$549.90 ,$229.57 ,$378.06 ,$618.64 ,$222.88 ,$618.64 ,$222.88 ,$653.01 ,$501.48 ,$632.39 ,$141.43 ,$625.52 ,$222.88 ,$423.01 ,$442.67 ,$423.01 ,$618.64 ,$618.64 ,$515.54 ,$481.17 ,$225.11 ,$140.09 ,$642.70 ,$234.02 ,$133.42 ,$598.02 ,$222.88 ,$618.64 ,$222.88 ,$618.64 ,$618.64 ,$618.64 ,$666.76 ,$556.78 ,$618.64 ,$618.64 ,$618.64 ,$618.64 ST. JOSEPH'S - CHIPPEWA FALLS,48300003,93312,HC ECHO TEE CMPL W/PF,483,1 ,"$1,552.45 ","$1,164.34 ",$133.42 ,"$1,552.45 ",$999.78 ,$467.68 ,"$1,086.72 ",$133.42 ,"$1,288.53 ",$137.42 ,"$1,024.62 ","$1,474.83 ", N/A ,"$1,241.96 ","$1,412.73 ",$133.42 ,"$1,459.30 ","$1,474.83 ","$1,397.21 ","$1,319.58 ",$133.42 ,$133.42 ,$133.42 ,"$1,133.29 ",$467.68 ,"$1,381.68 ","$1,397.21 ","$1,397.21 ","$1,241.96 ",$481.71 ,$853.85 ,"$1,397.21 ",$467.68 ,"$1,397.21 ",$467.68 ,"$1,474.83 ","$1,052.28 ","$1,428.25 ",$141.43 ,"$1,412.73 ",$467.68 ,$955.38 ,$999.78 ,$955.38 ,"$1,397.21 ","$1,397.21 ","$1,164.34 ","$1,086.72 ",$472.36 ,$140.09 ,"$1,451.54 ",$491.06 ,$133.42 ,"$1,350.63 ",$467.68 ,"$1,397.21 ",$467.68 ,"$1,397.21 ","$1,397.21 ","$1,397.21 ","$1,505.88 ","$1,257.48 ","$1,397.21 ","$1,397.21 ","$1,397.21 ","$1,397.21 " ST. JOSEPH'S - CHIPPEWA FALLS,48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$978.10 ,$733.58 ,$49.96 ,$978.10 ,$629.90 , N/A ,$684.67 ,$49.96 ,$811.82 ,$51.46 ,$645.55 ,$929.20 , N/A ,$782.48 ,$890.07 ,$49.96 ,$919.41 ,$929.20 ,$880.29 ,$831.39 ,$49.96 ,$49.96 ,$49.96 ,$714.01 , N/A ,$870.51 ,$880.29 ,$880.29 ,$782.48 , N/A ,$537.96 ,$880.29 , N/A ,$880.29 , N/A ,$929.20 , N/A ,$899.85 ,$52.96 ,$890.07 , N/A ,$601.92 ,$629.90 ,$601.92 ,$880.29 ,$880.29 ,$733.58 ,$684.67 , N/A ,$52.46 ,$914.52 , N/A ,$49.96 ,$850.95 , N/A ,$880.29 , N/A ,$880.29 ,$880.29 ,$880.29 ,$948.76 ,$792.26 ,$880.29 ,$880.29 ,$880.29 ,$880.29 ST. JOSEPH'S - CHIPPEWA FALLS,48300007,93350,HC ECHO REST AND STRESS W/PF,483,1 ,"$1,243.19 ",$932.39 ,$133.42 ,"$1,243.19 ",$800.61 ,$467.68 ,$870.23 ,$133.42 ,"$1,031.85 ",$137.42 ,$820.51 ,"$1,181.03 ", N/A ,$994.55 ,"$1,131.30 ",$133.42 ,"$1,168.60 ","$1,181.03 ","$1,118.87 ","$1,056.71 ",$133.42 ,$133.42 ,$133.42 ,$907.53 ,$467.68 ,"$1,106.44 ","$1,118.87 ","$1,118.87 ",$994.55 ,$481.71 ,$683.75 ,"$1,118.87 ",$467.68 ,"$1,118.87 ",$467.68 ,"$1,181.03 ","$1,052.28 ","$1,143.73 ",$141.43 ,"$1,131.30 ",$467.68 ,$765.06 ,$800.61 ,$765.06 ,"$1,118.87 ","$1,118.87 ",$932.39 ,$870.23 ,$472.36 ,$140.09 ,"$1,162.38 ",$491.06 ,$133.42 ,"$1,081.58 ",$467.68 ,"$1,118.87 ",$467.68 ,"$1,118.87 ","$1,118.87 ","$1,118.87 ","$1,205.89 ","$1,006.98 ","$1,118.87 ","$1,118.87 ","$1,118.87 ","$1,118.87 " ST. JOSEPH'S - CHIPPEWA FALLS,48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$978.10 ,$733.58 ,$133.42 ,$978.10 ,$629.90 , N/A ,$684.67 ,$133.42 ,$811.82 ,$137.42 ,$645.55 ,$929.20 , N/A ,$782.48 ,$890.07 ,$133.42 ,$919.41 ,$929.20 ,$880.29 ,$831.39 ,$133.42 ,$133.42 ,$133.42 ,$714.01 , N/A ,$870.51 ,$880.29 ,$880.29 ,$782.48 , N/A ,$537.96 ,$880.29 , N/A ,$880.29 , N/A ,$929.20 , N/A ,$899.85 ,$141.43 ,$890.07 , N/A ,$601.92 ,$629.90 ,$601.92 ,$880.29 ,$880.29 ,$733.58 ,$684.67 , N/A ,$140.09 ,$914.52 , N/A ,$133.42 ,$850.95 , N/A ,$880.29 , N/A ,$880.29 ,$880.29 ,$880.29 ,$948.76 ,$792.26 ,$880.29 ,$880.29 ,$880.29 ,$880.29 ST. JOSEPH'S - CHIPPEWA FALLS,48300012,93313,HC ECHO TEE PROBE PLACEMENT,483,1 ,"$2,199.04 ","$1,649.28 ",$133.42 ,"$2,199.04 ","$1,416.18 ",$467.68 ,"$1,539.33 ",$133.42 ,"$1,825.20 ",$137.42 ,"$1,451.37 ","$2,089.09 ", N/A ,"$1,759.23 ","$2,001.13 ",$133.42 ,"$2,067.10 ","$2,089.09 ","$1,979.14 ","$1,869.18 ",$133.42 ,$133.42 ,$133.42 ,"$1,605.30 ",$467.68 ,"$1,957.15 ","$1,979.14 ","$1,979.14 ","$1,759.23 ",$481.71 ,"$1,209.47 ","$1,979.14 ",$467.68 ,"$1,979.14 ",$467.68 ,"$2,089.09 ","$1,052.28 ","$2,023.12 ",$141.43 ,"$2,001.13 ",$467.68 ,"$1,353.29 ","$1,416.18 ","$1,353.29 ","$1,979.14 ","$1,979.14 ","$1,649.28 ","$1,539.33 ",$472.36 ,$140.09 ,"$2,056.10 ",$491.06 ,$133.42 ,"$1,913.16 ",$467.68 ,"$1,979.14 ",$467.68 ,"$1,979.14 ","$1,979.14 ","$1,979.14 ","$2,133.07 ","$1,781.22 ","$1,979.14 ","$1,979.14 ","$1,979.14 ","$1,979.14 " ST. JOSEPH'S - CHIPPEWA FALLS,48300016,C8924,HC ECHO TTE W/W/O CONT AND W/CONT LIMIT,483,1 ,"$1,001.72 ",$751.29 ,$133.42 ,"$1,001.72 ",$645.11 ,$356.52 ,$701.20 ,$133.42 ,$831.43 ,$137.42 ,$661.14 ,$951.63 , N/A ,$801.38 ,$911.57 ,$133.42 ,$941.62 ,$951.63 ,$901.55 ,$851.46 ,$133.42 ,$133.42 ,$133.42 ,$731.26 ,$356.52 ,$891.53 ,$901.55 ,$901.55 ,$801.38 ,$367.22 ,$550.95 ,$901.55 ,$356.52 ,$901.55 ,$356.52 ,$951.63 ,$802.18 ,$921.58 ,$141.43 ,$911.57 ,$356.52 ,$616.46 ,$645.11 ,$616.46 ,$901.55 ,$901.55 ,$751.29 ,$701.20 ,$360.09 ,$140.09 ,$936.61 ,$374.35 ,$133.42 ,$871.50 ,$356.52 ,$901.55 ,$356.52 ,$901.55 ,$901.55 ,$901.55 ,$971.67 ,$811.39 ,$901.55 ,$901.55 ,$901.55 ,$901.55 ST. JOSEPH'S - CHIPPEWA FALLS,48300017,C8925,HC ECHO TEE 2D W/W/O CONT AND W/CONT W/PF,483,1 ,"$2,369.73 ","$1,777.30 ",$133.42 ,"$2,369.73 ","$1,526.11 ",$692.65 ,"$1,658.81 ",$133.42 ,"$1,966.88 ",$137.42 ,"$1,564.02 ","$2,251.24 ", N/A ,"$1,895.78 ","$2,156.45 ",$133.42 ,"$2,227.55 ","$2,251.24 ","$2,132.76 ","$2,014.27 ",$133.42 ,$133.42 ,$133.42 ,"$1,729.90 ",$692.65 ,"$2,109.06 ","$2,132.76 ","$2,132.76 ","$1,895.78 ",$713.43 ,"$1,303.35 ","$2,132.76 ",$692.65 ,"$2,132.76 ",$692.65 ,"$2,251.24 ","$1,558.47 ","$2,180.15 ",$141.43 ,"$2,156.45 ",$692.65 ,"$1,458.33 ","$1,526.11 ","$1,458.33 ","$2,132.76 ","$2,132.76 ","$1,777.30 ","$1,658.81 ",$699.58 ,$140.09 ,"$2,215.70 ",$727.28 ,$133.42 ,"$2,061.67 ",$692.65 ,"$2,132.76 ",$692.65 ,"$2,132.76 ","$2,132.76 ","$2,132.76 ","$2,298.64 ","$1,919.48 ","$2,132.76 ","$2,132.76 ","$2,132.76 ","$2,132.76 " ST. JOSEPH'S - CHIPPEWA FALLS,48300018,C8928,HC ECHO TTE 2D STRESS W/W/O CONT AND W/CONT W/PF,483,1 ,"$1,176.53 ",$882.40 ,$133.42 ,"$1,558.47 ",$757.69 ,$692.65 ,$823.57 ,$133.42 ,$976.52 ,$137.42 ,$776.51 ,"$1,117.70 ", N/A ,$941.22 ,"$1,070.64 ",$133.42 ,"$1,105.94 ","$1,117.70 ","$1,058.88 ","$1,000.05 ",$133.42 ,$133.42 ,$133.42 ,$858.87 ,$692.65 ,"$1,047.11 ","$1,058.88 ","$1,058.88 ",$941.22 ,$713.43 ,$647.09 ,"$1,058.88 ",$692.65 ,"$1,058.88 ",$692.65 ,"$1,117.70 ","$1,558.47 ","$1,082.41 ",$141.43 ,"$1,070.64 ",$692.65 ,$724.04 ,$757.69 ,$724.04 ,"$1,058.88 ","$1,058.88 ",$882.40 ,$823.57 ,$699.58 ,$140.09 ,"$1,100.06 ",$727.28 ,$133.42 ,"$1,023.58 ",$692.65 ,"$1,058.88 ",$692.65 ,"$1,058.88 ","$1,058.88 ","$1,058.88 ","$1,141.23 ",$952.99 ,"$1,058.88 ","$1,058.88 ","$1,058.88 ","$1,058.88 " ST. JOSEPH'S - CHIPPEWA FALLS,48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT AND W/CONT,483,1 ,"$3,351.00 ","$2,513.25 ",$133.42 ,"$3,351.00 ","$2,158.04 ",$692.65 ,"$2,345.70 ",$133.42 ,"$2,781.33 ",$137.42 ,"$2,211.66 ","$3,183.45 ", N/A ,"$2,680.80 ","$3,049.41 ",$133.42 ,"$3,149.94 ","$3,183.45 ","$3,015.90 ","$2,848.35 ",$133.42 ,$133.42 ,$133.42 ,"$2,446.23 ",$692.65 ,"$2,982.39 ","$3,015.90 ","$3,015.90 ","$2,680.80 ",$713.43 ,"$1,843.05 ","$3,015.90 ",$692.65 ,"$3,015.90 ",$692.65 ,"$3,183.45 ","$1,558.47 ","$3,082.92 ",$141.43 ,"$3,049.41 ",$692.65 ,"$2,062.21 ","$2,158.04 ","$2,062.21 ","$3,015.90 ","$3,015.90 ","$2,513.25 ","$2,345.70 ",$699.58 ,$140.09 ,"$3,133.19 ",$727.28 ,$133.42 ,"$2,915.37 ",$692.65 ,"$3,015.90 ",$692.65 ,"$3,015.90 ","$3,015.90 ","$3,015.90 ","$3,250.47 ","$2,714.31 ","$3,015.90 ","$3,015.90 ","$3,015.90 ","$3,015.90 " ST. JOSEPH'S - CHIPPEWA FALLS,48300021,N/A,HC INTRA AORTIC BALLOON PUMP-DAILY,480,1 ,"$5,455.28 ","$4,091.46 ","$3,000.40 ","$5,455.28 ","$3,513.20 ", N/A ,"$3,818.70 ", N/A ,"$4,527.88 ", N/A ,"$3,600.48 ","$5,182.52 ", N/A ,"$4,364.22 ","$4,964.30 ", N/A ,"$5,127.96 ","$5,182.52 ","$4,909.75 ","$4,636.99 ", N/A , N/A , N/A ,"$3,982.35 ", N/A ,"$4,855.20 ","$4,909.75 ","$4,909.75 ","$4,364.22 ", N/A ,"$3,000.40 ","$4,909.75 ", N/A ,"$4,909.75 ", N/A ,"$5,182.52 ", N/A ,"$5,018.86 ", N/A ,"$4,964.30 ", N/A ,"$3,357.18 ","$3,513.20 ","$3,357.18 ","$4,909.75 ","$4,909.75 ","$4,091.46 ","$3,818.70 ", N/A , N/A ,"$5,100.69 ", N/A , N/A ,"$4,746.09 ", N/A ,"$4,909.75 ", N/A ,"$4,909.75 ","$4,909.75 ","$4,909.75 ","$5,291.62 ","$4,418.78 ","$4,909.75 ","$4,909.75 ","$4,909.75 ","$4,909.75 " ST. JOSEPH'S - CHIPPEWA FALLS,51000004,11001,HC INFECTED SKIN; EA ADDL 10% BODY,510,1 ,$53.92 ,$40.44 ,$29.66 ,$113.99 ,$34.72 , N/A ,$37.74 ,$53.92 ,$53.92 ,$110.77 ,$53.92 ,$51.22 , N/A ,$43.14 ,$49.07 ,$53.92 ,$50.68 ,$51.22 ,$48.53 ,$45.83 ,$107.54 ,$107.54 ,$107.54 ,$39.36 , N/A ,$47.99 ,$48.53 ,$48.53 ,$43.14 , N/A ,$29.66 ,$48.53 , N/A ,$48.53 , N/A ,$51.22 , N/A ,$49.61 ,$113.99 ,$49.07 , N/A ,$33.18 ,$34.72 ,$33.18 ,$48.53 ,$48.53 ,$40.44 ,$37.74 , N/A ,$112.92 ,$50.42 , N/A ,$53.92 ,$46.91 , N/A ,$48.53 , N/A ,$48.53 ,$48.53 ,$48.53 ,$52.30 ,$43.68 ,$48.53 ,$48.53 ,$48.53 ,$48.53 ST. JOSEPH'S - CHIPPEWA FALLS,51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,011.48 ",$758.61 ,$107.54 ,"$1,011.48 ",$651.39 ,$334.95 ,$708.04 ,$107.54 ,$160.00 ,$110.77 ,$127.00 ,$960.91 , N/A ,$809.18 ,$920.45 ,$107.54 ,$950.79 ,$960.91 ,$910.33 ,$859.76 ,$107.54 ,$107.54 ,$107.54 ,$738.38 ,$334.95 ,$900.22 ,$910.33 ,$910.33 ,$809.18 ,$344.99 ,$556.31 ,$910.33 ,$334.95 ,$910.33 ,$334.95 ,$960.91 ,$753.63 ,$930.56 ,$113.99 ,$920.45 ,$334.95 ,$622.46 ,$651.39 ,$622.46 ,$910.33 ,$910.33 ,$758.61 ,$708.04 ,$338.30 ,$112.92 ,$945.73 ,$351.70 ,$107.54 ,$879.99 ,$334.95 ,$910.33 ,$334.95 ,$910.33 ,$910.33 ,$910.33 ,$981.14 ,$819.30 ,$910.33 ,$910.33 ,$910.33 ,$910.33 ST. JOSEPH'S - CHIPPEWA FALLS,51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,$957.70 ,$718.28 ,$107.54 ,"$1,142.23 ",$616.76 ,$507.66 ,$670.39 ,$107.54 ,$160.00 ,$110.77 ,$127.00 ,$909.82 , N/A ,$766.16 ,$871.51 ,$107.54 ,$900.24 ,$909.82 ,$861.93 ,$814.05 ,$107.54 ,$107.54 ,$107.54 ,$699.12 ,$507.66 ,$852.35 ,$861.93 ,$861.93 ,$766.16 ,$522.89 ,$526.74 ,$861.93 ,$507.66 ,$861.93 ,$507.66 ,$909.82 ,"$1,142.23 ",$881.08 ,$113.99 ,$871.51 ,$507.66 ,$589.37 ,$616.76 ,$589.37 ,$861.93 ,$861.93 ,$718.28 ,$670.39 ,$512.74 ,$112.92 ,$895.45 ,$533.04 ,$107.54 ,$833.20 ,$507.66 ,$861.93 ,$507.66 ,$861.93 ,$861.93 ,$861.93 ,$928.97 ,$775.74 ,$861.93 ,$861.93 ,$861.93 ,$861.93 ST. JOSEPH'S - CHIPPEWA FALLS,51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$2,877.94 ","$2,158.46 ",$127.00 ,"$3,066.03 ","$1,853.39 ","$1,362.68 ","$2,014.56 ",$288.83 ,$160.00 ,$297.49 ,$127.00 ,"$2,734.04 ", N/A ,"$2,302.35 ","$2,618.93 ",$288.83 ,"$2,705.26 ","$2,734.04 ","$2,590.15 ","$2,446.25 ",$288.83 ,$288.83 ,$288.83 ,"$2,100.90 ","$1,362.68 ","$2,561.37 ","$2,590.15 ","$2,590.15 ","$2,302.35 ","$1,403.56 ","$1,582.87 ","$2,590.15 ","$1,362.68 ","$2,590.15 ","$1,362.68 ","$2,734.04 ","$3,066.03 ","$2,647.70 ",$306.16 ,"$2,618.93 ","$1,362.68 ","$1,771.08 ","$1,853.39 ","$1,771.08 ","$2,590.15 ","$2,590.15 ","$2,158.46 ","$2,014.56 ","$1,376.31 ",$303.27 ,"$2,690.87 ","$1,430.81 ",$288.83 ,"$2,503.81 ","$1,362.68 ","$2,590.15 ","$1,362.68 ","$2,590.15 ","$2,590.15 ","$2,590.15 ","$2,791.60 ","$2,331.13 ","$2,590.15 ","$2,590.15 ","$2,590.15 ","$2,590.15 " ST. JOSEPH'S - CHIPPEWA FALLS,51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,$992.72 ,$744.54 ,$127.00 ,$992.72 ,$639.31 , N/A ,$694.90 ,$288.83 ,$160.00 ,$297.49 ,$127.00 ,$943.08 , N/A ,$794.18 ,$903.38 ,$288.83 ,$933.16 ,$943.08 ,$893.45 ,$843.81 ,$288.83 ,$288.83 ,$288.83 ,$724.69 , N/A ,$883.52 ,$893.45 ,$893.45 ,$794.18 , N/A ,$546.00 ,$893.45 , N/A ,$893.45 , N/A ,$943.08 , N/A ,$913.30 ,$306.16 ,$903.38 , N/A ,$610.92 ,$639.31 ,$610.92 ,$893.45 ,$893.45 ,$744.54 ,$694.90 , N/A ,$303.27 ,$928.19 , N/A ,$288.83 ,$863.67 , N/A ,$893.45 , N/A ,$893.45 ,$893.45 ,$893.45 ,$962.94 ,$804.10 ,$893.45 ,$893.45 ,$893.45 ,$893.45 ST. JOSEPH'S - CHIPPEWA FALLS,51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,$957.70 ,$718.28 ,$127.00 ,$957.70 ,$616.76 , N/A ,$670.39 ,$288.83 ,$160.00 ,$297.49 ,$127.00 ,$909.82 , N/A ,$766.16 ,$871.51 ,$288.83 ,$900.24 ,$909.82 ,$861.93 ,$814.05 ,$288.83 ,$288.83 ,$288.83 ,$699.12 , N/A ,$852.35 ,$861.93 ,$861.93 ,$766.16 , N/A ,$526.74 ,$861.93 , N/A ,$861.93 , N/A ,$909.82 , N/A ,$881.08 ,$306.16 ,$871.51 , N/A ,$589.37 ,$616.76 ,$589.37 ,$861.93 ,$861.93 ,$718.28 ,$670.39 , N/A ,$303.27 ,$895.45 , N/A ,$288.83 ,$833.20 , N/A ,$861.93 , N/A ,$861.93 ,$861.93 ,$861.93 ,$928.97 ,$775.74 ,$861.93 ,$861.93 ,$861.93 ,$861.93 ST. JOSEPH'S - CHIPPEWA FALLS,51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$2,877.94 ","$2,158.46 ",$127.00 ,"$2,877.94 ","$1,853.39 ", N/A ,"$2,014.56 ",$288.83 ,$160.00 ,$297.49 ,$127.00 ,"$2,734.04 ", N/A ,"$2,302.35 ","$2,618.93 ",$288.83 ,"$2,705.26 ","$2,734.04 ","$2,590.15 ","$2,446.25 ",$288.83 ,$288.83 ,$288.83 ,"$2,100.90 ", N/A ,"$2,561.37 ","$2,590.15 ","$2,590.15 ","$2,302.35 ", N/A ,"$1,582.87 ","$2,590.15 ", N/A ,"$2,590.15 ", N/A ,"$2,734.04 ", N/A ,"$2,647.70 ",$306.16 ,"$2,618.93 ", N/A ,"$1,771.08 ","$1,853.39 ","$1,771.08 ","$2,590.15 ","$2,590.15 ","$2,158.46 ","$2,014.56 ", N/A ,$303.27 ,"$2,690.87 ", N/A ,$288.83 ,"$2,503.81 ", N/A ,"$2,590.15 ", N/A ,"$2,590.15 ","$2,590.15 ","$2,590.15 ","$2,791.60 ","$2,331.13 ","$2,590.15 ","$2,590.15 ","$2,590.15 ","$2,590.15 " ST. JOSEPH'S - CHIPPEWA FALLS,51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$304.32 ,$228.24 ,$74.70 ,$391.26 ,$195.98 ,$173.89 ,$213.02 ,$74.70 ,$160.00 ,$76.94 ,$127.00 ,$289.10 , N/A ,$243.46 ,$276.93 ,$74.70 ,$286.06 ,$289.10 ,$273.89 ,$258.67 ,$74.70 ,$74.70 ,$74.70 ,$222.15 ,$173.89 ,$270.84 ,$273.89 ,$273.89 ,$243.46 ,$179.11 ,$167.38 ,$273.89 ,$173.89 ,$273.89 ,$173.89 ,$289.10 ,$391.26 ,$279.97 ,$79.18 ,$276.93 ,$173.89 ,$187.28 ,$195.98 ,$187.28 ,$273.89 ,$273.89 ,$228.24 ,$213.02 ,$175.63 ,$78.44 ,$284.54 ,$182.58 ,$74.70 ,$264.76 ,$173.89 ,$273.89 ,$173.89 ,$273.89 ,$273.89 ,$273.89 ,$295.19 ,$246.50 ,$273.89 ,$273.89 ,$273.89 ,$273.89 ST. JOSEPH'S - CHIPPEWA FALLS,51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$287.15 ,$215.36 ,$74.70 ,$391.26 ,$184.92 ,$173.89 ,$201.01 ,$74.70 ,$160.00 ,$76.94 ,$127.00 ,$272.79 , N/A ,$229.72 ,$261.31 ,$74.70 ,$269.92 ,$272.79 ,$258.44 ,$244.08 ,$74.70 ,$74.70 ,$74.70 ,$209.62 ,$173.89 ,$255.56 ,$258.44 ,$258.44 ,$229.72 ,$179.11 ,$157.93 ,$258.44 ,$173.89 ,$258.44 ,$173.89 ,$272.79 ,$391.26 ,$264.18 ,$79.18 ,$261.31 ,$173.89 ,$176.71 ,$184.92 ,$176.71 ,$258.44 ,$258.44 ,$215.36 ,$201.01 ,$175.63 ,$78.44 ,$268.49 ,$182.58 ,$74.70 ,$249.82 ,$173.89 ,$258.44 ,$173.89 ,$258.44 ,$258.44 ,$258.44 ,$278.54 ,$232.59 ,$258.44 ,$258.44 ,$258.44 ,$258.44 ST. JOSEPH'S - CHIPPEWA FALLS,51000019,11000,HC DEBR SKIN 10% BODY SURFACE,510,1 ,$106.34 ,$79.76 ,$58.49 ,"$1,142.23 ",$68.48 ,$507.66 ,$74.44 ,$106.34 ,$106.34 ,$110.77 ,$106.34 ,$101.02 , N/A ,$85.07 ,$96.77 ,$106.34 ,$99.96 ,$101.02 ,$95.71 ,$90.39 ,$107.54 ,$107.54 ,$107.54 ,$77.63 ,$507.66 ,$94.64 ,$95.71 ,$95.71 ,$85.07 ,$522.89 ,$58.49 ,$95.71 ,$507.66 ,$95.71 ,$507.66 ,$101.02 ,"$1,142.23 ",$97.83 ,$113.99 ,$96.77 ,$507.66 ,$65.44 ,$68.48 ,$65.44 ,$95.71 ,$95.71 ,$79.76 ,$74.44 ,$512.74 ,$112.92 ,$99.43 ,$533.04 ,$106.34 ,$92.52 ,$507.66 ,$95.71 ,$507.66 ,$95.71 ,$95.71 ,$95.71 ,$103.15 ,$86.14 ,$95.71 ,$95.71 ,$95.71 ,$95.71 ST. JOSEPH'S - CHIPPEWA FALLS,51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$287.08 ,$215.31 ,$31.89 ,$287.08 ,$184.88 ,$53.91 ,$200.96 ,$31.89 ,$160.00 ,$32.85 ,$127.00 ,$272.73 , N/A ,$229.66 ,$261.24 ,$31.89 ,$269.86 ,$272.73 ,$258.37 ,$244.02 ,$31.89 ,$31.89 ,$31.89 ,$209.57 ,$53.91 ,$255.50 ,$258.37 ,$258.37 ,$229.66 ,$55.52 ,$157.89 ,$258.37 ,$53.91 ,$258.37 ,$53.91 ,$272.73 ,$121.29 ,$264.11 ,$33.80 ,$261.24 ,$53.91 ,$176.67 ,$184.88 ,$176.67 ,$258.37 ,$258.37 ,$215.31 ,$200.96 ,$54.45 ,$33.48 ,$268.42 ,$56.61 ,$31.89 ,$249.76 ,$53.91 ,$258.37 ,$53.91 ,$258.37 ,$258.37 ,$258.37 ,$278.47 ,$232.53 ,$258.37 ,$258.37 ,$258.37 ,$258.37 ST. JOSEPH'S - CHIPPEWA FALLS,51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$287.08 ,$215.31 ,$31.89 ,$287.08 ,$184.88 ,$53.91 ,$200.96 ,$31.89 ,$160.00 ,$32.85 ,$127.00 ,$272.73 , N/A ,$229.66 ,$261.24 ,$31.89 ,$269.86 ,$272.73 ,$258.37 ,$244.02 ,$31.89 ,$31.89 ,$31.89 ,$209.57 ,$53.91 ,$255.50 ,$258.37 ,$258.37 ,$229.66 ,$55.52 ,$157.89 ,$258.37 ,$53.91 ,$258.37 ,$53.91 ,$272.73 ,$121.29 ,$264.11 ,$33.80 ,$261.24 ,$53.91 ,$176.67 ,$184.88 ,$176.67 ,$258.37 ,$258.37 ,$215.31 ,$200.96 ,$54.45 ,$33.48 ,$268.42 ,$56.61 ,$31.89 ,$249.76 ,$53.91 ,$258.37 ,$53.91 ,$258.37 ,$258.37 ,$258.37 ,$278.47 ,$232.53 ,$258.37 ,$258.37 ,$258.37 ,$258.37 ST. JOSEPH'S - CHIPPEWA FALLS,51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,"$1,439.18 ","$1,079.39 ",$127.00 ,"$1,439.18 ",$926.83 ,$334.95 ,"$1,007.43 ",$161.28 ,$160.00 ,$166.12 ,$127.00 ,"$1,367.22 ", N/A ,"$1,151.34 ","$1,309.65 ",$161.28 ,"$1,352.83 ","$1,367.22 ","$1,295.26 ","$1,223.30 ",$161.28 ,$161.28 ,$161.28 ,"$1,050.60 ",$334.95 ,"$1,280.87 ","$1,295.26 ","$1,295.26 ","$1,151.34 ",$344.99 ,$791.55 ,"$1,295.26 ",$334.95 ,"$1,295.26 ",$334.95 ,"$1,367.22 ",$753.63 ,"$1,324.05 ",$170.96 ,"$1,309.65 ",$334.95 ,$885.67 ,$926.83 ,$885.67 ,"$1,295.26 ","$1,295.26 ","$1,079.39 ","$1,007.43 ",$338.30 ,$169.34 ,"$1,345.63 ",$351.70 ,$161.28 ,"$1,252.09 ",$334.95 ,"$1,295.26 ",$334.95 ,"$1,295.26 ","$1,295.26 ","$1,295.26 ","$1,396.00 ","$1,165.74 ","$1,295.26 ","$1,295.26 ","$1,295.26 ","$1,295.26 " ST. JOSEPH'S - CHIPPEWA FALLS,51000028,15100,HC AUTOGRPH T A L 100SQCM< FAC,510,1 ,"$1,142.27 ",$856.70 ,$127.00 ,"$3,737.98 ",$735.62 ,"$1,661.33 ",$799.59 ,$552.66 ,$160.00 ,$569.24 ,$127.00 ,"$1,085.16 ", N/A ,$913.82 ,"$1,039.47 ",$552.66 ,"$1,073.73 ","$1,085.16 ","$1,028.04 ",$970.93 ,$552.66 ,$552.66 ,$552.66 ,$833.86 ,"$1,661.33 ","$1,016.62 ","$1,028.04 ","$1,028.04 ",$913.82 ,"$1,711.17 ",$628.25 ,"$1,028.04 ","$1,661.33 ","$1,028.04 ","$1,661.33 ","$1,085.16 ","$3,737.98 ","$1,050.89 ",$585.82 ,"$1,039.47 ","$1,661.33 ",$702.95 ,$735.62 ,$702.95 ,"$1,028.04 ","$1,028.04 ",$856.70 ,$799.59 ,"$1,677.94 ",$580.29 ,"$1,068.02 ","$1,744.40 ",$552.66 ,$993.77 ,"$1,661.33 ","$1,028.04 ","$1,661.33 ","$1,028.04 ","$1,028.04 ","$1,028.04 ","$1,108.00 ",$925.24 ,"$1,028.04 ","$1,028.04 ","$1,028.04 ","$1,028.04 " ST. JOSEPH'S - CHIPPEWA FALLS,51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,$868.37 ,$651.28 ,$100.19 ,$868.37 ,$559.23 ,$300.96 ,$607.86 ,$100.19 ,$160.00 ,$103.20 ,$127.00 ,$824.95 , N/A ,$694.70 ,$790.22 ,$100.19 ,$816.27 ,$824.95 ,$781.53 ,$738.11 ,$100.19 ,$100.19 ,$100.19 ,$633.91 ,$300.96 ,$772.85 ,$781.53 ,$781.53 ,$694.70 ,$309.99 ,$477.60 ,$781.53 ,$300.96 ,$781.53 ,$300.96 ,$824.95 ,$677.16 ,$798.90 ,$106.20 ,$790.22 ,$300.96 ,$534.39 ,$559.23 ,$534.39 ,$781.53 ,$781.53 ,$651.28 ,$607.86 ,$303.97 ,$105.20 ,$811.93 ,$316.01 ,$100.19 ,$755.48 ,$300.96 ,$781.53 ,$300.96 ,$781.53 ,$781.53 ,$781.53 ,$842.32 ,$703.38 ,$781.53 ,$781.53 ,$781.53 ,$781.53 ST. JOSEPH'S - CHIPPEWA FALLS,51000051,20240,HC BX BN OPEN-SUPERFICIAL,510,1 ,"$8,074.21 ","$6,055.66 ",$127.00 ,"$8,074.21 ","$5,199.79 ","$2,295.35 ","$5,651.95 ",$496.73 ,$160.00 ,$511.63 ,$127.00 ,"$7,670.50 ", N/A ,"$6,459.37 ","$7,347.53 ",$496.73 ,"$7,589.76 ","$7,670.50 ","$7,266.79 ","$6,863.08 ",$496.73 ,$496.73 ,$496.73 ,"$5,894.17 ","$2,295.35 ","$7,186.05 ","$7,266.79 ","$7,266.79 ","$6,459.37 ","$2,364.22 ","$4,440.82 ","$7,266.79 ","$2,295.35 ","$7,266.79 ","$2,295.35 ","$7,670.50 ","$5,164.55 ","$7,428.27 ",$526.53 ,"$7,347.53 ","$2,295.35 ","$4,968.87 ","$5,199.79 ","$4,968.87 ","$7,266.79 ","$7,266.79 ","$6,055.66 ","$5,651.95 ","$2,318.31 ",$521.57 ,"$7,549.39 ","$2,410.12 ",$496.73 ,"$7,024.56 ","$2,295.35 ","$7,266.79 ","$2,295.35 ","$7,266.79 ","$7,266.79 ","$7,266.79 ","$7,831.98 ","$6,540.11 ","$7,266.79 ","$7,266.79 ","$7,266.79 ","$7,266.79 " ST. JOSEPH'S - CHIPPEWA FALLS,51000052,29445,HC APPL CAST LEG RIGID CONTACT FAC,510,1 ,$891.97 ,$668.98 ,$57.61 ,$891.97 ,$574.43 ,$233.57 ,$624.38 ,$57.61 ,$160.00 ,$59.34 ,$127.00 ,$847.37 , N/A ,$713.58 ,$811.69 ,$57.61 ,$838.45 ,$847.37 ,$802.77 ,$758.17 ,$57.61 ,$57.61 ,$57.61 ,$651.14 ,$233.57 ,$793.85 ,$802.77 ,$802.77 ,$713.58 ,$240.58 ,$490.58 ,$802.77 ,$233.57 ,$802.77 ,$233.57 ,$847.37 ,$525.54 ,$820.61 ,$61.07 ,$811.69 ,$233.57 ,$548.92 ,$574.43 ,$548.92 ,$802.77 ,$802.77 ,$668.98 ,$624.38 ,$235.91 ,$60.49 ,$833.99 ,$245.25 ,$57.61 ,$776.01 ,$233.57 ,$802.77 ,$233.57 ,$802.77 ,$802.77 ,$802.77 ,$865.21 ,$722.50 ,$802.77 ,$802.77 ,$802.77 ,$802.77 ST. JOSEPH'S - CHIPPEWA FALLS,51000053,29580,HC APPLY UNNA BOOT,510,1 ,$401.92 ,$301.44 ,$57.61 ,$401.92 ,$258.84 ,$136.73 ,$281.34 ,$57.61 ,$160.00 ,$59.34 ,$127.00 ,$381.82 , N/A ,$321.54 ,$365.75 ,$57.61 ,$377.80 ,$381.82 ,$361.73 ,$341.63 ,$57.61 ,$57.61 ,$57.61 ,$293.40 ,$136.73 ,$357.71 ,$361.73 ,$361.73 ,$321.54 ,$140.83 ,$221.06 ,$361.73 ,$136.73 ,$361.73 ,$136.73 ,$381.82 ,$307.65 ,$369.77 ,$61.07 ,$365.75 ,$136.73 ,$247.34 ,$258.84 ,$247.34 ,$361.73 ,$361.73 ,$301.44 ,$281.34 ,$138.10 ,$60.49 ,$375.80 ,$143.57 ,$57.61 ,$349.67 ,$136.73 ,$361.73 ,$136.73 ,$361.73 ,$361.73 ,$361.73 ,$389.86 ,$325.56 ,$361.73 ,$361.73 ,$361.73 ,$361.73 ST. JOSEPH'S - CHIPPEWA FALLS,51000055,29581,HC APPLY MULTI COMP LOWER LEG FAC,510,1 ,$390.63 ,$292.97 ,$57.61 ,$390.63 ,$251.57 ,$136.73 ,$273.44 ,$57.61 ,$160.00 ,$59.34 ,$127.00 ,$371.10 , N/A ,$312.50 ,$355.47 ,$57.61 ,$367.19 ,$371.10 ,$351.57 ,$332.04 ,$57.61 ,$57.61 ,$57.61 ,$285.16 ,$136.73 ,$347.66 ,$351.57 ,$351.57 ,$312.50 ,$140.83 ,$214.85 ,$351.57 ,$136.73 ,$351.57 ,$136.73 ,$371.10 ,$307.65 ,$359.38 ,$61.07 ,$355.47 ,$136.73 ,$240.39 ,$251.57 ,$240.39 ,$351.57 ,$351.57 ,$292.97 ,$273.44 ,$138.10 ,$60.49 ,$365.24 ,$143.57 ,$57.61 ,$339.85 ,$136.73 ,$351.57 ,$136.73 ,$351.57 ,$351.57 ,$351.57 ,$378.91 ,$316.41 ,$351.57 ,$351.57 ,$351.57 ,$351.57 ST. JOSEPH'S - CHIPPEWA FALLS,51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$135.31 ,$101.48 ,$14.00 ,$135.31 ,$87.14 ,$60.02 ,$94.72 ,$14.00 ,$112.31 ,$14.42 ,$89.30 ,$128.54 , N/A ,$108.25 ,$123.13 ,$14.00 ,$127.19 ,$128.54 ,$121.78 ,$115.01 ,$14.00 ,$14.00 ,$14.00 ,$98.78 ,$60.02 ,$120.43 ,$121.78 ,$121.78 ,$108.25 ,$61.82 ,$74.42 ,$121.78 ,$60.02 ,$121.78 ,$60.02 ,$128.54 ,$135.04 ,$124.49 ,$14.84 ,$123.13 ,$60.02 ,$83.27 ,$87.14 ,$83.27 ,$121.78 ,$121.78 ,$101.48 ,$94.72 ,$60.62 ,$14.70 ,$126.51 ,$63.02 ,$14.00 ,$117.72 ,$60.02 ,$121.78 ,$60.02 ,$121.78 ,$121.78 ,$121.78 ,$131.25 ,$109.60 ,$121.78 ,$121.78 ,$121.78 ,$121.78 ST. JOSEPH'S - CHIPPEWA FALLS,51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$245.53 ,$184.15 ,$14.00 ,$443.45 ,$158.12 ,$197.09 ,$171.87 ,$14.00 ,$203.79 ,$14.42 ,$162.05 ,$233.25 , N/A ,$196.42 ,$223.43 ,$14.00 ,$230.80 ,$233.25 ,$220.98 ,$208.70 ,$14.00 ,$14.00 ,$14.00 ,$179.24 ,$197.09 ,$218.52 ,$220.98 ,$220.98 ,$196.42 ,$203.00 ,$135.04 ,$220.98 ,$197.09 ,$220.98 ,$197.09 ,$233.25 ,$443.45 ,$225.89 ,$14.84 ,$223.43 ,$197.09 ,$151.10 ,$158.12 ,$151.10 ,$220.98 ,$220.98 ,$184.15 ,$171.87 ,$199.06 ,$14.70 ,$229.57 ,$206.94 ,$14.00 ,$213.61 ,$197.09 ,$220.98 ,$197.09 ,$220.98 ,$220.98 ,$220.98 ,$238.16 ,$198.88 ,$220.98 ,$220.98 ,$220.98 ,$220.98 ST. JOSEPH'S - CHIPPEWA FALLS,51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$201.78 ,$151.34 ,$14.00 ,$201.78 ,$129.95 ,$38.74 ,$141.25 ,$14.00 ,$167.48 ,$14.42 ,$133.17 ,$191.69 , N/A ,$161.42 ,$183.62 ,$14.00 ,$189.67 ,$191.69 ,$181.60 ,$171.51 ,$14.00 ,$14.00 ,$14.00 ,$147.30 ,$38.74 ,$179.58 ,$181.60 ,$181.60 ,$161.42 ,$39.90 ,$110.98 ,$181.60 ,$38.74 ,$181.60 ,$38.74 ,$191.69 ,$87.17 ,$185.64 ,$14.84 ,$183.62 ,$38.74 ,$124.18 ,$129.95 ,$124.18 ,$181.60 ,$181.60 ,$151.34 ,$141.25 ,$39.13 ,$14.70 ,$188.66 ,$40.68 ,$14.00 ,$175.55 ,$38.74 ,$181.60 ,$38.74 ,$181.60 ,$181.60 ,$181.60 ,$195.73 ,$163.44 ,$181.60 ,$181.60 ,$181.60 ,$181.60 ST. JOSEPH'S - CHIPPEWA FALLS,51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$163.20 ,$122.40 ,$14.00 ,$163.20 ,$105.10 , N/A ,$114.24 ,$14.00 ,$135.46 ,$14.42 ,$107.71 ,$155.04 , N/A ,$130.56 ,$148.51 ,$14.00 ,$153.41 ,$155.04 ,$146.88 ,$138.72 ,$14.00 ,$14.00 ,$14.00 ,$119.14 , N/A ,$145.25 ,$146.88 ,$146.88 ,$130.56 , N/A ,$89.76 ,$146.88 , N/A ,$146.88 , N/A ,$155.04 , N/A ,$150.14 ,$14.84 ,$148.51 , N/A ,$100.43 ,$105.10 ,$100.43 ,$146.88 ,$146.88 ,$122.40 ,$114.24 , N/A ,$14.70 ,$152.59 , N/A ,$14.00 ,$141.98 , N/A ,$146.88 , N/A ,$146.88 ,$146.88 ,$146.88 ,$158.30 ,$132.19 ,$146.88 ,$146.88 ,$146.88 ,$146.88 ST. JOSEPH'S - CHIPPEWA FALLS,51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$91.55 ,$68.66 ,$14.00 ,$121.29 ,$58.96 ,$53.91 ,$64.09 ,$14.00 ,$91.55 ,$14.42 ,$91.55 ,$86.97 , N/A ,$73.24 ,$83.31 ,$14.00 ,$86.06 ,$86.97 ,$82.40 ,$77.82 ,$14.00 ,$14.00 ,$14.00 ,$66.83 ,$53.91 ,$81.48 ,$82.40 ,$82.40 ,$73.24 ,$55.52 ,$50.35 ,$82.40 ,$53.91 ,$82.40 ,$53.91 ,$86.97 ,$121.29 ,$84.23 ,$14.84 ,$83.31 ,$53.91 ,$56.34 ,$58.96 ,$56.34 ,$82.40 ,$82.40 ,$68.66 ,$64.09 ,$54.45 ,$14.70 ,$85.60 ,$56.61 ,$14.00 ,$79.65 ,$53.91 ,$82.40 ,$53.91 ,$82.40 ,$82.40 ,$82.40 ,$88.80 ,$74.16 ,$82.40 ,$82.40 ,$82.40 ,$82.40 ST. JOSEPH'S - CHIPPEWA FALLS,51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$524.43 ,$393.32 ,$107.54 ,$524.43 ,$337.73 ,$173.89 ,$367.10 ,$107.54 ,$160.00 ,$110.77 ,$127.00 ,$498.21 , N/A ,$419.54 ,$477.23 ,$107.54 ,$492.96 ,$498.21 ,$471.99 ,$445.77 ,$107.54 ,$107.54 ,$107.54 ,$382.83 ,$173.89 ,$466.74 ,$471.99 ,$471.99 ,$419.54 ,$179.11 ,$288.44 ,$471.99 ,$173.89 ,$471.99 ,$173.89 ,$498.21 ,$391.26 ,$482.48 ,$113.99 ,$477.23 ,$173.89 ,$322.73 ,$337.73 ,$322.73 ,$471.99 ,$471.99 ,$393.32 ,$367.10 ,$175.63 ,$112.92 ,$490.34 ,$182.58 ,$107.54 ,$456.25 ,$173.89 ,$471.99 ,$173.89 ,$471.99 ,$471.99 ,$471.99 ,$508.70 ,$424.79 ,$471.99 ,$471.99 ,$471.99 ,$471.99 ST. JOSEPH'S - CHIPPEWA FALLS,51000099,99201,HC CLINIC VISIT BRIEF NEW,510,1 ,$166.06 ,$124.55 ,$91.33 ,$166.06 ,$106.94 , N/A ,$116.24 , N/A ,$160.00 , N/A ,$127.00 ,$157.76 , N/A ,$132.85 ,$151.11 , N/A ,$156.10 ,$157.76 ,$149.45 ,$141.15 , N/A , N/A , N/A ,$121.22 , N/A ,$147.79 ,$149.45 ,$149.45 ,$132.85 , N/A ,$91.33 ,$149.45 , N/A ,$149.45 , N/A ,$157.76 , N/A ,$152.78 , N/A ,$151.11 , N/A ,$102.19 ,$106.94 ,$102.19 ,$149.45 ,$149.45 ,$124.55 ,$116.24 , N/A , N/A ,$155.27 , N/A , N/A ,$144.47 , N/A ,$149.45 , N/A ,$149.45 ,$149.45 ,$149.45 ,$161.08 ,$134.51 ,$149.45 ,$149.45 ,$149.45 ,$149.45 ST. JOSEPH'S - CHIPPEWA FALLS,51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$212.64 ,$159.48 ,$47.46 ,$212.64 ,$136.94 , N/A ,$148.85 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$202.01 , N/A ,$170.11 ,$193.50 ,$47.46 ,$199.88 ,$202.01 ,$191.38 ,$180.74 ,$47.46 ,$47.46 ,$47.46 ,$155.23 , N/A ,$189.25 ,$191.38 ,$191.38 ,$170.11 , N/A ,$116.95 ,$191.38 , N/A ,$191.38 , N/A ,$202.01 , N/A ,$195.63 ,$50.31 ,$193.50 , N/A ,$130.86 ,$136.94 ,$130.86 ,$191.38 ,$191.38 ,$159.48 ,$148.85 , N/A ,$49.83 ,$198.82 , N/A ,$47.46 ,$185.00 , N/A ,$191.38 , N/A ,$191.38 ,$191.38 ,$191.38 ,$206.26 ,$172.24 ,$191.38 ,$191.38 ,$191.38 ,$191.38 ST. JOSEPH'S - CHIPPEWA FALLS,51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$278.07 ,$208.55 ,$47.46 ,$278.07 ,$179.08 , N/A ,$194.65 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$264.17 , N/A ,$222.46 ,$253.04 ,$47.46 ,$261.39 ,$264.17 ,$250.26 ,$236.36 ,$47.46 ,$47.46 ,$47.46 ,$202.99 , N/A ,$247.48 ,$250.26 ,$250.26 ,$222.46 , N/A ,$152.94 ,$250.26 , N/A ,$250.26 , N/A ,$264.17 , N/A ,$255.82 ,$50.31 ,$253.04 , N/A ,$171.12 ,$179.08 ,$171.12 ,$250.26 ,$250.26 ,$208.55 ,$194.65 , N/A ,$49.83 ,$260.00 , N/A ,$47.46 ,$241.92 , N/A ,$250.26 , N/A ,$250.26 ,$250.26 ,$250.26 ,$269.73 ,$225.24 ,$250.26 ,$250.26 ,$250.26 ,$250.26 ST. JOSEPH'S - CHIPPEWA FALLS,51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$389.74 ,$292.31 ,$47.46 ,$389.74 ,$250.99 , N/A ,$272.82 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$370.25 , N/A ,$311.79 ,$354.66 ,$47.46 ,$366.36 ,$370.25 ,$350.77 ,$331.28 ,$47.46 ,$47.46 ,$47.46 ,$284.51 , N/A ,$346.87 ,$350.77 ,$350.77 ,$311.79 , N/A ,$214.36 ,$350.77 , N/A ,$350.77 , N/A ,$370.25 , N/A ,$358.56 ,$50.31 ,$354.66 , N/A ,$239.85 ,$250.99 ,$239.85 ,$350.77 ,$350.77 ,$292.31 ,$272.82 , N/A ,$49.83 ,$364.41 , N/A ,$47.46 ,$339.07 , N/A ,$350.77 , N/A ,$350.77 ,$350.77 ,$350.77 ,$378.05 ,$315.69 ,$350.77 ,$350.77 ,$350.77 ,$350.77 ST. JOSEPH'S - CHIPPEWA FALLS,51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$520.15 ,$390.11 ,$47.46 ,$520.15 ,$334.98 , N/A ,$364.11 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$494.14 , N/A ,$416.12 ,$473.34 ,$47.46 ,$488.94 ,$494.14 ,$468.14 ,$442.13 ,$47.46 ,$47.46 ,$47.46 ,$379.71 , N/A ,$462.93 ,$468.14 ,$468.14 ,$416.12 , N/A ,$286.08 ,$468.14 , N/A ,$468.14 , N/A ,$494.14 , N/A ,$478.54 ,$50.31 ,$473.34 , N/A ,$320.10 ,$334.98 ,$320.10 ,$468.14 ,$468.14 ,$390.11 ,$364.11 , N/A ,$49.83 ,$486.34 , N/A ,$47.46 ,$452.53 , N/A ,$468.14 , N/A ,$468.14 ,$468.14 ,$468.14 ,$504.55 ,$421.32 ,$468.14 ,$468.14 ,$468.14 ,$468.14 ST. JOSEPH'S - CHIPPEWA FALLS,51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$112.70 ,$84.53 ,$47.46 ,$112.70 ,$72.58 , N/A ,$78.89 ,$47.46 ,$112.70 ,$48.88 ,$112.70 ,$107.07 , N/A ,$90.16 ,$102.56 ,$47.46 ,$105.94 ,$107.07 ,$101.43 ,$95.80 ,$47.46 ,$47.46 ,$47.46 ,$82.27 , N/A ,$100.30 ,$101.43 ,$101.43 ,$90.16 , N/A ,$61.99 ,$101.43 , N/A ,$101.43 , N/A ,$107.07 , N/A ,$103.68 ,$50.31 ,$102.56 , N/A ,$69.36 ,$72.58 ,$69.36 ,$101.43 ,$101.43 ,$84.53 ,$78.89 , N/A ,$49.83 ,$105.37 , N/A ,$47.46 ,$98.05 , N/A ,$101.43 , N/A ,$101.43 ,$101.43 ,$101.43 ,$109.32 ,$91.29 ,$101.43 ,$101.43 ,$101.43 ,$101.43 ST. JOSEPH'S - CHIPPEWA FALLS,51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$138.00 ,$103.50 ,$47.46 ,$138.00 ,$88.87 , N/A ,$96.60 ,$47.46 ,$138.00 ,$48.88 ,$127.00 ,$131.10 , N/A ,$110.40 ,$125.58 ,$47.46 ,$129.72 ,$131.10 ,$124.20 ,$117.30 ,$47.46 ,$47.46 ,$47.46 ,$100.74 , N/A ,$122.82 ,$124.20 ,$124.20 ,$110.40 , N/A ,$75.90 ,$124.20 , N/A ,$124.20 , N/A ,$131.10 , N/A ,$126.96 ,$50.31 ,$125.58 , N/A ,$84.93 ,$88.87 ,$84.93 ,$124.20 ,$124.20 ,$103.50 ,$96.60 , N/A ,$49.83 ,$129.03 , N/A ,$47.46 ,$120.06 , N/A ,$124.20 , N/A ,$124.20 ,$124.20 ,$124.20 ,$133.86 ,$111.78 ,$124.20 ,$124.20 ,$124.20 ,$124.20 ST. JOSEPH'S - CHIPPEWA FALLS,51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$173.88 ,$130.41 ,$47.46 ,$173.88 ,$111.98 , N/A ,$121.72 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$165.19 , N/A ,$139.10 ,$158.23 ,$47.46 ,$163.45 ,$165.19 ,$156.49 ,$147.80 ,$47.46 ,$47.46 ,$47.46 ,$126.93 , N/A ,$154.75 ,$156.49 ,$156.49 ,$139.10 , N/A ,$95.63 ,$156.49 , N/A ,$156.49 , N/A ,$165.19 , N/A ,$159.97 ,$50.31 ,$158.23 , N/A ,$107.01 ,$111.98 ,$107.01 ,$156.49 ,$156.49 ,$130.41 ,$121.72 , N/A ,$49.83 ,$162.58 , N/A ,$47.46 ,$151.28 , N/A ,$156.49 , N/A ,$156.49 ,$156.49 ,$156.49 ,$168.66 ,$140.84 ,$156.49 ,$156.49 ,$156.49 ,$156.49 ST. JOSEPH'S - CHIPPEWA FALLS,51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$256.96 ,$192.72 ,$47.46 ,$256.96 ,$165.48 , N/A ,$179.87 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$244.11 , N/A ,$205.57 ,$233.83 ,$47.46 ,$241.54 ,$244.11 ,$231.26 ,$218.42 ,$47.46 ,$47.46 ,$47.46 ,$187.58 , N/A ,$228.69 ,$231.26 ,$231.26 ,$205.57 , N/A ,$141.33 ,$231.26 , N/A ,$231.26 , N/A ,$244.11 , N/A ,$236.40 ,$50.31 ,$233.83 , N/A ,$158.13 ,$165.48 ,$158.13 ,$231.26 ,$231.26 ,$192.72 ,$179.87 , N/A ,$49.83 ,$240.26 , N/A ,$47.46 ,$223.56 , N/A ,$231.26 , N/A ,$231.26 ,$231.26 ,$231.26 ,$249.25 ,$208.14 ,$231.26 ,$231.26 ,$231.26 ,$231.26 ST. JOSEPH'S - CHIPPEWA FALLS,51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$392.92 ,$294.69 ,$47.46 ,$392.92 ,$253.04 , N/A ,$275.04 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$373.27 , N/A ,$314.34 ,$357.56 ,$47.46 ,$369.34 ,$373.27 ,$353.63 ,$333.98 ,$47.46 ,$47.46 ,$47.46 ,$286.83 , N/A ,$349.70 ,$353.63 ,$353.63 ,$314.34 , N/A ,$216.11 ,$353.63 , N/A ,$353.63 , N/A ,$373.27 , N/A ,$361.49 ,$50.31 ,$357.56 , N/A ,$241.80 ,$253.04 ,$241.80 ,$353.63 ,$353.63 ,$294.69 ,$275.04 , N/A ,$49.83 ,$367.38 , N/A ,$47.46 ,$341.84 , N/A ,$353.63 , N/A ,$353.63 ,$353.63 ,$353.63 ,$381.13 ,$318.27 ,$353.63 ,$353.63 ,$353.63 ,$353.63 ST. JOSEPH'S - CHIPPEWA FALLS,51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$79.38 ,$59.54 ,$0.72 ,$79.38 ,$51.12 ,$3.00 ,$55.57 ,$0.72 ,$5.25 ,$0.74 ,$4.20 ,$75.41 , N/A ,$63.50 ,$72.24 ,$0.72 ,$74.62 ,$75.41 ,$71.44 ,$67.47 ,$0.72 ,$0.72 ,$0.72 ,$57.95 ,$3.00 ,$70.65 ,$71.44 ,$71.44 ,$63.50 ,$3.09 ,$43.66 ,$71.44 ,$3.00 ,$71.44 ,$3.00 ,$75.41 ,$6.75 ,$73.03 ,$0.76 ,$72.24 ,$3.00 ,$48.85 ,$51.12 ,$48.85 ,$71.44 ,$71.44 ,$59.54 ,$55.57 ,$3.03 ,$0.76 ,$74.22 ,$3.15 ,$0.72 ,$69.06 ,$3.00 ,$71.44 ,$3.00 ,$71.44 ,$71.44 ,$71.44 ,$77.00 ,$64.30 ,$71.44 ,$71.44 ,$71.44 ,$71.44 ST. JOSEPH'S - CHIPPEWA FALLS,51000161,17110,HC DESTRUCT BENIGN LESION <15 FACIL,510,1 ,$313.38 ,$235.04 ,$74.70 ,$391.26 ,$201.82 ,$173.89 ,$219.37 ,$74.70 ,$160.00 ,$76.94 ,$127.00 ,$297.71 , N/A ,$250.70 ,$285.18 ,$74.70 ,$294.58 ,$297.71 ,$282.04 ,$266.37 ,$74.70 ,$74.70 ,$74.70 ,$228.77 ,$173.89 ,$278.91 ,$282.04 ,$282.04 ,$250.70 ,$179.11 ,$172.36 ,$282.04 ,$173.89 ,$282.04 ,$173.89 ,$297.71 ,$391.26 ,$288.31 ,$79.18 ,$285.18 ,$173.89 ,$192.85 ,$201.82 ,$192.85 ,$282.04 ,$282.04 ,$235.04 ,$219.37 ,$175.63 ,$78.44 ,$293.01 ,$182.58 ,$74.70 ,$272.64 ,$173.89 ,$282.04 ,$173.89 ,$282.04 ,$282.04 ,$282.04 ,$303.98 ,$253.84 ,$282.04 ,$282.04 ,$282.04 ,$282.04 ST. JOSEPH'S - CHIPPEWA FALLS,51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$234.15 ,$175.61 ,$22.97 ,$243.95 ,$150.79 ,$108.42 ,$163.91 ,$22.97 ,$160.00 ,$23.66 ,$127.00 ,$222.44 , N/A ,$187.32 ,$213.08 ,$22.97 ,$220.10 ,$222.44 ,$210.74 ,$199.03 ,$22.97 ,$22.97 ,$22.97 ,$170.93 ,$108.42 ,$208.39 ,$210.74 ,$210.74 ,$187.32 ,$111.68 ,$128.78 ,$210.74 ,$108.42 ,$210.74 ,$108.42 ,$222.44 ,$243.95 ,$215.42 ,$24.35 ,$213.08 ,$108.42 ,$144.10 ,$150.79 ,$144.10 ,$210.74 ,$210.74 ,$175.61 ,$163.91 ,$109.51 ,$24.12 ,$218.93 ,$113.84 ,$22.97 ,$203.71 ,$108.42 ,$210.74 ,$108.42 ,$210.74 ,$210.74 ,$210.74 ,$227.13 ,$189.66 ,$210.74 ,$210.74 ,$210.74 ,$210.74 ST. JOSEPH'S - CHIPPEWA FALLS,51000172,51702,HC CATH BLADDER SMP,510,1 ,$110.36 ,$82.77 ,$22.97 ,$243.95 ,$71.07 ,$108.42 ,$77.25 ,$22.97 ,$110.36 ,$23.66 ,$110.36 ,$104.84 , N/A ,$88.29 ,$100.43 ,$22.97 ,$103.74 ,$104.84 ,$99.32 ,$93.81 ,$22.97 ,$22.97 ,$22.97 ,$80.56 ,$108.42 ,$98.22 ,$99.32 ,$99.32 ,$88.29 ,$111.68 ,$60.70 ,$99.32 ,$108.42 ,$99.32 ,$108.42 ,$104.84 ,$243.95 ,$101.53 ,$24.35 ,$100.43 ,$108.42 ,$67.92 ,$71.07 ,$67.92 ,$99.32 ,$99.32 ,$82.77 ,$77.25 ,$109.51 ,$24.12 ,$103.19 ,$113.84 ,$22.97 ,$96.01 ,$108.42 ,$99.32 ,$108.42 ,$99.32 ,$99.32 ,$99.32 ,$107.05 ,$89.39 ,$99.32 ,$99.32 ,$99.32 ,$99.32 ST. JOSEPH'S - CHIPPEWA FALLS,51000173,51703,HC CATH BLADDER CPLX,510,1 ,$471.02 ,$353.27 ,$22.97 ,$471.02 ,$303.34 ,$135.15 ,$329.71 ,$22.97 ,$160.00 ,$23.66 ,$127.00 ,$447.47 , N/A ,$376.82 ,$428.63 ,$22.97 ,$442.76 ,$447.47 ,$423.92 ,$400.37 ,$22.97 ,$22.97 ,$22.97 ,$343.84 ,$135.15 ,$419.21 ,$423.92 ,$423.92 ,$376.82 ,$139.21 ,$259.06 ,$423.92 ,$135.15 ,$423.92 ,$135.15 ,$447.47 ,$304.10 ,$433.34 ,$24.35 ,$428.63 ,$135.15 ,$289.87 ,$303.34 ,$289.87 ,$423.92 ,$423.92 ,$353.27 ,$329.71 ,$136.51 ,$24.12 ,$440.40 ,$141.91 ,$22.97 ,$409.79 ,$135.15 ,$423.92 ,$135.15 ,$423.92 ,$423.92 ,$423.92 ,$456.89 ,$381.53 ,$423.92 ,$423.92 ,$423.92 ,$423.92 ST. JOSEPH'S - CHIPPEWA FALLS,51000175,94780,HC CARSEAT ANALYSIS FIRST 60MIN,510,1 ,$484.77 ,$363.58 ,$21.41 ,$484.77 ,$312.19 ,$32.77 ,$339.34 ,$21.41 ,$160.00 ,$22.05 ,$127.00 ,$460.53 , N/A ,$387.82 ,$441.14 ,$21.41 ,$455.68 ,$460.53 ,$436.29 ,$412.05 ,$21.41 ,$21.41 ,$21.41 ,$353.88 ,$32.77 ,$431.45 ,$436.29 ,$436.29 ,$387.82 ,$33.76 ,$266.62 ,$436.29 ,$32.77 ,$436.29 ,$32.77 ,$460.53 ,$73.74 ,$445.99 ,$22.69 ,$441.14 ,$32.77 ,$298.33 ,$312.19 ,$298.33 ,$436.29 ,$436.29 ,$363.58 ,$339.34 ,$33.10 ,$22.48 ,$453.26 ,$34.41 ,$21.41 ,$421.75 ,$32.77 ,$436.29 ,$32.77 ,$436.29 ,$436.29 ,$436.29 ,$470.23 ,$392.66 ,$436.29 ,$436.29 ,$436.29 ,$436.29 ST. JOSEPH'S - CHIPPEWA FALLS,51000320,94781,HC CARSEAT ANALYSIS EA ADDN 30MIN,510,1 ,$242.38 ,$181.79 ,$21.41 ,$242.38 ,$156.09 , N/A ,$169.67 ,$21.41 ,$160.00 ,$22.05 ,$127.00 ,$230.26 , N/A ,$193.90 ,$220.57 ,$21.41 ,$227.84 ,$230.26 ,$218.14 ,$206.02 ,$21.41 ,$21.41 ,$21.41 ,$176.94 , N/A ,$215.72 ,$218.14 ,$218.14 ,$193.90 , N/A ,$133.31 ,$218.14 , N/A ,$218.14 , N/A ,$230.26 , N/A ,$222.99 ,$22.69 ,$220.57 , N/A ,$149.16 ,$156.09 ,$149.16 ,$218.14 ,$218.14 ,$181.79 ,$169.67 , N/A ,$22.48 ,$226.63 , N/A ,$21.41 ,$210.87 , N/A ,$218.14 , N/A ,$218.14 ,$218.14 ,$218.14 ,$235.11 ,$196.33 ,$218.14 ,$218.14 ,$218.14 ,$218.14 ST. JOSEPH'S - CHIPPEWA FALLS,51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$490.06 ,$367.55 ,$74.70 ,$490.06 ,$315.60 ,$173.89 ,$343.04 ,$74.70 ,$160.00 ,$76.94 ,$127.00 ,$465.56 , N/A ,$392.05 ,$445.95 ,$74.70 ,$460.66 ,$465.56 ,$441.05 ,$416.55 ,$74.70 ,$74.70 ,$74.70 ,$357.74 ,$173.89 ,$436.15 ,$441.05 ,$441.05 ,$392.05 ,$179.11 ,$269.53 ,$441.05 ,$173.89 ,$441.05 ,$173.89 ,$465.56 ,$391.26 ,$450.86 ,$79.18 ,$445.95 ,$173.89 ,$301.58 ,$315.60 ,$301.58 ,$441.05 ,$441.05 ,$367.55 ,$343.04 ,$175.63 ,$78.44 ,$458.21 ,$182.58 ,$74.70 ,$426.35 ,$173.89 ,$441.05 ,$173.89 ,$441.05 ,$441.05 ,$441.05 ,$475.36 ,$396.95 ,$441.05 ,$441.05 ,$441.05 ,$441.05 ST. JOSEPH'S - CHIPPEWA FALLS,51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,$781.14 ,$585.86 ,$86.42 ,$781.14 ,$503.05 ,$205.10 ,$546.80 ,$86.42 ,$160.00 ,$89.01 ,$127.00 ,$742.08 , N/A ,$624.91 ,$710.84 ,$86.42 ,$734.27 ,$742.08 ,$703.03 ,$663.97 ,$86.42 ,$86.42 ,$86.42 ,$570.23 ,$205.10 ,$695.21 ,$703.03 ,$703.03 ,$624.91 ,$211.25 ,$429.63 ,$703.03 ,$205.10 ,$703.03 ,$205.10 ,$742.08 ,$461.47 ,$718.65 ,$91.61 ,$710.84 ,$205.10 ,$480.71 ,$503.05 ,$480.71 ,$703.03 ,$703.03 ,$585.86 ,$546.80 ,$207.15 ,$90.74 ,$730.37 ,$215.36 ,$86.42 ,$679.59 ,$205.10 ,$703.03 ,$205.10 ,$703.03 ,$703.03 ,$703.03 ,$757.71 ,$632.72 ,$703.03 ,$703.03 ,$703.03 ,$703.03 ST. JOSEPH'S - CHIPPEWA FALLS,51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$390.63 ,$292.97 ,$86.42 ,$461.47 ,$251.57 ,$205.10 ,$273.44 ,$86.42 ,$160.00 ,$89.01 ,$127.00 ,$371.10 , N/A ,$312.50 ,$355.47 ,$86.42 ,$367.19 ,$371.10 ,$351.57 ,$332.04 ,$86.42 ,$86.42 ,$86.42 ,$285.16 ,$205.10 ,$347.66 ,$351.57 ,$351.57 ,$312.50 ,$211.25 ,$214.85 ,$351.57 ,$205.10 ,$351.57 ,$205.10 ,$371.10 ,$461.47 ,$359.38 ,$91.61 ,$355.47 ,$205.10 ,$240.39 ,$251.57 ,$240.39 ,$351.57 ,$351.57 ,$292.97 ,$273.44 ,$207.15 ,$90.74 ,$365.24 ,$215.36 ,$86.42 ,$339.85 ,$205.10 ,$351.57 ,$205.10 ,$351.57 ,$351.57 ,$351.57 ,$378.91 ,$316.41 ,$351.57 ,$351.57 ,$351.57 ,$351.57 ST. JOSEPH'S - CHIPPEWA FALLS,51000407,11200,HC REMOVAL SKIN TAG LESIONS <=15 FAC,510,1 ,$372.53 ,$279.40 ,$74.70 ,$391.26 ,$239.91 ,$173.89 ,$260.77 ,$74.70 ,$160.00 ,$76.94 ,$127.00 ,$353.90 , N/A ,$298.02 ,$339.00 ,$74.70 ,$350.18 ,$353.90 ,$335.28 ,$316.65 ,$74.70 ,$74.70 ,$74.70 ,$271.95 ,$173.89 ,$331.55 ,$335.28 ,$335.28 ,$298.02 ,$179.11 ,$204.89 ,$335.28 ,$173.89 ,$335.28 ,$173.89 ,$353.90 ,$391.26 ,$342.73 ,$79.18 ,$339.00 ,$173.89 ,$229.26 ,$239.91 ,$229.26 ,$335.28 ,$335.28 ,$279.40 ,$260.77 ,$175.63 ,$78.44 ,$348.32 ,$182.58 ,$74.70 ,$324.10 ,$173.89 ,$335.28 ,$173.89 ,$335.28 ,$335.28 ,$335.28 ,$361.35 ,$301.75 ,$335.28 ,$335.28 ,$335.28 ,$335.28 ST. JOSEPH'S - CHIPPEWA FALLS,51000417,29515,HC APPL SHRT LEG SPLNT RN,510,1 ,$710.24 ,$532.68 ,$21.22 ,$710.24 ,$457.39 ,$136.73 ,$497.17 ,$21.22 ,$160.00 ,$21.86 ,$127.00 ,$674.73 , N/A ,$568.19 ,$646.32 ,$21.22 ,$667.63 ,$674.73 ,$639.22 ,$603.70 ,$21.22 ,$21.22 ,$21.22 ,$518.48 ,$136.73 ,$632.11 ,$639.22 ,$639.22 ,$568.19 ,$140.83 ,$390.63 ,$639.22 ,$136.73 ,$639.22 ,$136.73 ,$674.73 ,$307.65 ,$653.42 ,$22.49 ,$646.32 ,$136.73 ,$437.08 ,$457.39 ,$437.08 ,$639.22 ,$639.22 ,$532.68 ,$497.17 ,$138.10 ,$22.28 ,$664.07 ,$143.57 ,$21.22 ,$617.91 ,$136.73 ,$639.22 ,$136.73 ,$639.22 ,$639.22 ,$639.22 ,$688.93 ,$575.29 ,$639.22 ,$639.22 ,$639.22 ,$639.22 ST. JOSEPH'S - CHIPPEWA FALLS,51000463,99201,HC CLINIC VISIT BRIEF NEW -25,510,1 ,$166.06 ,$124.55 ,$91.33 ,$166.06 ,$106.94 , N/A ,$116.24 , N/A ,$160.00 , N/A ,$127.00 ,$157.76 , N/A ,$132.85 ,$151.11 , N/A ,$156.10 ,$157.76 ,$149.45 ,$141.15 , N/A , N/A , N/A ,$121.22 , N/A ,$147.79 ,$149.45 ,$149.45 ,$132.85 , N/A ,$91.33 ,$149.45 , N/A ,$149.45 , N/A ,$157.76 , N/A ,$152.78 , N/A ,$151.11 , N/A ,$102.19 ,$106.94 ,$102.19 ,$149.45 ,$149.45 ,$124.55 ,$116.24 , N/A , N/A ,$155.27 , N/A , N/A ,$144.47 , N/A ,$149.45 , N/A ,$149.45 ,$149.45 ,$149.45 ,$161.08 ,$134.51 ,$149.45 ,$149.45 ,$149.45 ,$149.45 ST. JOSEPH'S - CHIPPEWA FALLS,51000464,99202,HC CLINIC VISIT LIMITED NEW -25,510,1 ,$212.64 ,$159.48 ,$47.46 ,$212.64 ,$136.94 , N/A ,$148.85 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$202.01 , N/A ,$170.11 ,$193.50 ,$47.46 ,$199.88 ,$202.01 ,$191.38 ,$180.74 ,$47.46 ,$47.46 ,$47.46 ,$155.23 , N/A ,$189.25 ,$191.38 ,$191.38 ,$170.11 , N/A ,$116.95 ,$191.38 , N/A ,$191.38 , N/A ,$202.01 , N/A ,$195.63 ,$50.31 ,$193.50 , N/A ,$130.86 ,$136.94 ,$130.86 ,$191.38 ,$191.38 ,$159.48 ,$148.85 , N/A ,$49.83 ,$198.82 , N/A ,$47.46 ,$185.00 , N/A ,$191.38 , N/A ,$191.38 ,$191.38 ,$191.38 ,$206.26 ,$172.24 ,$191.38 ,$191.38 ,$191.38 ,$191.38 ST. JOSEPH'S - CHIPPEWA FALLS,51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$278.07 ,$208.55 ,$47.46 ,$278.07 ,$179.08 , N/A ,$194.65 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$264.17 , N/A ,$222.46 ,$253.04 ,$47.46 ,$261.39 ,$264.17 ,$250.26 ,$236.36 ,$47.46 ,$47.46 ,$47.46 ,$202.99 , N/A ,$247.48 ,$250.26 ,$250.26 ,$222.46 , N/A ,$152.94 ,$250.26 , N/A ,$250.26 , N/A ,$264.17 , N/A ,$255.82 ,$50.31 ,$253.04 , N/A ,$171.12 ,$179.08 ,$171.12 ,$250.26 ,$250.26 ,$208.55 ,$194.65 , N/A ,$49.83 ,$260.00 , N/A ,$47.46 ,$241.92 , N/A ,$250.26 , N/A ,$250.26 ,$250.26 ,$250.26 ,$269.73 ,$225.24 ,$250.26 ,$250.26 ,$250.26 ,$250.26 ST. JOSEPH'S - CHIPPEWA FALLS,51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$389.74 ,$292.31 ,$47.46 ,$389.74 ,$250.99 , N/A ,$272.82 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$370.25 , N/A ,$311.79 ,$354.66 ,$47.46 ,$366.36 ,$370.25 ,$350.77 ,$331.28 ,$47.46 ,$47.46 ,$47.46 ,$284.51 , N/A ,$346.87 ,$350.77 ,$350.77 ,$311.79 , N/A ,$214.36 ,$350.77 , N/A ,$350.77 , N/A ,$370.25 , N/A ,$358.56 ,$50.31 ,$354.66 , N/A ,$239.85 ,$250.99 ,$239.85 ,$350.77 ,$350.77 ,$292.31 ,$272.82 , N/A ,$49.83 ,$364.41 , N/A ,$47.46 ,$339.07 , N/A ,$350.77 , N/A ,$350.77 ,$350.77 ,$350.77 ,$378.05 ,$315.69 ,$350.77 ,$350.77 ,$350.77 ,$350.77 ST. JOSEPH'S - CHIPPEWA FALLS,51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,$520.15 ,$390.11 ,$47.46 ,$520.15 ,$334.98 , N/A ,$364.11 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$494.14 , N/A ,$416.12 ,$473.34 ,$47.46 ,$488.94 ,$494.14 ,$468.14 ,$442.13 ,$47.46 ,$47.46 ,$47.46 ,$379.71 , N/A ,$462.93 ,$468.14 ,$468.14 ,$416.12 , N/A ,$286.08 ,$468.14 , N/A ,$468.14 , N/A ,$494.14 , N/A ,$478.54 ,$50.31 ,$473.34 , N/A ,$320.10 ,$334.98 ,$320.10 ,$468.14 ,$468.14 ,$390.11 ,$364.11 , N/A ,$49.83 ,$486.34 , N/A ,$47.46 ,$452.53 , N/A ,$468.14 , N/A ,$468.14 ,$468.14 ,$468.14 ,$504.55 ,$421.32 ,$468.14 ,$468.14 ,$468.14 ,$468.14 ST. JOSEPH'S - CHIPPEWA FALLS,51000468,99211,HC CLINIC VISIT BRIEF ESTAB -25,510,1 ,$112.70 ,$84.53 ,$47.46 ,$112.70 ,$72.58 , N/A ,$78.89 ,$47.46 ,$112.70 ,$48.88 ,$112.70 ,$107.07 , N/A ,$90.16 ,$102.56 ,$47.46 ,$105.94 ,$107.07 ,$101.43 ,$95.80 ,$47.46 ,$47.46 ,$47.46 ,$82.27 , N/A ,$100.30 ,$101.43 ,$101.43 ,$90.16 , N/A ,$61.99 ,$101.43 , N/A ,$101.43 , N/A ,$107.07 , N/A ,$103.68 ,$50.31 ,$102.56 , N/A ,$69.36 ,$72.58 ,$69.36 ,$101.43 ,$101.43 ,$84.53 ,$78.89 , N/A ,$49.83 ,$105.37 , N/A ,$47.46 ,$98.05 , N/A ,$101.43 , N/A ,$101.43 ,$101.43 ,$101.43 ,$109.32 ,$91.29 ,$101.43 ,$101.43 ,$101.43 ,$101.43 ST. JOSEPH'S - CHIPPEWA FALLS,51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$138.00 ,$103.50 ,$47.46 ,$138.00 ,$88.87 , N/A ,$96.60 ,$47.46 ,$138.00 ,$48.88 ,$127.00 ,$131.10 , N/A ,$110.40 ,$125.58 ,$47.46 ,$129.72 ,$131.10 ,$124.20 ,$117.30 ,$47.46 ,$47.46 ,$47.46 ,$100.74 , N/A ,$122.82 ,$124.20 ,$124.20 ,$110.40 , N/A ,$75.90 ,$124.20 , N/A ,$124.20 , N/A ,$131.10 , N/A ,$126.96 ,$50.31 ,$125.58 , N/A ,$84.93 ,$88.87 ,$84.93 ,$124.20 ,$124.20 ,$103.50 ,$96.60 , N/A ,$49.83 ,$129.03 , N/A ,$47.46 ,$120.06 , N/A ,$124.20 , N/A ,$124.20 ,$124.20 ,$124.20 ,$133.86 ,$111.78 ,$124.20 ,$124.20 ,$124.20 ,$124.20 ST. JOSEPH'S - CHIPPEWA FALLS,51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$173.88 ,$130.41 ,$47.46 ,$173.88 ,$111.98 , N/A ,$121.72 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$165.19 , N/A ,$139.10 ,$158.23 ,$47.46 ,$163.45 ,$165.19 ,$156.49 ,$147.80 ,$47.46 ,$47.46 ,$47.46 ,$126.93 , N/A ,$154.75 ,$156.49 ,$156.49 ,$139.10 , N/A ,$95.63 ,$156.49 , N/A ,$156.49 , N/A ,$165.19 , N/A ,$159.97 ,$50.31 ,$158.23 , N/A ,$107.01 ,$111.98 ,$107.01 ,$156.49 ,$156.49 ,$130.41 ,$121.72 , N/A ,$49.83 ,$162.58 , N/A ,$47.46 ,$151.28 , N/A ,$156.49 , N/A ,$156.49 ,$156.49 ,$156.49 ,$168.66 ,$140.84 ,$156.49 ,$156.49 ,$156.49 ,$156.49 ST. JOSEPH'S - CHIPPEWA FALLS,51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$256.96 ,$192.72 ,$47.46 ,$256.96 ,$165.48 , N/A ,$179.87 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$244.11 , N/A ,$205.57 ,$233.83 ,$47.46 ,$241.54 ,$244.11 ,$231.26 ,$218.42 ,$47.46 ,$47.46 ,$47.46 ,$187.58 , N/A ,$228.69 ,$231.26 ,$231.26 ,$205.57 , N/A ,$141.33 ,$231.26 , N/A ,$231.26 , N/A ,$244.11 , N/A ,$236.40 ,$50.31 ,$233.83 , N/A ,$158.13 ,$165.48 ,$158.13 ,$231.26 ,$231.26 ,$192.72 ,$179.87 , N/A ,$49.83 ,$240.26 , N/A ,$47.46 ,$223.56 , N/A ,$231.26 , N/A ,$231.26 ,$231.26 ,$231.26 ,$249.25 ,$208.14 ,$231.26 ,$231.26 ,$231.26 ,$231.26 ST. JOSEPH'S - CHIPPEWA FALLS,51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$392.92 ,$294.69 ,$47.46 ,$392.92 ,$253.04 , N/A ,$275.04 ,$47.46 ,$160.00 ,$48.88 ,$127.00 ,$373.27 , N/A ,$314.34 ,$357.56 ,$47.46 ,$369.34 ,$373.27 ,$353.63 ,$333.98 ,$47.46 ,$47.46 ,$47.46 ,$286.83 , N/A ,$349.70 ,$353.63 ,$353.63 ,$314.34 , N/A ,$216.11 ,$353.63 , N/A ,$353.63 , N/A ,$373.27 , N/A ,$361.49 ,$50.31 ,$357.56 , N/A ,$241.80 ,$253.04 ,$241.80 ,$353.63 ,$353.63 ,$294.69 ,$275.04 , N/A ,$49.83 ,$367.38 , N/A ,$47.46 ,$341.84 , N/A ,$353.63 , N/A ,$353.63 ,$353.63 ,$353.63 ,$381.13 ,$318.27 ,$353.63 ,$353.63 ,$353.63 ,$353.63 ST. JOSEPH'S - CHIPPEWA FALLS,51000477,96377,HC APPL ON-BODY INJECTOR FOR SUBQ INJ,510,1 ,$141.40 ,$106.05 ,$14.00 ,$141.40 ,$91.06 ,$38.74 ,$98.98 ,$14.00 ,$141.40 ,$14.42 ,$127.00 ,$134.33 , N/A ,$113.12 ,$128.67 ,$14.00 ,$132.92 ,$134.33 ,$127.26 ,$120.19 ,$14.00 ,$14.00 ,$14.00 ,$103.22 ,$38.74 ,$125.85 ,$127.26 ,$127.26 ,$113.12 ,$39.90 ,$77.77 ,$127.26 ,$38.74 ,$127.26 ,$38.74 ,$134.33 ,$87.17 ,$130.09 ,$14.84 ,$128.67 ,$38.74 ,$87.02 ,$91.06 ,$87.02 ,$127.26 ,$127.26 ,$106.05 ,$98.98 ,$39.13 ,$14.70 ,$132.21 ,$40.68 ,$14.00 ,$123.02 ,$38.74 ,$127.26 ,$38.74 ,$127.26 ,$127.26 ,$127.26 ,$137.16 ,$114.53 ,$127.26 ,$127.26 ,$127.26 ,$127.26 ST. JOSEPH'S - CHIPPEWA FALLS,55190011,99601,HH COMPLEX SVS HOME INFUSION/VIST 2 HOURS,551,1 ,$224.40 ,$168.30 ,$123.42 ,$224.40 ,$144.51 , N/A ,$157.08 , N/A ,$186.25 , N/A ,$148.10 ,$213.18 , N/A ,$179.52 ,$204.20 , N/A ,$210.94 ,$213.18 ,$201.96 ,$190.74 , N/A , N/A , N/A ,$163.81 , N/A ,$199.72 ,$201.96 ,$201.96 ,$179.52 , N/A ,$123.42 ,$201.96 , N/A ,$201.96 , N/A ,$213.18 , N/A ,$206.45 , N/A ,$204.20 , N/A ,$138.10 ,$144.51 ,$138.10 ,$201.96 ,$201.96 ,$168.30 ,$157.08 , N/A , N/A ,$209.81 , N/A , N/A ,$195.23 , N/A ,$201.96 , N/A ,$201.96 ,$201.96 ,$201.96 ,$217.67 ,$181.76 ,$201.96 ,$201.96 ,$201.96 ,$201.96 ST. JOSEPH'S - CHIPPEWA FALLS,55190012,99602,HH COMPLEX SVS HOME INFUSION EACH ADDTL HR,551,1 ,$112.20 ,$84.15 ,$61.71 ,$112.20 ,$72.26 , N/A ,$78.54 , N/A ,$93.13 , N/A ,$74.05 ,$106.59 , N/A ,$89.76 ,$102.10 , N/A ,$105.47 ,$106.59 ,$100.98 ,$95.37 , N/A , N/A , N/A ,$81.91 , N/A ,$99.86 ,$100.98 ,$100.98 ,$89.76 , N/A ,$61.71 ,$100.98 , N/A ,$100.98 , N/A ,$106.59 , N/A ,$103.22 , N/A ,$102.10 , N/A ,$69.05 ,$72.26 ,$69.05 ,$100.98 ,$100.98 ,$84.15 ,$78.54 , N/A , N/A ,$104.91 , N/A , N/A ,$97.61 , N/A ,$100.98 , N/A ,$100.98 ,$100.98 ,$100.98 ,$108.83 ,$90.88 ,$100.98 ,$100.98 ,$100.98 ,$100.98 ST. JOSEPH'S - CHIPPEWA FALLS,55190013,99601,HH COMPLEX SVS HOME INFUSION/VIST SPECIALIZED CHEMO/IG 2 HOURS,551,1 ,$224.40 ,$168.30 ,$123.42 ,$224.40 ,$144.51 , N/A ,$157.08 , N/A ,$186.25 , N/A ,$148.10 ,$213.18 , N/A ,$179.52 ,$204.20 , N/A ,$210.94 ,$213.18 ,$201.96 ,$190.74 , N/A , N/A , N/A ,$163.81 , N/A ,$199.72 ,$201.96 ,$201.96 ,$179.52 , N/A ,$123.42 ,$201.96 , N/A ,$201.96 , N/A ,$213.18 , N/A ,$206.45 , N/A ,$204.20 , N/A ,$138.10 ,$144.51 ,$138.10 ,$201.96 ,$201.96 ,$168.30 ,$157.08 , N/A , N/A ,$209.81 , N/A , N/A ,$195.23 , N/A ,$201.96 , N/A ,$201.96 ,$201.96 ,$201.96 ,$217.67 ,$181.76 ,$201.96 ,$201.96 ,$201.96 ,$201.96 ST. JOSEPH'S - CHIPPEWA FALLS,55190014,99602,HH COMPLEX SVS HOME INFUSION SPECIALIZED CHEMO/IG EACH ADDTL HR,551,1 ,$112.20 ,$84.15 ,$61.71 ,$112.20 ,$72.26 , N/A ,$78.54 , N/A ,$93.13 , N/A ,$74.05 ,$106.59 , N/A ,$89.76 ,$102.10 , N/A ,$105.47 ,$106.59 ,$100.98 ,$95.37 , N/A , N/A , N/A ,$81.91 , N/A ,$99.86 ,$100.98 ,$100.98 ,$89.76 , N/A ,$61.71 ,$100.98 , N/A ,$100.98 , N/A ,$106.59 , N/A ,$103.22 , N/A ,$102.10 , N/A ,$69.05 ,$72.26 ,$69.05 ,$100.98 ,$100.98 ,$84.15 ,$78.54 , N/A , N/A ,$104.91 , N/A , N/A ,$97.61 , N/A ,$100.98 , N/A ,$100.98 ,$100.98 ,$100.98 ,$108.83 ,$90.88 ,$100.98 ,$100.98 ,$100.98 ,$100.98 ST. JOSEPH'S - CHIPPEWA FALLS,61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$6,164.86 ","$4,623.65 ",$136.33 ,"$6,164.86 ","$3,970.17 ",$356.52 ,"$4,315.40 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$5,856.62 ", N/A ,"$4,931.89 ","$5,610.02 ",$136.33 ,"$5,794.97 ","$5,856.62 ","$5,548.37 ","$5,240.13 ",$136.33 ,$136.33 ,$136.33 ,"$4,500.35 ",$356.52 ,"$5,486.73 ","$5,548.37 ","$5,548.37 ","$4,931.89 ",$367.22 ,"$3,390.67 ","$5,548.37 ",$356.52 ,"$5,548.37 ",$356.52 ,"$5,856.62 ",$802.18 ,"$5,671.67 ",$144.51 ,"$5,610.02 ",$356.52 ,"$3,793.85 ","$3,970.17 ","$3,793.85 ","$5,548.37 ","$2,455.46 ","$4,623.65 ","$2,112.01 ",$360.09 ,$143.15 ,"$5,764.14 ",$374.35 ,$136.33 ,"$5,363.43 ",$356.52 ,"$5,548.37 ",$356.52 ,"$5,548.37 ","$5,548.37 ","$5,548.37 ","$5,979.91 ","$4,993.54 ","$5,548.37 ","$5,548.37 ","$5,548.37 ","$5,548.37 " ST. JOSEPH'S - CHIPPEWA FALLS,61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$3,516.45 ","$2,637.34 ",$127.18 ,"$3,516.45 ","$2,264.59 ",$222.88 ,"$2,461.52 ",$127.18 ,"$2,653.00 ",$131.00 ,"$2,122.00 ","$3,340.63 ", N/A ,"$2,813.16 ","$3,199.97 ",$127.18 ,"$3,305.46 ","$3,340.63 ","$3,164.81 ","$2,988.98 ",$127.18 ,$127.18 ,$127.18 ,"$2,567.01 ",$222.88 ,"$3,129.64 ","$3,164.81 ","$3,164.81 ","$2,813.16 ",$229.57 ,"$1,934.05 ","$3,164.81 ",$222.88 ,"$3,164.81 ",$222.88 ,"$3,340.63 ",$501.48 ,"$3,235.13 ",$134.81 ,"$3,199.97 ",$222.88 ,"$2,164.02 ","$2,264.59 ","$2,164.02 ","$3,164.81 ","$1,122.87 ","$2,637.34 ","$2,112.01 ",$225.11 ,$133.54 ,"$3,287.88 ",$234.02 ,$127.18 ,"$3,059.31 ",$222.88 ,"$3,164.81 ",$222.88 ,"$3,164.81 ","$3,164.81 ","$3,164.81 ","$3,410.96 ","$2,848.32 ","$3,164.81 ","$3,164.81 ","$3,164.81 ","$3,164.81 " ST. JOSEPH'S - CHIPPEWA FALLS,61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$4,142.56 ","$3,106.92 ",$127.18 ,"$4,142.56 ","$2,667.81 ",$356.52 ,"$2,899.79 ",$127.18 ,"$2,653.00 ",$131.00 ,"$2,122.00 ","$3,935.43 ", N/A ,"$3,314.05 ","$3,769.73 ",$127.18 ,"$3,894.01 ","$3,935.43 ","$3,728.30 ","$3,521.18 ",$127.18 ,$127.18 ,$127.18 ,"$3,024.07 ",$356.52 ,"$3,686.88 ","$3,728.30 ","$3,728.30 ","$3,314.05 ",$367.22 ,"$2,278.41 ","$3,728.30 ",$356.52 ,"$3,728.30 ",$356.52 ,"$3,935.43 ",$802.18 ,"$3,811.16 ",$134.81 ,"$3,769.73 ",$356.52 ,"$2,549.33 ","$2,667.81 ","$2,549.33 ","$3,728.30 ","$1,122.87 ","$3,106.92 ","$2,112.01 ",$360.09 ,$133.54 ,"$3,873.29 ",$374.35 ,$127.18 ,"$3,604.03 ",$356.52 ,"$3,728.30 ",$356.52 ,"$3,728.30 ","$3,728.30 ","$3,728.30 ","$4,018.28 ","$3,355.47 ","$3,728.30 ","$3,728.30 ","$3,728.30 ","$3,728.30 " ST. JOSEPH'S - CHIPPEWA FALLS,61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$4,344.83 ","$3,258.62 ",$127.18 ,"$4,344.83 ","$2,798.07 ",$356.52 ,"$3,041.38 ",$127.18 ,"$2,653.00 ",$131.00 ,"$2,122.00 ","$4,127.59 ", N/A ,"$3,475.86 ","$3,953.80 ",$127.18 ,"$4,084.14 ","$4,127.59 ","$3,910.35 ","$3,693.11 ",$127.18 ,$127.18 ,$127.18 ,"$3,171.73 ",$356.52 ,"$3,866.90 ","$3,910.35 ","$3,910.35 ","$3,475.86 ",$367.22 ,"$2,389.66 ","$3,910.35 ",$356.52 ,"$3,910.35 ",$356.52 ,"$4,127.59 ",$802.18 ,"$3,997.24 ",$134.81 ,"$3,953.80 ",$356.52 ,"$2,673.81 ","$2,798.07 ","$2,673.81 ","$3,910.35 ","$2,197.45 ","$3,258.62 ","$2,112.01 ",$360.09 ,$133.54 ,"$4,062.42 ",$374.35 ,$127.18 ,"$3,780.00 ",$356.52 ,"$3,910.35 ",$356.52 ,"$3,910.35 ","$3,910.35 ","$3,910.35 ","$4,214.49 ","$3,519.31 ","$3,910.35 ","$3,910.35 ","$3,910.35 ","$3,910.35 " ST. JOSEPH'S - CHIPPEWA FALLS,61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$2,053.01 ","$1,539.76 ",$127.18 ,"$2,053.01 ","$1,322.14 ",$222.88 ,"$1,437.11 ",$127.18 ,"$2,053.01 ",$131.00 ,"$2,053.01 ","$1,950.36 ", N/A ,"$1,642.41 ","$1,868.24 ",$127.18 ,"$1,929.83 ","$1,950.36 ","$1,847.71 ","$1,745.06 ",$127.18 ,$127.18 ,$127.18 ,"$1,498.70 ",$222.88 ,"$1,827.18 ","$1,847.71 ","$1,847.71 ","$1,642.41 ",$229.57 ,"$1,129.16 ","$1,847.71 ",$222.88 ,"$1,847.71 ",$222.88 ,"$1,950.36 ",$501.48 ,"$1,888.77 ",$134.81 ,"$1,868.24 ",$222.88 ,"$1,263.42 ","$1,322.14 ","$1,263.42 ","$1,847.71 ","$1,122.87 ","$1,539.76 ","$1,847.71 ",$225.11 ,$133.54 ,"$1,919.56 ",$234.02 ,$127.18 ,"$1,786.12 ",$222.88 ,"$1,847.71 ",$222.88 ,"$1,847.71 ","$1,847.71 ","$1,847.71 ","$1,991.42 ","$1,662.94 ","$1,847.71 ","$1,847.71 ","$1,847.71 ","$1,847.71 " ST. JOSEPH'S - CHIPPEWA FALLS,61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$2,545.48 ","$1,909.11 ",$127.18 ,"$2,545.48 ","$1,639.29 ",$356.52 ,"$1,781.84 ",$127.18 ,"$2,545.48 ",$131.00 ,"$2,122.00 ","$2,418.21 ", N/A ,"$2,036.38 ","$2,316.39 ",$127.18 ,"$2,392.75 ","$2,418.21 ","$2,290.93 ","$2,163.66 ",$127.18 ,$127.18 ,$127.18 ,"$1,858.20 ",$356.52 ,"$2,265.48 ","$2,290.93 ","$2,290.93 ","$2,036.38 ",$367.22 ,"$1,400.01 ","$2,290.93 ",$356.52 ,"$2,290.93 ",$356.52 ,"$2,418.21 ",$802.18 ,"$2,341.84 ",$134.81 ,"$2,316.39 ",$356.52 ,"$1,566.49 ","$1,639.29 ","$1,566.49 ","$2,290.93 ","$1,122.87 ","$1,909.11 ","$2,112.01 ",$360.09 ,$133.54 ,"$2,380.02 ",$374.35 ,$127.18 ,"$2,214.57 ",$356.52 ,"$2,290.93 ",$356.52 ,"$2,290.93 ","$2,290.93 ","$2,290.93 ","$2,469.12 ","$2,061.84 ","$2,290.93 ","$2,290.93 ","$2,290.93 ","$2,290.93 " ST. JOSEPH'S - CHIPPEWA FALLS,61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$5,850.52 ","$4,387.89 ",$127.18 ,"$5,850.52 ","$3,767.73 ",$356.52 ,"$4,095.36 ",$127.18 ,"$2,653.00 ",$131.00 ,"$2,122.00 ","$5,557.99 ", N/A ,"$4,680.42 ","$5,323.97 ",$127.18 ,"$5,499.49 ","$5,557.99 ","$5,265.47 ","$4,972.94 ",$127.18 ,$127.18 ,$127.18 ,"$4,270.88 ",$356.52 ,"$5,206.96 ","$5,265.47 ","$5,265.47 ","$4,680.42 ",$367.22 ,"$3,217.79 ","$5,265.47 ",$356.52 ,"$5,265.47 ",$356.52 ,"$5,557.99 ",$802.18 ,"$5,382.48 ",$134.81 ,"$5,323.97 ",$356.52 ,"$3,600.41 ","$3,767.73 ","$3,600.41 ","$5,265.47 ","$2,197.45 ","$4,387.89 ","$2,112.01 ",$360.09 ,$133.54 ,"$5,470.24 ",$374.35 ,$127.18 ,"$5,089.95 ",$356.52 ,"$5,265.47 ",$356.52 ,"$5,265.47 ","$5,265.47 ","$5,265.47 ","$5,675.00 ","$4,738.92 ","$5,265.47 ","$5,265.47 ","$5,265.47 ","$5,265.47 " ST. JOSEPH'S - CHIPPEWA FALLS,61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$4,910.98 ","$3,683.24 ",$76.81 ,"$4,910.98 ","$3,162.67 ",$222.88 ,"$3,437.69 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$4,665.43 ", N/A ,"$3,928.78 ","$4,468.99 ",$76.81 ,"$4,616.32 ","$4,665.43 ","$4,419.88 ","$4,174.33 ",$76.81 ,$76.81 ,$76.81 ,"$3,585.02 ",$222.88 ,"$4,370.77 ","$4,419.88 ","$4,419.88 ","$3,928.78 ",$229.57 ,"$2,701.04 ","$4,419.88 ",$222.88 ,"$4,419.88 ",$222.88 ,"$4,665.43 ",$501.48 ,"$4,518.10 ",$81.42 ,"$4,468.99 ",$222.88 ,"$3,022.22 ","$3,162.67 ","$3,022.22 ","$4,419.88 ","$2,046.99 ","$3,683.24 ","$2,112.01 ",$225.11 ,$80.65 ,"$4,591.77 ",$234.02 ,$76.81 ,"$4,272.55 ",$222.88 ,"$4,419.88 ",$222.88 ,"$4,419.88 ","$4,419.88 ","$4,419.88 ","$4,763.65 ","$3,977.89 ","$4,419.88 ","$4,419.88 ","$4,419.88 ","$4,419.88 " ST. JOSEPH'S - CHIPPEWA FALLS,61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$5,263.08 ","$3,947.31 ",$136.33 ,"$5,263.08 ","$3,389.42 ",$356.52 ,"$3,684.16 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,999.93 ", N/A ,"$4,210.46 ","$4,789.40 ",$136.33 ,"$4,947.30 ","$4,999.93 ","$4,736.77 ","$4,473.62 ",$136.33 ,$136.33 ,$136.33 ,"$3,842.05 ",$356.52 ,"$4,684.14 ","$4,736.77 ","$4,736.77 ","$4,210.46 ",$367.22 ,"$2,894.69 ","$4,736.77 ",$356.52 ,"$4,736.77 ",$356.52 ,"$4,999.93 ",$802.18 ,"$4,842.03 ",$144.51 ,"$4,789.40 ",$356.52 ,"$3,238.90 ","$3,389.42 ","$3,238.90 ","$4,736.77 ","$2,481.72 ","$3,947.31 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,920.98 ",$374.35 ,$136.33 ,"$4,578.88 ",$356.52 ,"$4,736.77 ",$356.52 ,"$4,736.77 ","$4,736.77 ","$4,736.77 ","$5,105.19 ","$4,263.09 ","$4,736.77 ","$4,736.77 ","$4,736.77 ","$4,736.77 " ST. JOSEPH'S - CHIPPEWA FALLS,61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$5,127.60 ","$3,845.70 ",$136.33 ,"$5,127.60 ","$3,302.17 ",$356.52 ,"$3,589.32 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,871.22 ", N/A ,"$4,102.08 ","$4,666.12 ",$136.33 ,"$4,819.94 ","$4,871.22 ","$4,614.84 ","$4,358.46 ",$136.33 ,$136.33 ,$136.33 ,"$3,743.15 ",$356.52 ,"$4,563.56 ","$4,614.84 ","$4,614.84 ","$4,102.08 ",$367.22 ,"$2,820.18 ","$4,614.84 ",$356.52 ,"$4,614.84 ",$356.52 ,"$4,871.22 ",$802.18 ,"$4,717.39 ",$144.51 ,"$4,666.12 ",$356.52 ,"$3,155.53 ","$3,302.17 ","$3,155.53 ","$4,614.84 ","$2,870.23 ","$3,845.70 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,794.31 ",$374.35 ,$136.33 ,"$4,461.01 ",$356.52 ,"$4,614.84 ",$356.52 ,"$4,614.84 ","$4,614.84 ","$4,614.84 ","$4,973.77 ","$4,153.36 ","$4,614.84 ","$4,614.84 ","$4,614.84 ","$4,614.84 " ST. JOSEPH'S - CHIPPEWA FALLS,61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$3,242.92 ","$2,432.19 ",$76.81 ,"$3,242.92 ","$2,088.44 ",$222.88 ,"$2,270.04 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$3,080.77 ", N/A ,"$2,594.34 ","$2,951.06 ",$76.81 ,"$3,048.34 ","$3,080.77 ","$2,918.63 ","$2,756.48 ",$76.81 ,$76.81 ,$76.81 ,"$2,367.33 ",$222.88 ,"$2,886.20 ","$2,918.63 ","$2,918.63 ","$2,594.34 ",$229.57 ,"$1,783.61 ","$2,918.63 ",$222.88 ,"$2,918.63 ",$222.88 ,"$3,080.77 ",$501.48 ,"$2,983.49 ",$81.42 ,"$2,951.06 ",$222.88 ,"$1,995.69 ","$2,088.44 ","$1,995.69 ","$2,918.63 ","$2,051.16 ","$2,432.19 ","$2,112.01 ",$225.11 ,$80.65 ,"$3,032.13 ",$234.02 ,$76.81 ,"$2,821.34 ",$222.88 ,"$2,918.63 ",$222.88 ,"$2,918.63 ","$2,918.63 ","$2,918.63 ","$3,145.63 ","$2,626.77 ","$2,918.63 ","$2,918.63 ","$2,918.63 ","$2,918.63 " ST. JOSEPH'S - CHIPPEWA FALLS,61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$4,021.01 ","$3,015.76 ",$136.33 ,"$4,021.01 ","$2,589.53 ",$356.52 ,"$2,814.71 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,819.96 ", N/A ,"$3,216.81 ","$3,659.12 ",$136.33 ,"$3,779.75 ","$3,819.96 ","$3,618.91 ","$3,417.86 ",$136.33 ,$136.33 ,$136.33 ,"$2,935.34 ",$356.52 ,"$3,578.70 ","$3,618.91 ","$3,618.91 ","$3,216.81 ",$367.22 ,"$2,211.56 ","$3,618.91 ",$356.52 ,"$3,618.91 ",$356.52 ,"$3,819.96 ",$802.18 ,"$3,699.33 ",$144.51 ,"$3,659.12 ",$356.52 ,"$2,474.53 ","$2,589.53 ","$2,474.53 ","$3,618.91 ","$1,882.91 ","$3,015.76 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,759.64 ",$374.35 ,$136.33 ,"$3,498.28 ",$356.52 ,"$3,618.91 ",$356.52 ,"$3,618.91 ","$3,618.91 ","$3,618.91 ","$3,900.38 ","$3,257.02 ","$3,618.91 ","$3,618.91 ","$3,618.91 ","$3,618.91 " ST. JOSEPH'S - CHIPPEWA FALLS,61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$3,943.17 ","$2,957.38 ",$76.81 ,"$3,943.17 ","$2,539.40 ",$222.88 ,"$2,760.22 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$3,746.01 ", N/A ,"$3,154.54 ","$3,588.28 ",$76.81 ,"$3,706.58 ","$3,746.01 ","$3,548.85 ","$3,351.69 ",$76.81 ,$76.81 ,$76.81 ,"$2,878.51 ",$222.88 ,"$3,509.42 ","$3,548.85 ","$3,548.85 ","$3,154.54 ",$229.57 ,"$2,168.74 ","$3,548.85 ",$222.88 ,"$3,548.85 ",$222.88 ,"$3,746.01 ",$501.48 ,"$3,627.72 ",$81.42 ,"$3,588.28 ",$222.88 ,"$2,426.63 ","$2,539.40 ","$2,426.63 ","$3,548.85 ","$2,035.41 ","$2,957.38 ","$2,112.01 ",$225.11 ,$80.65 ,"$3,686.86 ",$234.02 ,$76.81 ,"$3,430.56 ",$222.88 ,"$3,548.85 ",$222.88 ,"$3,548.85 ","$3,548.85 ","$3,548.85 ","$3,824.87 ","$3,193.97 ","$3,548.85 ","$3,548.85 ","$3,548.85 ","$3,548.85 " ST. JOSEPH'S - CHIPPEWA FALLS,61000014,72147,HC MRI T-SPINE W/CON,610,1 ,"$3,913.91 ","$2,935.43 ",$136.33 ,"$3,913.91 ","$2,520.56 ",$356.52 ,"$2,739.74 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,718.21 ", N/A ,"$3,131.13 ","$3,561.66 ",$136.33 ,"$3,679.08 ","$3,718.21 ","$3,522.52 ","$3,326.82 ",$136.33 ,$136.33 ,$136.33 ,"$2,857.15 ",$356.52 ,"$3,483.38 ","$3,522.52 ","$3,522.52 ","$3,131.13 ",$367.22 ,"$2,152.65 ","$3,522.52 ",$356.52 ,"$3,522.52 ",$356.52 ,"$3,718.21 ",$802.18 ,"$3,600.80 ",$144.51 ,"$3,561.66 ",$356.52 ,"$2,408.62 ","$2,520.56 ","$2,408.62 ","$3,522.52 ","$1,882.91 ","$2,935.43 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,659.51 ",$374.35 ,$136.33 ,"$3,405.10 ",$356.52 ,"$3,522.52 ",$356.52 ,"$3,522.52 ","$3,522.52 ","$3,522.52 ","$3,796.49 ","$3,170.27 ","$3,522.52 ","$3,522.52 ","$3,522.52 ","$3,522.52 " ST. JOSEPH'S - CHIPPEWA FALLS,61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$3,000.92 ","$2,250.69 ",$76.81 ,"$3,000.92 ","$1,932.59 ",$222.88 ,"$2,100.64 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$2,850.87 ", N/A ,"$2,400.74 ","$2,730.84 ",$76.81 ,"$2,820.86 ","$2,850.87 ","$2,700.83 ","$2,550.78 ",$76.81 ,$76.81 ,$76.81 ,"$2,190.67 ",$222.88 ,"$2,670.82 ","$2,700.83 ","$2,700.83 ","$2,400.74 ",$229.57 ,"$1,650.51 ","$2,700.83 ",$222.88 ,"$2,700.83 ",$222.88 ,"$2,850.87 ",$501.48 ,"$2,760.85 ",$81.42 ,"$2,730.84 ",$222.88 ,"$1,846.77 ","$1,932.59 ","$1,846.77 ","$2,700.83 ","$2,061.43 ","$2,250.69 ","$2,112.01 ",$225.11 ,$80.65 ,"$2,805.86 ",$234.02 ,$76.81 ,"$2,610.80 ",$222.88 ,"$2,700.83 ",$222.88 ,"$2,700.83 ","$2,700.83 ","$2,700.83 ","$2,910.89 ","$2,430.75 ","$2,700.83 ","$2,700.83 ","$2,700.83 ","$2,700.83 " ST. JOSEPH'S - CHIPPEWA FALLS,61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$3,797.15 ","$2,847.86 ",$136.33 ,"$3,797.15 ","$2,445.36 ",$356.52 ,"$2,658.01 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,607.29 ", N/A ,"$3,037.72 ","$3,455.41 ",$136.33 ,"$3,569.32 ","$3,607.29 ","$3,417.44 ","$3,227.58 ",$136.33 ,$136.33 ,$136.33 ,"$2,771.92 ",$356.52 ,"$3,379.46 ","$3,417.44 ","$3,417.44 ","$3,037.72 ",$367.22 ,"$2,088.43 ","$3,417.44 ",$356.52 ,"$3,417.44 ",$356.52 ,"$3,607.29 ",$802.18 ,"$3,493.38 ",$144.51 ,"$3,455.41 ",$356.52 ,"$2,336.77 ","$2,445.36 ","$2,336.77 ","$3,417.44 ","$2,428.60 ","$2,847.86 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,550.34 ",$374.35 ,$136.33 ,"$3,303.52 ",$356.52 ,"$3,417.44 ",$356.52 ,"$3,417.44 ","$3,417.44 ","$3,417.44 ","$3,683.24 ","$3,075.69 ","$3,417.44 ","$3,417.44 ","$3,417.44 ","$3,417.44 " ST. JOSEPH'S - CHIPPEWA FALLS,61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$5,153.66 ","$3,865.25 ",$136.33 ,"$5,153.66 ","$3,318.96 ",$356.52 ,"$3,607.56 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,895.98 ", N/A ,"$4,122.93 ","$4,689.83 ",$136.33 ,"$4,844.44 ","$4,895.98 ","$4,638.29 ","$4,380.61 ",$136.33 ,$136.33 ,$136.33 ,"$3,762.17 ",$356.52 ,"$4,586.76 ","$4,638.29 ","$4,638.29 ","$4,122.93 ",$367.22 ,"$2,834.51 ","$4,638.29 ",$356.52 ,"$4,638.29 ",$356.52 ,"$4,895.98 ",$802.18 ,"$4,741.37 ",$144.51 ,"$4,689.83 ",$356.52 ,"$3,171.56 ","$3,318.96 ","$3,171.56 ","$4,638.29 ","$2,581.91 ","$3,865.25 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,818.67 ",$374.35 ,$136.33 ,"$4,483.68 ",$356.52 ,"$4,638.29 ",$356.52 ,"$4,638.29 ","$4,638.29 ","$4,638.29 ","$4,999.05 ","$4,174.46 ","$4,638.29 ","$4,638.29 ","$4,638.29 ","$4,638.29 " ST. JOSEPH'S - CHIPPEWA FALLS,61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$4,238.52 ","$3,178.89 ",$136.33 ,"$4,238.52 ","$2,729.61 ",$356.52 ,"$2,966.96 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,026.59 ", N/A ,"$3,390.82 ","$3,857.05 ",$136.33 ,"$3,984.21 ","$4,026.59 ","$3,814.67 ","$3,602.74 ",$136.33 ,$136.33 ,$136.33 ,"$3,094.12 ",$356.52 ,"$3,772.28 ","$3,814.67 ","$3,814.67 ","$3,390.82 ",$367.22 ,"$2,331.19 ","$3,814.67 ",$356.52 ,"$3,814.67 ",$356.52 ,"$4,026.59 ",$802.18 ,"$3,899.44 ",$144.51 ,"$3,857.05 ",$356.52 ,"$2,608.39 ","$2,729.61 ","$2,608.39 ","$3,814.67 ","$2,581.91 ","$3,178.89 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,963.02 ",$374.35 ,$136.33 ,"$3,687.51 ",$356.52 ,"$3,814.67 ",$356.52 ,"$3,814.67 ","$3,814.67 ","$3,814.67 ","$4,111.36 ","$3,433.20 ","$3,814.67 ","$3,814.67 ","$3,814.67 ","$3,814.67 " ST. JOSEPH'S - CHIPPEWA FALLS,61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$5,599.49 ","$4,199.62 ",$136.33 ,"$5,599.49 ","$3,606.07 ",$356.52 ,"$3,919.64 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$5,319.52 ", N/A ,"$4,479.59 ","$5,095.54 ",$136.33 ,"$5,263.52 ","$5,319.52 ","$5,039.54 ","$4,759.57 ",$136.33 ,$136.33 ,$136.33 ,"$4,087.63 ",$356.52 ,"$4,983.55 ","$5,039.54 ","$5,039.54 ","$4,479.59 ",$367.22 ,"$3,079.72 ","$5,039.54 ",$356.52 ,"$5,039.54 ",$356.52 ,"$5,319.52 ",$802.18 ,"$5,151.53 ",$144.51 ,"$5,095.54 ",$356.52 ,"$3,445.93 ","$3,606.07 ","$3,445.93 ","$5,039.54 ","$2,608.80 ","$4,199.62 ","$2,112.01 ",$360.09 ,$143.15 ,"$5,235.52 ",$374.35 ,$136.33 ,"$4,871.56 ",$356.52 ,"$5,039.54 ",$356.52 ,"$5,039.54 ","$5,039.54 ","$5,039.54 ","$5,431.51 ","$4,535.59 ","$5,039.54 ","$5,039.54 ","$5,039.54 ","$5,039.54 " ST. JOSEPH'S - CHIPPEWA FALLS,61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$3,149.16 ","$2,361.87 ",$76.81 ,"$3,149.16 ","$2,028.06 ",$222.88 ,"$2,204.41 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$2,991.70 ", N/A ,"$2,519.33 ","$2,865.74 ",$76.81 ,"$2,960.21 ","$2,991.70 ","$2,834.24 ","$2,676.79 ",$76.81 ,$76.81 ,$76.81 ,"$2,298.89 ",$222.88 ,"$2,802.75 ","$2,834.24 ","$2,834.24 ","$2,519.33 ",$229.57 ,"$1,732.04 ","$2,834.24 ",$222.88 ,"$2,834.24 ",$222.88 ,"$2,991.70 ",$501.48 ,"$2,897.23 ",$81.42 ,"$2,865.74 ",$222.88 ,"$1,937.99 ","$2,028.06 ","$1,937.99 ","$2,834.24 ","$1,111.27 ","$2,361.87 ","$2,112.01 ",$225.11 ,$80.65 ,"$2,944.46 ",$234.02 ,$76.81 ,"$2,739.77 ",$222.88 ,"$2,834.24 ",$222.88 ,"$2,834.24 ","$2,834.24 ","$2,834.24 ","$3,054.69 ","$2,550.82 ","$2,834.24 ","$2,834.24 ","$2,834.24 ","$2,834.24 " ST. JOSEPH'S - CHIPPEWA FALLS,61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$3,303.21 ","$2,477.41 ",$136.33 ,"$3,303.21 ","$2,127.27 ",$356.52 ,"$2,312.25 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,138.05 ", N/A ,"$2,642.57 ","$3,005.92 ",$136.33 ,"$3,105.02 ","$3,138.05 ","$2,972.89 ","$2,807.73 ",$136.33 ,$136.33 ,$136.33 ,"$2,411.34 ",$356.52 ,"$2,939.86 ","$2,972.89 ","$2,972.89 ","$2,642.57 ",$367.22 ,"$1,816.77 ","$2,972.89 ",$356.52 ,"$2,972.89 ",$356.52 ,"$3,138.05 ",$802.18 ,"$3,038.95 ",$144.51 ,"$3,005.92 ",$356.52 ,"$2,032.80 ","$2,127.27 ","$2,032.80 ","$2,972.89 ","$1,928.34 ","$2,477.41 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,088.50 ",$374.35 ,$136.33 ,"$2,873.79 ",$356.52 ,"$2,972.89 ",$356.52 ,"$2,972.89 ","$2,972.89 ","$2,972.89 ","$3,204.11 ","$2,675.60 ","$2,972.89 ","$2,972.89 ","$2,972.89 ","$2,972.89 " ST. JOSEPH'S - CHIPPEWA FALLS,61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$4,337.99 ","$3,253.49 ",$136.33 ,"$4,337.99 ","$2,793.67 ",$356.52 ,"$3,036.59 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,121.09 ", N/A ,"$3,470.39 ","$3,947.57 ",$136.33 ,"$4,077.71 ","$4,121.09 ","$3,904.19 ","$3,687.29 ",$136.33 ,$136.33 ,$136.33 ,"$3,166.73 ",$356.52 ,"$3,860.81 ","$3,904.19 ","$3,904.19 ","$3,470.39 ",$367.22 ,"$2,385.89 ","$3,904.19 ",$356.52 ,"$3,904.19 ",$356.52 ,"$4,121.09 ",$802.18 ,"$3,990.95 ",$144.51 ,"$3,947.57 ",$356.52 ,"$2,669.60 ","$2,793.67 ","$2,669.60 ","$3,904.19 ","$2,461.24 ","$3,253.49 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,056.02 ",$374.35 ,$136.33 ,"$3,774.05 ",$356.52 ,"$3,904.19 ",$356.52 ,"$3,904.19 ","$3,904.19 ","$3,904.19 ","$4,207.85 ","$3,513.77 ","$3,904.19 ","$3,904.19 ","$3,904.19 ","$3,904.19 " ST. JOSEPH'S - CHIPPEWA FALLS,61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$1,517.34 ","$1,138.01 ",$76.81 ,"$1,517.34 ",$977.17 ,$222.88 ,"$1,062.14 ",$76.81 ,"$1,517.34 ",$79.11 ,"$1,517.34 ","$1,441.47 ", N/A ,"$1,213.87 ","$1,380.78 ",$76.81 ,"$1,426.30 ","$1,441.47 ","$1,365.61 ","$1,289.74 ",$76.81 ,$76.81 ,$76.81 ,"$1,107.66 ",$222.88 ,"$1,350.43 ","$1,365.61 ","$1,365.61 ","$1,213.87 ",$229.57 ,$834.54 ,"$1,365.61 ",$222.88 ,"$1,365.61 ",$222.88 ,"$1,441.47 ",$501.48 ,"$1,395.95 ",$81.42 ,"$1,380.78 ",$222.88 ,$933.77 ,$977.17 ,$933.77 ,"$1,365.61 ","$1,106.47 ","$1,138.01 ","$1,365.61 ",$225.11 ,$80.65 ,"$1,418.71 ",$234.02 ,$76.81 ,"$1,320.09 ",$222.88 ,"$1,365.61 ",$222.88 ,"$1,365.61 ","$1,365.61 ","$1,365.61 ","$1,471.82 ","$1,229.05 ","$1,365.61 ","$1,365.61 ","$1,365.61 ","$1,365.61 " ST. JOSEPH'S - CHIPPEWA FALLS,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$2,565.92 ","$1,924.44 ",$136.33 ,"$2,565.92 ","$1,652.45 ",$356.52 ,"$1,796.14 ",$136.33 ,"$2,565.92 ",$140.42 ,"$2,122.00 ","$2,437.62 ", N/A ,"$2,052.74 ","$2,334.99 ",$136.33 ,"$2,411.96 ","$2,437.62 ","$2,309.33 ","$2,181.03 ",$136.33 ,$136.33 ,$136.33 ,"$1,873.12 ",$356.52 ,"$2,283.67 ","$2,309.33 ","$2,309.33 ","$2,052.74 ",$367.22 ,"$1,411.26 ","$2,309.33 ",$356.52 ,"$2,309.33 ",$356.52 ,"$2,437.62 ",$802.18 ,"$2,360.65 ",$144.51 ,"$2,334.99 ",$356.52 ,"$1,579.07 ","$1,652.45 ","$1,579.07 ","$2,309.33 ","$1,326.78 ","$1,924.44 ","$2,112.01 ",$360.09 ,$143.15 ,"$2,399.14 ",$374.35 ,$136.33 ,"$2,232.35 ",$356.52 ,"$2,309.33 ",$356.52 ,"$2,309.33 ","$2,309.33 ","$2,309.33 ","$2,488.94 ","$2,078.40 ","$2,309.33 ","$2,309.33 ","$2,309.33 ","$2,309.33 " ST. JOSEPH'S - CHIPPEWA FALLS,61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$2,866.53 ","$2,149.90 ",$136.33 ,"$2,866.53 ","$1,846.05 ",$356.52 ,"$2,006.57 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$2,723.20 ", N/A ,"$2,293.22 ","$2,608.54 ",$136.33 ,"$2,694.54 ","$2,723.20 ","$2,579.88 ","$2,436.55 ",$136.33 ,$136.33 ,$136.33 ,"$2,092.57 ",$356.52 ,"$2,551.21 ","$2,579.88 ","$2,579.88 ","$2,293.22 ",$367.22 ,"$1,576.59 ","$2,579.88 ",$356.52 ,"$2,579.88 ",$356.52 ,"$2,723.20 ",$802.18 ,"$2,637.21 ",$144.51 ,"$2,608.54 ",$356.52 ,"$1,764.06 ","$1,846.05 ","$1,764.06 ","$2,579.88 ","$2,042.44 ","$2,149.90 ","$2,112.01 ",$360.09 ,$143.15 ,"$2,680.21 ",$374.35 ,$136.33 ,"$2,493.88 ",$356.52 ,"$2,579.88 ",$356.52 ,"$2,579.88 ","$2,579.88 ","$2,579.88 ","$2,780.53 ","$2,321.89 ","$2,579.88 ","$2,579.88 ","$2,579.88 ","$2,579.88 " ST. JOSEPH'S - CHIPPEWA FALLS,61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$3,000.99 ","$2,250.74 ",$76.81 ,"$3,000.99 ","$1,932.64 ",$222.88 ,"$2,100.69 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$2,850.94 ", N/A ,"$2,400.79 ","$2,730.90 ",$76.81 ,"$2,820.93 ","$2,850.94 ","$2,700.89 ","$2,550.84 ",$76.81 ,$76.81 ,$76.81 ,"$2,190.72 ",$222.88 ,"$2,670.88 ","$2,700.89 ","$2,700.89 ","$2,400.79 ",$229.57 ,"$1,650.54 ","$2,700.89 ",$222.88 ,"$2,700.89 ",$222.88 ,"$2,850.94 ",$501.48 ,"$2,760.91 ",$81.42 ,"$2,730.90 ",$222.88 ,"$1,846.81 ","$1,932.64 ","$1,846.81 ","$2,700.89 ","$2,083.82 ","$2,250.74 ","$2,112.01 ",$225.11 ,$80.65 ,"$2,805.93 ",$234.02 ,$76.81 ,"$2,610.86 ",$222.88 ,"$2,700.89 ",$222.88 ,"$2,700.89 ","$2,700.89 ","$2,700.89 ","$2,910.96 ","$2,430.80 ","$2,700.89 ","$2,700.89 ","$2,700.89 ","$2,700.89 " ST. JOSEPH'S - CHIPPEWA FALLS,61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$4,171.64 ","$3,128.73 ",$136.33 ,"$4,171.64 ","$2,686.54 ",$692.65 ,"$2,920.15 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,963.06 ", N/A ,"$3,337.31 ","$3,796.19 ",$136.33 ,"$3,921.34 ","$3,963.06 ","$3,754.48 ","$3,545.89 ",$136.33 ,$136.33 ,$136.33 ,"$3,045.30 ",$692.65 ,"$3,712.76 ","$3,754.48 ","$3,754.48 ","$3,337.31 ",$713.43 ,"$2,294.40 ","$3,754.48 ",$692.65 ,"$3,754.48 ",$692.65 ,"$3,963.06 ","$1,558.47 ","$3,837.91 ",$144.51 ,"$3,796.19 ",$692.65 ,"$2,567.23 ","$2,686.54 ","$2,567.23 ","$3,754.48 ","$1,326.78 ","$3,128.73 ","$2,112.01 ",$699.58 ,$143.15 ,"$3,900.48 ",$727.28 ,$136.33 ,"$3,629.33 ",$692.65 ,"$3,754.48 ",$692.65 ,"$3,754.48 ","$3,754.48 ","$3,754.48 ","$4,046.49 ","$3,379.03 ","$3,754.48 ","$3,754.48 ","$3,754.48 ","$3,754.48 " ST. JOSEPH'S - CHIPPEWA FALLS,61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,463.01 ","$3,347.26 ",$136.33 ,"$4,463.01 ","$2,874.18 ",$356.52 ,"$3,124.11 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,239.86 ", N/A ,"$3,570.41 ","$4,061.34 ",$136.33 ,"$4,195.23 ","$4,239.86 ","$4,016.71 ","$3,793.56 ",$136.33 ,$136.33 ,$136.33 ,"$3,258.00 ",$356.52 ,"$3,972.08 ","$4,016.71 ","$4,016.71 ","$3,570.41 ",$367.22 ,"$2,454.66 ","$4,016.71 ",$356.52 ,"$4,016.71 ",$356.52 ,"$4,239.86 ",$802.18 ,"$4,105.97 ",$144.51 ,"$4,061.34 ",$356.52 ,"$2,746.54 ","$2,874.18 ","$2,746.54 ","$4,016.71 ","$2,455.46 ","$3,347.26 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,172.91 ",$374.35 ,$136.33 ,"$3,882.82 ",$356.52 ,"$4,016.71 ",$356.52 ,"$4,016.71 ","$4,016.71 ","$4,016.71 ","$4,329.12 ","$3,615.04 ","$4,016.71 ","$4,016.71 ","$4,016.71 ","$4,016.71 " ST. JOSEPH'S - CHIPPEWA FALLS,61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$2,456.23 ","$1,842.17 ",$76.81 ,"$2,456.23 ","$1,581.81 ",$222.88 ,"$1,719.36 ",$76.81 ,"$2,456.23 ",$79.11 ,"$2,122.00 ","$2,333.42 ", N/A ,"$1,964.98 ","$2,235.17 ",$76.81 ,"$2,308.86 ","$2,333.42 ","$2,210.61 ","$2,087.80 ",$76.81 ,$76.81 ,$76.81 ,"$1,793.05 ",$222.88 ,"$2,186.04 ","$2,210.61 ","$2,210.61 ","$1,964.98 ",$229.57 ,"$1,350.93 ","$2,210.61 ",$222.88 ,"$2,210.61 ",$222.88 ,"$2,333.42 ",$501.48 ,"$2,259.73 ",$81.42 ,"$2,235.17 ",$222.88 ,"$1,511.56 ","$1,581.81 ","$1,511.56 ","$2,210.61 ","$1,106.47 ","$1,842.17 ","$2,112.01 ",$225.11 ,$80.65 ,"$2,296.58 ",$234.02 ,$76.81 ,"$2,136.92 ",$222.88 ,"$2,210.61 ",$222.88 ,"$2,210.61 ","$2,210.61 ","$2,210.61 ","$2,382.54 ","$1,989.55 ","$2,210.61 ","$2,210.61 ","$2,210.61 ","$2,210.61 " ST. JOSEPH'S - CHIPPEWA FALLS,61000032,73719,HC MRI LE NONJOINT W/ CONTRAST,610,1 ,"$3,515.92 ","$2,636.94 ",$136.33 ,"$3,515.92 ","$2,264.25 ",$356.52 ,"$2,461.14 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,340.12 ", N/A ,"$2,812.74 ","$3,199.49 ",$136.33 ,"$3,304.96 ","$3,340.12 ","$3,164.33 ","$2,988.53 ",$136.33 ,$136.33 ,$136.33 ,"$2,566.62 ",$356.52 ,"$3,129.17 ","$3,164.33 ","$3,164.33 ","$2,812.74 ",$367.22 ,"$1,933.76 ","$3,164.33 ",$356.52 ,"$3,164.33 ",$356.52 ,"$3,340.12 ",$802.18 ,"$3,234.65 ",$144.51 ,"$3,199.49 ",$356.52 ,"$2,163.70 ","$2,264.25 ","$2,163.70 ","$3,164.33 ","$1,326.78 ","$2,636.94 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,287.39 ",$374.35 ,$136.33 ,"$3,058.85 ",$356.52 ,"$3,164.33 ",$356.52 ,"$3,164.33 ","$3,164.33 ","$3,164.33 ","$3,410.44 ","$2,847.90 ","$3,164.33 ","$3,164.33 ","$3,164.33 ","$3,164.33 " ST. JOSEPH'S - CHIPPEWA FALLS,61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$3,798.96 ","$2,849.22 ",$136.33 ,"$3,798.96 ","$2,446.53 ",$356.52 ,"$2,659.27 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,609.01 ", N/A ,"$3,039.17 ","$3,457.05 ",$136.33 ,"$3,571.02 ","$3,609.01 ","$3,419.06 ","$3,229.12 ",$136.33 ,$136.33 ,$136.33 ,"$2,773.24 ",$356.52 ,"$3,381.07 ","$3,419.06 ","$3,419.06 ","$3,039.17 ",$367.22 ,"$2,089.43 ","$3,419.06 ",$356.52 ,"$3,419.06 ",$356.52 ,"$3,609.01 ",$802.18 ,"$3,495.04 ",$144.51 ,"$3,457.05 ",$356.52 ,"$2,337.88 ","$2,446.53 ","$2,337.88 ","$3,419.06 ","$2,042.44 ","$2,849.22 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,552.03 ",$374.35 ,$136.33 ,"$3,305.10 ",$356.52 ,"$3,419.06 ",$356.52 ,"$3,419.06 ","$3,419.06 ","$3,419.06 ","$3,684.99 ","$3,077.16 ","$3,419.06 ","$3,419.06 ","$3,419.06 ","$3,419.06 " ST. JOSEPH'S - CHIPPEWA FALLS,61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$4,047.67 ","$3,035.75 ",$76.81 ,"$4,047.67 ","$2,606.70 ",$222.88 ,"$2,833.37 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$3,845.29 ", N/A ,"$3,238.14 ","$3,683.38 ",$76.81 ,"$3,804.81 ","$3,845.29 ","$3,642.90 ","$3,440.52 ",$76.81 ,$76.81 ,$76.81 ,"$2,954.80 ",$222.88 ,"$3,602.43 ","$3,642.90 ","$3,642.90 ","$3,238.14 ",$229.57 ,"$2,226.22 ","$3,642.90 ",$222.88 ,"$3,642.90 ",$222.88 ,"$3,845.29 ",$501.48 ,"$3,723.86 ",$81.42 ,"$3,683.38 ",$222.88 ,"$2,490.94 ","$2,606.70 ","$2,490.94 ","$3,642.90 ","$2,083.82 ","$3,035.75 ","$2,112.01 ",$225.11 ,$80.65 ,"$3,784.57 ",$234.02 ,$76.81 ,"$3,521.47 ",$222.88 ,"$3,642.90 ",$222.88 ,"$3,642.90 ","$3,642.90 ","$3,642.90 ","$3,926.24 ","$3,278.61 ","$3,642.90 ","$3,642.90 ","$3,642.90 ","$3,642.90 " ST. JOSEPH'S - CHIPPEWA FALLS,61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$4,069.14 ","$3,051.86 ",$136.33 ,"$4,069.14 ","$2,620.53 ",$692.65 ,"$2,848.40 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,865.68 ", N/A ,"$3,255.31 ","$3,702.92 ",$136.33 ,"$3,824.99 ","$3,865.68 ","$3,662.23 ","$3,458.77 ",$136.33 ,$136.33 ,$136.33 ,"$2,970.47 ",$692.65 ,"$3,621.53 ","$3,662.23 ","$3,662.23 ","$3,255.31 ",$713.43 ,"$2,238.03 ","$3,662.23 ",$692.65 ,"$3,662.23 ",$692.65 ,"$3,865.68 ","$1,558.47 ","$3,743.61 ",$144.51 ,"$3,702.92 ",$692.65 ,"$2,504.15 ","$2,620.53 ","$2,504.15 ","$3,662.23 ","$1,326.78 ","$3,051.86 ","$2,112.01 ",$699.58 ,$143.15 ,"$3,804.65 ",$727.28 ,$136.33 ,"$3,540.15 ",$692.65 ,"$3,662.23 ",$692.65 ,"$3,662.23 ","$3,662.23 ","$3,662.23 ","$3,947.07 ","$3,296.00 ","$3,662.23 ","$3,662.23 ","$3,662.23 ","$3,662.23 " ST. JOSEPH'S - CHIPPEWA FALLS,61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,660.13 ","$3,495.10 ",$136.33 ,"$4,660.13 ","$3,001.12 ",$356.52 ,"$3,262.09 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,427.12 ", N/A ,"$3,728.10 ","$4,240.72 ",$136.33 ,"$4,380.52 ","$4,427.12 ","$4,194.12 ","$3,961.11 ",$136.33 ,$136.33 ,$136.33 ,"$3,401.89 ",$356.52 ,"$4,147.52 ","$4,194.12 ","$4,194.12 ","$3,728.10 ",$367.22 ,"$2,563.07 ","$4,194.12 ",$356.52 ,"$4,194.12 ",$356.52 ,"$4,427.12 ",$802.18 ,"$4,287.32 ",$144.51 ,"$4,240.72 ",$356.52 ,"$2,867.84 ","$3,001.12 ","$2,867.84 ","$4,194.12 ","$2,455.46 ","$3,495.10 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,357.22 ",$374.35 ,$136.33 ,"$4,054.31 ",$356.52 ,"$4,194.12 ",$356.52 ,"$4,194.12 ","$4,194.12 ","$4,194.12 ","$4,520.33 ","$3,774.71 ","$4,194.12 ","$4,194.12 ","$4,194.12 ","$4,194.12 " ST. JOSEPH'S - CHIPPEWA FALLS,61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$3,314.84 ","$2,486.13 ",$76.81 ,"$3,314.84 ","$2,134.76 ",$222.88 ,"$2,320.39 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$3,149.10 ", N/A ,"$2,651.87 ","$3,016.50 ",$76.81 ,"$3,115.95 ","$3,149.10 ","$2,983.36 ","$2,817.61 ",$76.81 ,$76.81 ,$76.81 ,"$2,419.83 ",$222.88 ,"$2,950.21 ","$2,983.36 ","$2,983.36 ","$2,651.87 ",$229.57 ,"$1,823.16 ","$2,983.36 ",$222.88 ,"$2,983.36 ",$222.88 ,"$3,149.10 ",$501.48 ,"$3,049.65 ",$81.42 ,"$3,016.50 ",$222.88 ,"$2,039.95 ","$2,134.76 ","$2,039.95 ","$2,983.36 ","$2,014.28 ","$2,486.13 ","$2,112.01 ",$225.11 ,$80.65 ,"$3,099.38 ",$234.02 ,$76.81 ,"$2,883.91 ",$222.88 ,"$2,983.36 ",$222.88 ,"$2,983.36 ","$2,983.36 ","$2,983.36 ","$3,215.39 ","$2,685.02 ","$2,983.36 ","$2,983.36 ","$2,983.36 ","$2,983.36 " ST. JOSEPH'S - CHIPPEWA FALLS,61000039,74182,HC MRI ABDOMEN W/CON,610,1 ,"$3,756.44 ","$2,817.33 ",$136.33 ,"$3,756.44 ","$2,419.15 ",$356.52 ,"$2,629.51 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,568.62 ", N/A ,"$3,005.15 ","$3,418.36 ",$136.33 ,"$3,531.05 ","$3,568.62 ","$3,380.80 ","$3,192.97 ",$136.33 ,$136.33 ,$136.33 ,"$2,742.20 ",$356.52 ,"$3,343.23 ","$3,380.80 ","$3,380.80 ","$3,005.15 ",$367.22 ,"$2,066.04 ","$3,380.80 ",$356.52 ,"$3,380.80 ",$356.52 ,"$3,568.62 ",$802.18 ,"$3,455.92 ",$144.51 ,"$3,418.36 ",$356.52 ,"$2,311.71 ","$2,419.15 ","$2,311.71 ","$3,380.80 ","$1,330.66 ","$2,817.33 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,512.27 ",$374.35 ,$136.33 ,"$3,268.10 ",$356.52 ,"$3,380.80 ",$356.52 ,"$3,380.80 ","$3,380.80 ","$3,380.80 ","$3,643.75 ","$3,042.72 ","$3,380.80 ","$3,380.80 ","$3,380.80 ","$3,380.80 " ST. JOSEPH'S - CHIPPEWA FALLS,61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$4,438.83 ","$3,329.12 ",$136.33 ,"$4,438.83 ","$2,858.61 ",$356.52 ,"$3,107.18 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,216.89 ", N/A ,"$3,551.06 ","$4,039.34 ",$136.33 ,"$4,172.50 ","$4,216.89 ","$3,994.95 ","$3,773.01 ",$136.33 ,$136.33 ,$136.33 ,"$3,240.35 ",$356.52 ,"$3,950.56 ","$3,994.95 ","$3,994.95 ","$3,551.06 ",$367.22 ,"$2,441.36 ","$3,994.95 ",$356.52 ,"$3,994.95 ",$356.52 ,"$4,216.89 ",$802.18 ,"$4,083.72 ",$144.51 ,"$4,039.34 ",$356.52 ,"$2,731.66 ","$2,858.61 ","$2,731.66 ","$3,994.95 ","$2,461.24 ","$3,329.12 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,150.31 ",$374.35 ,$136.33 ,"$3,861.78 ",$356.52 ,"$3,994.95 ",$356.52 ,"$3,994.95 ","$3,994.95 ","$3,994.95 ","$4,305.67 ","$3,595.45 ","$3,994.95 ","$3,994.95 ","$3,994.95 ","$3,994.95 " ST. JOSEPH'S - CHIPPEWA FALLS,61000041,75557,HC MRI CARDIAC W/O CON,610,1 ,"$1,098.58 ",$823.94 ,$76.81 ,"$1,098.58 ",$707.49 ,$222.88 ,$769.01 ,$76.81 ,"$1,098.58 ",$79.11 ,"$1,098.58 ","$1,043.65 ", N/A ,$878.86 ,$999.71 ,$76.81 ,"$1,032.67 ","$1,043.65 ",$988.72 ,$933.79 ,$76.81 ,$76.81 ,$76.81 ,$801.96 ,$222.88 ,$977.74 ,$988.72 ,$988.72 ,$878.86 ,$229.57 ,$604.22 ,$988.72 ,$222.88 ,$988.72 ,$222.88 ,"$1,043.65 ",$501.48 ,"$1,010.69 ",$81.42 ,$999.71 ,$222.88 ,$676.07 ,$707.49 ,$676.07 ,$988.72 ,$801.63 ,$823.94 ,$988.72 ,$225.11 ,$80.65 ,"$1,027.17 ",$234.02 ,$76.81 ,$955.76 ,$222.88 ,$988.72 ,$222.88 ,$988.72 ,$988.72 ,$988.72 ,"$1,065.62 ",$889.85 ,$988.72 ,$988.72 ,$988.72 ,$988.72 ST. JOSEPH'S - CHIPPEWA FALLS,61000042,75561,HC MRI CARD W/O AND W CON,610,1 ,"$2,254.73 ","$1,691.05 ",$136.33 ,"$2,254.73 ","$1,452.05 ",$356.52 ,"$1,578.31 ",$136.33 ,"$2,254.73 ",$140.42 ,"$2,122.00 ","$2,141.99 ", N/A ,"$1,803.78 ","$2,051.80 ",$136.33 ,"$2,119.45 ","$2,141.99 ","$2,029.26 ","$1,916.52 ",$136.33 ,$136.33 ,$136.33 ,"$1,645.95 ",$356.52 ,"$2,006.71 ","$2,029.26 ","$2,029.26 ","$1,803.78 ",$367.22 ,"$1,240.10 ","$2,029.26 ",$356.52 ,"$2,029.26 ",$356.52 ,"$2,141.99 ",$802.18 ,"$2,074.35 ",$144.51 ,"$2,051.80 ",$356.52 ,"$1,387.56 ","$1,452.05 ","$1,387.56 ","$2,029.26 ","$1,138.02 ","$1,691.05 ","$2,029.26 ",$360.09 ,$143.15 ,"$2,108.17 ",$374.35 ,$136.33 ,"$1,961.62 ",$356.52 ,"$2,029.26 ",$356.52 ,"$2,029.26 ","$2,029.26 ","$2,029.26 ","$2,187.09 ","$1,826.33 ","$2,029.26 ","$2,029.26 ","$2,029.26 ","$2,029.26 " ST. JOSEPH'S - CHIPPEWA FALLS,61000043,76390,HC MRI SPECTROSCOPY,610,1 ,"$1,159.76 ",$869.82 ,$76.81 ,"$1,159.76 ",$746.89 ,$78.35 ,$811.83 ,$76.81 ,"$1,159.76 ",$79.11 ,"$1,159.76 ","$1,101.77 ", N/A ,$927.81 ,"$1,055.38 ",$76.81 ,"$1,090.17 ","$1,101.77 ","$1,043.78 ",$985.80 ,$76.81 ,$76.81 ,$76.81 ,$846.62 ,$78.35 ,"$1,032.19 ","$1,043.78 ","$1,043.78 ",$927.81 ,$80.70 ,$637.87 ,"$1,043.78 ",$78.35 ,"$1,043.78 ",$78.35 ,"$1,101.77 ",$176.29 ,"$1,066.98 ",$81.42 ,"$1,055.38 ",$78.35 ,$713.72 ,$746.89 ,$713.72 ,"$1,043.78 ","$1,159.76 ",$869.82 ,"$1,043.78 ",$79.14 ,$80.65 ,"$1,084.38 ",$82.27 ,$76.81 ,"$1,008.99 ",$78.35 ,"$1,043.78 ",$78.35 ,"$1,043.78 ","$1,043.78 ","$1,043.78 ","$1,124.97 ",$939.41 ,"$1,043.78 ","$1,043.78 ","$1,043.78 ","$1,043.78 " ST. JOSEPH'S - CHIPPEWA FALLS,61000051,C8900,HC MRA ABDOMEN W/CONTRAST,610,1 ,"$1,823.05 ","$1,367.29 ",$127.18 ,"$1,823.05 ","$1,174.04 ",$356.52 ,"$1,276.14 ",$127.18 ,"$1,823.05 ",$131.00 ,"$1,823.05 ","$1,731.90 ", N/A ,"$1,458.44 ","$1,658.98 ",$127.18 ,"$1,713.67 ","$1,731.90 ","$1,640.75 ","$1,549.59 ",$127.18 ,$127.18 ,$127.18 ,"$1,330.83 ",$356.52 ,"$1,622.51 ","$1,640.75 ","$1,640.75 ","$1,458.44 ",$367.22 ,"$1,002.68 ","$1,640.75 ",$356.52 ,"$1,640.75 ",$356.52 ,"$1,731.90 ",$802.18 ,"$1,677.21 ",$134.81 ,"$1,658.98 ",$356.52 ,"$1,121.91 ","$1,174.04 ","$1,121.91 ","$1,640.75 ","$1,640.75 ","$1,367.29 ","$1,640.75 ",$360.09 ,$133.54 ,"$1,704.55 ",$374.35 ,$127.18 ,"$1,586.05 ",$356.52 ,"$1,640.75 ",$356.52 ,"$1,640.75 ","$1,640.75 ","$1,640.75 ","$1,768.36 ","$1,476.67 ","$1,640.75 ","$1,640.75 ","$1,640.75 ","$1,640.75 " ST. JOSEPH'S - CHIPPEWA FALLS,61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$3,460.85 ","$2,595.64 ",$127.18 ,"$3,460.85 ","$2,228.79 ",$356.52 ,"$2,422.60 ",$127.18 ,"$2,653.00 ",$131.00 ,"$2,122.00 ","$3,287.81 ", N/A ,"$2,768.68 ","$3,149.37 ",$127.18 ,"$3,253.20 ","$3,287.81 ","$3,114.77 ","$2,941.72 ",$127.18 ,$127.18 ,$127.18 ,"$2,526.42 ",$356.52 ,"$3,080.16 ","$3,114.77 ","$3,114.77 ","$2,768.68 ",$367.22 ,"$1,903.47 ","$3,114.77 ",$356.52 ,"$3,114.77 ",$356.52 ,"$3,287.81 ",$802.18 ,"$3,183.98 ",$134.81 ,"$3,149.37 ",$356.52 ,"$2,129.81 ","$2,228.79 ","$2,129.81 ","$3,114.77 ","$3,114.77 ","$2,595.64 ","$2,112.01 ",$360.09 ,$133.54 ,"$3,235.89 ",$374.35 ,$127.18 ,"$3,010.94 ",$356.52 ,"$3,114.77 ",$356.52 ,"$3,114.77 ","$3,114.77 ","$3,114.77 ","$3,357.02 ","$2,803.29 ","$3,114.77 ","$3,114.77 ","$3,114.77 ","$3,114.77 " ST. JOSEPH'S - CHIPPEWA FALLS,61000057,C8906,HC MRI BREAST BIL W/CONTRAST,610,1 ,"$1,111.50 ",$833.63 ,$136.33 ,"$1,111.50 ",$715.81 ,$356.52 ,$778.05 ,$136.33 ,"$1,111.50 ",$140.42 ,"$1,111.50 ","$1,055.93 ", N/A ,$889.20 ,"$1,011.47 ",$136.33 ,"$1,044.81 ","$1,055.93 ","$1,000.35 ",$944.78 ,$136.33 ,$136.33 ,$136.33 ,$811.40 ,$356.52 ,$989.24 ,"$1,000.35 ","$1,000.35 ",$889.20 ,$367.22 ,$611.33 ,"$1,000.35 ",$356.52 ,"$1,000.35 ",$356.52 ,"$1,055.93 ",$802.18 ,"$1,022.58 ",$144.51 ,"$1,011.47 ",$356.52 ,$684.02 ,$715.81 ,$684.02 ,"$1,000.35 ","$1,000.35 ",$833.63 ,"$1,000.35 ",$360.09 ,$143.15 ,"$1,039.25 ",$374.35 ,$136.33 ,$967.01 ,$356.52 ,"$1,000.35 ",$356.52 ,"$1,000.35 ","$1,000.35 ","$1,000.35 ","$1,078.16 ",$900.32 ,"$1,000.35 ","$1,000.35 ","$1,000.35 ","$1,000.35 " ST. JOSEPH'S - CHIPPEWA FALLS,61000058,77047,HC MRI BREAST BI W/O CON,610,1 ,"$1,499.63 ","$1,124.72 ",$76.81 ,"$1,499.63 ",$965.76 ,$222.88 ,"$1,049.74 ",$76.81 ,"$1,499.63 ",$79.11 ,"$1,499.63 ","$1,424.65 ", N/A ,"$1,199.70 ","$1,364.66 ",$76.81 ,"$1,409.65 ","$1,424.65 ","$1,349.67 ","$1,274.69 ",$76.81 ,$76.81 ,$76.81 ,"$1,094.73 ",$222.88 ,"$1,334.67 ","$1,349.67 ","$1,349.67 ","$1,199.70 ",$229.57 ,$824.80 ,"$1,349.67 ",$222.88 ,"$1,349.67 ",$222.88 ,"$1,424.65 ",$501.48 ,"$1,379.66 ",$81.42 ,"$1,364.66 ",$222.88 ,$922.87 ,$965.76 ,$922.87 ,"$1,349.67 ","$1,349.67 ","$1,124.72 ","$1,349.67 ",$225.11 ,$80.65 ,"$1,402.15 ",$234.02 ,$76.81 ,"$1,304.68 ",$222.88 ,"$1,349.67 ",$222.88 ,"$1,349.67 ","$1,349.67 ","$1,349.67 ","$1,454.64 ","$1,214.70 ","$1,349.67 ","$1,349.67 ","$1,349.67 ","$1,349.67 " ST. JOSEPH'S - CHIPPEWA FALLS,61000059,C8908,HC MRI BREAST BI W AND W/O CON,610,1 ,"$2,769.59 ","$2,077.19 ",$136.33 ,"$2,769.59 ","$1,783.62 ",$356.52 ,"$1,938.71 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$2,631.11 ", N/A ,"$2,215.67 ","$2,520.33 ",$136.33 ,"$2,603.41 ","$2,631.11 ","$2,492.63 ","$2,354.15 ",$136.33 ,$136.33 ,$136.33 ,"$2,021.80 ",$356.52 ,"$2,464.94 ","$2,492.63 ","$2,492.63 ","$2,215.67 ",$367.22 ,"$1,523.27 ","$2,492.63 ",$356.52 ,"$2,492.63 ",$356.52 ,"$2,631.11 ",$802.18 ,"$2,548.02 ",$144.51 ,"$2,520.33 ",$356.52 ,"$1,704.41 ","$1,783.62 ","$1,704.41 ","$2,492.63 ","$2,492.63 ","$2,077.19 ","$2,112.01 ",$360.09 ,$143.15 ,"$2,589.57 ",$374.35 ,$136.33 ,"$2,409.54 ",$356.52 ,"$2,492.63 ",$356.52 ,"$2,492.63 ","$2,492.63 ","$2,492.63 ","$2,686.50 ","$2,243.37 ","$2,492.63 ","$2,492.63 ","$2,492.63 ","$2,492.63 " ST. JOSEPH'S - CHIPPEWA FALLS,61000060,C8909,HC MRA CHEST W/CONTRAST,610,1 ,"$1,231.96 ",$923.97 ,$127.18 ,"$1,231.96 ",$793.38 ,$356.52 ,$862.37 ,$127.18 ,"$1,231.96 ",$131.00 ,"$1,231.96 ","$1,170.36 ", N/A ,$985.57 ,"$1,121.08 ",$127.18 ,"$1,158.04 ","$1,170.36 ","$1,108.76 ","$1,047.17 ",$127.18 ,$127.18 ,$127.18 ,$899.33 ,$356.52 ,"$1,096.44 ","$1,108.76 ","$1,108.76 ",$985.57 ,$367.22 ,$677.58 ,"$1,108.76 ",$356.52 ,"$1,108.76 ",$356.52 ,"$1,170.36 ",$802.18 ,"$1,133.40 ",$134.81 ,"$1,121.08 ",$356.52 ,$758.15 ,$793.38 ,$758.15 ,"$1,108.76 ","$1,108.76 ",$923.97 ,"$1,108.76 ",$360.09 ,$133.54 ,"$1,151.88 ",$374.35 ,$127.18 ,"$1,071.81 ",$356.52 ,"$1,108.76 ",$356.52 ,"$1,108.76 ","$1,108.76 ","$1,108.76 ","$1,195.00 ",$997.89 ,"$1,108.76 ","$1,108.76 ","$1,108.76 ","$1,108.76 " ST. JOSEPH'S - CHIPPEWA FALLS,61000062,C8911,HC MRA CHEST W AND W/O CONTRAST,610,1 ,"$2,311.16 ","$1,733.37 ",$127.18 ,"$2,311.16 ","$1,488.39 ",$356.52 ,"$1,617.81 ",$127.18 ,"$2,311.16 ",$131.00 ,"$2,122.00 ","$2,195.60 ", N/A ,"$1,848.93 ","$2,103.16 ",$127.18 ,"$2,172.49 ","$2,195.60 ","$2,080.04 ","$1,964.49 ",$127.18 ,$127.18 ,$127.18 ,"$1,687.15 ",$356.52 ,"$2,056.93 ","$2,080.04 ","$2,080.04 ","$1,848.93 ",$367.22 ,"$1,271.14 ","$2,080.04 ",$356.52 ,"$2,080.04 ",$356.52 ,"$2,195.60 ",$802.18 ,"$2,126.27 ",$134.81 ,"$2,103.16 ",$356.52 ,"$1,422.29 ","$1,488.39 ","$1,422.29 ","$2,080.04 ","$2,080.04 ","$1,733.37 ","$2,080.04 ",$360.09 ,$133.54 ,"$2,160.93 ",$374.35 ,$127.18 ,"$2,010.71 ",$356.52 ,"$2,080.04 ",$356.52 ,"$2,080.04 ","$2,080.04 ","$2,080.04 ","$2,241.83 ","$1,872.04 ","$2,080.04 ","$2,080.04 ","$2,080.04 ","$2,080.04 " ST. JOSEPH'S - CHIPPEWA FALLS,61000063,C8912,HC MRA LWR EXT W/CON,610,1 ,"$1,297.13 ",$972.85 ,$127.18 ,"$1,297.13 ",$835.35 ,$356.52 ,$907.99 ,$127.18 ,"$1,297.13 ",$131.00 ,"$1,297.13 ","$1,232.27 ", N/A ,"$1,037.70 ","$1,180.39 ",$127.18 ,"$1,219.30 ","$1,232.27 ","$1,167.42 ","$1,102.56 ",$127.18 ,$127.18 ,$127.18 ,$946.90 ,$356.52 ,"$1,154.45 ","$1,167.42 ","$1,167.42 ","$1,037.70 ",$367.22 ,$713.42 ,"$1,167.42 ",$356.52 ,"$1,167.42 ",$356.52 ,"$1,232.27 ",$802.18 ,"$1,193.36 ",$134.81 ,"$1,180.39 ",$356.52 ,$798.25 ,$835.35 ,$798.25 ,"$1,167.42 ","$1,167.42 ",$972.85 ,"$1,167.42 ",$360.09 ,$133.54 ,"$1,212.82 ",$374.35 ,$127.18 ,"$1,128.50 ",$356.52 ,"$1,167.42 ",$356.52 ,"$1,167.42 ","$1,167.42 ","$1,167.42 ","$1,258.22 ","$1,050.68 ","$1,167.42 ","$1,167.42 ","$1,167.42 ","$1,167.42 " ST. JOSEPH'S - CHIPPEWA FALLS,61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,"$1,078.92 ",$809.19 ,$127.18 ,"$1,078.92 ",$694.82 ,$222.88 ,$755.24 ,$127.18 ,"$1,078.92 ",$131.00 ,"$1,078.92 ","$1,024.97 ", N/A ,$863.14 ,$981.82 ,$127.18 ,"$1,014.18 ","$1,024.97 ",$971.03 ,$917.08 ,$127.18 ,$127.18 ,$127.18 ,$787.61 ,$222.88 ,$960.24 ,$971.03 ,$971.03 ,$863.14 ,$229.57 ,$593.41 ,$971.03 ,$222.88 ,$971.03 ,$222.88 ,"$1,024.97 ",$501.48 ,$992.61 ,$134.81 ,$981.82 ,$222.88 ,$663.97 ,$694.82 ,$663.97 ,$971.03 ,$971.03 ,$809.19 ,$971.03 ,$225.11 ,$133.54 ,"$1,008.79 ",$234.02 ,$127.18 ,$938.66 ,$222.88 ,$971.03 ,$222.88 ,$971.03 ,$971.03 ,$971.03 ,"$1,046.55 ",$873.93 ,$971.03 ,$971.03 ,$971.03 ,$971.03 ST. JOSEPH'S - CHIPPEWA FALLS,61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$3,666.53 ","$2,749.90 ",$127.18 ,"$3,666.53 ","$2,361.25 ",$356.52 ,"$2,566.57 ",$127.18 ,"$2,653.00 ",$131.00 ,"$2,122.00 ","$3,483.20 ", N/A ,"$2,933.22 ","$3,336.54 ",$127.18 ,"$3,446.54 ","$3,483.20 ","$3,299.88 ","$3,116.55 ",$127.18 ,$127.18 ,$127.18 ,"$2,676.57 ",$356.52 ,"$3,263.21 ","$3,299.88 ","$3,299.88 ","$2,933.22 ",$367.22 ,"$2,016.59 ","$3,299.88 ",$356.52 ,"$3,299.88 ",$356.52 ,"$3,483.20 ",$802.18 ,"$3,373.21 ",$134.81 ,"$3,336.54 ",$356.52 ,"$2,256.38 ","$2,361.25 ","$2,256.38 ","$3,299.88 ","$3,299.88 ","$2,749.90 ","$2,112.01 ",$360.09 ,$133.54 ,"$3,428.21 ",$374.35 ,$127.18 ,"$3,189.88 ",$356.52 ,"$3,299.88 ",$356.52 ,"$3,299.88 ","$3,299.88 ","$3,299.88 ","$3,556.53 ","$2,969.89 ","$3,299.88 ","$3,299.88 ","$3,299.88 ","$3,299.88 " ST. JOSEPH'S - CHIPPEWA FALLS,61000068,C8918,HC MRA PELVIS W/CON,610,1 ,"$2,090.57 ","$1,567.93 ",$127.18 ,"$2,090.57 ","$1,346.33 ",$356.52 ,"$1,463.40 ",$127.18 ,"$2,090.57 ",$131.00 ,"$2,090.57 ","$1,986.04 ", N/A ,"$1,672.46 ","$1,902.42 ",$127.18 ,"$1,965.14 ","$1,986.04 ","$1,881.51 ","$1,776.98 ",$127.18 ,$127.18 ,$127.18 ,"$1,526.12 ",$356.52 ,"$1,860.61 ","$1,881.51 ","$1,881.51 ","$1,672.46 ",$367.22 ,"$1,149.81 ","$1,881.51 ",$356.52 ,"$1,881.51 ",$356.52 ,"$1,986.04 ",$802.18 ,"$1,923.32 ",$134.81 ,"$1,902.42 ",$356.52 ,"$1,286.54 ","$1,346.33 ","$1,286.54 ","$1,881.51 ","$1,881.51 ","$1,567.93 ","$1,881.51 ",$360.09 ,$133.54 ,"$1,954.68 ",$374.35 ,$127.18 ,"$1,818.80 ",$356.52 ,"$1,881.51 ",$356.52 ,"$1,881.51 ","$1,881.51 ","$1,881.51 ","$2,027.85 ","$1,693.36 ","$1,881.51 ","$1,881.51 ","$1,881.51 ","$1,881.51 " ST. JOSEPH'S - CHIPPEWA FALLS,61000069,C8919,HC MRA PELVIS W/O CON,610,1 ,"$1,650.72 ","$1,238.04 ",$127.18 ,"$1,650.72 ","$1,063.06 ",$222.88 ,"$1,155.50 ",$127.18 ,"$1,650.72 ",$131.00 ,"$1,650.72 ","$1,568.18 ", N/A ,"$1,320.58 ","$1,502.16 ",$127.18 ,"$1,551.68 ","$1,568.18 ","$1,485.65 ","$1,403.11 ",$127.18 ,$127.18 ,$127.18 ,"$1,205.03 ",$222.88 ,"$1,469.14 ","$1,485.65 ","$1,485.65 ","$1,320.58 ",$229.57 ,$907.90 ,"$1,485.65 ",$222.88 ,"$1,485.65 ",$222.88 ,"$1,568.18 ",$501.48 ,"$1,518.66 ",$134.81 ,"$1,502.16 ",$222.88 ,"$1,015.85 ","$1,063.06 ","$1,015.85 ","$1,485.65 ","$1,485.65 ","$1,238.04 ","$1,485.65 ",$225.11 ,$133.54 ,"$1,543.42 ",$234.02 ,$127.18 ,"$1,436.13 ",$222.88 ,"$1,485.65 ",$222.88 ,"$1,485.65 ","$1,485.65 ","$1,485.65 ","$1,601.20 ","$1,337.08 ","$1,485.65 ","$1,485.65 ","$1,485.65 ","$1,485.65 " ST. JOSEPH'S - CHIPPEWA FALLS,61000070,C8920,HC MRA PELVIS W AND W/O CONTRAST,610,1 ,"$2,549.64 ","$1,912.23 ",$127.18 ,"$2,549.64 ","$1,641.97 ",$356.52 ,"$1,784.75 ",$127.18 ,"$2,549.64 ",$131.00 ,"$2,122.00 ","$2,422.16 ", N/A ,"$2,039.71 ","$2,320.17 ",$127.18 ,"$2,396.66 ","$2,422.16 ","$2,294.68 ","$2,167.19 ",$127.18 ,$127.18 ,$127.18 ,"$1,861.24 ",$356.52 ,"$2,269.18 ","$2,294.68 ","$2,294.68 ","$2,039.71 ",$367.22 ,"$1,402.30 ","$2,294.68 ",$356.52 ,"$2,294.68 ",$356.52 ,"$2,422.16 ",$802.18 ,"$2,345.67 ",$134.81 ,"$2,320.17 ",$356.52 ,"$1,569.05 ","$1,641.97 ","$1,569.05 ","$2,294.68 ","$2,294.68 ","$1,912.23 ","$2,112.01 ",$360.09 ,$133.54 ,"$2,383.91 ",$374.35 ,$127.18 ,"$2,218.19 ",$356.52 ,"$2,294.68 ",$356.52 ,"$2,294.68 ","$2,294.68 ","$2,294.68 ","$2,473.15 ","$2,065.21 ","$2,294.68 ","$2,294.68 ","$2,294.68 ","$2,294.68 " ST. JOSEPH'S - CHIPPEWA FALLS,61000071,C8934,HC MRA UPPR EXT W/CONTRAST,610,1 ,"$1,638.18 ","$1,228.64 ",$127.18 ,"$1,638.18 ","$1,054.99 ",$356.52 ,"$1,146.73 ",$127.18 ,"$1,638.18 ",$131.00 ,"$1,638.18 ","$1,556.27 ", N/A ,"$1,310.54 ","$1,490.74 ",$127.18 ,"$1,539.89 ","$1,556.27 ","$1,474.36 ","$1,392.45 ",$127.18 ,$127.18 ,$127.18 ,"$1,195.87 ",$356.52 ,"$1,457.98 ","$1,474.36 ","$1,474.36 ","$1,310.54 ",$367.22 ,$901.00 ,"$1,474.36 ",$356.52 ,"$1,474.36 ",$356.52 ,"$1,556.27 ",$802.18 ,"$1,507.13 ",$134.81 ,"$1,490.74 ",$356.52 ,"$1,008.14 ","$1,054.99 ","$1,008.14 ","$1,474.36 ","$1,474.36 ","$1,228.64 ","$1,474.36 ",$360.09 ,$133.54 ,"$1,531.70 ",$374.35 ,$127.18 ,"$1,425.22 ",$356.52 ,"$1,474.36 ",$356.52 ,"$1,474.36 ","$1,474.36 ","$1,474.36 ","$1,589.03 ","$1,326.93 ","$1,474.36 ","$1,474.36 ","$1,474.36 ","$1,474.36 " ST. JOSEPH'S - CHIPPEWA FALLS,61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$5,127.60 ","$3,845.70 ",$136.33 ,"$5,127.60 ","$3,302.17 ",$356.52 ,"$3,589.32 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$4,871.22 ", N/A ,"$4,102.08 ","$4,666.12 ",$136.33 ,"$4,819.94 ","$4,871.22 ","$4,614.84 ","$4,358.46 ",$136.33 ,$136.33 ,$136.33 ,"$3,743.15 ",$356.52 ,"$4,563.56 ","$4,614.84 ","$4,614.84 ","$4,102.08 ",$367.22 ,"$2,820.18 ","$4,614.84 ",$356.52 ,"$4,614.84 ",$356.52 ,"$4,871.22 ",$802.18 ,"$4,717.39 ",$144.51 ,"$4,666.12 ",$356.52 ,"$3,155.53 ","$3,302.17 ","$3,155.53 ","$4,614.84 ","$2,870.23 ","$3,845.70 ","$2,112.01 ",$360.09 ,$143.15 ,"$4,794.31 ",$374.35 ,$136.33 ,"$4,461.01 ",$356.52 ,"$4,614.84 ",$356.52 ,"$4,614.84 ","$4,614.84 ","$4,614.84 ","$4,973.77 ","$4,153.36 ","$4,614.84 ","$4,614.84 ","$4,614.84 ","$4,614.84 " ST. JOSEPH'S - CHIPPEWA FALLS,61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$3,900.04 ","$2,925.03 ",$136.33 ,"$3,900.04 ","$2,511.63 ",$356.52 ,"$2,730.03 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$3,705.04 ", N/A ,"$3,120.03 ","$3,549.04 ",$136.33 ,"$3,666.04 ","$3,705.04 ","$3,510.04 ","$3,315.03 ",$136.33 ,$136.33 ,$136.33 ,"$2,847.03 ",$356.52 ,"$3,471.04 ","$3,510.04 ","$3,510.04 ","$3,120.03 ",$367.22 ,"$2,145.02 ","$3,510.04 ",$356.52 ,"$3,510.04 ",$356.52 ,"$3,705.04 ",$802.18 ,"$3,588.04 ",$144.51 ,"$3,549.04 ",$356.52 ,"$2,400.08 ","$2,511.63 ","$2,400.08 ","$3,510.04 ","$1,326.78 ","$2,925.03 ","$2,112.01 ",$360.09 ,$143.15 ,"$3,646.54 ",$374.35 ,$136.33 ,"$3,393.03 ",$356.52 ,"$3,510.04 ",$356.52 ,"$3,510.04 ","$3,510.04 ","$3,510.04 ","$3,783.04 ","$3,159.03 ","$3,510.04 ","$3,510.04 ","$3,510.04 ","$3,510.04 " ST. JOSEPH'S - CHIPPEWA FALLS,61100001,70557,HC MRI BRAIN INTRAOP W/O CONTRAST,611,1 ,"$3,977.02 ","$2,982.77 ",$76.81 ,"$3,977.02 ","$2,561.20 ",$467.68 ,"$2,783.91 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$3,778.17 ", N/A ,"$3,181.62 ","$3,619.09 ",$76.81 ,"$3,738.40 ","$3,778.17 ","$3,579.32 ","$3,380.47 ",$76.81 ,$76.81 ,$76.81 ,"$2,903.22 ",$467.68 ,"$3,539.55 ","$3,579.32 ","$3,579.32 ","$3,181.62 ",$481.71 ,"$2,187.36 ","$3,579.32 ",$467.68 ,"$3,579.32 ",$467.68 ,"$3,778.17 ","$1,052.28 ","$3,658.86 ",$81.42 ,"$3,619.09 ",$467.68 ,"$2,447.46 ","$2,561.20 ","$2,447.46 ","$3,579.32 ","$1,275.41 ","$2,982.77 ","$2,112.01 ",$472.36 ,$80.65 ,"$3,718.51 ",$491.06 ,$76.81 ,"$3,460.01 ",$467.68 ,"$3,579.32 ",$467.68 ,"$3,579.32 ","$3,579.32 ","$3,579.32 ","$3,857.71 ","$3,221.39 ","$3,579.32 ","$3,579.32 ","$3,579.32 ","$3,579.32 " ST. JOSEPH'S - CHIPPEWA FALLS,61100002,70558,HC MRI BRAIN INTRAOP W/CONTRAST,611,1 ,"$5,383.17 ","$4,037.38 ",$136.33 ,"$5,383.17 ","$3,466.76 ",$172.93 ,"$3,768.22 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$5,114.01 ", N/A ,"$4,306.54 ","$4,898.68 ",$136.33 ,"$5,060.18 ","$5,114.01 ","$4,844.85 ","$4,575.69 ",$136.33 ,$136.33 ,$136.33 ,"$3,929.71 ",$172.93 ,"$4,791.02 ","$4,844.85 ","$4,844.85 ","$4,306.54 ",$178.11 ,"$2,960.74 ","$4,844.85 ",$172.93 ,"$4,844.85 ",$172.93 ,"$5,114.01 ",$389.08 ,"$4,952.52 ",$144.51 ,"$4,898.68 ",$172.93 ,"$3,312.80 ","$3,466.76 ","$3,312.80 ","$4,844.85 ","$1,410.67 ","$4,037.38 ","$2,112.01 ",$174.65 ,$143.15 ,"$5,033.26 ",$181.58 ,$136.33 ,"$4,683.36 ",$172.93 ,"$4,844.85 ",$172.93 ,"$4,844.85 ","$4,844.85 ","$4,844.85 ","$5,221.67 ","$4,360.37 ","$4,844.85 ","$4,844.85 ","$4,844.85 ","$4,844.85 " ST. JOSEPH'S - CHIPPEWA FALLS,61100003,70559,HC MRI BRAIN INTRAOP W/ AND W/O CONTRAST,611,1 ,"$5,786.40 ","$4,339.80 ",$136.33 ,"$5,786.40 ","$3,726.44 ",$172.93 ,"$4,050.48 ",$136.33 ,"$2,653.00 ",$140.42 ,"$2,122.00 ","$5,497.08 ", N/A ,"$4,629.12 ","$5,265.62 ",$136.33 ,"$5,439.22 ","$5,497.08 ","$5,207.76 ","$4,918.44 ",$136.33 ,$136.33 ,$136.33 ,"$4,224.07 ",$172.93 ,"$5,149.90 ","$5,207.76 ","$5,207.76 ","$4,629.12 ",$178.11 ,"$3,182.52 ","$5,207.76 ",$172.93 ,"$5,207.76 ",$172.93 ,"$5,497.08 ",$389.08 ,"$5,323.49 ",$144.51 ,"$5,265.62 ",$172.93 ,"$3,560.95 ","$3,726.44 ","$3,560.95 ","$5,207.76 ","$1,417.11 ","$4,339.80 ","$2,112.01 ",$174.65 ,$143.15 ,"$5,410.28 ",$181.58 ,$136.33 ,"$5,034.17 ",$172.93 ,"$5,207.76 ",$172.93 ,"$5,207.76 ","$5,207.76 ","$5,207.76 ","$5,612.81 ","$4,686.98 ","$5,207.76 ","$5,207.76 ","$5,207.76 ","$5,207.76 " ST. JOSEPH'S - CHIPPEWA FALLS,61100004,70554,HC MRI FUNCTIONAL BRAIN BY TECH,611,1 ,"$2,806.00 ","$2,104.50 ",$76.81 ,"$2,806.00 ","$1,807.06 ",$222.88 ,"$1,964.20 ",$76.81 ,"$2,653.00 ",$79.11 ,"$2,122.00 ","$2,665.70 ", N/A ,"$2,244.80 ","$2,553.46 ",$76.81 ,"$2,637.64 ","$2,665.70 ","$2,525.40 ","$2,385.10 ",$76.81 ,$76.81 ,$76.81 ,"$2,048.38 ",$222.88 ,"$2,497.34 ","$2,525.40 ","$2,525.40 ","$2,244.80 ",$229.57 ,"$1,543.30 ","$2,525.40 ",$222.88 ,"$2,525.40 ",$222.88 ,"$2,665.70 ",$501.48 ,"$2,581.52 ",$81.42 ,"$2,553.46 ",$222.88 ,"$1,726.81 ","$1,807.06 ","$1,726.81 ","$2,525.40 ","$1,004.06 ","$2,104.50 ","$2,112.01 ",$225.11 ,$80.65 ,"$2,623.61 ",$234.02 ,$76.81 ,"$2,441.22 ",$222.88 ,"$2,525.40 ",$222.88 ,"$2,525.40 ","$2,525.40 ","$2,525.40 ","$2,721.82 ","$2,272.86 ","$2,525.40 ","$2,525.40 ","$2,525.40 ","$2,525.40 " ST. JOSEPH'S - CHIPPEWA FALLS,61800001,72198,HC MRA PELVIS W/ OR W/O CONTRAST,618,1 ,"$2,014.00 ","$1,510.50 ",$127.18 ,"$2,014.00 ","$1,297.02 ", N/A ,"$1,409.80 ",$127.18 ,"$2,014.00 ",$131.00 ,"$2,014.00 ","$1,913.30 ", N/A ,"$1,611.20 ","$1,832.74 ",$127.18 ,"$1,893.16 ","$1,913.30 ","$1,812.60 ","$1,711.90 ",$127.18 ,$127.18 ,$127.18 ,"$1,470.22 ", N/A ,"$1,792.46 ","$1,812.60 ","$1,812.60 ","$1,611.20 ", N/A ,"$1,107.70 ","$1,812.60 ", N/A ,"$1,812.60 ", N/A ,"$1,913.30 ", N/A ,"$1,852.88 ",$134.81 ,"$1,832.74 ", N/A ,"$1,239.42 ","$1,297.02 ","$1,239.42 ","$1,812.60 ","$1,288.14 ","$1,510.50 ","$1,812.60 ", N/A ,$133.54 ,"$1,883.09 ", N/A ,$127.18 ,"$1,752.18 ", N/A ,"$1,812.60 ", N/A ,"$1,812.60 ","$1,812.60 ","$1,812.60 ","$1,953.58 ","$1,631.34 ","$1,812.60 ","$1,812.60 ","$1,812.60 ","$1,812.60 " ST. JOSEPH'S - CHIPPEWA FALLS,61800002,73225,HC MRA UPPER EXT W/ OR W/O CONTRAST,618,1 ,"$1,638.18 ","$1,228.64 ",$127.18 ,"$1,638.18 ","$1,054.99 ", N/A ,"$1,146.73 ",$127.18 ,"$1,638.18 ",$131.00 ,"$1,638.18 ","$1,556.27 ", N/A ,"$1,310.54 ","$1,490.74 ",$127.18 ,"$1,539.89 ","$1,556.27 ","$1,474.36 ","$1,392.45 ",$127.18 ,$127.18 ,$127.18 ,"$1,195.87 ", N/A ,"$1,457.98 ","$1,474.36 ","$1,474.36 ","$1,310.54 ", N/A ,$901.00 ,"$1,474.36 ", N/A ,"$1,474.36 ", N/A ,"$1,556.27 ", N/A ,"$1,507.13 ",$134.81 ,"$1,490.74 ", N/A ,"$1,008.14 ","$1,054.99 ","$1,008.14 ","$1,474.36 ","$1,288.14 ","$1,228.64 ","$1,474.36 ", N/A ,$133.54 ,"$1,531.70 ", N/A ,$127.18 ,"$1,425.22 ", N/A ,"$1,474.36 ", N/A ,"$1,474.36 ","$1,474.36 ","$1,474.36 ","$1,589.03 ","$1,326.93 ","$1,474.36 ","$1,474.36 ","$1,474.36 ","$1,474.36 " ST. JOSEPH'S - CHIPPEWA FALLS,61800005,C8936,HC MRA UPPR EXT W/ AND W/O CONTRAST,618,1 ,"$1,638.18 ","$1,228.64 ",$127.18 ,"$1,638.18 ","$1,054.99 ",$356.52 ,"$1,146.73 ",$127.18 ,"$1,638.18 ",$131.00 ,"$1,638.18 ","$1,556.27 ", N/A ,"$1,310.54 ","$1,490.74 ",$127.18 ,"$1,539.89 ","$1,556.27 ","$1,474.36 ","$1,392.45 ",$127.18 ,$127.18 ,$127.18 ,"$1,195.87 ",$356.52 ,"$1,457.98 ","$1,474.36 ","$1,474.36 ","$1,310.54 ",$367.22 ,$901.00 ,"$1,474.36 ",$356.52 ,"$1,474.36 ",$356.52 ,"$1,556.27 ",$802.18 ,"$1,507.13 ",$134.81 ,"$1,490.74 ",$356.52 ,"$1,008.14 ","$1,054.99 ","$1,008.14 ","$1,474.36 ","$1,474.36 ","$1,228.64 ","$1,474.36 ",$360.09 ,$133.54 ,"$1,531.70 ",$374.35 ,$127.18 ,"$1,425.22 ",$356.52 ,"$1,474.36 ",$356.52 ,"$1,474.36 ","$1,474.36 ","$1,474.36 ","$1,589.03 ","$1,326.93 ","$1,474.36 ","$1,474.36 ","$1,474.36 ","$1,474.36 " ST. JOSEPH'S - CHIPPEWA FALLS,63600003,Q4102,HC OASIS PER SQ CENTIMETER,636,1 ,$32.40 ,$24.30 ,$14.06 ,$32.40 ,$20.87 , N/A ,$22.68 , N/A ,$17.57 , N/A ,$14.06 ,$30.78 , N/A ,$25.92 ,$29.48 , N/A ,$30.46 ,$30.78 ,$29.16 ,$27.54 , N/A , N/A , N/A ,$23.65 , N/A ,$28.84 ,$29.16 ,$29.16 ,$25.92 , N/A ,$17.82 ,$29.16 , N/A ,$29.16 , N/A ,$30.78 , N/A ,$29.81 , N/A ,$29.48 , N/A ,$19.94 ,$20.87 ,$19.94 ,$29.16 ,$29.16 ,$24.30 ,$14.84 , N/A , N/A ,$30.29 , N/A , N/A ,$28.19 , N/A ,$29.16 , N/A ,$29.16 ,$29.16 ,$29.16 ,$31.43 ,$26.24 ,$29.16 ,$29.16 ,$29.16 ,$29.16 ST. JOSEPH'S - CHIPPEWA FALLS,63600009,Q4186,HC EPIFIX PER SQ CM,636,1 ,$716.00 ,$537.00 ,$216.40 ,$716.00 ,$461.10 , N/A ,$501.20 , N/A ,$270.50 , N/A ,$216.40 ,$680.20 , N/A ,$572.80 ,$651.56 , N/A ,$673.04 ,$680.20 ,$644.40 ,$608.60 , N/A , N/A , N/A ,$522.68 , N/A ,$637.24 ,$644.40 ,$644.40 ,$572.80 , N/A ,$393.80 ,$644.40 , N/A ,$644.40 , N/A ,$680.20 , N/A ,$658.72 , N/A ,$651.56 , N/A ,$440.63 ,$461.10 ,$440.63 ,$644.40 ,$644.40 ,$537.00 ,$228.52 , N/A , N/A ,$669.46 , N/A , N/A ,$622.92 , N/A ,$644.40 , N/A ,$644.40 ,$644.40 ,$644.40 ,$694.52 ,$579.96 ,$644.40 ,$644.40 ,$644.40 ,$644.40 ST. JOSEPH'S - CHIPPEWA FALLS,63600010,Q4124,HC OASIS TRI LAYER ULTRA,636,1 ,$28.00 ,$21.00 ,$15.40 ,$28.00 ,$18.03 , N/A ,$19.60 , N/A ,$23.24 , N/A ,$18.48 ,$26.60 , N/A ,$22.40 ,$25.48 , N/A ,$26.32 ,$26.60 ,$25.20 ,$23.80 , N/A , N/A , N/A ,$20.44 , N/A ,$24.92 ,$25.20 ,$25.20 ,$22.40 , N/A ,$15.40 ,$25.20 , N/A ,$25.20 , N/A ,$26.60 , N/A ,$25.76 , N/A ,$25.48 , N/A ,$17.23 ,$18.03 ,$17.23 ,$25.20 ,$25.20 ,$21.00 ,$19.60 , N/A , N/A ,$26.18 , N/A , N/A ,$24.36 , N/A ,$25.20 , N/A ,$25.20 ,$25.20 ,$25.20 ,$27.16 ,$22.68 ,$25.20 ,$25.20 ,$25.20 ,$25.20 ST. JOSEPH'S - CHIPPEWA FALLS,63600014,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER,636,1 ,$168.00 ,$126.00 ,$92.40 ,$168.00 ,$108.19 , N/A ,$117.60 ,$108.30 ,$168.00 ,$111.55 ,$151.62 ,$159.60 , N/A ,$134.40 ,$152.88 ,$108.30 ,$157.92 ,$159.60 ,$151.20 ,$142.80 ,$108.30 ,$108.30 ,$108.30 ,$122.64 , N/A ,$149.52 ,$151.20 ,$151.20 ,$134.40 , N/A ,$92.40 ,$151.20 , N/A ,$151.20 , N/A ,$159.60 , N/A ,$154.56 ,$114.80 ,$152.88 , N/A ,$103.39 ,$108.19 ,$103.39 ,$151.20 ,$151.20 ,$126.00 ,$151.20 , N/A ,$113.72 ,$157.08 , N/A ,$108.30 ,$146.16 , N/A ,$151.20 , N/A ,$151.20 ,$151.20 ,$151.20 ,$162.96 ,$136.08 ,$151.20 ,$151.20 ,$151.20 ,$151.20 ST. JOSEPH'S - CHIPPEWA FALLS,63600175,Q9967,HC CONTRAST ISOVUE 300-399 PER ML,636,1 ,$1.10 ,$0.83 ,$0.17 ,$1.10 ,$0.71 , N/A ,$0.77 , N/A ,$0.21 , N/A ,$0.17 ,$1.05 , N/A ,$0.88 ,$1.00 , N/A ,$1.03 ,$1.05 ,$0.99 ,$0.94 , N/A , N/A , N/A ,$0.80 , N/A ,$0.98 ,$0.99 ,$0.99 ,$0.88 , N/A ,$0.61 ,$0.99 , N/A ,$0.99 , N/A ,$1.05 , N/A ,$1.01 , N/A ,$1.00 , N/A ,$0.68 ,$0.71 ,$0.68 ,$0.99 ,$0.99 ,$0.83 ,$0.18 , N/A , N/A ,$1.03 , N/A , N/A ,$0.96 , N/A ,$0.99 , N/A ,$0.99 ,$0.99 ,$0.99 ,$1.07 ,$0.89 ,$0.99 ,$0.99 ,$0.99 ,$0.99 ST. JOSEPH'S - CHIPPEWA FALLS,63600177,Q9967,HC CONTRAST VISIPAQUE 300-399 PER ML,636,1 ,$1.41 ,$1.06 ,$0.17 ,$1.41 ,$0.91 , N/A ,$0.99 , N/A ,$0.21 , N/A ,$0.17 ,$1.34 , N/A ,$1.13 ,$1.28 , N/A ,$1.33 ,$1.34 ,$1.27 ,$1.20 , N/A , N/A , N/A ,$1.03 , N/A ,$1.25 ,$1.27 ,$1.27 ,$1.13 , N/A ,$0.78 ,$1.27 , N/A ,$1.27 , N/A ,$1.34 , N/A ,$1.30 , N/A ,$1.28 , N/A ,$0.87 ,$0.91 ,$0.87 ,$1.27 ,$1.27 ,$1.06 ,$0.18 , N/A , N/A ,$1.32 , N/A , N/A ,$1.23 , N/A ,$1.27 , N/A ,$1.27 ,$1.27 ,$1.27 ,$1.37 ,$1.14 ,$1.27 ,$1.27 ,$1.27 ,$1.27 ST. JOSEPH'S - CHIPPEWA FALLS,68300003,G0390,HC LEVEL 2 TRAUMA ACTIVATION,683,1 ,"$5,200.90 ","$3,900.68 ",$47.46 ,"$5,200.90 ","$3,349.38 ", N/A ,"$3,640.63 ",$47.46 ,"$4,316.75 ",$48.88 ,"$3,432.59 ","$4,940.86 ", N/A ,"$4,160.72 ","$4,732.82 ",$47.46 ,"$4,888.85 ","$4,940.86 ","$4,680.81 ","$4,420.77 ",$47.46 ,$47.46 ,$47.46 ,"$3,796.66 ", N/A ,"$4,628.80 ","$4,680.81 ","$4,680.81 ","$4,160.72 ", N/A ,"$2,860.50 ","$4,680.81 ", N/A ,"$4,680.81 ", N/A ,"$4,940.86 ", N/A ,"$4,784.83 ",$50.31 ,"$4,732.82 ", N/A ,"$3,200.63 ","$3,349.38 ","$3,200.63 ","$4,680.81 ","$4,680.81 ","$3,900.68 ","$3,640.63 ", N/A ,$49.83 ,"$4,862.84 ", N/A ,$47.46 ,"$4,524.78 ", N/A ,"$4,680.81 ", N/A ,"$4,680.81 ","$4,680.81 ","$4,680.81 ","$5,044.87 ","$4,212.73 ","$4,680.81 ","$4,680.81 ","$4,680.81 ","$4,680.81 " ST. JOSEPH'S - CHIPPEWA FALLS,68300004,N/A,HC TRAUMA RESPONSE LEVEL 3,683,1 ,"$2,643.17 ","$1,982.38 ","$1,453.74 ","$2,643.17 ","$1,702.20 ", N/A ,"$1,850.22 ", N/A ,"$2,193.83 ", N/A ,"$1,744.49 ","$2,511.01 ", N/A ,"$2,114.54 ","$2,405.28 ", N/A ,"$2,484.58 ","$2,511.01 ","$2,378.85 ","$2,246.69 ", N/A , N/A , N/A ,"$1,929.51 ", N/A ,"$2,352.42 ","$2,378.85 ","$2,378.85 ","$2,114.54 ", N/A ,"$1,453.74 ","$2,378.85 ", N/A ,"$2,378.85 ", N/A ,"$2,511.01 ", N/A ,"$2,431.72 ", N/A ,"$2,405.28 ", N/A ,"$1,626.61 ","$1,702.20 ","$1,626.61 ","$2,378.85 ","$2,378.85 ","$1,982.38 ","$1,850.22 ", N/A , N/A ,"$2,471.36 ", N/A , N/A ,"$2,299.56 ", N/A ,"$2,378.85 ", N/A ,"$2,378.85 ","$2,378.85 ","$2,378.85 ","$2,563.87 ","$2,140.97 ","$2,378.85 ","$2,378.85 ","$2,378.85 ","$2,378.85 " ST. JOSEPH'S - CHIPPEWA FALLS,68300006,N/A,HC TRAUMA RESPONSE LEVEL 1,683,1 ,"$7,700.63 ","$5,775.47 ","$4,235.35 ","$7,700.63 ","$4,959.21 ", N/A ,"$5,390.44 ", N/A ,"$6,391.52 ", N/A ,"$5,082.42 ","$7,315.60 ", N/A ,"$6,160.50 ","$7,007.57 ", N/A ,"$7,238.59 ","$7,315.60 ","$6,930.57 ","$6,545.54 ", N/A , N/A , N/A ,"$5,621.46 ", N/A ,"$6,853.56 ","$6,930.57 ","$6,930.57 ","$6,160.50 ", N/A ,"$4,235.35 ","$6,930.57 ", N/A ,"$6,930.57 ", N/A ,"$7,315.60 ", N/A ,"$7,084.58 ", N/A ,"$7,007.57 ", N/A ,"$4,738.97 ","$4,959.21 ","$4,738.97 ","$6,930.57 ","$6,930.57 ","$5,775.47 ","$5,390.44 ", N/A , N/A ,"$7,200.09 ", N/A , N/A ,"$6,699.55 ", N/A ,"$6,930.57 ", N/A ,"$6,930.57 ","$6,930.57 ","$6,930.57 ","$7,469.61 ","$6,237.51 ","$6,930.57 ","$6,930.57 ","$6,930.57 ","$6,930.57 " ST. JOSEPH'S - CHIPPEWA FALLS,68300007,N/A,HC TRAUMA RESPONSE LEVEL 2,683,1 ,"$5,200.90 ","$3,900.68 ","$2,860.50 ","$5,200.90 ","$3,349.38 ", N/A ,"$3,640.63 ", N/A ,"$4,316.75 ", N/A ,"$3,432.59 ","$4,940.86 ", N/A ,"$4,160.72 ","$4,732.82 ", N/A ,"$4,888.85 ","$4,940.86 ","$4,680.81 ","$4,420.77 ", N/A , N/A , N/A ,"$3,796.66 ", N/A ,"$4,628.80 ","$4,680.81 ","$4,680.81 ","$4,160.72 ", N/A ,"$2,860.50 ","$4,680.81 ", N/A ,"$4,680.81 ", N/A ,"$4,940.86 ", N/A ,"$4,784.83 ", N/A ,"$4,732.82 ", N/A ,"$3,200.63 ","$3,349.38 ","$3,200.63 ","$4,680.81 ","$4,680.81 ","$3,900.68 ","$3,640.63 ", N/A , N/A ,"$4,862.84 ", N/A , N/A ,"$4,524.78 ", N/A ,"$4,680.81 ", N/A ,"$4,680.81 ","$4,680.81 ","$4,680.81 ","$5,044.87 ","$4,212.73 ","$4,680.81 ","$4,680.81 ","$4,680.81 ","$4,680.81 " ST. JOSEPH'S - CHIPPEWA FALLS,71000206,N/A,HC PACU RECOVERY INITIAL 15MIN,710,1 ,$368.00 ,$276.00 ,$202.40 ,$368.00 ,$236.99 , N/A ,$257.60 , N/A ,$305.44 , N/A ,$242.88 ,$349.60 , N/A ,$294.40 ,$334.88 , N/A ,$345.92 ,$349.60 ,$331.20 ,$312.80 , N/A , N/A , N/A ,$268.64 , N/A ,$327.52 ,$331.20 ,$331.20 ,$294.40 , N/A ,$202.40 ,$331.20 , N/A ,$331.20 , N/A ,$349.60 , N/A ,$338.56 , N/A ,$334.88 , N/A ,$226.47 ,$236.99 ,$226.47 ,$331.20 ,$331.20 ,$276.00 ,$257.60 , N/A , N/A ,$344.08 , N/A , N/A ,$320.16 , N/A ,$331.20 , N/A ,$331.20 ,$331.20 ,$331.20 ,$356.96 ,$298.08 ,$331.20 ,$331.20 ,$331.20 ,$331.20 ST. JOSEPH'S - CHIPPEWA FALLS,71000207,N/A,HC PACU RECOVERY ADDL 15MIN,710,1 ,$368.00 ,$276.00 ,$202.40 ,$368.00 ,$236.99 , N/A ,$257.60 , N/A ,$305.44 , N/A ,$242.88 ,$349.60 , N/A ,$294.40 ,$334.88 , N/A ,$345.92 ,$349.60 ,$331.20 ,$312.80 , N/A , N/A , N/A ,$268.64 , N/A ,$327.52 ,$331.20 ,$331.20 ,$294.40 , N/A ,$202.40 ,$331.20 , N/A ,$331.20 , N/A ,$349.60 , N/A ,$338.56 , N/A ,$334.88 , N/A ,$226.47 ,$236.99 ,$226.47 ,$331.20 ,$331.20 ,$276.00 ,$257.60 , N/A , N/A ,$344.08 , N/A , N/A ,$320.16 , N/A ,$331.20 , N/A ,$331.20 ,$331.20 ,$331.20 ,$356.96 ,$298.08 ,$331.20 ,$331.20 ,$331.20 ,$331.20 ST. JOSEPH'S - CHIPPEWA FALLS,71000214,N/A,HC PHASE II RECOVERY <1HR,710,1 ,$512.93 ,$384.70 ,$282.11 ,$512.93 ,$330.33 , N/A ,$359.05 , N/A ,$425.73 , N/A ,$338.53 ,$487.28 , N/A ,$410.34 ,$466.77 , N/A ,$482.15 ,$487.28 ,$461.64 ,$435.99 , N/A , N/A , N/A ,$374.44 , N/A ,$456.51 ,$461.64 ,$461.64 ,$410.34 , N/A ,$282.11 ,$461.64 , N/A ,$461.64 , N/A ,$487.28 , N/A ,$471.90 , N/A ,$466.77 , N/A ,$315.66 ,$330.33 ,$315.66 ,$461.64 ,$461.64 ,$384.70 ,$359.05 , N/A , N/A ,$479.59 , N/A , N/A ,$446.25 , N/A ,$461.64 , N/A ,$461.64 ,$461.64 ,$461.64 ,$497.54 ,$415.47 ,$461.64 ,$461.64 ,$461.64 ,$461.64 ST. JOSEPH'S - CHIPPEWA FALLS,71000215,N/A,HC PHASE II RECOVERY 1-2HRS,710,1 ,"$1,025.84 ",$769.38 ,$564.21 ,"$1,025.84 ",$660.64 , N/A ,$718.09 , N/A ,$851.45 , N/A ,$677.05 ,$974.55 , N/A ,$820.67 ,$933.51 , N/A ,$964.29 ,$974.55 ,$923.26 ,$871.96 , N/A , N/A , N/A ,$748.86 , N/A ,$913.00 ,$923.26 ,$923.26 ,$820.67 , N/A ,$564.21 ,$923.26 , N/A ,$923.26 , N/A ,$974.55 , N/A ,$943.77 , N/A ,$933.51 , N/A ,$631.30 ,$660.64 ,$631.30 ,$923.26 ,$923.26 ,$769.38 ,$718.09 , N/A , N/A ,$959.16 , N/A , N/A ,$892.48 , N/A ,$923.26 , N/A ,$923.26 ,$923.26 ,$923.26 ,$995.06 ,$830.93 ,$923.26 ,$923.26 ,$923.26 ,$923.26 ST. JOSEPH'S - CHIPPEWA FALLS,71000216,N/A,HC PHASE II RECOVERY 2-3HRS,710,1 ,"$1,500.63 ","$1,125.47 ",$825.35 ,"$1,500.63 ",$966.41 , N/A ,"$1,050.44 ", N/A ,"$1,245.52 ", N/A ,$990.42 ,"$1,425.60 ", N/A ,"$1,200.50 ","$1,365.57 ", N/A ,"$1,410.59 ","$1,425.60 ","$1,350.57 ","$1,275.54 ", N/A , N/A , N/A ,"$1,095.46 ", N/A ,"$1,335.56 ","$1,350.57 ","$1,350.57 ","$1,200.50 ", N/A ,$825.35 ,"$1,350.57 ", N/A ,"$1,350.57 ", N/A ,"$1,425.60 ", N/A ,"$1,380.58 ", N/A ,"$1,365.57 ", N/A ,$923.49 ,$966.41 ,$923.49 ,"$1,350.57 ","$1,350.57 ","$1,125.47 ","$1,050.44 ", N/A , N/A ,"$1,403.09 ", N/A , N/A ,"$1,305.55 ", N/A ,"$1,350.57 ", N/A ,"$1,350.57 ","$1,350.57 ","$1,350.57 ","$1,455.61 ","$1,215.51 ","$1,350.57 ","$1,350.57 ","$1,350.57 ","$1,350.57 " ST. JOSEPH'S - CHIPPEWA FALLS,71000217,N/A,HC PHASE II RECOVERY 3-4HRS,710,1 ,"$2,002.30 ","$1,501.73 ","$1,101.27 ","$2,002.30 ","$1,289.48 ", N/A ,"$1,401.61 ", N/A ,"$1,661.91 ", N/A ,"$1,321.52 ","$1,902.19 ", N/A ,"$1,601.84 ","$1,822.09 ", N/A ,"$1,882.16 ","$1,902.19 ","$1,802.07 ","$1,701.96 ", N/A , N/A , N/A ,"$1,461.68 ", N/A ,"$1,782.05 ","$1,802.07 ","$1,802.07 ","$1,601.84 ", N/A ,"$1,101.27 ","$1,802.07 ", N/A ,"$1,802.07 ", N/A ,"$1,902.19 ", N/A ,"$1,842.12 ", N/A ,"$1,822.09 ", N/A ,"$1,232.22 ","$1,289.48 ","$1,232.22 ","$1,802.07 ","$1,802.07 ","$1,501.73 ","$1,401.61 ", N/A , N/A ,"$1,872.15 ", N/A , N/A ,"$1,742.00 ", N/A ,"$1,802.07 ", N/A ,"$1,802.07 ","$1,802.07 ","$1,802.07 ","$1,942.23 ","$1,621.86 ","$1,802.07 ","$1,802.07 ","$1,802.07 ","$1,802.07 " ST. JOSEPH'S - CHIPPEWA FALLS,71000218,N/A,HC OUTPAT RECOVERY MAJOR,710,1 ,$552.23 ,$414.17 ,$303.73 ,$552.23 ,$355.64 , N/A ,$386.56 , N/A ,$458.35 , N/A ,$364.47 ,$524.62 , N/A ,$441.78 ,$502.53 , N/A ,$519.10 ,$524.62 ,$497.01 ,$469.40 , N/A , N/A , N/A ,$403.13 , N/A ,$491.48 ,$497.01 ,$497.01 ,$441.78 , N/A ,$303.73 ,$497.01 , N/A ,$497.01 , N/A ,$524.62 , N/A ,$508.05 , N/A ,$502.53 , N/A ,$339.84 ,$355.64 ,$339.84 ,$497.01 ,$497.01 ,$414.17 ,$386.56 , N/A , N/A ,$516.34 , N/A , N/A ,$480.44 , N/A ,$497.01 , N/A ,$497.01 ,$497.01 ,$497.01 ,$535.66 ,$447.31 ,$497.01 ,$497.01 ,$497.01 ,$497.01 ST. JOSEPH'S - CHIPPEWA FALLS,71000219,N/A,HC OUTPAT RECOVERY MINOR,710,1 ,$296.88 ,$222.66 ,$163.28 ,$296.88 ,$191.19 , N/A ,$207.82 , N/A ,$246.41 , N/A ,$195.94 ,$282.04 , N/A ,$237.50 ,$270.16 , N/A ,$279.07 ,$282.04 ,$267.19 ,$252.35 , N/A , N/A , N/A ,$216.72 , N/A ,$264.22 ,$267.19 ,$267.19 ,$237.50 , N/A ,$163.28 ,$267.19 , N/A ,$267.19 , N/A ,$282.04 , N/A ,$273.13 , N/A ,$270.16 , N/A ,$182.70 ,$191.19 ,$182.70 ,$267.19 ,$267.19 ,$222.66 ,$207.82 , N/A , N/A ,$277.58 , N/A , N/A ,$258.29 , N/A ,$267.19 , N/A ,$267.19 ,$267.19 ,$267.19 ,$287.97 ,$240.47 ,$267.19 ,$267.19 ,$267.19 ,$267.19 ST. JOSEPH'S - CHIPPEWA FALLS,71000220,N/A,HC C-SECTION RECOVERY,710,1 ,$776.35 ,$582.26 ,$426.99 ,$776.35 ,$499.97 , N/A ,$543.45 , N/A ,$644.37 , N/A ,$512.39 ,$737.53 , N/A ,$621.08 ,$706.48 , N/A ,$729.77 ,$737.53 ,$698.72 ,$659.90 , N/A , N/A , N/A ,$566.74 , N/A ,$690.95 ,$698.72 ,$698.72 ,$621.08 , N/A ,$426.99 ,$698.72 , N/A ,$698.72 , N/A ,$737.53 , N/A ,$714.24 , N/A ,$706.48 , N/A ,$477.77 ,$499.97 ,$477.77 ,$698.72 ,$698.72 ,$582.26 ,$543.45 , N/A , N/A ,$725.89 , N/A , N/A ,$675.42 , N/A ,$698.72 , N/A ,$698.72 ,$698.72 ,$698.72 ,$753.06 ,$628.84 ,$698.72 ,$698.72 ,$698.72 ,$698.72 ST. JOSEPH'S - CHIPPEWA FALLS,71000227,N/A,HC C-SECTION RECOVERY 2HR,710,1 ,"$1,381.17 ","$1,035.88 ",$759.64 ,"$1,381.17 ",$889.47 , N/A ,$966.82 , N/A ,"$1,146.37 ", N/A ,$911.57 ,"$1,312.11 ", N/A ,"$1,104.94 ","$1,256.86 ", N/A ,"$1,298.30 ","$1,312.11 ","$1,243.05 ","$1,173.99 ", N/A , N/A , N/A ,"$1,008.25 ", N/A ,"$1,229.24 ","$1,243.05 ","$1,243.05 ","$1,104.94 ", N/A ,$759.64 ,"$1,243.05 ", N/A ,"$1,243.05 ", N/A ,"$1,312.11 ", N/A ,"$1,270.68 ", N/A ,"$1,256.86 ", N/A ,$849.97 ,$889.47 ,$849.97 ,"$1,243.05 ","$1,243.05 ","$1,035.88 ",$966.82 , N/A , N/A ,"$1,291.39 ", N/A , N/A ,"$1,201.62 ", N/A ,"$1,243.05 ", N/A ,"$1,243.05 ","$1,243.05 ","$1,243.05 ","$1,339.73 ","$1,118.75 ","$1,243.05 ","$1,243.05 ","$1,243.05 ","$1,243.05 " ST. JOSEPH'S - CHIPPEWA FALLS,72000001,N/A,HC FETAL MONITORING PER HOUR,720,1 ,$196.76 ,$147.57 ,$108.22 ,$196.76 ,$126.71 , N/A ,$137.73 , N/A ,$163.31 , N/A ,$129.86 ,$186.92 , N/A ,$157.41 ,$179.05 , N/A ,$184.95 ,$186.92 ,$177.08 ,$167.25 , N/A , N/A , N/A ,$143.63 , N/A ,$175.12 ,$177.08 ,$177.08 ,$157.41 , N/A ,$108.22 ,$177.08 , N/A ,$177.08 , N/A ,$186.92 , N/A ,$181.02 , N/A ,$179.05 , N/A ,$121.09 ,$126.71 ,$121.09 ,$177.08 ,$177.08 ,$147.57 ,$137.73 , N/A , N/A ,$183.97 , N/A , N/A ,$171.18 , N/A ,$177.08 , N/A ,$177.08 ,$177.08 ,$177.08 ,$190.86 ,$159.38 ,$177.08 ,$177.08 ,$177.08 ,$177.08 ST. JOSEPH'S - CHIPPEWA FALLS,72000008,59412,HC EXTERNAL CEPHALIC VERSION,720,1 ,"$1,095.83 ",$821.87 ,$168.81 ,"$5,716.30 ",$705.71 ,"$2,540.58 ",$767.08 ,$168.81 ,$909.54 ,$173.87 ,$723.25 ,"$1,041.04 ", N/A ,$876.66 ,$997.21 ,$168.81 ,"$1,030.08 ","$1,041.04 ",$986.25 ,$931.46 ,$168.81 ,$168.81 ,$168.81 ,$799.96 ,"$2,540.58 ",$975.29 ,$986.25 ,$986.25 ,$876.66 ,"$2,616.80 ",$602.71 ,$986.25 ,"$2,540.58 ",$986.25 ,"$2,540.58 ","$1,041.04 ","$5,716.30 ","$1,008.16 ",$178.94 ,$997.21 ,"$2,540.58 ",$674.37 ,$705.71 ,$674.37 ,$986.25 ,$986.25 ,$821.87 ,$767.08 ,"$2,565.98 ",$177.25 ,"$1,024.60 ","$2,667.61 ",$168.81 ,$953.37 ,"$2,540.58 ",$986.25 ,"$2,540.58 ",$986.25 ,$986.25 ,$986.25 ,"$1,062.96 ",$887.62 ,$986.25 ,$986.25 ,$986.25 ,$986.25 ST. JOSEPH'S - CHIPPEWA FALLS,72000010,99465,HC DELIV/BIRTH ROOM RESUSCITATION,720,1 ,$415.68 ,$311.76 ,$228.62 ,"$1,224.47 ",$267.70 ,$544.21 ,$290.98 ,$234.58 ,$345.01 ,$241.62 ,$274.35 ,$394.90 , N/A ,$332.54 ,$378.27 ,$234.58 ,$390.74 ,$394.90 ,$374.11 ,$353.33 ,$234.58 ,$234.58 ,$234.58 ,$303.45 ,$544.21 ,$369.96 ,$374.11 ,$374.11 ,$332.54 ,$560.54 ,$228.62 ,$374.11 ,$544.21 ,$374.11 ,$544.21 ,$394.90 ,"$1,224.47 ",$382.43 ,$248.65 ,$378.27 ,$544.21 ,$255.81 ,$267.70 ,$255.81 ,$374.11 ,$374.11 ,$311.76 ,$290.98 ,$549.65 ,$246.31 ,$388.66 ,$571.42 ,$234.58 ,$361.64 ,$544.21 ,$374.11 ,$544.21 ,$374.11 ,$374.11 ,$374.11 ,$403.21 ,$336.70 ,$374.11 ,$374.11 ,$374.11 ,$374.11 ST. JOSEPH'S - CHIPPEWA FALLS,72000012,N/A,HC FHR AUSCULTATION,720,1 ,$67.01 ,$50.26 ,$36.86 ,$67.01 ,$43.15 , N/A ,$46.91 , N/A ,$55.62 , N/A ,$44.23 ,$63.66 , N/A ,$53.61 ,$60.98 , N/A ,$62.99 ,$63.66 ,$60.31 ,$56.96 , N/A , N/A , N/A ,$48.92 , N/A ,$59.64 ,$60.31 ,$60.31 ,$53.61 , N/A ,$36.86 ,$60.31 , N/A ,$60.31 , N/A ,$63.66 , N/A ,$61.65 , N/A ,$60.98 , N/A ,$41.24 ,$43.15 ,$41.24 ,$60.31 ,$60.31 ,$50.26 ,$46.91 , N/A , N/A ,$62.65 , N/A , N/A ,$58.30 , N/A ,$60.31 , N/A ,$60.31 ,$60.31 ,$60.31 ,$65.00 ,$54.28 ,$60.31 ,$60.31 ,$60.31 ,$60.31 ST. JOSEPH'S - CHIPPEWA FALLS,72000016,N/A,HC POST PARTUM HEM CARE < 2 HRS,720,1 ,"$2,122.99 ","$1,592.24 ","$1,167.64 ","$2,122.99 ","$1,367.21 ", N/A ,"$1,486.09 ", N/A ,"$1,762.08 ", N/A ,"$1,401.17 ","$2,016.84 ", N/A ,"$1,698.39 ","$1,931.92 ", N/A ,"$1,995.61 ","$2,016.84 ","$1,910.69 ","$1,804.54 ", N/A , N/A , N/A ,"$1,549.78 ", N/A ,"$1,889.46 ","$1,910.69 ","$1,910.69 ","$1,698.39 ", N/A ,"$1,167.64 ","$1,910.69 ", N/A ,"$1,910.69 ", N/A ,"$2,016.84 ", N/A ,"$1,953.15 ", N/A ,"$1,931.92 ", N/A ,"$1,306.49 ","$1,367.21 ","$1,306.49 ","$1,910.69 ","$1,910.69 ","$1,592.24 ","$1,486.09 ", N/A , N/A ,"$1,985.00 ", N/A , N/A ,"$1,847.00 ", N/A ,"$1,910.69 ", N/A ,"$1,910.69 ","$1,910.69 ","$1,910.69 ","$2,059.30 ","$1,719.62 ","$1,910.69 ","$1,910.69 ","$1,910.69 ","$1,910.69 " ST. JOSEPH'S - CHIPPEWA FALLS,72000017,N/A,HC POST PARTUM HEM CARE > 2 HRS,720,1 ,$770.92 ,$578.19 ,$424.01 ,$770.92 ,$496.47 , N/A ,$539.64 , N/A ,$639.86 , N/A ,$508.81 ,$732.37 , N/A ,$616.74 ,$701.54 , N/A ,$724.66 ,$732.37 ,$693.83 ,$655.28 , N/A , N/A , N/A ,$562.77 , N/A ,$686.12 ,$693.83 ,$693.83 ,$616.74 , N/A ,$424.01 ,$693.83 , N/A ,$693.83 , N/A ,$732.37 , N/A ,$709.25 , N/A ,$701.54 , N/A ,$474.42 ,$496.47 ,$474.42 ,$693.83 ,$693.83 ,$578.19 ,$539.64 , N/A , N/A ,$720.81 , N/A , N/A ,$670.70 , N/A ,$693.83 , N/A ,$693.83 ,$693.83 ,$693.83 ,$747.79 ,$624.45 ,$693.83 ,$693.83 ,$693.83 ,$693.83 ST. JOSEPH'S - CHIPPEWA FALLS,72100007,N/A,HC LABOR PREMATURE,721,1 ,$614.98 ,$461.24 ,$338.24 ,$614.98 ,$396.05 , N/A ,$430.49 , N/A ,$510.43 , N/A ,$405.89 ,$584.23 , N/A ,$491.98 ,$559.63 , N/A ,$578.08 ,$584.23 ,$553.48 ,$522.73 , N/A , N/A , N/A ,$448.94 , N/A ,$547.33 ,$553.48 ,$553.48 ,$491.98 , N/A ,$338.24 ,$553.48 , N/A ,$553.48 , N/A ,$584.23 , N/A ,$565.78 , N/A ,$559.63 , N/A ,$378.46 ,$396.05 ,$378.46 ,$553.48 ,$553.48 ,$461.24 ,$430.49 , N/A , N/A ,$575.01 , N/A , N/A ,$535.03 , N/A ,$553.48 , N/A ,$553.48 ,$553.48 ,$553.48 ,$596.53 ,$498.13 ,$553.48 ,$553.48 ,$553.48 ,$553.48 ST. JOSEPH'S - CHIPPEWA FALLS,72100008,N/A,HC LABOR LEVEL 1,721,1 ,"$1,134.65 ",$850.99 ,$624.06 ,"$1,134.65 ",$730.71 , N/A ,$794.26 , N/A ,$941.76 , N/A ,$748.87 ,"$1,077.92 ", N/A ,$907.72 ,"$1,032.53 ", N/A ,"$1,066.57 ","$1,077.92 ","$1,021.19 ",$964.45 , N/A , N/A , N/A ,$828.29 , N/A ,"$1,009.84 ","$1,021.19 ","$1,021.19 ",$907.72 , N/A ,$624.06 ,"$1,021.19 ", N/A ,"$1,021.19 ", N/A ,"$1,077.92 ", N/A ,"$1,043.88 ", N/A ,"$1,032.53 ", N/A ,$698.26 ,$730.71 ,$698.26 ,"$1,021.19 ","$1,021.19 ",$850.99 ,$794.26 , N/A , N/A ,"$1,060.90 ", N/A , N/A ,$987.15 , N/A ,"$1,021.19 ", N/A ,"$1,021.19 ","$1,021.19 ","$1,021.19 ","$1,100.61 ",$919.07 ,"$1,021.19 ","$1,021.19 ","$1,021.19 ","$1,021.19 " ST. JOSEPH'S - CHIPPEWA FALLS,72100009,N/A,HC LABOR LEVEL 2,721,1 ,"$2,520.22 ","$1,890.17 ","$1,386.12 ","$2,520.22 ","$1,623.02 ", N/A ,"$1,764.15 ", N/A ,"$2,091.78 ", N/A ,"$1,663.35 ","$2,394.21 ", N/A ,"$2,016.18 ","$2,293.40 ", N/A ,"$2,369.01 ","$2,394.21 ","$2,268.20 ","$2,142.19 ", N/A , N/A , N/A ,"$1,839.76 ", N/A ,"$2,243.00 ","$2,268.20 ","$2,268.20 ","$2,016.18 ", N/A ,"$1,386.12 ","$2,268.20 ", N/A ,"$2,268.20 ", N/A ,"$2,394.21 ", N/A ,"$2,318.60 ", N/A ,"$2,293.40 ", N/A ,"$1,550.94 ","$1,623.02 ","$1,550.94 ","$2,268.20 ","$2,268.20 ","$1,890.17 ","$1,764.15 ", N/A , N/A ,"$2,356.41 ", N/A , N/A ,"$2,192.59 ", N/A ,"$2,268.20 ", N/A ,"$2,268.20 ","$2,268.20 ","$2,268.20 ","$2,444.61 ","$2,041.38 ","$2,268.20 ","$2,268.20 ","$2,268.20 ","$2,268.20 " ST. JOSEPH'S - CHIPPEWA FALLS,72100010,N/A,HC LABOR LEVEL 3,721,1 ,"$3,445.56 ","$2,584.17 ","$1,895.06 ","$3,445.56 ","$2,218.94 ", N/A ,"$2,411.89 ", N/A ,"$2,859.81 ", N/A ,"$2,274.07 ","$3,273.28 ", N/A ,"$2,756.45 ","$3,135.46 ", N/A ,"$3,238.83 ","$3,273.28 ","$3,101.00 ","$2,928.73 ", N/A , N/A , N/A ,"$2,515.26 ", N/A ,"$3,066.55 ","$3,101.00 ","$3,101.00 ","$2,756.45 ", N/A ,"$1,895.06 ","$3,101.00 ", N/A ,"$3,101.00 ", N/A ,"$3,273.28 ", N/A ,"$3,169.92 ", N/A ,"$3,135.46 ", N/A ,"$2,120.40 ","$2,218.94 ","$2,120.40 ","$3,101.00 ","$3,101.00 ","$2,584.17 ","$2,411.89 ", N/A , N/A ,"$3,221.60 ", N/A , N/A ,"$2,997.64 ", N/A ,"$3,101.00 ", N/A ,"$3,101.00 ","$3,101.00 ","$3,101.00 ","$3,342.19 ","$2,790.90 ","$3,101.00 ","$3,101.00 ","$3,101.00 ","$3,101.00 " ST. JOSEPH'S - CHIPPEWA FALLS,72100011,N/A,HC LABOR LEVEL 4,721,1 ,"$5,822.57 ","$4,366.93 ","$3,202.41 ","$5,822.57 ","$3,749.74 ", N/A ,"$4,075.80 ", N/A ,"$4,832.73 ", N/A ,"$3,842.90 ","$5,531.44 ", N/A ,"$4,658.06 ","$5,298.54 ", N/A ,"$5,473.22 ","$5,531.44 ","$5,240.31 ","$4,949.18 ", N/A , N/A , N/A ,"$4,250.48 ", N/A ,"$5,182.09 ","$5,240.31 ","$5,240.31 ","$4,658.06 ", N/A ,"$3,202.41 ","$5,240.31 ", N/A ,"$5,240.31 ", N/A ,"$5,531.44 ", N/A ,"$5,356.76 ", N/A ,"$5,298.54 ", N/A ,"$3,583.21 ","$3,749.74 ","$3,583.21 ","$5,240.31 ","$5,240.31 ","$4,366.93 ","$4,075.80 ", N/A , N/A ,"$5,444.10 ", N/A , N/A ,"$5,065.64 ", N/A ,"$5,240.31 ", N/A ,"$5,240.31 ","$5,240.31 ","$5,240.31 ","$5,647.89 ","$4,716.28 ","$5,240.31 ","$5,240.31 ","$5,240.31 ","$5,240.31 " ST. JOSEPH'S - CHIPPEWA FALLS,72200009,N/A,HC DELIVERY,722,1 ,"$2,534.70 ","$1,901.03 ","$1,394.09 ","$2,534.70 ","$1,632.35 ", N/A ,"$1,774.29 ", N/A ,"$2,103.80 ", N/A ,"$1,672.90 ","$2,407.97 ", N/A ,"$2,027.76 ","$2,306.58 ", N/A ,"$2,382.62 ","$2,407.97 ","$2,281.23 ","$2,154.50 ", N/A , N/A , N/A ,"$1,850.33 ", N/A ,"$2,255.88 ","$2,281.23 ","$2,281.23 ","$2,027.76 ", N/A ,"$1,394.09 ","$2,281.23 ", N/A ,"$2,281.23 ", N/A ,"$2,407.97 ", N/A ,"$2,331.92 ", N/A ,"$2,306.58 ", N/A ,"$1,559.85 ","$1,632.35 ","$1,559.85 ","$2,281.23 ","$2,281.23 ","$1,901.03 ","$1,774.29 ", N/A , N/A ,"$2,369.94 ", N/A , N/A ,"$2,205.19 ", N/A ,"$2,281.23 ", N/A ,"$2,281.23 ","$2,281.23 ","$2,281.23 ","$2,458.66 ","$2,053.11 ","$2,281.23 ","$2,281.23 ","$2,281.23 ","$2,281.23 " ST. JOSEPH'S - CHIPPEWA FALLS,72200013,N/A,HC DEMISE CARE,722,1 ,$550.80 ,$413.10 ,$302.94 ,$550.80 ,$354.72 , N/A ,$385.56 , N/A ,$457.16 , N/A ,$363.53 ,$523.26 , N/A ,$440.64 ,$501.23 , N/A ,$517.75 ,$523.26 ,$495.72 ,$468.18 , N/A , N/A , N/A ,$402.08 , N/A ,$490.21 ,$495.72 ,$495.72 ,$440.64 , N/A ,$302.94 ,$495.72 , N/A ,$495.72 , N/A ,$523.26 , N/A ,$506.74 , N/A ,$501.23 , N/A ,$338.96 ,$354.72 ,$338.96 ,$495.72 ,$495.72 ,$413.10 ,$385.56 , N/A , N/A ,$515.00 , N/A , N/A ,$479.20 , N/A ,$495.72 , N/A ,$495.72 ,$495.72 ,$495.72 ,$534.28 ,$446.15 ,$495.72 ,$495.72 ,$495.72 ,$495.72 ST. JOSEPH'S - CHIPPEWA FALLS,72300003,54150,HC CIRCUMCISION W/DEVICE,723,1 ,$402.72 ,$302.04 ,$221.50 ,"$3,907.15 ",$259.35 ,"$1,736.51 ",$281.90 ,$402.72 ,$334.26 ,$616.07 ,$265.80 ,$382.58 , N/A ,$322.18 ,$366.48 ,$402.72 ,$378.56 ,$382.58 ,$362.45 ,$342.31 ,$598.13 ,$598.13 ,$598.13 ,$293.99 ,"$1,736.51 ",$358.42 ,$362.45 ,$362.45 ,$322.18 ,"$1,788.61 ",$221.50 ,$362.45 ,"$1,736.51 ",$362.45 ,"$1,736.51 ",$382.58 ,"$3,907.15 ",$370.50 ,$634.02 ,$366.48 ,"$1,736.51 ",$247.83 ,$259.35 ,$247.83 ,$362.45 ,$362.45 ,$302.04 ,$281.90 ,"$1,753.88 ",$628.04 ,$376.54 ,"$1,823.34 ",$402.72 ,$350.37 ,"$1,736.51 ",$362.45 ,"$1,736.51 ",$362.45 ,$362.45 ,$362.45 ,$390.64 ,$326.20 ,$362.45 ,$362.45 ,$362.45 ,$362.45 ST. JOSEPH'S - CHIPPEWA FALLS,73000002,93005,HC EKG,730,1 ,$167.94 ,$125.96 ,$8.37 ,$167.94 ,$108.15 ,$53.91 ,$117.56 ,$8.37 ,$139.39 ,$8.62 ,$110.84 ,$159.54 , N/A ,$134.35 ,$152.83 ,$8.37 ,$157.86 ,$159.54 ,$151.15 ,$142.75 ,$8.37 ,$8.37 ,$8.37 ,$122.60 ,$53.91 ,$149.47 ,$151.15 ,$151.15 ,$134.35 ,$55.52 ,$92.37 ,$151.15 ,$53.91 ,$151.15 ,$53.91 ,$159.54 ,$121.29 ,$154.50 ,$8.87 ,$152.83 ,$53.91 ,$103.35 ,$108.15 ,$103.35 ,$151.15 ,$151.15 ,$125.96 ,$117.56 ,$54.45 ,$8.79 ,$157.02 ,$56.61 ,$8.37 ,$146.11 ,$53.91 ,$151.15 ,$53.91 ,$151.15 ,$151.15 ,$151.15 ,$162.90 ,$136.03 ,$151.15 ,$151.15 ,$151.15 ,$151.15 ST. JOSEPH'S - CHIPPEWA FALLS,73000003,93041,HC EKG RHYTHM STRIP TRACING,730,1 ,$143.84 ,$107.88 ,$8.37 ,$143.84 ,$92.63 ,$53.91 ,$100.69 ,$8.37 ,$119.39 ,$8.62 ,$94.93 ,$136.65 , N/A ,$115.07 ,$130.89 ,$8.37 ,$135.21 ,$136.65 ,$129.46 ,$122.26 ,$8.37 ,$8.37 ,$8.37 ,$105.00 ,$53.91 ,$128.02 ,$129.46 ,$129.46 ,$115.07 ,$55.52 ,$79.11 ,$129.46 ,$53.91 ,$129.46 ,$53.91 ,$136.65 ,$121.29 ,$132.33 ,$8.87 ,$130.89 ,$53.91 ,$88.52 ,$92.63 ,$88.52 ,$129.46 ,$129.46 ,$107.88 ,$100.69 ,$54.45 ,$8.79 ,$134.49 ,$56.61 ,$8.37 ,$125.14 ,$53.91 ,$129.46 ,$53.91 ,$129.46 ,$129.46 ,$129.46 ,$139.52 ,$116.51 ,$129.46 ,$129.46 ,$129.46 ,$129.46 ST. JOSEPH'S - CHIPPEWA FALLS,73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,$332.69 ,$249.52 ,$19.55 ,$332.69 ,$214.25 ,$108.42 ,$232.88 ,$19.55 ,$276.13 ,$20.14 ,$219.58 ,$316.06 , N/A ,$266.15 ,$302.75 ,$19.55 ,$312.73 ,$316.06 ,$299.42 ,$282.79 ,$19.55 ,$19.55 ,$19.55 ,$242.86 ,$108.42 ,$296.09 ,$299.42 ,$299.42 ,$266.15 ,$111.68 ,$182.98 ,$299.42 ,$108.42 ,$299.42 ,$108.42 ,$316.06 ,$243.95 ,$306.07 ,$20.72 ,$302.75 ,$108.42 ,$204.74 ,$214.25 ,$204.74 ,$299.42 ,$299.42 ,$249.52 ,$232.88 ,$109.51 ,$20.53 ,$311.07 ,$113.84 ,$19.55 ,$289.44 ,$108.42 ,$299.42 ,$108.42 ,$299.42 ,$299.42 ,$299.42 ,$322.71 ,$269.48 ,$299.42 ,$299.42 ,$299.42 ,$299.42 ST. JOSEPH'S - CHIPPEWA FALLS,73100002,93226,HC HOLTER SCAN AND REPORT 48 HR,731,1 ,$393.93 ,$295.45 ,$19.55 ,$393.93 ,$253.69 ,$108.42 ,$275.75 ,$19.55 ,$326.96 ,$20.14 ,$259.99 ,$374.23 , N/A ,$315.14 ,$358.48 ,$19.55 ,$370.29 ,$374.23 ,$354.54 ,$334.84 ,$19.55 ,$19.55 ,$19.55 ,$287.57 ,$108.42 ,$350.60 ,$354.54 ,$354.54 ,$315.14 ,$111.68 ,$216.66 ,$354.54 ,$108.42 ,$354.54 ,$108.42 ,$374.23 ,$243.95 ,$362.42 ,$20.72 ,$358.48 ,$108.42 ,$242.42 ,$253.69 ,$242.42 ,$354.54 ,$354.54 ,$295.45 ,$275.75 ,$109.51 ,$20.53 ,$368.32 ,$113.84 ,$19.55 ,$342.72 ,$108.42 ,$354.54 ,$108.42 ,$354.54 ,$354.54 ,$354.54 ,$382.11 ,$319.08 ,$354.54 ,$354.54 ,$354.54 ,$354.54 ST. JOSEPH'S - CHIPPEWA FALLS,74000001,95803,HC ACTIGRAPHY TESTING 72HR TO 14 DAYS,740,1 ,$649.44 ,$487.08 ,$19.55 ,$649.44 ,$418.24 ,$53.91 ,$454.61 ,$19.55 ,$649.44 ,$20.14 ,$649.44 ,$616.97 , N/A ,$519.55 ,$590.99 ,$19.55 ,$610.47 ,$616.97 ,$584.50 ,$552.02 ,$19.55 ,$19.55 ,$19.55 ,$474.09 ,$53.91 ,$578.00 ,$584.50 ,$584.50 ,$519.55 ,$55.52 ,$357.19 ,$584.50 ,$53.91 ,$584.50 ,$53.91 ,$616.97 ,$121.29 ,$597.48 ,$20.72 ,$590.99 ,$53.91 ,$399.67 ,$418.24 ,$399.67 ,$584.50 ,$584.50 ,$487.08 ,$584.50 ,$54.45 ,$20.53 ,$607.23 ,$56.61 ,$19.55 ,$565.01 ,$53.91 ,$584.50 ,$53.91 ,$584.50 ,$584.50 ,$584.50 ,$629.96 ,$526.05 ,$584.50 ,$584.50 ,$584.50 ,$584.50 ST. JOSEPH'S - CHIPPEWA FALLS,74000002,95805,HC MULTIPLE SLEEP LATENCY,740,1 ,"$2,900.15 ","$2,175.11 ",$241.53 ,"$2,900.15 ","$1,867.70 ",$472.41 ,"$2,030.11 ",$241.53 ,"$2,900.15 ",$248.78 ,"$2,335.00 ","$2,755.14 ", N/A ,"$2,320.12 ","$2,639.14 ",$241.53 ,"$2,726.14 ","$2,755.14 ","$2,610.14 ","$2,465.13 ",$241.53 ,$241.53 ,$241.53 ,"$2,117.11 ",$472.41 ,"$2,581.13 ","$2,610.14 ","$2,610.14 ","$2,320.12 ",$486.59 ,"$1,595.08 ","$2,610.14 ",$472.41 ,"$2,610.14 ",$472.41 ,"$2,755.14 ","$1,062.93 ","$2,668.14 ",$256.02 ,"$2,639.14 ",$472.41 ,"$1,784.75 ","$1,867.70 ","$1,784.75 ","$2,610.14 ","$2,610.14 ","$2,175.11 ","$2,006.41 ",$477.14 ,$253.61 ,"$2,711.64 ",$496.03 ,$241.53 ,"$2,523.13 ",$472.41 ,"$2,610.14 ",$472.41 ,"$2,610.14 ","$2,610.14 ","$2,610.14 ","$2,813.15 ","$2,349.12 ","$2,610.14 ","$2,610.14 ","$2,610.14 ","$2,610.14 " ST. JOSEPH'S - CHIPPEWA FALLS,74000003,95806,HC SLEEP STUDY UNATTENDED,740,1 ,$733.14 ,$549.86 ,$48.85 ,$733.14 ,$472.14 ,$135.15 ,$513.20 ,$48.85 ,$733.14 ,$50.32 ,$733.14 ,$696.48 , N/A ,$586.51 ,$667.16 ,$48.85 ,$689.15 ,$696.48 ,$659.83 ,$623.17 ,$48.85 ,$48.85 ,$48.85 ,$535.19 ,$135.15 ,$652.49 ,$659.83 ,$659.83 ,$586.51 ,$139.21 ,$403.23 ,$659.83 ,$135.15 ,$659.83 ,$135.15 ,$696.48 ,$304.10 ,$674.49 ,$51.78 ,$667.16 ,$135.15 ,$451.17 ,$472.14 ,$451.17 ,$659.83 ,$659.83 ,$549.86 ,$401.28 ,$136.51 ,$51.29 ,$685.49 ,$141.91 ,$48.85 ,$637.83 ,$135.15 ,$659.83 ,$135.15 ,$659.83 ,$659.83 ,$659.83 ,$711.15 ,$593.84 ,$659.83 ,$659.83 ,$659.83 ,$659.83 ST. JOSEPH'S - CHIPPEWA FALLS,74000006,95810,HC SLEEP STUDY,740,1 ,"$4,973.68 ","$3,730.26 ",$241.53 ,"$4,973.68 ","$3,203.05 ",$890.85 ,"$3,481.58 ",$241.53 ,"$2,919.00 ",$248.78 ,"$2,335.00 ","$4,725.00 ", N/A ,"$3,978.94 ","$4,526.05 ",$241.53 ,"$4,675.26 ","$4,725.00 ","$4,476.31 ","$4,227.63 ",$241.53 ,$241.53 ,$241.53 ,"$3,630.79 ",$890.85 ,"$4,426.58 ","$4,476.31 ","$4,476.31 ","$3,978.94 ",$917.57 ,"$2,735.52 ","$4,476.31 ",$890.85 ,"$4,476.31 ",$890.85 ,"$4,725.00 ","$2,004.40 ","$4,575.79 ",$256.02 ,"$4,526.05 ",$890.85 ,"$3,060.80 ","$3,203.05 ","$3,060.80 ","$4,476.31 ","$4,476.31 ","$3,730.26 ","$2,006.41 ",$899.75 ,$253.61 ,"$4,650.39 ",$935.39 ,$241.53 ,"$4,327.10 ",$890.85 ,"$4,476.31 ",$890.85 ,"$4,476.31 ","$4,476.31 ","$4,476.31 ","$4,824.47 ","$4,028.68 ","$4,476.31 ","$4,476.31 ","$4,476.31 ","$4,476.31 " ST. JOSEPH'S - CHIPPEWA FALLS,74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$5,825.45 ","$4,369.09 ",$241.53 ,"$5,825.45 ","$3,751.59 ",$890.85 ,"$4,077.82 ",$241.53 ,"$2,919.00 ",$248.78 ,"$2,335.00 ","$5,534.18 ", N/A ,"$4,660.36 ","$5,301.16 ",$241.53 ,"$5,475.92 ","$5,534.18 ","$5,242.91 ","$4,951.63 ",$241.53 ,$241.53 ,$241.53 ,"$4,252.58 ",$890.85 ,"$5,184.65 ","$5,242.91 ","$5,242.91 ","$4,660.36 ",$917.57 ,"$3,204.00 ","$5,242.91 ",$890.85 ,"$5,242.91 ",$890.85 ,"$5,534.18 ","$2,004.40 ","$5,359.41 ",$256.02 ,"$5,301.16 ",$890.85 ,"$3,584.98 ","$3,751.59 ","$3,584.98 ","$5,242.91 ","$5,242.91 ","$4,369.09 ","$2,006.41 ",$899.75 ,$253.61 ,"$5,446.80 ",$935.39 ,$241.53 ,"$5,068.14 ",$890.85 ,"$5,242.91 ",$890.85 ,"$5,242.91 ","$5,242.91 ","$5,242.91 ","$5,650.69 ","$4,718.61 ","$5,242.91 ","$5,242.91 ","$5,242.91 ","$5,242.91 " ST. JOSEPH'S - CHIPPEWA FALLS,74000016,95819,HC EEG AWAKE/ASLEEP,740,1 ,"$1,377.10 ","$1,032.83 ",$76.87 ,"$1,377.10 ",$886.85 ,$256.12 ,$963.97 ,$76.87 ,"$1,142.99 ",$79.18 ,$908.89 ,"$1,308.25 ", N/A ,"$1,101.68 ","$1,253.16 ",$76.87 ,"$1,294.47 ","$1,308.25 ","$1,239.39 ","$1,170.54 ",$76.87 ,$76.87 ,$76.87 ,"$1,005.28 ",$256.12 ,"$1,225.62 ","$1,239.39 ","$1,239.39 ","$1,101.68 ",$263.80 ,$757.41 ,"$1,239.39 ",$256.12 ,"$1,239.39 ",$256.12 ,"$1,308.25 ",$576.27 ,"$1,266.93 ",$81.48 ,"$1,253.16 ",$256.12 ,$847.47 ,$886.85 ,$847.47 ,"$1,239.39 ","$1,239.39 ","$1,032.83 ","$1,239.39 ",$258.68 ,$80.71 ,"$1,287.59 ",$268.93 ,$76.87 ,"$1,198.08 ",$256.12 ,"$1,239.39 ",$256.12 ,"$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,335.79 ","$1,115.45 ","$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,239.39 " ST. JOSEPH'S - CHIPPEWA FALLS,74000018,95822,HC EEG COMA OR SLEEP ONLY,740,1 ,"$1,377.10 ","$1,032.83 ",$76.87 ,"$1,377.10 ",$886.85 ,$256.12 ,$963.97 ,$76.87 ,"$1,142.99 ",$79.18 ,$908.89 ,"$1,308.25 ", N/A ,"$1,101.68 ","$1,253.16 ",$76.87 ,"$1,294.47 ","$1,308.25 ","$1,239.39 ","$1,170.54 ",$76.87 ,$76.87 ,$76.87 ,"$1,005.28 ",$256.12 ,"$1,225.62 ","$1,239.39 ","$1,239.39 ","$1,101.68 ",$263.80 ,$757.41 ,"$1,239.39 ",$256.12 ,"$1,239.39 ",$256.12 ,"$1,308.25 ",$576.27 ,"$1,266.93 ",$81.48 ,"$1,253.16 ",$256.12 ,$847.47 ,$886.85 ,$847.47 ,"$1,239.39 ","$1,239.39 ","$1,032.83 ",$963.97 ,$258.68 ,$80.71 ,"$1,287.59 ",$268.93 ,$76.87 ,"$1,198.08 ",$256.12 ,"$1,239.39 ",$256.12 ,"$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,335.79 ","$1,115.45 ","$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,239.39 " ST. JOSEPH'S - CHIPPEWA FALLS,74000020,95824,HC EEG CEREBRAL DEATH EVAL,740,1 ,"$1,377.10 ","$1,032.83 ",$76.87 ,"$1,377.10 ",$886.85 ,$472.41 ,$963.97 ,$76.87 ,"$1,142.99 ",$79.18 ,$908.89 ,"$1,308.25 ", N/A ,"$1,101.68 ","$1,253.16 ",$76.87 ,"$1,294.47 ","$1,308.25 ","$1,239.39 ","$1,170.54 ",$76.87 ,$76.87 ,$76.87 ,"$1,005.28 ",$472.41 ,"$1,225.62 ","$1,239.39 ","$1,239.39 ","$1,101.68 ",$486.59 ,$757.41 ,"$1,239.39 ",$472.41 ,"$1,239.39 ",$472.41 ,"$1,308.25 ","$1,062.93 ","$1,266.93 ",$81.48 ,"$1,253.16 ",$472.41 ,$847.47 ,$886.85 ,$847.47 ,"$1,239.39 ","$1,239.39 ","$1,032.83 ",$963.97 ,$477.14 ,$80.71 ,"$1,287.59 ",$496.03 ,$76.87 ,"$1,198.08 ",$472.41 ,"$1,239.39 ",$472.41 ,"$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,335.79 ","$1,115.45 ","$1,239.39 ","$1,239.39 ","$1,239.39 ","$1,239.39 " ST. JOSEPH'S - CHIPPEWA FALLS,74000023,95928,HC TCMEP UPPER LIMBS,740,1 ,$765.95 ,$574.46 ,$110.54 ,"$2,004.40 ",$493.27 ,$890.85 ,$536.17 ,$110.54 ,$635.74 ,$113.86 ,$505.53 ,$727.65 , N/A ,$612.76 ,$697.01 ,$110.54 ,$719.99 ,$727.65 ,$689.36 ,$651.06 ,$110.54 ,$110.54 ,$110.54 ,$559.14 ,$890.85 ,$681.70 ,$689.36 ,$689.36 ,$612.76 ,$917.57 ,$421.27 ,$689.36 ,$890.85 ,$689.36 ,$890.85 ,$727.65 ,"$2,004.40 ",$704.67 ,$117.17 ,$697.01 ,$890.85 ,$471.37 ,$493.27 ,$471.37 ,$689.36 ,$689.36 ,$574.46 ,$536.17 ,$899.75 ,$116.07 ,$716.16 ,$935.39 ,$110.54 ,$666.38 ,$890.85 ,$689.36 ,$890.85 ,$689.36 ,$689.36 ,$689.36 ,$742.97 ,$620.42 ,$689.36 ,$689.36 ,$689.36 ,$689.36 ST. JOSEPH'S - CHIPPEWA FALLS,74000024,95929,HC TCMEP LWR LIMBS,740,1 ,$765.95 ,$574.46 ,$110.54 ,"$1,062.93 ",$493.27 ,$472.41 ,$536.17 ,$110.54 ,$635.74 ,$113.86 ,$505.53 ,$727.65 , N/A ,$612.76 ,$697.01 ,$110.54 ,$719.99 ,$727.65 ,$689.36 ,$651.06 ,$110.54 ,$110.54 ,$110.54 ,$559.14 ,$472.41 ,$681.70 ,$689.36 ,$689.36 ,$612.76 ,$486.59 ,$421.27 ,$689.36 ,$472.41 ,$689.36 ,$472.41 ,$727.65 ,"$1,062.93 ",$704.67 ,$117.17 ,$697.01 ,$472.41 ,$471.37 ,$493.27 ,$471.37 ,$689.36 ,$689.36 ,$574.46 ,$536.17 ,$477.14 ,$116.07 ,$716.16 ,$496.03 ,$110.54 ,$666.38 ,$472.41 ,$689.36 ,$472.41 ,$689.36 ,$689.36 ,$689.36 ,$742.97 ,$620.42 ,$689.36 ,$689.36 ,$689.36 ,$689.36 ST. JOSEPH'S - CHIPPEWA FALLS,74000029,95955,HC EEG INTRAOP,740,1 ,"$1,284.19 ",$963.14 ,$76.87 ,"$1,284.19 ",$827.02 , N/A ,$898.93 ,$76.87 ,"$1,065.88 ",$79.18 ,$847.57 ,"$1,219.98 ", N/A ,"$1,027.35 ","$1,168.61 ",$76.87 ,"$1,207.14 ","$1,219.98 ","$1,155.77 ","$1,091.56 ",$76.87 ,$76.87 ,$76.87 ,$937.46 , N/A ,"$1,142.93 ","$1,155.77 ","$1,155.77 ","$1,027.35 ", N/A ,$706.30 ,"$1,155.77 ", N/A ,"$1,155.77 ", N/A ,"$1,219.98 ", N/A ,"$1,181.45 ",$81.48 ,"$1,168.61 ", N/A ,$790.29 ,$827.02 ,$790.29 ,"$1,155.77 ","$1,155.77 ",$963.14 ,$898.93 , N/A ,$80.71 ,"$1,200.72 ", N/A ,$76.87 ,"$1,117.25 ", N/A ,"$1,155.77 ", N/A ,"$1,155.77 ","$1,155.77 ","$1,155.77 ","$1,245.66 ","$1,040.19 ","$1,155.77 ","$1,155.77 ","$1,155.77 ","$1,155.77 " ST. JOSEPH'S - CHIPPEWA FALLS,74000033,95939,HC TCMEP UPPER AND LOWER,740,1 ,$840.26 ,$630.20 ,$110.54 ,"$2,004.40 ",$541.13 ,$890.85 ,$588.18 ,$110.54 ,$697.42 ,$113.86 ,$554.57 ,$798.25 , N/A ,$672.21 ,$764.64 ,$110.54 ,$789.84 ,$798.25 ,$756.23 ,$714.22 ,$110.54 ,$110.54 ,$110.54 ,$613.39 ,$890.85 ,$747.83 ,$756.23 ,$756.23 ,$672.21 ,$917.57 ,$462.14 ,$756.23 ,$890.85 ,$756.23 ,$890.85 ,$798.25 ,"$2,004.40 ",$773.04 ,$117.17 ,$764.64 ,$890.85 ,$517.10 ,$541.13 ,$517.10 ,$756.23 ,$756.23 ,$630.20 ,$588.18 ,$899.75 ,$116.07 ,$785.64 ,$935.39 ,$110.54 ,$731.03 ,$890.85 ,$756.23 ,$890.85 ,$756.23 ,$756.23 ,$756.23 ,$815.05 ,$680.61 ,$756.23 ,$756.23 ,$756.23 ,$756.23 ST. JOSEPH'S - CHIPPEWA FALLS,74000041,95782,HC SLEEP STUDY ONE ON ONE <6 YRS,740,1 ,"$4,873.92 ","$3,655.44 ",$241.53 ,"$4,873.92 ","$3,138.80 ",$890.85 ,"$3,411.74 ",$241.53 ,"$2,919.00 ",$248.78 ,"$2,335.00 ","$4,630.22 ", N/A ,"$3,899.14 ","$4,435.27 ",$241.53 ,"$4,581.48 ","$4,630.22 ","$4,386.53 ","$4,142.83 ",$241.53 ,$241.53 ,$241.53 ,"$3,557.96 ",$890.85 ,"$4,337.79 ","$4,386.53 ","$4,386.53 ","$3,899.14 ",$917.57 ,"$2,680.66 ","$4,386.53 ",$890.85 ,"$4,386.53 ",$890.85 ,"$4,630.22 ","$2,004.40 ","$4,484.01 ",$256.02 ,"$4,435.27 ",$890.85 ,"$2,999.41 ","$3,138.80 ","$2,999.41 ","$4,386.53 ","$4,386.53 ","$3,655.44 ","$2,006.41 ",$899.75 ,$253.61 ,"$4,557.12 ",$935.39 ,$241.53 ,"$4,240.31 ",$890.85 ,"$4,386.53 ",$890.85 ,"$4,386.53 ","$4,386.53 ","$4,386.53 ","$4,727.70 ","$3,947.88 ","$4,386.53 ","$4,386.53 ","$4,386.53 ","$4,386.53 " ST. JOSEPH'S - CHIPPEWA FALLS,74000042,95783,HC SLEEP STUDY W/CPAP ONE ON ONE <6 YRS,740,1 ,"$5,548.00 ","$4,161.00 ",$241.53 ,"$5,548.00 ","$3,572.91 ",$890.85 ,"$3,883.60 ",$241.53 ,"$2,919.00 ",$248.78 ,"$2,335.00 ","$5,270.60 ", N/A ,"$4,438.40 ","$5,048.68 ",$241.53 ,"$5,215.12 ","$5,270.60 ","$4,993.20 ","$4,715.80 ",$241.53 ,$241.53 ,$241.53 ,"$4,050.04 ",$890.85 ,"$4,937.72 ","$4,993.20 ","$4,993.20 ","$4,438.40 ",$917.57 ,"$3,051.40 ","$4,993.20 ",$890.85 ,"$4,993.20 ",$890.85 ,"$5,270.60 ","$2,004.40 ","$5,104.16 ",$256.02 ,"$5,048.68 ",$890.85 ,"$3,414.24 ","$3,572.91 ","$3,414.24 ","$4,993.20 ","$4,993.20 ","$4,161.00 ","$2,006.41 ",$899.75 ,$253.61 ,"$5,187.38 ",$935.39 ,$241.53 ,"$4,826.76 ",$890.85 ,"$4,993.20 ",$890.85 ,"$4,993.20 ","$4,993.20 ","$4,993.20 ","$5,381.56 ","$4,493.88 ","$4,993.20 ","$4,993.20 ","$4,993.20 ","$4,993.20 " ST. JOSEPH'S - CHIPPEWA FALLS,74000045,95810,HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52,740,1 ,"$2,395.04 ","$1,796.28 ",$241.53 ,"$2,395.04 ","$1,542.41 ",$445.42 ,"$1,676.53 ",$241.53 ,"$2,395.04 ",$248.78 ,"$2,335.00 ","$2,275.29 ", N/A ,"$1,916.03 ","$2,179.49 ",$241.53 ,"$2,251.34 ","$2,275.29 ","$2,155.54 ","$2,035.78 ",$241.53 ,$241.53 ,$241.53 ,"$1,748.38 ",$445.42 ,"$2,131.59 ","$2,155.54 ","$2,155.54 ","$1,916.03 ",$458.79 ,"$1,317.27 ","$2,155.54 ",$445.42 ,"$2,155.54 ",$445.42 ,"$2,275.29 ","$1,002.20 ","$2,203.44 ",$256.02 ,"$2,179.49 ",$445.42 ,"$1,473.91 ","$1,542.41 ","$1,473.91 ","$2,155.54 ","$2,155.54 ","$1,796.28 ","$2,006.41 ",$449.88 ,$253.61 ,"$2,239.36 ",$467.69 ,$241.53 ,"$2,083.68 ",$445.42 ,"$2,155.54 ",$445.42 ,"$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,323.19 ","$1,939.98 ","$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,155.54 " ST. JOSEPH'S - CHIPPEWA FALLS,74000046,95811,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP >6YR-52,740,1 ,"$2,446.07 ","$1,834.55 ",$241.53 ,"$2,446.07 ","$1,575.27 ",$445.42 ,"$1,712.25 ",$241.53 ,"$2,446.07 ",$248.78 ,"$2,335.00 ","$2,323.77 ", N/A ,"$1,956.86 ","$2,225.92 ",$241.53 ,"$2,299.31 ","$2,323.77 ","$2,201.46 ","$2,079.16 ",$241.53 ,$241.53 ,$241.53 ,"$1,785.63 ",$445.42 ,"$2,177.00 ","$2,201.46 ","$2,201.46 ","$1,956.86 ",$458.79 ,"$1,345.34 ","$2,201.46 ",$445.42 ,"$2,201.46 ",$445.42 ,"$2,323.77 ","$1,002.20 ","$2,250.38 ",$256.02 ,"$2,225.92 ",$445.42 ,"$1,505.31 ","$1,575.27 ","$1,505.31 ","$2,201.46 ","$2,201.46 ","$1,834.55 ","$2,006.41 ",$449.88 ,$253.61 ,"$2,287.08 ",$467.69 ,$241.53 ,"$2,128.08 ",$445.42 ,"$2,201.46 ",$445.42 ,"$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,372.69 ","$1,981.32 ","$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,201.46 " ST. JOSEPH'S - CHIPPEWA FALLS,74000047,95782,HC SLEEP STUDY PSG 4+ PARAMETERS <6YRS-52,740,1 ,"$2,395.04 ","$1,796.28 ",$241.53 ,"$2,395.04 ","$1,542.41 ",$445.42 ,"$1,676.53 ",$241.53 ,"$2,395.04 ",$248.78 ,"$2,335.00 ","$2,275.29 ", N/A ,"$1,916.03 ","$2,179.49 ",$241.53 ,"$2,251.34 ","$2,275.29 ","$2,155.54 ","$2,035.78 ",$241.53 ,$241.53 ,$241.53 ,"$1,748.38 ",$445.42 ,"$2,131.59 ","$2,155.54 ","$2,155.54 ","$1,916.03 ",$458.79 ,"$1,317.27 ","$2,155.54 ",$445.42 ,"$2,155.54 ",$445.42 ,"$2,275.29 ","$1,002.20 ","$2,203.44 ",$256.02 ,"$2,179.49 ",$445.42 ,"$1,473.91 ","$1,542.41 ","$1,473.91 ","$2,155.54 ","$2,155.54 ","$1,796.28 ","$2,006.41 ",$449.88 ,$253.61 ,"$2,239.36 ",$467.69 ,$241.53 ,"$2,083.68 ",$445.42 ,"$2,155.54 ",$445.42 ,"$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,323.19 ","$1,939.98 ","$2,155.54 ","$2,155.54 ","$2,155.54 ","$2,155.54 " ST. JOSEPH'S - CHIPPEWA FALLS,74000048,95783,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP<6YRS-52,740,1 ,"$2,446.07 ","$1,834.55 ",$241.53 ,"$2,446.07 ","$1,575.27 ",$445.42 ,"$1,712.25 ",$241.53 ,"$2,446.07 ",$248.78 ,"$2,335.00 ","$2,323.77 ", N/A ,"$1,956.86 ","$2,225.92 ",$241.53 ,"$2,299.31 ","$2,323.77 ","$2,201.46 ","$2,079.16 ",$241.53 ,$241.53 ,$241.53 ,"$1,785.63 ",$445.42 ,"$2,177.00 ","$2,201.46 ","$2,201.46 ","$1,956.86 ",$458.79 ,"$1,345.34 ","$2,201.46 ",$445.42 ,"$2,201.46 ",$445.42 ,"$2,323.77 ","$1,002.20 ","$2,250.38 ",$256.02 ,"$2,225.92 ",$445.42 ,"$1,505.31 ","$1,575.27 ","$1,505.31 ","$2,201.46 ","$2,201.46 ","$1,834.55 ","$2,006.41 ",$449.88 ,$253.61 ,"$2,287.08 ",$467.69 ,$241.53 ,"$2,128.08 ",$445.42 ,"$2,201.46 ",$445.42 ,"$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,372.69 ","$1,981.32 ","$2,201.46 ","$2,201.46 ","$2,201.46 ","$2,201.46 " ST. JOSEPH'S - CHIPPEWA FALLS,74000085,95707,HC EEG W/O VIDEO BY TECH 2-12 HOURS W/CONTINUOUS REAL-TIME MONITORING,740,1 ,"$1,008.10 ",$756.08 ,$76.87 ,"$1,008.10 ",$649.22 ,$256.12 ,$705.67 ,$76.87 ,$836.72 ,$79.18 ,$665.35 ,$957.70 , N/A ,$806.48 ,$917.37 ,$76.87 ,$947.61 ,$957.70 ,$907.29 ,$856.89 ,$76.87 ,$76.87 ,$76.87 ,$735.91 ,$256.12 ,$897.21 ,$907.29 ,$907.29 ,$806.48 ,$263.80 ,$554.46 ,$907.29 ,$256.12 ,$907.29 ,$256.12 ,$957.70 ,$576.27 ,$927.45 ,$81.48 ,$917.37 ,$256.12 ,$620.38 ,$649.22 ,$620.38 ,$907.29 ,$907.29 ,$756.08 ,$705.67 ,$258.68 ,$80.71 ,$942.57 ,$268.93 ,$76.87 ,$877.05 ,$256.12 ,$907.29 ,$256.12 ,$907.29 ,$907.29 ,$907.29 ,$977.86 ,$816.56 ,$907.29 ,$907.29 ,$907.29 ,$907.29 ST. JOSEPH'S - CHIPPEWA FALLS,74000091,95713,HC VEEG W/VIDEO BY TECH 2-12 HOURS W/CONTINUOUS REAL-TIME MONITORING,740,1 ,"$1,556.96 ","$1,167.72 ",$76.87 ,"$1,556.96 ","$1,002.68 ",$472.41 ,"$1,089.87 ",$76.87 ,"$1,292.28 ",$79.18 ,"$1,027.59 ","$1,479.11 ", N/A ,"$1,245.57 ","$1,416.83 ",$76.87 ,"$1,463.54 ","$1,479.11 ","$1,401.26 ","$1,323.42 ",$76.87 ,$76.87 ,$76.87 ,"$1,136.58 ",$472.41 ,"$1,385.69 ","$1,401.26 ","$1,401.26 ","$1,245.57 ",$486.59 ,$856.33 ,"$1,401.26 ",$472.41 ,"$1,401.26 ",$472.41 ,"$1,479.11 ","$1,062.93 ","$1,432.40 ",$81.48 ,"$1,416.83 ",$472.41 ,$958.15 ,"$1,002.68 ",$958.15 ,"$1,401.26 ","$1,401.26 ","$1,167.72 ","$1,089.87 ",$477.14 ,$80.71 ,"$1,455.76 ",$496.03 ,$76.87 ,"$1,354.56 ",$472.41 ,"$1,401.26 ",$472.41 ,"$1,401.26 ","$1,401.26 ","$1,401.26 ","$1,510.25 ","$1,261.14 ","$1,401.26 ","$1,401.26 ","$1,401.26 ","$1,401.26 " ST. JOSEPH'S - CHIPPEWA FALLS,74000094,95716,HC VEEG W/VIDEO BY TECH 12-26 HOURS EACH INCREMENT W/CONTINUOUS REAL-TIME MONITORING,740,1 ,"$3,291.18 ","$2,468.39 ",$156.65 ,"$3,291.18 ","$2,119.52 ",$890.85 ,"$2,303.83 ",$156.65 ,"$2,731.68 ",$161.35 ,"$2,172.18 ","$3,126.62 ", N/A ,"$2,632.94 ","$2,994.97 ",$156.65 ,"$3,093.71 ","$3,126.62 ","$2,962.06 ","$2,797.50 ",$156.65 ,$156.65 ,$156.65 ,"$2,402.56 ",$890.85 ,"$2,929.15 ","$2,962.06 ","$2,962.06 ","$2,632.94 ",$917.57 ,"$1,810.15 ","$2,962.06 ",$890.85 ,"$2,962.06 ",$890.85 ,"$3,126.62 ","$2,004.40 ","$3,027.89 ",$166.05 ,"$2,994.97 ",$890.85 ,"$2,025.39 ","$2,119.52 ","$2,025.39 ","$2,962.06 ","$2,962.06 ","$2,468.39 ","$2,303.83 ",$899.75 ,$164.48 ,"$3,077.25 ",$935.39 ,$156.65 ,"$2,863.33 ",$890.85 ,"$2,962.06 ",$890.85 ,"$2,962.06 ","$2,962.06 ","$2,962.06 ","$3,192.44 ","$2,665.86 ","$2,962.06 ","$2,962.06 ","$2,962.06 ","$2,962.06 " ST. JOSEPH'S - CHIPPEWA FALLS,75000018,N/A,HC EGD/BANDING,750,1 ,"$3,299.68 ","$2,474.76 ","$1,814.82 ","$3,299.68 ","$2,124.99 ", N/A ,"$2,309.78 ", N/A , N/A , N/A , N/A ,"$3,134.70 ", N/A ,"$2,639.74 ","$3,002.71 ", N/A , N/A ,"$3,134.70 ","$2,969.71 ","$2,804.73 ", N/A , N/A , N/A ,"$2,408.77 ", N/A ,"$2,936.72 ","$2,969.71 ","$2,969.71 ","$2,639.74 ", N/A ,"$1,814.82 ","$2,969.71 ", N/A ,"$2,969.71 ", N/A ,"$3,134.70 ", N/A ,"$3,035.71 ", N/A ,"$3,002.71 ", N/A , N/A ,"$2,124.99 ", N/A ,"$2,969.71 ","$2,969.71 ","$2,474.76 ", N/A , N/A , N/A ,"$3,085.20 ", N/A , N/A ,"$2,870.72 ", N/A ,"$2,969.71 ", N/A ,"$2,969.71 ","$2,969.71 ","$2,969.71 ","$3,200.69 ","$2,672.74 ","$2,969.71 ","$2,969.71 ","$2,969.71 ","$2,969.71 " ST. JOSEPH'S - CHIPPEWA FALLS,75000021,N/A,HC EGD/PEG PLACEMENT,750,1 ,"$2,278.61 ","$1,708.96 ","$1,253.24 ","$2,278.61 ","$1,467.42 ", N/A ,"$1,595.03 ", N/A , N/A , N/A , N/A ,"$2,164.68 ", N/A ,"$1,822.89 ","$2,073.54 ", N/A , N/A ,"$2,164.68 ","$2,050.75 ","$1,936.82 ", N/A , N/A , N/A ,"$1,663.39 ", N/A ,"$2,027.96 ","$2,050.75 ","$2,050.75 ","$1,822.89 ", N/A ,"$1,253.24 ","$2,050.75 ", N/A ,"$2,050.75 ", N/A ,"$2,164.68 ", N/A ,"$2,096.32 ", N/A ,"$2,073.54 ", N/A , N/A ,"$1,467.42 ", N/A ,"$2,050.75 ","$2,050.75 ","$1,708.96 ", N/A , N/A , N/A ,"$2,130.50 ", N/A , N/A ,"$1,982.39 ", N/A ,"$2,050.75 ", N/A ,"$2,050.75 ","$2,050.75 ","$2,050.75 ","$2,210.25 ","$1,845.67 ","$2,050.75 ","$2,050.75 ","$2,050.75 ","$2,050.75 " ST. JOSEPH'S - CHIPPEWA FALLS,75000039,N/A,HC ENTEROSCOPY,750,1 ,"$3,299.68 ","$2,474.76 ","$1,814.82 ","$3,299.68 ","$2,124.99 ", N/A ,"$2,309.78 ", N/A , N/A , N/A , N/A ,"$3,134.70 ", N/A ,"$2,639.74 ","$3,002.71 ", N/A , N/A ,"$3,134.70 ","$2,969.71 ","$2,804.73 ", N/A , N/A , N/A ,"$2,408.77 ", N/A ,"$2,936.72 ","$2,969.71 ","$2,969.71 ","$2,639.74 ", N/A ,"$1,814.82 ","$2,969.71 ", N/A ,"$2,969.71 ", N/A ,"$3,134.70 ", N/A ,"$3,035.71 ", N/A ,"$3,002.71 ", N/A , N/A ,"$2,124.99 ", N/A ,"$2,969.71 ","$2,969.71 ","$2,474.76 ", N/A , N/A , N/A ,"$3,085.20 ", N/A , N/A ,"$2,870.72 ", N/A ,"$2,969.71 ", N/A ,"$2,969.71 ","$2,969.71 ","$2,969.71 ","$3,200.69 ","$2,672.74 ","$2,969.71 ","$2,969.71 ","$2,969.71 ","$2,969.71 " ST. JOSEPH'S - CHIPPEWA FALLS,75000046,N/A,HC ERCP,750,1 ,"$3,691.15 ","$2,768.36 ","$2,030.13 ","$3,691.15 ","$2,377.10 ", N/A ,"$2,583.81 ", N/A , N/A , N/A , N/A ,"$3,506.59 ", N/A ,"$2,952.92 ","$3,358.95 ", N/A , N/A ,"$3,506.59 ","$3,322.04 ","$3,137.48 ", N/A , N/A , N/A ,"$2,694.54 ", N/A ,"$3,285.12 ","$3,322.04 ","$3,322.04 ","$2,952.92 ", N/A ,"$2,030.13 ","$3,322.04 ", N/A ,"$3,322.04 ", N/A ,"$3,506.59 ", N/A ,"$3,395.86 ", N/A ,"$3,358.95 ", N/A , N/A ,"$2,377.10 ", N/A ,"$3,322.04 ","$3,322.04 ","$2,768.36 ", N/A , N/A , N/A ,"$3,451.23 ", N/A , N/A ,"$3,211.30 ", N/A ,"$3,322.04 ", N/A ,"$3,322.04 ","$3,322.04 ","$3,322.04 ","$3,580.42 ","$2,989.83 ","$3,322.04 ","$3,322.04 ","$3,322.04 ","$3,322.04 " ST. JOSEPH'S - CHIPPEWA FALLS,75000067,N/A,HC ILEOSCOPY STOMA,750,1 ,"$2,666.78 ","$2,000.09 ","$1,466.73 ","$2,666.78 ","$1,717.41 ", N/A ,"$1,866.75 ", N/A , N/A , N/A , N/A ,"$2,533.44 ", N/A ,"$2,133.42 ","$2,426.77 ", N/A , N/A ,"$2,533.44 ","$2,400.10 ","$2,266.76 ", N/A , N/A , N/A ,"$1,946.75 ", N/A ,"$2,373.43 ","$2,400.10 ","$2,400.10 ","$2,133.42 ", N/A ,"$1,466.73 ","$2,400.10 ", N/A ,"$2,400.10 ", N/A ,"$2,533.44 ", N/A ,"$2,453.44 ", N/A ,"$2,426.77 ", N/A , N/A ,"$1,717.41 ", N/A ,"$2,400.10 ","$2,400.10 ","$2,000.09 ", N/A , N/A , N/A ,"$2,493.44 ", N/A , N/A ,"$2,320.10 ", N/A ,"$2,400.10 ", N/A ,"$2,400.10 ","$2,400.10 ","$2,400.10 ","$2,586.78 ","$2,160.09 ","$2,400.10 ","$2,400.10 ","$2,400.10 ","$2,400.10 " ST. JOSEPH'S - CHIPPEWA FALLS,75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$2,020.08 ","$1,515.06 ",$202.63 ,"$2,020.08 ","$1,300.93 ",$784.10 ,"$1,414.06 ",$202.63 ,"$2,020.08 ",$208.71 ,"$2,020.08 ","$1,919.08 ", N/A ,"$1,616.06 ","$1,838.27 ",$202.63 , N/A ,"$1,919.08 ","$1,818.07 ","$1,717.07 ",$202.63 ,$202.63 ,$202.63 ,"$1,474.66 ",$784.10 ,"$1,797.87 ","$1,818.07 ","$1,818.07 ","$1,616.06 ",$807.62 ,"$1,111.04 ","$1,818.07 ",$784.10 ,"$1,818.07 ",$784.10 ,"$1,919.08 ","$1,764.22 ","$1,858.47 ",$214.79 ,"$1,838.27 ",$784.10 ,"$1,243.16 ","$1,300.93 ","$1,243.16 ","$1,818.07 ","$1,818.07 ","$1,515.06 ","$1,818.07 ",$791.94 ,$212.76 ,"$1,888.77 ",$823.31 ,$202.63 ,"$1,757.47 ",$784.10 ,"$1,818.07 ",$784.10 ,"$1,818.07 ","$1,818.07 ","$1,818.07 ","$1,959.48 ","$1,636.26 ","$1,818.07 ","$1,818.07 ","$1,818.07 ","$1,818.07 " ST. JOSEPH'S - CHIPPEWA FALLS,75000149,43229,HC ESOPHAGOSCOPY W/ABLATION TUMOR/POLYP,750,1 ,"$3,437.83 ","$2,578.37 ",$613.80 ,"$6,713.43 ","$2,213.96 ","$2,983.75 ","$2,406.48 ",$613.80 ,"$3,437.83 ",$632.21 ,"$3,437.83 ","$3,265.94 ", N/A ,"$2,750.26 ","$3,128.43 ",$613.80 , N/A ,"$3,265.94 ","$3,094.05 ","$2,922.16 ",$613.80 ,$613.80 ,$613.80 ,"$2,509.62 ","$2,983.75 ","$3,059.67 ","$3,094.05 ","$3,094.05 ","$2,750.26 ","$3,073.26 ","$1,890.81 ","$3,094.05 ","$2,983.75 ","$3,094.05 ","$2,983.75 ","$3,265.94 ","$6,713.43 ","$3,162.80 ",$650.63 ,"$3,128.43 ","$2,983.75 ","$2,115.64 ","$2,213.96 ","$2,115.64 ","$3,094.05 ","$3,094.05 ","$2,578.37 ","$3,094.05 ","$3,013.58 ",$644.49 ,"$3,214.37 ","$3,132.94 ",$613.80 ,"$2,990.91 ","$2,983.75 ","$3,094.05 ","$2,983.75 ","$3,094.05 ","$3,094.05 ","$3,094.05 ","$3,334.70 ","$2,784.64 ","$3,094.05 ","$3,094.05 ","$3,094.05 ","$3,094.05 " ST. JOSEPH'S - CHIPPEWA FALLS,75001007,91010,HC MOTILITY STUDY ESOPHAGEAL,750,1 ,"$1,519.30 ","$1,139.48 ",$199.12 ,"$1,519.30 ",$978.43 ,$472.41 ,"$1,063.51 ",$199.12 ,"$1,519.30 ",$205.09 ,"$1,519.30 ","$1,443.34 ", N/A ,"$1,215.44 ","$1,382.56 ",$199.12 , N/A ,"$1,443.34 ","$1,367.37 ","$1,291.41 ",$199.12 ,$199.12 ,$199.12 ,"$1,109.09 ",$472.41 ,"$1,352.18 ","$1,367.37 ","$1,367.37 ","$1,215.44 ",$486.59 ,$835.62 ,"$1,367.37 ",$472.41 ,"$1,367.37 ",$472.41 ,"$1,443.34 ","$1,062.93 ","$1,397.76 ",$211.07 ,"$1,382.56 ",$472.41 ,$934.98 ,$978.43 ,$934.98 ,"$1,367.37 ","$1,367.37 ","$1,139.48 ",$782.50 ,$477.14 ,$209.08 ,"$1,420.55 ",$496.03 ,$199.12 ,"$1,321.79 ",$472.41 ,"$1,367.37 ",$472.41 ,"$1,367.37 ","$1,367.37 ","$1,367.37 ","$1,473.72 ","$1,230.63 ","$1,367.37 ","$1,367.37 ","$1,367.37 ","$1,367.37 " ST. JOSEPH'S - CHIPPEWA FALLS,75001008,N/A,HC EGD W/DILATION,750,1 ,"$3,299.68 ","$2,474.76 ","$1,814.82 ","$3,299.68 ","$2,124.99 ", N/A ,"$2,309.78 ", N/A , N/A , N/A , N/A ,"$3,134.70 ", N/A ,"$2,639.74 ","$3,002.71 ", N/A , N/A ,"$3,134.70 ","$2,969.71 ","$2,804.73 ", N/A , N/A , N/A ,"$2,408.77 ", N/A ,"$2,936.72 ","$2,969.71 ","$2,969.71 ","$2,639.74 ", N/A ,"$1,814.82 ","$2,969.71 ", N/A ,"$2,969.71 ", N/A ,"$3,134.70 ", N/A ,"$3,035.71 ", N/A ,"$3,002.71 ", N/A , N/A ,"$2,124.99 ", N/A ,"$2,969.71 ","$2,969.71 ","$2,474.76 ", N/A , N/A , N/A ,"$3,085.20 ", N/A , N/A ,"$2,870.72 ", N/A ,"$2,969.71 ", N/A ,"$2,969.71 ","$2,969.71 ","$2,969.71 ","$3,200.69 ","$2,672.74 ","$2,969.71 ","$2,969.71 ","$2,969.71 ","$2,969.71 " ST. JOSEPH'S - CHIPPEWA FALLS,75001009,N/A,HC COLONOSCOPY PROC LEVEL 1,750,1 ,"$1,727.29 ","$1,295.47 ",$950.01 ,"$1,727.29 ","$1,112.37 ", N/A ,"$1,209.10 ", N/A , N/A , N/A , N/A ,"$1,640.93 ", N/A ,"$1,381.83 ","$1,571.83 ", N/A , N/A ,"$1,640.93 ","$1,554.56 ","$1,468.20 ", N/A , N/A , N/A ,"$1,260.92 ", N/A ,"$1,537.29 ","$1,554.56 ","$1,554.56 ","$1,381.83 ", N/A ,$950.01 ,"$1,554.56 ", N/A ,"$1,554.56 ", N/A ,"$1,640.93 ", N/A ,"$1,589.11 ", N/A ,"$1,571.83 ", N/A , N/A ,"$1,112.37 ", N/A ,"$1,554.56 ","$1,554.56 ","$1,295.47 ", N/A , N/A , N/A ,"$1,615.02 ", N/A , N/A ,"$1,502.74 ", N/A ,"$1,554.56 ", N/A ,"$1,554.56 ","$1,554.56 ","$1,554.56 ","$1,675.47 ","$1,399.10 ","$1,554.56 ","$1,554.56 ","$1,554.56 ","$1,554.56 " ST. JOSEPH'S - CHIPPEWA FALLS,75001010,N/A,HC COLONOSCOPY PROC LEVEL 2,750,1 ,"$2,539.79 ","$1,904.84 ","$1,396.88 ","$2,539.79 ","$1,635.62 ", N/A ,"$1,777.85 ", N/A , N/A , N/A , N/A ,"$2,412.80 ", N/A ,"$2,031.83 ","$2,311.21 ", N/A , N/A ,"$2,412.80 ","$2,285.81 ","$2,158.82 ", N/A , N/A , N/A ,"$1,854.05 ", N/A ,"$2,260.41 ","$2,285.81 ","$2,285.81 ","$2,031.83 ", N/A ,"$1,396.88 ","$2,285.81 ", N/A ,"$2,285.81 ", N/A ,"$2,412.80 ", N/A ,"$2,336.61 ", N/A ,"$2,311.21 ", N/A , N/A ,"$1,635.62 ", N/A ,"$2,285.81 ","$2,285.81 ","$1,904.84 ", N/A , N/A , N/A ,"$2,374.70 ", N/A , N/A ,"$2,209.62 ", N/A ,"$2,285.81 ", N/A ,"$2,285.81 ","$2,285.81 ","$2,285.81 ","$2,463.60 ","$2,057.23 ","$2,285.81 ","$2,285.81 ","$2,285.81 ","$2,285.81 " ST. JOSEPH'S - CHIPPEWA FALLS,75001014,N/A,HC EGD PROC LEVEL 1,750,1 ,"$2,909.03 ","$2,181.77 ","$1,599.97 ","$2,909.03 ","$1,873.42 ", N/A ,"$2,036.32 ", N/A , N/A , N/A , N/A ,"$2,763.58 ", N/A ,"$2,327.22 ","$2,647.22 ", N/A , N/A ,"$2,763.58 ","$2,618.13 ","$2,472.68 ", N/A , N/A , N/A ,"$2,123.59 ", N/A ,"$2,589.04 ","$2,618.13 ","$2,618.13 ","$2,327.22 ", N/A ,"$1,599.97 ","$2,618.13 ", N/A ,"$2,618.13 ", N/A ,"$2,763.58 ", N/A ,"$2,676.31 ", N/A ,"$2,647.22 ", N/A , N/A ,"$1,873.42 ", N/A ,"$2,618.13 ","$2,618.13 ","$2,181.77 ", N/A , N/A , N/A ,"$2,719.94 ", N/A , N/A ,"$2,530.86 ", N/A ,"$2,618.13 ", N/A ,"$2,618.13 ","$2,618.13 ","$2,618.13 ","$2,821.76 ","$2,356.31 ","$2,618.13 ","$2,618.13 ","$2,618.13 ","$2,618.13 " ST. JOSEPH'S - CHIPPEWA FALLS,75001025,N/A,HC FLEX SIGMOIDOSCOPY PROC LEVEL 1,750,1 ,"$2,829.83 ","$2,122.37 ","$1,556.41 ","$2,829.83 ","$1,822.41 ", N/A ,"$1,980.88 ", N/A , N/A , N/A , N/A ,"$2,688.34 ", N/A ,"$2,263.86 ","$2,575.15 ", N/A , N/A ,"$2,688.34 ","$2,546.85 ","$2,405.36 ", N/A , N/A , N/A ,"$2,065.78 ", N/A ,"$2,518.55 ","$2,546.85 ","$2,546.85 ","$2,263.86 ", N/A ,"$1,556.41 ","$2,546.85 ", N/A ,"$2,546.85 ", N/A ,"$2,688.34 ", N/A ,"$2,603.44 ", N/A ,"$2,575.15 ", N/A , N/A ,"$1,822.41 ", N/A ,"$2,546.85 ","$2,546.85 ","$2,122.37 ", N/A , N/A , N/A ,"$2,645.89 ", N/A , N/A ,"$2,461.95 ", N/A ,"$2,546.85 ", N/A ,"$2,546.85 ","$2,546.85 ","$2,546.85 ","$2,744.94 ","$2,292.16 ","$2,546.85 ","$2,546.85 ","$2,546.85 ","$2,546.85 " ST. JOSEPH'S - CHIPPEWA FALLS,75001033,N/A,HC BONE MARROW BIOPSY,750,1 ,$845.84 ,$634.38 ,$465.21 ,$845.84 ,$544.72 , N/A ,$592.09 , N/A , N/A , N/A , N/A ,$803.55 , N/A ,$676.67 ,$769.71 , N/A , N/A ,$803.55 ,$761.26 ,$718.96 , N/A , N/A , N/A ,$617.46 , N/A ,$752.80 ,$761.26 ,$761.26 ,$676.67 , N/A ,$465.21 ,$761.26 , N/A ,$761.26 , N/A ,$803.55 , N/A ,$778.17 , N/A ,$769.71 , N/A , N/A ,$544.72 , N/A ,$761.26 ,$761.26 ,$634.38 , N/A , N/A , N/A ,$790.86 , N/A , N/A ,$735.88 , N/A ,$761.26 , N/A ,$761.26 ,$761.26 ,$761.26 ,$820.46 ,$685.13 ,$761.26 ,$761.26 ,$761.26 ,$761.26 ST. JOSEPH'S - CHIPPEWA FALLS,75001043,N/A,HC LASER PROCEDURE EYE,750,1 ,"$2,006.52 ","$1,504.89 ","$1,103.59 ","$2,006.52 ","$1,292.20 ", N/A ,"$1,404.56 ", N/A , N/A , N/A , N/A ,"$1,906.19 ", N/A ,"$1,605.22 ","$1,825.93 ", N/A , N/A ,"$1,906.19 ","$1,805.87 ","$1,705.54 ", N/A , N/A , N/A ,"$1,464.76 ", N/A ,"$1,785.80 ","$1,805.87 ","$1,805.87 ","$1,605.22 ", N/A ,"$1,103.59 ","$1,805.87 ", N/A ,"$1,805.87 ", N/A ,"$1,906.19 ", N/A ,"$1,846.00 ", N/A ,"$1,825.93 ", N/A , N/A ,"$1,292.20 ", N/A ,"$1,805.87 ","$1,805.87 ","$1,504.89 ", N/A , N/A , N/A ,"$1,876.10 ", N/A , N/A ,"$1,745.67 ", N/A ,"$1,805.87 ", N/A ,"$1,805.87 ","$1,805.87 ","$1,805.87 ","$1,946.32 ","$1,625.28 ","$1,805.87 ","$1,805.87 ","$1,805.87 ","$1,805.87 " ST. JOSEPH'S - CHIPPEWA FALLS,75001044,N/A,HC COLONOSCOPY W/BIOPSY/POLYP LEVEL 1,750,1 ,"$2,616.30 ","$1,962.23 ","$1,438.97 ","$2,616.30 ","$1,684.90 ", N/A ,"$1,831.41 ", N/A , N/A , N/A , N/A ,"$2,485.49 ", N/A ,"$2,093.04 ","$2,380.83 ", N/A , N/A ,"$2,485.49 ","$2,354.67 ","$2,223.86 ", N/A , N/A , N/A ,"$1,909.90 ", N/A ,"$2,328.51 ","$2,354.67 ","$2,354.67 ","$2,093.04 ", N/A ,"$1,438.97 ","$2,354.67 ", N/A ,"$2,354.67 ", N/A ,"$2,485.49 ", N/A ,"$2,407.00 ", N/A ,"$2,380.83 ", N/A , N/A ,"$1,684.90 ", N/A ,"$2,354.67 ","$2,354.67 ","$1,962.23 ", N/A , N/A , N/A ,"$2,446.24 ", N/A , N/A ,"$2,276.18 ", N/A ,"$2,354.67 ", N/A ,"$2,354.67 ","$2,354.67 ","$2,354.67 ","$2,537.81 ","$2,119.20 ","$2,354.67 ","$2,354.67 ","$2,354.67 ","$2,354.67 " ST. JOSEPH'S - CHIPPEWA FALLS,76000012,36514,HC PLASMAPHERESIS THERAPY,361,1 ,"$2,300.38 ","$1,725.29 ",$871.92 ,"$2,970.50 ","$1,481.44 ","$1,320.22 ","$1,610.27 ",$871.92 ,"$2,300.38 ",$898.08 ,"$2,300.38 ","$2,185.36 ", N/A ,"$1,840.30 ","$2,093.35 ",$871.92 , N/A ,"$2,185.36 ","$2,070.34 ","$1,955.32 ",$871.92 ,$871.92 ,$871.92 ,"$1,679.28 ","$1,320.22 ","$2,047.34 ","$2,070.34 ","$2,070.34 ","$1,840.30 ","$1,359.83 ","$1,265.21 ","$2,070.34 ","$1,320.22 ","$2,070.34 ","$1,320.22 ","$2,185.36 ","$2,970.50 ","$2,116.35 ",$924.24 ,"$2,093.35 ","$1,320.22 ","$1,415.65 ","$1,481.44 ","$1,415.65 ","$2,070.34 ","$2,070.34 ","$1,725.29 ","$2,070.34 ","$1,333.42 ",$915.52 ,"$2,150.86 ","$1,386.23 ",$871.92 ,"$2,001.33 ","$1,320.22 ","$2,070.34 ","$1,320.22 ","$2,070.34 ","$2,070.34 ","$2,070.34 ","$2,231.37 ","$1,863.31 ","$2,070.34 ","$2,070.34 ","$2,070.34 ","$2,070.34 " ST. JOSEPH'S - CHIPPEWA FALLS,76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$1,658.03 ","$1,243.52 ",$200.00 ,"$1,658.03 ","$1,067.77 ",$614.60 ,"$1,160.62 ",$263.02 ,"$1,376.16 ",$270.91 ,"$1,094.30 ","$1,575.13 ",$200.00 ,"$1,326.42 ","$1,508.81 ",$263.02 ,"$1,558.55 ","$1,575.13 ","$1,492.23 ","$1,409.33 ",$263.02 ,$263.02 ,$263.02 ,"$1,210.36 ",$614.60 ,"$1,475.65 ","$1,492.23 ","$1,492.23 ","$1,326.42 ",$633.04 ,$911.92 ,"$1,492.23 ",$614.60 ,"$1,492.23 ",$614.60 ,"$1,575.13 ","$1,382.85 ","$1,525.39 ",$278.80 ,"$1,508.81 ",$614.60 ,"$1,020.35 ","$1,067.77 ","$1,020.35 ","$1,492.23 ","$1,492.23 ","$1,243.52 ","$1,160.62 ",$620.75 ,$276.17 ,"$1,550.26 ",$645.33 ,$263.02 ,"$1,442.49 ",$614.60 ,"$1,492.23 ",$614.60 ,"$1,492.23 ","$1,492.23 ","$1,492.23 ","$1,608.29 ","$1,343.00 ","$1,492.23 ","$1,492.23 ","$1,492.23 ","$1,492.23 " ST. JOSEPH'S - CHIPPEWA FALLS,76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,$568.15 ,$426.11 ,$107.54 ,$753.63 ,$365.89 ,$334.95 ,$397.71 ,$107.54 ,$471.56 ,$110.77 ,$374.98 ,$539.74 , N/A ,$454.52 ,$517.02 ,$107.54 ,$534.06 ,$539.74 ,$511.34 ,$482.93 ,$107.54 ,$107.54 ,$107.54 ,$414.75 ,$334.95 ,$505.65 ,$511.34 ,$511.34 ,$454.52 ,$344.99 ,$312.48 ,$511.34 ,$334.95 ,$511.34 ,$334.95 ,$539.74 ,$753.63 ,$522.70 ,$113.99 ,$517.02 ,$334.95 ,$349.64 ,$365.89 ,$349.64 ,$511.34 ,$511.34 ,$426.11 ,$397.71 ,$338.30 ,$112.92 ,$531.22 ,$351.70 ,$107.54 ,$494.29 ,$334.95 ,$511.34 ,$334.95 ,$511.34 ,$511.34 ,$511.34 ,$551.11 ,$460.20 ,$511.34 ,$511.34 ,$511.34 ,$511.34 ST. JOSEPH'S - CHIPPEWA FALLS,76100049,97608,HC NEG PRESS WOUND THERAPY WO DME>50CM,761,1 ,$778.15 ,$583.61 ,$107.54 ,$778.15 ,$501.13 ,$334.95 ,$544.71 ,$107.54 ,$645.86 ,$110.77 ,$513.58 ,$739.24 , N/A ,$622.52 ,$708.12 ,$107.54 ,$731.46 ,$739.24 ,$700.34 ,$661.43 ,$107.54 ,$107.54 ,$107.54 ,$568.05 ,$334.95 ,$692.55 ,$700.34 ,$700.34 ,$622.52 ,$344.99 ,$427.98 ,$700.34 ,$334.95 ,$700.34 ,$334.95 ,$739.24 ,$753.63 ,$715.90 ,$113.99 ,$708.12 ,$334.95 ,$478.87 ,$501.13 ,$478.87 ,$700.34 ,$700.34 ,$583.61 ,$544.71 ,$338.30 ,$112.92 ,$727.57 ,$351.70 ,$107.54 ,$676.99 ,$334.95 ,$700.34 ,$334.95 ,$700.34 ,$700.34 ,$700.34 ,$754.81 ,$630.30 ,$700.34 ,$700.34 ,$700.34 ,$700.34 ST. JOSEPH'S - CHIPPEWA FALLS,76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$236.25 ,$177.19 ,$47.46 ,$236.25 ,$152.15 , N/A ,$165.38 ,$47.46 ,$236.25 ,$48.88 ,$236.25 ,$224.44 ,$200.00 ,$189.00 ,$214.99 ,$47.46 ,$222.08 ,$224.44 ,$212.63 ,$200.81 ,$47.46 ,$47.46 ,$47.46 ,$172.46 , N/A ,$210.26 ,$212.63 ,$212.63 ,$189.00 , N/A ,$129.94 ,$212.63 , N/A ,$212.63 , N/A ,$224.44 , N/A ,$217.35 ,$50.31 ,$214.99 , N/A ,$145.39 ,$152.15 ,$145.39 ,$212.63 ,$212.63 ,$177.19 ,$212.63 , N/A ,$49.83 ,$220.89 , N/A ,$47.46 ,$205.54 , N/A ,$212.63 , N/A ,$212.63 ,$212.63 ,$212.63 ,$229.16 ,$191.36 ,$212.63 ,$212.63 ,$212.63 ,$212.63 ST. JOSEPH'S - CHIPPEWA FALLS,76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$84.00 ,$63.00 ,$46.20 ,$84.00 ,$54.10 , N/A ,$58.80 , N/A ,$84.00 , N/A ,$84.00 ,$79.80 ,$84.00 ,$67.20 ,$76.44 , N/A ,$78.96 ,$79.80 ,$75.60 ,$71.40 , N/A , N/A , N/A ,$61.32 , N/A ,$74.76 ,$75.60 ,$75.60 ,$67.20 , N/A ,$46.20 ,$75.60 , N/A ,$75.60 , N/A ,$79.80 , N/A ,$77.28 , N/A ,$76.44 , N/A ,$51.69 ,$54.10 ,$51.69 ,$75.60 ,$75.60 ,$63.00 ,$75.60 , N/A , N/A ,$78.54 , N/A , N/A ,$73.08 , N/A ,$75.60 , N/A ,$75.60 ,$75.60 ,$75.60 ,$81.48 ,$68.04 ,$75.60 ,$75.60 ,$75.60 ,$75.60 ST. JOSEPH'S - CHIPPEWA FALLS,77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$77.55 ,$58.16 ,$11.86 ,$135.04 ,$49.94 ,$60.02 ,$54.29 ,$11.86 ,$64.37 ,$12.22 ,$51.18 ,$73.67 , N/A ,$62.04 ,$70.57 ,$11.86 ,$72.90 ,$73.67 ,$69.80 ,$65.92 ,$11.86 ,$11.86 ,$11.86 ,$56.61 ,$60.02 ,$69.02 ,$69.80 ,$69.80 ,$62.04 ,$61.82 ,$42.65 ,$69.80 ,$60.02 ,$69.80 ,$60.02 ,$73.67 ,$135.04 ,$71.35 ,$12.57 ,$70.57 ,$60.02 ,$47.72 ,$49.94 ,$47.72 ,$69.80 ,$69.80 ,$58.16 ,$54.29 ,$60.62 ,$12.45 ,$72.51 ,$63.02 ,$11.86 ,$67.47 ,$60.02 ,$69.80 ,$60.02 ,$69.80 ,$69.80 ,$69.80 ,$75.22 ,$62.82 ,$69.80 ,$69.80 ,$69.80 ,$69.80 ST. JOSEPH'S - CHIPPEWA FALLS,77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$76.05 ,$57.04 ,$11.86 ,$76.05 ,$48.98 , N/A ,$53.24 ,$11.86 ,$63.12 ,$12.22 ,$50.19 ,$72.25 , N/A ,$60.84 ,$69.21 ,$11.86 ,$71.49 ,$72.25 ,$68.45 ,$64.64 ,$11.86 ,$11.86 ,$11.86 ,$55.52 , N/A ,$67.68 ,$68.45 ,$68.45 ,$60.84 , N/A ,$41.83 ,$68.45 , N/A ,$68.45 , N/A ,$72.25 , N/A ,$69.97 ,$12.57 ,$69.21 , N/A ,$46.80 ,$48.98 ,$46.80 ,$68.45 ,$68.45 ,$57.04 ,$53.24 , N/A ,$12.45 ,$71.11 , N/A ,$11.86 ,$66.16 , N/A ,$68.45 , N/A ,$68.45 ,$68.45 ,$68.45 ,$73.77 ,$61.60 ,$68.45 ,$68.45 ,$68.45 ,$68.45 ST. JOSEPH'S - CHIPPEWA FALLS,77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$69.80 ,$52.35 ,$11.86 ,$87.17 ,$44.95 ,$38.74 ,$48.86 ,$11.86 ,$57.93 ,$12.22 ,$46.07 ,$66.31 , N/A ,$55.84 ,$63.52 ,$11.86 ,$65.61 ,$66.31 ,$62.82 ,$59.33 ,$11.86 ,$11.86 ,$11.86 ,$50.95 ,$38.74 ,$62.12 ,$62.82 ,$62.82 ,$55.84 ,$39.90 ,$38.39 ,$62.82 ,$38.74 ,$62.82 ,$38.74 ,$66.31 ,$87.17 ,$64.22 ,$12.57 ,$63.52 ,$38.74 ,$42.95 ,$44.95 ,$42.95 ,$62.82 ,$62.82 ,$52.35 ,$48.86 ,$39.13 ,$12.45 ,$65.26 ,$40.68 ,$11.86 ,$60.73 ,$38.74 ,$62.82 ,$38.74 ,$62.82 ,$62.82 ,$62.82 ,$67.71 ,$56.54 ,$62.82 ,$62.82 ,$62.82 ,$62.82 ST. JOSEPH'S - CHIPPEWA FALLS,77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$69.80 ,$52.35 ,$11.86 ,$87.17 ,$44.95 ,$38.74 ,$48.86 ,$11.86 ,$57.93 ,$12.22 ,$46.07 ,$66.31 , N/A ,$55.84 ,$63.52 ,$11.86 ,$65.61 ,$66.31 ,$62.82 ,$59.33 ,$11.86 ,$11.86 ,$11.86 ,$50.95 ,$38.74 ,$62.12 ,$62.82 ,$62.82 ,$55.84 ,$39.90 ,$38.39 ,$62.82 ,$38.74 ,$62.82 ,$38.74 ,$66.31 ,$87.17 ,$64.22 ,$12.57 ,$63.52 ,$38.74 ,$42.95 ,$44.95 ,$42.95 ,$62.82 ,$62.82 ,$52.35 ,$48.86 ,$39.13 ,$12.45 ,$65.26 ,$40.68 ,$11.86 ,$60.73 ,$38.74 ,$62.82 ,$38.74 ,$62.82 ,$62.82 ,$62.82 ,$67.71 ,$56.54 ,$62.82 ,$62.82 ,$62.82 ,$62.82 ST. JOSEPH'S - CHIPPEWA FALLS,77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$69.80 ,$52.35 ,$11.86 ,$87.17 ,$44.95 ,$38.74 ,$48.86 ,$11.86 ,$57.93 ,$12.22 ,$46.07 ,$66.31 , N/A ,$55.84 ,$63.52 ,$11.86 ,$65.61 ,$66.31 ,$62.82 ,$59.33 ,$11.86 ,$11.86 ,$11.86 ,$50.95 ,$38.74 ,$62.12 ,$62.82 ,$62.82 ,$55.84 ,$39.90 ,$38.39 ,$62.82 ,$38.74 ,$62.82 ,$38.74 ,$66.31 ,$87.17 ,$64.22 ,$12.57 ,$63.52 ,$38.74 ,$42.95 ,$44.95 ,$42.95 ,$62.82 ,$62.82 ,$52.35 ,$48.86 ,$39.13 ,$12.45 ,$65.26 ,$40.68 ,$11.86 ,$60.73 ,$38.74 ,$62.82 ,$38.74 ,$62.82 ,$62.82 ,$62.82 ,$67.71 ,$56.54 ,$62.82 ,$62.82 ,$62.82 ,$62.82 ST. JOSEPH'S - CHIPPEWA FALLS,77100007,90461,HC IMMUN ADMIN <8 YEARS,771,1 ,$58.96 ,$44.22 ,$11.86 ,$58.96 ,$37.97 , N/A ,$41.27 ,$11.86 ,$48.94 ,$12.22 ,$38.91 ,$56.01 , N/A ,$47.17 ,$53.65 ,$11.86 ,$55.42 ,$56.01 ,$53.06 ,$50.12 ,$11.86 ,$11.86 ,$11.86 ,$43.04 , N/A ,$52.47 ,$53.06 ,$53.06 ,$47.17 , N/A ,$32.43 ,$53.06 , N/A ,$53.06 , N/A ,$56.01 , N/A ,$54.24 ,$12.57 ,$53.65 , N/A ,$36.28 ,$37.97 ,$36.28 ,$53.06 ,$53.06 ,$44.22 ,$41.27 , N/A ,$12.45 ,$55.13 , N/A ,$11.86 ,$51.30 , N/A ,$53.06 , N/A ,$53.06 ,$53.06 ,$53.06 ,$57.19 ,$47.76 ,$53.06 ,$53.06 ,$53.06 ,$53.06 ST. JOSEPH'S - CHIPPEWA FALLS,82100001,90999,HC HEMODIALYSIS,821,1 ,$380.55 ,$285.41 ,$209.30 ,$380.55 ,$245.07 , N/A ,$266.39 ,$209.59 ,$315.86 ,$215.88 ,$251.16 ,$361.52 , N/A ,$304.44 ,$346.30 ,$209.59 ,$357.72 ,$361.52 ,$342.50 ,$323.47 ,$209.59 ,$209.59 ,$209.59 ,$277.80 , N/A ,$338.69 ,$342.50 ,$342.50 ,$304.44 , N/A ,$209.30 ,$342.50 , N/A ,$342.50 , N/A ,$361.52 , N/A ,$350.11 ,$222.17 ,$346.30 , N/A ,$234.19 ,$245.07 ,$234.19 ,$342.50 ,$342.50 ,$285.41 ,$266.39 , N/A ,$220.07 ,$355.81 , N/A ,$209.59 ,$331.08 , N/A ,$342.50 , N/A ,$342.50 ,$342.50 ,$342.50 ,$369.13 ,$308.25 ,$342.50 ,$342.50 ,$342.50 ,$342.50 ST. JOSEPH'S - CHIPPEWA FALLS,82100002,N/A,HC CONT VENO-VENOUS HEMOFILTRAT,821,1 ,"$2,484.09 ","$1,863.07 ","$1,366.25 ","$2,484.09 ","$1,599.75 ", N/A ,"$1,738.86 ", N/A ,"$2,061.79 ", N/A ,"$1,639.50 ","$2,359.89 ", N/A ,"$1,987.27 ","$2,260.52 ", N/A ,"$2,335.04 ","$2,359.89 ","$2,235.68 ","$2,111.48 ", N/A , N/A , N/A ,"$1,813.39 ", N/A ,"$2,210.84 ","$2,235.68 ","$2,235.68 ","$1,987.27 ", N/A ,"$1,366.25 ","$2,235.68 ", N/A ,"$2,235.68 ", N/A ,"$2,359.89 ", N/A ,"$2,285.36 ", N/A ,"$2,260.52 ", N/A ,"$1,528.71 ","$1,599.75 ","$1,528.71 ","$2,235.68 ","$2,235.68 ","$1,863.07 ","$1,738.86 ", N/A , N/A ,"$2,322.62 ", N/A , N/A ,"$2,161.16 ", N/A ,"$2,235.68 ", N/A ,"$2,235.68 ","$2,235.68 ","$2,235.68 ","$2,409.57 ","$2,012.11 ","$2,235.68 ","$2,235.68 ","$2,235.68 ","$2,235.68 " ST. JOSEPH'S - CHIPPEWA FALLS,84100001,N/A,HC CAPD TRAINING,841,1 ,$502.25 ,$376.69 ,$276.24 ,$502.25 ,$323.45 , N/A ,$351.58 , N/A ,$416.87 , N/A ,$331.49 ,$477.14 , N/A ,$401.80 ,$457.05 , N/A ,$472.12 ,$477.14 ,$452.03 ,$426.91 , N/A , N/A , N/A ,$366.64 , N/A ,$447.00 ,$452.03 ,$452.03 ,$401.80 , N/A ,$276.24 ,$452.03 , N/A ,$452.03 , N/A ,$477.14 , N/A ,$462.07 , N/A ,$457.05 , N/A ,$309.08 ,$323.45 ,$309.08 ,$452.03 ,$452.03 ,$376.69 ,$351.58 , N/A , N/A ,$469.60 , N/A , N/A ,$436.96 , N/A ,$452.03 , N/A ,$452.03 ,$452.03 ,$452.03 ,$487.18 ,$406.82 ,$452.03 ,$452.03 ,$452.03 ,$452.03 ST. JOSEPH'S - CHIPPEWA FALLS,84100002,N/A,HC CAPD COMPOSITE,841,1 ,$155.57 ,$116.68 ,$85.56 ,$155.57 ,$100.19 , N/A ,$108.90 , N/A ,$129.12 , N/A ,$102.68 ,$147.79 , N/A ,$124.46 ,$141.57 , N/A ,$146.24 ,$147.79 ,$140.01 ,$132.23 , N/A , N/A , N/A ,$113.57 , N/A ,$138.46 ,$140.01 ,$140.01 ,$124.46 , N/A ,$85.56 ,$140.01 , N/A ,$140.01 , N/A ,$147.79 , N/A ,$143.12 , N/A ,$141.57 , N/A ,$95.74 ,$100.19 ,$95.74 ,$140.01 ,$140.01 ,$116.68 ,$108.90 , N/A , N/A ,$145.46 , N/A , N/A ,$135.35 , N/A ,$140.01 , N/A ,$140.01 ,$140.01 ,$140.01 ,$150.90 ,$126.01 ,$140.01 ,$140.01 ,$140.01 ,$140.01 ST. JOSEPH'S - CHIPPEWA FALLS,84500001,N/A,HC CAPD SUPP0RT SERVICES,845,1 ,$405.33 ,$304.00 ,$222.93 ,$405.33 ,$261.03 , N/A ,$283.73 , N/A ,$336.42 , N/A ,$267.52 ,$385.06 , N/A ,$324.26 ,$368.85 , N/A ,$381.01 ,$385.06 ,$364.80 ,$344.53 , N/A , N/A , N/A ,$295.89 , N/A ,$360.74 ,$364.80 ,$364.80 ,$324.26 , N/A ,$222.93 ,$364.80 , N/A ,$364.80 , N/A ,$385.06 , N/A ,$372.90 , N/A ,$368.85 , N/A ,$249.44 ,$261.03 ,$249.44 ,$364.80 ,$364.80 ,$304.00 ,$283.73 , N/A , N/A ,$378.98 , N/A , N/A ,$352.64 , N/A ,$364.80 , N/A ,$364.80 ,$364.80 ,$364.80 ,$393.17 ,$328.32 ,$364.80 ,$364.80 ,$364.80 ,$364.80 ST. JOSEPH'S - CHIPPEWA FALLS,85100001,N/A,HC CCPD TRAINING,851,1 ,$315.96 ,$236.97 ,$173.78 ,$315.96 ,$203.48 , N/A ,$221.17 , N/A ,$262.25 , N/A ,$208.53 ,$300.16 , N/A ,$252.77 ,$287.52 , N/A ,$297.00 ,$300.16 ,$284.36 ,$268.57 , N/A , N/A , N/A ,$230.65 , N/A ,$281.20 ,$284.36 ,$284.36 ,$252.77 , N/A ,$173.78 ,$284.36 , N/A ,$284.36 , N/A ,$300.16 , N/A ,$290.68 , N/A ,$287.52 , N/A ,$194.44 ,$203.48 ,$194.44 ,$284.36 ,$284.36 ,$236.97 ,$221.17 , N/A , N/A ,$295.42 , N/A , N/A ,$274.89 , N/A ,$284.36 , N/A ,$284.36 ,$284.36 ,$284.36 ,$306.48 ,$255.93 ,$284.36 ,$284.36 ,$284.36 ,$284.36 ST. JOSEPH'S - CHIPPEWA FALLS,85100002,N/A,HC CCPD COMPOSITE,851,1 ,$165.19 ,$123.89 ,$90.85 ,$165.19 ,$106.38 , N/A ,$115.63 , N/A ,$137.11 , N/A ,$109.03 ,$156.93 , N/A ,$132.15 ,$150.32 , N/A ,$155.28 ,$156.93 ,$148.67 ,$140.41 , N/A , N/A , N/A ,$120.59 , N/A ,$147.02 ,$148.67 ,$148.67 ,$132.15 , N/A ,$90.85 ,$148.67 , N/A ,$148.67 , N/A ,$156.93 , N/A ,$151.97 , N/A ,$150.32 , N/A ,$101.66 ,$106.38 ,$101.66 ,$148.67 ,$148.67 ,$123.89 ,$115.63 , N/A , N/A ,$154.45 , N/A , N/A ,$143.72 , N/A ,$148.67 , N/A ,$148.67 ,$148.67 ,$148.67 ,$160.23 ,$133.80 ,$148.67 ,$148.67 ,$148.67 ,$148.67 ST. JOSEPH'S - CHIPPEWA FALLS,91100001,N/A,HC BH/REHAB COUNSELING,911,1 ,$546.50 ,$409.88 ,$150.00 ,$546.50 ,$351.95 , N/A ,$382.55 , N/A ,$453.60 , N/A ,$360.69 ,$519.18 ,$150.00 ,$437.20 ,$497.32 , N/A ,$513.71 ,$519.18 ,$491.85 ,$464.53 , N/A , N/A , N/A ,$398.95 , N/A ,$486.39 ,$491.85 ,$491.85 ,$437.20 , N/A ,$300.58 ,$491.85 , N/A ,$491.85 , N/A ,$519.18 , N/A ,$502.78 , N/A ,$497.32 , N/A ,$336.32 ,$351.95 ,$336.32 ,$491.85 ,$491.85 ,$409.88 ,$382.55 , N/A , N/A ,$510.98 , N/A , N/A ,$475.46 , N/A ,$491.85 , N/A ,$491.85 ,$491.85 ,$491.85 ,$530.11 ,$442.67 ,$491.85 ,$491.85 ,$491.85 ,$491.85 ST. JOSEPH'S - CHIPPEWA FALLS,91400001,90791,HC EVAL PSYCH DIAG MASTERS,914,1 ,$759.00 ,$569.25 ,$70.00 ,$759.00 ,$488.80 ,$129.42 ,$531.30 ,$81.49 ,$319.00 ,$83.93 ,$255.00 ,$721.05 ,$70.00 ,$607.20 ,$690.69 ,$81.49 ,$713.46 ,$721.05 ,$683.10 ,$645.15 ,$81.49 ,$81.49 ,$81.49 ,$554.07 ,$129.42 ,$675.51 ,$683.10 ,$683.10 ,$607.20 ,$133.30 ,$417.45 ,$683.10 ,$129.42 ,$683.10 ,$129.42 ,$721.05 ,$291.20 ,$698.28 ,$86.38 ,$690.69 ,$129.42 ,$467.09 ,$488.80 ,$467.09 ,$683.10 ,$683.10 ,$569.25 ,$531.30 ,$130.71 ,$85.56 ,$709.67 ,$135.89 ,$81.49 ,$660.33 ,$129.42 ,$683.10 ,$129.42 ,$683.10 ,$683.10 ,$683.10 ,$736.23 ,$614.79 ,$683.10 ,$683.10 ,$683.10 ,$683.10 ST. JOSEPH'S - CHIPPEWA FALLS,91400003,90791,HC EVAL PSYCH DIAG 60 MIN,914,1 ,$374.29 ,$280.72 ,$70.00 ,$374.29 ,$241.04 ,$129.42 ,$262.00 ,$81.49 ,$319.00 ,$83.93 ,$255.00 ,$355.58 ,$70.00 ,$299.43 ,$340.60 ,$81.49 ,$351.83 ,$355.58 ,$336.86 ,$318.15 ,$81.49 ,$81.49 ,$81.49 ,$273.23 ,$129.42 ,$333.12 ,$336.86 ,$336.86 ,$299.43 ,$133.30 ,$205.86 ,$336.86 ,$129.42 ,$336.86 ,$129.42 ,$355.58 ,$291.20 ,$344.35 ,$86.38 ,$340.60 ,$129.42 ,$230.34 ,$241.04 ,$230.34 ,$336.86 ,$336.86 ,$280.72 ,$262.00 ,$130.71 ,$85.56 ,$349.96 ,$135.89 ,$81.49 ,$325.63 ,$129.42 ,$336.86 ,$129.42 ,$336.86 ,$336.86 ,$336.86 ,$363.06 ,$303.17 ,$336.86 ,$336.86 ,$336.86 ,$336.86 ST. JOSEPH'S - CHIPPEWA FALLS,91400005,90832,HC THERAPY INDIVIDUAL PSYCH MASTERS 30MIN,914,1 ,$211.12 ,$158.34 ,$47.57 ,$291.20 ,$135.96 ,$129.42 ,$147.78 ,$47.57 ,$211.12 ,$49.00 ,$211.12 ,$200.56 ,$70.00 ,$168.90 ,$192.12 ,$47.57 ,$198.45 ,$200.56 ,$190.01 ,$179.45 ,$47.57 ,$47.57 ,$47.57 ,$154.12 ,$129.42 ,$187.90 ,$190.01 ,$190.01 ,$168.90 ,$133.30 ,$116.12 ,$190.01 ,$129.42 ,$190.01 ,$129.42 ,$200.56 ,$291.20 ,$194.23 ,$50.42 ,$192.12 ,$129.42 ,$129.92 ,$135.96 ,$129.92 ,$190.01 ,$190.01 ,$158.34 ,$147.78 ,$130.71 ,$49.95 ,$197.40 ,$135.89 ,$47.57 ,$183.67 ,$129.42 ,$190.01 ,$129.42 ,$190.01 ,$190.01 ,$190.01 ,$204.79 ,$171.01 ,$190.01 ,$190.01 ,$190.01 ,$190.01 ST. JOSEPH'S - CHIPPEWA FALLS,91400006,90832,HC THERAPY INDIVIDUAL PSYCH PHD 30MIN,914,1 ,$245.71 ,$184.28 ,$47.57 ,$291.20 ,$158.24 ,$129.42 ,$172.00 ,$47.57 ,$245.71 ,$49.00 ,$245.71 ,$233.42 ,$70.00 ,$196.57 ,$223.60 ,$47.57 ,$230.97 ,$233.42 ,$221.14 ,$208.85 ,$47.57 ,$47.57 ,$47.57 ,$179.37 ,$129.42 ,$218.68 ,$221.14 ,$221.14 ,$196.57 ,$133.30 ,$135.14 ,$221.14 ,$129.42 ,$221.14 ,$129.42 ,$233.42 ,$291.20 ,$226.05 ,$50.42 ,$223.60 ,$129.42 ,$151.21 ,$158.24 ,$151.21 ,$221.14 ,$221.14 ,$184.28 ,$172.00 ,$130.71 ,$49.95 ,$229.74 ,$135.89 ,$47.57 ,$213.77 ,$129.42 ,$221.14 ,$129.42 ,$221.14 ,$221.14 ,$221.14 ,$238.34 ,$199.03 ,$221.14 ,$221.14 ,$221.14 ,$221.14 ST. JOSEPH'S - CHIPPEWA FALLS,91400008,90834,HC THERAPY INDIVIDUAL PSYCH MASTERS 45MIN,914,1 ,$354.20 ,$265.65 ,$46.53 ,$354.20 ,$228.10 ,$129.42 ,$247.94 ,$46.53 ,$319.00 ,$47.93 ,$255.00 ,$336.49 ,$70.00 ,$283.36 ,$322.32 ,$46.53 ,$332.95 ,$336.49 ,$318.78 ,$301.07 ,$46.53 ,$46.53 ,$46.53 ,$258.57 ,$129.42 ,$315.24 ,$318.78 ,$318.78 ,$283.36 ,$133.30 ,$194.81 ,$318.78 ,$129.42 ,$318.78 ,$129.42 ,$336.49 ,$291.20 ,$325.86 ,$49.32 ,$322.32 ,$129.42 ,$217.97 ,$228.10 ,$217.97 ,$318.78 ,$318.78 ,$265.65 ,$247.94 ,$130.71 ,$48.86 ,$331.18 ,$135.89 ,$46.53 ,$308.15 ,$129.42 ,$318.78 ,$129.42 ,$318.78 ,$318.78 ,$318.78 ,$343.57 ,$286.90 ,$318.78 ,$318.78 ,$318.78 ,$318.78 ST. JOSEPH'S - CHIPPEWA FALLS,91400009,90834,HC THERAPY INDIVIDUAL PSYCH PHD 45MIN,914,1 ,$368.56 ,$276.42 ,$46.53 ,$368.56 ,$237.35 ,$129.42 ,$257.99 ,$46.53 ,$319.00 ,$47.93 ,$255.00 ,$350.13 ,$70.00 ,$294.85 ,$335.39 ,$46.53 ,$346.45 ,$350.13 ,$331.70 ,$313.28 ,$46.53 ,$46.53 ,$46.53 ,$269.05 ,$129.42 ,$328.02 ,$331.70 ,$331.70 ,$294.85 ,$133.30 ,$202.71 ,$331.70 ,$129.42 ,$331.70 ,$129.42 ,$350.13 ,$291.20 ,$339.08 ,$49.32 ,$335.39 ,$129.42 ,$226.81 ,$237.35 ,$226.81 ,$331.70 ,$331.70 ,$276.42 ,$257.99 ,$130.71 ,$48.86 ,$344.60 ,$135.89 ,$46.53 ,$320.65 ,$129.42 ,$331.70 ,$129.42 ,$331.70 ,$331.70 ,$331.70 ,$357.50 ,$298.53 ,$331.70 ,$331.70 ,$331.70 ,$331.70 ST. JOSEPH'S - CHIPPEWA FALLS,91400010,90837,HC THERAPY INDIVIDUAL PSYCH MASTERS 60MIN,914,1 ,$462.30 ,$346.73 ,$46.53 ,$462.30 ,$297.72 ,$129.42 ,$323.61 ,$46.53 ,$319.00 ,$47.93 ,$255.00 ,$439.19 ,$70.00 ,$369.84 ,$420.69 ,$46.53 ,$434.56 ,$439.19 ,$416.07 ,$392.96 ,$46.53 ,$46.53 ,$46.53 ,$337.48 ,$129.42 ,$411.45 ,$416.07 ,$416.07 ,$369.84 ,$133.30 ,$254.27 ,$416.07 ,$129.42 ,$416.07 ,$129.42 ,$439.19 ,$291.20 ,$425.32 ,$49.32 ,$420.69 ,$129.42 ,$284.50 ,$297.72 ,$284.50 ,$416.07 ,$416.07 ,$346.73 ,$323.61 ,$130.71 ,$48.86 ,$432.25 ,$135.89 ,$46.53 ,$402.20 ,$129.42 ,$416.07 ,$129.42 ,$416.07 ,$416.07 ,$416.07 ,$448.43 ,$374.46 ,$416.07 ,$416.07 ,$416.07 ,$416.07 ST. JOSEPH'S - CHIPPEWA FALLS,91400011,90837,HC THERAPY INDIVIDUAL PSYCH PHD 60MIN,914,1 ,$491.42 ,$368.57 ,$46.53 ,$491.42 ,$316.47 ,$129.42 ,$343.99 ,$46.53 ,$319.00 ,$47.93 ,$255.00 ,$466.85 ,$70.00 ,$393.14 ,$447.19 ,$46.53 ,$461.93 ,$466.85 ,$442.28 ,$417.71 ,$46.53 ,$46.53 ,$46.53 ,$358.74 ,$129.42 ,$437.36 ,$442.28 ,$442.28 ,$393.14 ,$133.30 ,$270.28 ,$442.28 ,$129.42 ,$442.28 ,$129.42 ,$466.85 ,$291.20 ,$452.11 ,$49.32 ,$447.19 ,$129.42 ,$302.42 ,$316.47 ,$302.42 ,$442.28 ,$442.28 ,$368.57 ,$343.99 ,$130.71 ,$48.86 ,$459.48 ,$135.89 ,$46.53 ,$427.54 ,$129.42 ,$442.28 ,$129.42 ,$442.28 ,$442.28 ,$442.28 ,$476.68 ,$398.05 ,$442.28 ,$442.28 ,$442.28 ,$442.28 ST. JOSEPH'S - CHIPPEWA FALLS,91500001,90853,HC THERAPY GROUP PSYCH MASTERS 60MIN,915,1 ,$206.34 ,$154.76 ,$38.42 ,$206.34 ,$132.88 ,$72.51 ,$144.44 ,$38.42 ,$206.34 ,$39.57 ,$206.34 ,$196.02 ,$70.00 ,$165.07 ,$187.77 ,$38.42 ,$193.96 ,$196.02 ,$185.71 ,$175.39 ,$38.42 ,$38.42 ,$38.42 ,$150.63 ,$72.51 ,$183.64 ,$185.71 ,$185.71 ,$165.07 ,$74.69 ,$113.49 ,$185.71 ,$72.51 ,$185.71 ,$72.51 ,$196.02 ,$163.15 ,$189.83 ,$40.73 ,$187.77 ,$72.51 ,$126.98 ,$132.88 ,$126.98 ,$185.71 ,$185.71 ,$154.76 ,$144.44 ,$73.24 ,$40.34 ,$192.93 ,$76.14 ,$38.42 ,$179.52 ,$72.51 ,$185.71 ,$72.51 ,$185.71 ,$185.71 ,$185.71 ,$200.15 ,$167.14 ,$185.71 ,$185.71 ,$185.71 ,$185.71 ST. JOSEPH'S - CHIPPEWA FALLS,91500002,90853,HC THERAPY GROUP PSYCH MASTERS 90MIN,915,1 ,$219.65 ,$164.74 ,$38.42 ,$219.65 ,$141.45 ,$72.51 ,$153.76 ,$38.42 ,$219.65 ,$39.57 ,$219.65 ,$208.67 ,$70.00 ,$175.72 ,$199.88 ,$38.42 ,$206.47 ,$208.67 ,$197.69 ,$186.70 ,$38.42 ,$38.42 ,$38.42 ,$160.34 ,$72.51 ,$195.49 ,$197.69 ,$197.69 ,$175.72 ,$74.69 ,$120.81 ,$197.69 ,$72.51 ,$197.69 ,$72.51 ,$208.67 ,$163.15 ,$202.08 ,$40.73 ,$199.88 ,$72.51 ,$135.17 ,$141.45 ,$135.17 ,$197.69 ,$197.69 ,$164.74 ,$153.76 ,$73.24 ,$40.34 ,$205.37 ,$76.14 ,$38.42 ,$191.10 ,$72.51 ,$197.69 ,$72.51 ,$197.69 ,$197.69 ,$197.69 ,$213.06 ,$177.92 ,$197.69 ,$197.69 ,$197.69 ,$197.69 ST. JOSEPH'S - CHIPPEWA FALLS,91500003,90853,HC THERAPY GROUP PSYCH PHD,915,1 ,$57.26 ,$42.95 ,$31.49 ,$163.15 ,$36.88 ,$72.51 ,$40.08 ,$38.42 ,$57.26 ,$39.57 ,$57.26 ,$54.40 ,$57.26 ,$45.81 ,$52.11 ,$38.42 ,$53.82 ,$54.40 ,$51.53 ,$48.67 ,$38.42 ,$38.42 ,$38.42 ,$41.80 ,$72.51 ,$50.96 ,$51.53 ,$51.53 ,$45.81 ,$74.69 ,$31.49 ,$51.53 ,$72.51 ,$51.53 ,$72.51 ,$54.40 ,$163.15 ,$52.68 ,$40.73 ,$52.11 ,$72.51 ,$35.24 ,$36.88 ,$35.24 ,$51.53 ,$51.53 ,$42.95 ,$40.08 ,$73.24 ,$40.34 ,$53.54 ,$76.14 ,$38.42 ,$49.82 ,$72.51 ,$51.53 ,$72.51 ,$51.53 ,$51.53 ,$51.53 ,$55.54 ,$46.38 ,$51.53 ,$51.53 ,$51.53 ,$51.53 ST. JOSEPH'S - CHIPPEWA FALLS,91500004,G0410,HC THERAPY GROUP NON-FAMILY PER HOUR,915,1 ,$130.75 ,$98.06 ,$38.42 ,$130.75 ,$84.20 , N/A ,$91.53 ,$38.42 ,$130.75 ,$39.57 ,$130.75 ,$124.21 ,$70.00 ,$104.60 ,$118.98 ,$38.42 ,$122.91 ,$124.21 ,$117.68 ,$111.14 ,$38.42 ,$38.42 ,$38.42 ,$95.45 , N/A ,$116.37 ,$117.68 ,$117.68 ,$104.60 , N/A ,$71.91 ,$117.68 , N/A ,$117.68 , N/A ,$124.21 , N/A ,$120.29 ,$40.73 ,$118.98 , N/A ,$80.46 ,$84.20 ,$80.46 ,$117.68 ,$117.68 ,$98.06 ,$91.53 , N/A ,$40.34 ,$122.25 , N/A ,$38.42 ,$113.75 , N/A ,$117.68 , N/A ,$117.68 ,$117.68 ,$117.68 ,$126.83 ,$105.91 ,$117.68 ,$117.68 ,$117.68 ,$117.68 ST. JOSEPH'S - CHIPPEWA FALLS,91500005,G0411,HC THERAPY GROUP INTERACTIVE PER HR,915,1 ,$130.75 ,$98.06 ,$38.42 ,$130.75 ,$84.20 , N/A ,$91.53 ,$38.42 ,$130.75 ,$39.57 ,$130.75 ,$124.21 ,$70.00 ,$104.60 ,$118.98 ,$38.42 ,$122.91 ,$124.21 ,$117.68 ,$111.14 ,$38.42 ,$38.42 ,$38.42 ,$95.45 , N/A ,$116.37 ,$117.68 ,$117.68 ,$104.60 , N/A ,$71.91 ,$117.68 , N/A ,$117.68 , N/A ,$124.21 , N/A ,$120.29 ,$40.73 ,$118.98 , N/A ,$80.46 ,$84.20 ,$80.46 ,$117.68 ,$117.68 ,$98.06 ,$91.53 , N/A ,$40.34 ,$122.25 , N/A ,$38.42 ,$113.75 , N/A ,$117.68 , N/A ,$117.68 ,$117.68 ,$117.68 ,$126.83 ,$105.91 ,$117.68 ,$117.68 ,$117.68 ,$117.68 ST. JOSEPH'S - CHIPPEWA FALLS,91600003,90847,HC THERAPY FAMILY PSYCH W/PATIENT MASTERS,916,1 ,$462.30 ,$346.73 ,$46.64 ,$462.30 ,$297.72 ,$129.42 ,$323.61 ,$46.64 ,$319.00 ,$48.04 ,$255.00 ,$439.19 , N/A ,$369.84 ,$420.69 ,$46.64 ,$434.56 ,$439.19 ,$416.07 ,$392.96 ,$46.64 ,$46.64 ,$46.64 ,$337.48 ,$129.42 ,$411.45 ,$416.07 ,$416.07 ,$369.84 ,$133.30 ,$254.27 ,$416.07 ,$129.42 ,$416.07 ,$129.42 ,$439.19 ,$291.20 ,$425.32 ,$49.44 ,$420.69 ,$129.42 ,$284.50 ,$297.72 ,$284.50 ,$416.07 ,$416.07 ,$346.73 ,$323.61 ,$130.71 ,$48.97 ,$432.25 ,$135.89 ,$46.64 ,$402.20 ,$129.42 ,$416.07 ,$129.42 ,$416.07 ,$416.07 ,$416.07 ,$448.43 ,$374.46 ,$416.07 ,$416.07 ,$416.07 ,$416.07 ST. JOSEPH'S - CHIPPEWA FALLS,91600004,90847,HC THERAPY FAMILY PSYCH W/PATIENT PHD,916,1 ,$491.42 ,$368.57 ,$46.64 ,$491.42 ,$316.47 ,$129.42 ,$343.99 ,$46.64 ,$319.00 ,$48.04 ,$255.00 ,$466.85 , N/A ,$393.14 ,$447.19 ,$46.64 ,$461.93 ,$466.85 ,$442.28 ,$417.71 ,$46.64 ,$46.64 ,$46.64 ,$358.74 ,$129.42 ,$437.36 ,$442.28 ,$442.28 ,$393.14 ,$133.30 ,$270.28 ,$442.28 ,$129.42 ,$442.28 ,$129.42 ,$466.85 ,$291.20 ,$452.11 ,$49.44 ,$447.19 ,$129.42 ,$302.42 ,$316.47 ,$302.42 ,$442.28 ,$442.28 ,$368.57 ,$343.99 ,$130.71 ,$48.97 ,$459.48 ,$135.89 ,$46.64 ,$427.54 ,$129.42 ,$442.28 ,$129.42 ,$442.28 ,$442.28 ,$442.28 ,$476.68 ,$398.05 ,$442.28 ,$442.28 ,$442.28 ,$442.28 ST. JOSEPH'S - CHIPPEWA FALLS,92000001,59020,HC TEST STRESS FETAL,920,1 ,$668.19 ,$501.14 ,$85.39 ,$668.19 ,$430.31 ,$164.95 ,$467.73 ,$85.39 ,$554.60 ,$87.95 ,$441.01 ,$634.78 , N/A ,$534.55 ,$608.05 ,$85.39 ,$628.10 ,$634.78 ,$601.37 ,$567.96 ,$85.39 ,$85.39 ,$85.39 ,$487.78 ,$164.95 ,$594.69 ,$601.37 ,$601.37 ,$534.55 ,$169.90 ,$367.50 ,$601.37 ,$164.95 ,$601.37 ,$164.95 ,$634.78 ,$371.15 ,$614.73 ,$90.51 ,$608.05 ,$164.95 ,$411.20 ,$430.31 ,$411.20 ,$601.37 ,$601.37 ,$501.14 ,$467.73 ,$166.60 ,$89.66 ,$624.76 ,$173.20 ,$85.39 ,$581.33 ,$164.95 ,$601.37 ,$164.95 ,$601.37 ,$601.37 ,$601.37 ,$648.14 ,$541.23 ,$601.37 ,$601.37 ,$601.37 ,$601.37 ST. JOSEPH'S - CHIPPEWA FALLS,92000002,59025,HC TEST NON STRESS FETAL,920,1 ,$480.09 ,$360.07 ,$85.39 ,$480.09 ,$309.18 ,$164.95 ,$336.06 ,$85.39 ,$398.47 ,$87.95 ,$316.86 ,$456.09 , N/A ,$384.07 ,$436.88 ,$85.39 ,$451.28 ,$456.09 ,$432.08 ,$408.08 ,$85.39 ,$85.39 ,$85.39 ,$350.47 ,$164.95 ,$427.28 ,$432.08 ,$432.08 ,$384.07 ,$169.90 ,$264.05 ,$432.08 ,$164.95 ,$432.08 ,$164.95 ,$456.09 ,$371.15 ,$441.68 ,$90.51 ,$436.88 ,$164.95 ,$295.45 ,$309.18 ,$295.45 ,$432.08 ,$432.08 ,$360.07 ,$336.06 ,$166.60 ,$89.66 ,$448.88 ,$173.20 ,$85.39 ,$417.68 ,$164.95 ,$432.08 ,$164.95 ,$432.08 ,$432.08 ,$432.08 ,$465.69 ,$388.87 ,$432.08 ,$432.08 ,$432.08 ,$432.08 ST. JOSEPH'S - CHIPPEWA FALLS,92000012,93788,HC AMBUL BLOOD PRESS MONITR W/REPORT,920,1 ,$358.07 ,$268.55 ,$19.55 ,$358.07 ,$230.60 ,$108.42 ,$250.65 ,$19.55 ,$297.20 ,$20.14 ,$236.33 ,$340.17 , N/A ,$286.46 ,$325.84 ,$19.55 ,$336.59 ,$340.17 ,$322.26 ,$304.36 ,$19.55 ,$19.55 ,$19.55 ,$261.39 ,$108.42 ,$318.68 ,$322.26 ,$322.26 ,$286.46 ,$111.68 ,$196.94 ,$322.26 ,$108.42 ,$322.26 ,$108.42 ,$340.17 ,$243.95 ,$329.42 ,$20.72 ,$325.84 ,$108.42 ,$220.36 ,$230.60 ,$220.36 ,$322.26 ,$322.26 ,$268.55 ,$250.65 ,$109.51 ,$20.53 ,$334.80 ,$113.84 ,$19.55 ,$311.52 ,$108.42 ,$322.26 ,$108.42 ,$322.26 ,$322.26 ,$322.26 ,$347.33 ,$290.04 ,$322.26 ,$322.26 ,$322.26 ,$322.26 ST. JOSEPH'S - CHIPPEWA FALLS,92000013,95972,HC ANALYSIS PGS W/PROGRAMMING COMPLEX,920,1 ,$709.85 ,$532.39 ,$97.15 ,$709.85 ,$457.14 ,$97.15 ,$496.90 ,$99.20 ,$589.18 ,$102.18 ,$468.50 ,$674.36 , N/A ,$567.88 ,$645.96 ,$99.20 ,$667.26 ,$674.36 ,$638.87 ,$603.37 ,$99.20 ,$99.20 ,$99.20 ,$518.19 ,$97.15 ,$631.77 ,$638.87 ,$638.87 ,$567.88 ,$100.06 ,$390.42 ,$638.87 ,$97.15 ,$638.87 ,$97.15 ,$674.36 ,$218.59 ,$653.06 ,$105.15 ,$645.96 ,$97.15 ,$436.84 ,$457.14 ,$436.84 ,$638.87 ,$638.87 ,$532.39 ,$496.90 ,$98.12 ,$104.16 ,$663.71 ,$102.01 ,$99.20 ,$617.57 ,$97.15 ,$638.87 ,$97.15 ,$638.87 ,$638.87 ,$638.87 ,$688.55 ,$574.98 ,$638.87 ,$638.87 ,$638.87 ,$638.87 ST. JOSEPH'S - CHIPPEWA FALLS,92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,475.89 ","$1,106.92 ",$49.96 ,"$1,475.89 ",$950.47 ,$222.88 ,"$1,033.12 ",$49.96 ,"$1,224.99 ",$51.46 ,$974.09 ,"$1,402.10 ", N/A ,"$1,180.71 ","$1,343.06 ",$49.96 ,"$1,387.34 ","$1,402.10 ","$1,328.30 ","$1,254.51 ",$49.96 ,$49.96 ,$49.96 ,"$1,077.40 ",$222.88 ,"$1,313.54 ","$1,328.30 ","$1,328.30 ","$1,180.71 ",$229.57 ,$811.74 ,"$1,328.30 ",$222.88 ,"$1,328.30 ",$222.88 ,"$1,402.10 ",$501.48 ,"$1,357.82 ",$52.96 ,"$1,343.06 ",$222.88 ,$908.26 ,$950.47 ,$908.26 ,"$1,328.30 ","$1,328.30 ","$1,106.92 ","$1,033.12 ",$225.11 ,$52.46 ,"$1,379.96 ",$234.02 ,$49.96 ,"$1,284.02 ",$222.88 ,"$1,328.30 ",$222.88 ,"$1,328.30 ","$1,328.30 ","$1,328.30 ","$1,431.61 ","$1,195.47 ","$1,328.30 ","$1,328.30 ","$1,328.30 ","$1,328.30 " ST. JOSEPH'S - CHIPPEWA FALLS,92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,$613.92 ,$460.44 ,$49.96 ,$613.92 ,$395.36 ,$105.54 ,$429.74 ,$49.96 ,$509.55 ,$51.46 ,$405.19 ,$583.22 , N/A ,$491.14 ,$558.67 ,$49.96 ,$577.08 ,$583.22 ,$552.53 ,$521.83 ,$49.96 ,$49.96 ,$49.96 ,$448.16 ,$105.54 ,$546.39 ,$552.53 ,$552.53 ,$491.14 ,$108.70 ,$337.66 ,$552.53 ,$105.54 ,$552.53 ,$105.54 ,$583.22 ,$237.46 ,$564.81 ,$52.96 ,$558.67 ,$105.54 ,$377.81 ,$395.36 ,$377.81 ,$552.53 ,$552.53 ,$460.44 ,$429.74 ,$106.59 ,$52.46 ,$574.02 ,$110.82 ,$49.96 ,$534.11 ,$105.54 ,$552.53 ,$105.54 ,$552.53 ,$552.53 ,$552.53 ,$595.50 ,$497.28 ,$552.53 ,$552.53 ,$552.53 ,$552.53 ST. JOSEPH'S - CHIPPEWA FALLS,92100004,93888,HC DOPPLER TRANSCRANIAL LTD,921,1 ,$391.10 ,$293.33 ,$49.96 ,$391.10 ,$251.87 ,$105.54 ,$273.77 ,$49.96 ,$324.61 ,$51.46 ,$258.13 ,$371.55 , N/A ,$312.88 ,$355.90 ,$49.96 ,$367.63 ,$371.55 ,$351.99 ,$332.44 ,$49.96 ,$49.96 ,$49.96 ,$285.50 ,$105.54 ,$348.08 ,$351.99 ,$351.99 ,$312.88 ,$108.70 ,$215.11 ,$351.99 ,$105.54 ,$351.99 ,$105.54 ,$371.55 ,$237.46 ,$359.81 ,$52.96 ,$355.90 ,$105.54 ,$240.68 ,$251.87 ,$240.68 ,$351.99 ,$351.99 ,$293.33 ,$273.77 ,$106.59 ,$52.46 ,$365.68 ,$110.82 ,$49.96 ,$340.26 ,$105.54 ,$351.99 ,$105.54 ,$351.99 ,$351.99 ,$351.99 ,$379.37 ,$316.79 ,$351.99 ,$351.99 ,$351.99 ,$351.99 ST. JOSEPH'S - CHIPPEWA FALLS,92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$331.28 ,$248.46 ,$76.32 ,$331.28 ,$213.34 ,$108.42 ,$231.90 ,$76.32 ,$274.96 ,$78.61 ,$218.64 ,$314.72 , N/A ,$265.02 ,$301.46 ,$76.32 ,$311.40 ,$314.72 ,$298.15 ,$281.59 ,$76.32 ,$76.32 ,$76.32 ,$241.83 ,$108.42 ,$294.84 ,$298.15 ,$298.15 ,$265.02 ,$111.68 ,$182.20 ,$298.15 ,$108.42 ,$298.15 ,$108.42 ,$314.72 ,$243.95 ,$304.78 ,$80.90 ,$301.46 ,$108.42 ,$203.87 ,$213.34 ,$203.87 ,$298.15 ,$298.15 ,$248.46 ,$231.90 ,$109.51 ,$80.14 ,$309.75 ,$113.84 ,$76.32 ,$288.21 ,$108.42 ,$298.15 ,$108.42 ,$298.15 ,$298.15 ,$298.15 ,$321.34 ,$268.34 ,$298.15 ,$298.15 ,$298.15 ,$298.15 ST. JOSEPH'S - CHIPPEWA FALLS,92100011,93922,HC TCPO2 UNLIATERAL 1-2 LEVEL - 93922-52,921,1 ,$331.28 ,$248.46 ,$54.21 ,$331.28 ,$213.34 ,$54.21 ,$231.90 ,$76.32 ,$274.96 ,$78.61 ,$218.64 ,$314.72 , N/A ,$265.02 ,$301.46 ,$76.32 ,$311.40 ,$314.72 ,$298.15 ,$281.59 ,$76.32 ,$76.32 ,$76.32 ,$241.83 ,$54.21 ,$294.84 ,$298.15 ,$298.15 ,$265.02 ,$55.84 ,$182.20 ,$298.15 ,$54.21 ,$298.15 ,$54.21 ,$314.72 ,$121.98 ,$304.78 ,$80.90 ,$301.46 ,$54.21 ,$203.87 ,$213.34 ,$203.87 ,$298.15 ,$298.15 ,$248.46 ,$231.90 ,$54.75 ,$80.14 ,$309.75 ,$56.92 ,$76.32 ,$288.21 ,$54.21 ,$298.15 ,$54.21 ,$298.15 ,$298.15 ,$298.15 ,$321.34 ,$268.34 ,$298.15 ,$298.15 ,$298.15 ,$298.15 ST. JOSEPH'S - CHIPPEWA FALLS,92100023,93923,HC TCPO2/ABI/PPG MULT LEVELS,921,1 ,$812.54 ,$609.41 ,$76.32 ,$812.54 ,$523.28 ,$135.15 ,$568.78 ,$76.32 ,$674.41 ,$78.61 ,$536.28 ,$771.91 , N/A ,$650.03 ,$739.41 ,$76.32 ,$763.79 ,$771.91 ,$731.29 ,$690.66 ,$76.32 ,$76.32 ,$76.32 ,$593.15 ,$135.15 ,$723.16 ,$731.29 ,$731.29 ,$650.03 ,$139.21 ,$446.90 ,$731.29 ,$135.15 ,$731.29 ,$135.15 ,$771.91 ,$304.10 ,$747.54 ,$80.90 ,$739.41 ,$135.15 ,$500.04 ,$523.28 ,$500.04 ,$731.29 ,$731.29 ,$609.41 ,$568.78 ,$136.51 ,$80.14 ,$759.72 ,$141.91 ,$76.32 ,$706.91 ,$135.15 ,$731.29 ,$135.15 ,$731.29 ,$731.29 ,$731.29 ,$788.16 ,$658.16 ,$731.29 ,$731.29 ,$731.29 ,$731.29 ST. JOSEPH'S - CHIPPEWA FALLS,92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,$812.54 ,$609.41 ,$76.32 ,$812.54 ,$523.28 ,$135.15 ,$568.78 ,$76.32 ,$674.41 ,$78.61 ,$536.28 ,$771.91 , N/A ,$650.03 ,$739.41 ,$76.32 ,$763.79 ,$771.91 ,$731.29 ,$690.66 ,$76.32 ,$76.32 ,$76.32 ,$593.15 ,$135.15 ,$723.16 ,$731.29 ,$731.29 ,$650.03 ,$139.21 ,$446.90 ,$731.29 ,$135.15 ,$731.29 ,$135.15 ,$771.91 ,$304.10 ,$747.54 ,$80.90 ,$739.41 ,$135.15 ,$500.04 ,$523.28 ,$500.04 ,$731.29 ,$731.29 ,$609.41 ,$568.78 ,$136.51 ,$80.14 ,$759.72 ,$141.91 ,$76.32 ,$706.91 ,$135.15 ,$731.29 ,$135.15 ,$731.29 ,$731.29 ,$731.29 ,$788.16 ,$658.16 ,$731.29 ,$731.29 ,$731.29 ,$731.29 ST. JOSEPH'S - CHIPPEWA FALLS,92100031,93923,HC RESTING ARTERIAL UPPER BILATERAL,921,1 ,$812.54 ,$609.41 ,$76.32 ,$812.54 ,$523.28 ,$135.15 ,$568.78 ,$76.32 ,$674.41 ,$78.61 ,$536.28 ,$771.91 , N/A ,$650.03 ,$739.41 ,$76.32 ,$763.79 ,$771.91 ,$731.29 ,$690.66 ,$76.32 ,$76.32 ,$76.32 ,$593.15 ,$135.15 ,$723.16 ,$731.29 ,$731.29 ,$650.03 ,$139.21 ,$446.90 ,$731.29 ,$135.15 ,$731.29 ,$135.15 ,$771.91 ,$304.10 ,$747.54 ,$80.90 ,$739.41 ,$135.15 ,$500.04 ,$523.28 ,$500.04 ,$731.29 ,$731.29 ,$609.41 ,$568.78 ,$136.51 ,$80.14 ,$759.72 ,$141.91 ,$76.32 ,$706.91 ,$135.15 ,$731.29 ,$135.15 ,$731.29 ,$731.29 ,$731.29 ,$788.16 ,$658.16 ,$731.29 ,$731.29 ,$731.29 ,$731.29 ST. JOSEPH'S - CHIPPEWA FALLS,92100032,93924,HC DOPPLER ARTERY LWR EXT STRESS,921,1 ,$739.16 ,$554.37 ,$49.96 ,$739.16 ,$476.02 ,$256.12 ,$517.41 ,$49.96 ,$613.50 ,$51.46 ,$487.85 ,$702.20 , N/A ,$591.33 ,$672.64 ,$49.96 ,$694.81 ,$702.20 ,$665.24 ,$628.29 ,$49.96 ,$49.96 ,$49.96 ,$539.59 ,$256.12 ,$657.85 ,$665.24 ,$665.24 ,$591.33 ,$263.80 ,$406.54 ,$665.24 ,$256.12 ,$665.24 ,$256.12 ,$702.20 ,$576.27 ,$680.03 ,$52.96 ,$672.64 ,$256.12 ,$454.88 ,$476.02 ,$454.88 ,$665.24 ,$665.24 ,$554.37 ,$517.41 ,$258.68 ,$52.46 ,$691.11 ,$268.93 ,$49.96 ,$643.07 ,$256.12 ,$665.24 ,$256.12 ,$665.24 ,$665.24 ,$665.24 ,$716.99 ,$598.72 ,$665.24 ,$665.24 ,$665.24 ,$665.24 ST. JOSEPH'S - CHIPPEWA FALLS,92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,$966.28 ,$724.71 ,$63.07 ,$966.28 ,$622.28 ,$222.88 ,$676.40 ,$63.07 ,$802.01 ,$64.96 ,$637.74 ,$917.97 , N/A ,$773.02 ,$879.31 ,$63.07 ,$908.30 ,$917.97 ,$869.65 ,$821.34 ,$63.07 ,$63.07 ,$63.07 ,$705.38 ,$222.88 ,$859.99 ,$869.65 ,$869.65 ,$773.02 ,$229.57 ,$531.45 ,$869.65 ,$222.88 ,$869.65 ,$222.88 ,$917.97 ,$501.48 ,$888.98 ,$66.85 ,$879.31 ,$222.88 ,$594.65 ,$622.28 ,$594.65 ,$869.65 ,$869.65 ,$724.71 ,$676.40 ,$225.11 ,$66.22 ,$903.47 ,$234.02 ,$63.07 ,$840.66 ,$222.88 ,$869.65 ,$222.88 ,$869.65 ,$869.65 ,$869.65 ,$937.29 ,$782.69 ,$869.65 ,$869.65 ,$869.65 ,$869.65 ST. JOSEPH'S - CHIPPEWA FALLS,92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,$729.71 ,$547.28 ,$49.96 ,$729.71 ,$469.93 ,$105.54 ,$510.80 ,$49.96 ,$605.66 ,$51.46 ,$481.61 ,$693.22 , N/A ,$583.77 ,$664.04 ,$49.96 ,$685.93 ,$693.22 ,$656.74 ,$620.25 ,$49.96 ,$49.96 ,$49.96 ,$532.69 ,$105.54 ,$649.44 ,$656.74 ,$656.74 ,$583.77 ,$108.70 ,$401.34 ,$656.74 ,$105.54 ,$656.74 ,$105.54 ,$693.22 ,$237.46 ,$671.33 ,$52.96 ,$664.04 ,$105.54 ,$449.06 ,$469.93 ,$449.06 ,$656.74 ,$656.74 ,$547.28 ,$510.80 ,$106.59 ,$52.46 ,$682.28 ,$110.82 ,$49.96 ,$634.85 ,$105.54 ,$656.74 ,$105.54 ,$656.74 ,$656.74 ,$656.74 ,$707.82 ,$591.07 ,$656.74 ,$656.74 ,$656.74 ,$656.74 ST. JOSEPH'S - CHIPPEWA FALLS,92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$1,059.38 ",$794.54 ,$49.96 ,"$1,059.38 ",$682.24 ,$222.88 ,$741.57 ,$49.96 ,$879.29 ,$51.46 ,$699.19 ,"$1,006.41 ", N/A ,$847.50 ,$964.04 ,$49.96 ,$995.82 ,"$1,006.41 ",$953.44 ,$900.47 ,$49.96 ,$49.96 ,$49.96 ,$773.35 ,$222.88 ,$942.85 ,$953.44 ,$953.44 ,$847.50 ,$229.57 ,$582.66 ,$953.44 ,$222.88 ,$953.44 ,$222.88 ,"$1,006.41 ",$501.48 ,$974.63 ,$52.96 ,$964.04 ,$222.88 ,$651.94 ,$682.24 ,$651.94 ,$953.44 ,$953.44 ,$794.54 ,$741.57 ,$225.11 ,$52.46 ,$990.52 ,$234.02 ,$49.96 ,$921.66 ,$222.88 ,$953.44 ,$222.88 ,$953.44 ,$953.44 ,$953.44 ,"$1,027.60 ",$858.10 ,$953.44 ,$953.44 ,$953.44 ,$953.44 ST. JOSEPH'S - CHIPPEWA FALLS,92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,$836.35 ,$627.26 ,$49.96 ,$836.35 ,$538.61 ,$105.54 ,$585.45 ,$49.96 ,$694.17 ,$51.46 ,$551.99 ,$794.53 , N/A ,$669.08 ,$761.08 ,$49.96 ,$786.17 ,$794.53 ,$752.72 ,$710.90 ,$49.96 ,$49.96 ,$49.96 ,$610.54 ,$105.54 ,$744.35 ,$752.72 ,$752.72 ,$669.08 ,$108.70 ,$459.99 ,$752.72 ,$105.54 ,$752.72 ,$105.54 ,$794.53 ,$237.46 ,$769.44 ,$52.96 ,$761.08 ,$105.54 ,$514.69 ,$538.61 ,$514.69 ,$752.72 ,$752.72 ,$627.26 ,$585.45 ,$106.59 ,$52.46 ,$781.99 ,$110.82 ,$49.96 ,$727.62 ,$105.54 ,$752.72 ,$105.54 ,$752.72 ,$752.72 ,$752.72 ,$811.26 ,$677.44 ,$752.72 ,$752.72 ,$752.72 ,$752.72 ST. JOSEPH'S - CHIPPEWA FALLS,92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$1,159.71 ",$869.78 ,$63.07 ,"$1,159.71 ",$746.85 ,$222.88 ,$811.80 ,$63.07 ,$962.56 ,$64.96 ,$765.41 ,"$1,101.72 ", N/A ,$927.77 ,"$1,055.34 ",$63.07 ,"$1,090.13 ","$1,101.72 ","$1,043.74 ",$985.75 ,$63.07 ,$63.07 ,$63.07 ,$846.59 ,$222.88 ,"$1,032.14 ","$1,043.74 ","$1,043.74 ",$927.77 ,$229.57 ,$637.84 ,"$1,043.74 ",$222.88 ,"$1,043.74 ",$222.88 ,"$1,101.72 ",$501.48 ,"$1,066.93 ",$66.85 ,"$1,055.34 ",$222.88 ,$713.69 ,$746.85 ,$713.69 ,"$1,043.74 ","$1,043.74 ",$869.78 ,$811.80 ,$225.11 ,$66.22 ,"$1,084.33 ",$234.02 ,$63.07 ,"$1,008.95 ",$222.88 ,"$1,043.74 ",$222.88 ,"$1,043.74 ","$1,043.74 ","$1,043.74 ","$1,124.92 ",$939.37 ,"$1,043.74 ","$1,043.74 ","$1,043.74 ","$1,043.74 " ST. JOSEPH'S - CHIPPEWA FALLS,92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,$867.12 ,$650.34 ,$49.96 ,$867.12 ,$558.43 ,$105.54 ,$606.98 ,$49.96 ,$719.71 ,$51.46 ,$572.30 ,$823.76 , N/A ,$693.70 ,$789.08 ,$49.96 ,$815.09 ,$823.76 ,$780.41 ,$737.05 ,$49.96 ,$49.96 ,$49.96 ,$633.00 ,$105.54 ,$771.74 ,$780.41 ,$780.41 ,$693.70 ,$108.70 ,$476.92 ,$780.41 ,$105.54 ,$780.41 ,$105.54 ,$823.76 ,$237.46 ,$797.75 ,$52.96 ,$789.08 ,$105.54 ,$533.63 ,$558.43 ,$533.63 ,$780.41 ,$780.41 ,$650.34 ,$606.98 ,$106.59 ,$52.46 ,$810.76 ,$110.82 ,$49.96 ,$754.39 ,$105.54 ,$780.41 ,$105.54 ,$780.41 ,$780.41 ,$780.41 ,$841.11 ,$702.37 ,$780.41 ,$780.41 ,$780.41 ,$780.41 ST. JOSEPH'S - CHIPPEWA FALLS,92100044,93971,HC VENOUS REFLUX ASSESSMENT UNILAT,921,1 ,$867.12 ,$650.34 ,$49.96 ,$867.12 ,$558.43 ,$105.54 ,$606.98 ,$49.96 ,$719.71 ,$51.46 ,$572.30 ,$823.76 , N/A ,$693.70 ,$789.08 ,$49.96 ,$815.09 ,$823.76 ,$780.41 ,$737.05 ,$49.96 ,$49.96 ,$49.96 ,$633.00 ,$105.54 ,$771.74 ,$780.41 ,$780.41 ,$693.70 ,$108.70 ,$476.92 ,$780.41 ,$105.54 ,$780.41 ,$105.54 ,$823.76 ,$237.46 ,$797.75 ,$52.96 ,$789.08 ,$105.54 ,$533.63 ,$558.43 ,$533.63 ,$780.41 ,$780.41 ,$650.34 ,$606.98 ,$106.59 ,$52.46 ,$810.76 ,$110.82 ,$49.96 ,$754.39 ,$105.54 ,$780.41 ,$105.54 ,$780.41 ,$780.41 ,$780.41 ,$841.11 ,$702.37 ,$780.41 ,$780.41 ,$780.41 ,$780.41 ST. JOSEPH'S - CHIPPEWA FALLS,92100046,93990,HC DUPLEX HEMODIALYSIS ACCESS,921,1 ,$346.84 ,$260.13 ,$49.96 ,$346.84 ,$223.37 ,$105.54 ,$242.79 ,$49.96 ,$287.88 ,$51.46 ,$228.91 ,$329.50 , N/A ,$277.47 ,$315.62 ,$49.96 ,$326.03 ,$329.50 ,$312.16 ,$294.81 ,$49.96 ,$49.96 ,$49.96 ,$253.19 ,$105.54 ,$308.69 ,$312.16 ,$312.16 ,$277.47 ,$108.70 ,$190.76 ,$312.16 ,$105.54 ,$312.16 ,$105.54 ,$329.50 ,$237.46 ,$319.09 ,$52.96 ,$315.62 ,$105.54 ,$213.45 ,$223.37 ,$213.45 ,$312.16 ,$312.16 ,$260.13 ,$242.79 ,$106.59 ,$52.46 ,$324.30 ,$110.82 ,$49.96 ,$301.75 ,$105.54 ,$312.16 ,$105.54 ,$312.16 ,$312.16 ,$312.16 ,$336.43 ,$280.94 ,$312.16 ,$312.16 ,$312.16 ,$312.16 ST. JOSEPH'S - CHIPPEWA FALLS,92100053,93985,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL BILATERAL STUDY,921,1 ,$605.52 ,$454.14 ,$49.96 ,$605.52 ,$389.95 ,$222.88 ,$423.86 ,$49.96 ,$502.58 ,$51.46 ,$399.64 ,$575.24 , N/A ,$484.42 ,$551.02 ,$49.96 ,$569.19 ,$575.24 ,$544.97 ,$514.69 ,$49.96 ,$49.96 ,$49.96 ,$442.03 ,$222.88 ,$538.91 ,$544.97 ,$544.97 ,$484.42 ,$229.57 ,$333.04 ,$544.97 ,$222.88 ,$544.97 ,$222.88 ,$575.24 ,$501.48 ,$557.08 ,$52.96 ,$551.02 ,$222.88 ,$372.64 ,$389.95 ,$372.64 ,$544.97 ,$544.97 ,$454.14 ,$423.86 ,$225.11 ,$52.46 ,$566.16 ,$234.02 ,$49.96 ,$526.80 ,$222.88 ,$544.97 ,$222.88 ,$544.97 ,$544.97 ,$544.97 ,$587.35 ,$490.47 ,$544.97 ,$544.97 ,$544.97 ,$544.97 ST. JOSEPH'S - CHIPPEWA FALLS,92100054,93986,HC DUPLEX SCAN ARTERIAL/VENOUS HEMO ACCESS COMPL UNILATERAL STUDY,921,1 ,$605.52 ,$454.14 ,$49.96 ,$605.52 ,$389.95 ,$105.54 ,$423.86 ,$49.96 ,$502.58 ,$51.46 ,$399.64 ,$575.24 , N/A ,$484.42 ,$551.02 ,$49.96 ,$569.19 ,$575.24 ,$544.97 ,$514.69 ,$49.96 ,$49.96 ,$49.96 ,$442.03 ,$105.54 ,$538.91 ,$544.97 ,$544.97 ,$484.42 ,$108.70 ,$333.04 ,$544.97 ,$105.54 ,$544.97 ,$105.54 ,$575.24 ,$237.46 ,$557.08 ,$52.96 ,$551.02 ,$105.54 ,$372.64 ,$389.95 ,$372.64 ,$544.97 ,$544.97 ,$454.14 ,$423.86 ,$106.59 ,$52.46 ,$566.16 ,$110.82 ,$49.96 ,$526.80 ,$105.54 ,$544.97 ,$105.54 ,$544.97 ,$544.97 ,$544.97 ,$587.35 ,$490.47 ,$544.97 ,$544.97 ,$544.97 ,$544.97 ST. JOSEPH'S - CHIPPEWA FALLS,92200000,95860,HC EMG ONE EXTREMITY,922,1 ,$354.56 ,$265.92 ,$108.42 ,$354.56 ,$228.34 ,$108.42 ,$248.19 ,$110.54 ,$294.28 ,$113.86 ,$234.01 ,$336.83 , N/A ,$283.65 ,$322.65 ,$110.54 ,$333.29 ,$336.83 ,$319.10 ,$301.38 ,$110.54 ,$110.54 ,$110.54 ,$258.83 ,$108.42 ,$315.56 ,$319.10 ,$319.10 ,$283.65 ,$111.68 ,$195.01 ,$319.10 ,$108.42 ,$319.10 ,$108.42 ,$336.83 ,$243.95 ,$326.20 ,$117.17 ,$322.65 ,$108.42 ,$218.20 ,$228.34 ,$218.20 ,$319.10 ,$319.10 ,$265.92 ,$248.19 ,$109.51 ,$116.07 ,$331.51 ,$113.84 ,$110.54 ,$308.47 ,$108.42 ,$319.10 ,$108.42 ,$319.10 ,$319.10 ,$319.10 ,$343.92 ,$287.19 ,$319.10 ,$319.10 ,$319.10 ,$319.10 ST. JOSEPH'S - CHIPPEWA FALLS,92200001,95861,HC EMG TWO EXTREMITIES,922,1 ,$763.17 ,$572.38 ,$108.42 ,$763.17 ,$491.48 ,$108.42 ,$534.22 ,$110.54 ,$633.43 ,$113.86 ,$503.69 ,$725.01 , N/A ,$610.54 ,$694.48 ,$110.54 ,$717.38 ,$725.01 ,$686.85 ,$648.69 ,$110.54 ,$110.54 ,$110.54 ,$557.11 ,$108.42 ,$679.22 ,$686.85 ,$686.85 ,$610.54 ,$111.68 ,$419.74 ,$686.85 ,$108.42 ,$686.85 ,$108.42 ,$725.01 ,$243.95 ,$702.12 ,$117.17 ,$694.48 ,$108.42 ,$469.65 ,$491.48 ,$469.65 ,$686.85 ,$686.85 ,$572.38 ,$534.22 ,$109.51 ,$116.07 ,$713.56 ,$113.84 ,$110.54 ,$663.96 ,$108.42 ,$686.85 ,$108.42 ,$686.85 ,$686.85 ,$686.85 ,$740.27 ,$618.17 ,$686.85 ,$686.85 ,$686.85 ,$686.85 ST. JOSEPH'S - CHIPPEWA FALLS,92200003,95867,HC EMG CRANIAL NERVE UNI,922,1 ,$330.43 ,$247.82 ,$110.54 ,$576.27 ,$212.80 ,$256.12 ,$231.30 ,$110.54 ,$274.26 ,$113.86 ,$218.08 ,$313.91 , N/A ,$264.34 ,$300.69 ,$110.54 ,$310.60 ,$313.91 ,$297.39 ,$280.87 ,$110.54 ,$110.54 ,$110.54 ,$241.21 ,$256.12 ,$294.08 ,$297.39 ,$297.39 ,$264.34 ,$263.80 ,$181.74 ,$297.39 ,$256.12 ,$297.39 ,$256.12 ,$313.91 ,$576.27 ,$304.00 ,$117.17 ,$300.69 ,$256.12 ,$203.35 ,$212.80 ,$203.35 ,$297.39 ,$297.39 ,$247.82 ,$231.30 ,$258.68 ,$116.07 ,$308.95 ,$268.93 ,$110.54 ,$287.47 ,$256.12 ,$297.39 ,$256.12 ,$297.39 ,$297.39 ,$297.39 ,$320.52 ,$267.65 ,$297.39 ,$297.39 ,$297.39 ,$297.39 ST. JOSEPH'S - CHIPPEWA FALLS,92200008,95925,HC SSEP UPPER LIMBS,922,1 ,$736.08 ,$552.06 ,$110.54 ,$736.08 ,$474.04 ,$256.12 ,$515.26 ,$110.54 ,$610.95 ,$113.86 ,$485.81 ,$699.28 , N/A ,$588.86 ,$669.83 ,$110.54 ,$691.92 ,$699.28 ,$662.47 ,$625.67 ,$110.54 ,$110.54 ,$110.54 ,$537.34 ,$256.12 ,$655.11 ,$662.47 ,$662.47 ,$588.86 ,$263.80 ,$404.84 ,$662.47 ,$256.12 ,$662.47 ,$256.12 ,$699.28 ,$576.27 ,$677.19 ,$117.17 ,$669.83 ,$256.12 ,$452.98 ,$474.04 ,$452.98 ,$662.47 ,$662.47 ,$552.06 ,$515.26 ,$258.68 ,$116.07 ,$688.23 ,$268.93 ,$110.54 ,$640.39 ,$256.12 ,$662.47 ,$256.12 ,$662.47 ,$662.47 ,$662.47 ,$714.00 ,$596.22 ,$662.47 ,$662.47 ,$662.47 ,$662.47 ST. JOSEPH'S - CHIPPEWA FALLS,92200009,95926,HC SSEP LOWER LIMBS,922,1 ,$772.91 ,$579.68 ,$110.54 ,$772.91 ,$497.75 ,$256.12 ,$541.04 ,$110.54 ,$641.52 ,$113.86 ,$510.12 ,$734.26 , N/A ,$618.33 ,$703.35 ,$110.54 ,$726.54 ,$734.26 ,$695.62 ,$656.97 ,$110.54 ,$110.54 ,$110.54 ,$564.22 ,$256.12 ,$687.89 ,$695.62 ,$695.62 ,$618.33 ,$263.80 ,$425.10 ,$695.62 ,$256.12 ,$695.62 ,$256.12 ,$734.26 ,$576.27 ,$711.08 ,$117.17 ,$703.35 ,$256.12 ,$475.65 ,$497.75 ,$475.65 ,$695.62 ,$695.62 ,$579.68 ,$541.04 ,$258.68 ,$116.07 ,$722.67 ,$268.93 ,$110.54 ,$672.43 ,$256.12 ,$695.62 ,$256.12 ,$695.62 ,$695.62 ,$695.62 ,$749.72 ,$626.06 ,$695.62 ,$695.62 ,$695.62 ,$695.62 ST. JOSEPH'S - CHIPPEWA FALLS,92200015,95938,HC SSEP UPPER AND LOWER,922,1 ,$782.28 ,$586.71 ,$110.54 ,"$1,062.93 ",$503.79 ,$472.41 ,$547.60 ,$110.54 ,$649.29 ,$113.86 ,$516.30 ,$743.17 , N/A ,$625.82 ,$711.87 ,$110.54 ,$735.34 ,$743.17 ,$704.05 ,$664.94 ,$110.54 ,$110.54 ,$110.54 ,$571.06 ,$472.41 ,$696.23 ,$704.05 ,$704.05 ,$625.82 ,$486.59 ,$430.25 ,$704.05 ,$472.41 ,$704.05 ,$472.41 ,$743.17 ,"$1,062.93 ",$719.70 ,$117.17 ,$711.87 ,$472.41 ,$481.42 ,$503.79 ,$481.42 ,$704.05 ,$704.05 ,$586.71 ,$547.60 ,$477.14 ,$116.07 ,$731.43 ,$496.03 ,$110.54 ,$680.58 ,$472.41 ,$704.05 ,$472.41 ,$704.05 ,$704.05 ,$704.05 ,$758.81 ,$633.65 ,$704.05 ,$704.05 ,$704.05 ,$704.05 ST. JOSEPH'S - CHIPPEWA FALLS,92200021,95907,HC NVR CNDJ TST 1-2 STUDIES,922,1 ,$476.03 ,$357.02 ,$110.54 ,$476.03 ,$306.56 ,$135.15 ,$333.22 ,$110.54 ,$395.10 ,$113.86 ,$314.18 ,$452.23 , N/A ,$380.82 ,$433.19 ,$110.54 ,$447.47 ,$452.23 ,$428.43 ,$404.63 ,$110.54 ,$110.54 ,$110.54 ,$347.50 ,$135.15 ,$423.67 ,$428.43 ,$428.43 ,$380.82 ,$139.21 ,$261.82 ,$428.43 ,$135.15 ,$428.43 ,$135.15 ,$452.23 ,$304.10 ,$437.95 ,$117.17 ,$433.19 ,$135.15 ,$292.95 ,$306.56 ,$292.95 ,$428.43 ,$428.43 ,$357.02 ,$333.22 ,$136.51 ,$116.07 ,$445.09 ,$141.91 ,$110.54 ,$414.15 ,$135.15 ,$428.43 ,$135.15 ,$428.43 ,$428.43 ,$428.43 ,$461.75 ,$385.58 ,$428.43 ,$428.43 ,$428.43 ,$428.43 ST. JOSEPH'S - CHIPPEWA FALLS,92200028,95868,HC EMG CRANIAL NERVE BILAT,922,1 ,$881.22 ,$660.92 ,$110.54 ,$881.22 ,$567.51 ,$256.12 ,$616.85 ,$110.54 ,$731.41 ,$113.86 ,$581.61 ,$837.16 , N/A ,$704.98 ,$801.91 ,$110.54 ,$828.35 ,$837.16 ,$793.10 ,$749.04 ,$110.54 ,$110.54 ,$110.54 ,$643.29 ,$256.12 ,$784.29 ,$793.10 ,$793.10 ,$704.98 ,$263.80 ,$484.67 ,$793.10 ,$256.12 ,$793.10 ,$256.12 ,$837.16 ,$576.27 ,$810.72 ,$117.17 ,$801.91 ,$256.12 ,$542.30 ,$567.51 ,$542.30 ,$793.10 ,$793.10 ,$660.92 ,$616.85 ,$258.68 ,$116.07 ,$823.94 ,$268.93 ,$110.54 ,$766.66 ,$256.12 ,$793.10 ,$256.12 ,$793.10 ,$793.10 ,$793.10 ,$854.78 ,$713.79 ,$793.10 ,$793.10 ,$793.10 ,$793.10 ST. JOSEPH'S - CHIPPEWA FALLS,92200029,95870,HC EMG NON LIMB,922,1 ,$204.77 ,$153.58 ,$108.42 ,$243.95 ,$131.87 ,$108.42 ,$143.34 ,$110.54 ,$169.96 ,$113.86 ,$135.15 ,$194.53 , N/A ,$163.82 ,$186.34 ,$110.54 ,$192.48 ,$194.53 ,$184.29 ,$174.05 ,$110.54 ,$110.54 ,$110.54 ,$149.48 ,$108.42 ,$182.25 ,$184.29 ,$184.29 ,$163.82 ,$111.68 ,$112.62 ,$184.29 ,$108.42 ,$184.29 ,$108.42 ,$194.53 ,$243.95 ,$188.39 ,$117.17 ,$186.34 ,$108.42 ,$126.02 ,$131.87 ,$126.02 ,$184.29 ,$184.29 ,$153.58 ,$143.34 ,$109.51 ,$116.07 ,$191.46 ,$113.84 ,$110.54 ,$178.15 ,$108.42 ,$184.29 ,$108.42 ,$184.29 ,$184.29 ,$184.29 ,$198.63 ,$165.86 ,$184.29 ,$184.29 ,$184.29 ,$184.29 ST. JOSEPH'S - CHIPPEWA FALLS,94000101,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$242.68 ,$182.01 ,$17.61 ,$243.95 ,$156.29 ,$108.42 ,$169.88 ,$17.61 ,$201.42 ,$18.14 ,$160.17 ,$230.55 , N/A ,$194.14 ,$220.84 ,$17.61 ,$228.12 ,$230.55 ,$218.41 ,$206.28 ,$17.61 ,$17.61 ,$17.61 ,$177.16 ,$108.42 ,$215.99 ,$218.41 ,$218.41 ,$194.14 ,$111.68 ,$133.47 ,$218.41 ,$108.42 ,$218.41 ,$108.42 ,$230.55 ,$243.95 ,$223.27 ,$18.67 ,$220.84 ,$108.42 ,$149.35 ,$156.29 ,$149.35 ,$218.41 ,$218.41 ,$182.01 ,$169.88 ,$109.51 ,$18.49 ,$226.91 ,$113.84 ,$17.61 ,$211.13 ,$108.42 ,$218.41 ,$108.42 ,$218.41 ,$218.41 ,$218.41 ,$235.40 ,$196.57 ,$218.41 ,$218.41 ,$218.41 ,$218.41 ST. JOSEPH'S - CHIPPEWA FALLS,94000103,E0202,HC PHOTO THERAPY INITIATE,940,1 ,$370.27 ,$277.70 ,$74.05 ,$370.27 ,$238.45 ,$74.05 ,$259.19 , N/A ,$307.32 , N/A ,$244.38 ,$351.76 , N/A ,$296.22 ,$336.95 , N/A ,$348.05 ,$351.76 ,$333.24 ,$314.73 , N/A , N/A , N/A ,$270.30 ,$74.05 ,$329.54 ,$333.24 ,$333.24 ,$296.22 ,$76.28 ,$203.65 ,$333.24 ,$74.05 ,$333.24 ,$74.05 ,$351.76 ,$166.62 ,$340.65 , N/A ,$336.95 ,$74.05 ,$227.86 ,$238.45 ,$227.86 ,$333.24 ,$333.24 ,$277.70 ,$259.19 ,$74.79 , N/A ,$346.20 ,$77.75 , N/A ,$322.13 ,$74.05 ,$333.24 ,$74.05 ,$333.24 ,$333.24 ,$333.24 ,$359.16 ,$299.92 ,$333.24 ,$333.24 ,$333.24 ,$333.24 ST. JOSEPH'S - CHIPPEWA FALLS,94000104,96372,HC INJECTION IM/SUBQ,940,1 ,$135.31 ,$101.48 ,$14.00 ,$135.31 ,$87.14 ,$60.02 ,$94.72 ,$14.00 ,$112.31 ,$14.42 ,$89.30 ,$128.54 , N/A ,$108.25 ,$123.13 ,$14.00 ,$127.19 ,$128.54 ,$121.78 ,$115.01 ,$14.00 ,$14.00 ,$14.00 ,$98.78 ,$60.02 ,$120.43 ,$121.78 ,$121.78 ,$108.25 ,$61.82 ,$74.42 ,$121.78 ,$60.02 ,$121.78 ,$60.02 ,$128.54 ,$135.04 ,$124.49 ,$14.84 ,$123.13 ,$60.02 ,$83.27 ,$87.14 ,$83.27 ,$121.78 ,$121.78 ,$101.48 ,$94.72 ,$60.62 ,$14.70 ,$126.51 ,$63.02 ,$14.00 ,$117.72 ,$60.02 ,$121.78 ,$60.02 ,$121.78 ,$121.78 ,$121.78 ,$131.25 ,$109.60 ,$121.78 ,$121.78 ,$121.78 ,$121.78 ST. JOSEPH'S - CHIPPEWA FALLS,94000105,96374,HC INJ IV PUSH SINGL/INITIAL,940,1 ,$245.53 ,$184.15 ,$14.00 ,$443.45 ,$158.12 ,$197.09 ,$171.87 ,$14.00 ,$203.79 ,$14.42 ,$162.05 ,$233.25 , N/A ,$196.42 ,$223.43 ,$14.00 ,$230.80 ,$233.25 ,$220.98 ,$208.70 ,$14.00 ,$14.00 ,$14.00 ,$179.24 ,$197.09 ,$218.52 ,$220.98 ,$220.98 ,$196.42 ,$203.00 ,$135.04 ,$220.98 ,$197.09 ,$220.98 ,$197.09 ,$233.25 ,$443.45 ,$225.89 ,$14.84 ,$223.43 ,$197.09 ,$151.10 ,$158.12 ,$151.10 ,$220.98 ,$220.98 ,$184.15 ,$171.87 ,$199.06 ,$14.70 ,$229.57 ,$206.94 ,$14.00 ,$213.61 ,$197.09 ,$220.98 ,$197.09 ,$220.98 ,$220.98 ,$220.98 ,$238.16 ,$198.88 ,$220.98 ,$220.98 ,$220.98 ,$220.98 ST. JOSEPH'S - CHIPPEWA FALLS,94000107,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$274.69 ,$206.02 ,$17.61 ,$274.69 ,$176.90 ,$108.42 ,$192.28 ,$17.61 ,$227.99 ,$18.14 ,$181.30 ,$260.96 , N/A ,$219.75 ,$249.97 ,$17.61 ,$258.21 ,$260.96 ,$247.22 ,$233.49 ,$17.61 ,$17.61 ,$17.61 ,$200.52 ,$108.42 ,$244.47 ,$247.22 ,$247.22 ,$219.75 ,$111.68 ,$151.08 ,$247.22 ,$108.42 ,$247.22 ,$108.42 ,$260.96 ,$243.95 ,$252.71 ,$18.67 ,$249.97 ,$108.42 ,$169.04 ,$176.90 ,$169.04 ,$247.22 ,$247.22 ,$206.02 ,$192.28 ,$109.51 ,$18.49 ,$256.84 ,$113.84 ,$17.61 ,$238.98 ,$108.42 ,$247.22 ,$108.42 ,$247.22 ,$247.22 ,$247.22 ,$266.45 ,$222.50 ,$247.22 ,$247.22 ,$247.22 ,$247.22 ST. JOSEPH'S - CHIPPEWA FALLS,94000108,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$274.69 ,$206.02 ,$17.61 ,$274.69 ,$176.90 ,$108.42 ,$192.28 ,$17.61 ,$227.99 ,$18.14 ,$181.30 ,$260.96 , N/A ,$219.75 ,$249.97 ,$17.61 ,$258.21 ,$260.96 ,$247.22 ,$233.49 ,$17.61 ,$17.61 ,$17.61 ,$200.52 ,$108.42 ,$244.47 ,$247.22 ,$247.22 ,$219.75 ,$111.68 ,$151.08 ,$247.22 ,$108.42 ,$247.22 ,$108.42 ,$260.96 ,$243.95 ,$252.71 ,$18.67 ,$249.97 ,$108.42 ,$169.04 ,$176.90 ,$169.04 ,$247.22 ,$247.22 ,$206.02 ,$192.28 ,$109.51 ,$18.49 ,$256.84 ,$113.84 ,$17.61 ,$238.98 ,$108.42 ,$247.22 ,$108.42 ,$247.22 ,$247.22 ,$247.22 ,$266.45 ,$222.50 ,$247.22 ,$247.22 ,$247.22 ,$247.22 ST. JOSEPH'S - CHIPPEWA FALLS,94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$46.27 ,$34.70 ,$25.45 ,$81.27 ,$29.80 ,$30.70 ,$32.39 ,$46.27 ,$38.40 ,$55.44 ,$30.54 ,$43.96 , N/A ,$37.02 ,$42.11 ,$46.27 ,$43.49 ,$43.96 ,$41.64 ,$39.33 ,$53.83 ,$53.83 ,$53.83 ,$33.78 ,$30.70 ,$41.18 ,$41.64 ,$41.64 ,$37.02 ,$30.70 ,$25.45 ,$41.64 ,$30.70 ,$41.64 ,$30.70 ,$43.96 ,$81.27 ,$42.57 ,$57.06 ,$42.11 ,$30.70 ,$28.47 ,$29.80 ,$28.47 ,$41.64 ,$41.64 ,$34.70 ,$32.39 ,$30.70 ,$56.52 ,$43.26 ,$32.24 ,$46.27 ,$40.25 ,$30.70 ,$41.64 ,$36.12 ,$41.64 ,$41.64 ,$41.64 ,$44.88 ,$37.48 ,$41.64 ,$41.64 ,$41.64 ,$41.64 ST. JOSEPH'S - CHIPPEWA FALLS,94200006,97803,HC NUTRITION THRPY RE-EVAL 15 MIN,942,1 ,$39.72 ,$29.79 ,$21.85 ,$69.82 ,$25.58 ,$26.38 ,$27.80 ,$39.72 ,$32.97 ,$55.44 ,$26.22 ,$37.73 , N/A ,$31.78 ,$36.15 ,$39.72 ,$37.34 ,$37.73 ,$35.75 ,$33.76 ,$53.83 ,$53.83 ,$53.83 ,$29.00 ,$26.38 ,$35.35 ,$35.75 ,$35.75 ,$31.78 ,$26.38 ,$21.85 ,$35.75 ,$26.38 ,$35.75 ,$26.38 ,$37.73 ,$69.82 ,$36.54 ,$57.06 ,$36.15 ,$26.38 ,$24.44 ,$25.58 ,$24.44 ,$35.75 ,$35.75 ,$29.79 ,$27.80 ,$26.38 ,$56.52 ,$37.14 ,$27.70 ,$39.72 ,$34.56 ,$26.38 ,$35.75 ,$31.03 ,$35.75 ,$35.75 ,$35.75 ,$38.53 ,$32.17 ,$35.75 ,$35.75 ,$35.75 ,$35.75 ST. JOSEPH'S - CHIPPEWA FALLS,94200017,99406,HC TOBACCO COUNSELING,942,1 ,$35.63 ,$26.72 ,$7.92 ,$57.16 ,$22.95 ,$25.40 ,$24.94 ,$7.92 ,$29.57 ,$8.16 ,$23.52 ,$33.85 , N/A ,$28.50 ,$32.42 ,$7.92 ,$33.49 ,$33.85 ,$32.07 ,$30.29 ,$7.92 ,$7.92 ,$7.92 ,$26.01 ,$25.40 ,$31.71 ,$32.07 ,$32.07 ,$28.50 ,$26.17 ,$19.60 ,$32.07 ,$25.40 ,$32.07 ,$25.40 ,$33.85 ,$57.16 ,$32.78 ,$8.40 ,$32.42 ,$25.40 ,$21.93 ,$22.95 ,$21.93 ,$32.07 ,$32.07 ,$26.72 ,$24.94 ,$25.66 ,$8.32 ,$33.31 ,$26.67 ,$7.92 ,$31.00 ,$25.40 ,$32.07 ,$25.40 ,$32.07 ,$32.07 ,$32.07 ,$34.56 ,$28.86 ,$32.07 ,$32.07 ,$32.07 ,$32.07 ST. JOSEPH'S - CHIPPEWA FALLS,94200018,99407,HC TOBACCO COUNSELING >10 MINUTES,942,1 ,$33.18 ,$24.89 ,$7.92 ,$57.16 ,$21.37 ,$25.40 ,$23.23 ,$7.92 ,$27.54 ,$8.16 ,$21.90 ,$31.52 , N/A ,$26.54 ,$30.19 ,$7.92 ,$31.19 ,$31.52 ,$29.86 ,$28.20 ,$7.92 ,$7.92 ,$7.92 ,$24.22 ,$25.40 ,$29.53 ,$29.86 ,$29.86 ,$26.54 ,$26.17 ,$18.25 ,$29.86 ,$25.40 ,$29.86 ,$25.40 ,$31.52 ,$57.16 ,$30.53 ,$8.40 ,$30.19 ,$25.40 ,$20.42 ,$21.37 ,$20.42 ,$29.86 ,$29.86 ,$24.89 ,$23.23 ,$25.66 ,$8.32 ,$31.02 ,$26.67 ,$7.92 ,$28.87 ,$25.40 ,$29.86 ,$25.40 ,$29.86 ,$29.86 ,$29.86 ,$32.18 ,$26.88 ,$29.86 ,$29.86 ,$29.86 ,$29.86 ST. JOSEPH'S - CHIPPEWA FALLS,94200019,N/A,HC LACTATION CONSULT 30 MIN,942,1 ,$276.84 ,$207.63 ,$152.26 ,$276.84 ,$178.29 , N/A ,$193.79 , N/A ,$229.78 , N/A ,$182.71 ,$263.00 , N/A ,$221.47 ,$251.92 , N/A ,$260.23 ,$263.00 ,$249.16 ,$235.31 , N/A , N/A , N/A ,$202.09 , N/A ,$246.39 ,$249.16 ,$249.16 ,$221.47 , N/A ,$152.26 ,$249.16 , N/A ,$249.16 , N/A ,$263.00 , N/A ,$254.69 , N/A ,$251.92 , N/A ,$170.37 ,$178.29 ,$170.37 ,$249.16 ,$249.16 ,$207.63 ,$193.79 , N/A , N/A ,$258.85 , N/A , N/A ,$240.85 , N/A ,$249.16 , N/A ,$249.16 ,$249.16 ,$249.16 ,$268.53 ,$224.24 ,$249.16 ,$249.16 ,$249.16 ,$249.16 ST. JOSEPH'S - CHIPPEWA FALLS,94200020,N/A,HC LACTATION CONSULT 45 MIN,942,1 ,$306.54 ,$229.91 ,$168.60 ,$306.54 ,$197.41 , N/A ,$214.58 , N/A ,$254.43 , N/A ,$202.32 ,$291.21 , N/A ,$245.23 ,$278.95 , N/A ,$288.15 ,$291.21 ,$275.89 ,$260.56 , N/A , N/A , N/A ,$223.77 , N/A ,$272.82 ,$275.89 ,$275.89 ,$245.23 , N/A ,$168.60 ,$275.89 , N/A ,$275.89 , N/A ,$291.21 , N/A ,$282.02 , N/A ,$278.95 , N/A ,$188.64 ,$197.41 ,$188.64 ,$275.89 ,$275.89 ,$229.91 ,$214.58 , N/A , N/A ,$286.61 , N/A , N/A ,$266.69 , N/A ,$275.89 , N/A ,$275.89 ,$275.89 ,$275.89 ,$297.34 ,$248.30 ,$275.89 ,$275.89 ,$275.89 ,$275.89 ST. JOSEPH'S - CHIPPEWA FALLS,94200021,N/A,HC LACTATION CONSULT 60 MIN,942,1 ,$417.28 ,$312.96 ,$229.50 ,$417.28 ,$268.73 , N/A ,$292.10 , N/A ,$346.34 , N/A ,$275.40 ,$396.42 , N/A ,$333.82 ,$379.72 , N/A ,$392.24 ,$396.42 ,$375.55 ,$354.69 , N/A , N/A , N/A ,$304.61 , N/A ,$371.38 ,$375.55 ,$375.55 ,$333.82 , N/A ,$229.50 ,$375.55 , N/A ,$375.55 , N/A ,$396.42 , N/A ,$383.90 , N/A ,$379.72 , N/A ,$256.79 ,$268.73 ,$256.79 ,$375.55 ,$375.55 ,$312.96 ,$292.10 , N/A , N/A ,$390.16 , N/A , N/A ,$363.03 , N/A ,$375.55 , N/A ,$375.55 ,$375.55 ,$375.55 ,$404.76 ,$338.00 ,$375.55 ,$375.55 ,$375.55 ,$375.55 ST. JOSEPH'S - CHIPPEWA FALLS,94300004,93797,HC CARDIAC REHAB W/O EKG SESSION,943,1 ,$285.32 ,$213.99 ,$42.15 ,$285.32 ,$183.75 ,$112.40 ,$199.72 ,$42.15 ,$265.00 ,$43.41 ,$212.00 ,$271.05 , N/A ,$228.26 ,$259.64 ,$42.15 ,$268.20 ,$271.05 ,$256.79 ,$242.52 ,$42.15 ,$42.15 ,$42.15 ,$208.28 ,$112.40 ,$253.93 ,$256.79 ,$256.79 ,$228.26 ,$115.78 ,$156.93 ,$256.79 ,$112.40 ,$256.79 ,$112.40 ,$271.05 ,$252.91 ,$262.49 ,$44.68 ,$259.64 ,$112.40 ,$175.59 ,$183.75 ,$175.59 ,$256.79 ,$256.79 ,$213.99 ,$153.12 ,$113.53 ,$44.26 ,$266.77 ,$118.02 ,$42.15 ,$248.23 ,$112.40 ,$256.79 ,$112.40 ,$256.79 ,$256.79 ,$256.79 ,$276.76 ,$231.11 ,$256.79 ,$256.79 ,$256.79 ,$256.79 ST. JOSEPH'S - CHIPPEWA FALLS,94300008,G0424,HC PULMONARY REHAB PER HOUR,948,1 ,$229.25 ,$171.94 ,$15.28 ,$229.25 ,$147.64 ,$53.91 ,$160.48 ,$15.28 ,$190.28 ,$15.74 ,$151.31 ,$217.79 , N/A ,$183.40 ,$208.62 ,$15.28 ,$215.50 ,$217.79 ,$206.33 ,$194.86 ,$15.28 ,$15.28 ,$15.28 ,$167.35 ,$53.91 ,$204.03 ,$206.33 ,$206.33 ,$183.40 ,$55.52 ,$126.09 ,$206.33 ,$53.91 ,$206.33 ,$53.91 ,$217.79 ,$121.29 ,$210.91 ,$16.20 ,$208.62 ,$53.91 ,$141.08 ,$147.64 ,$141.08 ,$206.33 ,$206.33 ,$171.94 ,$160.48 ,$54.45 ,$16.04 ,$214.35 ,$56.61 ,$15.28 ,$199.45 ,$53.91 ,$206.33 ,$53.91 ,$206.33 ,$206.33 ,$206.33 ,$222.37 ,$185.69 ,$206.33 ,$206.33 ,$206.33 ,$206.33 ST. JOSEPH'S - CHIPPEWA FALLS,94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$333.03 ,$249.77 ,$42.15 ,$333.03 ,$214.47 ,$112.40 ,$233.12 ,$42.15 ,$265.00 ,$43.41 ,$212.00 ,$316.38 , N/A ,$266.42 ,$303.06 ,$42.15 ,$313.05 ,$316.38 ,$299.73 ,$283.08 ,$42.15 ,$42.15 ,$42.15 ,$243.11 ,$112.40 ,$296.40 ,$299.73 ,$299.73 ,$266.42 ,$115.78 ,$183.17 ,$299.73 ,$112.40 ,$299.73 ,$112.40 ,$316.38 ,$252.91 ,$306.39 ,$44.68 ,$303.06 ,$112.40 ,$204.95 ,$214.47 ,$204.95 ,$299.73 ,$299.73 ,$249.77 ,$153.12 ,$113.53 ,$44.26 ,$311.38 ,$118.02 ,$42.15 ,$289.74 ,$112.40 ,$299.73 ,$112.40 ,$299.73 ,$299.73 ,$299.73 ,$323.04 ,$269.75 ,$299.73 ,$299.73 ,$299.73 ,$299.73 ST. JOSEPH'S - CHIPPEWA FALLS,94300015,93798,HC CARDIAC REHAB PHASE 1 15 MIN,943,1 ,$62.32 ,$46.74 ,$34.28 ,$252.91 ,$40.13 ,$112.40 ,$43.62 ,$42.15 ,$62.32 ,$43.41 ,$62.32 ,$59.20 , N/A ,$49.86 ,$56.71 ,$42.15 ,$58.58 ,$59.20 ,$56.09 ,$52.97 ,$42.15 ,$42.15 ,$42.15 ,$45.49 ,$112.40 ,$55.46 ,$56.09 ,$56.09 ,$49.86 ,$115.78 ,$34.28 ,$56.09 ,$112.40 ,$56.09 ,$112.40 ,$59.20 ,$252.91 ,$57.33 ,$44.68 ,$56.71 ,$112.40 ,$38.35 ,$40.13 ,$38.35 ,$56.09 ,$56.09 ,$46.74 ,$56.09 ,$113.53 ,$44.26 ,$58.27 ,$118.02 ,$42.15 ,$54.22 ,$112.40 ,$56.09 ,$112.40 ,$56.09 ,$56.09 ,$56.09 ,$60.45 ,$50.48 ,$56.09 ,$56.09 ,$56.09 ,$56.09 ST. JOSEPH'S - CHIPPEWA FALLS,94300016,N/A,HC CARDIAC REHAB PHASE 1 30 MIN,943,1 ,$115.46 ,$86.60 ,$63.50 ,$115.46 ,$74.36 , N/A ,$80.82 , N/A ,$115.46 , N/A ,$115.46 ,$109.69 , N/A ,$92.37 ,$105.07 , N/A ,$108.53 ,$109.69 ,$103.91 ,$98.14 , N/A , N/A , N/A ,$84.29 , N/A ,$102.76 ,$103.91 ,$103.91 ,$92.37 , N/A ,$63.50 ,$103.91 , N/A ,$103.91 , N/A ,$109.69 , N/A ,$106.22 , N/A ,$105.07 , N/A ,$71.05 ,$74.36 ,$71.05 ,$103.91 ,$103.91 ,$86.60 ,$103.91 , N/A , N/A ,$107.96 , N/A , N/A ,$100.45 , N/A ,$103.91 , N/A ,$103.91 ,$103.91 ,$103.91 ,$112.00 ,$93.52 ,$103.91 ,$103.91 ,$103.91 ,$103.91 ST. JOSEPH'S - CHIPPEWA FALLS,94300017,N/A,HC CARDIAC REHAB PHASE 1 45 MIN,943,1 ,$166.76 ,$125.07 ,$91.72 ,$166.76 ,$107.39 , N/A ,$116.73 , N/A ,$166.76 , N/A ,$166.76 ,$158.42 , N/A ,$133.41 ,$151.75 , N/A ,$156.75 ,$158.42 ,$150.08 ,$141.75 , N/A , N/A , N/A ,$121.73 , N/A ,$148.42 ,$150.08 ,$150.08 ,$133.41 , N/A ,$91.72 ,$150.08 , N/A ,$150.08 , N/A ,$158.42 , N/A ,$153.42 , N/A ,$151.75 , N/A ,$102.62 ,$107.39 ,$102.62 ,$150.08 ,$150.08 ,$125.07 ,$150.08 , N/A , N/A ,$155.92 , N/A , N/A ,$145.08 , N/A ,$150.08 , N/A ,$150.08 ,$150.08 ,$150.08 ,$161.76 ,$135.08 ,$150.08 ,$150.08 ,$150.08 ,$150.08 ST. JOSEPH'S - CHIPPEWA FALLS,94300018,N/A,HC CARDIAC REHAB PHASE 1 60 MIN,943,1 ,$223.20 ,$167.40 ,$122.76 ,$223.20 ,$143.74 , N/A ,$156.24 , N/A ,$223.20 , N/A ,$212.00 ,$212.04 , N/A ,$178.56 ,$203.11 , N/A ,$209.81 ,$212.04 ,$200.88 ,$189.72 , N/A , N/A , N/A ,$162.94 , N/A ,$198.65 ,$200.88 ,$200.88 ,$178.56 , N/A ,$122.76 ,$200.88 , N/A ,$200.88 , N/A ,$212.04 , N/A ,$205.34 , N/A ,$203.11 , N/A ,$137.36 ,$143.74 ,$137.36 ,$200.88 ,$200.88 ,$167.40 ,$153.12 , N/A , N/A ,$208.69 , N/A , N/A ,$194.18 , N/A ,$200.88 , N/A ,$200.88 ,$200.88 ,$200.88 ,$216.50 ,$180.79 ,$200.88 ,$200.88 ,$200.88 ,$200.88 ST. JOSEPH'S - CHIPPEWA FALLS,94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$22.35 ,$16.76 ,$12.29 ,$22.35 ,$14.39 , N/A ,$15.65 , N/A ,$22.35 , N/A ,$22.35 ,$21.23 , N/A ,$17.88 ,$20.34 , N/A ,$21.01 ,$21.23 ,$20.12 ,$19.00 , N/A , N/A , N/A ,$16.32 , N/A ,$19.89 ,$20.12 ,$20.12 ,$17.88 , N/A ,$12.29 ,$20.12 , N/A ,$20.12 , N/A ,$21.23 , N/A ,$20.56 , N/A ,$20.34 , N/A ,$13.75 ,$14.39 ,$13.75 ,$20.12 ,$20.12 ,$16.76 ,$20.12 , N/A , N/A ,$20.90 , N/A , N/A ,$19.44 , N/A ,$20.12 , N/A ,$20.12 ,$20.12 ,$20.12 ,$21.68 ,$18.10 ,$20.12 ,$20.12 ,$20.12 ,$20.12 ST. JOSEPH'S - CHIPPEWA FALLS,94400010,90791,HC EVAL PSYCH DIAG DRUG 60MIN,944,1 ,$471.50 ,$353.63 ,$50.00 ,$471.50 ,$303.65 ,$129.42 ,$330.05 ,$81.49 ,$471.50 ,$83.93 ,$471.50 ,$447.93 ,$50.00 ,$377.20 ,$429.07 ,$81.49 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$81.49 ,$81.49 ,$81.49 ,$344.20 ,$129.42 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$133.30 ,$259.33 ,$424.35 ,$129.42 ,$424.35 ,$129.42 ,$447.93 ,$291.20 ,$433.78 ,$86.38 ,$429.07 ,$129.42 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$353.63 ,$330.05 ,$130.71 ,$85.56 ,$440.85 ,$135.89 ,$81.49 ,$410.21 ,$129.42 ,$424.35 ,$129.42 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 ST. JOSEPH'S - CHIPPEWA FALLS,94400011,90791,HC EVAL PSYCH DIAG DRUG 90MIN,944,1 ,$615.25 ,$461.44 ,$50.00 ,$615.25 ,$396.22 ,$129.42 ,$430.68 ,$81.49 ,$615.25 ,$83.93 ,$509.00 ,$584.49 ,$50.00 ,$492.20 ,$559.88 ,$81.49 ,$578.34 ,$584.49 ,$553.73 ,$522.96 ,$81.49 ,$81.49 ,$81.49 ,$449.13 ,$129.42 ,$547.57 ,$553.73 ,$553.73 ,$492.20 ,$133.30 ,$338.39 ,$553.73 ,$129.42 ,$553.73 ,$129.42 ,$584.49 ,$291.20 ,$566.03 ,$86.38 ,$559.88 ,$129.42 ,$378.62 ,$396.22 ,$378.62 ,$553.73 ,$553.73 ,$461.44 ,$430.68 ,$130.71 ,$85.56 ,$575.26 ,$135.89 ,$81.49 ,$535.27 ,$129.42 ,$553.73 ,$129.42 ,$553.73 ,$553.73 ,$553.73 ,$596.79 ,$498.35 ,$553.73 ,$553.73 ,$553.73 ,$553.73 ST. JOSEPH'S - CHIPPEWA FALLS,94400012,90791,HC EVAL PSYCH DIAG DRUG 120MIN,944,1 ,$805.00 ,$603.75 ,$50.00 ,$805.00 ,$518.42 ,$129.42 ,$563.50 ,$81.49 ,$636.00 ,$83.93 ,$509.00 ,$764.75 ,$50.00 ,$644.00 ,$732.55 ,$81.49 ,$756.70 ,$764.75 ,$724.50 ,$684.25 ,$81.49 ,$81.49 ,$81.49 ,$587.65 ,$129.42 ,$716.45 ,$724.50 ,$724.50 ,$644.00 ,$133.30 ,$442.75 ,$724.50 ,$129.42 ,$724.50 ,$129.42 ,$764.75 ,$291.20 ,$740.60 ,$86.38 ,$732.55 ,$129.42 ,$495.40 ,$518.42 ,$495.40 ,$724.50 ,$724.50 ,$603.75 ,$563.50 ,$130.71 ,$85.56 ,$752.68 ,$135.89 ,$81.49 ,$700.35 ,$129.42 ,$724.50 ,$129.42 ,$724.50 ,$724.50 ,$724.50 ,$780.85 ,$652.05 ,$724.50 ,$724.50 ,$724.50 ,$724.50 ST. JOSEPH'S - CHIPPEWA FALLS,94400013,90832,HC DRUG THERAPY INDIVIDUAL 30MIN,944,1 ,$199.53 ,$149.65 ,$47.57 ,$291.20 ,$128.50 ,$129.42 ,$139.67 ,$47.57 ,$199.53 ,$49.00 ,$199.53 ,$189.55 ,$50.00 ,$159.62 ,$181.57 ,$47.57 ,$187.56 ,$189.55 ,$179.58 ,$169.60 ,$47.57 ,$47.57 ,$47.57 ,$145.66 ,$129.42 ,$177.58 ,$179.58 ,$179.58 ,$159.62 ,$133.30 ,$109.74 ,$179.58 ,$129.42 ,$179.58 ,$129.42 ,$189.55 ,$291.20 ,$183.57 ,$50.42 ,$181.57 ,$129.42 ,$122.79 ,$128.50 ,$122.79 ,$179.58 ,$179.58 ,$149.65 ,$139.67 ,$130.71 ,$49.95 ,$186.56 ,$135.89 ,$47.57 ,$173.59 ,$129.42 ,$179.58 ,$129.42 ,$179.58 ,$179.58 ,$179.58 ,$193.54 ,$161.62 ,$179.58 ,$179.58 ,$179.58 ,$179.58 ST. JOSEPH'S - CHIPPEWA FALLS,94400014,90834,HC DRUG THERAPY INDIVIDUAL 45MIN,944,1 ,$327.75 ,$245.81 ,$46.53 ,$327.75 ,$211.07 ,$129.42 ,$229.43 ,$46.53 ,$327.75 ,$47.93 ,$327.75 ,$311.36 ,$50.00 ,$262.20 ,$298.25 ,$46.53 ,$308.09 ,$311.36 ,$294.98 ,$278.59 ,$46.53 ,$46.53 ,$46.53 ,$239.26 ,$129.42 ,$291.70 ,$294.98 ,$294.98 ,$262.20 ,$133.30 ,$180.26 ,$294.98 ,$129.42 ,$294.98 ,$129.42 ,$311.36 ,$291.20 ,$301.53 ,$49.32 ,$298.25 ,$129.42 ,$201.70 ,$211.07 ,$201.70 ,$294.98 ,$294.98 ,$245.81 ,$229.43 ,$130.71 ,$48.86 ,$306.45 ,$135.89 ,$46.53 ,$285.14 ,$129.42 ,$294.98 ,$129.42 ,$294.98 ,$294.98 ,$294.98 ,$317.92 ,$265.48 ,$294.98 ,$294.98 ,$294.98 ,$294.98 ST. JOSEPH'S - CHIPPEWA FALLS,94400015,90837,HC DRUG THERAPY INDIVIDUAL 60MIN,944,1 ,$431.25 ,$323.44 ,$46.53 ,$431.25 ,$277.73 ,$129.42 ,$301.88 ,$46.53 ,$431.25 ,$47.93 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$46.53 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$46.53 ,$46.53 ,$46.53 ,$314.81 ,$129.42 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$133.30 ,$237.19 ,$388.13 ,$129.42 ,$388.13 ,$129.42 ,$409.69 ,$291.20 ,$396.75 ,$49.32 ,$392.44 ,$129.42 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$323.44 ,$301.88 ,$130.71 ,$48.86 ,$403.22 ,$135.89 ,$46.53 ,$375.19 ,$129.42 ,$388.13 ,$129.42 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 ST. JOSEPH'S - CHIPPEWA FALLS,94400016,90853,HC DRUG THERAPY GROUP 60 MIN,944,1 ,$178.92 ,$134.19 ,$38.42 ,$178.92 ,$115.22 ,$72.51 ,$125.24 ,$38.42 ,$178.92 ,$39.57 ,$178.92 ,$169.97 ,$50.00 ,$143.14 ,$162.82 ,$38.42 ,$168.18 ,$169.97 ,$161.03 ,$152.08 ,$38.42 ,$38.42 ,$38.42 ,$130.61 ,$72.51 ,$159.24 ,$161.03 ,$161.03 ,$143.14 ,$74.69 ,$98.41 ,$161.03 ,$72.51 ,$161.03 ,$72.51 ,$169.97 ,$163.15 ,$164.61 ,$40.73 ,$162.82 ,$72.51 ,$110.11 ,$115.22 ,$110.11 ,$161.03 ,$161.03 ,$134.19 ,$125.24 ,$73.24 ,$40.34 ,$167.29 ,$76.14 ,$38.42 ,$155.66 ,$72.51 ,$161.03 ,$72.51 ,$161.03 ,$161.03 ,$161.03 ,$173.55 ,$144.93 ,$161.03 ,$161.03 ,$161.03 ,$161.03 ST. JOSEPH'S - CHIPPEWA FALLS,94400017,90853,HC DRUG THERAPY GROUP 90 MIN,944,1 ,$287.50 ,$215.63 ,$38.42 ,$287.50 ,$185.15 ,$72.51 ,$201.25 ,$38.42 ,$287.50 ,$39.57 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$38.42 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$38.42 ,$38.42 ,$38.42 ,$209.88 ,$72.51 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$74.69 ,$158.13 ,$258.75 ,$72.51 ,$258.75 ,$72.51 ,$273.13 ,$163.15 ,$264.50 ,$40.73 ,$261.63 ,$72.51 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$215.63 ,$201.25 ,$73.24 ,$40.34 ,$268.81 ,$76.14 ,$38.42 ,$250.13 ,$72.51 ,$258.75 ,$72.51 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 ST. JOSEPH'S - CHIPPEWA FALLS,94400018,90853,HC DRUG INTENSIVE OUTPAT PROGRAM,944,1 ,$431.25 ,$323.44 ,$38.42 ,$431.25 ,$277.73 ,$72.51 ,$301.88 ,$38.42 ,$431.25 ,$39.57 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$38.42 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$38.42 ,$38.42 ,$38.42 ,$314.81 ,$72.51 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$74.69 ,$237.19 ,$388.13 ,$72.51 ,$388.13 ,$72.51 ,$409.69 ,$163.15 ,$396.75 ,$40.73 ,$392.44 ,$72.51 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$323.44 ,$301.88 ,$73.24 ,$40.34 ,$403.22 ,$76.14 ,$38.42 ,$375.19 ,$72.51 ,$388.13 ,$72.51 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 ST. JOSEPH'S - CHIPPEWA FALLS,94400019,90853,HC DRUG GROUP THERAPY 120 MIN,944,1 ,$287.50 ,$215.63 ,$38.42 ,$287.50 ,$185.15 ,$72.51 ,$201.25 ,$38.42 ,$287.50 ,$39.57 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$38.42 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$38.42 ,$38.42 ,$38.42 ,$209.88 ,$72.51 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$74.69 ,$158.13 ,$258.75 ,$72.51 ,$258.75 ,$72.51 ,$273.13 ,$163.15 ,$264.50 ,$40.73 ,$261.63 ,$72.51 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$215.63 ,$201.25 ,$73.24 ,$40.34 ,$268.81 ,$76.14 ,$38.42 ,$250.13 ,$72.51 ,$258.75 ,$72.51 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 ST. JOSEPH'S - CHIPPEWA FALLS,94500010,90791,HC EVAL PSYCH DIAG ALCOHOL 60MIN,945,1 ,$471.50 ,$353.63 ,$50.00 ,$471.50 ,$303.65 ,$129.42 ,$330.05 ,$81.49 ,$471.50 ,$83.93 ,$471.50 ,$447.93 ,$50.00 ,$377.20 ,$429.07 ,$81.49 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$81.49 ,$81.49 ,$81.49 ,$344.20 ,$129.42 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$133.30 ,$259.33 ,$424.35 ,$129.42 ,$424.35 ,$129.42 ,$447.93 ,$291.20 ,$433.78 ,$86.38 ,$429.07 ,$129.42 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$353.63 ,$330.05 ,$130.71 ,$85.56 ,$440.85 ,$135.89 ,$81.49 ,$410.21 ,$129.42 ,$424.35 ,$129.42 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 ST. JOSEPH'S - CHIPPEWA FALLS,94500011,90791,HC EVAL PSYCH DIAG ALCOHOL 90MIN,945,1 ,$615.25 ,$461.44 ,$50.00 ,$615.25 ,$396.22 ,$129.42 ,$430.68 ,$81.49 ,$615.25 ,$83.93 ,$509.00 ,$584.49 ,$50.00 ,$492.20 ,$559.88 ,$81.49 ,$578.34 ,$584.49 ,$553.73 ,$522.96 ,$81.49 ,$81.49 ,$81.49 ,$449.13 ,$129.42 ,$547.57 ,$553.73 ,$553.73 ,$492.20 ,$133.30 ,$338.39 ,$553.73 ,$129.42 ,$553.73 ,$129.42 ,$584.49 ,$291.20 ,$566.03 ,$86.38 ,$559.88 ,$129.42 ,$378.62 ,$396.22 ,$378.62 ,$553.73 ,$553.73 ,$461.44 ,$430.68 ,$130.71 ,$85.56 ,$575.26 ,$135.89 ,$81.49 ,$535.27 ,$129.42 ,$553.73 ,$129.42 ,$553.73 ,$553.73 ,$553.73 ,$596.79 ,$498.35 ,$553.73 ,$553.73 ,$553.73 ,$553.73 ST. JOSEPH'S - CHIPPEWA FALLS,94500012,90791,HC EVAL PSYCH DIAG ALCOHOL 120MIN,945,1 ,$805.00 ,$603.75 ,$50.00 ,$805.00 ,$518.42 ,$129.42 ,$563.50 ,$81.49 ,$636.00 ,$83.93 ,$509.00 ,$764.75 ,$50.00 ,$644.00 ,$732.55 ,$81.49 ,$756.70 ,$764.75 ,$724.50 ,$684.25 ,$81.49 ,$81.49 ,$81.49 ,$587.65 ,$129.42 ,$716.45 ,$724.50 ,$724.50 ,$644.00 ,$133.30 ,$442.75 ,$724.50 ,$129.42 ,$724.50 ,$129.42 ,$764.75 ,$291.20 ,$740.60 ,$86.38 ,$732.55 ,$129.42 ,$495.40 ,$518.42 ,$495.40 ,$724.50 ,$724.50 ,$603.75 ,$563.50 ,$130.71 ,$85.56 ,$752.68 ,$135.89 ,$81.49 ,$700.35 ,$129.42 ,$724.50 ,$129.42 ,$724.50 ,$724.50 ,$724.50 ,$780.85 ,$652.05 ,$724.50 ,$724.50 ,$724.50 ,$724.50 ST. JOSEPH'S - CHIPPEWA FALLS,94500013,90832,HC ALCOHOL THERAPY INDIVIDUAL 30MIN,945,1 ,$199.53 ,$149.65 ,$47.57 ,$291.20 ,$128.50 ,$129.42 ,$139.67 ,$47.57 ,$199.53 ,$49.00 ,$199.53 ,$189.55 ,$50.00 ,$159.62 ,$181.57 ,$47.57 ,$187.56 ,$189.55 ,$179.58 ,$169.60 ,$47.57 ,$47.57 ,$47.57 ,$145.66 ,$129.42 ,$177.58 ,$179.58 ,$179.58 ,$159.62 ,$133.30 ,$109.74 ,$179.58 ,$129.42 ,$179.58 ,$129.42 ,$189.55 ,$291.20 ,$183.57 ,$50.42 ,$181.57 ,$129.42 ,$122.79 ,$128.50 ,$122.79 ,$179.58 ,$179.58 ,$149.65 ,$139.67 ,$130.71 ,$49.95 ,$186.56 ,$135.89 ,$47.57 ,$173.59 ,$129.42 ,$179.58 ,$129.42 ,$179.58 ,$179.58 ,$179.58 ,$193.54 ,$161.62 ,$179.58 ,$179.58 ,$179.58 ,$179.58 ST. JOSEPH'S - CHIPPEWA FALLS,94500014,90834,HC ALCOHOL THERAPY INDIVIDUAL 45MIN,945,1 ,$327.75 ,$245.81 ,$46.53 ,$327.75 ,$211.07 ,$129.42 ,$229.43 ,$46.53 ,$327.75 ,$47.93 ,$327.75 ,$311.36 ,$50.00 ,$262.20 ,$298.25 ,$46.53 ,$308.09 ,$311.36 ,$294.98 ,$278.59 ,$46.53 ,$46.53 ,$46.53 ,$239.26 ,$129.42 ,$291.70 ,$294.98 ,$294.98 ,$262.20 ,$133.30 ,$180.26 ,$294.98 ,$129.42 ,$294.98 ,$129.42 ,$311.36 ,$291.20 ,$301.53 ,$49.32 ,$298.25 ,$129.42 ,$201.70 ,$211.07 ,$201.70 ,$294.98 ,$294.98 ,$245.81 ,$229.43 ,$130.71 ,$48.86 ,$306.45 ,$135.89 ,$46.53 ,$285.14 ,$129.42 ,$294.98 ,$129.42 ,$294.98 ,$294.98 ,$294.98 ,$317.92 ,$265.48 ,$294.98 ,$294.98 ,$294.98 ,$294.98 ST. JOSEPH'S - CHIPPEWA FALLS,94500015,90837,HC ALCOHOL THERAPY INDIVIDUAL 60MIN,945,1 ,$431.25 ,$323.44 ,$46.53 ,$431.25 ,$277.73 ,$129.42 ,$301.88 ,$46.53 ,$431.25 ,$47.93 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$46.53 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$46.53 ,$46.53 ,$46.53 ,$314.81 ,$129.42 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$133.30 ,$237.19 ,$388.13 ,$129.42 ,$388.13 ,$129.42 ,$409.69 ,$291.20 ,$396.75 ,$49.32 ,$392.44 ,$129.42 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$323.44 ,$301.88 ,$130.71 ,$48.86 ,$403.22 ,$135.89 ,$46.53 ,$375.19 ,$129.42 ,$388.13 ,$129.42 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 ST. JOSEPH'S - CHIPPEWA FALLS,94500016,90853,HC ALCOHOL THERAPY GROUP 60 MIN,945,1 ,$178.92 ,$134.19 ,$38.42 ,$178.92 ,$115.22 ,$72.51 ,$125.24 ,$38.42 ,$178.92 ,$39.57 ,$178.92 ,$169.97 ,$50.00 ,$143.14 ,$162.82 ,$38.42 ,$168.18 ,$169.97 ,$161.03 ,$152.08 ,$38.42 ,$38.42 ,$38.42 ,$130.61 ,$72.51 ,$159.24 ,$161.03 ,$161.03 ,$143.14 ,$74.69 ,$98.41 ,$161.03 ,$72.51 ,$161.03 ,$72.51 ,$169.97 ,$163.15 ,$164.61 ,$40.73 ,$162.82 ,$72.51 ,$110.11 ,$115.22 ,$110.11 ,$161.03 ,$161.03 ,$134.19 ,$125.24 ,$73.24 ,$40.34 ,$167.29 ,$76.14 ,$38.42 ,$155.66 ,$72.51 ,$161.03 ,$72.51 ,$161.03 ,$161.03 ,$161.03 ,$173.55 ,$144.93 ,$161.03 ,$161.03 ,$161.03 ,$161.03 ST. JOSEPH'S - CHIPPEWA FALLS,94500017,90853,HC ALCOHOL THERAPY GROUP 90 MIN,945,1 ,$287.50 ,$215.63 ,$38.42 ,$287.50 ,$185.15 ,$72.51 ,$201.25 ,$38.42 ,$287.50 ,$39.57 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$38.42 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$38.42 ,$38.42 ,$38.42 ,$209.88 ,$72.51 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$74.69 ,$158.13 ,$258.75 ,$72.51 ,$258.75 ,$72.51 ,$273.13 ,$163.15 ,$264.50 ,$40.73 ,$261.63 ,$72.51 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$215.63 ,$201.25 ,$73.24 ,$40.34 ,$268.81 ,$76.14 ,$38.42 ,$250.13 ,$72.51 ,$258.75 ,$72.51 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 ST. JOSEPH'S - CHIPPEWA FALLS,94500018,90853,HC ALCOHOL INTENSIVE OUTPAT PROGRAM,945,1 ,$431.25 ,$323.44 ,$38.42 ,$431.25 ,$277.73 ,$72.51 ,$301.88 ,$38.42 ,$431.25 ,$39.57 ,$431.25 ,$409.69 ,$50.00 ,$345.00 ,$392.44 ,$38.42 ,$405.38 ,$409.69 ,$388.13 ,$366.56 ,$38.42 ,$38.42 ,$38.42 ,$314.81 ,$72.51 ,$383.81 ,$388.13 ,$388.13 ,$345.00 ,$74.69 ,$237.19 ,$388.13 ,$72.51 ,$388.13 ,$72.51 ,$409.69 ,$163.15 ,$396.75 ,$40.73 ,$392.44 ,$72.51 ,$265.39 ,$277.73 ,$265.39 ,$388.13 ,$388.13 ,$323.44 ,$301.88 ,$73.24 ,$40.34 ,$403.22 ,$76.14 ,$38.42 ,$375.19 ,$72.51 ,$388.13 ,$72.51 ,$388.13 ,$388.13 ,$388.13 ,$418.31 ,$349.31 ,$388.13 ,$388.13 ,$388.13 ,$388.13 ST. JOSEPH'S - CHIPPEWA FALLS,94500019,90853,HC ALCOHOL GROUP THERAPY 120 MIN,945,1 ,$287.50 ,$215.63 ,$38.42 ,$287.50 ,$185.15 ,$72.51 ,$201.25 ,$38.42 ,$287.50 ,$39.57 ,$287.50 ,$273.13 ,$50.00 ,$230.00 ,$261.63 ,$38.42 ,$270.25 ,$273.13 ,$258.75 ,$244.38 ,$38.42 ,$38.42 ,$38.42 ,$209.88 ,$72.51 ,$255.88 ,$258.75 ,$258.75 ,$230.00 ,$74.69 ,$158.13 ,$258.75 ,$72.51 ,$258.75 ,$72.51 ,$273.13 ,$163.15 ,$264.50 ,$40.73 ,$261.63 ,$72.51 ,$176.93 ,$185.15 ,$176.93 ,$258.75 ,$258.75 ,$215.63 ,$201.25 ,$73.24 ,$40.34 ,$268.81 ,$76.14 ,$38.42 ,$250.13 ,$72.51 ,$258.75 ,$72.51 ,$258.75 ,$258.75 ,$258.75 ,$278.88 ,$232.88 ,$258.75 ,$258.75 ,$258.75 ,$258.75 ST. JOSEPH'S - CHIPPEWA FALLS,96000016,99341,PC HOME VISIT NEW PAT LOW SEVERITY 20MIN,960,1 ,$170.00 ,$127.50 ,$47.46 ,$170.00 ,$109.48 , N/A ,$119.00 ,$47.46 ,$141.10 ,$48.88 ,$112.20 ,$161.50 , N/A ,$136.00 ,$154.70 ,$47.46 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$47.46 ,$47.46 ,$47.46 ,$124.10 , N/A ,$151.30 ,$153.00 ,$153.00 ,$136.00 , N/A ,$93.50 ,$153.00 , N/A ,$153.00 , N/A ,$161.50 , N/A ,$156.40 ,$50.31 ,$154.70 , N/A ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$127.50 ,$119.00 , N/A ,$49.83 ,$158.95 , N/A ,$47.46 ,$147.90 , N/A ,$153.00 , N/A ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 ST. JOSEPH'S - CHIPPEWA FALLS,96000017,99342,PC HOME VISIT NEW PAT MOD SEVERITY 30MIN,960,1 ,$243.00 ,$182.25 ,$47.46 ,$243.00 ,$156.49 , N/A ,$170.10 ,$47.46 ,$201.69 ,$48.88 ,$160.38 ,$230.85 , N/A ,$194.40 ,$221.13 ,$47.46 ,$228.42 ,$230.85 ,$218.70 ,$206.55 ,$47.46 ,$47.46 ,$47.46 ,$177.39 , N/A ,$216.27 ,$218.70 ,$218.70 ,$194.40 , N/A ,$133.65 ,$218.70 , N/A ,$218.70 , N/A ,$230.85 , N/A ,$223.56 ,$50.31 ,$221.13 , N/A ,$149.54 ,$156.49 ,$149.54 ,$218.70 ,$218.70 ,$182.25 ,$170.10 , N/A ,$49.83 ,$227.21 , N/A ,$47.46 ,$211.41 , N/A ,$218.70 , N/A ,$218.70 ,$218.70 ,$218.70 ,$235.71 ,$196.83 ,$218.70 ,$218.70 ,$218.70 ,$218.70 ST. JOSEPH'S - CHIPPEWA FALLS,96000018,99343,PC HOME VISIT NEW PAT MOD-HIGH SEVERITY 45MIN,960,1 ,$340.00 ,$255.00 ,$47.46 ,$340.00 ,$218.96 , N/A ,$238.00 ,$47.46 ,$282.20 ,$48.88 ,$224.40 ,$323.00 , N/A ,$272.00 ,$309.40 ,$47.46 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$47.46 ,$47.46 ,$47.46 ,$248.20 , N/A ,$302.60 ,$306.00 ,$306.00 ,$272.00 , N/A ,$187.00 ,$306.00 , N/A ,$306.00 , N/A ,$323.00 , N/A ,$312.80 ,$50.31 ,$309.40 , N/A ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$306.00 ,$255.00 ,$238.00 , N/A ,$49.83 ,$317.90 , N/A ,$47.46 ,$295.80 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 ST. JOSEPH'S - CHIPPEWA FALLS,96000019,99344,PC HOME VISIT NEW PAT HIGH SEVERITY 60MIN,960,1 ,$437.00 ,$327.75 ,$47.46 ,$437.00 ,$281.43 , N/A ,$305.90 ,$47.46 ,$362.71 ,$48.88 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$47.46 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$47.46 ,$47.46 ,$47.46 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$50.31 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$327.75 ,$305.90 , N/A ,$49.83 ,$408.60 , N/A ,$47.46 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 ST. JOSEPH'S - CHIPPEWA FALLS,96000020,99345,PC HOME VISIT NEW PAT COMPREHENSIVE 75MIN,960,1 ,$583.00 ,$437.25 ,$47.46 ,$583.00 ,$375.45 , N/A ,$408.10 ,$47.46 ,$483.89 ,$48.88 ,$384.78 ,$553.85 , N/A ,$466.40 ,$530.53 ,$47.46 ,$548.02 ,$553.85 ,$524.70 ,$495.55 ,$47.46 ,$47.46 ,$47.46 ,$425.59 , N/A ,$518.87 ,$524.70 ,$524.70 ,$466.40 , N/A ,$320.65 ,$524.70 , N/A ,$524.70 , N/A ,$553.85 , N/A ,$536.36 ,$50.31 ,$530.53 , N/A ,$358.78 ,$375.45 ,$358.78 ,$524.70 ,$524.70 ,$437.25 ,$408.10 , N/A ,$49.83 ,$545.11 , N/A ,$47.46 ,$507.21 , N/A ,$524.70 , N/A ,$524.70 ,$524.70 ,$524.70 ,$565.51 ,$472.23 ,$524.70 ,$524.70 ,$524.70 ,$524.70 ST. JOSEPH'S - CHIPPEWA FALLS,96000021,99347,PC HOME VISIT ESTAB PAT LIMITED 15MIN,960,1 ,$146.00 ,$109.50 ,$47.46 ,$146.00 ,$94.02 , N/A ,$102.20 ,$47.46 ,$121.18 ,$48.88 ,$96.36 ,$138.70 , N/A ,$116.80 ,$132.86 ,$47.46 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$47.46 ,$47.46 ,$47.46 ,$106.58 , N/A ,$129.94 ,$131.40 ,$131.40 ,$116.80 , N/A ,$80.30 ,$131.40 , N/A ,$131.40 , N/A ,$138.70 , N/A ,$134.32 ,$50.31 ,$132.86 , N/A ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$131.40 ,$109.50 ,$102.20 , N/A ,$49.83 ,$136.51 , N/A ,$47.46 ,$127.02 , N/A ,$131.40 , N/A ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 ST. JOSEPH'S - CHIPPEWA FALLS,96000022,99348,PC HOME VISIT ESTAB PAT LOW-MOD SEVERITY 25MIN,960,1 ,$219.00 ,$164.25 ,$47.46 ,$219.00 ,$141.04 , N/A ,$153.30 ,$47.46 ,$181.77 ,$48.88 ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 ,$47.46 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$47.46 ,$47.46 ,$47.46 ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 ,$50.31 ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$164.25 ,$153.30 , N/A ,$49.83 ,$204.77 , N/A ,$47.46 ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 ST. JOSEPH'S - CHIPPEWA FALLS,96000023,99349,PC HOME VISIT ESTAB PAT MOD-HIGH SEVERITY 40MIN,960,1 ,$316.00 ,$237.00 ,$47.46 ,$316.00 ,$203.50 , N/A ,$221.20 ,$47.46 ,$262.28 ,$48.88 ,$208.56 ,$300.20 , N/A ,$252.80 ,$287.56 ,$47.46 ,$297.04 ,$300.20 ,$284.40 ,$268.60 ,$47.46 ,$47.46 ,$47.46 ,$230.68 , N/A ,$281.24 ,$284.40 ,$284.40 ,$252.80 , N/A ,$173.80 ,$284.40 , N/A ,$284.40 , N/A ,$300.20 , N/A ,$290.72 ,$50.31 ,$287.56 , N/A ,$194.47 ,$203.50 ,$194.47 ,$284.40 ,$284.40 ,$237.00 ,$221.20 , N/A ,$49.83 ,$295.46 , N/A ,$47.46 ,$274.92 , N/A ,$284.40 , N/A ,$284.40 ,$284.40 ,$284.40 ,$306.52 ,$255.96 ,$284.40 ,$284.40 ,$284.40 ,$284.40 ST. JOSEPH'S - CHIPPEWA FALLS,96000024,99350,PC HOME VISIT ESTAB PAT COMPREHENSIVE 60 MIN,960,1 ,$437.00 ,$327.75 ,$47.46 ,$437.00 ,$281.43 , N/A ,$305.90 ,$47.46 ,$362.71 ,$48.88 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$47.46 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$47.46 ,$47.46 ,$47.46 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$50.31 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$327.75 ,$305.90 , N/A ,$49.83 ,$408.60 , N/A ,$47.46 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 ST. JOSEPH'S - CHIPPEWA FALLS,96000025,99324,PC ASSISTED LIVING VISIT NEW PAT LOW SEVERITY 20MIN,960,1 ,$170.00 ,$127.50 ,$47.46 ,$170.00 ,$109.48 , N/A ,$119.00 ,$47.46 ,$141.10 ,$48.88 ,$112.20 ,$161.50 , N/A ,$136.00 ,$154.70 ,$47.46 ,$159.80 ,$161.50 ,$153.00 ,$144.50 ,$47.46 ,$47.46 ,$47.46 ,$124.10 , N/A ,$151.30 ,$153.00 ,$153.00 ,$136.00 , N/A ,$93.50 ,$153.00 , N/A ,$153.00 , N/A ,$161.50 , N/A ,$156.40 ,$50.31 ,$154.70 , N/A ,$104.62 ,$109.48 ,$104.62 ,$153.00 ,$153.00 ,$127.50 ,$119.00 , N/A ,$49.83 ,$158.95 , N/A ,$47.46 ,$147.90 , N/A ,$153.00 , N/A ,$153.00 ,$153.00 ,$153.00 ,$164.90 ,$137.70 ,$153.00 ,$153.00 ,$153.00 ,$153.00 ST. JOSEPH'S - CHIPPEWA FALLS,96000026,99325,PC ASSISTED LIVING VISIT NEW PAT MOD SEVERITY 30MIN,960,1 ,$243.00 ,$182.25 ,$47.46 ,$243.00 ,$156.49 , N/A ,$170.10 ,$47.46 ,$201.69 ,$48.88 ,$160.38 ,$230.85 , N/A ,$194.40 ,$221.13 ,$47.46 ,$228.42 ,$230.85 ,$218.70 ,$206.55 ,$47.46 ,$47.46 ,$47.46 ,$177.39 , N/A ,$216.27 ,$218.70 ,$218.70 ,$194.40 , N/A ,$133.65 ,$218.70 , N/A ,$218.70 , N/A ,$230.85 , N/A ,$223.56 ,$50.31 ,$221.13 , N/A ,$149.54 ,$156.49 ,$149.54 ,$218.70 ,$218.70 ,$182.25 ,$170.10 , N/A ,$49.83 ,$227.21 , N/A ,$47.46 ,$211.41 , N/A ,$218.70 , N/A ,$218.70 ,$218.70 ,$218.70 ,$235.71 ,$196.83 ,$218.70 ,$218.70 ,$218.70 ,$218.70 ST. JOSEPH'S - CHIPPEWA FALLS,96000027,99326,PC ASSISTED LIVING VISIT NEW PAT MOD-HIGH SEVERITY 45MIN,960,1 ,$340.00 ,$255.00 ,$47.46 ,$340.00 ,$218.96 , N/A ,$238.00 ,$47.46 ,$282.20 ,$48.88 ,$224.40 ,$323.00 , N/A ,$272.00 ,$309.40 ,$47.46 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$47.46 ,$47.46 ,$47.46 ,$248.20 , N/A ,$302.60 ,$306.00 ,$306.00 ,$272.00 , N/A ,$187.00 ,$306.00 , N/A ,$306.00 , N/A ,$323.00 , N/A ,$312.80 ,$50.31 ,$309.40 , N/A ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$306.00 ,$255.00 ,$238.00 , N/A ,$49.83 ,$317.90 , N/A ,$47.46 ,$295.80 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 ST. JOSEPH'S - CHIPPEWA FALLS,96000028,99327,PC ASSISTED LIVING VISIT NEW PAT HIGH SEVERITY 60MIN,960,1 ,$437.00 ,$327.75 ,$47.46 ,$437.00 ,$281.43 , N/A ,$305.90 ,$47.46 ,$362.71 ,$48.88 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$47.46 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$47.46 ,$47.46 ,$47.46 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$50.31 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$327.75 ,$305.90 , N/A ,$49.83 ,$408.60 , N/A ,$47.46 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 ST. JOSEPH'S - CHIPPEWA FALLS,96000029,99328,PC ASSISTED LIVING VISIT NEW PAT COMPREHENSIVE 75MIN,960,1 ,$583.00 ,$437.25 ,$47.46 ,$583.00 ,$375.45 , N/A ,$408.10 ,$47.46 ,$483.89 ,$48.88 ,$384.78 ,$553.85 , N/A ,$466.40 ,$530.53 ,$47.46 ,$548.02 ,$553.85 ,$524.70 ,$495.55 ,$47.46 ,$47.46 ,$47.46 ,$425.59 , N/A ,$518.87 ,$524.70 ,$524.70 ,$466.40 , N/A ,$320.65 ,$524.70 , N/A ,$524.70 , N/A ,$553.85 , N/A ,$536.36 ,$50.31 ,$530.53 , N/A ,$358.78 ,$375.45 ,$358.78 ,$524.70 ,$524.70 ,$437.25 ,$408.10 , N/A ,$49.83 ,$545.11 , N/A ,$47.46 ,$507.21 , N/A ,$524.70 , N/A ,$524.70 ,$524.70 ,$524.70 ,$565.51 ,$472.23 ,$524.70 ,$524.70 ,$524.70 ,$524.70 ST. JOSEPH'S - CHIPPEWA FALLS,96000030,99334,PC ASSISTED LIVING VISIT ESTAB PAT LOW SEVERITY 15MIN,960,1 ,$146.00 ,$109.50 ,$47.46 ,$146.00 ,$94.02 , N/A ,$102.20 ,$47.46 ,$121.18 ,$48.88 ,$96.36 ,$138.70 , N/A ,$116.80 ,$132.86 ,$47.46 ,$137.24 ,$138.70 ,$131.40 ,$124.10 ,$47.46 ,$47.46 ,$47.46 ,$106.58 , N/A ,$129.94 ,$131.40 ,$131.40 ,$116.80 , N/A ,$80.30 ,$131.40 , N/A ,$131.40 , N/A ,$138.70 , N/A ,$134.32 ,$50.31 ,$132.86 , N/A ,$89.85 ,$94.02 ,$89.85 ,$131.40 ,$131.40 ,$109.50 ,$102.20 , N/A ,$49.83 ,$136.51 , N/A ,$47.46 ,$127.02 , N/A ,$131.40 , N/A ,$131.40 ,$131.40 ,$131.40 ,$141.62 ,$118.26 ,$131.40 ,$131.40 ,$131.40 ,$131.40 ST. JOSEPH'S - CHIPPEWA FALLS,96000031,99335,PC ASSISTED LIVING VISIT ESTAB PAT LOW-MOD SEVERITY 25MIN,960,1 ,$219.00 ,$164.25 ,$47.46 ,$219.00 ,$141.04 , N/A ,$153.30 ,$47.46 ,$181.77 ,$48.88 ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 ,$47.46 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$47.46 ,$47.46 ,$47.46 ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 ,$50.31 ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$164.25 ,$153.30 , N/A ,$49.83 ,$204.77 , N/A ,$47.46 ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 ST. JOSEPH'S - CHIPPEWA FALLS,96000032,99336,PC ASSISTED LIVING VISIT ESTAB PAT MOD-HIGH SEVERITY 40MIN,960,1 ,$316.00 ,$237.00 ,$47.46 ,$316.00 ,$203.50 , N/A ,$221.20 ,$47.46 ,$262.28 ,$48.88 ,$208.56 ,$300.20 , N/A ,$252.80 ,$287.56 ,$47.46 ,$297.04 ,$300.20 ,$284.40 ,$268.60 ,$47.46 ,$47.46 ,$47.46 ,$230.68 , N/A ,$281.24 ,$284.40 ,$284.40 ,$252.80 , N/A ,$173.80 ,$284.40 , N/A ,$284.40 , N/A ,$300.20 , N/A ,$290.72 ,$50.31 ,$287.56 , N/A ,$194.47 ,$203.50 ,$194.47 ,$284.40 ,$284.40 ,$237.00 ,$221.20 , N/A ,$49.83 ,$295.46 , N/A ,$47.46 ,$274.92 , N/A ,$284.40 , N/A ,$284.40 ,$284.40 ,$284.40 ,$306.52 ,$255.96 ,$284.40 ,$284.40 ,$284.40 ,$284.40 ST. JOSEPH'S - CHIPPEWA FALLS,96000033,99337,PC ASSISTED LIVING VISIT ESTAB PAT COMPREHENSIVE 60MIN,960,1 ,$437.00 ,$327.75 ,$47.46 ,$437.00 ,$281.43 , N/A ,$305.90 ,$47.46 ,$362.71 ,$48.88 ,$288.42 ,$415.15 , N/A ,$349.60 ,$397.67 ,$47.46 ,$410.78 ,$415.15 ,$393.30 ,$371.45 ,$47.46 ,$47.46 ,$47.46 ,$319.01 , N/A ,$388.93 ,$393.30 ,$393.30 ,$349.60 , N/A ,$240.35 ,$393.30 , N/A ,$393.30 , N/A ,$415.15 , N/A ,$402.04 ,$50.31 ,$397.67 , N/A ,$268.93 ,$281.43 ,$268.93 ,$393.30 ,$393.30 ,$327.75 ,$305.90 , N/A ,$49.83 ,$408.60 , N/A ,$47.46 ,$380.19 , N/A ,$393.30 , N/A ,$393.30 ,$393.30 ,$393.30 ,$423.89 ,$353.97 ,$393.30 ,$393.30 ,$393.30 ,$393.30 ST. JOSEPH'S - CHIPPEWA FALLS,96000034,99304,PC NURSING FACILITY CARE INITIAL DAY LOW 25MIN,960,1 ,$194.00 ,$145.50 ,$47.46 ,$194.00 ,$124.94 , N/A ,$135.80 ,$47.46 ,$161.02 ,$48.88 ,$128.04 ,$184.30 , N/A ,$155.20 ,$176.54 ,$47.46 ,$182.36 ,$184.30 ,$174.60 ,$164.90 ,$47.46 ,$47.46 ,$47.46 ,$141.62 , N/A ,$172.66 ,$174.60 ,$174.60 ,$155.20 , N/A ,$106.70 ,$174.60 , N/A ,$174.60 , N/A ,$184.30 , N/A ,$178.48 ,$50.31 ,$176.54 , N/A ,$119.39 ,$124.94 ,$119.39 ,$174.60 ,$174.60 ,$145.50 ,$135.80 , N/A ,$49.83 ,$181.39 , N/A ,$47.46 ,$168.78 , N/A ,$174.60 , N/A ,$174.60 ,$174.60 ,$174.60 ,$188.18 ,$157.14 ,$174.60 ,$174.60 ,$174.60 ,$174.60 ST. JOSEPH'S - CHIPPEWA FALLS,96000035,99305,PC NURSING FACILITY CARE INITIAL DAY MOD 35MIN,960,1 ,$267.00 ,$200.25 ,$47.46 ,$267.00 ,$171.95 , N/A ,$186.90 ,$47.46 ,$221.61 ,$48.88 ,$176.22 ,$253.65 , N/A ,$213.60 ,$242.97 ,$47.46 ,$250.98 ,$253.65 ,$240.30 ,$226.95 ,$47.46 ,$47.46 ,$47.46 ,$194.91 , N/A ,$237.63 ,$240.30 ,$240.30 ,$213.60 , N/A ,$146.85 ,$240.30 , N/A ,$240.30 , N/A ,$253.65 , N/A ,$245.64 ,$50.31 ,$242.97 , N/A ,$164.31 ,$171.95 ,$164.31 ,$240.30 ,$240.30 ,$200.25 ,$186.90 , N/A ,$49.83 ,$249.65 , N/A ,$47.46 ,$232.29 , N/A ,$240.30 , N/A ,$240.30 ,$240.30 ,$240.30 ,$258.99 ,$216.27 ,$240.30 ,$240.30 ,$240.30 ,$240.30 ST. JOSEPH'S - CHIPPEWA FALLS,96000036,99306,PC NURSING FACILITY CARE INITIAL DAY HIGH 45MIN,960,1 ,$340.00 ,$255.00 ,$47.46 ,$340.00 ,$218.96 , N/A ,$238.00 ,$47.46 ,$282.20 ,$48.88 ,$224.40 ,$323.00 , N/A ,$272.00 ,$309.40 ,$47.46 ,$319.60 ,$323.00 ,$306.00 ,$289.00 ,$47.46 ,$47.46 ,$47.46 ,$248.20 , N/A ,$302.60 ,$306.00 ,$306.00 ,$272.00 , N/A ,$187.00 ,$306.00 , N/A ,$306.00 , N/A ,$323.00 , N/A ,$312.80 ,$50.31 ,$309.40 , N/A ,$209.24 ,$218.96 ,$209.24 ,$306.00 ,$306.00 ,$255.00 ,$238.00 , N/A ,$49.83 ,$317.90 , N/A ,$47.46 ,$295.80 , N/A ,$306.00 , N/A ,$306.00 ,$306.00 ,$306.00 ,$329.80 ,$275.40 ,$306.00 ,$306.00 ,$306.00 ,$306.00 ST. JOSEPH'S - CHIPPEWA FALLS,96000037,99318,PC NURSING FAC ANNUAL ASSESSMENT 30MIN,960,1 ,$243.00 ,$182.25 ,$47.46 ,$243.00 ,$156.49 , N/A ,$170.10 ,$47.46 ,$201.69 ,$48.88 ,$160.38 ,$230.85 , N/A ,$194.40 ,$221.13 ,$47.46 ,$228.42 ,$230.85 ,$218.70 ,$206.55 ,$47.46 ,$47.46 ,$47.46 ,$177.39 , N/A ,$216.27 ,$218.70 ,$218.70 ,$194.40 , N/A ,$133.65 ,$218.70 , N/A ,$218.70 , N/A ,$230.85 , N/A ,$223.56 ,$50.31 ,$221.13 , N/A ,$149.54 ,$156.49 ,$149.54 ,$218.70 ,$218.70 ,$182.25 ,$170.10 , N/A ,$49.83 ,$227.21 , N/A ,$47.46 ,$211.41 , N/A ,$218.70 , N/A ,$218.70 ,$218.70 ,$218.70 ,$235.71 ,$196.83 ,$218.70 ,$218.70 ,$218.70 ,$218.70 ST. JOSEPH'S - CHIPPEWA FALLS,96000038,99497,PC ADVANCED CARE PLANNING INIT 30MIN,960,1 ,$267.00 ,$200.25 ,$31.68 ,$267.00 ,$171.95 ,$72.51 ,$186.90 ,$31.68 ,$221.61 ,$32.63 ,$176.22 ,$253.65 , N/A ,$213.60 ,$242.97 ,$31.68 ,$250.98 ,$253.65 ,$240.30 ,$226.95 ,$31.68 ,$31.68 ,$31.68 ,$194.91 ,$72.51 ,$237.63 ,$240.30 ,$240.30 ,$213.60 ,$74.69 ,$146.85 ,$240.30 ,$72.51 ,$240.30 ,$72.51 ,$253.65 ,$163.15 ,$245.64 ,$33.58 ,$242.97 ,$72.51 ,$164.31 ,$171.95 ,$164.31 ,$240.30 ,$240.30 ,$200.25 ,$186.90 ,$73.24 ,$33.26 ,$249.65 ,$76.14 ,$31.68 ,$232.29 ,$72.51 ,$240.30 ,$72.51 ,$240.30 ,$240.30 ,$240.30 ,$258.99 ,$216.27 ,$240.30 ,$240.30 ,$240.30 ,$240.30 ST. JOSEPH'S - CHIPPEWA FALLS,96000039,99498,PC ADVANCED CARE PLANNING ADDL 30MIN,960,1 ,$219.00 ,$164.25 ,$31.68 ,$219.00 ,$141.04 , N/A ,$153.30 ,$31.68 ,$181.77 ,$32.63 ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 ,$31.68 ,$205.86 ,$208.05 ,$197.10 ,$186.15 ,$31.68 ,$31.68 ,$31.68 ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 ,$33.58 ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$164.25 ,$153.30 , N/A ,$33.26 ,$204.77 , N/A ,$31.68 ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 ST. JOSEPH'S - CHIPPEWA FALLS,96000040,99354,PC EXTENDED E AND M/PSYCH OP SERVICE INIT HR,960,1 ,$510.00 ,$382.50 ,$280.50 ,$510.00 ,$328.44 , N/A ,$357.00 , N/A ,$423.30 , N/A ,$336.60 ,$484.50 , N/A ,$408.00 ,$464.10 , N/A ,$479.40 ,$484.50 ,$459.00 ,$433.50 , N/A , N/A , N/A ,$372.30 , N/A ,$453.90 ,$459.00 ,$459.00 ,$408.00 , N/A ,$280.50 ,$459.00 , N/A ,$459.00 , N/A ,$484.50 , N/A ,$469.20 , N/A ,$464.10 , N/A ,$313.85 ,$328.44 ,$313.85 ,$459.00 ,$459.00 ,$382.50 ,$357.00 , N/A , N/A ,$476.85 , N/A , N/A ,$443.70 , N/A ,$459.00 , N/A ,$459.00 ,$459.00 ,$459.00 ,$494.70 ,$413.10 ,$459.00 ,$459.00 ,$459.00 ,$459.00 ST. JOSEPH'S - CHIPPEWA FALLS,96000041,99355,PC EXTENDED E AND M/PSYCH OP SERVICE ADDL 30MIN,960,1 ,$219.00 ,$164.25 ,$120.45 ,$219.00 ,$141.04 , N/A ,$153.30 , N/A ,$181.77 , N/A ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 , N/A ,$205.86 ,$208.05 ,$197.10 ,$186.15 , N/A , N/A , N/A ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 , N/A ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$164.25 ,$153.30 , N/A , N/A ,$204.77 , N/A , N/A ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 ST. JOSEPH'S - CHIPPEWA FALLS,96000042,99358,PC PROLONG E AND M BEFORE/AFTER DIRECT PAT CARE INIT HR,960,1 ,$510.00 ,$382.50 ,$47.46 ,$510.00 ,$328.44 , N/A ,$357.00 ,$47.46 ,$423.30 ,$48.88 ,$336.60 ,$484.50 , N/A ,$408.00 ,$464.10 ,$47.46 ,$479.40 ,$484.50 ,$459.00 ,$433.50 ,$47.46 ,$47.46 ,$47.46 ,$372.30 , N/A ,$453.90 ,$459.00 ,$459.00 ,$408.00 , N/A ,$280.50 ,$459.00 , N/A ,$459.00 , N/A ,$484.50 , N/A ,$469.20 ,$50.31 ,$464.10 , N/A ,$313.85 ,$328.44 ,$313.85 ,$459.00 ,$459.00 ,$382.50 ,$357.00 , N/A ,$49.83 ,$476.85 , N/A ,$47.46 ,$443.70 , N/A ,$459.00 , N/A ,$459.00 ,$459.00 ,$459.00 ,$494.70 ,$413.10 ,$459.00 ,$459.00 ,$459.00 ,$459.00 ST. JOSEPH'S - CHIPPEWA FALLS,96000043,99359,PC PROLONG E AND M BEFORE/AFTER DIRECT PAT CARE ADDL 30MIN,960,1 ,$219.00 ,$164.25 ,$120.45 ,$219.00 ,$141.04 , N/A ,$153.30 , N/A ,$181.77 , N/A ,$144.54 ,$208.05 , N/A ,$175.20 ,$199.29 , N/A ,$205.86 ,$208.05 ,$197.10 ,$186.15 , N/A , N/A , N/A ,$159.87 , N/A ,$194.91 ,$197.10 ,$197.10 ,$175.20 , N/A ,$120.45 ,$197.10 , N/A ,$197.10 , N/A ,$208.05 , N/A ,$201.48 , N/A ,$199.29 , N/A ,$134.77 ,$141.04 ,$134.77 ,$197.10 ,$197.10 ,$164.25 ,$153.30 , N/A , N/A ,$204.77 , N/A , N/A ,$190.53 , N/A ,$197.10 , N/A ,$197.10 ,$197.10 ,$197.10 ,$212.43 ,$177.39 ,$197.10 ,$197.10 ,$197.10 ,$197.10 ST. JOSEPH'S - CHIPPEWA FALLS,96080000,36000,PC IV START > 3YR OLD,960,1 ,$299.21 ,$224.41 ,$17.61 ,$299.21 ,$192.69 , N/A ,$209.45 ,$17.61 ,$248.34 ,$18.14 ,$197.48 ,$284.25 , N/A ,$239.37 ,$272.28 ,$17.61 ,$281.26 ,$284.25 ,$269.29 ,$254.33 ,$17.61 ,$17.61 ,$17.61 ,$218.42 , N/A ,$266.30 ,$269.29 ,$269.29 ,$239.37 , N/A ,$164.57 ,$269.29 , N/A ,$269.29 , N/A ,$284.25 , N/A ,$275.27 ,$18.67 ,$272.28 , N/A ,$184.13 ,$192.69 ,$184.13 ,$269.29 ,$269.29 ,$224.41 ,$209.45 , N/A ,$18.49 ,$279.76 , N/A ,$17.61 ,$260.31 , N/A ,$269.29 , N/A ,$269.29 ,$269.29 ,$269.29 ,$290.23 ,$242.36 ,$269.29 ,$269.29 ,$269.29 ,$269.29 ST. JOSEPH'S - CHIPPEWA FALLS,96080008,92511,PC NASOPHARYNGOSCOPY,960,1 ,$449.02 ,$336.77 ,$35.67 ,$449.02 ,$289.17 ,$159.21 ,$314.31 ,$35.67 ,$372.69 ,$36.74 ,$296.35 ,$426.57 , N/A ,$359.22 ,$408.61 ,$35.67 ,$422.08 ,$426.57 ,$404.12 ,$381.67 ,$35.67 ,$35.67 ,$35.67 ,$327.78 ,$159.21 ,$399.63 ,$404.12 ,$404.12 ,$359.22 ,$163.99 ,$246.96 ,$404.12 ,$159.21 ,$404.12 ,$159.21 ,$426.57 ,$358.23 ,$413.10 ,$37.81 ,$408.61 ,$159.21 ,$276.33 ,$289.17 ,$276.33 ,$404.12 ,$404.12 ,$336.77 ,$314.31 ,$160.80 ,$37.45 ,$419.83 ,$167.17 ,$35.67 ,$390.65 ,$159.21 ,$404.12 ,$159.21 ,$404.12 ,$404.12 ,$404.12 ,$435.55 ,$363.71 ,$404.12 ,$404.12 ,$404.12 ,$404.12 ST. JOSEPH'S - CHIPPEWA FALLS,96100002,90791,PC EVAL PSYCH DIAG PHD,961,1 ,$700.00 ,$525.00 ,$81.49 ,$700.00 ,$450.80 ,$129.42 ,$490.00 ,$81.49 ,$581.00 ,$83.93 ,$462.00 ,$665.00 , N/A ,$560.00 ,$637.00 ,$81.49 ,$658.00 ,$665.00 ,$630.00 ,$595.00 ,$81.49 ,$81.49 ,$81.49 ,$511.00 ,$129.42 ,$623.00 ,$630.00 ,$630.00 ,$560.00 ,$133.30 ,$385.00 ,$630.00 ,$129.42 ,$630.00 ,$129.42 ,$665.00 ,$291.20 ,$644.00 ,$86.38 ,$637.00 ,$129.42 ,$430.78 ,$450.80 ,$430.78 ,$630.00 ,$630.00 ,$525.00 ,$490.00 ,$130.71 ,$85.56 ,$654.50 ,$135.89 ,$81.49 ,$609.00 ,$129.42 ,$630.00 ,$129.42 ,$630.00 ,$630.00 ,$630.00 ,$679.00 ,$567.00 ,$630.00 ,$630.00 ,$630.00 ,$630.00 ST. JOSEPH'S - CHIPPEWA FALLS,96100010,96101,PC PSYCH TESTING,961,1 ,$488.00 ,$366.00 ,$268.40 ,$488.00 ,$314.27 , N/A ,$341.60 , N/A ,$405.04 , N/A ,$322.08 ,$463.60 , N/A ,$390.40 ,$444.08 , N/A ,$458.72 ,$463.60 ,$439.20 ,$414.80 , N/A , N/A , N/A ,$356.24 , N/A ,$434.32 ,$439.20 ,$439.20 ,$390.40 , N/A ,$268.40 ,$439.20 , N/A ,$439.20 , N/A ,$463.60 , N/A ,$448.96 , N/A ,$444.08 , N/A ,$300.32 ,$314.27 ,$300.32 ,$439.20 ,$439.20 ,$366.00 ,$341.60 , N/A , N/A ,$456.28 , N/A , N/A ,$424.56 , N/A ,$439.20 , N/A ,$439.20 ,$439.20 ,$439.20 ,$473.36 ,$395.28 ,$439.20 ,$439.20 ,$439.20 ,$439.20 ST. JOSEPH'S - CHIPPEWA FALLS,96300003,62273,PC INJ EPIDURAL BLD/CLOT PATCH PRO FEE,963,1 ,"$1,333.70 ","$1,000.28 ",$263.02 ,"$1,382.85 ",$858.90 ,$614.60 ,$933.59 ,$263.02 ,"$1,106.97 ",$270.91 ,$880.24 ,"$1,267.02 ", N/A ,"$1,066.96 ","$1,213.67 ",$263.02 ,"$1,253.68 ","$1,267.02 ","$1,200.33 ","$1,133.65 ",$263.02 ,$263.02 ,$263.02 ,$973.60 ,$614.60 ,"$1,186.99 ","$1,200.33 ","$1,200.33 ","$1,066.96 ",$633.04 ,$733.54 ,"$1,200.33 ",$614.60 ,"$1,200.33 ",$614.60 ,"$1,267.02 ","$1,382.85 ","$1,227.00 ",$278.80 ,"$1,213.67 ",$614.60 ,$820.76 ,$858.90 ,$820.76 ,"$1,200.33 ","$1,200.33 ","$1,000.28 ",$933.59 ,$620.75 ,$276.17 ,"$1,247.01 ",$645.33 ,$263.02 ,"$1,160.32 ",$614.60 ,"$1,200.33 ",$614.60 ,"$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,293.69 ","$1,080.30 ","$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,200.33 " ST. JOSEPH'S - CHIPPEWA FALLS,98180002,10060,PC DRAIN SKIN ABSCESS SIMPLE,981,1 ,$320.40 ,$240.30 ,$74.70 ,$391.26 ,$206.34 ,$173.89 ,$224.28 ,$74.70 ,$265.93 ,$76.94 ,$211.46 ,$304.38 , N/A ,$256.32 ,$291.56 ,$74.70 ,$301.18 ,$304.38 ,$288.36 ,$272.34 ,$74.70 ,$74.70 ,$74.70 ,$233.89 ,$173.89 ,$285.16 ,$288.36 ,$288.36 ,$256.32 ,$179.11 ,$176.22 ,$288.36 ,$173.89 ,$288.36 ,$173.89 ,$304.38 ,$391.26 ,$294.77 ,$79.18 ,$291.56 ,$173.89 ,$197.17 ,$206.34 ,$197.17 ,$288.36 ,$288.36 ,$240.30 ,$224.28 ,$175.63 ,$78.44 ,$299.57 ,$182.58 ,$74.70 ,$278.75 ,$173.89 ,$288.36 ,$173.89 ,$288.36 ,$288.36 ,$288.36 ,$310.79 ,$259.52 ,$288.36 ,$288.36 ,$288.36 ,$288.36 ST. JOSEPH'S - CHIPPEWA FALLS,98180003,10061,PC DRAIN SKIN ABSCESS COMPLIC,981,1 ,$622.40 ,$466.80 ,$74.70 ,$753.63 ,$400.83 ,$334.95 ,$435.68 ,$74.70 ,$516.59 ,$76.94 ,$410.78 ,$591.28 , N/A ,$497.92 ,$566.38 ,$74.70 ,$585.06 ,$591.28 ,$560.16 ,$529.04 ,$74.70 ,$74.70 ,$74.70 ,$454.35 ,$334.95 ,$553.94 ,$560.16 ,$560.16 ,$497.92 ,$344.99 ,$342.32 ,$560.16 ,$334.95 ,$560.16 ,$334.95 ,$591.28 ,$753.63 ,$572.61 ,$79.18 ,$566.38 ,$334.95 ,$383.03 ,$400.83 ,$383.03 ,$560.16 ,$560.16 ,$466.80 ,$435.68 ,$338.30 ,$78.44 ,$581.94 ,$351.70 ,$74.70 ,$541.49 ,$334.95 ,$560.16 ,$334.95 ,$560.16 ,$560.16 ,$560.16 ,$603.73 ,$504.14 ,$560.16 ,$560.16 ,$560.16 ,$560.16 ST. JOSEPH'S - CHIPPEWA FALLS,98180004,10080,PC DRAIN PILONIDAL CYST SIMPL,981,1 ,$483.95 ,$362.96 ,$74.70 ,"$1,355.35 ",$311.66 ,$602.38 ,$338.77 ,$74.70 ,$401.68 ,$76.94 ,$319.41 ,$459.75 , N/A ,$387.16 ,$440.39 ,$74.70 ,$454.91 ,$459.75 ,$435.56 ,$411.36 ,$74.70 ,$74.70 ,$74.70 ,$353.28 ,$602.38 ,$430.72 ,$435.56 ,$435.56 ,$387.16 ,$620.45 ,$266.17 ,$435.56 ,$602.38 ,$435.56 ,$602.38 ,$459.75 ,"$1,355.35 ",$445.23 ,$79.18 ,$440.39 ,$602.38 ,$297.82 ,$311.66 ,$297.82 ,$435.56 ,$435.56 ,$362.96 ,$338.77 ,$608.40 ,$78.44 ,$452.49 ,$632.50 ,$74.70 ,$421.04 ,$602.38 ,$435.56 ,$602.38 ,$435.56 ,$435.56 ,$435.56 ,$469.43 ,$392.00 ,$435.56 ,$435.56 ,$435.56 ,$435.56 ST. JOSEPH'S - CHIPPEWA FALLS,98180005,10081,PC DRAIN PILONIDAL CYST COMPLIC,981,1 ,$864.33 ,$648.25 ,$325.66 ,"$1,355.35 ",$556.63 ,$602.38 ,$605.03 ,$325.66 ,$717.39 ,$335.43 ,$570.46 ,$821.11 , N/A ,$691.46 ,$786.54 ,$325.66 ,$812.47 ,$821.11 ,$777.90 ,$734.68 ,$325.66 ,$325.66 ,$325.66 ,$630.96 ,$602.38 ,$769.25 ,$777.90 ,$777.90 ,$691.46 ,$620.45 ,$475.38 ,$777.90 ,$602.38 ,$777.90 ,$602.38 ,$821.11 ,"$1,355.35 ",$795.18 ,$345.20 ,$786.54 ,$602.38 ,$531.91 ,$556.63 ,$531.91 ,$777.90 ,$777.90 ,$648.25 ,$605.03 ,$608.40 ,$341.94 ,$808.15 ,$632.50 ,$325.66 ,$751.97 ,$602.38 ,$777.90 ,$602.38 ,$777.90 ,$777.90 ,$777.90 ,$838.40 ,$700.11 ,$777.90 ,$777.90 ,$777.90 ,$777.90 ST. JOSEPH'S - CHIPPEWA FALLS,98180006,10120,PC REMOVE FOREIGN BODY SIMPLE,981,1 ,$352.00 ,$264.00 ,$74.70 ,$753.63 ,$226.69 ,$334.95 ,$246.40 ,$74.70 ,$292.16 ,$76.94 ,$232.32 ,$334.40 , N/A ,$281.60 ,$320.32 ,$74.70 ,$330.88 ,$334.40 ,$316.80 ,$299.20 ,$74.70 ,$74.70 ,$74.70 ,$256.96 ,$334.95 ,$313.28 ,$316.80 ,$316.80 ,$281.60 ,$344.99 ,$193.60 ,$316.80 ,$334.95 ,$316.80 ,$334.95 ,$334.40 ,$753.63 ,$323.84 ,$79.18 ,$320.32 ,$334.95 ,$216.62 ,$226.69 ,$216.62 ,$316.80 ,$316.80 ,$264.00 ,$246.40 ,$338.30 ,$78.44 ,$329.12 ,$351.70 ,$74.70 ,$306.24 ,$334.95 ,$316.80 ,$334.95 ,$316.80 ,$316.80 ,$316.80 ,$341.44 ,$285.12 ,$316.80 ,$316.80 ,$316.80 ,$316.80 ST. JOSEPH'S - CHIPPEWA FALLS,98180007,10121,PC REMOVE FOREIGN BODY COMPLIC,981,1 ,$781.31 ,$585.98 ,$338.77 ,"$3,066.03 ",$503.16 ,"$1,362.68 ",$546.92 ,$338.77 ,$648.49 ,$348.93 ,$515.66 ,$742.24 , N/A ,$625.05 ,$710.99 ,$338.77 ,$734.43 ,$742.24 ,$703.18 ,$664.11 ,$338.77 ,$338.77 ,$338.77 ,$570.36 ,"$1,362.68 ",$695.37 ,$703.18 ,$703.18 ,$625.05 ,"$1,403.56 ",$429.72 ,$703.18 ,"$1,362.68 ",$703.18 ,"$1,362.68 ",$742.24 ,"$3,066.03 ",$718.81 ,$359.10 ,$710.99 ,"$1,362.68 ",$480.82 ,$503.16 ,$480.82 ,$703.18 ,$703.18 ,$585.98 ,$546.92 ,"$1,376.31 ",$355.71 ,$730.52 ,"$1,430.81 ",$338.77 ,$679.74 ,"$1,362.68 ",$703.18 ,"$1,362.68 ",$703.18 ,$703.18 ,$703.18 ,$757.87 ,$632.86 ,$703.18 ,$703.18 ,$703.18 ,$703.18 ST. JOSEPH'S - CHIPPEWA FALLS,98180008,10140,PC DRAINAGE OF HEMATOMA/FLUID,981,1 ,$445.80 ,$334.35 ,$245.19 ,"$3,066.03 ",$287.10 ,"$1,362.68 ",$312.06 ,$325.66 ,$370.01 ,$335.43 ,$294.23 ,$423.51 , N/A ,$356.64 ,$405.68 ,$325.66 ,$419.05 ,$423.51 ,$401.22 ,$378.93 ,$325.66 ,$325.66 ,$325.66 ,$325.43 ,"$1,362.68 ",$396.76 ,$401.22 ,$401.22 ,$356.64 ,"$1,403.56 ",$245.19 ,$401.22 ,"$1,362.68 ",$401.22 ,"$1,362.68 ",$423.51 ,"$3,066.03 ",$410.14 ,$345.20 ,$405.68 ,"$1,362.68 ",$274.35 ,$287.10 ,$274.35 ,$401.22 ,$401.22 ,$334.35 ,$312.06 ,"$1,376.31 ",$341.94 ,$416.82 ,"$1,430.81 ",$325.66 ,$387.85 ,"$1,362.68 ",$401.22 ,"$1,362.68 ",$401.22 ,$401.22 ,$401.22 ,$432.43 ,$361.10 ,$401.22 ,$401.22 ,$401.22 ,$401.22 ST. JOSEPH'S - CHIPPEWA FALLS,98180009,10160,PC PUNCTURE DRAINAGE OF LESION,981,1 ,$292.90 ,$219.68 ,$74.70 ,$753.63 ,$188.63 ,$334.95 ,$205.03 ,$74.70 ,$243.11 ,$76.94 ,$193.31 ,$278.26 , N/A ,$234.32 ,$266.54 ,$74.70 ,$275.33 ,$278.26 ,$263.61 ,$248.97 ,$74.70 ,$74.70 ,$74.70 ,$213.82 ,$334.95 ,$260.68 ,$263.61 ,$263.61 ,$234.32 ,$344.99 ,$161.10 ,$263.61 ,$334.95 ,$263.61 ,$334.95 ,$278.26 ,$753.63 ,$269.47 ,$79.18 ,$266.54 ,$334.95 ,$180.25 ,$188.63 ,$180.25 ,$263.61 ,$263.61 ,$219.68 ,$205.03 ,$338.30 ,$78.44 ,$273.86 ,$351.70 ,$74.70 ,$254.82 ,$334.95 ,$263.61 ,$334.95 ,$263.61 ,$263.61 ,$263.61 ,$284.11 ,$237.25 ,$263.61 ,$263.61 ,$263.61 ,$263.61 ST. JOSEPH'S - CHIPPEWA FALLS,98180011,11000,PC SURGICAL CLEANSING OF SKIN,981,1 ,$315.24 ,$236.43 ,$107.54 ,"$1,142.23 ",$203.01 ,$507.66 ,$220.67 ,$107.54 ,$261.65 ,$110.77 ,$208.06 ,$299.48 , N/A ,$252.19 ,$286.87 ,$107.54 ,$296.33 ,$299.48 ,$283.72 ,$267.95 ,$107.54 ,$107.54 ,$107.54 ,$230.13 ,$507.66 ,$280.56 ,$283.72 ,$283.72 ,$252.19 ,$522.89 ,$173.38 ,$283.72 ,$507.66 ,$283.72 ,$507.66 ,$299.48 ,"$1,142.23 ",$290.02 ,$113.99 ,$286.87 ,$507.66 ,$194.00 ,$203.01 ,$194.00 ,$283.72 ,$283.72 ,$236.43 ,$220.67 ,$512.74 ,$112.92 ,$294.75 ,$533.04 ,$107.54 ,$274.26 ,$507.66 ,$283.72 ,$507.66 ,$283.72 ,$283.72 ,$283.72 ,$305.78 ,$255.34 ,$283.72 ,$283.72 ,$283.72 ,$283.72 ST. JOSEPH'S - CHIPPEWA FALLS,98180012,11001,PC ADDITIONAL CLEANSING OF SKIN,981,1 ,$157.62 ,$118.22 ,$86.69 ,$157.62 ,$101.51 , N/A ,$110.33 ,$107.54 ,$130.82 ,$110.77 ,$104.03 ,$149.74 , N/A ,$126.10 ,$143.43 ,$107.54 ,$148.16 ,$149.74 ,$141.86 ,$133.98 ,$107.54 ,$107.54 ,$107.54 ,$115.06 , N/A ,$140.28 ,$141.86 ,$141.86 ,$126.10 , N/A ,$86.69 ,$141.86 , N/A ,$141.86 , N/A ,$149.74 , N/A ,$145.01 ,$113.99 ,$143.43 , N/A ,$97.00 ,$101.51 ,$97.00 ,$141.86 ,$141.86 ,$118.22 ,$110.33 , N/A ,$112.92 ,$147.37 , N/A ,$107.54 ,$137.13 , N/A ,$141.86 , N/A ,$141.86 ,$141.86 ,$141.86 ,$152.89 ,$127.67 ,$141.86 ,$141.86 ,$141.86 ,$141.86 ST. JOSEPH'S - CHIPPEWA FALLS,98180018,11012,PC DEBRIDE ASSOC FX/DISLO SKIN/MUS/BONE,981,1 ,$157.12 ,$117.84 ,$86.42 ,"$5,164.55 ",$101.19 ,"$2,295.35 ",$109.98 ,$157.12 ,$130.41 ,$297.49 ,$103.70 ,$149.26 , N/A ,$125.70 ,$142.98 ,$157.12 ,$147.69 ,$149.26 ,$141.41 ,$133.55 ,$288.83 ,$288.83 ,$288.83 ,$114.70 ,"$2,295.35 ",$139.84 ,$141.41 ,$141.41 ,$125.70 ,"$2,364.22 ",$86.42 ,$141.41 ,"$2,295.35 ",$141.41 ,"$2,295.35 ",$149.26 ,"$5,164.55 ",$144.55 ,$306.16 ,$142.98 ,"$2,295.35 ",$96.69 ,$101.19 ,$96.69 ,$141.41 ,$141.41 ,$117.84 ,$109.98 ,"$2,318.31 ",$303.27 ,$146.91 ,"$2,410.12 ",$157.12 ,$136.69 ,"$2,295.35 ",$141.41 ,"$2,295.35 ",$141.41 ,$141.41 ,$141.41 ,$152.41 ,$127.27 ,$141.41 ,$141.41 ,$141.41 ,$141.41 ST. JOSEPH'S - CHIPPEWA FALLS,98180019,11040,"PC SURGICAL CLEANSING, ABRASION",981,1 ,$161.50 ,$121.13 ,$88.83 ,$161.50 ,$104.01 , N/A ,$113.05 , N/A ,$134.05 , N/A ,$106.59 ,$153.43 , N/A ,$129.20 ,$146.97 , N/A ,$151.81 ,$153.43 ,$145.35 ,$137.28 , N/A , N/A , N/A ,$117.90 , N/A ,$143.74 ,$145.35 ,$145.35 ,$129.20 , N/A ,$88.83 ,$145.35 , N/A ,$145.35 , N/A ,$153.43 , N/A ,$148.58 , N/A ,$146.97 , N/A ,$99.39 ,$104.01 ,$99.39 ,$145.35 ,$145.35 ,$121.13 ,$113.05 , N/A , N/A ,$151.00 , N/A , N/A ,$140.51 , N/A ,$145.35 , N/A ,$145.35 ,$145.35 ,$145.35 ,$156.66 ,$130.82 ,$145.35 ,$145.35 ,$145.35 ,$145.35 ST. JOSEPH'S - CHIPPEWA FALLS,98180021,11042,PC CLEANSING OF SKIN/TISSUE,981,1 ,$551.77 ,$413.83 ,$107.54 ,$753.63 ,$355.34 ,$334.95 ,$386.24 ,$107.54 ,$457.97 ,$110.77 ,$364.17 ,$524.18 , N/A ,$441.42 ,$502.11 ,$107.54 ,$518.66 ,$524.18 ,$496.59 ,$469.00 ,$107.54 ,$107.54 ,$107.54 ,$402.79 ,$334.95 ,$491.08 ,$496.59 ,$496.59 ,$441.42 ,$344.99 ,$303.47 ,$496.59 ,$334.95 ,$496.59 ,$334.95 ,$524.18 ,$753.63 ,$507.63 ,$113.99 ,$502.11 ,$334.95 ,$339.56 ,$355.34 ,$339.56 ,$496.59 ,$496.59 ,$413.83 ,$386.24 ,$338.30 ,$112.92 ,$515.91 ,$351.70 ,$107.54 ,$480.04 ,$334.95 ,$496.59 ,$334.95 ,$496.59 ,$496.59 ,$496.59 ,$535.22 ,$446.93 ,$496.59 ,$496.59 ,$496.59 ,$496.59 ST. JOSEPH'S - CHIPPEWA FALLS,98180023,11043,PC CLEANSING OF TISSUE/MUSCLE,981,1 ,"$1,095.93 ",$821.95 ,$107.54 ,"$1,142.23 ",$705.78 ,$507.66 ,$767.15 ,$107.54 ,$909.62 ,$110.77 ,$723.31 ,"$1,041.13 ", N/A ,$876.74 ,$997.30 ,$107.54 ,"$1,030.17 ","$1,041.13 ",$986.34 ,$931.54 ,$107.54 ,$107.54 ,$107.54 ,$800.03 ,$507.66 ,$975.38 ,$986.34 ,$986.34 ,$876.74 ,$522.89 ,$602.76 ,$986.34 ,$507.66 ,$986.34 ,$507.66 ,"$1,041.13 ","$1,142.23 ","$1,008.26 ",$113.99 ,$997.30 ,$507.66 ,$674.44 ,$705.78 ,$674.44 ,$986.34 ,$986.34 ,$821.95 ,$767.15 ,$512.74 ,$112.92 ,"$1,024.69 ",$533.04 ,$107.54 ,$953.46 ,$507.66 ,$986.34 ,$507.66 ,$986.34 ,$986.34 ,$986.34 ,"$1,063.05 ",$887.70 ,$986.34 ,$986.34 ,$986.34 ,$986.34 ST. JOSEPH'S - CHIPPEWA FALLS,98180028,11740,PC DRAIN BLOOD FROM UNDER NAIL,981,1 ,$140.50 ,$105.38 ,$31.89 ,$243.95 ,$90.48 ,$108.42 ,$98.35 ,$31.89 ,$116.62 ,$32.85 ,$92.73 ,$133.48 , N/A ,$112.40 ,$127.86 ,$31.89 ,$132.07 ,$133.48 ,$126.45 ,$119.43 ,$31.89 ,$31.89 ,$31.89 ,$102.57 ,$108.42 ,$125.05 ,$126.45 ,$126.45 ,$112.40 ,$111.68 ,$77.28 ,$126.45 ,$108.42 ,$126.45 ,$108.42 ,$133.48 ,$243.95 ,$129.26 ,$33.80 ,$127.86 ,$108.42 ,$86.46 ,$90.48 ,$86.46 ,$126.45 ,$126.45 ,$105.38 ,$98.35 ,$109.51 ,$33.48 ,$131.37 ,$113.84 ,$31.89 ,$122.24 ,$108.42 ,$126.45 ,$108.42 ,$126.45 ,$126.45 ,$126.45 ,$136.29 ,$113.81 ,$126.45 ,$126.45 ,$126.45 ,$126.45 ST. JOSEPH'S - CHIPPEWA FALLS,98180029,11750,PC REMOVAL OF NAIL BED,981,1 ,$632.22 ,$474.17 ,$161.28 ,$753.63 ,$407.15 ,$334.95 ,$442.55 ,$161.28 ,$524.74 ,$166.12 ,$417.27 ,$600.61 , N/A ,$505.78 ,$575.32 ,$161.28 ,$594.29 ,$600.61 ,$569.00 ,$537.39 ,$161.28 ,$161.28 ,$161.28 ,$461.52 ,$334.95 ,$562.68 ,$569.00 ,$569.00 ,$505.78 ,$344.99 ,$347.72 ,$569.00 ,$334.95 ,$569.00 ,$334.95 ,$600.61 ,$753.63 ,$581.64 ,$170.96 ,$575.32 ,$334.95 ,$389.07 ,$407.15 ,$389.07 ,$569.00 ,$569.00 ,$474.17 ,$442.55 ,$338.30 ,$169.34 ,$591.13 ,$351.70 ,$161.28 ,$550.03 ,$334.95 ,$569.00 ,$334.95 ,$569.00 ,$569.00 ,$569.00 ,$613.25 ,$512.10 ,$569.00 ,$569.00 ,$569.00 ,$569.00 ST. JOSEPH'S - CHIPPEWA FALLS,98180031,11765,PC EXC WEDGE SKIN NAIL FOLD,981,1 ,$374.73 ,$281.05 ,$31.89 ,$753.63 ,$241.33 ,$334.95 ,$262.31 ,$31.89 ,$311.03 ,$32.85 ,$247.32 ,$355.99 , N/A ,$299.78 ,$341.00 ,$31.89 ,$352.25 ,$355.99 ,$337.26 ,$318.52 ,$31.89 ,$31.89 ,$31.89 ,$273.55 ,$334.95 ,$333.51 ,$337.26 ,$337.26 ,$299.78 ,$344.99 ,$206.10 ,$337.26 ,$334.95 ,$337.26 ,$334.95 ,$355.99 ,$753.63 ,$344.75 ,$33.80 ,$341.00 ,$334.95 ,$230.61 ,$241.33 ,$230.61 ,$337.26 ,$337.26 ,$281.05 ,$262.31 ,$338.30 ,$33.48 ,$350.37 ,$351.70 ,$31.89 ,$326.02 ,$334.95 ,$337.26 ,$334.95 ,$337.26 ,$337.26 ,$337.26 ,$363.49 ,$303.53 ,$337.26 ,$337.26 ,$337.26 ,$337.26 ST. JOSEPH'S - CHIPPEWA FALLS,98180032,12001,PC REPR SUPERF WND BODY <2.5CM,981,1 ,$390.20 ,$292.65 ,$84.29 ,$391.26 ,$251.29 ,$173.89 ,$273.14 ,$84.29 ,$323.87 ,$86.82 ,$257.53 ,$370.69 , N/A ,$312.16 ,$355.08 ,$84.29 ,$366.79 ,$370.69 ,$351.18 ,$331.67 ,$84.29 ,$84.29 ,$84.29 ,$284.85 ,$173.89 ,$347.28 ,$351.18 ,$351.18 ,$312.16 ,$179.11 ,$214.61 ,$351.18 ,$173.89 ,$351.18 ,$173.89 ,$370.69 ,$391.26 ,$358.98 ,$89.35 ,$355.08 ,$173.89 ,$240.13 ,$251.29 ,$240.13 ,$351.18 ,$351.18 ,$292.65 ,$273.14 ,$175.63 ,$88.50 ,$364.84 ,$182.58 ,$84.29 ,$339.47 ,$173.89 ,$351.18 ,$173.89 ,$351.18 ,$351.18 ,$351.18 ,$378.49 ,$316.06 ,$351.18 ,$351.18 ,$351.18 ,$351.18 ST. JOSEPH'S - CHIPPEWA FALLS,98180033,12002,PC REPR SUP NPTERF WND BODY 2.6-7.5,981,1 ,$471.50 ,$353.63 ,$84.29 ,$471.50 ,$303.65 ,$173.89 ,$330.05 ,$84.29 ,$391.35 ,$86.82 ,$311.19 ,$447.93 , N/A ,$377.20 ,$429.07 ,$84.29 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$84.29 ,$84.29 ,$84.29 ,$344.20 ,$173.89 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$179.11 ,$259.33 ,$424.35 ,$173.89 ,$424.35 ,$173.89 ,$447.93 ,$391.26 ,$433.78 ,$89.35 ,$429.07 ,$173.89 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$353.63 ,$330.05 ,$175.63 ,$88.50 ,$440.85 ,$182.58 ,$84.29 ,$410.21 ,$173.89 ,$424.35 ,$173.89 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 ST. JOSEPH'S - CHIPPEWA FALLS,98180034,12004,PC REPR SUPERF WND BODY 7.6-12.5,981,1 ,$585.30 ,$438.98 ,$84.29 ,$585.30 ,$376.93 ,$173.89 ,$409.71 ,$84.29 ,$485.80 ,$86.82 ,$386.30 ,$556.04 , N/A ,$468.24 ,$532.62 ,$84.29 ,$550.18 ,$556.04 ,$526.77 ,$497.51 ,$84.29 ,$84.29 ,$84.29 ,$427.27 ,$173.89 ,$520.92 ,$526.77 ,$526.77 ,$468.24 ,$179.11 ,$321.92 ,$526.77 ,$173.89 ,$526.77 ,$173.89 ,$556.04 ,$391.26 ,$538.48 ,$89.35 ,$532.62 ,$173.89 ,$360.19 ,$376.93 ,$360.19 ,$526.77 ,$526.77 ,$438.98 ,$409.71 ,$175.63 ,$88.50 ,$547.26 ,$182.58 ,$84.29 ,$509.21 ,$173.89 ,$526.77 ,$173.89 ,$526.77 ,$526.77 ,$526.77 ,$567.74 ,$474.09 ,$526.77 ,$526.77 ,$526.77 ,$526.77 ST. JOSEPH'S - CHIPPEWA FALLS,98180035,12005,PC REPR SUPERF WND BODY 12.6-20,981,1 ,$617.90 ,$463.43 ,$84.29 ,$753.63 ,$397.93 ,$334.95 ,$432.53 ,$84.29 ,$512.86 ,$86.82 ,$407.81 ,$587.01 , N/A ,$494.32 ,$562.29 ,$84.29 ,$580.83 ,$587.01 ,$556.11 ,$525.22 ,$84.29 ,$84.29 ,$84.29 ,$451.07 ,$334.95 ,$549.93 ,$556.11 ,$556.11 ,$494.32 ,$344.99 ,$339.85 ,$556.11 ,$334.95 ,$556.11 ,$334.95 ,$587.01 ,$753.63 ,$568.47 ,$89.35 ,$562.29 ,$334.95 ,$380.26 ,$397.93 ,$380.26 ,$556.11 ,$556.11 ,$463.43 ,$432.53 ,$338.30 ,$88.50 ,$577.74 ,$351.70 ,$84.29 ,$537.57 ,$334.95 ,$556.11 ,$334.95 ,$556.11 ,$556.11 ,$556.11 ,$599.36 ,$500.50 ,$556.11 ,$556.11 ,$556.11 ,$556.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180036,12006,PC REPR SUPERF WND BODY 20.1-30,981,1 ,$726.10 ,$544.58 ,$84.29 ,$753.63 ,$467.61 ,$334.95 ,$508.27 ,$84.29 ,$602.66 ,$86.82 ,$479.23 ,$689.80 , N/A ,$580.88 ,$660.75 ,$84.29 ,$682.53 ,$689.80 ,$653.49 ,$617.19 ,$84.29 ,$84.29 ,$84.29 ,$530.05 ,$334.95 ,$646.23 ,$653.49 ,$653.49 ,$580.88 ,$344.99 ,$399.36 ,$653.49 ,$334.95 ,$653.49 ,$334.95 ,$689.80 ,$753.63 ,$668.01 ,$89.35 ,$660.75 ,$334.95 ,$446.84 ,$467.61 ,$446.84 ,$653.49 ,$653.49 ,$544.58 ,$508.27 ,$338.30 ,$88.50 ,$678.90 ,$351.70 ,$84.29 ,$631.71 ,$334.95 ,$653.49 ,$334.95 ,$653.49 ,$653.49 ,$653.49 ,$704.32 ,$588.14 ,$653.49 ,$653.49 ,$653.49 ,$653.49 ST. JOSEPH'S - CHIPPEWA FALLS,98180038,12011,PC REPR SUPERF WND FACE <2.5CM,981,1 ,$471.50 ,$353.63 ,$84.29 ,$471.50 ,$303.65 ,$173.89 ,$330.05 ,$84.29 ,$391.35 ,$86.82 ,$311.19 ,$447.93 , N/A ,$377.20 ,$429.07 ,$84.29 ,$443.21 ,$447.93 ,$424.35 ,$400.78 ,$84.29 ,$84.29 ,$84.29 ,$344.20 ,$173.89 ,$419.64 ,$424.35 ,$424.35 ,$377.20 ,$179.11 ,$259.33 ,$424.35 ,$173.89 ,$424.35 ,$173.89 ,$447.93 ,$391.26 ,$433.78 ,$89.35 ,$429.07 ,$173.89 ,$290.16 ,$303.65 ,$290.16 ,$424.35 ,$424.35 ,$353.63 ,$330.05 ,$175.63 ,$88.50 ,$440.85 ,$182.58 ,$84.29 ,$410.21 ,$173.89 ,$424.35 ,$173.89 ,$424.35 ,$424.35 ,$424.35 ,$457.36 ,$381.92 ,$424.35 ,$424.35 ,$424.35 ,$424.35 ST. JOSEPH'S - CHIPPEWA FALLS,98180039,12013,PC REPR SUPERF WND FACE 2.6-5,981,1 ,$552.90 ,$414.68 ,$84.29 ,$552.90 ,$356.07 ,$173.89 ,$387.03 ,$84.29 ,$458.91 ,$86.82 ,$364.91 ,$525.26 , N/A ,$442.32 ,$503.14 ,$84.29 ,$519.73 ,$525.26 ,$497.61 ,$469.97 ,$84.29 ,$84.29 ,$84.29 ,$403.62 ,$173.89 ,$492.08 ,$497.61 ,$497.61 ,$442.32 ,$179.11 ,$304.10 ,$497.61 ,$173.89 ,$497.61 ,$173.89 ,$525.26 ,$391.26 ,$508.67 ,$89.35 ,$503.14 ,$173.89 ,$340.25 ,$356.07 ,$340.25 ,$497.61 ,$497.61 ,$414.68 ,$387.03 ,$175.63 ,$88.50 ,$516.96 ,$182.58 ,$84.29 ,$481.02 ,$173.89 ,$497.61 ,$173.89 ,$497.61 ,$497.61 ,$497.61 ,$536.31 ,$447.85 ,$497.61 ,$497.61 ,$497.61 ,$497.61 ST. JOSEPH'S - CHIPPEWA FALLS,98180040,12014,PC REPR SUPERF WND FACE 5.1-7.5,981,1 ,$585.30 ,$438.98 ,$84.29 ,$585.30 ,$376.93 ,$173.89 ,$409.71 ,$84.29 ,$485.80 ,$86.82 ,$386.30 ,$556.04 , N/A ,$468.24 ,$532.62 ,$84.29 ,$550.18 ,$556.04 ,$526.77 ,$497.51 ,$84.29 ,$84.29 ,$84.29 ,$427.27 ,$173.89 ,$520.92 ,$526.77 ,$526.77 ,$468.24 ,$179.11 ,$321.92 ,$526.77 ,$173.89 ,$526.77 ,$173.89 ,$556.04 ,$391.26 ,$538.48 ,$89.35 ,$532.62 ,$173.89 ,$360.19 ,$376.93 ,$360.19 ,$526.77 ,$526.77 ,$438.98 ,$409.71 ,$175.63 ,$88.50 ,$547.26 ,$182.58 ,$84.29 ,$509.21 ,$173.89 ,$526.77 ,$173.89 ,$526.77 ,$526.77 ,$526.77 ,$567.74 ,$474.09 ,$526.77 ,$526.77 ,$526.77 ,$526.77 ST. JOSEPH'S - CHIPPEWA FALLS,98180041,12015,PC REPR SUPERF WND FACE 7.6-12.5,981,1 ,$715.40 ,$536.55 ,$84.29 ,$715.40 ,$460.72 ,$173.89 ,$500.78 ,$84.29 ,$593.78 ,$86.82 ,$472.16 ,$679.63 , N/A ,$572.32 ,$651.01 ,$84.29 ,$672.48 ,$679.63 ,$643.86 ,$608.09 ,$84.29 ,$84.29 ,$84.29 ,$522.24 ,$173.89 ,$636.71 ,$643.86 ,$643.86 ,$572.32 ,$179.11 ,$393.47 ,$643.86 ,$173.89 ,$643.86 ,$173.89 ,$679.63 ,$391.26 ,$658.17 ,$89.35 ,$651.01 ,$173.89 ,$440.26 ,$460.72 ,$440.26 ,$643.86 ,$643.86 ,$536.55 ,$500.78 ,$175.63 ,$88.50 ,$668.90 ,$182.58 ,$84.29 ,$622.40 ,$173.89 ,$643.86 ,$173.89 ,$643.86 ,$643.86 ,$643.86 ,$693.94 ,$579.47 ,$643.86 ,$643.86 ,$643.86 ,$643.86 ST. JOSEPH'S - CHIPPEWA FALLS,98180042,12016,PC REPR SUPERF WND FACE 12.6-20,981,1 ,"$1,010.24 ",$757.68 ,$84.29 ,"$1,010.24 ",$650.59 ,$334.95 ,$707.17 ,$84.29 ,$838.50 ,$86.82 ,$666.76 ,$959.73 , N/A ,$808.19 ,$919.32 ,$84.29 ,$949.63 ,$959.73 ,$909.22 ,$858.70 ,$84.29 ,$84.29 ,$84.29 ,$737.48 ,$334.95 ,$899.11 ,$909.22 ,$909.22 ,$808.19 ,$344.99 ,$555.63 ,$909.22 ,$334.95 ,$909.22 ,$334.95 ,$959.73 ,$753.63 ,$929.42 ,$89.35 ,$919.32 ,$334.95 ,$621.70 ,$650.59 ,$621.70 ,$909.22 ,$909.22 ,$757.68 ,$707.17 ,$338.30 ,$88.50 ,$944.57 ,$351.70 ,$84.29 ,$878.91 ,$334.95 ,$909.22 ,$334.95 ,$909.22 ,$909.22 ,$909.22 ,$979.93 ,$818.29 ,$909.22 ,$909.22 ,$909.22 ,$909.22 ST. JOSEPH'S - CHIPPEWA FALLS,98180043,12017,PC REPR SUPERF WND FACE 20.1-30,981,1 ,"$1,262.90 ",$947.18 ,$84.29 ,"$1,262.90 ",$813.31 ,$334.95 ,$884.03 ,$84.29 ,"$1,048.21 ",$86.82 ,$833.51 ,"$1,199.76 ", N/A ,"$1,010.32 ","$1,149.24 ",$84.29 ,"$1,187.13 ","$1,199.76 ","$1,136.61 ","$1,073.47 ",$84.29 ,$84.29 ,$84.29 ,$921.92 ,$334.95 ,"$1,123.98 ","$1,136.61 ","$1,136.61 ","$1,010.32 ",$344.99 ,$694.60 ,"$1,136.61 ",$334.95 ,"$1,136.61 ",$334.95 ,"$1,199.76 ",$753.63 ,"$1,161.87 ",$89.35 ,"$1,149.24 ",$334.95 ,$777.19 ,$813.31 ,$777.19 ,"$1,136.61 ","$1,136.61 ",$947.18 ,$884.03 ,$338.30 ,$88.50 ,"$1,180.81 ",$351.70 ,$84.29 ,"$1,098.72 ",$334.95 ,"$1,136.61 ",$334.95 ,"$1,136.61 ","$1,136.61 ","$1,136.61 ","$1,225.01 ","$1,022.95 ","$1,136.61 ","$1,136.61 ","$1,136.61 ","$1,136.61 " ST. JOSEPH'S - CHIPPEWA FALLS,98180045,12020,PC CLOSURE SUPERF WND DEHIS SIMPLE,981,1 ,$584.03 ,$438.02 ,$107.54 ,"$1,142.23 ",$376.12 ,$507.66 ,$408.82 ,$107.54 ,$484.74 ,$110.77 ,$385.46 ,$554.83 , N/A ,$467.22 ,$531.47 ,$107.54 ,$548.99 ,$554.83 ,$525.63 ,$496.43 ,$107.54 ,$107.54 ,$107.54 ,$426.34 ,$507.66 ,$519.79 ,$525.63 ,$525.63 ,$467.22 ,$522.89 ,$321.22 ,$525.63 ,$507.66 ,$525.63 ,$507.66 ,$554.83 ,"$1,142.23 ",$537.31 ,$113.99 ,$531.47 ,$507.66 ,$359.41 ,$376.12 ,$359.41 ,$525.63 ,$525.63 ,$438.02 ,$408.82 ,$512.74 ,$112.92 ,$546.07 ,$533.04 ,$107.54 ,$508.11 ,$507.66 ,$525.63 ,$507.66 ,$525.63 ,$525.63 ,$525.63 ,$566.51 ,$473.06 ,$525.63 ,$525.63 ,$525.63 ,$525.63 ST. JOSEPH'S - CHIPPEWA FALLS,98180046,12021,PC CLOSURE SUPERF WND DEHIS W PACKING,981,1 ,$457.75 ,$343.31 ,$107.54 ,$753.63 ,$294.79 ,$334.95 ,$320.43 ,$107.54 ,$379.93 ,$110.77 ,$302.12 ,$434.86 , N/A ,$366.20 ,$416.55 ,$107.54 ,$430.29 ,$434.86 ,$411.98 ,$389.09 ,$107.54 ,$107.54 ,$107.54 ,$334.16 ,$334.95 ,$407.40 ,$411.98 ,$411.98 ,$366.20 ,$344.99 ,$251.76 ,$411.98 ,$334.95 ,$411.98 ,$334.95 ,$434.86 ,$753.63 ,$421.13 ,$113.99 ,$416.55 ,$334.95 ,$281.70 ,$294.79 ,$281.70 ,$411.98 ,$411.98 ,$343.31 ,$320.43 ,$338.30 ,$112.92 ,$428.00 ,$351.70 ,$107.54 ,$398.24 ,$334.95 ,$411.98 ,$334.95 ,$411.98 ,$411.98 ,$411.98 ,$444.02 ,$370.78 ,$411.98 ,$411.98 ,$411.98 ,$411.98 ST. JOSEPH'S - CHIPPEWA FALLS,98180047,12031,"PC LAYR CLOS WND TRUNK,ARM,LEG <2.5CM",981,1 ,$535.30 ,$401.48 ,$107.54 ,$753.63 ,$344.73 ,$334.95 ,$374.71 ,$107.54 ,$444.30 ,$110.77 ,$353.30 ,$508.54 , N/A ,$428.24 ,$487.12 ,$107.54 ,$503.18 ,$508.54 ,$481.77 ,$455.01 ,$107.54 ,$107.54 ,$107.54 ,$390.77 ,$334.95 ,$476.42 ,$481.77 ,$481.77 ,$428.24 ,$344.99 ,$294.42 ,$481.77 ,$334.95 ,$481.77 ,$334.95 ,$508.54 ,$753.63 ,$492.48 ,$113.99 ,$487.12 ,$334.95 ,$329.42 ,$344.73 ,$329.42 ,$481.77 ,$481.77 ,$401.48 ,$374.71 ,$338.30 ,$112.92 ,$500.51 ,$351.70 ,$107.54 ,$465.71 ,$334.95 ,$481.77 ,$334.95 ,$481.77 ,$481.77 ,$481.77 ,$519.24 ,$433.59 ,$481.77 ,$481.77 ,$481.77 ,$481.77 ST. JOSEPH'S - CHIPPEWA FALLS,98180048,12032,"PC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5",981,1 ,$711.50 ,$533.63 ,$107.54 ,$753.63 ,$458.21 ,$334.95 ,$498.05 ,$107.54 ,$590.55 ,$110.77 ,$469.59 ,$675.93 , N/A ,$569.20 ,$647.47 ,$107.54 ,$668.81 ,$675.93 ,$640.35 ,$604.78 ,$107.54 ,$107.54 ,$107.54 ,$519.40 ,$334.95 ,$633.24 ,$640.35 ,$640.35 ,$569.20 ,$344.99 ,$391.33 ,$640.35 ,$334.95 ,$640.35 ,$334.95 ,$675.93 ,$753.63 ,$654.58 ,$113.99 ,$647.47 ,$334.95 ,$437.86 ,$458.21 ,$437.86 ,$640.35 ,$640.35 ,$533.63 ,$498.05 ,$338.30 ,$112.92 ,$665.25 ,$351.70 ,$107.54 ,$619.01 ,$334.95 ,$640.35 ,$334.95 ,$640.35 ,$640.35 ,$640.35 ,$690.16 ,$576.32 ,$640.35 ,$640.35 ,$640.35 ,$640.35 ST. JOSEPH'S - CHIPPEWA FALLS,98180049,12034,"PC LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5",981,1 ,$800.40 ,$600.30 ,$107.54 ,$800.40 ,$515.46 ,$334.95 ,$560.28 ,$107.54 ,$664.33 ,$110.77 ,$528.26 ,$760.38 , N/A ,$640.32 ,$728.36 ,$107.54 ,$752.38 ,$760.38 ,$720.36 ,$680.34 ,$107.54 ,$107.54 ,$107.54 ,$584.29 ,$334.95 ,$712.36 ,$720.36 ,$720.36 ,$640.32 ,$344.99 ,$440.22 ,$720.36 ,$334.95 ,$720.36 ,$334.95 ,$760.38 ,$753.63 ,$736.37 ,$113.99 ,$728.36 ,$334.95 ,$492.57 ,$515.46 ,$492.57 ,$720.36 ,$720.36 ,$600.30 ,$560.28 ,$338.30 ,$112.92 ,$748.37 ,$351.70 ,$107.54 ,$696.35 ,$334.95 ,$720.36 ,$334.95 ,$720.36 ,$720.36 ,$720.36 ,$776.39 ,$648.32 ,$720.36 ,$720.36 ,$720.36 ,$720.36 ST. JOSEPH'S - CHIPPEWA FALLS,98180050,12035,"PC LAYR CLOS WND TRUNK,ARM,LEG 12.6-20",981,1 ,"$1,085.10 ",$813.83 ,$107.54 ,"$1,085.10 ",$698.80 ,$334.95 ,$759.57 ,$107.54 ,$900.63 ,$110.77 ,$716.17 ,"$1,030.85 ", N/A ,$868.08 ,$987.44 ,$107.54 ,"$1,019.99 ","$1,030.85 ",$976.59 ,$922.34 ,$107.54 ,$107.54 ,$107.54 ,$792.12 ,$334.95 ,$965.74 ,$976.59 ,$976.59 ,$868.08 ,$344.99 ,$596.81 ,$976.59 ,$334.95 ,$976.59 ,$334.95 ,"$1,030.85 ",$753.63 ,$998.29 ,$113.99 ,$987.44 ,$334.95 ,$667.77 ,$698.80 ,$667.77 ,$976.59 ,$976.59 ,$813.83 ,$759.57 ,$338.30 ,$112.92 ,"$1,014.57 ",$351.70 ,$107.54 ,$944.04 ,$334.95 ,$976.59 ,$334.95 ,$976.59 ,$976.59 ,$976.59 ,"$1,052.55 ",$878.93 ,$976.59 ,$976.59 ,$976.59 ,$976.59 ST. JOSEPH'S - CHIPPEWA FALLS,98180051,12036,"PC LAYR CLOS WND TRUNK,ARM,LEG 20.1-30",981,1 ,"$1,080.31 ",$810.23 ,$107.54 ,"$1,142.23 ",$695.72 ,$507.66 ,$756.22 ,$107.54 ,$896.66 ,$110.77 ,$713.00 ,"$1,026.29 ", N/A ,$864.25 ,$983.08 ,$107.54 ,"$1,015.49 ","$1,026.29 ",$972.28 ,$918.26 ,$107.54 ,$107.54 ,$107.54 ,$788.63 ,$507.66 ,$961.48 ,$972.28 ,$972.28 ,$864.25 ,$522.89 ,$594.17 ,$972.28 ,$507.66 ,$972.28 ,$507.66 ,"$1,026.29 ","$1,142.23 ",$993.89 ,$113.99 ,$983.08 ,$507.66 ,$664.82 ,$695.72 ,$664.82 ,$972.28 ,$972.28 ,$810.23 ,$756.22 ,$512.74 ,$112.92 ,"$1,010.09 ",$533.04 ,$107.54 ,$939.87 ,$507.66 ,$972.28 ,$507.66 ,$972.28 ,$972.28 ,$972.28 ,"$1,047.90 ",$875.05 ,$972.28 ,$972.28 ,$972.28 ,$972.28 ST. JOSEPH'S - CHIPPEWA FALLS,98180053,12041,PC LAYR CLOS WND REST BODY <2.5CM,981,1 ,$639.00 ,$479.25 ,$107.54 ,$753.63 ,$411.52 ,$334.95 ,$447.30 ,$107.54 ,$530.37 ,$110.77 ,$421.74 ,$607.05 , N/A ,$511.20 ,$581.49 ,$107.54 ,$600.66 ,$607.05 ,$575.10 ,$543.15 ,$107.54 ,$107.54 ,$107.54 ,$466.47 ,$334.95 ,$568.71 ,$575.10 ,$575.10 ,$511.20 ,$344.99 ,$351.45 ,$575.10 ,$334.95 ,$575.10 ,$334.95 ,$607.05 ,$753.63 ,$587.88 ,$113.99 ,$581.49 ,$334.95 ,$393.24 ,$411.52 ,$393.24 ,$575.10 ,$575.10 ,$479.25 ,$447.30 ,$338.30 ,$112.92 ,$597.47 ,$351.70 ,$107.54 ,$555.93 ,$334.95 ,$575.10 ,$334.95 ,$575.10 ,$575.10 ,$575.10 ,$619.83 ,$517.59 ,$575.10 ,$575.10 ,$575.10 ,$575.10 ST. JOSEPH'S - CHIPPEWA FALLS,98180054,12042,PC LAYR CLOS WND REST BODY 2.6-7.5,981,1 ,$759.80 ,$569.85 ,$107.54 ,$759.80 ,$489.31 ,$334.95 ,$531.86 ,$107.54 ,$630.63 ,$110.77 ,$501.47 ,$721.81 , N/A ,$607.84 ,$691.42 ,$107.54 ,$714.21 ,$721.81 ,$683.82 ,$645.83 ,$107.54 ,$107.54 ,$107.54 ,$554.65 ,$334.95 ,$676.22 ,$683.82 ,$683.82 ,$607.84 ,$344.99 ,$417.89 ,$683.82 ,$334.95 ,$683.82 ,$334.95 ,$721.81 ,$753.63 ,$699.02 ,$113.99 ,$691.42 ,$334.95 ,$467.58 ,$489.31 ,$467.58 ,$683.82 ,$683.82 ,$569.85 ,$531.86 ,$338.30 ,$112.92 ,$710.41 ,$351.70 ,$107.54 ,$661.03 ,$334.95 ,$683.82 ,$334.95 ,$683.82 ,$683.82 ,$683.82 ,$737.01 ,$615.44 ,$683.82 ,$683.82 ,$683.82 ,$683.82 ST. JOSEPH'S - CHIPPEWA FALLS,98180055,12044,PC LAYR CLOS WND REST BODY 7.6-12.5,981,1 ,$898.00 ,$673.50 ,$107.54 ,"$1,142.23 ",$578.31 ,$507.66 ,$628.60 ,$107.54 ,$745.34 ,$110.77 ,$592.68 ,$853.10 , N/A ,$718.40 ,$817.18 ,$107.54 ,$844.12 ,$853.10 ,$808.20 ,$763.30 ,$107.54 ,$107.54 ,$107.54 ,$655.54 ,$507.66 ,$799.22 ,$808.20 ,$808.20 ,$718.40 ,$522.89 ,$493.90 ,$808.20 ,$507.66 ,$808.20 ,$507.66 ,$853.10 ,"$1,142.23 ",$826.16 ,$113.99 ,$817.18 ,$507.66 ,$552.63 ,$578.31 ,$552.63 ,$808.20 ,$808.20 ,$673.50 ,$628.60 ,$512.74 ,$112.92 ,$839.63 ,$533.04 ,$107.54 ,$781.26 ,$507.66 ,$808.20 ,$507.66 ,$808.20 ,$808.20 ,$808.20 ,$871.06 ,$727.38 ,$808.20 ,$808.20 ,$808.20 ,$808.20 ST. JOSEPH'S - CHIPPEWA FALLS,98180056,12045,PC LAYR CLOS WND REST BODY 12.6-20,981,1 ,"$1,174.33 ",$880.75 ,$107.54 ,"$1,174.33 ",$756.27 ,$507.66 ,$822.03 ,$107.54 ,$974.69 ,$110.77 ,$775.06 ,"$1,115.61 ", N/A ,$939.46 ,"$1,068.64 ",$107.54 ,"$1,103.87 ","$1,115.61 ","$1,056.90 ",$998.18 ,$107.54 ,$107.54 ,$107.54 ,$857.26 ,$507.66 ,"$1,045.15 ","$1,056.90 ","$1,056.90 ",$939.46 ,$522.89 ,$645.88 ,"$1,056.90 ",$507.66 ,"$1,056.90 ",$507.66 ,"$1,115.61 ","$1,142.23 ","$1,080.38 ",$113.99 ,"$1,068.64 ",$507.66 ,$722.68 ,$756.27 ,$722.68 ,"$1,056.90 ","$1,056.90 ",$880.75 ,$822.03 ,$512.74 ,$112.92 ,"$1,098.00 ",$533.04 ,$107.54 ,"$1,021.67 ",$507.66 ,"$1,056.90 ",$507.66 ,"$1,056.90 ","$1,056.90 ","$1,056.90 ","$1,139.10 ",$951.21 ,"$1,056.90 ","$1,056.90 ","$1,056.90 ","$1,056.90 " ST. JOSEPH'S - CHIPPEWA FALLS,98180057,12046,PC LAYR CLOS WND REST BODY 20.1-30,981,1 ,"$1,284.68 ",$963.51 ,$107.54 ,"$1,284.68 ",$827.33 ,$507.66 ,$899.28 ,$107.54 ,"$1,066.28 ",$110.77 ,$847.89 ,"$1,220.45 ", N/A ,"$1,027.74 ","$1,169.06 ",$107.54 ,"$1,207.60 ","$1,220.45 ","$1,156.21 ","$1,091.98 ",$107.54 ,$107.54 ,$107.54 ,$937.82 ,$507.66 ,"$1,143.37 ","$1,156.21 ","$1,156.21 ","$1,027.74 ",$522.89 ,$706.57 ,"$1,156.21 ",$507.66 ,"$1,156.21 ",$507.66 ,"$1,220.45 ","$1,142.23 ","$1,181.91 ",$113.99 ,"$1,169.06 ",$507.66 ,$790.59 ,$827.33 ,$790.59 ,"$1,156.21 ","$1,156.21 ",$963.51 ,$899.28 ,$512.74 ,$112.92 ,"$1,201.18 ",$533.04 ,$107.54 ,"$1,117.67 ",$507.66 ,"$1,156.21 ",$507.66 ,"$1,156.21 ","$1,156.21 ","$1,156.21 ","$1,246.14 ","$1,040.59 ","$1,156.21 ","$1,156.21 ","$1,156.21 ","$1,156.21 " ST. JOSEPH'S - CHIPPEWA FALLS,98180059,12051,"PC LAYR CLOS WND FACE,FACIAL <2.5CM",981,1 ,$928.00 ,$696.00 ,$107.54 ,$928.00 ,$597.63 ,$334.95 ,$649.60 ,$107.54 ,$770.24 ,$110.77 ,$612.48 ,$881.60 , N/A ,$742.40 ,$844.48 ,$107.54 ,$872.32 ,$881.60 ,$835.20 ,$788.80 ,$107.54 ,$107.54 ,$107.54 ,$677.44 ,$334.95 ,$825.92 ,$835.20 ,$835.20 ,$742.40 ,$344.99 ,$510.40 ,$835.20 ,$334.95 ,$835.20 ,$334.95 ,$881.60 ,$753.63 ,$853.76 ,$113.99 ,$844.48 ,$334.95 ,$571.09 ,$597.63 ,$571.09 ,$835.20 ,$835.20 ,$696.00 ,$649.60 ,$338.30 ,$112.92 ,$867.68 ,$351.70 ,$107.54 ,$807.36 ,$334.95 ,$835.20 ,$334.95 ,$835.20 ,$835.20 ,$835.20 ,$900.16 ,$751.68 ,$835.20 ,$835.20 ,$835.20 ,$835.20 ST. JOSEPH'S - CHIPPEWA FALLS,98180060,12052,"PC LAYR CLOS WND FACE,FACIAL 2.5-5",981,1 ,$889.40 ,$667.05 ,$107.54 ,$889.40 ,$572.77 ,$334.95 ,$622.58 ,$107.54 ,$738.20 ,$110.77 ,$587.00 ,$844.93 , N/A ,$711.52 ,$809.35 ,$107.54 ,$836.04 ,$844.93 ,$800.46 ,$755.99 ,$107.54 ,$107.54 ,$107.54 ,$649.26 ,$334.95 ,$791.57 ,$800.46 ,$800.46 ,$711.52 ,$344.99 ,$489.17 ,$800.46 ,$334.95 ,$800.46 ,$334.95 ,$844.93 ,$753.63 ,$818.25 ,$113.99 ,$809.35 ,$334.95 ,$547.34 ,$572.77 ,$547.34 ,$800.46 ,$800.46 ,$667.05 ,$622.58 ,$338.30 ,$112.92 ,$831.59 ,$351.70 ,$107.54 ,$773.78 ,$334.95 ,$800.46 ,$334.95 ,$800.46 ,$800.46 ,$800.46 ,$862.72 ,$720.41 ,$800.46 ,$800.46 ,$800.46 ,$800.46 ST. JOSEPH'S - CHIPPEWA FALLS,98180061,12053,"PC LAYR CLOS WND FACE,FACIAL 5.1-7.5",981,1 ,"$1,001.61 ",$751.21 ,$107.54 ,"$1,001.61 ",$645.04 ,$334.95 ,$701.13 ,$107.54 ,$831.34 ,$110.77 ,$661.06 ,$951.53 , N/A ,$801.29 ,$911.47 ,$107.54 ,$941.51 ,$951.53 ,$901.45 ,$851.37 ,$107.54 ,$107.54 ,$107.54 ,$731.18 ,$334.95 ,$891.43 ,$901.45 ,$901.45 ,$801.29 ,$344.99 ,$550.89 ,$901.45 ,$334.95 ,$901.45 ,$334.95 ,$951.53 ,$753.63 ,$921.48 ,$113.99 ,$911.47 ,$334.95 ,$616.39 ,$645.04 ,$616.39 ,$901.45 ,$901.45 ,$751.21 ,$701.13 ,$338.30 ,$112.92 ,$936.51 ,$351.70 ,$107.54 ,$871.40 ,$334.95 ,$901.45 ,$334.95 ,$901.45 ,$901.45 ,$901.45 ,$971.56 ,$811.30 ,$901.45 ,$901.45 ,$901.45 ,$901.45 ST. JOSEPH'S - CHIPPEWA FALLS,98180062,12054,"PC LAYR CLOS WND FACE,FACIAL 7.6-12.5",981,1 ,"$1,243.38 ",$932.54 ,$107.54 ,"$1,243.38 ",$800.74 ,$334.95 ,$870.37 ,$107.54 ,"$1,032.01 ",$110.77 ,$820.63 ,"$1,181.21 ", N/A ,$994.70 ,"$1,131.48 ",$107.54 ,"$1,168.78 ","$1,181.21 ","$1,119.04 ","$1,056.87 ",$107.54 ,$107.54 ,$107.54 ,$907.67 ,$334.95 ,"$1,106.61 ","$1,119.04 ","$1,119.04 ",$994.70 ,$344.99 ,$683.86 ,"$1,119.04 ",$334.95 ,"$1,119.04 ",$334.95 ,"$1,181.21 ",$753.63 ,"$1,143.91 ",$113.99 ,"$1,131.48 ",$334.95 ,$765.18 ,$800.74 ,$765.18 ,"$1,119.04 ","$1,119.04 ",$932.54 ,$870.37 ,$338.30 ,$112.92 ,"$1,162.56 ",$351.70 ,$107.54 ,"$1,081.74 ",$334.95 ,"$1,119.04 ",$334.95 ,"$1,119.04 ","$1,119.04 ","$1,119.04 ","$1,206.08 ","$1,007.14 ","$1,119.04 ","$1,119.04 ","$1,119.04 ","$1,119.04 " ST. JOSEPH'S - CHIPPEWA FALLS,98180063,12055,"PC LAYR CLOS WND FACE,FACIAL 12.6-20",981,1 ,"$1,401.51 ","$1,051.13 ",$107.54 ,"$1,401.51 ",$902.57 ,$334.95 ,$981.06 ,$107.54 ,"$1,163.25 ",$110.77 ,$925.00 ,"$1,331.43 ", N/A ,"$1,121.21 ","$1,275.37 ",$107.54 ,"$1,317.42 ","$1,331.43 ","$1,261.36 ","$1,191.28 ",$107.54 ,$107.54 ,$107.54 ,"$1,023.10 ",$334.95 ,"$1,247.34 ","$1,261.36 ","$1,261.36 ","$1,121.21 ",$344.99 ,$770.83 ,"$1,261.36 ",$334.95 ,"$1,261.36 ",$334.95 ,"$1,331.43 ",$753.63 ,"$1,289.39 ",$113.99 ,"$1,275.37 ",$334.95 ,$862.49 ,$902.57 ,$862.49 ,"$1,261.36 ","$1,261.36 ","$1,051.13 ",$981.06 ,$338.30 ,$112.92 ,"$1,310.41 ",$351.70 ,$107.54 ,"$1,219.31 ",$334.95 ,"$1,261.36 ",$334.95 ,"$1,261.36 ","$1,261.36 ","$1,261.36 ","$1,359.46 ","$1,135.22 ","$1,261.36 ","$1,261.36 ","$1,261.36 ","$1,261.36 " ST. JOSEPH'S - CHIPPEWA FALLS,98180064,12056,"PC LAYR CLOS WND FACE,FACIAL 20.1-30",981,1 ,"$1,635.06 ","$1,226.30 ",$107.54 ,"$1,635.06 ","$1,052.98 ",$334.95 ,"$1,144.54 ",$107.54 ,"$1,357.10 ",$110.77 ,"$1,079.14 ","$1,553.31 ", N/A ,"$1,308.05 ","$1,487.90 ",$107.54 ,"$1,536.96 ","$1,553.31 ","$1,471.55 ","$1,389.80 ",$107.54 ,$107.54 ,$107.54 ,"$1,193.59 ",$334.95 ,"$1,455.20 ","$1,471.55 ","$1,471.55 ","$1,308.05 ",$344.99 ,$899.28 ,"$1,471.55 ",$334.95 ,"$1,471.55 ",$334.95 ,"$1,553.31 ",$753.63 ,"$1,504.26 ",$113.99 ,"$1,487.90 ",$334.95 ,"$1,006.22 ","$1,052.98 ","$1,006.22 ","$1,471.55 ","$1,471.55 ","$1,226.30 ","$1,144.54 ",$338.30 ,$112.92 ,"$1,528.78 ",$351.70 ,$107.54 ,"$1,422.50 ",$334.95 ,"$1,471.55 ",$334.95 ,"$1,471.55 ","$1,471.55 ","$1,471.55 ","$1,586.01 ","$1,324.40 ","$1,471.55 ","$1,471.55 ","$1,471.55 ","$1,471.55 " ST. JOSEPH'S - CHIPPEWA FALLS,98180065,13100,PC REPR CMPL WND TRUNK 1.1-2.5CM,981,1 ,$583.72 ,$437.79 ,$161.28 ,"$1,142.23 ",$375.92 ,$507.66 ,$408.60 ,$161.28 ,$484.49 ,$166.12 ,$385.26 ,$554.53 , N/A ,$466.98 ,$531.19 ,$161.28 ,$548.70 ,$554.53 ,$525.35 ,$496.16 ,$161.28 ,$161.28 ,$161.28 ,$426.12 ,$507.66 ,$519.51 ,$525.35 ,$525.35 ,$466.98 ,$522.89 ,$321.05 ,$525.35 ,$507.66 ,$525.35 ,$507.66 ,$554.53 ,"$1,142.23 ",$537.02 ,$170.96 ,$531.19 ,$507.66 ,$359.22 ,$375.92 ,$359.22 ,$525.35 ,$525.35 ,$437.79 ,$408.60 ,$512.74 ,$169.34 ,$545.78 ,$533.04 ,$161.28 ,$507.84 ,$507.66 ,$525.35 ,$507.66 ,$525.35 ,$525.35 ,$525.35 ,$566.21 ,$472.81 ,$525.35 ,$525.35 ,$525.35 ,$525.35 ST. JOSEPH'S - CHIPPEWA FALLS,98180066,13101,PC REPR CMPL WND TRUNK 2.6-7.5CM,981,1 ,"$1,044.76 ",$783.57 ,$161.28 ,"$1,142.23 ",$672.83 ,$507.66 ,$731.33 ,$161.28 ,$867.15 ,$166.12 ,$689.54 ,$992.52 , N/A ,$835.81 ,$950.73 ,$161.28 ,$982.07 ,$992.52 ,$940.28 ,$888.05 ,$161.28 ,$161.28 ,$161.28 ,$762.67 ,$507.66 ,$929.84 ,$940.28 ,$940.28 ,$835.81 ,$522.89 ,$574.62 ,$940.28 ,$507.66 ,$940.28 ,$507.66 ,$992.52 ,"$1,142.23 ",$961.18 ,$170.96 ,$950.73 ,$507.66 ,$642.95 ,$672.83 ,$642.95 ,$940.28 ,$940.28 ,$783.57 ,$731.33 ,$512.74 ,$169.34 ,$976.85 ,$533.04 ,$161.28 ,$908.94 ,$507.66 ,$940.28 ,$507.66 ,$940.28 ,$940.28 ,$940.28 ,"$1,013.42 ",$846.26 ,$940.28 ,$940.28 ,$940.28 ,$940.28 ST. JOSEPH'S - CHIPPEWA FALLS,98180067,13102,"PC REP,SKIN,TRUNK,CMPLX,+5CM/<",981,1 ,$414.80 ,$311.10 ,$161.28 ,$414.80 ,$267.13 , N/A ,$290.36 ,$161.28 ,$344.28 ,$166.12 ,$273.77 ,$394.06 , N/A ,$331.84 ,$377.47 ,$161.28 ,$389.91 ,$394.06 ,$373.32 ,$352.58 ,$161.28 ,$161.28 ,$161.28 ,$302.80 , N/A ,$369.17 ,$373.32 ,$373.32 ,$331.84 , N/A ,$228.14 ,$373.32 , N/A ,$373.32 , N/A ,$394.06 , N/A ,$381.62 ,$170.96 ,$377.47 , N/A ,$255.27 ,$267.13 ,$255.27 ,$373.32 ,$373.32 ,$311.10 ,$290.36 , N/A ,$169.34 ,$387.84 , N/A ,$161.28 ,$360.88 , N/A ,$373.32 , N/A ,$373.32 ,$373.32 ,$373.32 ,$402.36 ,$335.99 ,$373.32 ,$373.32 ,$373.32 ,$373.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180068,13120,"PC REPR CMPL WND SCALP,EXTR 1.1-2.5",981,1 ,$921.77 ,$691.33 ,$161.28 ,"$1,142.23 ",$593.62 ,$507.66 ,$645.24 ,$161.28 ,$765.07 ,$166.12 ,$608.37 ,$875.68 , N/A ,$737.42 ,$838.81 ,$161.28 ,$866.46 ,$875.68 ,$829.59 ,$783.50 ,$161.28 ,$161.28 ,$161.28 ,$672.89 ,$507.66 ,$820.38 ,$829.59 ,$829.59 ,$737.42 ,$522.89 ,$506.97 ,$829.59 ,$507.66 ,$829.59 ,$507.66 ,$875.68 ,"$1,142.23 ",$848.03 ,$170.96 ,$838.81 ,$507.66 ,$567.26 ,$593.62 ,$567.26 ,$829.59 ,$829.59 ,$691.33 ,$645.24 ,$512.74 ,$169.34 ,$861.86 ,$533.04 ,$161.28 ,$801.94 ,$507.66 ,$829.59 ,$507.66 ,$829.59 ,$829.59 ,$829.59 ,$894.12 ,$746.63 ,$829.59 ,$829.59 ,$829.59 ,$829.59 ST. JOSEPH'S - CHIPPEWA FALLS,98180069,13121,"PC REPR CMPL WND SCALP,EXTR 2.6-7.5",981,1 ,"$1,413.43 ","$1,060.07 ",$161.28 ,"$1,413.43 ",$910.25 ,$507.66 ,$989.40 ,$161.28 ,"$1,173.15 ",$166.12 ,$932.86 ,"$1,342.76 ", N/A ,"$1,130.74 ","$1,286.22 ",$161.28 ,"$1,328.62 ","$1,342.76 ","$1,272.09 ","$1,201.42 ",$161.28 ,$161.28 ,$161.28 ,"$1,031.80 ",$507.66 ,"$1,257.95 ","$1,272.09 ","$1,272.09 ","$1,130.74 ",$522.89 ,$777.39 ,"$1,272.09 ",$507.66 ,"$1,272.09 ",$507.66 ,"$1,342.76 ","$1,142.23 ","$1,300.36 ",$170.96 ,"$1,286.22 ",$507.66 ,$869.82 ,$910.25 ,$869.82 ,"$1,272.09 ","$1,272.09 ","$1,060.07 ",$989.40 ,$512.74 ,$169.34 ,"$1,321.56 ",$533.04 ,$161.28 ,"$1,229.68 ",$507.66 ,"$1,272.09 ",$507.66 ,"$1,272.09 ","$1,272.09 ","$1,272.09 ","$1,371.03 ","$1,144.88 ","$1,272.09 ","$1,272.09 ","$1,272.09 ","$1,272.09 " ST. JOSEPH'S - CHIPPEWA FALLS,98180070,13122,"PC REP,SKIN,SCALP/EXTREM+5CM/<",981,1 ,$568.41 ,$426.31 ,$161.28 ,$568.41 ,$366.06 , N/A ,$397.89 ,$161.28 ,$471.78 ,$166.12 ,$375.15 ,$539.99 , N/A ,$454.73 ,$517.25 ,$161.28 ,$534.31 ,$539.99 ,$511.57 ,$483.15 ,$161.28 ,$161.28 ,$161.28 ,$414.94 , N/A ,$505.88 ,$511.57 ,$511.57 ,$454.73 , N/A ,$312.63 ,$511.57 , N/A ,$511.57 , N/A ,$539.99 , N/A ,$522.94 ,$170.96 ,$517.25 , N/A ,$349.80 ,$366.06 ,$349.80 ,$511.57 ,$511.57 ,$426.31 ,$397.89 , N/A ,$169.34 ,$531.46 , N/A ,$161.28 ,$494.52 , N/A ,$511.57 , N/A ,$511.57 ,$511.57 ,$511.57 ,$551.36 ,$460.41 ,$511.57 ,$511.57 ,$511.57 ,$511.57 ST. JOSEPH'S - CHIPPEWA FALLS,98180071,13131,"PC REPR CMPL WND HEAD,FAC,HAND 1.1-2.5",981,1 ,"$1,167.75 ",$875.81 ,$161.28 ,"$1,167.75 ",$752.03 ,$334.95 ,$817.43 ,$161.28 ,$969.23 ,$166.12 ,$770.72 ,"$1,109.36 ", N/A ,$934.20 ,"$1,062.65 ",$161.28 ,"$1,097.69 ","$1,109.36 ","$1,050.98 ",$992.59 ,$161.28 ,$161.28 ,$161.28 ,$852.46 ,$334.95 ,"$1,039.30 ","$1,050.98 ","$1,050.98 ",$934.20 ,$344.99 ,$642.26 ,"$1,050.98 ",$334.95 ,"$1,050.98 ",$334.95 ,"$1,109.36 ",$753.63 ,"$1,074.33 ",$170.96 ,"$1,062.65 ",$334.95 ,$718.63 ,$752.03 ,$718.63 ,"$1,050.98 ","$1,050.98 ",$875.81 ,$817.43 ,$338.30 ,$169.34 ,"$1,091.85 ",$351.70 ,$161.28 ,"$1,015.94 ",$334.95 ,"$1,050.98 ",$334.95 ,"$1,050.98 ","$1,050.98 ","$1,050.98 ","$1,132.72 ",$945.88 ,"$1,050.98 ","$1,050.98 ","$1,050.98 ","$1,050.98 " ST. JOSEPH'S - CHIPPEWA FALLS,98180072,13132,"PC REPR CMPL WND HEAD,FAC,HAND 2.6-7.5",981,1 ,"$2,336.70 ","$1,752.53 ",$161.28 ,"$2,336.70 ","$1,504.83 ",$507.66 ,"$1,635.69 ",$161.28 ,"$1,939.46 ",$166.12 ,"$1,542.22 ","$2,219.87 ", N/A ,"$1,869.36 ","$2,126.40 ",$161.28 ,"$2,196.50 ","$2,219.87 ","$2,103.03 ","$1,986.20 ",$161.28 ,$161.28 ,$161.28 ,"$1,705.79 ",$507.66 ,"$2,079.66 ","$2,103.03 ","$2,103.03 ","$1,869.36 ",$522.89 ,"$1,285.19 ","$2,103.03 ",$507.66 ,"$2,103.03 ",$507.66 ,"$2,219.87 ","$1,142.23 ","$2,149.76 ",$170.96 ,"$2,126.40 ",$507.66 ,"$1,438.01 ","$1,504.83 ","$1,438.01 ","$2,103.03 ","$2,103.03 ","$1,752.53 ","$1,635.69 ",$512.74 ,$169.34 ,"$2,184.81 ",$533.04 ,$161.28 ,"$2,032.93 ",$507.66 ,"$2,103.03 ",$507.66 ,"$2,103.03 ","$2,103.03 ","$2,103.03 ","$2,266.60 ","$1,892.73 ","$2,103.03 ","$2,103.03 ","$2,103.03 ","$2,103.03 " ST. JOSEPH'S - CHIPPEWA FALLS,98180073,13133,"PC REP,FACE,GENITAL,HAND,FT+5CM/<",981,1 ,$829.60 ,$622.20 ,$161.28 ,$829.60 ,$534.26 , N/A ,$580.72 ,$161.28 ,$688.57 ,$166.12 ,$547.54 ,$788.12 , N/A ,$663.68 ,$754.94 ,$161.28 ,$779.82 ,$788.12 ,$746.64 ,$705.16 ,$161.28 ,$161.28 ,$161.28 ,$605.61 , N/A ,$738.34 ,$746.64 ,$746.64 ,$663.68 , N/A ,$456.28 ,$746.64 , N/A ,$746.64 , N/A ,$788.12 , N/A ,$763.23 ,$170.96 ,$754.94 , N/A ,$510.54 ,$534.26 ,$510.54 ,$746.64 ,$746.64 ,$622.20 ,$580.72 , N/A ,$169.34 ,$775.68 , N/A ,$161.28 ,$721.75 , N/A ,$746.64 , N/A ,$746.64 ,$746.64 ,$746.64 ,$804.71 ,$671.98 ,$746.64 ,$746.64 ,$746.64 ,$746.64 ST. JOSEPH'S - CHIPPEWA FALLS,98180074,13150,"PC REPR CMPL WND LID,NOS,EAR <1CM",981,1 ,$952.49 ,$714.37 ,$523.87 ,$952.49 ,$613.40 , N/A ,$666.74 , N/A ,$790.57 , N/A ,$628.64 ,$904.87 , N/A ,$761.99 ,$866.77 , N/A ,$895.34 ,$904.87 ,$857.24 ,$809.62 , N/A , N/A , N/A ,$695.32 , N/A ,$847.72 ,$857.24 ,$857.24 ,$761.99 , N/A ,$523.87 ,$857.24 , N/A ,$857.24 , N/A ,$904.87 , N/A ,$876.29 , N/A ,$866.77 , N/A ,$586.16 ,$613.40 ,$586.16 ,$857.24 ,$857.24 ,$714.37 ,$666.74 , N/A , N/A ,$890.58 , N/A , N/A ,$828.67 , N/A ,$857.24 , N/A ,$857.24 ,$857.24 ,$857.24 ,$923.92 ,$771.52 ,$857.24 ,$857.24 ,$857.24 ,$857.24 ST. JOSEPH'S - CHIPPEWA FALLS,98180075,13151,"PC REPR CMPL WND LID,NOS,EAR 1.1-2.5",981,1 ,"$1,351.98 ","$1,013.99 ",$161.28 ,"$1,351.98 ",$870.68 ,$507.66 ,$946.39 ,$161.28 ,"$1,122.14 ",$166.12 ,$892.31 ,"$1,284.38 ", N/A ,"$1,081.58 ","$1,230.30 ",$161.28 ,"$1,270.86 ","$1,284.38 ","$1,216.78 ","$1,149.18 ",$161.28 ,$161.28 ,$161.28 ,$986.95 ,$507.66 ,"$1,203.26 ","$1,216.78 ","$1,216.78 ","$1,081.58 ",$522.89 ,$743.59 ,"$1,216.78 ",$507.66 ,"$1,216.78 ",$507.66 ,"$1,284.38 ","$1,142.23 ","$1,243.82 ",$170.96 ,"$1,230.30 ",$507.66 ,$832.01 ,$870.68 ,$832.01 ,"$1,216.78 ","$1,216.78 ","$1,013.99 ",$946.39 ,$512.74 ,$169.34 ,"$1,264.10 ",$533.04 ,$161.28 ,"$1,176.22 ",$507.66 ,"$1,216.78 ",$507.66 ,"$1,216.78 ","$1,216.78 ","$1,216.78 ","$1,311.42 ","$1,095.10 ","$1,216.78 ","$1,216.78 ","$1,216.78 ","$1,216.78 " ST. JOSEPH'S - CHIPPEWA FALLS,98180076,13152,"PC REPR CMPL WND LID,NOS,EAR 2.5-7.5",981,1 ,"$2,869.19 ","$2,151.89 ",$161.28 ,"$2,869.19 ","$1,847.76 ",$507.66 ,"$2,008.43 ",$161.28 ,"$2,381.43 ",$166.12 ,"$1,893.67 ","$2,725.73 ", N/A ,"$2,295.35 ","$2,610.96 ",$161.28 ,"$2,697.04 ","$2,725.73 ","$2,582.27 ","$2,438.81 ",$161.28 ,$161.28 ,$161.28 ,"$2,094.51 ",$507.66 ,"$2,553.58 ","$2,582.27 ","$2,582.27 ","$2,295.35 ",$522.89 ,"$1,578.05 ","$2,582.27 ",$507.66 ,"$2,582.27 ",$507.66 ,"$2,725.73 ","$1,142.23 ","$2,639.65 ",$170.96 ,"$2,610.96 ",$507.66 ,"$1,765.70 ","$1,847.76 ","$1,765.70 ","$2,582.27 ","$2,582.27 ","$2,151.89 ","$2,008.43 ",$512.74 ,$169.34 ,"$2,682.69 ",$533.04 ,$161.28 ,"$2,496.20 ",$507.66 ,"$2,582.27 ",$507.66 ,"$2,582.27 ","$2,582.27 ","$2,582.27 ","$2,783.11 ","$2,324.04 ","$2,582.27 ","$2,582.27 ","$2,582.27 ","$2,582.27 " ST. JOSEPH'S - CHIPPEWA FALLS,98180077,13153,"PC REP,EYELID,NOSE,EAR,LIP+5CM",981,1 ,"$1,060.07 ",$795.05 ,$338.77 ,"$1,060.07 ",$682.69 , N/A ,$742.05 ,$338.77 ,$879.86 ,$348.93 ,$699.65 ,"$1,007.07 ", N/A ,$848.06 ,$964.66 ,$338.77 ,$996.47 ,"$1,007.07 ",$954.06 ,$901.06 ,$338.77 ,$338.77 ,$338.77 ,$773.85 , N/A ,$943.46 ,$954.06 ,$954.06 ,$848.06 , N/A ,$583.04 ,$954.06 , N/A ,$954.06 , N/A ,"$1,007.07 ", N/A ,$975.26 ,$359.10 ,$964.66 , N/A ,$652.37 ,$682.69 ,$652.37 ,$954.06 ,$954.06 ,$795.05 ,$742.05 , N/A ,$355.71 ,$991.17 , N/A ,$338.77 ,$922.26 , N/A ,$954.06 , N/A ,$954.06 ,$954.06 ,$954.06 ,"$1,028.27 ",$858.66 ,$954.06 ,$954.06 ,$954.06 ,$954.06 ST. JOSEPH'S - CHIPPEWA FALLS,98180080,16000,PC INITIAL RX BURN(S) 1ST DEGREE,981,1 ,$175.91 ,$131.93 ,$84.29 ,$391.26 ,$113.29 ,$173.89 ,$123.14 ,$84.29 ,$146.01 ,$86.82 ,$116.10 ,$167.11 , N/A ,$140.73 ,$160.08 ,$84.29 ,$165.36 ,$167.11 ,$158.32 ,$149.52 ,$84.29 ,$84.29 ,$84.29 ,$128.41 ,$173.89 ,$156.56 ,$158.32 ,$158.32 ,$140.73 ,$179.11 ,$96.75 ,$158.32 ,$173.89 ,$158.32 ,$173.89 ,$167.11 ,$391.26 ,$161.84 ,$89.35 ,$160.08 ,$173.89 ,$108.26 ,$113.29 ,$108.26 ,$158.32 ,$158.32 ,$131.93 ,$123.14 ,$175.63 ,$88.50 ,$164.48 ,$182.58 ,$84.29 ,$153.04 ,$173.89 ,$158.32 ,$173.89 ,$158.32 ,$158.32 ,$158.32 ,$170.63 ,$142.49 ,$158.32 ,$158.32 ,$158.32 ,$158.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180081,16020,PC DRESS/DEBRID SMALL BURN NO ANES,981,1 ,$280.10 ,$210.08 ,$84.29 ,$391.26 ,$180.38 ,$173.89 ,$196.07 ,$84.29 ,$232.48 ,$86.82 ,$184.87 ,$266.10 , N/A ,$224.08 ,$254.89 ,$84.29 ,$263.29 ,$266.10 ,$252.09 ,$238.09 ,$84.29 ,$84.29 ,$84.29 ,$204.47 ,$173.89 ,$249.29 ,$252.09 ,$252.09 ,$224.08 ,$179.11 ,$154.06 ,$252.09 ,$173.89 ,$252.09 ,$173.89 ,$266.10 ,$391.26 ,$257.69 ,$89.35 ,$254.89 ,$173.89 ,$172.37 ,$180.38 ,$172.37 ,$252.09 ,$252.09 ,$210.08 ,$196.07 ,$175.63 ,$88.50 ,$261.89 ,$182.58 ,$84.29 ,$243.69 ,$173.89 ,$252.09 ,$173.89 ,$252.09 ,$252.09 ,$252.09 ,$271.70 ,$226.88 ,$252.09 ,$252.09 ,$252.09 ,$252.09 ST. JOSEPH'S - CHIPPEWA FALLS,98180082,16025,PC DRESS/DEBRID MED BURN NO ANESTH,981,1 ,$431.86 ,$323.90 ,$84.29 ,$431.86 ,$278.12 ,$173.89 ,$302.30 ,$84.29 ,$358.44 ,$86.82 ,$285.03 ,$410.27 , N/A ,$345.49 ,$392.99 ,$84.29 ,$405.95 ,$410.27 ,$388.67 ,$367.08 ,$84.29 ,$84.29 ,$84.29 ,$315.26 ,$173.89 ,$384.36 ,$388.67 ,$388.67 ,$345.49 ,$179.11 ,$237.52 ,$388.67 ,$173.89 ,$388.67 ,$173.89 ,$410.27 ,$391.26 ,$397.31 ,$89.35 ,$392.99 ,$173.89 ,$265.77 ,$278.12 ,$265.77 ,$388.67 ,$388.67 ,$323.90 ,$302.30 ,$175.63 ,$88.50 ,$403.79 ,$182.58 ,$84.29 ,$375.72 ,$173.89 ,$388.67 ,$173.89 ,$388.67 ,$388.67 ,$388.67 ,$418.90 ,$349.81 ,$388.67 ,$388.67 ,$388.67 ,$388.67 ST. JOSEPH'S - CHIPPEWA FALLS,98180083,16030,PC DRESS/DEBRID LARGE BURN NO ANESTH,981,1 ,$639.72 ,$479.79 ,$107.54 ,$753.63 ,$411.98 ,$334.95 ,$447.80 ,$107.54 ,$530.97 ,$110.77 ,$422.22 ,$607.73 , N/A ,$511.78 ,$582.15 ,$107.54 ,$601.34 ,$607.73 ,$575.75 ,$543.76 ,$107.54 ,$107.54 ,$107.54 ,$467.00 ,$334.95 ,$569.35 ,$575.75 ,$575.75 ,$511.78 ,$344.99 ,$351.85 ,$575.75 ,$334.95 ,$575.75 ,$334.95 ,$607.73 ,$753.63 ,$588.54 ,$113.99 ,$582.15 ,$334.95 ,$393.68 ,$411.98 ,$393.68 ,$575.75 ,$575.75 ,$479.79 ,$447.80 ,$338.30 ,$112.92 ,$598.14 ,$351.70 ,$107.54 ,$556.56 ,$334.95 ,$575.75 ,$334.95 ,$575.75 ,$575.75 ,$575.75 ,$620.53 ,$518.17 ,$575.75 ,$575.75 ,$575.75 ,$575.75 ST. JOSEPH'S - CHIPPEWA FALLS,98180088,20102,"PC EXPLORE WOUND,ABDOMEN/FLANK/BACK",981,1 ,"$2,173.16 ","$1,629.87 ",$288.83 ,"$3,737.98 ","$1,399.52 ","$1,661.33 ","$1,521.21 ",$288.83 ,"$1,803.72 ",$297.49 ,"$1,434.29 ","$2,064.50 ", N/A ,"$1,738.53 ","$1,977.58 ",$288.83 ,"$2,042.77 ","$2,064.50 ","$1,955.84 ","$1,847.19 ",$288.83 ,$288.83 ,$288.83 ,"$1,586.41 ","$1,661.33 ","$1,934.11 ","$1,955.84 ","$1,955.84 ","$1,738.53 ","$1,711.17 ","$1,195.24 ","$1,955.84 ","$1,661.33 ","$1,955.84 ","$1,661.33 ","$2,064.50 ","$3,737.98 ","$1,999.31 ",$306.16 ,"$1,977.58 ","$1,661.33 ","$1,337.36 ","$1,399.52 ","$1,337.36 ","$1,955.84 ","$1,955.84 ","$1,629.87 ","$1,521.21 ","$1,677.94 ",$303.27 ,"$2,031.90 ","$1,744.40 ",$288.83 ,"$1,890.65 ","$1,661.33 ","$1,955.84 ","$1,661.33 ","$1,955.84 ","$1,955.84 ","$1,955.84 ","$2,107.97 ","$1,760.26 ","$1,955.84 ","$1,955.84 ","$1,955.84 ","$1,955.84 " ST. JOSEPH'S - CHIPPEWA FALLS,98180089,20103,"PC EXPLORE WOUND,EXTREMITY",981,1 ,"$2,372.50 ","$1,779.38 ",$107.54 ,"$2,372.50 ","$1,527.89 ",$602.38 ,"$1,660.75 ",$107.54 ,"$1,969.18 ",$110.77 ,"$1,565.85 ","$2,253.88 ", N/A ,"$1,898.00 ","$2,158.98 ",$107.54 ,"$2,230.15 ","$2,253.88 ","$2,135.25 ","$2,016.63 ",$107.54 ,$107.54 ,$107.54 ,"$1,731.93 ",$602.38 ,"$2,111.53 ","$2,135.25 ","$2,135.25 ","$1,898.00 ",$620.45 ,"$1,304.88 ","$2,135.25 ",$602.38 ,"$2,135.25 ",$602.38 ,"$2,253.88 ","$1,355.35 ","$2,182.70 ",$113.99 ,"$2,158.98 ",$602.38 ,"$1,460.04 ","$1,527.89 ","$1,460.04 ","$2,135.25 ","$2,135.25 ","$1,779.38 ","$1,660.75 ",$608.40 ,$112.92 ,"$2,218.29 ",$632.50 ,$107.54 ,"$2,064.08 ",$602.38 ,"$2,135.25 ",$602.38 ,"$2,135.25 ","$2,135.25 ","$2,135.25 ","$2,301.33 ","$1,921.73 ","$2,135.25 ","$2,135.25 ","$2,135.25 ","$2,135.25 " ST. JOSEPH'S - CHIPPEWA FALLS,98180090,20520,PC REMOVAL OF FOREIGN BODY,981,1 ,$528.24 ,$396.18 ,$290.53 ,"$3,066.03 ",$340.19 ,"$1,362.68 ",$369.77 ,$496.73 ,$438.44 ,$511.63 ,$348.64 ,$501.83 , N/A ,$422.59 ,$480.70 ,$496.73 ,$496.55 ,$501.83 ,$475.42 ,$449.00 ,$496.73 ,$496.73 ,$496.73 ,$385.62 ,"$1,362.68 ",$470.13 ,$475.42 ,$475.42 ,$422.59 ,"$1,403.56 ",$290.53 ,$475.42 ,"$1,362.68 ",$475.42 ,"$1,362.68 ",$501.83 ,"$3,066.03 ",$485.98 ,$526.53 ,$480.70 ,"$1,362.68 ",$325.08 ,$340.19 ,$325.08 ,$475.42 ,$475.42 ,$396.18 ,$369.77 ,"$1,376.31 ",$521.57 ,$493.90 ,"$1,430.81 ",$496.73 ,$459.57 ,"$1,362.68 ",$475.42 ,"$1,362.68 ",$475.42 ,$475.42 ,$475.42 ,$512.39 ,$427.87 ,$475.42 ,$475.42 ,$475.42 ,$475.42 ST. JOSEPH'S - CHIPPEWA FALLS,98180091,20525,PC REMOVAL OF FOREIGN BODY DEEP/COMPLIC,981,1 ,"$1,629.92 ","$1,222.44 ",$496.73 ,"$5,164.55 ","$1,049.67 ","$2,295.35 ","$1,140.94 ",$496.73 ,"$1,352.83 ",$511.63 ,"$1,075.75 ","$1,548.42 ", N/A ,"$1,303.94 ","$1,483.23 ",$496.73 ,"$1,532.12 ","$1,548.42 ","$1,466.93 ","$1,385.43 ",$496.73 ,$496.73 ,$496.73 ,"$1,189.84 ","$2,295.35 ","$1,450.63 ","$1,466.93 ","$1,466.93 ","$1,303.94 ","$2,364.22 ",$896.46 ,"$1,466.93 ","$2,295.35 ","$1,466.93 ","$2,295.35 ","$1,548.42 ","$5,164.55 ","$1,499.53 ",$526.53 ,"$1,483.23 ","$2,295.35 ","$1,003.05 ","$1,049.67 ","$1,003.05 ","$1,466.93 ","$1,466.93 ","$1,222.44 ","$1,140.94 ","$2,318.31 ",$521.57 ,"$1,523.98 ","$2,410.12 ",$496.73 ,"$1,418.03 ","$2,295.35 ","$1,466.93 ","$2,295.35 ","$1,466.93 ","$1,466.93 ","$1,466.93 ","$1,581.02 ","$1,320.24 ","$1,466.93 ","$1,466.93 ","$1,466.93 ","$1,466.93 " ST. JOSEPH'S - CHIPPEWA FALLS,98180095,21310,PC CLOSED RX NOSE FRACTURE W/O MANIPULATION,981,1 ,$603.55 ,$452.66 ,$35.67 ,$603.55 ,$388.69 ,$199.70 ,$422.49 ,$35.67 ,$500.95 ,$36.74 ,$398.34 ,$573.37 , N/A ,$482.84 ,$549.23 ,$35.67 ,$567.34 ,$573.37 ,$543.20 ,$513.02 ,$35.67 ,$35.67 ,$35.67 ,$440.59 ,$199.70 ,$537.16 ,$543.20 ,$543.20 ,$482.84 ,$205.69 ,$331.95 ,$543.20 ,$199.70 ,$543.20 ,$199.70 ,$573.37 ,$449.31 ,$555.27 ,$37.81 ,$549.23 ,$199.70 ,$371.42 ,$388.69 ,$371.42 ,$543.20 ,$543.20 ,$452.66 ,$422.49 ,$201.69 ,$37.45 ,$564.32 ,$209.69 ,$35.67 ,$525.09 ,$199.70 ,$543.20 ,$199.70 ,$543.20 ,$543.20 ,$543.20 ,$585.44 ,$488.88 ,$543.20 ,$543.20 ,$543.20 ,$543.20 ST. JOSEPH'S - CHIPPEWA FALLS,98180096,21315,PC CLOSED RX NOSE FRACTURE W/O STABILIZATION,981,1 ,"$1,041.27 ",$780.95 ,$280.78 ,"$2,947.90 ",$670.58 ,"$1,310.18 ",$728.89 ,$280.78 ,$864.25 ,$289.20 ,$687.24 ,$989.21 , N/A ,$833.02 ,$947.56 ,$280.78 ,$978.79 ,$989.21 ,$937.14 ,$885.08 ,$280.78 ,$280.78 ,$280.78 ,$760.13 ,"$1,310.18 ",$926.73 ,$937.14 ,$937.14 ,$833.02 ,"$1,349.48 ",$572.70 ,$937.14 ,"$1,310.18 ",$937.14 ,"$1,310.18 ",$989.21 ,"$2,947.90 ",$957.97 ,$297.63 ,$947.56 ,"$1,310.18 ",$640.80 ,$670.58 ,$640.80 ,$937.14 ,$937.14 ,$780.95 ,$728.89 ,"$1,323.28 ",$294.82 ,$973.59 ,"$1,375.69 ",$280.78 ,$905.90 ,"$1,310.18 ",$937.14 ,"$1,310.18 ",$937.14 ,$937.14 ,$937.14 ,"$1,010.03 ",$843.43 ,$937.14 ,$937.14 ,$937.14 ,$937.14 ST. JOSEPH'S - CHIPPEWA FALLS,98180112,23540,PC CLOSED RX A-C JT DISLOC,981,1 ,$851.08 ,$638.31 ,$193.84 ,$851.08 ,$548.10 ,$199.70 ,$595.76 ,$193.84 ,$706.40 ,$199.66 ,$561.71 ,$808.53 , N/A ,$680.86 ,$774.48 ,$193.84 ,$800.02 ,$808.53 ,$765.97 ,$723.42 ,$193.84 ,$193.84 ,$193.84 ,$621.29 ,$199.70 ,$757.46 ,$765.97 ,$765.97 ,$680.86 ,$205.69 ,$468.09 ,$765.97 ,$199.70 ,$765.97 ,$199.70 ,$808.53 ,$449.31 ,$782.99 ,$205.47 ,$774.48 ,$199.70 ,$523.75 ,$548.10 ,$523.75 ,$765.97 ,$765.97 ,$638.31 ,$595.76 ,$201.69 ,$203.53 ,$795.76 ,$209.69 ,$193.84 ,$740.44 ,$199.70 ,$765.97 ,$199.70 ,$765.97 ,$765.97 ,$765.97 ,$825.55 ,$689.37 ,$765.97 ,$765.97 ,$765.97 ,$765.97 ST. JOSEPH'S - CHIPPEWA FALLS,98180113,23570,PC CLOSED RX SCAPULA FX,981,1 ,$889.82 ,$667.37 ,$193.84 ,$889.82 ,$573.04 ,$199.70 ,$622.87 ,$193.84 ,$738.55 ,$199.66 ,$587.28 ,$845.33 , N/A ,$711.86 ,$809.74 ,$193.84 ,$836.43 ,$845.33 ,$800.84 ,$756.35 ,$193.84 ,$193.84 ,$193.84 ,$649.57 ,$199.70 ,$791.94 ,$800.84 ,$800.84 ,$711.86 ,$205.69 ,$489.40 ,$800.84 ,$199.70 ,$800.84 ,$199.70 ,$845.33 ,$449.31 ,$818.63 ,$205.47 ,$809.74 ,$199.70 ,$547.60 ,$573.04 ,$547.60 ,$800.84 ,$800.84 ,$667.37 ,$622.87 ,$201.69 ,$203.53 ,$831.98 ,$209.69 ,$193.84 ,$774.14 ,$199.70 ,$800.84 ,$199.70 ,$800.84 ,$800.84 ,$800.84 ,$863.13 ,$720.75 ,$800.84 ,$800.84 ,$800.84 ,$800.84 ST. JOSEPH'S - CHIPPEWA FALLS,98180115,23600,PC CLOSED RX PROX HUMERUS FRACTURE,981,1 ,"$1,134.87 ",$851.15 ,$193.84 ,"$1,134.87 ",$730.86 ,$199.70 ,$794.41 ,$193.84 ,$941.94 ,$199.66 ,$749.01 ,"$1,078.13 ", N/A ,$907.90 ,"$1,032.73 ",$193.84 ,"$1,066.78 ","$1,078.13 ","$1,021.38 ",$964.64 ,$193.84 ,$193.84 ,$193.84 ,$828.46 ,$199.70 ,"$1,010.03 ","$1,021.38 ","$1,021.38 ",$907.90 ,$205.69 ,$624.18 ,"$1,021.38 ",$199.70 ,"$1,021.38 ",$199.70 ,"$1,078.13 ",$449.31 ,"$1,044.08 ",$205.47 ,"$1,032.73 ",$199.70 ,$698.40 ,$730.86 ,$698.40 ,"$1,021.38 ","$1,021.38 ",$851.15 ,$794.41 ,$201.69 ,$203.53 ,"$1,061.10 ",$209.69 ,$193.84 ,$987.34 ,$199.70 ,"$1,021.38 ",$199.70 ,"$1,021.38 ","$1,021.38 ","$1,021.38 ","$1,100.82 ",$919.24 ,"$1,021.38 ","$1,021.38 ","$1,021.38 ","$1,021.38 " ST. JOSEPH'S - CHIPPEWA FALLS,98180118,23625,"PC CLOSED RX GR TUBER HUM FX,MANIP",981,1 ,$331.23 ,$248.42 ,$182.18 ,"$3,034.10 ",$213.31 ,"$1,348.49 ",$231.86 ,$193.84 ,$274.92 ,$199.66 ,$218.61 ,$314.67 , N/A ,$264.98 ,$301.42 ,$193.84 ,$311.36 ,$314.67 ,$298.11 ,$281.55 ,$193.84 ,$193.84 ,$193.84 ,$241.80 ,"$1,348.49 ",$294.79 ,$298.11 ,$298.11 ,$264.98 ,"$1,388.95 ",$182.18 ,$298.11 ,"$1,348.49 ",$298.11 ,"$1,348.49 ",$314.67 ,"$3,034.10 ",$304.73 ,$205.47 ,$301.42 ,"$1,348.49 ",$203.84 ,$213.31 ,$203.84 ,$298.11 ,$298.11 ,$248.42 ,$231.86 ,"$1,361.98 ",$203.53 ,$309.70 ,"$1,415.91 ",$193.84 ,$288.17 ,"$1,348.49 ",$298.11 ,"$1,348.49 ",$298.11 ,$298.11 ,$298.11 ,$321.29 ,$268.30 ,$298.11 ,$298.11 ,$298.11 ,$298.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180145,25500,PC CLOSED RX RADIAL SHAFT FX,981,1 ,"$1,013.32 ",$759.99 ,$193.84 ,"$1,013.32 ",$652.58 ,$199.70 ,$709.32 ,$193.84 ,$841.06 ,$199.66 ,$668.79 ,$962.65 , N/A ,$810.66 ,$922.12 ,$193.84 ,$952.52 ,$962.65 ,$911.99 ,$861.32 ,$193.84 ,$193.84 ,$193.84 ,$739.72 ,$199.70 ,$901.85 ,$911.99 ,$911.99 ,$810.66 ,$205.69 ,$557.33 ,$911.99 ,$199.70 ,$911.99 ,$199.70 ,$962.65 ,$449.31 ,$932.25 ,$205.47 ,$922.12 ,$199.70 ,$623.60 ,$652.58 ,$623.60 ,$911.99 ,$911.99 ,$759.99 ,$709.32 ,$201.69 ,$203.53 ,$947.45 ,$209.69 ,$193.84 ,$881.59 ,$199.70 ,$911.99 ,$199.70 ,$911.99 ,$911.99 ,$911.99 ,$982.92 ,$820.79 ,$911.99 ,$911.99 ,$911.99 ,$911.99 ST. JOSEPH'S - CHIPPEWA FALLS,98180151,25560,PC CLOSED RX RAD/ULNA SHAFT FX,981,1 ,"$1,105.49 ",$829.12 ,$193.84 ,"$1,105.49 ",$711.94 ,$199.70 ,$773.84 ,$193.84 ,$917.56 ,$199.66 ,$729.62 ,"$1,050.22 ", N/A ,$884.39 ,"$1,006.00 ",$193.84 ,"$1,039.16 ","$1,050.22 ",$994.94 ,$939.67 ,$193.84 ,$193.84 ,$193.84 ,$807.01 ,$199.70 ,$983.89 ,$994.94 ,$994.94 ,$884.39 ,$205.69 ,$608.02 ,$994.94 ,$199.70 ,$994.94 ,$199.70 ,"$1,050.22 ",$449.31 ,"$1,017.05 ",$205.47 ,"$1,006.00 ",$199.70 ,$680.32 ,$711.94 ,$680.32 ,$994.94 ,$994.94 ,$829.12 ,$773.84 ,$201.69 ,$203.53 ,"$1,033.63 ",$209.69 ,$193.84 ,$961.78 ,$199.70 ,$994.94 ,$199.70 ,$994.94 ,$994.94 ,$994.94 ,"$1,072.33 ",$895.45 ,$994.94 ,$994.94 ,$994.94 ,$994.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180153,25600,PC CLOSED RX DIST RAD/ULNA FX,981,1 ,"$1,166.83 ",$875.12 ,$193.84 ,"$1,166.83 ",$751.44 ,$199.70 ,$816.78 ,$193.84 ,$968.47 ,$199.66 ,$770.11 ,"$1,108.49 ", N/A ,$933.46 ,"$1,061.82 ",$193.84 ,"$1,096.82 ","$1,108.49 ","$1,050.15 ",$991.81 ,$193.84 ,$193.84 ,$193.84 ,$851.79 ,$199.70 ,"$1,038.48 ","$1,050.15 ","$1,050.15 ",$933.46 ,$205.69 ,$641.76 ,"$1,050.15 ",$199.70 ,"$1,050.15 ",$199.70 ,"$1,108.49 ",$449.31 ,"$1,073.48 ",$205.47 ,"$1,061.82 ",$199.70 ,$718.07 ,$751.44 ,$718.07 ,"$1,050.15 ","$1,050.15 ",$875.12 ,$816.78 ,$201.69 ,$203.53 ,"$1,090.99 ",$209.69 ,$193.84 ,"$1,015.14 ",$199.70 ,"$1,050.15 ",$199.70 ,"$1,050.15 ","$1,050.15 ","$1,050.15 ","$1,131.83 ",$945.13 ,"$1,050.15 ","$1,050.15 ","$1,050.15 ","$1,050.15 " ST. JOSEPH'S - CHIPPEWA FALLS,98180160,25622,PC CLOSED RX NAVICULAR FX,981,1 ,"$1,228.27 ",$921.20 ,$193.84 ,"$1,228.27 ",$791.01 ,$199.70 ,$859.79 ,$193.84 ,"$1,019.46 ",$199.66 ,$810.66 ,"$1,166.86 ", N/A ,$982.62 ,"$1,117.73 ",$193.84 ,"$1,154.57 ","$1,166.86 ","$1,105.44 ","$1,044.03 ",$193.84 ,$193.84 ,$193.84 ,$896.64 ,$199.70 ,"$1,093.16 ","$1,105.44 ","$1,105.44 ",$982.62 ,$205.69 ,$675.55 ,"$1,105.44 ",$199.70 ,"$1,105.44 ",$199.70 ,"$1,166.86 ",$449.31 ,"$1,130.01 ",$205.47 ,"$1,117.73 ",$199.70 ,$755.88 ,$791.01 ,$755.88 ,"$1,105.44 ","$1,105.44 ",$921.20 ,$859.79 ,$201.69 ,$203.53 ,"$1,148.43 ",$209.69 ,$193.84 ,"$1,068.59 ",$199.70 ,"$1,105.44 ",$199.70 ,"$1,105.44 ","$1,105.44 ","$1,105.44 ","$1,191.42 ",$994.90 ,"$1,105.44 ","$1,105.44 ","$1,105.44 ","$1,105.44 " ST. JOSEPH'S - CHIPPEWA FALLS,98180161,25630,PC CLOSED RX CARPAL FX,981,1 ,"$1,105.49 ",$829.12 ,$193.84 ,"$1,105.49 ",$711.94 ,$199.70 ,$773.84 ,$193.84 ,$917.56 ,$199.66 ,$729.62 ,"$1,050.22 ", N/A ,$884.39 ,"$1,006.00 ",$193.84 ,"$1,039.16 ","$1,050.22 ",$994.94 ,$939.67 ,$193.84 ,$193.84 ,$193.84 ,$807.01 ,$199.70 ,$983.89 ,$994.94 ,$994.94 ,$884.39 ,$205.69 ,$608.02 ,$994.94 ,$199.70 ,$994.94 ,$199.70 ,"$1,050.22 ",$449.31 ,"$1,017.05 ",$205.47 ,"$1,006.00 ",$199.70 ,$680.32 ,$711.94 ,$680.32 ,$994.94 ,$994.94 ,$829.12 ,$773.84 ,$201.69 ,$203.53 ,"$1,033.63 ",$209.69 ,$193.84 ,$961.78 ,$199.70 ,$994.94 ,$199.70 ,$994.94 ,$994.94 ,$994.94 ,"$1,072.33 ",$895.45 ,$994.94 ,$994.94 ,$994.94 ,$994.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180163,25650,PC CLOSED RX ULNA STYLOID FX,981,1 ,"$1,289.72 ",$967.29 ,$193.84 ,"$1,289.72 ",$830.58 ,$199.70 ,$902.80 ,$193.84 ,"$1,070.47 ",$199.66 ,$851.22 ,"$1,225.23 ", N/A ,"$1,031.78 ","$1,173.65 ",$193.84 ,"$1,212.34 ","$1,225.23 ","$1,160.75 ","$1,096.26 ",$193.84 ,$193.84 ,$193.84 ,$941.50 ,$199.70 ,"$1,147.85 ","$1,160.75 ","$1,160.75 ","$1,031.78 ",$205.69 ,$709.35 ,"$1,160.75 ",$199.70 ,"$1,160.75 ",$199.70 ,"$1,225.23 ",$449.31 ,"$1,186.54 ",$205.47 ,"$1,173.65 ",$199.70 ,$793.69 ,$830.58 ,$793.69 ,"$1,160.75 ","$1,160.75 ",$967.29 ,$902.80 ,$201.69 ,$203.53 ,"$1,205.89 ",$209.69 ,$193.84 ,"$1,122.06 ",$199.70 ,"$1,160.75 ",$199.70 ,"$1,160.75 ","$1,160.75 ","$1,160.75 ","$1,251.03 ","$1,044.67 ","$1,160.75 ","$1,160.75 ","$1,160.75 ","$1,160.75 " ST. JOSEPH'S - CHIPPEWA FALLS,98180169,26010,"PC DRAIN FINGER ABSCESS,SIMPLE",981,1 ,$443.67 ,$332.75 ,$74.70 ,$443.67 ,$285.72 ,$173.89 ,$310.57 ,$74.70 ,$368.25 ,$76.94 ,$292.82 ,$421.49 , N/A ,$354.94 ,$403.74 ,$74.70 ,$417.05 ,$421.49 ,$399.30 ,$377.12 ,$74.70 ,$74.70 ,$74.70 ,$323.88 ,$173.89 ,$394.87 ,$399.30 ,$399.30 ,$354.94 ,$179.11 ,$244.02 ,$399.30 ,$173.89 ,$399.30 ,$173.89 ,$421.49 ,$391.26 ,$408.18 ,$79.18 ,$403.74 ,$173.89 ,$273.03 ,$285.72 ,$273.03 ,$399.30 ,$399.30 ,$332.75 ,$310.57 ,$175.63 ,$78.44 ,$414.83 ,$182.58 ,$74.70 ,$385.99 ,$173.89 ,$399.30 ,$173.89 ,$399.30 ,$399.30 ,$399.30 ,$430.36 ,$359.37 ,$399.30 ,$399.30 ,$399.30 ,$399.30 ST. JOSEPH'S - CHIPPEWA FALLS,98180170,26011,"PC DRAIN FINGER ABSCESS,COMPLICATED",981,1 ,"$1,373.36 ","$1,030.02 ",$325.66 ,"$3,066.03 ",$884.44 ,"$1,362.68 ",$961.35 ,$325.66 ,"$1,139.89 ",$335.43 ,$906.42 ,"$1,304.69 ", N/A ,"$1,098.69 ","$1,249.76 ",$325.66 ,"$1,290.96 ","$1,304.69 ","$1,236.02 ","$1,167.36 ",$325.66 ,$325.66 ,$325.66 ,"$1,002.55 ","$1,362.68 ","$1,222.29 ","$1,236.02 ","$1,236.02 ","$1,098.69 ","$1,403.56 ",$755.35 ,"$1,236.02 ","$1,362.68 ","$1,236.02 ","$1,362.68 ","$1,304.69 ","$3,066.03 ","$1,263.49 ",$345.20 ,"$1,249.76 ","$1,362.68 ",$845.17 ,$884.44 ,$845.17 ,"$1,236.02 ","$1,236.02 ","$1,030.02 ",$961.35 ,"$1,376.31 ",$341.94 ,"$1,284.09 ","$1,430.81 ",$325.66 ,"$1,194.82 ","$1,362.68 ","$1,236.02 ","$1,362.68 ","$1,236.02 ","$1,236.02 ","$1,236.02 ","$1,332.16 ","$1,112.42 ","$1,236.02 ","$1,236.02 ","$1,236.02 ","$1,236.02 " ST. JOSEPH'S - CHIPPEWA FALLS,98180175,26600,PC CLOSED RX METACARPAL FX,981,1 ,$817.99 ,$613.49 ,$193.84 ,$817.99 ,$526.79 ,$199.70 ,$572.59 ,$193.84 ,$678.93 ,$199.66 ,$539.87 ,$777.09 , N/A ,$654.39 ,$744.37 ,$193.84 ,$768.91 ,$777.09 ,$736.19 ,$695.29 ,$193.84 ,$193.84 ,$193.84 ,$597.13 ,$199.70 ,$728.01 ,$736.19 ,$736.19 ,$654.39 ,$205.69 ,$449.89 ,$736.19 ,$199.70 ,$736.19 ,$199.70 ,$777.09 ,$449.31 ,$752.55 ,$205.47 ,$744.37 ,$199.70 ,$503.39 ,$526.79 ,$503.39 ,$736.19 ,$736.19 ,$613.49 ,$572.59 ,$201.69 ,$203.53 ,$764.82 ,$209.69 ,$193.84 ,$711.65 ,$199.70 ,$736.19 ,$199.70 ,$736.19 ,$736.19 ,$736.19 ,$793.45 ,$662.57 ,$736.19 ,$736.19 ,$736.19 ,$736.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180180,26641,"PC TREAT THUMB DISLOC,MANIPULATN",981,1 ,"$1,104.15 ",$828.11 ,$193.84 ,"$1,104.15 ",$711.07 ,$199.70 ,$772.91 ,$193.84 ,$916.44 ,$199.66 ,$728.74 ,"$1,048.94 ", N/A ,$883.32 ,"$1,004.78 ",$193.84 ,"$1,037.90 ","$1,048.94 ",$993.74 ,$938.53 ,$193.84 ,$193.84 ,$193.84 ,$806.03 ,$199.70 ,$982.69 ,$993.74 ,$993.74 ,$883.32 ,$205.69 ,$607.28 ,$993.74 ,$199.70 ,$993.74 ,$199.70 ,"$1,048.94 ",$449.31 ,"$1,015.82 ",$205.47 ,"$1,004.78 ",$199.70 ,$679.49 ,$711.07 ,$679.49 ,$993.74 ,$993.74 ,$828.11 ,$772.91 ,$201.69 ,$203.53 ,"$1,032.38 ",$209.69 ,$193.84 ,$960.61 ,$199.70 ,$993.74 ,$199.70 ,$993.74 ,$993.74 ,$993.74 ,"$1,071.03 ",$894.36 ,$993.74 ,$993.74 ,$993.74 ,$993.74 ST. JOSEPH'S - CHIPPEWA FALLS,98180186,26700,PC CLOSED RX MC-P DISLOC,981,1 ,$817.99 ,$613.49 ,$193.84 ,$817.99 ,$526.79 ,$199.70 ,$572.59 ,$193.84 ,$678.93 ,$199.66 ,$539.87 ,$777.09 , N/A ,$654.39 ,$744.37 ,$193.84 ,$768.91 ,$777.09 ,$736.19 ,$695.29 ,$193.84 ,$193.84 ,$193.84 ,$597.13 ,$199.70 ,$728.01 ,$736.19 ,$736.19 ,$654.39 ,$205.69 ,$449.89 ,$736.19 ,$199.70 ,$736.19 ,$199.70 ,$777.09 ,$449.31 ,$752.55 ,$205.47 ,$744.37 ,$199.70 ,$503.39 ,$526.79 ,$503.39 ,$736.19 ,$736.19 ,$613.49 ,$572.59 ,$201.69 ,$203.53 ,$764.82 ,$209.69 ,$193.84 ,$711.65 ,$199.70 ,$736.19 ,$199.70 ,$736.19 ,$736.19 ,$736.19 ,$793.45 ,$662.57 ,$736.19 ,$736.19 ,$736.19 ,$736.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180189,26720,PC CLOSE RX PROX/MID FING SHFT FX,981,1 ,$613.42 ,$460.07 ,$193.84 ,$613.42 ,$395.04 ,$199.70 ,$429.39 ,$193.84 ,$509.14 ,$199.66 ,$404.86 ,$582.75 , N/A ,$490.74 ,$558.21 ,$193.84 ,$576.61 ,$582.75 ,$552.08 ,$521.41 ,$193.84 ,$193.84 ,$193.84 ,$447.80 ,$199.70 ,$545.94 ,$552.08 ,$552.08 ,$490.74 ,$205.69 ,$337.38 ,$552.08 ,$199.70 ,$552.08 ,$199.70 ,$582.75 ,$449.31 ,$564.35 ,$205.47 ,$558.21 ,$199.70 ,$377.50 ,$395.04 ,$377.50 ,$552.08 ,$552.08 ,$460.07 ,$429.39 ,$201.69 ,$203.53 ,$573.55 ,$209.69 ,$193.84 ,$533.68 ,$199.70 ,$552.08 ,$199.70 ,$552.08 ,$552.08 ,$552.08 ,$595.02 ,$496.87 ,$552.08 ,$552.08 ,$552.08 ,$552.08 ST. JOSEPH'S - CHIPPEWA FALLS,98180190,26725,"PC CLOSE RX PROX/MID FING SHFT FX,MANIP",981,1 ,"$1,098.20 ",$823.65 ,$193.84 ,"$1,098.20 ",$707.24 ,$199.70 ,$768.74 ,$193.84 ,$911.51 ,$199.66 ,$724.81 ,"$1,043.29 ", N/A ,$878.56 ,$999.36 ,$193.84 ,"$1,032.31 ","$1,043.29 ",$988.38 ,$933.47 ,$193.84 ,$193.84 ,$193.84 ,$801.69 ,$199.70 ,$977.40 ,$988.38 ,$988.38 ,$878.56 ,$205.69 ,$604.01 ,$988.38 ,$199.70 ,$988.38 ,$199.70 ,"$1,043.29 ",$449.31 ,"$1,010.34 ",$205.47 ,$999.36 ,$199.70 ,$675.83 ,$707.24 ,$675.83 ,$988.38 ,$988.38 ,$823.65 ,$768.74 ,$201.69 ,$203.53 ,"$1,026.82 ",$209.69 ,$193.84 ,$955.43 ,$199.70 ,$988.38 ,$199.70 ,$988.38 ,$988.38 ,$988.38 ,"$1,065.25 ",$889.54 ,$988.38 ,$988.38 ,$988.38 ,$988.38 ST. JOSEPH'S - CHIPPEWA FALLS,98180191,26727,PC PERCUT RX PROX/MID FING SHFT FX,981,1 ,$102.23 ,$76.67 ,$56.23 ,"$6,167.80 ",$65.84 ,"$2,741.24 ",$71.56 ,$102.23 ,$84.85 ,"$1,601.34 ",$67.47 ,$97.12 , N/A ,$81.78 ,$93.03 ,$102.23 ,$96.10 ,$97.12 ,$92.01 ,$86.90 ,"$1,554.70 ","$1,554.70 ","$1,554.70 ",$74.63 ,"$2,741.24 ",$90.98 ,$92.01 ,$92.01 ,$81.78 ,"$2,823.48 ",$56.23 ,$92.01 ,"$2,741.24 ",$92.01 ,"$2,741.24 ",$97.12 ,"$6,167.80 ",$94.05 ,"$1,647.98 ",$93.03 ,"$2,741.24 ",$62.91 ,$65.84 ,$62.91 ,$92.01 ,$92.01 ,$76.67 ,$71.56 ,"$2,768.65 ","$1,632.44 ",$95.59 ,"$2,878.30 ",$102.23 ,$88.94 ,"$2,741.24 ",$92.01 ,"$2,741.24 ",$92.01 ,$92.01 ,$92.01 ,$99.16 ,$82.81 ,$92.01 ,$92.01 ,$92.01 ,$92.01 ST. JOSEPH'S - CHIPPEWA FALLS,98180194,26750,PC CLOSE RX DIST FINGR FX,981,1 ,$613.42 ,$460.07 ,$193.84 ,$613.42 ,$395.04 ,$199.70 ,$429.39 ,$193.84 ,$509.14 ,$199.66 ,$404.86 ,$582.75 , N/A ,$490.74 ,$558.21 ,$193.84 ,$576.61 ,$582.75 ,$552.08 ,$521.41 ,$193.84 ,$193.84 ,$193.84 ,$447.80 ,$199.70 ,$545.94 ,$552.08 ,$552.08 ,$490.74 ,$205.69 ,$337.38 ,$552.08 ,$199.70 ,$552.08 ,$199.70 ,$582.75 ,$449.31 ,$564.35 ,$205.47 ,$558.21 ,$199.70 ,$377.50 ,$395.04 ,$377.50 ,$552.08 ,$552.08 ,$460.07 ,$429.39 ,$201.69 ,$203.53 ,$573.55 ,$209.69 ,$193.84 ,$533.68 ,$199.70 ,$552.08 ,$199.70 ,$552.08 ,$552.08 ,$552.08 ,$595.02 ,$496.87 ,$552.08 ,$552.08 ,$552.08 ,$552.08 ST. JOSEPH'S - CHIPPEWA FALLS,98180195,26755,"PC CLOSE RX DIST FINGR FX,MANIPULATN",981,1 ,$842.50 ,$631.88 ,$193.84 ,$842.50 ,$542.57 ,$199.70 ,$589.75 ,$193.84 ,$699.28 ,$199.66 ,$556.05 ,$800.38 , N/A ,$674.00 ,$766.68 ,$193.84 ,$791.95 ,$800.38 ,$758.25 ,$716.13 ,$193.84 ,$193.84 ,$193.84 ,$615.03 ,$199.70 ,$749.83 ,$758.25 ,$758.25 ,$674.00 ,$205.69 ,$463.38 ,$758.25 ,$199.70 ,$758.25 ,$199.70 ,$800.38 ,$449.31 ,$775.10 ,$205.47 ,$766.68 ,$199.70 ,$518.47 ,$542.57 ,$518.47 ,$758.25 ,$758.25 ,$631.88 ,$589.75 ,$201.69 ,$203.53 ,$787.74 ,$209.69 ,$193.84 ,$732.98 ,$199.70 ,$758.25 ,$199.70 ,$758.25 ,$758.25 ,$758.25 ,$817.23 ,$682.43 ,$758.25 ,$758.25 ,$758.25 ,$758.25 ST. JOSEPH'S - CHIPPEWA FALLS,98180197,26770,PC CLOSED RX IP JT DISLOCATION,981,1 ,$842.50 ,$631.88 ,$193.84 ,$842.50 ,$542.57 ,$199.70 ,$589.75 ,$193.84 ,$699.28 ,$199.66 ,$556.05 ,$800.38 , N/A ,$674.00 ,$766.68 ,$193.84 ,$791.95 ,$800.38 ,$758.25 ,$716.13 ,$193.84 ,$193.84 ,$193.84 ,$615.03 ,$199.70 ,$749.83 ,$758.25 ,$758.25 ,$674.00 ,$205.69 ,$463.38 ,$758.25 ,$199.70 ,$758.25 ,$199.70 ,$800.38 ,$449.31 ,$775.10 ,$205.47 ,$766.68 ,$199.70 ,$518.47 ,$542.57 ,$518.47 ,$758.25 ,$758.25 ,$631.88 ,$589.75 ,$201.69 ,$203.53 ,$787.74 ,$209.69 ,$193.84 ,$732.98 ,$199.70 ,$758.25 ,$199.70 ,$758.25 ,$758.25 ,$758.25 ,$817.23 ,$682.43 ,$758.25 ,$758.25 ,$758.25 ,$758.25 ST. JOSEPH'S - CHIPPEWA FALLS,98180209,27250,PC CLOSED RX TRAUMATIC HIP DISLOCATN,981,1 ,"$1,602.08 ","$1,201.56 ",$193.84 ,"$1,602.08 ","$1,031.74 ",$199.70 ,"$1,121.46 ",$193.84 ,"$1,329.73 ",$199.66 ,"$1,057.37 ","$1,521.98 ", N/A ,"$1,281.66 ","$1,457.89 ",$193.84 ,"$1,505.96 ","$1,521.98 ","$1,441.87 ","$1,361.77 ",$193.84 ,$193.84 ,$193.84 ,"$1,169.52 ",$199.70 ,"$1,425.85 ","$1,441.87 ","$1,441.87 ","$1,281.66 ",$205.69 ,$881.14 ,"$1,441.87 ",$199.70 ,"$1,441.87 ",$199.70 ,"$1,521.98 ",$449.31 ,"$1,473.91 ",$205.47 ,"$1,457.89 ",$199.70 ,$985.92 ,"$1,031.74 ",$985.92 ,"$1,441.87 ","$1,441.87 ","$1,201.56 ","$1,121.46 ",$201.69 ,$203.53 ,"$1,497.94 ",$209.69 ,$193.84 ,"$1,393.81 ",$199.70 ,"$1,441.87 ",$199.70 ,"$1,441.87 ","$1,441.87 ","$1,441.87 ","$1,554.02 ","$1,297.68 ","$1,441.87 ","$1,441.87 ","$1,441.87 ","$1,441.87 " ST. JOSEPH'S - CHIPPEWA FALLS,98180229,27550,PC CLOSED RX KNEE DISLOCATN,981,1 ,$491.52 ,$368.64 ,$193.84 ,$491.52 ,$316.54 ,$199.70 ,$344.06 ,$193.84 ,$407.96 ,$199.66 ,$324.40 ,$466.94 , N/A ,$393.22 ,$447.28 ,$193.84 ,$462.03 ,$466.94 ,$442.37 ,$417.79 ,$193.84 ,$193.84 ,$193.84 ,$358.81 ,$199.70 ,$437.45 ,$442.37 ,$442.37 ,$393.22 ,$205.69 ,$270.34 ,$442.37 ,$199.70 ,$442.37 ,$199.70 ,$466.94 ,$449.31 ,$452.20 ,$205.47 ,$447.28 ,$199.70 ,$302.48 ,$316.54 ,$302.48 ,$442.37 ,$442.37 ,$368.64 ,$344.06 ,$201.69 ,$203.53 ,$459.57 ,$209.69 ,$193.84 ,$427.62 ,$199.70 ,$442.37 ,$199.70 ,$442.37 ,$442.37 ,$442.37 ,$476.77 ,$398.13 ,$442.37 ,$442.37 ,$442.37 ,$442.37 ST. JOSEPH'S - CHIPPEWA FALLS,98180231,27560,PC CLOSED RX KNEECAP DISLOCATN,981,1 ,$797.10 ,$597.83 ,$193.84 ,$797.10 ,$513.33 ,$199.70 ,$557.97 ,$193.84 ,$661.59 ,$199.66 ,$526.09 ,$757.25 , N/A ,$637.68 ,$725.36 ,$193.84 ,$749.27 ,$757.25 ,$717.39 ,$677.54 ,$193.84 ,$193.84 ,$193.84 ,$581.88 ,$199.70 ,$709.42 ,$717.39 ,$717.39 ,$637.68 ,$205.69 ,$438.41 ,$717.39 ,$199.70 ,$717.39 ,$199.70 ,$757.25 ,$449.31 ,$733.33 ,$205.47 ,$725.36 ,$199.70 ,$490.54 ,$513.33 ,$490.54 ,$717.39 ,$717.39 ,$597.83 ,$557.97 ,$201.69 ,$203.53 ,$745.29 ,$209.69 ,$193.84 ,$693.48 ,$199.70 ,$717.39 ,$199.70 ,$717.39 ,$717.39 ,$717.39 ,$773.19 ,$645.65 ,$717.39 ,$717.39 ,$717.39 ,$717.39 ST. JOSEPH'S - CHIPPEWA FALLS,98180232,27562,PC CLOSED RX KNEECAP DISLOC+ANESTH,981,1 ,"$1,323.10 ",$992.33 ,$199.70 ,"$1,323.10 ",$852.08 ,$199.70 ,$926.17 ,$330.53 ,"$1,098.17 ",$340.45 ,$873.25 ,"$1,256.95 ", N/A ,"$1,058.48 ","$1,204.02 ",$330.53 ,"$1,243.71 ","$1,256.95 ","$1,190.79 ","$1,124.64 ",$330.53 ,$330.53 ,$330.53 ,$965.86 ,$199.70 ,"$1,177.56 ","$1,190.79 ","$1,190.79 ","$1,058.48 ",$205.69 ,$727.71 ,"$1,190.79 ",$199.70 ,"$1,190.79 ",$199.70 ,"$1,256.95 ",$449.31 ,"$1,217.25 ",$350.36 ,"$1,204.02 ",$199.70 ,$814.24 ,$852.08 ,$814.24 ,"$1,190.79 ","$1,190.79 ",$992.33 ,$926.17 ,$201.69 ,$347.06 ,"$1,237.10 ",$209.69 ,$330.53 ,"$1,151.10 ",$199.70 ,"$1,190.79 ",$199.70 ,"$1,190.79 ","$1,190.79 ","$1,190.79 ","$1,283.41 ","$1,071.71 ","$1,190.79 ","$1,190.79 ","$1,190.79 ","$1,190.79 " ST. JOSEPH'S - CHIPPEWA FALLS,98180242,27786,PC CLOSED RX DIST FIBULA FX,981,1 ,"$1,084.40 ",$813.30 ,$193.84 ,"$1,084.40 ",$698.35 ,$199.70 ,$759.08 ,$193.84 ,$900.05 ,$199.66 ,$715.70 ,"$1,030.18 ", N/A ,$867.52 ,$986.80 ,$193.84 ,"$1,019.34 ","$1,030.18 ",$975.96 ,$921.74 ,$193.84 ,$193.84 ,$193.84 ,$791.61 ,$199.70 ,$965.12 ,$975.96 ,$975.96 ,$867.52 ,$205.69 ,$596.42 ,$975.96 ,$199.70 ,$975.96 ,$199.70 ,"$1,030.18 ",$449.31 ,$997.65 ,$205.47 ,$986.80 ,$199.70 ,$667.34 ,$698.35 ,$667.34 ,$975.96 ,$975.96 ,$813.30 ,$759.08 ,$201.69 ,$203.53 ,"$1,013.91 ",$209.69 ,$193.84 ,$943.43 ,$199.70 ,$975.96 ,$199.70 ,$975.96 ,$975.96 ,$975.96 ,"$1,051.87 ",$878.36 ,$975.96 ,$975.96 ,$975.96 ,$975.96 ST. JOSEPH'S - CHIPPEWA FALLS,98180244,27808,PC CLOSED RX BIMALLEOLAR FX,981,1 ,$306.79 ,$230.09 ,$168.73 ,$449.31 ,$197.57 ,$199.70 ,$214.75 ,$193.84 ,$254.64 ,$199.66 ,$202.48 ,$291.45 , N/A ,$245.43 ,$279.18 ,$193.84 ,$288.38 ,$291.45 ,$276.11 ,$260.77 ,$193.84 ,$193.84 ,$193.84 ,$223.96 ,$199.70 ,$273.04 ,$276.11 ,$276.11 ,$245.43 ,$205.69 ,$168.73 ,$276.11 ,$199.70 ,$276.11 ,$199.70 ,$291.45 ,$449.31 ,$282.25 ,$205.47 ,$279.18 ,$199.70 ,$188.80 ,$197.57 ,$188.80 ,$276.11 ,$276.11 ,$230.09 ,$214.75 ,$201.69 ,$203.53 ,$286.85 ,$209.69 ,$193.84 ,$266.91 ,$199.70 ,$276.11 ,$199.70 ,$276.11 ,$276.11 ,$276.11 ,$297.59 ,$248.50 ,$276.11 ,$276.11 ,$276.11 ,$276.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180248,27824,PC CLOSED RX WEIGHT BEAR DIST TIBIA,981,1 ,"$1,220.05 ",$915.04 ,$193.84 ,"$1,220.05 ",$785.71 ,$199.70 ,$854.04 ,$193.84 ,"$1,012.64 ",$199.66 ,$805.23 ,"$1,159.05 ", N/A ,$976.04 ,"$1,110.25 ",$193.84 ,"$1,146.85 ","$1,159.05 ","$1,098.05 ","$1,037.04 ",$193.84 ,$193.84 ,$193.84 ,$890.64 ,$199.70 ,"$1,085.84 ","$1,098.05 ","$1,098.05 ",$976.04 ,$205.69 ,$671.03 ,"$1,098.05 ",$199.70 ,"$1,098.05 ",$199.70 ,"$1,159.05 ",$449.31 ,"$1,122.45 ",$205.47 ,"$1,110.25 ",$199.70 ,$750.82 ,$785.71 ,$750.82 ,"$1,098.05 ","$1,098.05 ",$915.04 ,$854.04 ,$201.69 ,$203.53 ,"$1,140.75 ",$209.69 ,$193.84 ,"$1,061.44 ",$199.70 ,"$1,098.05 ",$199.70 ,"$1,098.05 ","$1,098.05 ","$1,098.05 ","$1,183.45 ",$988.24 ,"$1,098.05 ","$1,098.05 ","$1,098.05 ","$1,098.05 " ST. JOSEPH'S - CHIPPEWA FALLS,98180262,28470,PC CLOSED RX METATARSAL FX,981,1 ,$833.92 ,$625.44 ,$193.84 ,$833.92 ,$537.04 ,$199.70 ,$583.74 ,$193.84 ,$692.15 ,$199.66 ,$550.39 ,$792.22 , N/A ,$667.14 ,$758.87 ,$193.84 ,$783.88 ,$792.22 ,$750.53 ,$708.83 ,$193.84 ,$193.84 ,$193.84 ,$608.76 ,$199.70 ,$742.19 ,$750.53 ,$750.53 ,$667.14 ,$205.69 ,$458.66 ,$750.53 ,$199.70 ,$750.53 ,$199.70 ,$792.22 ,$449.31 ,$767.21 ,$205.47 ,$758.87 ,$199.70 ,$513.19 ,$537.04 ,$513.19 ,$750.53 ,$750.53 ,$625.44 ,$583.74 ,$201.69 ,$203.53 ,$779.72 ,$209.69 ,$193.84 ,$725.51 ,$199.70 ,$750.53 ,$199.70 ,$750.53 ,$750.53 ,$750.53 ,$808.90 ,$675.48 ,$750.53 ,$750.53 ,$750.53 ,$750.53 ST. JOSEPH'S - CHIPPEWA FALLS,98180264,28490,PC CLOSED RX BIG TOE FRACTURE,981,1 ,$469.16 ,$351.87 ,$193.84 ,$469.16 ,$302.14 ,$199.70 ,$328.41 ,$193.84 ,$389.40 ,$199.66 ,$309.65 ,$445.70 , N/A ,$375.33 ,$426.94 ,$193.84 ,$441.01 ,$445.70 ,$422.24 ,$398.79 ,$193.84 ,$193.84 ,$193.84 ,$342.49 ,$199.70 ,$417.55 ,$422.24 ,$422.24 ,$375.33 ,$205.69 ,$258.04 ,$422.24 ,$199.70 ,$422.24 ,$199.70 ,$445.70 ,$449.31 ,$431.63 ,$205.47 ,$426.94 ,$199.70 ,$288.72 ,$302.14 ,$288.72 ,$422.24 ,$422.24 ,$351.87 ,$328.41 ,$201.69 ,$203.53 ,$438.66 ,$209.69 ,$193.84 ,$408.17 ,$199.70 ,$422.24 ,$199.70 ,$422.24 ,$422.24 ,$422.24 ,$455.09 ,$380.02 ,$422.24 ,$422.24 ,$422.24 ,$422.24 ST. JOSEPH'S - CHIPPEWA FALLS,98180267,28510,PC CLOSED RX TOE FX,981,1 ,$451.69 ,$338.77 ,$193.84 ,$451.69 ,$290.89 ,$199.70 ,$316.18 ,$193.84 ,$374.90 ,$199.66 ,$298.12 ,$429.11 , N/A ,$361.35 ,$411.04 ,$193.84 ,$424.59 ,$429.11 ,$406.52 ,$383.94 ,$193.84 ,$193.84 ,$193.84 ,$329.73 ,$199.70 ,$402.00 ,$406.52 ,$406.52 ,$361.35 ,$205.69 ,$248.43 ,$406.52 ,$199.70 ,$406.52 ,$199.70 ,$429.11 ,$449.31 ,$415.55 ,$205.47 ,$411.04 ,$199.70 ,$277.97 ,$290.89 ,$277.97 ,$406.52 ,$406.52 ,$338.77 ,$316.18 ,$201.69 ,$203.53 ,$422.33 ,$209.69 ,$193.84 ,$392.97 ,$199.70 ,$406.52 ,$199.70 ,$406.52 ,$406.52 ,$406.52 ,$438.14 ,$365.87 ,$406.52 ,$406.52 ,$406.52 ,$406.52 ST. JOSEPH'S - CHIPPEWA FALLS,98180268,28515,"PC CLOSED RX TOE FX,MANIPULATN",981,1 ,$585.26 ,$438.95 ,$193.84 ,$585.26 ,$376.91 ,$199.70 ,$409.68 ,$193.84 ,$485.77 ,$199.66 ,$386.27 ,$556.00 , N/A ,$468.21 ,$532.59 ,$193.84 ,$550.14 ,$556.00 ,$526.73 ,$497.47 ,$193.84 ,$193.84 ,$193.84 ,$427.24 ,$199.70 ,$520.88 ,$526.73 ,$526.73 ,$468.21 ,$205.69 ,$321.89 ,$526.73 ,$199.70 ,$526.73 ,$199.70 ,$556.00 ,$449.31 ,$538.44 ,$205.47 ,$532.59 ,$199.70 ,$360.17 ,$376.91 ,$360.17 ,$526.73 ,$526.73 ,$438.95 ,$409.68 ,$201.69 ,$203.53 ,$547.22 ,$209.69 ,$193.84 ,$509.18 ,$199.70 ,$526.73 ,$199.70 ,$526.73 ,$526.73 ,$526.73 ,$567.70 ,$474.06 ,$526.73 ,$526.73 ,$526.73 ,$526.73 ST. JOSEPH'S - CHIPPEWA FALLS,98180276,28630,PC CLOSED RX MT-PHAL TOE DISLOCATION,981,1 ,$555.98 ,$416.99 ,$193.84 ,$555.98 ,$358.05 ,$199.70 ,$389.19 ,$193.84 ,$461.46 ,$199.66 ,$366.95 ,$528.18 , N/A ,$444.78 ,$505.94 ,$193.84 ,$522.62 ,$528.18 ,$500.38 ,$472.58 ,$193.84 ,$193.84 ,$193.84 ,$405.87 ,$199.70 ,$494.82 ,$500.38 ,$500.38 ,$444.78 ,$205.69 ,$305.79 ,$500.38 ,$199.70 ,$500.38 ,$199.70 ,$528.18 ,$449.31 ,$511.50 ,$205.47 ,$505.94 ,$199.70 ,$342.15 ,$358.05 ,$342.15 ,$500.38 ,$500.38 ,$416.99 ,$389.19 ,$201.69 ,$203.53 ,$519.84 ,$209.69 ,$193.84 ,$483.70 ,$199.70 ,$500.38 ,$199.70 ,$500.38 ,$500.38 ,$500.38 ,$539.30 ,$450.34 ,$500.38 ,$500.38 ,$500.38 ,$500.38 ST. JOSEPH'S - CHIPPEWA FALLS,98180279,28660,"PC CLOSED RX I-P JT,TOE DISLOCATION",981,1 ,$417.06 ,$312.80 ,$193.84 ,$449.31 ,$268.59 ,$199.70 ,$291.94 ,$193.84 ,$346.16 ,$199.66 ,$275.26 ,$396.21 , N/A ,$333.65 ,$379.52 ,$193.84 ,$392.04 ,$396.21 ,$375.35 ,$354.50 ,$193.84 ,$193.84 ,$193.84 ,$304.45 ,$199.70 ,$371.18 ,$375.35 ,$375.35 ,$333.65 ,$205.69 ,$229.38 ,$375.35 ,$199.70 ,$375.35 ,$199.70 ,$396.21 ,$449.31 ,$383.70 ,$205.47 ,$379.52 ,$199.70 ,$256.66 ,$268.59 ,$256.66 ,$375.35 ,$375.35 ,$312.80 ,$291.94 ,$201.69 ,$203.53 ,$389.95 ,$209.69 ,$193.84 ,$362.84 ,$199.70 ,$375.35 ,$199.70 ,$375.35 ,$375.35 ,$375.35 ,$404.55 ,$337.82 ,$375.35 ,$375.35 ,$375.35 ,$375.35 ST. JOSEPH'S - CHIPPEWA FALLS,98180280,28665,"PC CLOSED RX I-P JT,TOE DISLOC,ANESTH",981,1 ,$167.75 ,$125.81 ,$92.26 ,$525.54 ,$108.03 ,$233.57 ,$117.43 ,$167.75 ,$139.23 ,$340.45 ,$110.72 ,$159.36 , N/A ,$134.20 ,$152.65 ,$167.75 ,$157.69 ,$159.36 ,$150.98 ,$142.59 ,$330.53 ,$330.53 ,$330.53 ,$122.46 ,$233.57 ,$149.30 ,$150.98 ,$150.98 ,$134.20 ,$240.58 ,$92.26 ,$150.98 ,$233.57 ,$150.98 ,$233.57 ,$159.36 ,$525.54 ,$154.33 ,$350.36 ,$152.65 ,$233.57 ,$103.23 ,$108.03 ,$103.23 ,$150.98 ,$150.98 ,$125.81 ,$117.43 ,$235.91 ,$347.06 ,$156.85 ,$245.25 ,$167.75 ,$145.94 ,$233.57 ,$150.98 ,$233.57 ,$150.98 ,$150.98 ,$150.98 ,$162.72 ,$135.88 ,$150.98 ,$150.98 ,$150.98 ,$150.98 ST. JOSEPH'S - CHIPPEWA FALLS,98180286,29105,PC APPLY LONG ARM SPLINT,981,1 ,$364.86 ,$273.65 ,$21.22 ,$364.86 ,$234.97 ,$136.73 ,$255.40 ,$21.22 ,$302.83 ,$21.86 ,$240.81 ,$346.62 , N/A ,$291.89 ,$332.02 ,$21.22 ,$342.97 ,$346.62 ,$328.37 ,$310.13 ,$21.22 ,$21.22 ,$21.22 ,$266.35 ,$136.73 ,$324.73 ,$328.37 ,$328.37 ,$291.89 ,$140.83 ,$200.67 ,$328.37 ,$136.73 ,$328.37 ,$136.73 ,$346.62 ,$307.65 ,$335.67 ,$22.49 ,$332.02 ,$136.73 ,$224.53 ,$234.97 ,$224.53 ,$328.37 ,$328.37 ,$273.65 ,$255.40 ,$138.10 ,$22.28 ,$341.14 ,$143.57 ,$21.22 ,$317.43 ,$136.73 ,$328.37 ,$136.73 ,$328.37 ,$328.37 ,$328.37 ,$353.91 ,$295.54 ,$328.37 ,$328.37 ,$328.37 ,$328.37 ST. JOSEPH'S - CHIPPEWA FALLS,98180287,29125,"PC APPLY FOREARM SPLINT,STATIC",981,1 ,$162.82 ,$122.12 ,$21.22 ,$243.95 ,$104.86 ,$108.42 ,$113.97 ,$21.22 ,$135.14 ,$21.86 ,$107.46 ,$154.68 , N/A ,$130.26 ,$148.17 ,$21.22 ,$153.05 ,$154.68 ,$146.54 ,$138.40 ,$21.22 ,$21.22 ,$21.22 ,$118.86 ,$108.42 ,$144.91 ,$146.54 ,$146.54 ,$130.26 ,$111.68 ,$89.55 ,$146.54 ,$108.42 ,$146.54 ,$108.42 ,$154.68 ,$243.95 ,$149.79 ,$22.49 ,$148.17 ,$108.42 ,$100.20 ,$104.86 ,$100.20 ,$146.54 ,$146.54 ,$122.12 ,$113.97 ,$109.51 ,$22.28 ,$152.24 ,$113.84 ,$21.22 ,$141.65 ,$108.42 ,$146.54 ,$108.42 ,$146.54 ,$146.54 ,$146.54 ,$157.94 ,$131.88 ,$146.54 ,$146.54 ,$146.54 ,$146.54 ST. JOSEPH'S - CHIPPEWA FALLS,98180290,29131,"PC APPLY FINGER SPLINT,DYNAMIC",981,1 ,$102.23 ,$76.67 ,$21.22 ,$121.29 ,$65.84 ,$53.91 ,$71.56 ,$21.22 ,$84.85 ,$21.86 ,$67.47 ,$97.12 , N/A ,$81.78 ,$93.03 ,$21.22 ,$96.10 ,$97.12 ,$92.01 ,$86.90 ,$21.22 ,$21.22 ,$21.22 ,$74.63 ,$53.91 ,$90.98 ,$92.01 ,$92.01 ,$81.78 ,$55.52 ,$56.23 ,$92.01 ,$53.91 ,$92.01 ,$53.91 ,$97.12 ,$121.29 ,$94.05 ,$22.49 ,$93.03 ,$53.91 ,$62.91 ,$65.84 ,$62.91 ,$92.01 ,$92.01 ,$76.67 ,$71.56 ,$54.45 ,$22.28 ,$95.59 ,$56.61 ,$21.22 ,$88.94 ,$53.91 ,$92.01 ,$53.91 ,$92.01 ,$92.01 ,$92.01 ,$99.16 ,$82.81 ,$92.01 ,$92.01 ,$92.01 ,$92.01 ST. JOSEPH'S - CHIPPEWA FALLS,98180291,29240,PC STRAPPING OF SHOULDER,981,1 ,$152.58 ,$114.44 ,$21.22 ,$243.95 ,$98.26 ,$108.42 ,$106.81 ,$21.22 ,$126.64 ,$21.86 ,$100.70 ,$144.95 , N/A ,$122.06 ,$138.85 ,$21.22 ,$143.43 ,$144.95 ,$137.32 ,$129.69 ,$21.22 ,$21.22 ,$21.22 ,$111.38 ,$108.42 ,$135.80 ,$137.32 ,$137.32 ,$122.06 ,$111.68 ,$83.92 ,$137.32 ,$108.42 ,$137.32 ,$108.42 ,$144.95 ,$243.95 ,$140.37 ,$22.49 ,$138.85 ,$108.42 ,$93.90 ,$98.26 ,$93.90 ,$137.32 ,$137.32 ,$114.44 ,$106.81 ,$109.51 ,$22.28 ,$142.66 ,$113.84 ,$21.22 ,$132.74 ,$108.42 ,$137.32 ,$108.42 ,$137.32 ,$137.32 ,$137.32 ,$148.00 ,$123.59 ,$137.32 ,$137.32 ,$137.32 ,$137.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180292,29260,PC STRAPPING OF ELBOW OR WRIST,981,1 ,$109.02 ,$81.77 ,$21.22 ,$121.29 ,$70.21 ,$53.91 ,$76.31 ,$21.22 ,$90.49 ,$21.86 ,$71.95 ,$103.57 , N/A ,$87.22 ,$99.21 ,$21.22 ,$102.48 ,$103.57 ,$98.12 ,$92.67 ,$21.22 ,$21.22 ,$21.22 ,$79.58 ,$53.91 ,$97.03 ,$98.12 ,$98.12 ,$87.22 ,$55.52 ,$59.96 ,$98.12 ,$53.91 ,$98.12 ,$53.91 ,$103.57 ,$121.29 ,$100.30 ,$22.49 ,$99.21 ,$53.91 ,$67.09 ,$70.21 ,$67.09 ,$98.12 ,$98.12 ,$81.77 ,$76.31 ,$54.45 ,$22.28 ,$101.93 ,$56.61 ,$21.22 ,$94.85 ,$53.91 ,$98.12 ,$53.91 ,$98.12 ,$98.12 ,$98.12 ,$105.75 ,$88.31 ,$98.12 ,$98.12 ,$98.12 ,$98.12 ST. JOSEPH'S - CHIPPEWA FALLS,98180294,29345,PC APPLY LONG LEG CAST,981,1 ,$527.60 ,$395.70 ,$57.61 ,$527.60 ,$339.77 ,$233.57 ,$369.32 ,$57.61 ,$437.91 ,$59.34 ,$348.22 ,$501.22 , N/A ,$422.08 ,$480.12 ,$57.61 ,$495.94 ,$501.22 ,$474.84 ,$448.46 ,$57.61 ,$57.61 ,$57.61 ,$385.15 ,$233.57 ,$469.56 ,$474.84 ,$474.84 ,$422.08 ,$240.58 ,$290.18 ,$474.84 ,$233.57 ,$474.84 ,$233.57 ,$501.22 ,$525.54 ,$485.39 ,$61.07 ,$480.12 ,$233.57 ,$324.69 ,$339.77 ,$324.69 ,$474.84 ,$474.84 ,$395.70 ,$369.32 ,$235.91 ,$60.49 ,$493.31 ,$245.25 ,$57.61 ,$459.01 ,$233.57 ,$474.84 ,$233.57 ,$474.84 ,$474.84 ,$474.84 ,$511.77 ,$427.36 ,$474.84 ,$474.84 ,$474.84 ,$474.84 ST. JOSEPH'S - CHIPPEWA FALLS,98180299,29425,"PC APPLY SHORT LEG CAST,WALKER",981,1 ,$509.33 ,$382.00 ,$57.61 ,$525.54 ,$328.01 ,$233.57 ,$356.53 ,$57.61 ,$422.74 ,$59.34 ,$336.16 ,$483.86 , N/A ,$407.46 ,$463.49 ,$57.61 ,$478.77 ,$483.86 ,$458.40 ,$432.93 ,$57.61 ,$57.61 ,$57.61 ,$371.81 ,$233.57 ,$453.30 ,$458.40 ,$458.40 ,$407.46 ,$240.58 ,$280.13 ,$458.40 ,$233.57 ,$458.40 ,$233.57 ,$483.86 ,$525.54 ,$468.58 ,$61.07 ,$463.49 ,$233.57 ,$313.44 ,$328.01 ,$313.44 ,$458.40 ,$458.40 ,$382.00 ,$356.53 ,$235.91 ,$60.49 ,$476.22 ,$245.25 ,$57.61 ,$443.12 ,$233.57 ,$458.40 ,$233.57 ,$458.40 ,$458.40 ,$458.40 ,$494.05 ,$412.56 ,$458.40 ,$458.40 ,$458.40 ,$458.40 ST. JOSEPH'S - CHIPPEWA FALLS,98180304,29505,PC APPLY LONG LEG SPLINT,981,1 ,$651.71 ,$488.78 ,$21.22 ,$651.71 ,$419.70 ,$136.73 ,$456.20 ,$21.22 ,$540.92 ,$21.86 ,$430.13 ,$619.12 , N/A ,$521.37 ,$593.06 ,$21.22 ,$612.61 ,$619.12 ,$586.54 ,$553.95 ,$21.22 ,$21.22 ,$21.22 ,$475.75 ,$136.73 ,$580.02 ,$586.54 ,$586.54 ,$521.37 ,$140.83 ,$358.44 ,$586.54 ,$136.73 ,$586.54 ,$136.73 ,$619.12 ,$307.65 ,$599.57 ,$22.49 ,$593.06 ,$136.73 ,$401.06 ,$419.70 ,$401.06 ,$586.54 ,$586.54 ,$488.78 ,$456.20 ,$138.10 ,$22.28 ,$609.35 ,$143.57 ,$21.22 ,$566.99 ,$136.73 ,$586.54 ,$136.73 ,$586.54 ,$586.54 ,$586.54 ,$632.16 ,$527.89 ,$586.54 ,$586.54 ,$586.54 ,$586.54 ST. JOSEPH'S - CHIPPEWA FALLS,98180306,29530,PC STRAPPING OF KNEE,981,1 ,$163.78 ,$122.84 ,$21.22 ,$243.95 ,$105.47 ,$108.42 ,$114.65 ,$21.22 ,$135.94 ,$21.86 ,$108.09 ,$155.59 , N/A ,$131.02 ,$149.04 ,$21.22 ,$153.95 ,$155.59 ,$147.40 ,$139.21 ,$21.22 ,$21.22 ,$21.22 ,$119.56 ,$108.42 ,$145.76 ,$147.40 ,$147.40 ,$131.02 ,$111.68 ,$90.08 ,$147.40 ,$108.42 ,$147.40 ,$108.42 ,$155.59 ,$243.95 ,$150.68 ,$22.49 ,$149.04 ,$108.42 ,$100.79 ,$105.47 ,$100.79 ,$147.40 ,$147.40 ,$122.84 ,$114.65 ,$109.51 ,$22.28 ,$153.13 ,$113.84 ,$21.22 ,$142.49 ,$108.42 ,$147.40 ,$108.42 ,$147.40 ,$147.40 ,$147.40 ,$158.87 ,$132.66 ,$147.40 ,$147.40 ,$147.40 ,$147.40 ST. JOSEPH'S - CHIPPEWA FALLS,98180307,29540,PC STRAPPING OF ANKLE,981,1 ,$145.49 ,$109.12 ,$21.22 ,$307.65 ,$93.70 ,$136.73 ,$101.84 ,$21.22 ,$120.76 ,$21.86 ,$96.02 ,$138.22 , N/A ,$116.39 ,$132.40 ,$21.22 ,$136.76 ,$138.22 ,$130.94 ,$123.67 ,$21.22 ,$21.22 ,$21.22 ,$106.21 ,$136.73 ,$129.49 ,$130.94 ,$130.94 ,$116.39 ,$140.83 ,$80.02 ,$130.94 ,$136.73 ,$130.94 ,$136.73 ,$138.22 ,$307.65 ,$133.85 ,$22.49 ,$132.40 ,$136.73 ,$89.53 ,$93.70 ,$89.53 ,$130.94 ,$130.94 ,$109.12 ,$101.84 ,$138.10 ,$22.28 ,$136.03 ,$143.57 ,$21.22 ,$126.58 ,$136.73 ,$130.94 ,$136.73 ,$130.94 ,$130.94 ,$130.94 ,$141.13 ,$117.85 ,$130.94 ,$130.94 ,$130.94 ,$130.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180308,29550,PC STRAPPING OF TOES,981,1 ,$127.31 ,$95.48 ,$21.22 ,$127.31 ,$81.99 ,$53.91 ,$89.12 ,$21.22 ,$105.67 ,$21.86 ,$84.02 ,$120.94 , N/A ,$101.85 ,$115.85 ,$21.22 ,$119.67 ,$120.94 ,$114.58 ,$108.21 ,$21.22 ,$21.22 ,$21.22 ,$92.94 ,$53.91 ,$113.31 ,$114.58 ,$114.58 ,$101.85 ,$55.52 ,$70.02 ,$114.58 ,$53.91 ,$114.58 ,$53.91 ,$120.94 ,$121.29 ,$117.13 ,$22.49 ,$115.85 ,$53.91 ,$78.35 ,$81.99 ,$78.35 ,$114.58 ,$114.58 ,$95.48 ,$89.12 ,$54.45 ,$22.28 ,$119.03 ,$56.61 ,$21.22 ,$110.76 ,$53.91 ,$114.58 ,$53.91 ,$114.58 ,$114.58 ,$114.58 ,$123.49 ,$103.12 ,$114.58 ,$114.58 ,$114.58 ,$114.58 ST. JOSEPH'S - CHIPPEWA FALLS,98180309,29580,PC APPLY OF PASTE BOOT,981,1 ,$181.87 ,$136.40 ,$57.61 ,$307.65 ,$117.12 ,$136.73 ,$127.31 ,$57.61 ,$150.95 ,$59.34 ,$120.03 ,$172.78 , N/A ,$145.50 ,$165.50 ,$57.61 ,$170.96 ,$172.78 ,$163.68 ,$154.59 ,$57.61 ,$57.61 ,$57.61 ,$132.77 ,$136.73 ,$161.86 ,$163.68 ,$163.68 ,$145.50 ,$140.83 ,$100.03 ,$163.68 ,$136.73 ,$163.68 ,$136.73 ,$172.78 ,$307.65 ,$167.32 ,$61.07 ,$165.50 ,$136.73 ,$111.92 ,$117.12 ,$111.92 ,$163.68 ,$163.68 ,$136.40 ,$127.31 ,$138.10 ,$60.49 ,$170.05 ,$143.57 ,$57.61 ,$158.23 ,$136.73 ,$163.68 ,$136.73 ,$163.68 ,$163.68 ,$163.68 ,$176.41 ,$147.31 ,$163.68 ,$163.68 ,$163.68 ,$163.68 ST. JOSEPH'S - CHIPPEWA FALLS,98180311,29705,PC REMV/REVISN FULL ARM/LEG CAST,981,1 ,$167.38 ,$125.54 ,$57.61 ,$525.54 ,$107.79 ,$233.57 ,$117.17 ,$57.61 ,$138.93 ,$59.34 ,$110.47 ,$159.01 , N/A ,$133.90 ,$152.32 ,$57.61 ,$157.34 ,$159.01 ,$150.64 ,$142.27 ,$57.61 ,$57.61 ,$57.61 ,$122.19 ,$233.57 ,$148.97 ,$150.64 ,$150.64 ,$133.90 ,$240.58 ,$92.06 ,$150.64 ,$233.57 ,$150.64 ,$233.57 ,$159.01 ,$525.54 ,$153.99 ,$61.07 ,$152.32 ,$233.57 ,$103.01 ,$107.79 ,$103.01 ,$150.64 ,$150.64 ,$125.54 ,$117.17 ,$235.91 ,$60.49 ,$156.50 ,$245.25 ,$57.61 ,$145.62 ,$233.57 ,$150.64 ,$233.57 ,$150.64 ,$150.64 ,$150.64 ,$162.36 ,$135.58 ,$150.64 ,$150.64 ,$150.64 ,$150.64 ST. JOSEPH'S - CHIPPEWA FALLS,98180312,29710,PC REMV/REVISN SHLDR/HIP SPICA CAST,981,1 ,$290.99 ,$218.24 ,$57.61 ,$525.54 ,$187.40 ,$233.57 ,$203.69 ,$57.61 ,$241.52 ,$59.34 ,$192.05 ,$276.44 , N/A ,$232.79 ,$264.80 ,$57.61 ,$273.53 ,$276.44 ,$261.89 ,$247.34 ,$57.61 ,$57.61 ,$57.61 ,$212.42 ,$233.57 ,$258.98 ,$261.89 ,$261.89 ,$232.79 ,$240.58 ,$160.04 ,$261.89 ,$233.57 ,$261.89 ,$233.57 ,$276.44 ,$525.54 ,$267.71 ,$61.07 ,$264.80 ,$233.57 ,$179.08 ,$187.40 ,$179.08 ,$261.89 ,$261.89 ,$218.24 ,$203.69 ,$235.91 ,$60.49 ,$272.08 ,$245.25 ,$57.61 ,$253.16 ,$233.57 ,$261.89 ,$233.57 ,$261.89 ,$261.89 ,$261.89 ,$282.26 ,$235.70 ,$261.89 ,$261.89 ,$261.89 ,$261.89 ST. JOSEPH'S - CHIPPEWA FALLS,98180315,29730,PC WINDOWING OF CAST,981,1 ,$131.01 ,$98.26 ,$57.61 ,$307.65 ,$84.37 ,$136.73 ,$91.71 ,$57.61 ,$108.74 ,$59.34 ,$86.47 ,$124.46 , N/A ,$104.81 ,$119.22 ,$57.61 ,$123.15 ,$124.46 ,$117.91 ,$111.36 ,$57.61 ,$57.61 ,$57.61 ,$95.64 ,$136.73 ,$116.60 ,$117.91 ,$117.91 ,$104.81 ,$140.83 ,$72.06 ,$117.91 ,$136.73 ,$117.91 ,$136.73 ,$124.46 ,$307.65 ,$120.53 ,$61.07 ,$119.22 ,$136.73 ,$80.62 ,$84.37 ,$80.62 ,$117.91 ,$117.91 ,$98.26 ,$91.71 ,$138.10 ,$60.49 ,$122.49 ,$143.57 ,$57.61 ,$113.98 ,$136.73 ,$117.91 ,$136.73 ,$117.91 ,$117.91 ,$117.91 ,$127.08 ,$106.12 ,$117.91 ,$117.91 ,$117.91 ,$117.91 ST. JOSEPH'S - CHIPPEWA FALLS,98180316,29740,PC WEDGING OF CAST,981,1 ,$196.46 ,$147.35 ,$57.61 ,$525.54 ,$126.52 ,$233.57 ,$137.52 ,$57.61 ,$163.06 ,$59.34 ,$129.66 ,$186.64 , N/A ,$157.17 ,$178.78 ,$57.61 ,$184.67 ,$186.64 ,$176.81 ,$166.99 ,$57.61 ,$57.61 ,$57.61 ,$143.42 ,$233.57 ,$174.85 ,$176.81 ,$176.81 ,$157.17 ,$240.58 ,$108.05 ,$176.81 ,$233.57 ,$176.81 ,$233.57 ,$186.64 ,$525.54 ,$180.74 ,$61.07 ,$178.78 ,$233.57 ,$120.90 ,$126.52 ,$120.90 ,$176.81 ,$176.81 ,$147.35 ,$137.52 ,$235.91 ,$60.49 ,$183.69 ,$245.25 ,$57.61 ,$170.92 ,$233.57 ,$176.81 ,$233.57 ,$176.81 ,$176.81 ,$176.81 ,$190.57 ,$159.13 ,$176.81 ,$176.81 ,$176.81 ,$176.81 ST. JOSEPH'S - CHIPPEWA FALLS,98180319,30020,"PC DRAIN ABSCESS/HEMATOMA,NASAL SEPTUM",981,1 ,$398.67 ,$299.00 ,$219.27 ,$985.75 ,$256.74 ,$438.11 ,$279.07 ,$280.78 ,$330.90 ,$289.20 ,$263.12 ,$378.74 , N/A ,$318.94 ,$362.79 ,$280.78 ,$374.75 ,$378.74 ,$358.80 ,$338.87 ,$280.78 ,$280.78 ,$280.78 ,$291.03 ,$438.11 ,$354.82 ,$358.80 ,$358.80 ,$318.94 ,$451.25 ,$219.27 ,$358.80 ,$438.11 ,$358.80 ,$438.11 ,$378.74 ,$985.75 ,$366.78 ,$297.63 ,$362.79 ,$438.11 ,$245.34 ,$256.74 ,$245.34 ,$358.80 ,$358.80 ,$299.00 ,$279.07 ,$442.49 ,$294.82 ,$372.76 ,$460.02 ,$280.78 ,$346.84 ,$438.11 ,$358.80 ,$438.11 ,$358.80 ,$358.80 ,$358.80 ,$386.71 ,$322.92 ,$358.80 ,$358.80 ,$358.80 ,$358.80 ST. JOSEPH'S - CHIPPEWA FALLS,98180321,30300,PC REMOVE NASAL FOREIGN BODY,981,1 ,$253.69 ,$190.27 ,$35.67 ,$253.69 ,$163.38 ,$108.42 ,$177.58 ,$35.67 ,$210.56 ,$36.74 ,$167.44 ,$241.01 , N/A ,$202.95 ,$230.86 ,$35.67 ,$238.47 ,$241.01 ,$228.32 ,$215.64 ,$35.67 ,$35.67 ,$35.67 ,$185.19 ,$108.42 ,$225.78 ,$228.32 ,$228.32 ,$202.95 ,$111.68 ,$139.53 ,$228.32 ,$108.42 ,$228.32 ,$108.42 ,$241.01 ,$243.95 ,$233.39 ,$37.81 ,$230.86 ,$108.42 ,$156.12 ,$163.38 ,$156.12 ,$228.32 ,$228.32 ,$190.27 ,$177.58 ,$109.51 ,$37.45 ,$237.20 ,$113.84 ,$35.67 ,$220.71 ,$108.42 ,$228.32 ,$108.42 ,$228.32 ,$228.32 ,$228.32 ,$246.08 ,$205.49 ,$228.32 ,$228.32 ,$228.32 ,$228.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180322,30310,"PC REMV NASAL FOR BODY,GEN ANESTH",981,1 ,$894.13 ,$670.60 ,$280.78 ,"$5,962.94 ",$575.82 ,"$2,650.19 ",$625.89 ,$280.78 ,$742.13 ,$289.20 ,$590.13 ,$849.42 , N/A ,$715.30 ,$813.66 ,$280.78 ,$840.48 ,$849.42 ,$804.72 ,$760.01 ,$280.78 ,$280.78 ,$280.78 ,$652.71 ,"$2,650.19 ",$795.78 ,$804.72 ,$804.72 ,$715.30 ,"$2,729.70 ",$491.77 ,$804.72 ,"$2,650.19 ",$804.72 ,"$2,650.19 ",$849.42 ,"$5,962.94 ",$822.60 ,$297.63 ,$813.66 ,"$2,650.19 ",$550.25 ,$575.82 ,$550.25 ,$804.72 ,$804.72 ,$670.60 ,$625.89 ,"$2,676.70 ",$294.82 ,$836.01 ,"$2,782.70 ",$280.78 ,$777.89 ,"$2,650.19 ",$804.72 ,"$2,650.19 ",$804.72 ,$804.72 ,$804.72 ,$867.31 ,$724.25 ,$804.72 ,$804.72 ,$804.72 ,$804.72 ST. JOSEPH'S - CHIPPEWA FALLS,98180327,30905,PC CONTROL OF NOSEBLEED,981,1 ,"$1,052.60 ",$789.45 ,$35.67 ,"$1,052.60 ",$677.87 ,$108.42 ,$736.82 ,$35.67 ,$873.66 ,$36.74 ,$694.72 ,$999.97 , N/A ,$842.08 ,$957.87 ,$35.67 ,$989.44 ,$999.97 ,$947.34 ,$894.71 ,$35.67 ,$35.67 ,$35.67 ,$768.40 ,$108.42 ,$936.81 ,$947.34 ,$947.34 ,$842.08 ,$111.68 ,$578.93 ,$947.34 ,$108.42 ,$947.34 ,$108.42 ,$999.97 ,$243.95 ,$968.39 ,$37.81 ,$957.87 ,$108.42 ,$647.77 ,$677.87 ,$647.77 ,$947.34 ,$947.34 ,$789.45 ,$736.82 ,$109.51 ,$37.45 ,$984.18 ,$113.84 ,$35.67 ,$915.76 ,$108.42 ,$947.34 ,$108.42 ,$947.34 ,$947.34 ,$947.34 ,"$1,021.02 ",$852.61 ,$947.34 ,$947.34 ,$947.34 ,$947.34 ST. JOSEPH'S - CHIPPEWA FALLS,98180329,31500,PC INSERT EMERGENCY ENDOTRACH AIRWAY,981,1 ,$587.20 ,$440.40 ,$204.93 ,$587.20 ,$378.16 ,$204.93 ,$411.04 ,$234.58 ,$487.38 ,$241.62 ,$387.55 ,$557.84 , N/A ,$469.76 ,$534.35 ,$234.58 ,$551.97 ,$557.84 ,$528.48 ,$499.12 ,$234.58 ,$234.58 ,$234.58 ,$428.66 ,$204.93 ,$522.61 ,$528.48 ,$528.48 ,$469.76 ,$211.08 ,$322.96 ,$528.48 ,$204.93 ,$528.48 ,$204.93 ,$557.84 ,$461.10 ,$540.22 ,$248.65 ,$534.35 ,$204.93 ,$361.36 ,$378.16 ,$361.36 ,$528.48 ,$528.48 ,$440.40 ,$411.04 ,$206.98 ,$246.31 ,$549.03 ,$215.18 ,$234.58 ,$510.86 ,$204.93 ,$528.48 ,$204.93 ,$528.48 ,$528.48 ,$528.48 ,$569.58 ,$475.63 ,$528.48 ,$528.48 ,$528.48 ,$528.48 ST. JOSEPH'S - CHIPPEWA FALLS,98180330,31502,PC TRACH TUBE CHANGE,981,1 ,$484.47 ,$363.35 ,$35.67 ,$484.47 ,$312.00 ,$204.93 ,$339.13 ,$35.67 ,$402.11 ,$36.74 ,$319.75 ,$460.25 , N/A ,$387.58 ,$440.87 ,$35.67 ,$455.40 ,$460.25 ,$436.02 ,$411.80 ,$35.67 ,$35.67 ,$35.67 ,$353.66 ,$204.93 ,$431.18 ,$436.02 ,$436.02 ,$387.58 ,$211.08 ,$266.46 ,$436.02 ,$204.93 ,$436.02 ,$204.93 ,$460.25 ,$461.10 ,$445.71 ,$37.81 ,$440.87 ,$204.93 ,$298.14 ,$312.00 ,$298.14 ,$436.02 ,$436.02 ,$363.35 ,$339.13 ,$206.98 ,$37.45 ,$452.98 ,$215.18 ,$35.67 ,$421.49 ,$204.93 ,$436.02 ,$204.93 ,$436.02 ,$436.02 ,$436.02 ,$469.94 ,$392.42 ,$436.02 ,$436.02 ,$436.02 ,$436.02 ST. JOSEPH'S - CHIPPEWA FALLS,98180331,31511,"PC LARYNGOSCOPY,INDIRECT+REMV FOR.BODY",981,1 ,"$1,227.45 ",$920.59 ,$35.67 ,"$1,227.45 ",$790.48 ,$159.21 ,$859.22 ,$35.67 ,"$1,018.78 ",$36.74 ,$810.12 ,"$1,166.08 ", N/A ,$981.96 ,"$1,116.98 ",$35.67 ,"$1,153.80 ","$1,166.08 ","$1,104.71 ","$1,043.33 ",$35.67 ,$35.67 ,$35.67 ,$896.04 ,$159.21 ,"$1,092.43 ","$1,104.71 ","$1,104.71 ",$981.96 ,$163.99 ,$675.10 ,"$1,104.71 ",$159.21 ,"$1,104.71 ",$159.21 ,"$1,166.08 ",$358.23 ,"$1,129.25 ",$37.81 ,"$1,116.98 ",$159.21 ,$755.37 ,$790.48 ,$755.37 ,"$1,104.71 ","$1,104.71 ",$920.59 ,$859.22 ,$160.80 ,$37.45 ,"$1,147.67 ",$167.17 ,$35.67 ,"$1,067.88 ",$159.21 ,"$1,104.71 ",$159.21 ,"$1,104.71 ","$1,104.71 ","$1,104.71 ","$1,190.63 ",$994.23 ,"$1,104.71 ","$1,104.71 ","$1,104.71 ","$1,104.71 " ST. JOSEPH'S - CHIPPEWA FALLS,98180332,31530,"PC LARYNGOSCOPY,DIRCT,OP,F.B. REMVL",981,1 ,"$1,571.05 ","$1,178.29 ",$250.60 ,"$3,260.82 ","$1,011.76 ","$1,449.25 ","$1,099.74 ",$250.60 ,"$1,303.97 ",$258.12 ,"$1,036.89 ","$1,492.50 ", N/A ,"$1,256.84 ","$1,429.66 ",$250.60 ,"$1,476.79 ","$1,492.50 ","$1,413.95 ","$1,335.39 ",$250.60 ,$250.60 ,$250.60 ,"$1,146.87 ","$1,449.25 ","$1,398.23 ","$1,413.95 ","$1,413.95 ","$1,256.84 ","$1,492.73 ",$864.08 ,"$1,413.95 ","$1,449.25 ","$1,413.95 ","$1,449.25 ","$1,492.50 ","$3,260.82 ","$1,445.37 ",$265.64 ,"$1,429.66 ","$1,449.25 ",$966.82 ,"$1,011.76 ",$966.82 ,"$1,413.95 ","$1,413.95 ","$1,178.29 ","$1,099.74 ","$1,463.75 ",$263.13 ,"$1,468.93 ","$1,521.71 ",$250.60 ,"$1,366.81 ","$1,449.25 ","$1,413.95 ","$1,449.25 ","$1,413.95 ","$1,413.95 ","$1,413.95 ","$1,523.92 ","$1,272.55 ","$1,413.95 ","$1,413.95 ","$1,413.95 ","$1,413.95 " ST. JOSEPH'S - CHIPPEWA FALLS,98180334,31577,"PC LARYNGOSCOPY,FLEX SCOPE,REMV F.B.",981,1 ,"$1,718.29 ","$1,288.72 ",$250.60 ,"$1,718.29 ","$1,106.58 ",$364.65 ,"$1,202.80 ",$250.60 ,"$1,426.18 ",$258.12 ,"$1,134.07 ","$1,632.38 ", N/A ,"$1,374.63 ","$1,563.64 ",$250.60 ,"$1,615.19 ","$1,632.38 ","$1,546.46 ","$1,460.55 ",$250.60 ,$250.60 ,$250.60 ,"$1,254.35 ",$364.65 ,"$1,529.28 ","$1,546.46 ","$1,546.46 ","$1,374.63 ",$375.59 ,$945.06 ,"$1,546.46 ",$364.65 ,"$1,546.46 ",$364.65 ,"$1,632.38 ",$820.46 ,"$1,580.83 ",$265.64 ,"$1,563.64 ",$364.65 ,"$1,057.44 ","$1,106.58 ","$1,057.44 ","$1,546.46 ","$1,546.46 ","$1,288.72 ","$1,202.80 ",$368.30 ,$263.13 ,"$1,606.60 ",$382.88 ,$250.60 ,"$1,494.91 ",$364.65 ,"$1,546.46 ",$364.65 ,"$1,546.46 ","$1,546.46 ","$1,546.46 ","$1,666.74 ","$1,391.81 ","$1,546.46 ","$1,546.46 ","$1,546.46 ","$1,546.46 " ST. JOSEPH'S - CHIPPEWA FALLS,98180337,31603,"PC TRACHEOSTOMY,EMERG,XTRACH",981,1 ,"$2,862.72 ","$2,147.04 ",$674.32 ,"$2,947.90 ","$1,843.59 ","$1,310.18 ","$2,003.90 ",$674.32 ,"$2,376.06 ",$694.55 ,"$1,889.40 ","$2,719.58 ", N/A ,"$2,290.18 ","$2,605.08 ",$674.32 ,"$2,690.96 ","$2,719.58 ","$2,576.45 ","$2,433.31 ",$674.32 ,$674.32 ,$674.32 ,"$2,089.79 ","$1,310.18 ","$2,547.82 ","$2,576.45 ","$2,576.45 ","$2,290.18 ","$1,349.48 ","$1,574.50 ","$2,576.45 ","$1,310.18 ","$2,576.45 ","$1,310.18 ","$2,719.58 ","$2,947.90 ","$2,633.70 ",$714.78 ,"$2,605.08 ","$1,310.18 ","$1,761.72 ","$1,843.59 ","$1,761.72 ","$2,576.45 ","$2,576.45 ","$2,147.04 ","$2,003.90 ","$1,323.28 ",$708.04 ,"$2,676.64 ","$1,375.69 ",$674.32 ,"$2,490.57 ","$1,310.18 ","$2,576.45 ","$1,310.18 ","$2,576.45 ","$2,576.45 ","$2,576.45 ","$2,776.84 ","$2,318.80 ","$2,576.45 ","$2,576.45 ","$2,576.45 ","$2,576.45 " ST. JOSEPH'S - CHIPPEWA FALLS,98180338,31605,"PC TRACHEOSTOMY,EMERG,CRICOTHYROID",981,1 ,"$2,504.84 ","$1,878.63 ",$204.93 ,"$2,504.84 ","$1,613.12 ",$204.93 ,"$1,753.39 ",$674.32 ,"$2,079.02 ",$694.55 ,"$1,653.19 ","$2,379.60 ", N/A ,"$2,003.87 ","$2,279.40 ",$674.32 ,"$2,354.55 ","$2,379.60 ","$2,254.36 ","$2,129.11 ",$674.32 ,$674.32 ,$674.32 ,"$1,828.53 ",$204.93 ,"$2,229.31 ","$2,254.36 ","$2,254.36 ","$2,003.87 ",$211.08 ,"$1,377.66 ","$2,254.36 ",$204.93 ,"$2,254.36 ",$204.93 ,"$2,379.60 ",$461.10 ,"$2,304.45 ",$714.78 ,"$2,279.40 ",$204.93 ,"$1,541.48 ","$1,613.12 ","$1,541.48 ","$2,254.36 ","$2,254.36 ","$1,878.63 ","$1,753.39 ",$206.98 ,$708.04 ,"$2,342.03 ",$215.18 ,$674.32 ,"$2,179.21 ",$204.93 ,"$2,254.36 ",$204.93 ,"$2,254.36 ","$2,254.36 ","$2,254.36 ","$2,429.69 ","$2,028.92 ","$2,254.36 ","$2,254.36 ","$2,254.36 ","$2,254.36 " ST. JOSEPH'S - CHIPPEWA FALLS,98180341,32110,"PC THORACOTOMY,CTRL TRAUMA BLEED",981,1 ,"$7,493.45 ","$5,620.09 ","$4,121.40 ","$7,493.45 ","$4,825.78 ", N/A ,"$5,245.42 ", N/A ,"$6,219.56 ", N/A ,"$4,945.68 ","$7,118.78 ", N/A ,"$5,994.76 ","$6,819.04 ", N/A ,"$7,043.84 ","$7,118.78 ","$6,744.11 ","$6,369.43 ", N/A , N/A , N/A ,"$5,470.22 ", N/A ,"$6,669.17 ","$6,744.11 ","$6,744.11 ","$5,994.76 ", N/A ,"$4,121.40 ","$6,744.11 ", N/A ,"$6,744.11 ", N/A ,"$7,118.78 ", N/A ,"$6,893.97 ", N/A ,"$6,819.04 ", N/A ,"$4,611.47 ","$4,825.78 ","$4,611.47 ","$6,744.11 ","$6,744.11 ","$5,620.09 ","$5,245.42 ", N/A , N/A ,"$7,006.38 ", N/A , N/A ,"$6,519.30 ", N/A ,"$6,744.11 ", N/A ,"$6,744.11 ","$6,744.11 ","$6,744.11 ","$7,268.65 ","$6,069.69 ","$6,744.11 ","$6,744.11 ","$6,744.11 ","$6,744.11 " ST. JOSEPH'S - CHIPPEWA FALLS,98180342,32160,"PC THORACOTOMY,OPEN HEART MASSAGE",981,1 ,"$4,866.86 ","$3,650.15 ","$2,676.77 ","$4,866.86 ","$3,134.26 ", N/A ,"$3,406.80 ", N/A ,"$4,039.49 ", N/A ,"$3,212.13 ","$4,623.52 ", N/A ,"$3,893.49 ","$4,428.84 ", N/A ,"$4,574.85 ","$4,623.52 ","$4,380.17 ","$4,136.83 ", N/A , N/A , N/A ,"$3,552.81 ", N/A ,"$4,331.51 ","$4,380.17 ","$4,380.17 ","$3,893.49 ", N/A ,"$2,676.77 ","$4,380.17 ", N/A ,"$4,380.17 ", N/A ,"$4,623.52 ", N/A ,"$4,477.51 ", N/A ,"$4,428.84 ", N/A ,"$2,995.07 ","$3,134.26 ","$2,995.07 ","$4,380.17 ","$4,380.17 ","$3,650.15 ","$3,406.80 ", N/A , N/A ,"$4,550.51 ", N/A , N/A ,"$4,234.17 ", N/A ,"$4,380.17 ", N/A ,"$4,380.17 ","$4,380.17 ","$4,380.17 ","$4,720.85 ","$3,942.16 ","$4,380.17 ","$4,380.17 ","$4,380.17 ","$4,380.17 " ST. JOSEPH'S - CHIPPEWA FALLS,98180346,36420,PC VENOUS CUTDOWN <1 Y/O,981,1 ,$326.33 ,$244.75 ,$17.61 ,$326.33 ,$210.16 ,$108.42 ,$228.43 ,$17.61 ,$270.85 ,$18.14 ,$215.38 ,$310.01 , N/A ,$261.06 ,$296.96 ,$17.61 ,$306.75 ,$310.01 ,$293.70 ,$277.38 ,$17.61 ,$17.61 ,$17.61 ,$238.22 ,$108.42 ,$290.43 ,$293.70 ,$293.70 ,$261.06 ,$111.68 ,$179.48 ,$293.70 ,$108.42 ,$293.70 ,$108.42 ,$310.01 ,$243.95 ,$300.22 ,$18.67 ,$296.96 ,$108.42 ,$200.82 ,$210.16 ,$200.82 ,$293.70 ,$293.70 ,$244.75 ,$228.43 ,$109.51 ,$18.49 ,$305.12 ,$113.84 ,$17.61 ,$283.91 ,$108.42 ,$293.70 ,$108.42 ,$293.70 ,$293.70 ,$293.70 ,$316.54 ,$264.33 ,$293.70 ,$293.70 ,$293.70 ,$293.70 ST. JOSEPH'S - CHIPPEWA FALLS,98180347,36425,PC VENOUS CUTDOWN >1 Y/O,981,1 ,$253.79 ,$190.34 ,$17.61 ,$588.84 ,$163.44 ,$261.71 ,$177.65 ,$17.61 ,$210.65 ,$18.14 ,$167.50 ,$241.10 , N/A ,$203.03 ,$230.95 ,$17.61 ,$238.56 ,$241.10 ,$228.41 ,$215.72 ,$17.61 ,$17.61 ,$17.61 ,$185.27 ,$261.71 ,$225.87 ,$228.41 ,$228.41 ,$203.03 ,$269.56 ,$139.58 ,$228.41 ,$261.71 ,$228.41 ,$261.71 ,$241.10 ,$588.84 ,$233.49 ,$18.67 ,$230.95 ,$261.71 ,$156.18 ,$163.44 ,$156.18 ,$228.41 ,$228.41 ,$190.34 ,$177.65 ,$264.33 ,$18.49 ,$237.29 ,$274.80 ,$17.61 ,$220.80 ,$261.71 ,$228.41 ,$261.71 ,$228.41 ,$228.41 ,$228.41 ,$246.18 ,$205.57 ,$228.41 ,$228.41 ,$228.41 ,$228.41 ST. JOSEPH'S - CHIPPEWA FALLS,98180349,43752,PC PLACEMENT NG/OG TUBE BY PHYSICIAN,981,1 ,$161.83 ,$121.37 ,$89.01 ,$588.84 ,$104.22 ,$261.71 ,$113.28 ,$161.83 ,$134.32 ,$205.09 ,$106.81 ,$153.74 , N/A ,$129.46 ,$147.27 ,$161.83 ,$152.12 ,$153.74 ,$145.65 ,$137.56 ,$199.12 ,$199.12 ,$199.12 ,$118.14 ,$261.71 ,$144.03 ,$145.65 ,$145.65 ,$129.46 ,$269.56 ,$89.01 ,$145.65 ,$261.71 ,$145.65 ,$261.71 ,$153.74 ,$588.84 ,$148.88 ,$211.07 ,$147.27 ,$261.71 ,$99.59 ,$104.22 ,$99.59 ,$145.65 ,$145.65 ,$121.37 ,$113.28 ,$264.33 ,$209.08 ,$151.31 ,$274.80 ,$161.83 ,$140.79 ,$261.71 ,$145.65 ,$261.71 ,$145.65 ,$145.65 ,$145.65 ,$156.98 ,$131.08 ,$145.65 ,$145.65 ,$145.65 ,$145.65 ST. JOSEPH'S - CHIPPEWA FALLS,98180350,43760,PC CHANGE GASTROSTOMY TUBE,981,1 ,$332.00 ,$249.00 ,$182.60 ,$332.00 ,$213.81 , N/A ,$232.40 , N/A ,$275.56 , N/A ,$219.12 ,$315.40 , N/A ,$265.60 ,$302.12 , N/A ,$312.08 ,$315.40 ,$298.80 ,$282.20 , N/A , N/A , N/A ,$242.36 , N/A ,$295.48 ,$298.80 ,$298.80 ,$265.60 , N/A ,$182.60 ,$298.80 , N/A ,$298.80 , N/A ,$315.40 , N/A ,$305.44 , N/A ,$302.12 , N/A ,$204.31 ,$213.81 ,$204.31 ,$298.80 ,$298.80 ,$249.00 ,$232.40 , N/A , N/A ,$310.42 , N/A , N/A ,$288.84 , N/A ,$298.80 , N/A ,$298.80 ,$298.80 ,$298.80 ,$322.04 ,$268.92 ,$298.80 ,$298.80 ,$298.80 ,$298.80 ST. JOSEPH'S - CHIPPEWA FALLS,98180352,59409,"PC OBSTETRICAL CARE,VAG DELIV ONLY",981,1 ,"$2,631.02 ","$1,973.27 ",$552.40 ,"$5,716.30 ","$1,694.38 ","$2,540.58 ","$1,841.71 ",$552.40 ,"$2,183.75 ",$568.97 ,"$1,736.47 ","$2,499.47 ", N/A ,"$2,104.82 ","$2,394.23 ",$552.40 ,"$2,473.16 ","$2,499.47 ","$2,367.92 ","$2,236.37 ",$552.40 ,$552.40 ,$552.40 ,"$1,920.64 ","$2,540.58 ","$2,341.61 ","$2,367.92 ","$2,367.92 ","$2,104.82 ","$2,616.80 ","$1,447.06 ","$2,367.92 ","$2,540.58 ","$2,367.92 ","$2,540.58 ","$2,499.47 ","$5,716.30 ","$2,420.54 ",$585.54 ,"$2,394.23 ","$2,540.58 ","$1,619.13 ","$1,694.38 ","$1,619.13 ","$2,367.92 ","$2,367.92 ","$1,973.27 ","$1,841.71 ","$2,565.98 ",$580.02 ,"$2,460.00 ","$2,667.61 ",$552.40 ,"$2,288.99 ","$2,540.58 ","$2,367.92 ","$2,540.58 ","$2,367.92 ","$2,367.92 ","$2,367.92 ","$2,552.09 ","$2,131.13 ","$2,367.92 ","$2,367.92 ","$2,367.92 ","$2,367.92 " ST. JOSEPH'S - CHIPPEWA FALLS,98180353,59414,PC DELIVER PLACENTA,981,1 ,$783.78 ,$587.84 ,$398.72 ,"$5,716.30 ",$504.75 ,"$2,540.58 ",$548.65 ,$398.72 ,$650.54 ,$410.68 ,$517.29 ,$744.59 , N/A ,$627.02 ,$713.24 ,$398.72 ,$736.75 ,$744.59 ,$705.40 ,$666.21 ,$398.72 ,$398.72 ,$398.72 ,$572.16 ,"$2,540.58 ",$697.56 ,$705.40 ,$705.40 ,$627.02 ,"$2,616.80 ",$431.08 ,$705.40 ,"$2,540.58 ",$705.40 ,"$2,540.58 ",$744.59 ,"$5,716.30 ",$721.08 ,$422.64 ,$713.24 ,"$2,540.58 ",$482.34 ,$504.75 ,$482.34 ,$705.40 ,$705.40 ,$587.84 ,$548.65 ,"$2,565.98 ",$418.66 ,$732.83 ,"$2,667.61 ",$398.72 ,$681.89 ,"$2,540.58 ",$705.40 ,"$2,540.58 ",$705.40 ,$705.40 ,$705.40 ,$760.27 ,$634.86 ,$705.40 ,$705.40 ,$705.40 ,$705.40 ST. JOSEPH'S - CHIPPEWA FALLS,98180355,62270,"PC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC",981,1 ,$723.50 ,$542.63 ,$263.02 ,"$1,382.85 ",$465.93 ,$614.60 ,$506.45 ,$263.02 ,$600.51 ,$270.91 ,$477.51 ,$687.33 , N/A ,$578.80 ,$658.39 ,$263.02 ,$680.09 ,$687.33 ,$651.15 ,$614.98 ,$263.02 ,$263.02 ,$263.02 ,$528.16 ,$614.60 ,$643.92 ,$651.15 ,$651.15 ,$578.80 ,$633.04 ,$397.93 ,$651.15 ,$614.60 ,$651.15 ,$614.60 ,$687.33 ,"$1,382.85 ",$665.62 ,$278.80 ,$658.39 ,$614.60 ,$445.24 ,$465.93 ,$445.24 ,$651.15 ,$651.15 ,$542.63 ,$506.45 ,$620.75 ,$276.17 ,$676.47 ,$645.33 ,$263.02 ,$629.45 ,$614.60 ,$651.15 ,$614.60 ,$651.15 ,$651.15 ,$651.15 ,$701.80 ,$586.04 ,$651.15 ,$651.15 ,$651.15 ,$651.15 ST. JOSEPH'S - CHIPPEWA FALLS,98180358,67938,"PC REMOVE EYELID FOREIGN BODY,EMBEDDED",981,1 ,$324.28 ,$243.21 ,$178.35 ,$569.36 ,$208.84 ,$253.05 ,$227.00 ,$193.33 ,$269.15 ,$199.13 ,$214.02 ,$308.07 , N/A ,$259.42 ,$295.09 ,$193.33 ,$304.82 ,$308.07 ,$291.85 ,$275.64 ,$193.33 ,$193.33 ,$193.33 ,$236.72 ,$253.05 ,$288.61 ,$291.85 ,$291.85 ,$259.42 ,$260.64 ,$178.35 ,$291.85 ,$253.05 ,$291.85 ,$253.05 ,$308.07 ,$569.36 ,$298.34 ,$204.93 ,$295.09 ,$253.05 ,$199.56 ,$208.84 ,$199.56 ,$291.85 ,$291.85 ,$243.21 ,$227.00 ,$255.58 ,$203.00 ,$303.20 ,$265.70 ,$193.33 ,$282.12 ,$253.05 ,$291.85 ,$253.05 ,$291.85 ,$291.85 ,$291.85 ,$314.55 ,$262.67 ,$291.85 ,$291.85 ,$291.85 ,$291.85 ST. JOSEPH'S - CHIPPEWA FALLS,98180362,90465,PC IMMUNIZ ADMIN COUNSEL 1ST,981,1 ,$72.43 ,$54.32 ,$39.84 ,$72.43 ,$46.64 , N/A ,$50.70 , N/A ,$60.12 , N/A ,$47.80 ,$68.81 , N/A ,$57.94 ,$65.91 , N/A ,$68.08 ,$68.81 ,$65.19 ,$61.57 , N/A , N/A , N/A ,$52.87 , N/A ,$64.46 ,$65.19 ,$65.19 ,$57.94 , N/A ,$39.84 ,$65.19 , N/A ,$65.19 , N/A ,$68.81 , N/A ,$66.64 , N/A ,$65.91 , N/A ,$44.57 ,$46.64 ,$44.57 ,$65.19 ,$65.19 ,$54.32 ,$50.70 , N/A , N/A ,$67.72 , N/A , N/A ,$63.01 , N/A ,$65.19 , N/A ,$65.19 ,$65.19 ,$65.19 ,$70.26 ,$58.67 ,$65.19 ,$65.19 ,$65.19 ,$65.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180382,90675,"PC RABIES VACCINE, IM",981,1 ,$72.43 ,$54.32 ,$33.23 ,$734.88 ,$46.64 ,$326.61 ,$50.70 ,$33.23 ,$60.12 ,$34.23 ,$47.80 ,$68.81 , N/A ,$57.94 ,$65.91 ,$33.23 ,$68.08 ,$68.81 ,$65.19 ,$61.57 ,$33.23 ,$33.23 ,$33.23 ,$52.87 ,$326.61 ,$64.46 ,$65.19 ,$65.19 ,$57.94 ,$336.41 ,$39.84 ,$65.19 ,$326.61 ,$65.19 ,$326.61 ,$68.81 ,$734.88 ,$66.64 ,$35.22 ,$65.91 ,$326.61 ,$44.57 ,$46.64 ,$44.57 ,$65.19 ,$65.19 ,$54.32 ,$50.70 ,$329.88 ,$34.89 ,$67.72 ,$342.94 ,$33.23 ,$63.01 ,$326.61 ,$65.19 ,$326.61 ,$65.19 ,$65.19 ,$65.19 ,$70.26 ,$58.67 ,$65.19 ,$65.19 ,$65.19 ,$65.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180408,90718,"PC TD IMMUNIZATION,IM/JET>7YO",981,1 ,$68.53 ,$51.40 ,$37.69 ,$68.53 ,$44.13 , N/A ,$47.97 , N/A ,$56.88 , N/A ,$45.23 ,$65.10 , N/A ,$54.82 ,$62.36 , N/A ,$64.42 ,$65.10 ,$61.68 ,$58.25 , N/A , N/A , N/A ,$50.03 , N/A ,$60.99 ,$61.68 ,$61.68 ,$54.82 , N/A ,$37.69 ,$61.68 , N/A ,$61.68 , N/A ,$65.10 , N/A ,$63.05 , N/A ,$62.36 , N/A ,$42.17 ,$44.13 ,$42.17 ,$61.68 ,$61.68 ,$51.40 ,$47.97 , N/A , N/A ,$64.08 , N/A , N/A ,$59.62 , N/A ,$61.68 , N/A ,$61.68 ,$61.68 ,$61.68 ,$66.47 ,$55.51 ,$61.68 ,$61.68 ,$61.68 ,$61.68 ST. JOSEPH'S - CHIPPEWA FALLS,98180418,90746,"PC HEPATITIS B VACCINE,ADULT,IM",981,1 ,$99.49 ,$74.62 ,$7.73 ,$99.49 ,$64.07 ,$41.79 ,$69.64 ,$7.73 ,$82.58 ,$7.96 ,$65.66 ,$94.52 , N/A ,$79.59 ,$90.54 ,$7.73 ,$93.52 ,$94.52 ,$89.54 ,$84.57 ,$7.73 ,$7.73 ,$7.73 ,$72.63 ,$41.79 ,$88.55 ,$89.54 ,$89.54 ,$79.59 ,$43.04 ,$54.72 ,$89.54 ,$41.79 ,$89.54 ,$41.79 ,$94.52 ,$94.02 ,$91.53 ,$8.19 ,$90.54 ,$41.79 ,$61.23 ,$64.07 ,$61.23 ,$89.54 ,$89.54 ,$74.62 ,$69.64 ,$42.20 ,$8.12 ,$93.02 ,$43.88 ,$7.73 ,$86.56 ,$41.79 ,$89.54 ,$41.79 ,$89.54 ,$89.54 ,$89.54 ,$96.51 ,$80.59 ,$89.54 ,$89.54 ,$89.54 ,$89.54 ST. JOSEPH'S - CHIPPEWA FALLS,98180437,92950,PC HEART/LUNG RESUSCITATION (CPR),981,1 ,"$1,112.00 ",$834.00 ,$234.58 ,"$1,112.00 ",$716.13 ,$256.12 ,$778.40 ,$234.58 ,$922.96 ,$241.62 ,$733.92 ,"$1,056.40 ", N/A ,$889.60 ,"$1,011.92 ",$234.58 ,"$1,045.28 ","$1,056.40 ","$1,000.80 ",$945.20 ,$234.58 ,$234.58 ,$234.58 ,$811.76 ,$256.12 ,$989.68 ,"$1,000.80 ","$1,000.80 ",$889.60 ,$263.80 ,$611.60 ,"$1,000.80 ",$256.12 ,"$1,000.80 ",$256.12 ,"$1,056.40 ",$576.27 ,"$1,023.04 ",$248.65 ,"$1,011.92 ",$256.12 ,$684.32 ,$716.13 ,$684.32 ,"$1,000.80 ","$1,000.80 ",$834.00 ,$778.40 ,$258.68 ,$246.31 ,"$1,039.72 ",$268.93 ,$234.58 ,$967.44 ,$256.12 ,"$1,000.80 ",$256.12 ,"$1,000.80 ","$1,000.80 ","$1,000.80 ","$1,078.64 ",$900.72 ,"$1,000.80 ","$1,000.80 ","$1,000.80 ","$1,000.80 " ST. JOSEPH'S - CHIPPEWA FALLS,98180438,92960,"PC CARDIOVERSION, ELECTIVE;EXTERN",981,1 ,$899.60 ,$674.70 ,$185.89 ,"$1,224.47 ",$579.34 ,$544.21 ,$629.72 ,$185.89 ,$746.67 ,$191.47 ,$593.74 ,$854.62 , N/A ,$719.68 ,$818.64 ,$185.89 ,$845.62 ,$854.62 ,$809.64 ,$764.66 ,$185.89 ,$185.89 ,$185.89 ,$656.71 ,$544.21 ,$800.64 ,$809.64 ,$809.64 ,$719.68 ,$560.54 ,$494.78 ,$809.64 ,$544.21 ,$809.64 ,$544.21 ,$854.62 ,"$1,224.47 ",$827.63 ,$197.04 ,$818.64 ,$544.21 ,$553.61 ,$579.34 ,$553.61 ,$809.64 ,$809.64 ,$674.70 ,$629.72 ,$549.65 ,$195.18 ,$841.13 ,$571.42 ,$185.89 ,$782.65 ,$544.21 ,$809.64 ,$544.21 ,$809.64 ,$809.64 ,$809.64 ,$872.61 ,$728.68 ,$809.64 ,$809.64 ,$809.64 ,$809.64 ST. JOSEPH'S - CHIPPEWA FALLS,98180443,92977,"PC THROMBOLYSIS,CORONARY,IV INFUSN",981,1 ,"$1,667.43 ","$1,250.57 ",$145.88 ,"$1,667.43 ","$1,073.82 ",$300.96 ,"$1,167.20 ",$145.88 ,"$1,383.97 ",$150.26 ,"$1,100.50 ","$1,584.06 ", N/A ,"$1,333.94 ","$1,517.36 ",$145.88 ,"$1,567.38 ","$1,584.06 ","$1,500.69 ","$1,417.32 ",$145.88 ,$145.88 ,$145.88 ,"$1,217.22 ",$300.96 ,"$1,484.01 ","$1,500.69 ","$1,500.69 ","$1,333.94 ",$309.99 ,$917.09 ,"$1,500.69 ",$300.96 ,"$1,500.69 ",$300.96 ,"$1,584.06 ",$677.16 ,"$1,534.04 ",$154.63 ,"$1,517.36 ",$300.96 ,"$1,026.14 ","$1,073.82 ","$1,026.14 ","$1,500.69 ","$1,500.69 ","$1,250.57 ","$1,167.20 ",$303.97 ,$153.17 ,"$1,559.05 ",$316.01 ,$145.88 ,"$1,450.66 ",$300.96 ,"$1,500.69 ",$300.96 ,"$1,500.69 ","$1,500.69 ","$1,500.69 ","$1,617.41 ","$1,350.62 ","$1,500.69 ","$1,500.69 ","$1,500.69 ","$1,500.69 " ST. JOSEPH'S - CHIPPEWA FALLS,98180447,93042,"PC RHYTHM ECG, REPORT",981,1 ,$92.40 ,$69.30 ,$8.37 ,$92.40 ,$59.51 , N/A ,$64.68 ,$8.37 ,$76.69 ,$8.62 ,$60.98 ,$87.78 , N/A ,$73.92 ,$84.08 ,$8.37 ,$86.86 ,$87.78 ,$83.16 ,$78.54 ,$8.37 ,$8.37 ,$8.37 ,$67.45 , N/A ,$82.24 ,$83.16 ,$83.16 ,$73.92 , N/A ,$50.82 ,$83.16 , N/A ,$83.16 , N/A ,$87.78 , N/A ,$85.01 ,$8.87 ,$84.08 , N/A ,$56.86 ,$59.51 ,$56.86 ,$83.16 ,$83.16 ,$69.30 ,$64.68 , N/A ,$8.79 ,$86.39 , N/A ,$8.37 ,$80.39 , N/A ,$83.16 , N/A ,$83.16 ,$83.16 ,$83.16 ,$89.63 ,$74.84 ,$83.16 ,$83.16 ,$83.16 ,$83.16 ST. JOSEPH'S - CHIPPEWA FALLS,98180462,99175,PC INDUCTION OF VOMITING,981,1 ,$150.53 ,$112.90 ,$82.79 ,$211.07 ,$96.94 , N/A ,$105.37 ,$150.53 ,$124.94 ,$205.09 ,$99.35 ,$143.00 , N/A ,$120.42 ,$136.98 ,$150.53 ,$141.50 ,$143.00 ,$135.48 ,$127.95 ,$199.12 ,$199.12 ,$199.12 ,$109.89 , N/A ,$133.97 ,$135.48 ,$135.48 ,$120.42 , N/A ,$82.79 ,$135.48 , N/A ,$135.48 , N/A ,$143.00 , N/A ,$138.49 ,$211.07 ,$136.98 , N/A ,$92.64 ,$96.94 ,$92.64 ,$135.48 ,$135.48 ,$112.90 ,$105.37 , N/A ,$209.08 ,$140.75 , N/A ,$150.53 ,$130.96 , N/A ,$135.48 , N/A ,$135.48 ,$135.48 ,$135.48 ,$146.01 ,$121.93 ,$135.48 ,$135.48 ,$135.48 ,$135.48 ST. JOSEPH'S - CHIPPEWA FALLS,98180464,99281,"PC EMERGENCY DEPT VISIT,LEVEL I",981,1 ,$158.00 ,$118.50 ,$47.46 ,$158.20 ,$101.75 ,$70.31 ,$110.60 ,$47.46 ,$131.14 ,$48.88 ,$104.28 ,$150.10 , N/A ,$126.40 ,$143.78 ,$47.46 ,$148.52 ,$150.10 ,$142.20 ,$134.30 ,$47.46 ,$47.46 ,$47.46 ,$115.34 ,$70.31 ,$140.62 ,$142.20 ,$142.20 ,$126.40 ,$72.42 ,$86.90 ,$142.20 ,$70.31 ,$142.20 ,$70.31 ,$150.10 ,$158.20 ,$145.36 ,$50.31 ,$143.78 ,$70.31 ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$142.20 ,$118.50 ,$110.60 ,$71.02 ,$49.83 ,$147.73 ,$73.83 ,$47.46 ,$137.46 ,$70.31 ,$142.20 ,$70.31 ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 ST. JOSEPH'S - CHIPPEWA FALLS,98180465,99282,"PC EMERGENCY DEPT VISIT,LEVEL II",981,1 ,$212.70 ,$159.53 ,$47.46 ,$286.75 ,$136.98 ,$127.44 ,$148.89 ,$47.46 ,$176.54 ,$48.88 ,$140.38 ,$202.07 , N/A ,$170.16 ,$193.56 ,$47.46 ,$199.94 ,$202.07 ,$191.43 ,$180.80 ,$47.46 ,$47.46 ,$47.46 ,$155.27 ,$127.44 ,$189.30 ,$191.43 ,$191.43 ,$170.16 ,$131.27 ,$116.99 ,$191.43 ,$127.44 ,$191.43 ,$127.44 ,$202.07 ,$286.75 ,$195.68 ,$50.31 ,$193.56 ,$127.44 ,$130.90 ,$136.98 ,$130.90 ,$191.43 ,$191.43 ,$159.53 ,$148.89 ,$128.72 ,$49.83 ,$198.87 ,$133.81 ,$47.46 ,$185.05 ,$127.44 ,$191.43 ,$127.44 ,$191.43 ,$191.43 ,$191.43 ,$206.32 ,$172.29 ,$191.43 ,$191.43 ,$191.43 ,$191.43 ST. JOSEPH'S - CHIPPEWA FALLS,98180466,99283,"PC EMERGENCY DEPT VISIT,LEVEL III",981,1 ,$327.00 ,$245.25 ,$47.46 ,$504.69 ,$210.59 ,$224.30 ,$228.90 ,$47.46 ,$271.41 ,$48.88 ,$215.82 ,$310.65 , N/A ,$261.60 ,$297.57 ,$47.46 ,$307.38 ,$310.65 ,$294.30 ,$277.95 ,$47.46 ,$47.46 ,$47.46 ,$238.71 ,$224.30 ,$291.03 ,$294.30 ,$294.30 ,$261.60 ,$231.03 ,$179.85 ,$294.30 ,$224.30 ,$294.30 ,$224.30 ,$310.65 ,$504.69 ,$300.84 ,$50.31 ,$297.57 ,$224.30 ,$201.24 ,$210.59 ,$201.24 ,$294.30 ,$294.30 ,$245.25 ,$228.90 ,$226.55 ,$49.83 ,$305.75 ,$235.52 ,$47.46 ,$284.49 ,$224.30 ,$294.30 ,$224.30 ,$294.30 ,$294.30 ,$294.30 ,$317.19 ,$264.87 ,$294.30 ,$294.30 ,$294.30 ,$294.30 ST. JOSEPH'S - CHIPPEWA FALLS,98180467,99284,"PC EMERGENCY DEPT VISIT,LEVEL IV",981,1 ,$488.50 ,$366.38 ,$47.46 ,$792.63 ,$314.59 ,$352.28 ,$341.95 ,$47.46 ,$405.46 ,$48.88 ,$322.41 ,$464.08 , N/A ,$390.80 ,$444.54 ,$47.46 ,$459.19 ,$464.08 ,$439.65 ,$415.23 ,$47.46 ,$47.46 ,$47.46 ,$356.61 ,$352.28 ,$434.77 ,$439.65 ,$439.65 ,$390.80 ,$362.85 ,$268.68 ,$439.65 ,$352.28 ,$439.65 ,$352.28 ,$464.08 ,$792.63 ,$449.42 ,$50.31 ,$444.54 ,$352.28 ,$300.62 ,$314.59 ,$300.62 ,$439.65 ,$439.65 ,$366.38 ,$341.95 ,$355.81 ,$49.83 ,$456.75 ,$369.89 ,$47.46 ,$425.00 ,$352.28 ,$439.65 ,$352.28 ,$439.65 ,$439.65 ,$439.65 ,$473.85 ,$395.69 ,$439.65 ,$439.65 ,$439.65 ,$439.65 ST. JOSEPH'S - CHIPPEWA FALLS,98180468,99285,"PC EMERGENCY DEPT VISIT,LEVEL V",981,1 ,$739.10 ,$554.33 ,$47.46 ,"$1,137.76 ",$475.98 ,$505.67 ,$517.37 ,$47.46 ,$613.45 ,$48.88 ,$487.81 ,$702.15 , N/A ,$591.28 ,$672.58 ,$47.46 ,$694.75 ,$702.15 ,$665.19 ,$628.24 ,$47.46 ,$47.46 ,$47.46 ,$539.54 ,$505.67 ,$657.80 ,$665.19 ,$665.19 ,$591.28 ,$520.84 ,$406.51 ,$665.19 ,$505.67 ,$665.19 ,$505.67 ,$702.15 ,"$1,137.76 ",$679.97 ,$50.31 ,$672.58 ,$505.67 ,$454.84 ,$475.98 ,$454.84 ,$665.19 ,$665.19 ,$554.33 ,$517.37 ,$510.73 ,$49.83 ,$691.06 ,$530.95 ,$47.46 ,$643.02 ,$505.67 ,$665.19 ,$505.67 ,$665.19 ,$665.19 ,$665.19 ,$716.93 ,$598.67 ,$665.19 ,$665.19 ,$665.19 ,$665.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180469,99291,"PC CRITICAL CARE, E/M 30-74 MINUTES",981,1 ,$850.30 ,$637.73 ,$47.46 ,"$1,509.44 ",$547.59 ,$670.86 ,$595.21 ,$47.46 ,$705.75 ,$48.88 ,$561.20 ,$807.79 , N/A ,$680.24 ,$773.77 ,$47.46 ,$799.28 ,$807.79 ,$765.27 ,$722.76 ,$47.46 ,$47.46 ,$47.46 ,$620.72 ,$670.86 ,$756.77 ,$765.27 ,$765.27 ,$680.24 ,$690.99 ,$467.67 ,$765.27 ,$670.86 ,$765.27 ,$670.86 ,$807.79 ,"$1,509.44 ",$782.28 ,$50.31 ,$773.77 ,$670.86 ,$523.27 ,$547.59 ,$523.27 ,$765.27 ,$765.27 ,$637.73 ,$595.21 ,$677.57 ,$49.83 ,$795.03 ,$704.40 ,$47.46 ,$739.76 ,$670.86 ,$765.27 ,$670.86 ,$765.27 ,$765.27 ,$765.27 ,$824.79 ,$688.74 ,$765.27 ,$765.27 ,$765.27 ,$765.27 ST. JOSEPH'S - CHIPPEWA FALLS,98180470,99292,"PC CRITICAL CARE, ADDL 30 MIN",981,1 ,$421.10 ,$315.83 ,$47.46 ,$421.10 ,$271.19 , N/A ,$294.77 ,$47.46 ,$349.51 ,$48.88 ,$277.93 ,$400.05 , N/A ,$336.88 ,$383.20 ,$47.46 ,$395.83 ,$400.05 ,$378.99 ,$357.94 ,$47.46 ,$47.46 ,$47.46 ,$307.40 , N/A ,$374.78 ,$378.99 ,$378.99 ,$336.88 , N/A ,$231.61 ,$378.99 , N/A ,$378.99 , N/A ,$400.05 , N/A ,$387.41 ,$50.31 ,$383.20 , N/A ,$259.14 ,$271.19 ,$259.14 ,$378.99 ,$378.99 ,$315.83 ,$294.77 , N/A ,$49.83 ,$393.73 , N/A ,$47.46 ,$366.36 , N/A ,$378.99 , N/A ,$378.99 ,$378.99 ,$378.99 ,$408.47 ,$341.09 ,$378.99 ,$378.99 ,$378.99 ,$378.99 ST. JOSEPH'S - CHIPPEWA FALLS,98180477,28190,PC REMOVE FB FOOT,981,1 ,$847.17 ,$635.38 ,$161.28 ,"$1,355.35 ",$545.58 ,$602.38 ,$593.02 ,$161.28 ,$703.15 ,$166.12 ,$559.13 ,$804.81 , N/A ,$677.74 ,$770.92 ,$161.28 ,$796.34 ,$804.81 ,$762.45 ,$720.09 ,$161.28 ,$161.28 ,$161.28 ,$618.43 ,$602.38 ,$753.98 ,$762.45 ,$762.45 ,$677.74 ,$620.45 ,$465.94 ,$762.45 ,$602.38 ,$762.45 ,$602.38 ,$804.81 ,"$1,355.35 ",$779.40 ,$170.96 ,$770.92 ,$602.38 ,$521.35 ,$545.58 ,$521.35 ,$762.45 ,$762.45 ,$635.38 ,$593.02 ,$608.40 ,$169.34 ,$792.10 ,$632.50 ,$161.28 ,$737.04 ,$602.38 ,$762.45 ,$602.38 ,$762.45 ,$762.45 ,$762.45 ,$821.75 ,$686.21 ,$762.45 ,$762.45 ,$762.45 ,$762.45 ST. JOSEPH'S - CHIPPEWA FALLS,98180480,11055,PC PARING LESION BENIGN SINGLE,981,1 ,$71.93 ,$53.95 ,$39.56 ,$391.26 ,$46.32 ,$173.89 ,$50.35 ,$71.93 ,$59.70 ,$76.94 ,$47.47 ,$68.33 , N/A ,$57.54 ,$65.46 ,$71.93 ,$67.61 ,$68.33 ,$64.74 ,$61.14 ,$74.70 ,$74.70 ,$74.70 ,$52.51 ,$173.89 ,$64.02 ,$64.74 ,$64.74 ,$57.54 ,$179.11 ,$39.56 ,$64.74 ,$173.89 ,$64.74 ,$173.89 ,$68.33 ,$391.26 ,$66.18 ,$79.18 ,$65.46 ,$173.89 ,$44.27 ,$46.32 ,$44.27 ,$64.74 ,$64.74 ,$53.95 ,$50.35 ,$175.63 ,$78.44 ,$67.25 ,$182.58 ,$71.93 ,$62.58 ,$173.89 ,$64.74 ,$173.89 ,$64.74 ,$64.74 ,$64.74 ,$69.77 ,$58.26 ,$64.74 ,$64.74 ,$64.74 ,$64.74 ST. JOSEPH'S - CHIPPEWA FALLS,98180484,11300,PC SHAVING LESION TRUNK/ARM/LEG <0.5CM,981,1 ,$232.63 ,$174.47 ,$74.70 ,$753.63 ,$149.81 ,$334.95 ,$162.84 ,$74.70 ,$193.08 ,$76.94 ,$153.54 ,$221.00 , N/A ,$186.10 ,$211.69 ,$74.70 ,$218.67 ,$221.00 ,$209.37 ,$197.74 ,$74.70 ,$74.70 ,$74.70 ,$169.82 ,$334.95 ,$207.04 ,$209.37 ,$209.37 ,$186.10 ,$344.99 ,$127.95 ,$209.37 ,$334.95 ,$209.37 ,$334.95 ,$221.00 ,$753.63 ,$214.02 ,$79.18 ,$211.69 ,$334.95 ,$143.16 ,$149.81 ,$143.16 ,$209.37 ,$209.37 ,$174.47 ,$162.84 ,$338.30 ,$78.44 ,$217.51 ,$351.70 ,$74.70 ,$202.39 ,$334.95 ,$209.37 ,$334.95 ,$209.37 ,$209.37 ,$209.37 ,$225.65 ,$188.43 ,$209.37 ,$209.37 ,$209.37 ,$209.37 ST. JOSEPH'S - CHIPPEWA FALLS,98180485,11400,PC EXC LESION BENIGN TRUNK/ARM/LEG <0.5CM,981,1 ,$368.98 ,$276.74 ,$161.28 ,"$1,355.35 ",$237.62 ,$602.38 ,$258.29 ,$161.28 ,$306.25 ,$166.12 ,$243.53 ,$350.53 , N/A ,$295.18 ,$335.77 ,$161.28 ,$346.84 ,$350.53 ,$332.08 ,$313.63 ,$161.28 ,$161.28 ,$161.28 ,$269.36 ,$602.38 ,$328.39 ,$332.08 ,$332.08 ,$295.18 ,$620.45 ,$202.94 ,$332.08 ,$602.38 ,$332.08 ,$602.38 ,$350.53 ,"$1,355.35 ",$339.46 ,$170.96 ,$335.77 ,$602.38 ,$227.07 ,$237.62 ,$227.07 ,$332.08 ,$332.08 ,$276.74 ,$258.29 ,$608.40 ,$169.34 ,$345.00 ,$632.50 ,$161.28 ,$321.01 ,$602.38 ,$332.08 ,$602.38 ,$332.08 ,$332.08 ,$332.08 ,$357.91 ,$298.87 ,$332.08 ,$332.08 ,$332.08 ,$332.08 ST. JOSEPH'S - CHIPPEWA FALLS,98180486,11401,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 0.6-1.0CM,981,1 ,$439.26 ,$329.45 ,$161.28 ,$753.63 ,$282.88 ,$334.95 ,$307.48 ,$161.28 ,$364.59 ,$166.12 ,$289.91 ,$417.30 , N/A ,$351.41 ,$399.73 ,$161.28 ,$412.90 ,$417.30 ,$395.33 ,$373.37 ,$161.28 ,$161.28 ,$161.28 ,$320.66 ,$334.95 ,$390.94 ,$395.33 ,$395.33 ,$351.41 ,$344.99 ,$241.59 ,$395.33 ,$334.95 ,$395.33 ,$334.95 ,$417.30 ,$753.63 ,$404.12 ,$170.96 ,$399.73 ,$334.95 ,$270.32 ,$282.88 ,$270.32 ,$395.33 ,$395.33 ,$329.45 ,$307.48 ,$338.30 ,$169.34 ,$410.71 ,$351.70 ,$161.28 ,$382.16 ,$334.95 ,$395.33 ,$334.95 ,$395.33 ,$395.33 ,$395.33 ,$426.08 ,$355.80 ,$395.33 ,$395.33 ,$395.33 ,$395.33 ST. JOSEPH'S - CHIPPEWA FALLS,98180487,11402,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,981,1 ,$562.25 ,$421.69 ,$161.28 ,"$1,355.35 ",$362.09 ,$602.38 ,$393.58 ,$161.28 ,$466.67 ,$166.12 ,$371.09 ,$534.14 , N/A ,$449.80 ,$511.65 ,$161.28 ,$528.52 ,$534.14 ,$506.03 ,$477.91 ,$161.28 ,$161.28 ,$161.28 ,$410.44 ,$602.38 ,$500.40 ,$506.03 ,$506.03 ,$449.80 ,$620.45 ,$309.24 ,$506.03 ,$602.38 ,$506.03 ,$602.38 ,$534.14 ,"$1,355.35 ",$517.27 ,$170.96 ,$511.65 ,$602.38 ,$346.01 ,$362.09 ,$346.01 ,$506.03 ,$506.03 ,$421.69 ,$393.58 ,$608.40 ,$169.34 ,$525.70 ,$632.50 ,$161.28 ,$489.16 ,$602.38 ,$506.03 ,$602.38 ,$506.03 ,$506.03 ,$506.03 ,$545.38 ,$455.42 ,$506.03 ,$506.03 ,$506.03 ,$506.03 ST. JOSEPH'S - CHIPPEWA FALLS,98180488,11403,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM,981,1 ,$720.28 ,$540.21 ,$161.28 ,"$1,355.35 ",$463.86 ,$602.38 ,$504.20 ,$161.28 ,$597.83 ,$166.12 ,$475.38 ,$684.27 , N/A ,$576.22 ,$655.45 ,$161.28 ,$677.06 ,$684.27 ,$648.25 ,$612.24 ,$161.28 ,$161.28 ,$161.28 ,$525.80 ,$602.38 ,$641.05 ,$648.25 ,$648.25 ,$576.22 ,$620.45 ,$396.15 ,$648.25 ,$602.38 ,$648.25 ,$602.38 ,$684.27 ,"$1,355.35 ",$662.66 ,$170.96 ,$655.45 ,$602.38 ,$443.26 ,$463.86 ,$443.26 ,$648.25 ,$648.25 ,$540.21 ,$504.20 ,$608.40 ,$169.34 ,$673.46 ,$632.50 ,$161.28 ,$626.64 ,$602.38 ,$648.25 ,$602.38 ,$648.25 ,$648.25 ,$648.25 ,$698.67 ,$583.43 ,$648.25 ,$648.25 ,$648.25 ,$648.25 ST. JOSEPH'S - CHIPPEWA FALLS,98180489,11404,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 3.1-4.0CM,981,1 ,$948.79 ,$711.59 ,$338.77 ,"$3,066.03 ",$611.02 ,"$1,362.68 ",$664.15 ,$338.77 ,$787.50 ,$348.93 ,$626.20 ,$901.35 , N/A ,$759.03 ,$863.40 ,$338.77 ,$891.86 ,$901.35 ,$853.91 ,$806.47 ,$338.77 ,$338.77 ,$338.77 ,$692.62 ,"$1,362.68 ",$844.42 ,$853.91 ,$853.91 ,$759.03 ,"$1,403.56 ",$521.83 ,$853.91 ,"$1,362.68 ",$853.91 ,"$1,362.68 ",$901.35 ,"$3,066.03 ",$872.89 ,$359.10 ,$863.40 ,"$1,362.68 ",$583.89 ,$611.02 ,$583.89 ,$853.91 ,$853.91 ,$711.59 ,$664.15 ,"$1,376.31 ",$355.71 ,$887.12 ,"$1,430.81 ",$338.77 ,$825.45 ,"$1,362.68 ",$853.91 ,"$1,362.68 ",$853.91 ,$853.91 ,$853.91 ,$920.33 ,$768.52 ,$853.91 ,$853.91 ,$853.91 ,$853.91 ST. JOSEPH'S - CHIPPEWA FALLS,98180490,11420,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM,981,1 ,$368.98 ,$276.74 ,$202.94 ,"$3,066.03 ",$237.62 ,"$1,362.68 ",$258.29 ,$338.77 ,$306.25 ,$348.93 ,$243.53 ,$350.53 , N/A ,$295.18 ,$335.77 ,$338.77 ,$346.84 ,$350.53 ,$332.08 ,$313.63 ,$338.77 ,$338.77 ,$338.77 ,$269.36 ,"$1,362.68 ",$328.39 ,$332.08 ,$332.08 ,$295.18 ,"$1,403.56 ",$202.94 ,$332.08 ,"$1,362.68 ",$332.08 ,"$1,362.68 ",$350.53 ,"$3,066.03 ",$339.46 ,$359.10 ,$335.77 ,"$1,362.68 ",$227.07 ,$237.62 ,$227.07 ,$332.08 ,$332.08 ,$276.74 ,$258.29 ,"$1,376.31 ",$355.71 ,$345.00 ,"$1,430.81 ",$338.77 ,$321.01 ,"$1,362.68 ",$332.08 ,"$1,362.68 ",$332.08 ,$332.08 ,$332.08 ,$357.91 ,$298.87 ,$332.08 ,$332.08 ,$332.08 ,$332.08 ST. JOSEPH'S - CHIPPEWA FALLS,98180491,11421,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 0.6-1.0CM,981,1 ,$474.40 ,$355.80 ,$161.28 ,"$1,355.35 ",$305.51 ,$602.38 ,$332.08 ,$161.28 ,$393.75 ,$166.12 ,$313.10 ,$450.68 , N/A ,$379.52 ,$431.70 ,$161.28 ,$445.94 ,$450.68 ,$426.96 ,$403.24 ,$161.28 ,$161.28 ,$161.28 ,$346.31 ,$602.38 ,$422.22 ,$426.96 ,$426.96 ,$379.52 ,$620.45 ,$260.92 ,$426.96 ,$602.38 ,$426.96 ,$602.38 ,$450.68 ,"$1,355.35 ",$436.45 ,$170.96 ,$431.70 ,$602.38 ,$291.95 ,$305.51 ,$291.95 ,$426.96 ,$426.96 ,$355.80 ,$332.08 ,$608.40 ,$169.34 ,$443.56 ,$632.50 ,$161.28 ,$412.73 ,$602.38 ,$426.96 ,$602.38 ,$426.96 ,$426.96 ,$426.96 ,$460.17 ,$384.26 ,$426.96 ,$426.96 ,$426.96 ,$426.96 ST. JOSEPH'S - CHIPPEWA FALLS,98180492,11422,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 1.1-2.0CM,981,1 ,$597.39 ,$448.04 ,$328.56 ,"$3,066.03 ",$384.72 ,"$1,362.68 ",$418.17 ,$338.77 ,$495.83 ,$348.93 ,$394.28 ,$567.52 , N/A ,$477.91 ,$543.62 ,$338.77 ,$561.55 ,$567.52 ,$537.65 ,$507.78 ,$338.77 ,$338.77 ,$338.77 ,$436.09 ,"$1,362.68 ",$531.68 ,$537.65 ,$537.65 ,$477.91 ,"$1,403.56 ",$328.56 ,$537.65 ,"$1,362.68 ",$537.65 ,"$1,362.68 ",$567.52 ,"$3,066.03 ",$549.60 ,$359.10 ,$543.62 ,"$1,362.68 ",$367.63 ,$384.72 ,$367.63 ,$537.65 ,$537.65 ,$448.04 ,$418.17 ,"$1,376.31 ",$355.71 ,$558.56 ,"$1,430.81 ",$338.77 ,$519.73 ,"$1,362.68 ",$537.65 ,"$1,362.68 ",$537.65 ,$537.65 ,$537.65 ,$579.47 ,$483.89 ,$537.65 ,$537.65 ,$537.65 ,$537.65 ST. JOSEPH'S - CHIPPEWA FALLS,98180493,11423,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 2.1-3.0CM,981,1 ,$878.51 ,$658.88 ,$338.77 ,"$3,066.03 ",$565.76 ,"$1,362.68 ",$614.96 ,$338.77 ,$729.16 ,$348.93 ,$579.82 ,$834.58 , N/A ,$702.81 ,$799.44 ,$338.77 ,$825.80 ,$834.58 ,$790.66 ,$746.73 ,$338.77 ,$338.77 ,$338.77 ,$641.31 ,"$1,362.68 ",$781.87 ,$790.66 ,$790.66 ,$702.81 ,"$1,403.56 ",$483.18 ,$790.66 ,"$1,362.68 ",$790.66 ,"$1,362.68 ",$834.58 ,"$3,066.03 ",$808.23 ,$359.10 ,$799.44 ,"$1,362.68 ",$540.64 ,$565.76 ,$540.64 ,$790.66 ,$790.66 ,$658.88 ,$614.96 ,"$1,376.31 ",$355.71 ,$821.41 ,"$1,430.81 ",$338.77 ,$764.30 ,"$1,362.68 ",$790.66 ,"$1,362.68 ",$790.66 ,$790.66 ,$790.66 ,$852.15 ,$711.59 ,$790.66 ,$790.66 ,$790.66 ,$790.66 ST. JOSEPH'S - CHIPPEWA FALLS,98180494,11440,PC EXCISION LESION BENIGN FACE/EAR <0.5CM,981,1 ,$439.26 ,$329.45 ,$161.28 ,"$1,355.35 ",$282.88 ,$602.38 ,$307.48 ,$161.28 ,$364.59 ,$166.12 ,$289.91 ,$417.30 , N/A ,$351.41 ,$399.73 ,$161.28 ,$412.90 ,$417.30 ,$395.33 ,$373.37 ,$161.28 ,$161.28 ,$161.28 ,$320.66 ,$602.38 ,$390.94 ,$395.33 ,$395.33 ,$351.41 ,$620.45 ,$241.59 ,$395.33 ,$602.38 ,$395.33 ,$602.38 ,$417.30 ,"$1,355.35 ",$404.12 ,$170.96 ,$399.73 ,$602.38 ,$270.32 ,$282.88 ,$270.32 ,$395.33 ,$395.33 ,$329.45 ,$307.48 ,$608.40 ,$169.34 ,$410.71 ,$632.50 ,$161.28 ,$382.16 ,$602.38 ,$395.33 ,$602.38 ,$395.33 ,$395.33 ,$395.33 ,$426.08 ,$355.80 ,$395.33 ,$395.33 ,$395.33 ,$395.33 ST. JOSEPH'S - CHIPPEWA FALLS,98180495,11442,PC EXCISION LESION BENIGN FACE/EAR 1.1-2.0CM,981,1 ,$773.09 ,$579.82 ,$161.28 ,"$1,355.35 ",$497.87 ,$602.38 ,$541.16 ,$161.28 ,$641.66 ,$166.12 ,$510.24 ,$734.44 , N/A ,$618.47 ,$703.51 ,$161.28 ,$726.70 ,$734.44 ,$695.78 ,$657.13 ,$161.28 ,$161.28 ,$161.28 ,$564.36 ,$602.38 ,$688.05 ,$695.78 ,$695.78 ,$618.47 ,$620.45 ,$425.20 ,$695.78 ,$602.38 ,$695.78 ,$602.38 ,$734.44 ,"$1,355.35 ",$711.24 ,$170.96 ,$703.51 ,$602.38 ,$475.76 ,$497.87 ,$475.76 ,$695.78 ,$695.78 ,$579.82 ,$541.16 ,$608.40 ,$169.34 ,$722.84 ,$632.50 ,$161.28 ,$672.59 ,$602.38 ,$695.78 ,$602.38 ,$695.78 ,$695.78 ,$695.78 ,$749.90 ,$626.20 ,$695.78 ,$695.78 ,$695.78 ,$695.78 ST. JOSEPH'S - CHIPPEWA FALLS,98180496,11444,PC EXCISION LESION BENIGN FACE/EAR 3.1-4.0CM,981,1 ,"$1,194.67 ",$896.00 ,$338.77 ,"$3,066.03 ",$769.37 ,"$1,362.68 ",$836.27 ,$338.77 ,$991.58 ,$348.93 ,$788.48 ,"$1,134.94 ", N/A ,$955.74 ,"$1,087.15 ",$338.77 ,"$1,122.99 ","$1,134.94 ","$1,075.20 ","$1,015.47 ",$338.77 ,$338.77 ,$338.77 ,$872.11 ,"$1,362.68 ","$1,063.26 ","$1,075.20 ","$1,075.20 ",$955.74 ,"$1,403.56 ",$657.07 ,"$1,075.20 ","$1,362.68 ","$1,075.20 ","$1,362.68 ","$1,134.94 ","$3,066.03 ","$1,099.10 ",$359.10 ,"$1,087.15 ","$1,362.68 ",$735.20 ,$769.37 ,$735.20 ,"$1,075.20 ","$1,075.20 ",$896.00 ,$836.27 ,"$1,376.31 ",$355.71 ,"$1,117.02 ","$1,430.81 ",$338.77 ,"$1,039.36 ","$1,362.68 ","$1,075.20 ","$1,362.68 ","$1,075.20 ","$1,075.20 ","$1,075.20 ","$1,158.83 ",$967.68 ,"$1,075.20 ","$1,075.20 ","$1,075.20 ","$1,075.20 " ST. JOSEPH'S - CHIPPEWA FALLS,98180497,11732,PC AVULSION NAIL PLATE EA ADDL,981,1 ,$152.28 ,$114.21 ,$31.89 ,$152.28 ,$98.07 , N/A ,$106.60 ,$31.89 ,$126.39 ,$32.85 ,$100.50 ,$144.67 , N/A ,$121.82 ,$138.57 ,$31.89 ,$143.14 ,$144.67 ,$137.05 ,$129.44 ,$31.89 ,$31.89 ,$31.89 ,$111.16 , N/A ,$135.53 ,$137.05 ,$137.05 ,$121.82 , N/A ,$83.75 ,$137.05 , N/A ,$137.05 , N/A ,$144.67 , N/A ,$140.10 ,$33.80 ,$138.57 , N/A ,$93.71 ,$98.07 ,$93.71 ,$137.05 ,$137.05 ,$114.21 ,$106.60 , N/A ,$33.48 ,$142.38 , N/A ,$31.89 ,$132.48 , N/A ,$137.05 , N/A ,$137.05 ,$137.05 ,$137.05 ,$147.71 ,$123.35 ,$137.05 ,$137.05 ,$137.05 ,$137.05 ST. JOSEPH'S - CHIPPEWA FALLS,98180498,11760,PC REPAIR NAIL BED,981,1 ,$796.00 ,$597.00 ,$31.89 ,"$1,142.23 ",$512.62 ,$507.66 ,$557.20 ,$31.89 ,$660.68 ,$32.85 ,$525.36 ,$756.20 , N/A ,$636.80 ,$724.36 ,$31.89 ,$748.24 ,$756.20 ,$716.40 ,$676.60 ,$31.89 ,$31.89 ,$31.89 ,$581.08 ,$507.66 ,$708.44 ,$716.40 ,$716.40 ,$636.80 ,$522.89 ,$437.80 ,$716.40 ,$507.66 ,$716.40 ,$507.66 ,$756.20 ,"$1,142.23 ",$732.32 ,$33.80 ,$724.36 ,$507.66 ,$489.86 ,$512.62 ,$489.86 ,$716.40 ,$716.40 ,$597.00 ,$557.20 ,$512.74 ,$33.48 ,$744.26 ,$533.04 ,$31.89 ,$692.52 ,$507.66 ,$716.40 ,$507.66 ,$716.40 ,$716.40 ,$716.40 ,$772.12 ,$644.76 ,$716.40 ,$716.40 ,$716.40 ,$716.40 ST. JOSEPH'S - CHIPPEWA FALLS,98180499,15050,PC SKIN PINCH GRAFT,981,1 ,"$2,158.06 ","$1,618.55 ",$161.28 ,"$2,158.06 ","$1,389.79 ",$507.66 ,"$1,510.64 ",$161.28 ,"$1,791.19 ",$166.12 ,"$1,424.32 ","$2,050.16 ", N/A ,"$1,726.45 ","$1,963.83 ",$161.28 ,"$2,028.58 ","$2,050.16 ","$1,942.25 ","$1,834.35 ",$161.28 ,$161.28 ,$161.28 ,"$1,575.38 ",$507.66 ,"$1,920.67 ","$1,942.25 ","$1,942.25 ","$1,726.45 ",$522.89 ,"$1,186.93 ","$1,942.25 ",$507.66 ,"$1,942.25 ",$507.66 ,"$2,050.16 ","$1,142.23 ","$1,985.42 ",$170.96 ,"$1,963.83 ",$507.66 ,"$1,328.07 ","$1,389.79 ","$1,328.07 ","$1,942.25 ","$1,942.25 ","$1,618.55 ","$1,510.64 ",$512.74 ,$169.34 ,"$2,017.79 ",$533.04 ,$161.28 ,"$1,877.51 ",$507.66 ,"$1,942.25 ",$507.66 ,"$1,942.25 ","$1,942.25 ","$1,942.25 ","$2,093.32 ","$1,748.03 ","$1,942.25 ","$1,942.25 ","$1,942.25 ","$1,942.25 " ST. JOSEPH'S - CHIPPEWA FALLS,98180500,15852,PC DRESSING CHANGE OTHR THAN BURN W/ANES,981,1 ,$239.82 ,$179.87 ,$84.29 ,"$1,142.23 ",$154.44 ,$507.66 ,$167.87 ,$84.29 ,$199.05 ,$86.82 ,$158.28 ,$227.83 , N/A ,$191.86 ,$218.24 ,$84.29 ,$225.43 ,$227.83 ,$215.84 ,$203.85 ,$84.29 ,$84.29 ,$84.29 ,$175.07 ,$507.66 ,$213.44 ,$215.84 ,$215.84 ,$191.86 ,$522.89 ,$131.90 ,$215.84 ,$507.66 ,$215.84 ,$507.66 ,$227.83 ,"$1,142.23 ",$220.63 ,$89.35 ,$218.24 ,$507.66 ,$147.59 ,$154.44 ,$147.59 ,$215.84 ,$215.84 ,$179.87 ,$167.87 ,$512.74 ,$88.50 ,$224.23 ,$533.04 ,$84.29 ,$208.64 ,$507.66 ,$215.84 ,$507.66 ,$215.84 ,$215.84 ,$215.84 ,$232.63 ,$194.25 ,$215.84 ,$215.84 ,$215.84 ,$215.84 ST. JOSEPH'S - CHIPPEWA FALLS,98180501,16035,PC ESCHAROTOMY INCISION INITIAL,981,1 ,"$1,599.30 ","$1,199.48 ",$107.54 ,"$1,599.30 ","$1,029.95 ",$334.95 ,"$1,119.51 ",$107.54 ,"$1,327.42 ",$110.77 ,"$1,055.54 ","$1,519.34 ", N/A ,"$1,279.44 ","$1,455.36 ",$107.54 ,"$1,503.34 ","$1,519.34 ","$1,439.37 ","$1,359.41 ",$107.54 ,$107.54 ,$107.54 ,"$1,167.49 ",$334.95 ,"$1,423.38 ","$1,439.37 ","$1,439.37 ","$1,279.44 ",$344.99 ,$879.62 ,"$1,439.37 ",$334.95 ,"$1,439.37 ",$334.95 ,"$1,519.34 ",$753.63 ,"$1,471.36 ",$113.99 ,"$1,455.36 ",$334.95 ,$984.21 ,"$1,029.95 ",$984.21 ,"$1,439.37 ","$1,439.37 ","$1,199.48 ","$1,119.51 ",$338.30 ,$112.92 ,"$1,495.35 ",$351.70 ,$107.54 ,"$1,391.39 ",$334.95 ,"$1,439.37 ",$334.95 ,"$1,439.37 ","$1,439.37 ","$1,439.37 ","$1,551.32 ","$1,295.43 ","$1,439.37 ","$1,439.37 ","$1,439.37 ","$1,439.37 " ST. JOSEPH'S - CHIPPEWA FALLS,98180502,17000,PC DESTRUCT LESION PREMALIG 1ST LESION,981,1 ,$223.89 ,$167.92 ,$74.70 ,$391.26 ,$144.19 ,$173.89 ,$156.72 ,$74.70 ,$185.83 ,$76.94 ,$147.77 ,$212.70 , N/A ,$179.11 ,$203.74 ,$74.70 ,$210.46 ,$212.70 ,$201.50 ,$190.31 ,$74.70 ,$74.70 ,$74.70 ,$163.44 ,$173.89 ,$199.26 ,$201.50 ,$201.50 ,$179.11 ,$179.11 ,$123.14 ,$201.50 ,$173.89 ,$201.50 ,$173.89 ,$212.70 ,$391.26 ,$205.98 ,$79.18 ,$203.74 ,$173.89 ,$137.78 ,$144.19 ,$137.78 ,$201.50 ,$201.50 ,$167.92 ,$156.72 ,$175.63 ,$78.44 ,$209.34 ,$182.58 ,$74.70 ,$194.78 ,$173.89 ,$201.50 ,$173.89 ,$201.50 ,$201.50 ,$201.50 ,$217.17 ,$181.35 ,$201.50 ,$201.50 ,$201.50 ,$201.50 ST. JOSEPH'S - CHIPPEWA FALLS,98180503,17110,PC DESTRUCT BENIGN LESION <15 LESIONS,981,1 ,$251.94 ,$188.96 ,$74.70 ,$391.26 ,$162.25 ,$173.89 ,$176.36 ,$74.70 ,$209.11 ,$76.94 ,$166.28 ,$239.34 , N/A ,$201.55 ,$229.27 ,$74.70 ,$236.82 ,$239.34 ,$226.75 ,$214.15 ,$74.70 ,$74.70 ,$74.70 ,$183.92 ,$173.89 ,$224.23 ,$226.75 ,$226.75 ,$201.55 ,$179.11 ,$138.57 ,$226.75 ,$173.89 ,$226.75 ,$173.89 ,$239.34 ,$391.26 ,$231.78 ,$79.18 ,$229.27 ,$173.89 ,$155.04 ,$162.25 ,$155.04 ,$226.75 ,$226.75 ,$188.96 ,$176.36 ,$175.63 ,$78.44 ,$235.56 ,$182.58 ,$74.70 ,$219.19 ,$173.89 ,$226.75 ,$173.89 ,$226.75 ,$226.75 ,$226.75 ,$244.38 ,$204.07 ,$226.75 ,$226.75 ,$226.75 ,$226.75 ST. JOSEPH'S - CHIPPEWA FALLS,98180504,19000,PC ASPIRATION CYST BREAST,981,1 ,$346.27 ,$259.70 ,$180.17 ,"$1,355.35 ",$223.00 ,$602.38 ,$242.39 ,$180.17 ,$287.40 ,$185.58 ,$228.54 ,$328.96 , N/A ,$277.02 ,$315.11 ,$180.17 ,$325.49 ,$328.96 ,$311.64 ,$294.33 ,$180.17 ,$180.17 ,$180.17 ,$252.78 ,$602.38 ,$308.18 ,$311.64 ,$311.64 ,$277.02 ,$620.45 ,$190.45 ,$311.64 ,$602.38 ,$311.64 ,$602.38 ,$328.96 ,"$1,355.35 ",$318.57 ,$190.98 ,$315.11 ,$602.38 ,$213.09 ,$223.00 ,$213.09 ,$311.64 ,$311.64 ,$259.70 ,$242.39 ,$608.40 ,$189.18 ,$323.76 ,$632.50 ,$180.17 ,$301.25 ,$602.38 ,$311.64 ,$602.38 ,$311.64 ,$311.64 ,$311.64 ,$335.88 ,$280.48 ,$311.64 ,$311.64 ,$311.64 ,$311.64 ST. JOSEPH'S - CHIPPEWA FALLS,98180505,19020,PC MASTOTOMY W/EXPLORE/DRAIN ABSCESS,981,1 ,"$1,187.07 ",$890.30 ,$405.89 ,"$3,066.03 ",$764.47 ,"$1,362.68 ",$830.95 ,$405.89 ,$985.27 ,$418.07 ,$783.47 ,"$1,127.72 ", N/A ,$949.66 ,"$1,080.23 ",$405.89 ,"$1,115.85 ","$1,127.72 ","$1,068.36 ","$1,009.01 ",$405.89 ,$405.89 ,$405.89 ,$866.56 ,"$1,362.68 ","$1,056.49 ","$1,068.36 ","$1,068.36 ",$949.66 ,"$1,403.56 ",$652.89 ,"$1,068.36 ","$1,362.68 ","$1,068.36 ","$1,362.68 ","$1,127.72 ","$3,066.03 ","$1,092.10 ",$430.24 ,"$1,080.23 ","$1,362.68 ",$730.52 ,$764.47 ,$730.52 ,"$1,068.36 ","$1,068.36 ",$890.30 ,$830.95 ,"$1,376.31 ",$426.18 ,"$1,109.91 ","$1,430.81 ",$405.89 ,"$1,032.75 ","$1,362.68 ","$1,068.36 ","$1,362.68 ","$1,068.36 ","$1,068.36 ","$1,068.36 ","$1,151.46 ",$961.53 ,"$1,068.36 ","$1,068.36 ","$1,068.36 ","$1,068.36 " ST. JOSEPH'S - CHIPPEWA FALLS,98180506,20550,PC INJ SINGLE TENDON/LIGAMENT,981,1 ,$242.39 ,$181.79 ,$101.56 ,$569.12 ,$156.10 ,$252.94 ,$169.67 ,$101.56 ,$201.18 ,$104.61 ,$159.98 ,$230.27 , N/A ,$193.91 ,$220.57 ,$101.56 ,$227.85 ,$230.27 ,$218.15 ,$206.03 ,$101.56 ,$101.56 ,$101.56 ,$176.94 ,$252.94 ,$215.73 ,$218.15 ,$218.15 ,$193.91 ,$260.53 ,$133.31 ,$218.15 ,$252.94 ,$218.15 ,$252.94 ,$230.27 ,$569.12 ,$223.00 ,$107.65 ,$220.57 ,$252.94 ,$149.17 ,$156.10 ,$149.17 ,$218.15 ,$218.15 ,$181.79 ,$169.67 ,$255.47 ,$106.64 ,$226.63 ,$265.59 ,$101.56 ,$210.88 ,$252.94 ,$218.15 ,$252.94 ,$218.15 ,$218.15 ,$218.15 ,$235.12 ,$196.34 ,$218.15 ,$218.15 ,$218.15 ,$218.15 ST. JOSEPH'S - CHIPPEWA FALLS,98180507,20552,PC INJ TRIGGER PT 1-2 MUSCLE,981,1 ,$257.70 ,$193.28 ,$101.56 ,$569.12 ,$165.96 ,$252.94 ,$180.39 ,$101.56 ,$213.89 ,$104.61 ,$170.08 ,$244.82 , N/A ,$206.16 ,$234.51 ,$101.56 ,$242.24 ,$244.82 ,$231.93 ,$219.05 ,$101.56 ,$101.56 ,$101.56 ,$188.12 ,$252.94 ,$229.35 ,$231.93 ,$231.93 ,$206.16 ,$260.53 ,$141.74 ,$231.93 ,$252.94 ,$231.93 ,$252.94 ,$244.82 ,$569.12 ,$237.08 ,$107.65 ,$234.51 ,$252.94 ,$158.59 ,$165.96 ,$158.59 ,$231.93 ,$231.93 ,$193.28 ,$180.39 ,$255.47 ,$106.64 ,$240.95 ,$265.59 ,$101.56 ,$224.20 ,$252.94 ,$231.93 ,$252.94 ,$231.93 ,$231.93 ,$231.93 ,$249.97 ,$208.74 ,$231.93 ,$231.93 ,$231.93 ,$231.93 ST. JOSEPH'S - CHIPPEWA FALLS,98180508,20553,PC INJ TRIGGER PT 3+ MUSCLE,981,1 ,$303.11 ,$227.33 ,$101.56 ,$569.12 ,$195.20 ,$252.94 ,$212.18 ,$101.56 ,$251.58 ,$104.61 ,$200.05 ,$287.95 , N/A ,$242.49 ,$275.83 ,$101.56 ,$284.92 ,$287.95 ,$272.80 ,$257.64 ,$101.56 ,$101.56 ,$101.56 ,$221.27 ,$252.94 ,$269.77 ,$272.80 ,$272.80 ,$242.49 ,$260.53 ,$166.71 ,$272.80 ,$252.94 ,$272.80 ,$252.94 ,$287.95 ,$569.12 ,$278.86 ,$107.65 ,$275.83 ,$252.94 ,$186.53 ,$195.20 ,$186.53 ,$272.80 ,$272.80 ,$227.33 ,$212.18 ,$255.47 ,$106.64 ,$283.41 ,$265.59 ,$101.56 ,$263.71 ,$252.94 ,$272.80 ,$252.94 ,$272.80 ,$272.80 ,$272.80 ,$294.02 ,$245.52 ,$272.80 ,$272.80 ,$272.80 ,$272.80 ST. JOSEPH'S - CHIPPEWA FALLS,98180509,20612,PC INJ GANGLION CYST,981,1 ,$256.57 ,$192.43 ,$101.56 ,$569.12 ,$165.23 ,$252.94 ,$179.60 ,$101.56 ,$212.95 ,$104.61 ,$169.34 ,$243.74 , N/A ,$205.26 ,$233.48 ,$101.56 ,$241.18 ,$243.74 ,$230.91 ,$218.08 ,$101.56 ,$101.56 ,$101.56 ,$187.30 ,$252.94 ,$228.35 ,$230.91 ,$230.91 ,$205.26 ,$260.53 ,$141.11 ,$230.91 ,$252.94 ,$230.91 ,$252.94 ,$243.74 ,$569.12 ,$236.04 ,$107.65 ,$233.48 ,$252.94 ,$157.89 ,$165.23 ,$157.89 ,$230.91 ,$230.91 ,$192.43 ,$179.60 ,$255.47 ,$106.64 ,$239.89 ,$265.59 ,$101.56 ,$223.22 ,$252.94 ,$230.91 ,$252.94 ,$230.91 ,$230.91 ,$230.91 ,$248.87 ,$207.82 ,$230.91 ,$230.91 ,$230.91 ,$230.91 ST. JOSEPH'S - CHIPPEWA FALLS,98180510,20950,PC MONT INTRST FLD PRS COMP SYNDR,981,1 ,$875.33 ,$656.50 ,$52.41 ,"$1,355.35 ",$563.71 ,$602.38 ,$612.73 ,$52.41 ,$726.52 ,$53.98 ,$577.72 ,$831.56 , N/A ,$700.26 ,$796.55 ,$52.41 ,$822.81 ,$831.56 ,$787.80 ,$744.03 ,$52.41 ,$52.41 ,$52.41 ,$638.99 ,$602.38 ,$779.04 ,$787.80 ,$787.80 ,$700.26 ,$620.45 ,$481.43 ,$787.80 ,$602.38 ,$787.80 ,$602.38 ,$831.56 ,"$1,355.35 ",$805.30 ,$55.55 ,$796.55 ,$602.38 ,$538.68 ,$563.71 ,$538.68 ,$787.80 ,$787.80 ,$656.50 ,$612.73 ,$608.40 ,$55.03 ,$818.43 ,$632.50 ,$52.41 ,$761.54 ,$602.38 ,$787.80 ,$602.38 ,$787.80 ,$787.80 ,$787.80 ,$849.07 ,$709.02 ,$787.80 ,$787.80 ,$787.80 ,$787.80 ST. JOSEPH'S - CHIPPEWA FALLS,98180511,24200,PC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,981,1 ,$395.79 ,$296.84 ,$217.68 ,"$3,066.03 ",$254.89 ,"$1,362.68 ",$277.05 ,$395.79 ,$328.51 ,$511.63 ,$261.22 ,$376.00 , N/A ,$316.63 ,$360.17 ,$395.79 ,$372.04 ,$376.00 ,$356.21 ,$336.42 ,$496.73 ,$496.73 ,$496.73 ,$288.93 ,"$1,362.68 ",$352.25 ,$356.21 ,$356.21 ,$316.63 ,"$1,403.56 ",$217.68 ,$356.21 ,"$1,362.68 ",$356.21 ,"$1,362.68 ",$376.00 ,"$3,066.03 ",$364.13 ,$526.53 ,$360.17 ,"$1,362.68 ",$243.57 ,$254.89 ,$243.57 ,$356.21 ,$356.21 ,$296.84 ,$277.05 ,"$1,376.31 ",$521.57 ,$370.06 ,"$1,430.81 ",$395.79 ,$344.34 ,"$1,362.68 ",$356.21 ,"$1,362.68 ",$356.21 ,$356.21 ,$356.21 ,$383.92 ,$320.59 ,$356.21 ,$356.21 ,$356.21 ,$356.21 ST. JOSEPH'S - CHIPPEWA FALLS,98180512,26418,PC RPR EXTEN TENDON FNGR W/O FREE,981,1 ,"$2,383.49 ","$1,787.62 ",$392.13 ,"$3,034.10 ","$1,534.97 ","$1,348.49 ","$1,668.44 ",$392.13 ,"$1,978.30 ",$403.89 ,"$1,573.10 ","$2,264.32 ", N/A ,"$1,906.79 ","$2,168.98 ",$392.13 ,"$2,240.48 ","$2,264.32 ","$2,145.14 ","$2,025.97 ",$392.13 ,$392.13 ,$392.13 ,"$1,739.95 ","$1,348.49 ","$2,121.31 ","$2,145.14 ","$2,145.14 ","$1,906.79 ","$1,388.95 ","$1,310.92 ","$2,145.14 ","$1,348.49 ","$2,145.14 ","$1,348.49 ","$2,264.32 ","$3,034.10 ","$2,192.81 ",$415.66 ,"$2,168.98 ","$1,348.49 ","$1,466.80 ","$1,534.97 ","$1,466.80 ","$2,145.14 ","$2,145.14 ","$1,787.62 ","$1,668.44 ","$1,361.98 ",$411.74 ,"$2,228.56 ","$1,415.91 ",$392.13 ,"$2,073.64 ","$1,348.49 ","$2,145.14 ","$1,348.49 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,311.99 ","$1,930.63 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,145.14 " ST. JOSEPH'S - CHIPPEWA FALLS,98180513,26951,PC AMPUT FINGER/THUMB SGL CLSR,981,1 ,"$2,418.00 ","$1,813.50 ",$392.13 ,"$6,167.80 ","$1,557.19 ","$2,741.24 ","$1,692.60 ",$392.13 ,"$2,006.94 ",$403.89 ,"$1,595.88 ","$2,297.10 ", N/A ,"$1,934.40 ","$2,200.38 ",$392.13 ,"$2,272.92 ","$2,297.10 ","$2,176.20 ","$2,055.30 ",$392.13 ,$392.13 ,$392.13 ,"$1,765.14 ","$2,741.24 ","$2,152.02 ","$2,176.20 ","$2,176.20 ","$1,934.40 ","$2,823.48 ","$1,329.90 ","$2,176.20 ","$2,741.24 ","$2,176.20 ","$2,741.24 ","$2,297.10 ","$6,167.80 ","$2,224.56 ",$415.66 ,"$2,200.38 ","$2,741.24 ","$1,488.04 ","$1,557.19 ","$1,488.04 ","$2,176.20 ","$2,176.20 ","$1,813.50 ","$1,692.60 ","$2,768.65 ",$411.74 ,"$2,260.83 ","$2,878.30 ",$392.13 ,"$2,103.66 ","$2,741.24 ","$2,176.20 ","$2,741.24 ","$2,176.20 ","$2,176.20 ","$2,176.20 ","$2,345.46 ","$1,958.58 ","$2,176.20 ","$2,176.20 ","$2,176.20 ","$2,176.20 " ST. JOSEPH'S - CHIPPEWA FALLS,98180514,27788,PC CLOSED TX FX DISTAL FIBULAR W/MAN,981,1 ,"$1,954.80 ","$1,466.10 ",$193.84 ,"$1,954.80 ","$1,258.89 ",$199.70 ,"$1,368.36 ",$193.84 ,"$1,622.48 ",$199.66 ,"$1,290.17 ","$1,857.06 ", N/A ,"$1,563.84 ","$1,778.87 ",$193.84 ,"$1,837.51 ","$1,857.06 ","$1,759.32 ","$1,661.58 ",$193.84 ,$193.84 ,$193.84 ,"$1,427.00 ",$199.70 ,"$1,739.77 ","$1,759.32 ","$1,759.32 ","$1,563.84 ",$205.69 ,"$1,075.14 ","$1,759.32 ",$199.70 ,"$1,759.32 ",$199.70 ,"$1,857.06 ",$449.31 ,"$1,798.42 ",$205.47 ,"$1,778.87 ",$199.70 ,"$1,202.98 ","$1,258.89 ","$1,202.98 ","$1,759.32 ","$1,759.32 ","$1,466.10 ","$1,368.36 ",$201.69 ,$203.53 ,"$1,827.74 ",$209.69 ,$193.84 ,"$1,700.68 ",$199.70 ,"$1,759.32 ",$199.70 ,"$1,759.32 ","$1,759.32 ","$1,759.32 ","$1,896.16 ","$1,583.39 ","$1,759.32 ","$1,759.32 ","$1,759.32 ","$1,759.32 " ST. JOSEPH'S - CHIPPEWA FALLS,98180515,28192,PC REMOVE FOREIGN BODY FOOT DEEP,981,1 ,"$1,360.70 ","$1,020.53 ",$496.73 ,"$3,066.03 ",$876.29 ,"$1,362.68 ",$952.49 ,$496.73 ,"$1,129.38 ",$511.63 ,$898.06 ,"$1,292.67 ", N/A ,"$1,088.56 ","$1,238.24 ",$496.73 ,"$1,279.06 ","$1,292.67 ","$1,224.63 ","$1,156.60 ",$496.73 ,$496.73 ,$496.73 ,$993.31 ,"$1,362.68 ","$1,211.02 ","$1,224.63 ","$1,224.63 ","$1,088.56 ","$1,403.56 ",$748.39 ,"$1,224.63 ","$1,362.68 ","$1,224.63 ","$1,362.68 ","$1,292.67 ","$3,066.03 ","$1,251.84 ",$526.53 ,"$1,238.24 ","$1,362.68 ",$837.37 ,$876.29 ,$837.37 ,"$1,224.63 ","$1,224.63 ","$1,020.53 ",$952.49 ,"$1,376.31 ",$521.57 ,"$1,272.25 ","$1,430.81 ",$496.73 ,"$1,183.81 ","$1,362.68 ","$1,224.63 ","$1,362.68 ","$1,224.63 ","$1,224.63 ","$1,224.63 ","$1,319.88 ","$1,102.17 ","$1,224.63 ","$1,224.63 ","$1,224.63 ","$1,224.63 " ST. JOSEPH'S - CHIPPEWA FALLS,98180516,28200,PC REPAIR FLEXOR/TENDON/FOOT W/O GRAFT EA TENDON,981,1 ,"$2,383.49 ","$1,787.62 ",$643.97 ,"$6,167.80 ","$1,534.97 ","$2,741.24 ","$1,668.44 ",$643.97 ,"$1,978.30 ",$663.29 ,"$1,573.10 ","$2,264.32 ", N/A ,"$1,906.79 ","$2,168.98 ",$643.97 ,"$2,240.48 ","$2,264.32 ","$2,145.14 ","$2,025.97 ",$643.97 ,$643.97 ,$643.97 ,"$1,739.95 ","$2,741.24 ","$2,121.31 ","$2,145.14 ","$2,145.14 ","$1,906.79 ","$2,823.48 ","$1,310.92 ","$2,145.14 ","$2,741.24 ","$2,145.14 ","$2,741.24 ","$2,264.32 ","$6,167.80 ","$2,192.81 ",$682.61 ,"$2,168.98 ","$2,741.24 ","$1,466.80 ","$1,534.97 ","$1,466.80 ","$2,145.14 ","$2,145.14 ","$1,787.62 ","$1,668.44 ","$2,768.65 ",$676.17 ,"$2,228.56 ","$2,878.30 ",$643.97 ,"$2,073.64 ","$2,741.24 ","$2,145.14 ","$2,741.24 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,311.99 ","$1,930.63 ","$2,145.14 ","$2,145.14 ","$2,145.14 ","$2,145.14 " ST. JOSEPH'S - CHIPPEWA FALLS,98180517,29700,PC REMOVER/REVISION CAST,981,1 ,$145.49 ,$109.12 ,$57.61 ,$525.54 ,$93.70 ,$233.57 ,$101.84 ,$57.61 ,$120.76 ,$59.34 ,$96.02 ,$138.22 , N/A ,$116.39 ,$132.40 ,$57.61 ,$136.76 ,$138.22 ,$130.94 ,$123.67 ,$57.61 ,$57.61 ,$57.61 ,$106.21 ,$233.57 ,$129.49 ,$130.94 ,$130.94 ,$116.39 ,$240.58 ,$80.02 ,$130.94 ,$233.57 ,$130.94 ,$233.57 ,$138.22 ,$525.54 ,$133.85 ,$61.07 ,$132.40 ,$233.57 ,$89.53 ,$93.70 ,$89.53 ,$130.94 ,$130.94 ,$109.12 ,$101.84 ,$235.91 ,$60.49 ,$136.03 ,$245.25 ,$57.61 ,$126.58 ,$233.57 ,$130.94 ,$233.57 ,$130.94 ,$130.94 ,$130.94 ,$141.13 ,$117.85 ,$130.94 ,$130.94 ,$130.94 ,$130.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180518,31505,PC LARYNGOSCOPY INDIRECT,981,1 ,$392.71 ,$294.53 ,$35.67 ,$392.71 ,$252.91 ,$159.21 ,$274.90 ,$35.67 ,$325.95 ,$36.74 ,$259.19 ,$373.07 , N/A ,$314.17 ,$357.37 ,$35.67 ,$369.15 ,$373.07 ,$353.44 ,$333.80 ,$35.67 ,$35.67 ,$35.67 ,$286.68 ,$159.21 ,$349.51 ,$353.44 ,$353.44 ,$314.17 ,$163.99 ,$215.99 ,$353.44 ,$159.21 ,$353.44 ,$159.21 ,$373.07 ,$358.23 ,$361.29 ,$37.81 ,$357.37 ,$159.21 ,$241.67 ,$252.91 ,$241.67 ,$353.44 ,$353.44 ,$294.53 ,$274.90 ,$160.80 ,$37.45 ,$367.18 ,$167.17 ,$35.67 ,$341.66 ,$159.21 ,$353.44 ,$159.21 ,$353.44 ,$353.44 ,$353.44 ,$380.93 ,$318.10 ,$353.44 ,$353.44 ,$353.44 ,$353.44 ST. JOSEPH'S - CHIPPEWA FALLS,98180519,31515,PC LARYNGOSCOPY DIRECT W OR W/O TRACH ASP,981,1 ,$736.41 ,$552.31 ,$250.60 ,$820.46 ,$474.25 ,$364.65 ,$515.49 ,$250.60 ,$611.22 ,$258.12 ,$486.03 ,$699.59 , N/A ,$589.13 ,$670.13 ,$250.60 ,$692.23 ,$699.59 ,$662.77 ,$625.95 ,$250.60 ,$250.60 ,$250.60 ,$537.58 ,$364.65 ,$655.40 ,$662.77 ,$662.77 ,$589.13 ,$375.59 ,$405.03 ,$662.77 ,$364.65 ,$662.77 ,$364.65 ,$699.59 ,$820.46 ,$677.50 ,$265.64 ,$670.13 ,$364.65 ,$453.19 ,$474.25 ,$453.19 ,$662.77 ,$662.77 ,$552.31 ,$515.49 ,$368.30 ,$263.13 ,$688.54 ,$382.88 ,$250.60 ,$640.68 ,$364.65 ,$662.77 ,$364.65 ,$662.77 ,$662.77 ,$662.77 ,$714.32 ,$596.49 ,$662.77 ,$662.77 ,$662.77 ,$662.77 ST. JOSEPH'S - CHIPPEWA FALLS,98180520,31525,PC LARYNGOSCOPY DIRECT DX,981,1 ,"$1,080.11 ",$810.08 ,$250.60 ,"$3,260.82 ",$695.59 ,"$1,449.25 ",$756.08 ,$250.60 ,$896.49 ,$258.12 ,$712.87 ,"$1,026.10 ", N/A ,$864.09 ,$982.90 ,$250.60 ,"$1,015.30 ","$1,026.10 ",$972.10 ,$918.09 ,$250.60 ,$250.60 ,$250.60 ,$788.48 ,"$1,449.25 ",$961.30 ,$972.10 ,$972.10 ,$864.09 ,"$1,492.73 ",$594.06 ,$972.10 ,"$1,449.25 ",$972.10 ,"$1,449.25 ","$1,026.10 ","$3,260.82 ",$993.70 ,$265.64 ,$982.90 ,"$1,449.25 ",$664.70 ,$695.59 ,$664.70 ,$972.10 ,$972.10 ,$810.08 ,$756.08 ,"$1,463.75 ",$263.13 ,"$1,009.90 ","$1,521.71 ",$250.60 ,$939.70 ,"$1,449.25 ",$972.10 ,"$1,449.25 ",$972.10 ,$972.10 ,$972.10 ,"$1,047.71 ",$874.89 ,$972.10 ,$972.10 ,$972.10 ,$972.10 ST. JOSEPH'S - CHIPPEWA FALLS,98180521,31575,PC LARYNGOSCOPY FLEX FIBEROPTIC,981,1 ,$531.00 ,$398.25 ,$35.67 ,$531.00 ,$341.96 ,$159.21 ,$371.70 ,$35.67 ,$440.73 ,$36.74 ,$350.46 ,$504.45 , N/A ,$424.80 ,$483.21 ,$35.67 ,$499.14 ,$504.45 ,$477.90 ,$451.35 ,$35.67 ,$35.67 ,$35.67 ,$387.63 ,$159.21 ,$472.59 ,$477.90 ,$477.90 ,$424.80 ,$163.99 ,$292.05 ,$477.90 ,$159.21 ,$477.90 ,$159.21 ,$504.45 ,$358.23 ,$488.52 ,$37.81 ,$483.21 ,$159.21 ,$326.78 ,$341.96 ,$326.78 ,$477.90 ,$477.90 ,$398.25 ,$371.70 ,$160.80 ,$37.45 ,$496.49 ,$167.17 ,$35.67 ,$461.97 ,$159.21 ,$477.90 ,$159.21 ,$477.90 ,$477.90 ,$477.90 ,$515.07 ,$430.11 ,$477.90 ,$477.90 ,$477.90 ,$477.90 ST. JOSEPH'S - CHIPPEWA FALLS,98180523,36010,PC INTRO CATH VENA CAVA SUP/IN,981,1 ,"$1,433.77 ","$1,075.33 ",$202.63 ,"$1,433.77 ",$923.35 , N/A ,"$1,003.64 ",$202.63 ,"$1,190.03 ",$208.71 ,$946.29 ,"$1,362.08 ", N/A ,"$1,147.02 ","$1,304.73 ",$202.63 ,"$1,347.74 ","$1,362.08 ","$1,290.39 ","$1,218.70 ",$202.63 ,$202.63 ,$202.63 ,"$1,046.65 ", N/A ,"$1,276.06 ","$1,290.39 ","$1,290.39 ","$1,147.02 ", N/A ,$788.57 ,"$1,290.39 ", N/A ,"$1,290.39 ", N/A ,"$1,362.08 ", N/A ,"$1,319.07 ",$214.79 ,"$1,304.73 ", N/A ,$882.34 ,$923.35 ,$882.34 ,"$1,290.39 ","$1,290.39 ","$1,075.33 ","$1,003.64 ", N/A ,$212.76 ,"$1,340.58 ", N/A ,$202.63 ,"$1,247.38 ", N/A ,"$1,290.39 ", N/A ,"$1,290.39 ","$1,290.39 ","$1,290.39 ","$1,390.76 ","$1,161.35 ","$1,290.39 ","$1,290.39 ","$1,290.39 ","$1,290.39 " ST. JOSEPH'S - CHIPPEWA FALLS,98180524,36400,PC IV START < 3 YEARS OLD,981,1 ,$145.39 ,$109.04 ,$0.72 ,$145.39 ,$93.63 , N/A ,$101.77 ,$0.72 ,$120.67 ,$0.74 ,$95.96 ,$138.12 , N/A ,$116.31 ,$132.30 ,$0.72 ,$136.67 ,$138.12 ,$130.85 ,$123.58 ,$0.72 ,$0.72 ,$0.72 ,$106.13 , N/A ,$129.40 ,$130.85 ,$130.85 ,$116.31 , N/A ,$79.96 ,$130.85 , N/A ,$130.85 , N/A ,$138.12 , N/A ,$133.76 ,$0.76 ,$132.30 , N/A ,$89.47 ,$93.63 ,$89.47 ,$130.85 ,$130.85 ,$109.04 ,$101.77 , N/A ,$0.76 ,$135.94 , N/A ,$0.72 ,$126.49 , N/A ,$130.85 , N/A ,$130.85 ,$130.85 ,$130.85 ,$141.03 ,$117.77 ,$130.85 ,$130.85 ,$130.85 ,$130.85 ST. JOSEPH'S - CHIPPEWA FALLS,98180525,36405,PC IV START < 3 YEARS OLD SCALP VEIN,981,1 ,$109.02 ,$81.77 ,$0.72 ,$109.02 ,$70.21 , N/A ,$76.31 ,$0.72 ,$90.49 ,$0.74 ,$71.95 ,$103.57 , N/A ,$87.22 ,$99.21 ,$0.72 ,$102.48 ,$103.57 ,$98.12 ,$92.67 ,$0.72 ,$0.72 ,$0.72 ,$79.58 , N/A ,$97.03 ,$98.12 ,$98.12 ,$87.22 , N/A ,$59.96 ,$98.12 , N/A ,$98.12 , N/A ,$103.57 , N/A ,$100.30 ,$0.76 ,$99.21 , N/A ,$67.09 ,$70.21 ,$67.09 ,$98.12 ,$98.12 ,$81.77 ,$76.31 , N/A ,$0.76 ,$101.93 , N/A ,$0.72 ,$94.85 , N/A ,$98.12 , N/A ,$98.12 ,$98.12 ,$98.12 ,$105.75 ,$88.31 ,$98.12 ,$98.12 ,$98.12 ,$98.12 ST. JOSEPH'S - CHIPPEWA FALLS,98180526,36406,PC IV START < 3 YEARS OLD OTHER VEIN,981,1 ,$109.02 ,$81.77 ,$0.72 ,$109.02 ,$70.21 , N/A ,$76.31 ,$0.72 ,$90.49 ,$0.74 ,$71.95 ,$103.57 , N/A ,$87.22 ,$99.21 ,$0.72 ,$102.48 ,$103.57 ,$98.12 ,$92.67 ,$0.72 ,$0.72 ,$0.72 ,$79.58 , N/A ,$97.03 ,$98.12 ,$98.12 ,$87.22 , N/A ,$59.96 ,$98.12 , N/A ,$98.12 , N/A ,$103.57 , N/A ,$100.30 ,$0.76 ,$99.21 , N/A ,$67.09 ,$70.21 ,$67.09 ,$98.12 ,$98.12 ,$81.77 ,$76.31 , N/A ,$0.76 ,$101.93 , N/A ,$0.72 ,$94.85 , N/A ,$98.12 , N/A ,$98.12 ,$98.12 ,$98.12 ,$105.75 ,$88.31 ,$98.12 ,$98.12 ,$98.12 ,$98.12 ST. JOSEPH'S - CHIPPEWA FALLS,98180527,36410,PC VENIPUNCTURE > AGE 3,981,1 ,$109.02 ,$81.77 ,$17.61 ,$109.02 ,$70.21 , N/A ,$76.31 ,$17.61 ,$90.49 ,$18.14 ,$71.95 ,$103.57 , N/A ,$87.22 ,$99.21 ,$17.61 ,$102.48 ,$103.57 ,$98.12 ,$92.67 ,$17.61 ,$17.61 ,$17.61 ,$79.58 , N/A ,$97.03 ,$98.12 ,$98.12 ,$87.22 , N/A ,$59.96 ,$98.12 , N/A ,$98.12 , N/A ,$103.57 , N/A ,$100.30 ,$18.67 ,$99.21 , N/A ,$67.09 ,$70.21 ,$67.09 ,$98.12 ,$98.12 ,$81.77 ,$76.31 , N/A ,$18.49 ,$101.93 , N/A ,$17.61 ,$94.85 , N/A ,$98.12 , N/A ,$98.12 ,$98.12 ,$98.12 ,$105.75 ,$88.31 ,$98.12 ,$98.12 ,$98.12 ,$98.12 ST. JOSEPH'S - CHIPPEWA FALLS,98180528,36555,PC INS CATH CV NON-TUNL <5 YR,981,1 ,"$1,321.16 ",$990.87 ,$322.47 ,"$6,235.91 ",$850.83 ,"$2,771.52 ",$924.81 ,$322.47 ,"$1,096.56 ",$332.14 ,$871.97 ,"$1,255.10 ", N/A ,"$1,056.93 ","$1,202.26 ",$322.47 ,"$1,241.89 ","$1,255.10 ","$1,189.04 ","$1,122.99 ",$322.47 ,$322.47 ,$322.47 ,$964.45 ,"$2,771.52 ","$1,175.83 ","$1,189.04 ","$1,189.04 ","$1,056.93 ","$2,854.66 ",$726.64 ,"$1,189.04 ","$2,771.52 ","$1,189.04 ","$2,771.52 ","$1,255.10 ","$6,235.91 ","$1,215.47 ",$341.82 ,"$1,202.26 ","$2,771.52 ",$813.04 ,$850.83 ,$813.04 ,"$1,189.04 ","$1,189.04 ",$990.87 ,$924.81 ,"$2,799.23 ",$338.59 ,"$1,235.28 ","$2,910.10 ",$322.47 ,"$1,149.41 ","$2,771.52 ","$1,189.04 ","$2,771.52 ","$1,189.04 ","$1,189.04 ","$1,189.04 ","$1,281.53 ","$1,070.14 ","$1,189.04 ","$1,189.04 ","$1,189.04 ","$1,189.04 " ST. JOSEPH'S - CHIPPEWA FALLS,98180529,36556,PC INS CATH CV NON-TUNL >5 YRS,981,1 ,$989.60 ,$742.20 ,$322.47 ,"$6,235.91 ",$637.30 ,"$2,771.52 ",$692.72 ,$322.47 ,$821.37 ,$332.14 ,$653.14 ,$940.12 , N/A ,$791.68 ,$900.54 ,$322.47 ,$930.22 ,$940.12 ,$890.64 ,$841.16 ,$322.47 ,$322.47 ,$322.47 ,$722.41 ,"$2,771.52 ",$880.74 ,$890.64 ,$890.64 ,$791.68 ,"$2,854.66 ",$544.28 ,$890.64 ,"$2,771.52 ",$890.64 ,"$2,771.52 ",$940.12 ,"$6,235.91 ",$910.43 ,$341.82 ,$900.54 ,"$2,771.52 ",$609.00 ,$637.30 ,$609.00 ,$890.64 ,$890.64 ,$742.20 ,$692.72 ,"$2,799.23 ",$338.59 ,$925.28 ,"$2,910.10 ",$322.47 ,$860.95 ,"$2,771.52 ",$890.64 ,"$2,771.52 ",$890.64 ,$890.64 ,$890.64 ,$959.91 ,$801.58 ,$890.64 ,$890.64 ,$890.64 ,$890.64 ST. JOSEPH'S - CHIPPEWA FALLS,98180530,36600,PC ARTERIAL PUNCTURE,981,1 ,$196.46 ,$147.35 ,$17.61 ,$243.95 ,$126.52 ,$108.42 ,$137.52 ,$17.61 ,$163.06 ,$18.14 ,$129.66 ,$186.64 , N/A ,$157.17 ,$178.78 ,$17.61 ,$184.67 ,$186.64 ,$176.81 ,$166.99 ,$17.61 ,$17.61 ,$17.61 ,$143.42 ,$108.42 ,$174.85 ,$176.81 ,$176.81 ,$157.17 ,$111.68 ,$108.05 ,$176.81 ,$108.42 ,$176.81 ,$108.42 ,$186.64 ,$243.95 ,$180.74 ,$18.67 ,$178.78 ,$108.42 ,$120.90 ,$126.52 ,$120.90 ,$176.81 ,$176.81 ,$147.35 ,$137.52 ,$109.51 ,$18.49 ,$183.69 ,$113.84 ,$17.61 ,$170.92 ,$108.42 ,$176.81 ,$108.42 ,$176.81 ,$176.81 ,$176.81 ,$190.57 ,$159.13 ,$176.81 ,$176.81 ,$176.81 ,$176.81 ST. JOSEPH'S - CHIPPEWA FALLS,98180531,36620,PC CATH/CANN ARTERY PERC,981,1 ,$458.37 ,$343.78 ,$202.63 ,$458.37 ,$295.19 , N/A ,$320.86 ,$202.63 ,$380.45 ,$208.71 ,$302.52 ,$435.45 , N/A ,$366.70 ,$417.12 ,$202.63 ,$430.87 ,$435.45 ,$412.53 ,$389.61 ,$202.63 ,$202.63 ,$202.63 ,$334.61 , N/A ,$407.95 ,$412.53 ,$412.53 ,$366.70 , N/A ,$252.10 ,$412.53 , N/A ,$412.53 , N/A ,$435.45 , N/A ,$421.70 ,$214.79 ,$417.12 , N/A ,$282.08 ,$295.19 ,$282.08 ,$412.53 ,$412.53 ,$343.78 ,$320.86 , N/A ,$212.76 ,$428.58 , N/A ,$202.63 ,$398.78 , N/A ,$412.53 , N/A ,$412.53 ,$412.53 ,$412.53 ,$444.62 ,$371.28 ,$412.53 ,$412.53 ,$412.53 ,$412.53 ST. JOSEPH'S - CHIPPEWA FALLS,98180532,36680,PC PLACE NDL INFS INTRAOSSEOUS,981,1 ,$523.90 ,$392.93 ,$101.56 ,$588.84 ,$337.39 ,$261.71 ,$366.73 ,$101.56 ,$434.84 ,$104.61 ,$345.77 ,$497.71 , N/A ,$419.12 ,$476.75 ,$101.56 ,$492.47 ,$497.71 ,$471.51 ,$445.32 ,$101.56 ,$101.56 ,$101.56 ,$382.45 ,$261.71 ,$466.27 ,$471.51 ,$471.51 ,$419.12 ,$269.56 ,$288.15 ,$471.51 ,$261.71 ,$471.51 ,$261.71 ,$497.71 ,$588.84 ,$481.99 ,$107.65 ,$476.75 ,$261.71 ,$322.41 ,$337.39 ,$322.41 ,$471.51 ,$471.51 ,$392.93 ,$366.73 ,$264.33 ,$106.64 ,$489.85 ,$274.80 ,$101.56 ,$455.79 ,$261.71 ,$471.51 ,$261.71 ,$471.51 ,$471.51 ,$471.51 ,$508.18 ,$424.36 ,$471.51 ,$471.51 ,$471.51 ,$471.51 ST. JOSEPH'S - CHIPPEWA FALLS,98180533,37195,PC THROMBOLYSIS CEREBRAL BY IV,981,1 ,"$2,061.37 ","$1,546.03 ",$100.19 ,"$2,061.37 ","$1,327.52 ",$300.96 ,"$1,442.96 ",$100.19 ,"$1,710.94 ",$103.20 ,"$1,360.50 ","$1,958.30 ", N/A ,"$1,649.10 ","$1,875.85 ",$100.19 ,"$1,937.69 ","$1,958.30 ","$1,855.23 ","$1,752.16 ",$100.19 ,$100.19 ,$100.19 ,"$1,504.80 ",$300.96 ,"$1,834.62 ","$1,855.23 ","$1,855.23 ","$1,649.10 ",$309.99 ,"$1,133.75 ","$1,855.23 ",$300.96 ,"$1,855.23 ",$300.96 ,"$1,958.30 ",$677.16 ,"$1,896.46 ",$106.20 ,"$1,875.85 ",$300.96 ,"$1,268.57 ","$1,327.52 ","$1,268.57 ","$1,855.23 ","$1,855.23 ","$1,546.03 ","$1,442.96 ",$303.97 ,$105.20 ,"$1,927.38 ",$316.01 ,$100.19 ,"$1,793.39 ",$300.96 ,"$1,855.23 ",$300.96 ,"$1,855.23 ","$1,855.23 ","$1,855.23 ","$1,999.53 ","$1,669.71 ","$1,855.23 ","$1,855.23 ","$1,855.23 ","$1,855.23 " ST. JOSEPH'S - CHIPPEWA FALLS,98180534,40800,PC DRAINAGE MOUTH LESION SIMPLE,981,1 ,$355.41 ,$266.56 ,$35.67 ,"$1,355.35 ",$228.88 ,$602.38 ,$248.79 ,$35.67 ,$294.99 ,$36.74 ,$234.57 ,$337.64 , N/A ,$284.33 ,$323.42 ,$35.67 ,$334.09 ,$337.64 ,$319.87 ,$302.10 ,$35.67 ,$35.67 ,$35.67 ,$259.45 ,$602.38 ,$316.31 ,$319.87 ,$319.87 ,$284.33 ,$620.45 ,$195.48 ,$319.87 ,$602.38 ,$319.87 ,$602.38 ,$337.64 ,"$1,355.35 ",$326.98 ,$37.81 ,$323.42 ,$602.38 ,$218.72 ,$228.88 ,$218.72 ,$319.87 ,$319.87 ,$266.56 ,$248.79 ,$608.40 ,$37.45 ,$332.31 ,$632.50 ,$35.67 ,$309.21 ,$602.38 ,$319.87 ,$602.38 ,$319.87 ,$319.87 ,$319.87 ,$344.75 ,$287.88 ,$319.87 ,$319.87 ,$319.87 ,$319.87 ST. JOSEPH'S - CHIPPEWA FALLS,98180535,40801,PC DRAINAGE MOUTH LESION COMPLEX,981,1 ,"$1,476.41 ","$1,107.31 ",$280.78 ,"$1,476.41 ",$950.81 ,$438.11 ,"$1,033.49 ",$280.78 ,"$1,225.42 ",$289.20 ,$974.43 ,"$1,402.59 ", N/A ,"$1,181.13 ","$1,343.53 ",$280.78 ,"$1,387.83 ","$1,402.59 ","$1,328.77 ","$1,254.95 ",$280.78 ,$280.78 ,$280.78 ,"$1,077.78 ",$438.11 ,"$1,314.00 ","$1,328.77 ","$1,328.77 ","$1,181.13 ",$451.25 ,$812.03 ,"$1,328.77 ",$438.11 ,"$1,328.77 ",$438.11 ,"$1,402.59 ",$985.75 ,"$1,358.30 ",$297.63 ,"$1,343.53 ",$438.11 ,$908.58 ,$950.81 ,$908.58 ,"$1,328.77 ","$1,328.77 ","$1,107.31 ","$1,033.49 ",$442.49 ,$294.82 ,"$1,380.44 ",$460.02 ,$280.78 ,"$1,284.48 ",$438.11 ,"$1,328.77 ",$438.11 ,"$1,328.77 ","$1,328.77 ","$1,328.77 ","$1,432.12 ","$1,195.89 ","$1,328.77 ","$1,328.77 ","$1,328.77 ","$1,328.77 " ST. JOSEPH'S - CHIPPEWA FALLS,98180536,40804,PC REMOVE FOREIGN BODY MOUTH SIMPLE,981,1 ,$505.84 ,$379.38 ,$35.67 ,"$1,764.22 ",$325.76 ,$784.10 ,$354.09 ,$35.67 ,$419.85 ,$36.74 ,$333.85 ,$480.55 , N/A ,$404.67 ,$460.31 ,$35.67 ,$475.49 ,$480.55 ,$455.26 ,$429.96 ,$35.67 ,$35.67 ,$35.67 ,$369.26 ,$784.10 ,$450.20 ,$455.26 ,$455.26 ,$404.67 ,$807.62 ,$278.21 ,$455.26 ,$784.10 ,$455.26 ,$784.10 ,$480.55 ,"$1,764.22 ",$465.37 ,$37.81 ,$460.31 ,$784.10 ,$311.29 ,$325.76 ,$311.29 ,$455.26 ,$455.26 ,$379.38 ,$354.09 ,$791.94 ,$37.45 ,$472.96 ,$823.31 ,$35.67 ,$440.08 ,$784.10 ,$455.26 ,$784.10 ,$455.26 ,$455.26 ,$455.26 ,$490.66 ,$409.73 ,$455.26 ,$455.26 ,$455.26 ,$455.26 ST. JOSEPH'S - CHIPPEWA FALLS,98180537,40830,PC LAC REPAIR VESTIBULE MOUTH < 2.5CM,981,1 ,$437.51 ,$328.13 ,$161.28 ,$461.10 ,$281.76 ,$204.93 ,$306.26 ,$161.28 ,$363.13 ,$166.12 ,$288.76 ,$415.63 , N/A ,$350.01 ,$398.13 ,$161.28 ,$411.26 ,$415.63 ,$393.76 ,$371.88 ,$161.28 ,$161.28 ,$161.28 ,$319.38 ,$204.93 ,$389.38 ,$393.76 ,$393.76 ,$350.01 ,$211.08 ,$240.63 ,$393.76 ,$204.93 ,$393.76 ,$204.93 ,$415.63 ,$461.10 ,$402.51 ,$170.96 ,$398.13 ,$204.93 ,$269.24 ,$281.76 ,$269.24 ,$393.76 ,$393.76 ,$328.13 ,$306.26 ,$206.98 ,$169.34 ,$409.07 ,$215.18 ,$161.28 ,$380.63 ,$204.93 ,$393.76 ,$204.93 ,$393.76 ,$393.76 ,$393.76 ,$424.38 ,$354.38 ,$393.76 ,$393.76 ,$393.76 ,$393.76 ST. JOSEPH'S - CHIPPEWA FALLS,98180538,40831,PC LAC REPAIR VESTIBULE MOUTH COMPLEX >2.5CM,981,1 ,"$1,093.67 ",$820.25 ,$280.78 ,"$1,093.67 ",$704.32 ,$438.11 ,$765.57 ,$280.78 ,$907.75 ,$289.20 ,$721.82 ,"$1,038.99 ", N/A ,$874.94 ,$995.24 ,$280.78 ,"$1,028.05 ","$1,038.99 ",$984.30 ,$929.62 ,$280.78 ,$280.78 ,$280.78 ,$798.38 ,$438.11 ,$973.37 ,$984.30 ,$984.30 ,$874.94 ,$451.25 ,$601.52 ,$984.30 ,$438.11 ,$984.30 ,$438.11 ,"$1,038.99 ",$985.75 ,"$1,006.18 ",$297.63 ,$995.24 ,$438.11 ,$673.04 ,$704.32 ,$673.04 ,$984.30 ,$984.30 ,$820.25 ,$765.57 ,$442.49 ,$294.82 ,"$1,022.58 ",$460.02 ,$280.78 ,$951.49 ,$438.11 ,$984.30 ,$438.11 ,$984.30 ,$984.30 ,$984.30 ,"$1,060.86 ",$885.87 ,$984.30 ,$984.30 ,$984.30 ,$984.30 ST. JOSEPH'S - CHIPPEWA FALLS,98180539,41250,PC RPR LAC MOUTH/TONGUE <2.5CM,981,1 ,$560.50 ,$420.38 ,$35.67 ,$588.84 ,$360.96 ,$261.71 ,$392.35 ,$35.67 ,$465.22 ,$36.74 ,$369.93 ,$532.48 , N/A ,$448.40 ,$510.06 ,$35.67 ,$526.87 ,$532.48 ,$504.45 ,$476.43 ,$35.67 ,$35.67 ,$35.67 ,$409.17 ,$261.71 ,$498.85 ,$504.45 ,$504.45 ,$448.40 ,$269.56 ,$308.28 ,$504.45 ,$261.71 ,$504.45 ,$261.71 ,$532.48 ,$588.84 ,$515.66 ,$37.81 ,$510.06 ,$261.71 ,$344.93 ,$360.96 ,$344.93 ,$504.45 ,$504.45 ,$420.38 ,$392.35 ,$264.33 ,$37.45 ,$524.07 ,$274.80 ,$35.67 ,$487.64 ,$261.71 ,$504.45 ,$261.71 ,$504.45 ,$504.45 ,$504.45 ,$543.69 ,$454.01 ,$504.45 ,$504.45 ,$504.45 ,$504.45 ST. JOSEPH'S - CHIPPEWA FALLS,98180540,41251,PC RPR LAC MOUTH/TONGUE POSTERIOR 1/3,981,1 ,$710.82 ,$533.12 ,$35.67 ,$710.82 ,$457.77 ,$204.93 ,$497.57 ,$35.67 ,$589.98 ,$36.74 ,$469.14 ,$675.28 , N/A ,$568.66 ,$646.85 ,$35.67 ,$668.17 ,$675.28 ,$639.74 ,$604.20 ,$35.67 ,$35.67 ,$35.67 ,$518.90 ,$204.93 ,$632.63 ,$639.74 ,$639.74 ,$568.66 ,$211.08 ,$390.95 ,$639.74 ,$204.93 ,$639.74 ,$204.93 ,$675.28 ,$461.10 ,$653.95 ,$37.81 ,$646.85 ,$204.93 ,$437.44 ,$457.77 ,$437.44 ,$639.74 ,$639.74 ,$533.12 ,$497.57 ,$206.98 ,$37.45 ,$664.62 ,$215.18 ,$35.67 ,$618.41 ,$204.93 ,$639.74 ,$204.93 ,$639.74 ,$639.74 ,$639.74 ,$689.50 ,$575.76 ,$639.74 ,$639.74 ,$639.74 ,$639.74 ST. JOSEPH'S - CHIPPEWA FALLS,98180541,41252,PC RPR LAC MOUTH/TONGUE >2.6CM OR COMPLEX,981,1 ,"$1,640.40 ","$1,230.30 ",$35.67 ,"$1,640.40 ","$1,056.42 ",$204.93 ,"$1,148.28 ",$35.67 ,"$1,361.53 ",$36.74 ,"$1,082.66 ","$1,558.38 ", N/A ,"$1,312.32 ","$1,492.76 ",$35.67 ,"$1,541.98 ","$1,558.38 ","$1,476.36 ","$1,394.34 ",$35.67 ,$35.67 ,$35.67 ,"$1,197.49 ",$204.93 ,"$1,459.96 ","$1,476.36 ","$1,476.36 ","$1,312.32 ",$211.08 ,$902.22 ,"$1,476.36 ",$204.93 ,"$1,476.36 ",$204.93 ,"$1,558.38 ",$461.10 ,"$1,509.17 ",$37.81 ,"$1,492.76 ",$204.93 ,"$1,009.50 ","$1,056.42 ","$1,009.50 ","$1,476.36 ","$1,476.36 ","$1,230.30 ","$1,148.28 ",$206.98 ,$37.45 ,"$1,533.77 ",$215.18 ,$35.67 ,"$1,427.15 ",$204.93 ,"$1,476.36 ",$204.93 ,"$1,476.36 ","$1,476.36 ","$1,476.36 ","$1,591.19 ","$1,328.72 ","$1,476.36 ","$1,476.36 ","$1,476.36 ","$1,476.36 " ST. JOSEPH'S - CHIPPEWA FALLS,98180542,41800,PC DRAIN ABSC/CYST/HEMAT DENTOALVLR,981,1 ,$521.00 ,$390.75 ,$35.67 ,$521.00 ,$335.52 ,$108.42 ,$364.70 ,$35.67 ,$432.43 ,$36.74 ,$343.86 ,$494.95 , N/A ,$416.80 ,$474.11 ,$35.67 ,$489.74 ,$494.95 ,$468.90 ,$442.85 ,$35.67 ,$35.67 ,$35.67 ,$380.33 ,$108.42 ,$463.69 ,$468.90 ,$468.90 ,$416.80 ,$111.68 ,$286.55 ,$468.90 ,$108.42 ,$468.90 ,$108.42 ,$494.95 ,$243.95 ,$479.32 ,$37.81 ,$474.11 ,$108.42 ,$320.62 ,$335.52 ,$320.62 ,$468.90 ,$468.90 ,$390.75 ,$364.70 ,$109.51 ,$37.45 ,$487.14 ,$113.84 ,$35.67 ,$453.27 ,$108.42 ,$468.90 ,$108.42 ,$468.90 ,$468.90 ,$468.90 ,$505.37 ,$422.01 ,$468.90 ,$468.90 ,$468.90 ,$468.90 ST. JOSEPH'S - CHIPPEWA FALLS,98180543,41805,PC REM FB DENTOALVEOLAR SOFT TISS,981,1 ,$492.17 ,$369.13 ,$225.22 ,"$2,947.90 ",$316.96 ,"$1,310.18 ",$344.52 ,$225.22 ,$408.50 ,$231.98 ,$324.83 ,$467.56 , N/A ,$393.74 ,$447.87 ,$225.22 ,$462.64 ,$467.56 ,$442.95 ,$418.34 ,$225.22 ,$225.22 ,$225.22 ,$359.28 ,"$1,310.18 ",$438.03 ,$442.95 ,$442.95 ,$393.74 ,"$1,349.48 ",$270.69 ,$442.95 ,"$1,310.18 ",$442.95 ,"$1,310.18 ",$467.56 ,"$2,947.90 ",$452.80 ,$238.73 ,$447.87 ,"$1,310.18 ",$302.88 ,$316.96 ,$302.88 ,$442.95 ,$442.95 ,$369.13 ,$344.52 ,"$1,323.28 ",$236.48 ,$460.18 ,"$1,375.69 ",$225.22 ,$428.19 ,"$1,310.18 ",$442.95 ,"$1,310.18 ",$442.95 ,$442.95 ,$442.95 ,$477.40 ,$398.66 ,$442.95 ,$442.95 ,$442.95 ,$442.95 ST. JOSEPH'S - CHIPPEWA FALLS,98180544,42000,PC I AND D PALATE OR UVULA,981,1 ,$560.50 ,$420.38 ,$35.67 ,$560.50 ,$360.96 ,$204.93 ,$392.35 ,$35.67 ,$465.22 ,$36.74 ,$369.93 ,$532.48 , N/A ,$448.40 ,$510.06 ,$35.67 ,$526.87 ,$532.48 ,$504.45 ,$476.43 ,$35.67 ,$35.67 ,$35.67 ,$409.17 ,$204.93 ,$498.85 ,$504.45 ,$504.45 ,$448.40 ,$211.08 ,$308.28 ,$504.45 ,$204.93 ,$504.45 ,$204.93 ,$532.48 ,$461.10 ,$515.66 ,$37.81 ,$510.06 ,$204.93 ,$344.93 ,$360.96 ,$344.93 ,$504.45 ,$504.45 ,$420.38 ,$392.35 ,$206.98 ,$37.45 ,$524.07 ,$215.18 ,$35.67 ,$487.64 ,$204.93 ,$504.45 ,$204.93 ,$504.45 ,$504.45 ,$504.45 ,$543.69 ,$454.01 ,$504.45 ,$504.45 ,$504.45 ,$504.45 ST. JOSEPH'S - CHIPPEWA FALLS,98180545,42180,PC RPR LAC PALATE <2CM,981,1 ,$601.50 ,$451.13 ,$280.78 ,$985.75 ,$387.37 ,$438.11 ,$421.05 ,$280.78 ,$499.25 ,$289.20 ,$396.99 ,$571.43 , N/A ,$481.20 ,$547.37 ,$280.78 ,$565.41 ,$571.43 ,$541.35 ,$511.28 ,$280.78 ,$280.78 ,$280.78 ,$439.10 ,$438.11 ,$535.34 ,$541.35 ,$541.35 ,$481.20 ,$451.25 ,$330.83 ,$541.35 ,$438.11 ,$541.35 ,$438.11 ,$571.43 ,$985.75 ,$553.38 ,$297.63 ,$547.37 ,$438.11 ,$370.16 ,$387.37 ,$370.16 ,$541.35 ,$541.35 ,$451.13 ,$421.05 ,$442.49 ,$294.82 ,$562.40 ,$460.02 ,$280.78 ,$523.31 ,$438.11 ,$541.35 ,$438.11 ,$541.35 ,$541.35 ,$541.35 ,$583.46 ,$487.22 ,$541.35 ,$541.35 ,$541.35 ,$541.35 ST. JOSEPH'S - CHIPPEWA FALLS,98180546,42700,PC I AND D ABSC PERITONSILLAR,981,1 ,$562.45 ,$421.84 ,$35.67 ,$562.45 ,$362.22 ,$204.93 ,$393.72 ,$35.67 ,$466.83 ,$36.74 ,$371.22 ,$534.33 , N/A ,$449.96 ,$511.83 ,$35.67 ,$528.70 ,$534.33 ,$506.21 ,$478.08 ,$35.67 ,$35.67 ,$35.67 ,$410.59 ,$204.93 ,$500.58 ,$506.21 ,$506.21 ,$449.96 ,$211.08 ,$309.35 ,$506.21 ,$204.93 ,$506.21 ,$204.93 ,$534.33 ,$461.10 ,$517.45 ,$37.81 ,$511.83 ,$204.93 ,$346.13 ,$362.22 ,$346.13 ,$506.21 ,$506.21 ,$421.84 ,$393.72 ,$206.98 ,$37.45 ,$525.89 ,$215.18 ,$35.67 ,$489.33 ,$204.93 ,$506.21 ,$204.93 ,$506.21 ,$506.21 ,$506.21 ,$545.58 ,$455.58 ,$506.21 ,$506.21 ,$506.21 ,$506.21 ST. JOSEPH'S - CHIPPEWA FALLS,98180547,42809,PC REMOVE PHARYNX FOREIGN BODY,981,1 ,$578.59 ,$433.94 ,$35.67 ,$588.84 ,$372.61 ,$261.71 ,$405.01 ,$35.67 ,$480.23 ,$36.74 ,$381.87 ,$549.66 , N/A ,$462.87 ,$526.52 ,$35.67 ,$543.87 ,$549.66 ,$520.73 ,$491.80 ,$35.67 ,$35.67 ,$35.67 ,$422.37 ,$261.71 ,$514.95 ,$520.73 ,$520.73 ,$462.87 ,$269.56 ,$318.22 ,$520.73 ,$261.71 ,$520.73 ,$261.71 ,$549.66 ,$588.84 ,$532.30 ,$37.81 ,$526.52 ,$261.71 ,$356.06 ,$372.61 ,$356.06 ,$520.73 ,$520.73 ,$433.94 ,$405.01 ,$264.33 ,$37.45 ,$540.98 ,$274.80 ,$35.67 ,$503.37 ,$261.71 ,$520.73 ,$261.71 ,$520.73 ,$520.73 ,$520.73 ,$561.23 ,$468.66 ,$520.73 ,$520.73 ,$520.73 ,$520.73 ST. JOSEPH'S - CHIPPEWA FALLS,98180548,42900,PC SUTURE PHARYNX,981,1 ,"$1,551.94 ","$1,163.96 ",$280.78 ,"$2,947.90 ",$999.45 ,"$1,310.18 ","$1,086.36 ",$280.78 ,"$1,288.11 ",$289.20 ,"$1,024.28 ","$1,474.34 ", N/A ,"$1,241.55 ","$1,412.27 ",$280.78 ,"$1,458.82 ","$1,474.34 ","$1,396.75 ","$1,319.15 ",$280.78 ,$280.78 ,$280.78 ,"$1,132.92 ","$1,310.18 ","$1,381.23 ","$1,396.75 ","$1,396.75 ","$1,241.55 ","$1,349.48 ",$853.57 ,"$1,396.75 ","$1,310.18 ","$1,396.75 ","$1,310.18 ","$1,474.34 ","$2,947.90 ","$1,427.78 ",$297.63 ,"$1,412.27 ","$1,310.18 ",$955.06 ,$999.45 ,$955.06 ,"$1,396.75 ","$1,396.75 ","$1,163.96 ","$1,086.36 ","$1,323.28 ",$294.82 ,"$1,451.06 ","$1,375.69 ",$280.78 ,"$1,350.19 ","$1,310.18 ","$1,396.75 ","$1,310.18 ","$1,396.75 ","$1,396.75 ","$1,396.75 ","$1,505.38 ","$1,257.07 ","$1,396.75 ","$1,396.75 ","$1,396.75 ","$1,396.75 " ST. JOSEPH'S - CHIPPEWA FALLS,98180549,42960,PC CNTRL HEMORR OROPHARY SIMPLE,981,1 ,$636.33 ,$477.25 ,$280.78 ,$985.75 ,$409.80 ,$438.11 ,$445.43 ,$280.78 ,$528.15 ,$289.20 ,$419.98 ,$604.51 , N/A ,$509.06 ,$579.06 ,$280.78 ,$598.15 ,$604.51 ,$572.70 ,$540.88 ,$280.78 ,$280.78 ,$280.78 ,$464.52 ,$438.11 ,$566.33 ,$572.70 ,$572.70 ,$509.06 ,$451.25 ,$349.98 ,$572.70 ,$438.11 ,$572.70 ,$438.11 ,$604.51 ,$985.75 ,$585.42 ,$297.63 ,$579.06 ,$438.11 ,$391.60 ,$409.80 ,$391.60 ,$572.70 ,$572.70 ,$477.25 ,$445.43 ,$442.49 ,$294.82 ,$594.97 ,$460.02 ,$280.78 ,$553.61 ,$438.11 ,$572.70 ,$438.11 ,$572.70 ,$572.70 ,$572.70 ,$617.24 ,$515.43 ,$572.70 ,$572.70 ,$572.70 ,$572.70 ST. JOSEPH'S - CHIPPEWA FALLS,98180550,43753,PC INTUBTION GASTRIC LAVAGE,981,1 ,$112.10 ,$84.08 ,$61.66 ,$576.27 ,$72.19 ,$256.12 ,$78.47 ,$112.10 ,$93.04 ,$205.09 ,$73.99 ,$106.50 , N/A ,$89.68 ,$102.01 ,$112.10 ,$105.37 ,$106.50 ,$100.89 ,$95.29 ,$199.12 ,$199.12 ,$199.12 ,$81.83 ,$256.12 ,$99.77 ,$100.89 ,$100.89 ,$89.68 ,$263.80 ,$61.66 ,$100.89 ,$256.12 ,$100.89 ,$256.12 ,$106.50 ,$576.27 ,$103.13 ,$211.07 ,$102.01 ,$256.12 ,$68.99 ,$72.19 ,$68.99 ,$100.89 ,$100.89 ,$84.08 ,$78.47 ,$258.68 ,$209.08 ,$104.81 ,$268.93 ,$112.10 ,$97.53 ,$256.12 ,$100.89 ,$256.12 ,$100.89 ,$100.89 ,$100.89 ,$108.74 ,$90.80 ,$100.89 ,$100.89 ,$100.89 ,$100.89 ST. JOSEPH'S - CHIPPEWA FALLS,98180551,45300,PC PROCTOSIGMOIDOSCOPY RIGID DIAG,981,1 ,$273.01 ,$204.76 ,$150.16 ,"$1,729.46 ",$175.82 ,$768.65 ,$191.11 ,$273.01 ,$226.60 ,$302.59 ,$180.19 ,$259.36 , N/A ,$218.41 ,$248.44 ,$273.01 ,$256.63 ,$259.36 ,$245.71 ,$232.06 ,$293.78 ,$293.78 ,$293.78 ,$199.30 ,$768.65 ,$242.98 ,$245.71 ,$245.71 ,$218.41 ,$791.71 ,$150.16 ,$245.71 ,$768.65 ,$245.71 ,$768.65 ,$259.36 ,"$1,729.46 ",$251.17 ,$311.41 ,$248.44 ,$768.65 ,$168.01 ,$175.82 ,$168.01 ,$245.71 ,$245.71 ,$204.76 ,$191.11 ,$776.34 ,$308.47 ,$255.26 ,$807.08 ,$273.01 ,$237.52 ,$768.65 ,$245.71 ,$768.65 ,$245.71 ,$245.71 ,$245.71 ,$264.82 ,$221.14 ,$245.71 ,$245.71 ,$245.71 ,$245.71 ST. JOSEPH'S - CHIPPEWA FALLS,98180552,45330,PC SIGMOIDOSCOPY FLEXIBLE DIAG,981,1 ,$529.98 ,$397.49 ,$291.49 ,"$1,729.46 ",$341.31 ,$768.65 ,$370.99 ,$293.78 ,$439.88 ,$302.59 ,$349.79 ,$503.48 , N/A ,$423.98 ,$482.28 ,$293.78 ,$498.18 ,$503.48 ,$476.98 ,$450.48 ,$293.78 ,$293.78 ,$293.78 ,$386.89 ,$768.65 ,$471.68 ,$476.98 ,$476.98 ,$423.98 ,$791.71 ,$291.49 ,$476.98 ,$768.65 ,$476.98 ,$768.65 ,$503.48 ,"$1,729.46 ",$487.58 ,$311.41 ,$482.28 ,$768.65 ,$326.15 ,$341.31 ,$326.15 ,$476.98 ,$476.98 ,$397.49 ,$370.99 ,$776.34 ,$308.47 ,$495.53 ,$807.08 ,$293.78 ,$461.08 ,$768.65 ,$476.98 ,$768.65 ,$476.98 ,$476.98 ,$476.98 ,$514.08 ,$429.28 ,$476.98 ,$476.98 ,$476.98 ,$476.98 ST. JOSEPH'S - CHIPPEWA FALLS,98180553,45900,PC REDUCE PROCIDENTIA W/ANESTH,981,1 ,$691.82 ,$518.87 ,$380.50 ,"$1,729.46 ",$445.53 ,$768.65 ,$484.27 ,$481.41 ,$574.21 ,$495.85 ,$456.60 ,$657.23 , N/A ,$553.46 ,$629.56 ,$481.41 ,$650.31 ,$657.23 ,$622.64 ,$588.05 ,$481.41 ,$481.41 ,$481.41 ,$505.03 ,$768.65 ,$615.72 ,$622.64 ,$622.64 ,$553.46 ,$791.71 ,$380.50 ,$622.64 ,$768.65 ,$622.64 ,$768.65 ,$657.23 ,"$1,729.46 ",$636.47 ,$510.29 ,$629.56 ,$768.65 ,$425.75 ,$445.53 ,$425.75 ,$622.64 ,$622.64 ,$518.87 ,$484.27 ,$776.34 ,$505.48 ,$646.85 ,$807.08 ,$481.41 ,$601.88 ,$768.65 ,$622.64 ,$768.65 ,$622.64 ,$622.64 ,$622.64 ,$671.07 ,$560.37 ,$622.64 ,$622.64 ,$622.64 ,$622.64 ST. JOSEPH'S - CHIPPEWA FALLS,98180554,46040,PC INCISION RECTAL ABSCESS,981,1 ,"$1,257.30 ",$942.98 ,$481.41 ,"$2,259.67 ",$809.70 ,"$1,004.30 ",$880.11 ,$481.41 ,"$1,043.56 ",$495.85 ,$829.82 ,"$1,194.44 ", N/A ,"$1,005.84 ","$1,144.14 ",$481.41 ,"$1,181.86 ","$1,194.44 ","$1,131.57 ","$1,068.71 ",$481.41 ,$481.41 ,$481.41 ,$917.83 ,"$1,004.30 ","$1,119.00 ","$1,131.57 ","$1,131.57 ","$1,005.84 ","$1,034.42 ",$691.52 ,"$1,131.57 ","$1,004.30 ","$1,131.57 ","$1,004.30 ","$1,194.44 ","$2,259.67 ","$1,156.72 ",$510.29 ,"$1,144.14 ","$1,004.30 ",$773.74 ,$809.70 ,$773.74 ,"$1,131.57 ","$1,131.57 ",$942.98 ,$880.11 ,"$1,014.34 ",$505.48 ,"$1,175.58 ","$1,054.52 ",$481.41 ,"$1,093.85 ","$1,004.30 ","$1,131.57 ","$1,004.30 ","$1,131.57 ","$1,131.57 ","$1,131.57 ","$1,219.58 ","$1,018.41 ","$1,131.57 ","$1,131.57 ","$1,131.57 ","$1,131.57 " ST. JOSEPH'S - CHIPPEWA FALLS,98180555,46050,PC I AND D PERIANAL ABSCESS SUPFIC,981,1 ,$616.91 ,$462.68 ,$339.30 ,"$1,729.46 ",$397.29 ,$768.65 ,$431.84 ,$481.41 ,$512.04 ,$495.85 ,$407.16 ,$586.06 , N/A ,$493.53 ,$561.39 ,$481.41 ,$579.90 ,$586.06 ,$555.22 ,$524.37 ,$481.41 ,$481.41 ,$481.41 ,$450.34 ,$768.65 ,$549.05 ,$555.22 ,$555.22 ,$493.53 ,$791.71 ,$339.30 ,$555.22 ,$768.65 ,$555.22 ,$768.65 ,$586.06 ,"$1,729.46 ",$567.56 ,$510.29 ,$561.39 ,$768.65 ,$379.65 ,$397.29 ,$379.65 ,$555.22 ,$555.22 ,$462.68 ,$431.84 ,$776.34 ,$505.48 ,$576.81 ,$807.08 ,$481.41 ,$536.71 ,$768.65 ,$555.22 ,$768.65 ,$555.22 ,$555.22 ,$555.22 ,$598.40 ,$499.70 ,$555.22 ,$555.22 ,$555.22 ,$555.22 ST. JOSEPH'S - CHIPPEWA FALLS,98180556,46083,PC INC HEMORRHOID EXTERNAL,981,1 ,$380.50 ,$285.38 ,$209.28 ,$579.95 ,$245.04 ,$257.76 ,$266.35 ,$380.50 ,$315.82 ,$495.85 ,$251.13 ,$361.48 , N/A ,$304.40 ,$346.26 ,$380.50 ,$357.67 ,$361.48 ,$342.45 ,$323.43 ,$481.41 ,$481.41 ,$481.41 ,$277.77 ,$257.76 ,$338.65 ,$342.45 ,$342.45 ,$304.40 ,$265.49 ,$209.28 ,$342.45 ,$257.76 ,$342.45 ,$257.76 ,$361.48 ,$579.95 ,$350.06 ,$510.29 ,$346.26 ,$257.76 ,$234.16 ,$245.04 ,$234.16 ,$342.45 ,$342.45 ,$285.38 ,$266.35 ,$260.33 ,$505.48 ,$355.77 ,$270.65 ,$380.50 ,$331.04 ,$257.76 ,$342.45 ,$257.76 ,$342.45 ,$342.45 ,$342.45 ,$369.09 ,$308.21 ,$342.45 ,$342.45 ,$342.45 ,$342.45 ST. JOSEPH'S - CHIPPEWA FALLS,98180557,46320,PC EXC THROMBOSED HEMORRHOID EXTERNAL,981,1 ,$593.07 ,$444.80 ,$326.19 ,"$2,259.67 ",$381.94 ,"$1,004.30 ",$415.15 ,$481.41 ,$492.25 ,$495.85 ,$391.43 ,$563.42 , N/A ,$474.46 ,$539.69 ,$481.41 ,$557.49 ,$563.42 ,$533.76 ,$504.11 ,$481.41 ,$481.41 ,$481.41 ,$432.94 ,"$1,004.30 ",$527.83 ,$533.76 ,$533.76 ,$474.46 ,"$1,034.42 ",$326.19 ,$533.76 ,"$1,004.30 ",$533.76 ,"$1,004.30 ",$563.42 ,"$2,259.67 ",$545.62 ,$510.29 ,$539.69 ,"$1,004.30 ",$364.98 ,$381.94 ,$364.98 ,$533.76 ,$533.76 ,$444.80 ,$415.15 ,"$1,014.34 ",$505.48 ,$554.52 ,"$1,054.52 ",$481.41 ,$515.97 ,"$1,004.30 ",$533.76 ,"$1,004.30 ",$533.76 ,$533.76 ,$533.76 ,$575.28 ,$480.39 ,$533.76 ,$533.76 ,$533.76 ,$533.76 ST. JOSEPH'S - CHIPPEWA FALLS,98180558,46600,PC ANOSCOPY,981,1 ,$204.00 ,$153.00 ,$53.35 ,$243.95 ,$131.38 ,$108.42 ,$142.80 ,$53.35 ,$169.32 ,$54.95 ,$134.64 ,$193.80 , N/A ,$163.20 ,$185.64 ,$53.35 ,$191.76 ,$193.80 ,$183.60 ,$173.40 ,$53.35 ,$53.35 ,$53.35 ,$148.92 ,$108.42 ,$181.56 ,$183.60 ,$183.60 ,$163.20 ,$111.68 ,$112.20 ,$183.60 ,$108.42 ,$183.60 ,$108.42 ,$193.80 ,$243.95 ,$187.68 ,$56.55 ,$185.64 ,$108.42 ,$125.54 ,$131.38 ,$125.54 ,$183.60 ,$183.60 ,$153.00 ,$142.80 ,$109.51 ,$56.02 ,$190.74 ,$113.84 ,$53.35 ,$177.48 ,$108.42 ,$183.60 ,$108.42 ,$183.60 ,$183.60 ,$183.60 ,$197.88 ,$165.24 ,$183.60 ,$183.60 ,$183.60 ,$183.60 ST. JOSEPH'S - CHIPPEWA FALLS,98180559,46945,PC HEMMORRHOID LIGATION INTERNAL SINGLE,981,1 ,$474.50 ,$355.88 ,$260.98 ,"$5,324.45 ",$305.58 ,"$2,366.42 ",$332.15 ,$474.50 ,$393.84 ,$495.85 ,$313.17 ,$450.78 , N/A ,$379.60 ,$431.80 ,$474.50 ,$446.03 ,$450.78 ,$427.05 ,$403.33 ,$481.41 ,$481.41 ,$481.41 ,$346.39 ,"$2,366.42 ",$422.31 ,$427.05 ,$427.05 ,$379.60 ,"$2,437.42 ",$260.98 ,$427.05 ,"$2,366.42 ",$427.05 ,"$2,366.42 ",$450.78 ,"$5,324.45 ",$436.54 ,$510.29 ,$431.80 ,"$2,366.42 ",$292.01 ,$305.58 ,$292.01 ,$427.05 ,$427.05 ,$355.88 ,$332.15 ,"$2,390.09 ",$505.48 ,$443.66 ,"$2,484.74 ",$474.50 ,$412.82 ,"$2,366.42 ",$427.05 ,"$2,366.42 ",$427.05 ,$427.05 ,$427.05 ,$460.27 ,$384.35 ,$427.05 ,$427.05 ,$427.05 ,$427.05 ST. JOSEPH'S - CHIPPEWA FALLS,98180560,46946,PC HEMMORRHOID LIGATION INTERNAL MULTIPLE,981,1 ,$711.65 ,$533.74 ,$391.41 ,"$5,324.45 ",$458.30 ,"$2,366.42 ",$498.16 ,$481.41 ,$590.67 ,$495.85 ,$469.69 ,$676.07 , N/A ,$569.32 ,$647.60 ,$481.41 ,$668.95 ,$676.07 ,$640.49 ,$604.90 ,$481.41 ,$481.41 ,$481.41 ,$519.50 ,"$2,366.42 ",$633.37 ,$640.49 ,$640.49 ,$569.32 ,"$2,437.42 ",$391.41 ,$640.49 ,"$2,366.42 ",$640.49 ,"$2,366.42 ",$676.07 ,"$5,324.45 ",$654.72 ,$510.29 ,$647.60 ,"$2,366.42 ",$437.95 ,$458.30 ,$437.95 ,$640.49 ,$640.49 ,$533.74 ,$498.16 ,"$2,390.09 ",$505.48 ,$665.39 ,"$2,484.74 ",$481.41 ,$619.14 ,"$2,366.42 ",$640.49 ,"$2,366.42 ",$640.49 ,$640.49 ,$640.49 ,$690.30 ,$576.44 ,$640.49 ,$640.49 ,$640.49 ,$640.49 ST. JOSEPH'S - CHIPPEWA FALLS,98180561,49424,PC INJ CONTRAST ABSC/CYST,981,1 ,$387.37 ,$290.53 ,$86.58 ,$387.37 ,$249.47 , N/A ,$271.16 ,$86.58 ,$321.52 ,$89.18 ,$255.66 ,$368.00 , N/A ,$309.90 ,$352.51 ,$86.58 ,$364.13 ,$368.00 ,$348.63 ,$329.26 ,$86.58 ,$86.58 ,$86.58 ,$282.78 , N/A ,$344.76 ,$348.63 ,$348.63 ,$309.90 , N/A ,$213.05 ,$348.63 , N/A ,$348.63 , N/A ,$368.00 , N/A ,$356.38 ,$91.77 ,$352.51 , N/A ,$238.39 ,$249.47 ,$238.39 ,$348.63 ,$348.63 ,$290.53 ,$271.16 , N/A ,$90.91 ,$362.19 , N/A ,$86.58 ,$337.01 , N/A ,$348.63 , N/A ,$348.63 ,$348.63 ,$348.63 ,$375.75 ,$313.77 ,$348.63 ,$348.63 ,$348.63 ,$348.63 ST. JOSEPH'S - CHIPPEWA FALLS,98180562,51100,PC ASPIRATION BLADDER NEEDLE,981,1 ,$280.51 ,$210.38 ,$125.13 ,$579.95 ,$180.65 ,$257.76 ,$196.36 ,$125.13 ,$232.82 ,$128.88 ,$185.14 ,$266.48 , N/A ,$224.41 ,$255.26 ,$125.13 ,$263.68 ,$266.48 ,$252.46 ,$238.43 ,$125.13 ,$125.13 ,$125.13 ,$204.77 ,$257.76 ,$249.65 ,$252.46 ,$252.46 ,$224.41 ,$265.49 ,$154.28 ,$252.46 ,$257.76 ,$252.46 ,$257.76 ,$266.48 ,$579.95 ,$258.07 ,$132.64 ,$255.26 ,$257.76 ,$172.63 ,$180.65 ,$172.63 ,$252.46 ,$252.46 ,$210.38 ,$196.36 ,$260.33 ,$131.39 ,$262.28 ,$270.65 ,$125.13 ,$244.04 ,$257.76 ,$252.46 ,$257.76 ,$252.46 ,$252.46 ,$252.46 ,$272.09 ,$227.21 ,$252.46 ,$252.46 ,$252.46 ,$252.46 ST. JOSEPH'S - CHIPPEWA FALLS,98180563,51102,PC ASPIRATION BLADDER INSERT SUPRAPUBIC CATH,981,1 ,$917.90 ,$688.43 ,$444.48 ,"$3,907.15 ",$591.13 ,"$1,736.51 ",$642.53 ,$444.48 ,$761.86 ,$457.81 ,$605.81 ,$872.01 , N/A ,$734.32 ,$835.29 ,$444.48 ,$862.83 ,$872.01 ,$826.11 ,$780.22 ,$444.48 ,$444.48 ,$444.48 ,$670.07 ,"$1,736.51 ",$816.93 ,$826.11 ,$826.11 ,$734.32 ,"$1,788.61 ",$504.85 ,$826.11 ,"$1,736.51 ",$826.11 ,"$1,736.51 ",$872.01 ,"$3,907.15 ",$844.47 ,$471.15 ,$835.29 ,"$1,736.51 ",$564.88 ,$591.13 ,$564.88 ,$826.11 ,$826.11 ,$688.43 ,$642.53 ,"$1,753.88 ",$466.70 ,$858.24 ,"$1,823.34 ",$444.48 ,$798.57 ,"$1,736.51 ",$826.11 ,"$1,736.51 ",$826.11 ,$826.11 ,$826.11 ,$890.36 ,$743.50 ,$826.11 ,$826.11 ,$826.11 ,$826.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180564,51600,PC INJ CYSTOGRAM,981,1 ,$382.54 ,$286.91 ,$86.58 ,$382.54 ,$246.36 , N/A ,$267.78 ,$86.58 ,$317.51 ,$89.18 ,$252.48 ,$363.41 , N/A ,$306.03 ,$348.11 ,$86.58 ,$359.59 ,$363.41 ,$344.29 ,$325.16 ,$86.58 ,$86.58 ,$86.58 ,$279.25 , N/A ,$340.46 ,$344.29 ,$344.29 ,$306.03 , N/A ,$210.40 ,$344.29 , N/A ,$344.29 , N/A ,$363.41 , N/A ,$351.94 ,$91.77 ,$348.11 , N/A ,$235.42 ,$246.36 ,$235.42 ,$344.29 ,$344.29 ,$286.91 ,$267.78 , N/A ,$90.91 ,$357.67 , N/A ,$86.58 ,$332.81 , N/A ,$344.29 , N/A ,$344.29 ,$344.29 ,$344.29 ,$371.06 ,$309.86 ,$344.29 ,$344.29 ,$344.29 ,$344.29 ST. JOSEPH'S - CHIPPEWA FALLS,98180565,51700,PC IRRIG/LAVG/INSTL BLADDER,981,1 ,$210.10 ,$157.58 ,$22.97 ,$579.95 ,$135.30 ,$257.76 ,$147.07 ,$22.97 ,$174.38 ,$23.66 ,$138.67 ,$199.60 , N/A ,$168.08 ,$191.19 ,$22.97 ,$197.49 ,$199.60 ,$189.09 ,$178.59 ,$22.97 ,$22.97 ,$22.97 ,$153.37 ,$257.76 ,$186.99 ,$189.09 ,$189.09 ,$168.08 ,$265.49 ,$115.56 ,$189.09 ,$257.76 ,$189.09 ,$257.76 ,$199.60 ,$579.95 ,$193.29 ,$24.35 ,$191.19 ,$257.76 ,$129.30 ,$135.30 ,$129.30 ,$189.09 ,$189.09 ,$157.58 ,$147.07 ,$260.33 ,$24.12 ,$196.44 ,$270.65 ,$22.97 ,$182.79 ,$257.76 ,$189.09 ,$257.76 ,$189.09 ,$189.09 ,$189.09 ,$203.80 ,$170.18 ,$189.09 ,$189.09 ,$189.09 ,$189.09 ST. JOSEPH'S - CHIPPEWA FALLS,98180566,51701,PC CATH BLADDER NON-INDWELLING,981,1 ,$189.10 ,$141.83 ,$22.97 ,$243.95 ,$121.78 ,$108.42 ,$132.37 ,$22.97 ,$156.95 ,$23.66 ,$124.81 ,$179.65 , N/A ,$151.28 ,$172.08 ,$22.97 ,$177.75 ,$179.65 ,$170.19 ,$160.74 ,$22.97 ,$22.97 ,$22.97 ,$138.04 ,$108.42 ,$168.30 ,$170.19 ,$170.19 ,$151.28 ,$111.68 ,$104.01 ,$170.19 ,$108.42 ,$170.19 ,$108.42 ,$179.65 ,$243.95 ,$173.97 ,$24.35 ,$172.08 ,$108.42 ,$116.37 ,$121.78 ,$116.37 ,$170.19 ,$170.19 ,$141.83 ,$132.37 ,$109.51 ,$24.12 ,$176.81 ,$113.84 ,$22.97 ,$164.52 ,$108.42 ,$170.19 ,$108.42 ,$170.19 ,$170.19 ,$170.19 ,$183.43 ,$153.17 ,$170.19 ,$170.19 ,$170.19 ,$170.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180567,51703,PC CATH BLADDER COMPLEX,981,1 ,$331.47 ,$248.60 ,$22.97 ,$331.47 ,$213.47 ,$135.15 ,$232.03 ,$22.97 ,$275.12 ,$23.66 ,$218.77 ,$314.90 , N/A ,$265.18 ,$301.64 ,$22.97 ,$311.58 ,$314.90 ,$298.32 ,$281.75 ,$22.97 ,$22.97 ,$22.97 ,$241.97 ,$135.15 ,$295.01 ,$298.32 ,$298.32 ,$265.18 ,$139.21 ,$182.31 ,$298.32 ,$135.15 ,$298.32 ,$135.15 ,$314.90 ,$304.10 ,$304.95 ,$24.35 ,$301.64 ,$135.15 ,$203.99 ,$213.47 ,$203.99 ,$298.32 ,$298.32 ,$248.60 ,$232.03 ,$136.51 ,$24.12 ,$309.92 ,$141.91 ,$22.97 ,$288.38 ,$135.15 ,$298.32 ,$135.15 ,$298.32 ,$298.32 ,$298.32 ,$321.53 ,$268.49 ,$298.32 ,$298.32 ,$298.32 ,$298.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180568,51705,PC CHG TUBE CYSTOSTOMY SIMPLE,981,1 ,$382.54 ,$286.91 ,$60.28 ,$579.95 ,$246.36 ,$257.76 ,$267.78 ,$60.28 ,$317.51 ,$62.09 ,$252.48 ,$363.41 , N/A ,$306.03 ,$348.11 ,$60.28 ,$359.59 ,$363.41 ,$344.29 ,$325.16 ,$60.28 ,$60.28 ,$60.28 ,$279.25 ,$257.76 ,$340.46 ,$344.29 ,$344.29 ,$306.03 ,$265.49 ,$210.40 ,$344.29 ,$257.76 ,$344.29 ,$257.76 ,$363.41 ,$579.95 ,$351.94 ,$63.90 ,$348.11 ,$257.76 ,$235.42 ,$246.36 ,$235.42 ,$344.29 ,$344.29 ,$286.91 ,$267.78 ,$260.33 ,$63.29 ,$357.67 ,$270.65 ,$60.28 ,$332.81 ,$257.76 ,$344.29 ,$257.76 ,$344.29 ,$344.29 ,$344.29 ,$371.06 ,$309.86 ,$344.29 ,$344.29 ,$344.29 ,$344.29 ST. JOSEPH'S - CHIPPEWA FALLS,98180569,53060,PC DRAIN SKENE GLAND ABSCESS/CYST,981,1 ,$546.22 ,$409.67 ,$300.42 ,"$3,907.15 ",$351.77 ,"$1,736.51 ",$382.35 ,$546.22 ,$453.36 ,$863.80 ,$360.51 ,$518.91 , N/A ,$436.98 ,$497.06 ,$546.22 ,$513.45 ,$518.91 ,$491.60 ,$464.29 ,$838.64 ,$838.64 ,$838.64 ,$398.74 ,"$1,736.51 ",$486.14 ,$491.60 ,$491.60 ,$436.98 ,"$1,788.61 ",$300.42 ,$491.60 ,"$1,736.51 ",$491.60 ,"$1,736.51 ",$518.91 ,"$3,907.15 ",$502.52 ,$888.96 ,$497.06 ,"$1,736.51 ",$336.14 ,$351.77 ,$336.14 ,$491.60 ,$491.60 ,$409.67 ,$382.35 ,"$1,753.88 ",$880.57 ,$510.72 ,"$1,823.34 ",$546.22 ,$475.21 ,"$1,736.51 ",$491.60 ,"$1,736.51 ",$491.60 ,$491.60 ,$491.60 ,$529.83 ,$442.44 ,$491.60 ,$491.60 ,$491.60 ,$491.60 ST. JOSEPH'S - CHIPPEWA FALLS,98180570,53600,PC DILAT URETH STRICTURE SOUND INITIAL,981,1 ,$409.66 ,$307.25 ,$22.97 ,$579.95 ,$263.82 ,$257.76 ,$286.76 ,$22.97 ,$340.02 ,$23.66 ,$270.38 ,$389.18 , N/A ,$327.73 ,$372.79 ,$22.97 ,$385.08 ,$389.18 ,$368.69 ,$348.21 ,$22.97 ,$22.97 ,$22.97 ,$299.05 ,$257.76 ,$364.60 ,$368.69 ,$368.69 ,$327.73 ,$265.49 ,$225.31 ,$368.69 ,$257.76 ,$368.69 ,$257.76 ,$389.18 ,$579.95 ,$376.89 ,$24.35 ,$372.79 ,$257.76 ,$252.10 ,$263.82 ,$252.10 ,$368.69 ,$368.69 ,$307.25 ,$286.76 ,$260.33 ,$24.12 ,$383.03 ,$270.65 ,$22.97 ,$356.40 ,$257.76 ,$368.69 ,$257.76 ,$368.69 ,$368.69 ,$368.69 ,$397.37 ,$331.82 ,$368.69 ,$368.69 ,$368.69 ,$368.69 ST. JOSEPH'S - CHIPPEWA FALLS,98180571,53620,PC DILAT URETH STRICTURE FILIFORM AND FOLLOWER INITIAL,981,1 ,$682.67 ,$512.00 ,$125.13 ,"$1,252.50 ",$439.64 ,$556.66 ,$477.87 ,$125.13 ,$566.62 ,$128.88 ,$450.56 ,$648.54 , N/A ,$546.14 ,$621.23 ,$125.13 ,$641.71 ,$648.54 ,$614.40 ,$580.27 ,$125.13 ,$125.13 ,$125.13 ,$498.35 ,$556.66 ,$607.58 ,$614.40 ,$614.40 ,$546.14 ,$573.36 ,$375.47 ,$614.40 ,$556.66 ,$614.40 ,$556.66 ,$648.54 ,"$1,252.50 ",$628.06 ,$132.64 ,$621.23 ,$556.66 ,$420.12 ,$439.64 ,$420.12 ,$614.40 ,$614.40 ,$512.00 ,$477.87 ,$562.23 ,$131.39 ,$638.30 ,$584.49 ,$125.13 ,$593.92 ,$556.66 ,$614.40 ,$556.66 ,$614.40 ,$614.40 ,$614.40 ,$662.19 ,$552.96 ,$614.40 ,$614.40 ,$614.40 ,$614.40 ST. JOSEPH'S - CHIPPEWA FALLS,98180572,54220,PC IRRIG CORPORA CAVNOSA,981,1 ,"$1,309.65 ",$982.24 ,$22.97 ,"$1,309.65 ",$843.41 ,$257.76 ,$916.76 ,$22.97 ,"$1,087.01 ",$23.66 ,$864.37 ,"$1,244.17 ", N/A ,"$1,047.72 ","$1,191.78 ",$22.97 ,"$1,231.07 ","$1,244.17 ","$1,178.69 ","$1,113.20 ",$22.97 ,$22.97 ,$22.97 ,$956.04 ,$257.76 ,"$1,165.59 ","$1,178.69 ","$1,178.69 ","$1,047.72 ",$265.49 ,$720.31 ,"$1,178.69 ",$257.76 ,"$1,178.69 ",$257.76 ,"$1,244.17 ",$579.95 ,"$1,204.88 ",$24.35 ,"$1,191.78 ",$257.76 ,$805.96 ,$843.41 ,$805.96 ,"$1,178.69 ","$1,178.69 ",$982.24 ,$916.76 ,$260.33 ,$24.12 ,"$1,224.52 ",$270.65 ,$22.97 ,"$1,139.40 ",$257.76 ,"$1,178.69 ",$257.76 ,"$1,178.69 ","$1,178.69 ","$1,178.69 ","$1,270.36 ","$1,060.82 ","$1,178.69 ","$1,178.69 ","$1,178.69 ","$1,178.69 " ST. JOSEPH'S - CHIPPEWA FALLS,98180573,54235,PC INJ PENILE W/RX,981,1 ,$503.68 ,$377.76 ,$22.97 ,$579.95 ,$324.37 ,$257.76 ,$352.58 ,$22.97 ,$418.05 ,$23.66 ,$332.43 ,$478.50 , N/A ,$402.94 ,$458.35 ,$22.97 ,$473.46 ,$478.50 ,$453.31 ,$428.13 ,$22.97 ,$22.97 ,$22.97 ,$367.69 ,$257.76 ,$448.28 ,$453.31 ,$453.31 ,$402.94 ,$265.49 ,$277.02 ,$453.31 ,$257.76 ,$453.31 ,$257.76 ,$478.50 ,$579.95 ,$463.39 ,$24.35 ,$458.35 ,$257.76 ,$309.96 ,$324.37 ,$309.96 ,$453.31 ,$453.31 ,$377.76 ,$352.58 ,$260.33 ,$24.12 ,$470.94 ,$270.65 ,$22.97 ,$438.20 ,$257.76 ,$453.31 ,$257.76 ,$453.31 ,$453.31 ,$453.31 ,$488.57 ,$407.98 ,$453.31 ,$453.31 ,$453.31 ,$453.31 ST. JOSEPH'S - CHIPPEWA FALLS,98180574,54450,PC MANIP FORESKIN STRETCH,981,1 ,$503.68 ,$377.76 ,$125.13 ,$579.95 ,$324.37 ,$257.76 ,$352.58 ,$125.13 ,$418.05 ,$128.88 ,$332.43 ,$478.50 , N/A ,$402.94 ,$458.35 ,$125.13 ,$473.46 ,$478.50 ,$453.31 ,$428.13 ,$125.13 ,$125.13 ,$125.13 ,$367.69 ,$257.76 ,$448.28 ,$453.31 ,$453.31 ,$402.94 ,$265.49 ,$277.02 ,$453.31 ,$257.76 ,$453.31 ,$257.76 ,$478.50 ,$579.95 ,$463.39 ,$132.64 ,$458.35 ,$257.76 ,$309.96 ,$324.37 ,$309.96 ,$453.31 ,$453.31 ,$377.76 ,$352.58 ,$260.33 ,$131.39 ,$470.94 ,$270.65 ,$125.13 ,$438.20 ,$257.76 ,$453.31 ,$257.76 ,$453.31 ,$453.31 ,$453.31 ,$488.57 ,$407.98 ,$453.31 ,$453.31 ,$453.31 ,$453.31 ST. JOSEPH'S - CHIPPEWA FALLS,98180575,54700,PC I AND D EPIDIDYMIS TESTIS OR SCROTAL SPACE,981,1 ,$974.38 ,$730.79 ,$535.91 ,"$3,907.15 ",$627.50 ,"$1,736.51 ",$682.07 ,$609.08 ,$808.74 ,$627.35 ,$643.09 ,$925.66 , N/A ,$779.50 ,$886.69 ,$609.08 ,$915.92 ,$925.66 ,$876.94 ,$828.22 ,$609.08 ,$609.08 ,$609.08 ,$711.30 ,"$1,736.51 ",$867.20 ,$876.94 ,$876.94 ,$779.50 ,"$1,788.61 ",$535.91 ,$876.94 ,"$1,736.51 ",$876.94 ,"$1,736.51 ",$925.66 ,"$3,907.15 ",$896.43 ,$645.62 ,$886.69 ,"$1,736.51 ",$599.63 ,$627.50 ,$599.63 ,$876.94 ,$876.94 ,$730.79 ,$682.07 ,"$1,753.88 ",$639.53 ,$911.05 ,"$1,823.34 ",$609.08 ,$847.71 ,"$1,736.51 ",$876.94 ,"$1,736.51 ",$876.94 ,$876.94 ,$876.94 ,$945.15 ,$789.25 ,$876.94 ,$876.94 ,$876.94 ,$876.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180576,55100,PC DRAIN ABSC SCROTAL WALL,981,1 ,$505.22 ,$378.92 ,$277.87 ,"$3,066.03 ",$325.36 ,"$1,362.68 ",$353.65 ,$505.22 ,$419.33 ,$627.35 ,$333.45 ,$479.96 , N/A ,$404.18 ,$459.75 ,$505.22 ,$474.91 ,$479.96 ,$454.70 ,$429.44 ,$609.08 ,$609.08 ,$609.08 ,$368.81 ,"$1,362.68 ",$449.65 ,$454.70 ,$454.70 ,$404.18 ,"$1,403.56 ",$277.87 ,$454.70 ,"$1,362.68 ",$454.70 ,"$1,362.68 ",$479.96 ,"$3,066.03 ",$464.80 ,$645.62 ,$459.75 ,"$1,362.68 ",$310.91 ,$325.36 ,$310.91 ,$454.70 ,$454.70 ,$378.92 ,$353.65 ,"$1,376.31 ",$639.53 ,$472.38 ,"$1,430.81 ",$505.22 ,$439.54 ,"$1,362.68 ",$454.70 ,"$1,362.68 ",$454.70 ,$454.70 ,$454.70 ,$490.06 ,$409.23 ,$454.70 ,$454.70 ,$454.70 ,$454.70 ST. JOSEPH'S - CHIPPEWA FALLS,98180577,56405,PC I AND D ABSCESS VULVA/PERINEAL,981,1 ,$584.60 ,$438.45 ,$63.69 ,$613.38 ,$376.48 ,$272.61 ,$409.22 ,$63.69 ,$485.22 ,$65.60 ,$385.84 ,$555.37 , N/A ,$467.68 ,$531.99 ,$63.69 ,$549.52 ,$555.37 ,$526.14 ,$496.91 ,$63.69 ,$63.69 ,$63.69 ,$426.76 ,$272.61 ,$520.29 ,$526.14 ,$526.14 ,$467.68 ,$280.79 ,$321.53 ,$526.14 ,$272.61 ,$526.14 ,$272.61 ,$555.37 ,$613.38 ,$537.83 ,$67.51 ,$531.99 ,$272.61 ,$359.76 ,$376.48 ,$359.76 ,$526.14 ,$526.14 ,$438.45 ,$409.22 ,$275.34 ,$66.87 ,$546.60 ,$286.24 ,$63.69 ,$508.60 ,$272.61 ,$526.14 ,$272.61 ,$526.14 ,$526.14 ,$526.14 ,$567.06 ,$473.53 ,$526.14 ,$526.14 ,$526.14 ,$526.14 ST. JOSEPH'S - CHIPPEWA FALLS,98180578,56420,PC I AND D ABSCESS GLAND BARTHOLINS,981,1 ,$643.10 ,$482.33 ,$63.69 ,$643.10 ,$414.16 ,$164.95 ,$450.17 ,$63.69 ,$533.77 ,$65.60 ,$424.45 ,$610.95 , N/A ,$514.48 ,$585.22 ,$63.69 ,$604.51 ,$610.95 ,$578.79 ,$546.64 ,$63.69 ,$63.69 ,$63.69 ,$469.46 ,$164.95 ,$572.36 ,$578.79 ,$578.79 ,$514.48 ,$169.90 ,$353.71 ,$578.79 ,$164.95 ,$578.79 ,$164.95 ,$610.95 ,$371.15 ,$591.65 ,$67.51 ,$585.22 ,$164.95 ,$395.76 ,$414.16 ,$395.76 ,$578.79 ,$578.79 ,$482.33 ,$450.17 ,$166.60 ,$66.87 ,$601.30 ,$173.20 ,$63.69 ,$559.50 ,$164.95 ,$578.79 ,$164.95 ,$578.79 ,$578.79 ,$578.79 ,$623.81 ,$520.91 ,$578.79 ,$578.79 ,$578.79 ,$578.79 ST. JOSEPH'S - CHIPPEWA FALLS,98180579,56501,PC DESTRUCT VULVA LESION SIMPLE,981,1 ,$517.04 ,$387.78 ,$284.37 ,"$3,737.98 ",$332.97 ,"$1,661.33 ",$361.93 ,$517.04 ,$429.14 ,$821.99 ,$341.25 ,$491.19 , N/A ,$413.63 ,$470.51 ,$517.04 ,$486.02 ,$491.19 ,$465.34 ,$439.48 ,$798.05 ,$798.05 ,$798.05 ,$377.44 ,"$1,661.33 ",$460.17 ,$465.34 ,$465.34 ,$413.63 ,"$1,711.17 ",$284.37 ,$465.34 ,"$1,661.33 ",$465.34 ,"$1,661.33 ",$491.19 ,"$3,737.98 ",$475.68 ,$845.93 ,$470.51 ,"$1,661.33 ",$318.19 ,$332.97 ,$318.19 ,$465.34 ,$465.34 ,$387.78 ,$361.93 ,"$1,677.94 ",$837.95 ,$483.43 ,"$1,744.40 ",$517.04 ,$449.82 ,"$1,661.33 ",$465.34 ,"$1,661.33 ",$465.34 ,$465.34 ,$465.34 ,$501.53 ,$418.80 ,$465.34 ,$465.34 ,$465.34 ,$465.34 ST. JOSEPH'S - CHIPPEWA FALLS,98180580,57020,PC COLPOCENTESIS PELVIC,981,1 ,$537.90 ,$403.43 ,$152.54 ,"$9,608.94 ",$346.41 ,"$4,270.64 ",$376.53 ,$152.54 ,$446.46 ,$157.12 ,$355.01 ,$511.01 , N/A ,$430.32 ,$489.49 ,$152.54 ,$505.63 ,$511.01 ,$484.11 ,$457.22 ,$152.54 ,$152.54 ,$152.54 ,$392.67 ,"$4,270.64 ",$478.73 ,$484.11 ,$484.11 ,$430.32 ,"$4,398.76 ",$295.85 ,$484.11 ,"$4,270.64 ",$484.11 ,"$4,270.64 ",$511.01 ,"$9,608.94 ",$494.87 ,$161.69 ,$489.49 ,"$4,270.64 ",$331.02 ,$346.41 ,$331.02 ,$484.11 ,$484.11 ,$403.43 ,$376.53 ,"$4,313.35 ",$160.17 ,$502.94 ,"$4,484.17 ",$152.54 ,$467.97 ,"$4,270.64 ",$484.11 ,"$4,270.64 ",$484.11 ,$484.11 ,$484.11 ,$521.76 ,$435.70 ,$484.11 ,$484.11 ,$484.11 ,$484.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180581,57160,PC FITTING/INSERT INTRAVAG DEVICE,981,1 ,$215.16 ,$161.37 ,$63.69 ,$371.15 ,$138.56 ,$164.95 ,$150.61 ,$63.69 ,$178.58 ,$65.60 ,$142.01 ,$204.40 , N/A ,$172.13 ,$195.80 ,$63.69 ,$202.25 ,$204.40 ,$193.64 ,$182.89 ,$63.69 ,$63.69 ,$63.69 ,$157.07 ,$164.95 ,$191.49 ,$193.64 ,$193.64 ,$172.13 ,$169.90 ,$118.34 ,$193.64 ,$164.95 ,$193.64 ,$164.95 ,$204.40 ,$371.15 ,$197.95 ,$67.51 ,$195.80 ,$164.95 ,$132.41 ,$138.56 ,$132.41 ,$193.64 ,$193.64 ,$161.37 ,$150.61 ,$166.60 ,$66.87 ,$201.17 ,$173.20 ,$63.69 ,$187.19 ,$164.95 ,$193.64 ,$164.95 ,$193.64 ,$193.64 ,$193.64 ,$208.71 ,$174.28 ,$193.64 ,$193.64 ,$193.64 ,$193.64 ST. JOSEPH'S - CHIPPEWA FALLS,98180582,57180,PC TREAT VAGINAL BLEEDING,981,1 ,$553.31 ,$414.98 ,$152.54 ,$553.31 ,$356.33 ,$164.95 ,$387.32 ,$152.54 ,$459.25 ,$157.12 ,$365.18 ,$525.64 , N/A ,$442.65 ,$503.51 ,$152.54 ,$520.11 ,$525.64 ,$497.98 ,$470.31 ,$152.54 ,$152.54 ,$152.54 ,$403.92 ,$164.95 ,$492.45 ,$497.98 ,$497.98 ,$442.65 ,$169.90 ,$304.32 ,$497.98 ,$164.95 ,$497.98 ,$164.95 ,$525.64 ,$371.15 ,$509.05 ,$161.69 ,$503.51 ,$164.95 ,$340.51 ,$356.33 ,$340.51 ,$497.98 ,$497.98 ,$414.98 ,$387.32 ,$166.60 ,$160.17 ,$517.34 ,$173.20 ,$152.54 ,$481.38 ,$164.95 ,$497.98 ,$164.95 ,$497.98 ,$497.98 ,$497.98 ,$536.71 ,$448.18 ,$497.98 ,$497.98 ,$497.98 ,$497.98 ST. JOSEPH'S - CHIPPEWA FALLS,98180583,57200,PC RPR SUT VAGINA COLPORRHAPHY,981,1 ,"$1,618.42 ","$1,213.82 ",$798.05 ,"$5,716.30 ","$1,042.26 ","$2,540.58 ","$1,132.89 ",$798.05 ,"$1,343.29 ",$821.99 ,"$1,068.16 ","$1,537.50 ", N/A ,"$1,294.74 ","$1,472.76 ",$798.05 ,"$1,521.31 ","$1,537.50 ","$1,456.58 ","$1,375.66 ",$798.05 ,$798.05 ,$798.05 ,"$1,181.45 ","$2,540.58 ","$1,440.39 ","$1,456.58 ","$1,456.58 ","$1,294.74 ","$2,616.80 ",$890.13 ,"$1,456.58 ","$2,540.58 ","$1,456.58 ","$2,540.58 ","$1,537.50 ","$5,716.30 ","$1,488.95 ",$845.93 ,"$1,472.76 ","$2,540.58 ",$995.98 ,"$1,042.26 ",$995.98 ,"$1,456.58 ","$1,456.58 ","$1,213.82 ","$1,132.89 ","$2,565.98 ",$837.95 ,"$1,513.22 ","$2,667.61 ",$798.05 ,"$1,408.03 ","$2,540.58 ","$1,456.58 ","$2,540.58 ","$1,456.58 ","$1,456.58 ","$1,456.58 ","$1,569.87 ","$1,310.92 ","$1,456.58 ","$1,456.58 ","$1,456.58 ","$1,456.58 " ST. JOSEPH'S - CHIPPEWA FALLS,98180584,57510,PC CAUTERIZATION CERVIX ELECTRO,981,1 ,$639.00 ,$479.25 ,$351.45 ,"$5,716.30 ",$411.52 ,"$2,540.58 ",$447.30 ,$639.00 ,$530.37 ,$710.50 ,$421.74 ,$607.05 , N/A ,$511.20 ,$581.49 ,$639.00 ,$600.66 ,$607.05 ,$575.10 ,$543.15 ,$689.81 ,$689.81 ,$689.81 ,$466.47 ,"$2,540.58 ",$568.71 ,$575.10 ,$575.10 ,$511.20 ,"$2,616.80 ",$351.45 ,$575.10 ,"$2,540.58 ",$575.10 ,"$2,540.58 ",$607.05 ,"$5,716.30 ",$587.88 ,$731.20 ,$581.49 ,"$2,540.58 ",$393.24 ,$411.52 ,$393.24 ,$575.10 ,$575.10 ,$479.25 ,$447.30 ,"$2,565.98 ",$724.30 ,$597.47 ,"$2,667.61 ",$639.00 ,$555.93 ,"$2,540.58 ",$575.10 ,"$2,540.58 ",$575.10 ,$575.10 ,$575.10 ,$619.83 ,$517.59 ,$575.10 ,$575.10 ,$575.10 ,$575.10 ST. JOSEPH'S - CHIPPEWA FALLS,98180585,58301,PC REM DVC INTRAUTERINE,981,1 ,$400.21 ,$300.16 ,$63.69 ,$613.38 ,$257.74 ,$272.61 ,$280.15 ,$63.69 ,$332.17 ,$65.60 ,$264.14 ,$380.20 , N/A ,$320.17 ,$364.19 ,$63.69 ,$376.20 ,$380.20 ,$360.19 ,$340.18 ,$63.69 ,$63.69 ,$63.69 ,$292.15 ,$272.61 ,$356.19 ,$360.19 ,$360.19 ,$320.17 ,$280.79 ,$220.12 ,$360.19 ,$272.61 ,$360.19 ,$272.61 ,$380.20 ,$613.38 ,$368.19 ,$67.51 ,$364.19 ,$272.61 ,$246.29 ,$257.74 ,$246.29 ,$360.19 ,$360.19 ,$300.16 ,$280.15 ,$275.34 ,$66.87 ,$374.20 ,$286.24 ,$63.69 ,$348.18 ,$272.61 ,$360.19 ,$272.61 ,$360.19 ,$360.19 ,$360.19 ,$388.20 ,$324.17 ,$360.19 ,$360.19 ,$360.19 ,$360.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180586,59514,PC DELIVERY CESAREAN,981,1 ,"$3,482.71 ","$2,612.03 ",$785.47 ,"$3,482.71 ","$2,242.87 ", N/A ,"$2,437.90 ",$785.47 ,"$2,890.65 ",$809.03 ,"$2,298.59 ","$3,308.57 ", N/A ,"$2,786.17 ","$3,169.27 ",$785.47 ,"$3,273.75 ","$3,308.57 ","$3,134.44 ","$2,960.30 ",$785.47 ,$785.47 ,$785.47 ,"$2,542.38 ", N/A ,"$3,099.61 ","$3,134.44 ","$3,134.44 ","$2,786.17 ", N/A ,"$1,915.49 ","$3,134.44 ", N/A ,"$3,134.44 ", N/A ,"$3,308.57 ", N/A ,"$3,204.09 ",$832.60 ,"$3,169.27 ", N/A ,"$2,143.26 ","$2,242.87 ","$2,143.26 ","$3,134.44 ","$3,134.44 ","$2,612.03 ","$2,437.90 ", N/A ,$824.74 ,"$3,256.33 ", N/A ,$785.47 ,"$3,029.96 ", N/A ,"$3,134.44 ", N/A ,"$3,134.44 ","$3,134.44 ","$3,134.44 ","$3,378.23 ","$2,821.00 ","$3,134.44 ","$3,134.44 ","$3,134.44 ","$3,134.44 " ST. JOSEPH'S - CHIPPEWA FALLS,98180588,61020,PC PUNCTURE VENTRCLR BRAIN REMOVE FLUID,981,1 ,$969.45 ,$727.09 ,$121.61 ,"$1,792.24 ",$624.33 ,$796.55 ,$678.62 ,$121.61 ,$804.64 ,$125.26 ,$639.84 ,$920.98 , N/A ,$775.56 ,$882.20 ,$121.61 ,$911.28 ,$920.98 ,$872.51 ,$824.03 ,$121.61 ,$121.61 ,$121.61 ,$707.70 ,$796.55 ,$862.81 ,$872.51 ,$872.51 ,$775.56 ,$820.45 ,$533.20 ,$872.51 ,$796.55 ,$872.51 ,$796.55 ,$920.98 ,"$1,792.24 ",$891.89 ,$128.91 ,$882.20 ,$796.55 ,$596.60 ,$624.33 ,$596.60 ,$872.51 ,$872.51 ,$727.09 ,$678.62 ,$804.52 ,$127.69 ,$906.44 ,$836.38 ,$121.61 ,$843.42 ,$796.55 ,$872.51 ,$796.55 ,$872.51 ,$872.51 ,$872.51 ,$940.37 ,$785.25 ,$872.51 ,$872.51 ,$872.51 ,$872.51 ST. JOSEPH'S - CHIPPEWA FALLS,98180589,62311,PC INJ EPIDURAL SUBARACH L/S S,981,1 ,$911.39 ,$683.54 ,$501.26 ,$911.39 ,$586.94 , N/A ,$637.97 , N/A ,$756.45 , N/A ,$601.52 ,$865.82 , N/A ,$729.11 ,$829.36 , N/A ,$856.71 ,$865.82 ,$820.25 ,$774.68 , N/A , N/A , N/A ,$665.31 , N/A ,$811.14 ,$820.25 ,$820.25 ,$729.11 , N/A ,$501.26 ,$820.25 , N/A ,$820.25 , N/A ,$865.82 , N/A ,$838.48 , N/A ,$829.36 , N/A ,$560.87 ,$586.94 ,$560.87 ,$820.25 ,$820.25 ,$683.54 ,$637.97 , N/A , N/A ,$852.15 , N/A , N/A ,$792.91 , N/A ,$820.25 , N/A ,$820.25 ,$820.25 ,$820.25 ,$884.05 ,$738.23 ,$820.25 ,$820.25 ,$820.25 ,$820.25 ST. JOSEPH'S - CHIPPEWA FALLS,98180590,64400,PC INJ ANES NERVE TRIGEMINAL,981,1 ,$694.38 ,$520.79 ,$121.61 ,$694.38 ,$447.18 ,$252.94 ,$486.07 ,$121.61 ,$576.34 ,$125.26 ,$458.29 ,$659.66 , N/A ,$555.50 ,$631.89 ,$121.61 ,$652.72 ,$659.66 ,$624.94 ,$590.22 ,$121.61 ,$121.61 ,$121.61 ,$506.90 ,$252.94 ,$618.00 ,$624.94 ,$624.94 ,$555.50 ,$260.53 ,$381.91 ,$624.94 ,$252.94 ,$624.94 ,$252.94 ,$659.66 ,$569.12 ,$638.83 ,$128.91 ,$631.89 ,$252.94 ,$427.32 ,$447.18 ,$427.32 ,$624.94 ,$624.94 ,$520.79 ,$486.07 ,$255.47 ,$127.69 ,$649.25 ,$265.59 ,$121.61 ,$604.11 ,$252.94 ,$624.94 ,$252.94 ,$624.94 ,$624.94 ,$624.94 ,$673.55 ,$562.45 ,$624.94 ,$624.94 ,$624.94 ,$624.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180591,64499,PC INJ ANES NERVE FACIAL,981,1 ,$631.20 ,$473.40 ,$347.16 ,$631.20 ,$406.49 , N/A ,$441.84 , N/A ,$523.90 , N/A ,$416.59 ,$599.64 , N/A ,$504.96 ,$574.39 , N/A ,$593.33 ,$599.64 ,$568.08 ,$536.52 , N/A , N/A , N/A ,$460.78 , N/A ,$561.77 ,$568.08 ,$568.08 ,$504.96 , N/A ,$347.16 ,$568.08 , N/A ,$568.08 , N/A ,$599.64 , N/A ,$580.70 , N/A ,$574.39 , N/A ,$388.44 ,$406.49 ,$388.44 ,$568.08 ,$568.08 ,$473.40 ,$441.84 , N/A , N/A ,$590.17 , N/A , N/A ,$549.14 , N/A ,$568.08 , N/A ,$568.08 ,$568.08 ,$568.08 ,$612.26 ,$511.27 ,$568.08 ,$568.08 ,$568.08 ,$568.08 ST. JOSEPH'S - CHIPPEWA FALLS,98180592,64405,PC INJ ANES NERVE OCCIPITAL,981,1 ,$490.12 ,$367.59 ,$121.61 ,$569.12 ,$315.64 ,$252.94 ,$343.08 ,$121.61 ,$406.80 ,$125.26 ,$323.48 ,$465.61 , N/A ,$392.10 ,$446.01 ,$121.61 ,$460.71 ,$465.61 ,$441.11 ,$416.60 ,$121.61 ,$121.61 ,$121.61 ,$357.79 ,$252.94 ,$436.21 ,$441.11 ,$441.11 ,$392.10 ,$260.53 ,$269.57 ,$441.11 ,$252.94 ,$441.11 ,$252.94 ,$465.61 ,$569.12 ,$450.91 ,$128.91 ,$446.01 ,$252.94 ,$301.62 ,$315.64 ,$301.62 ,$441.11 ,$441.11 ,$367.59 ,$343.08 ,$255.47 ,$127.69 ,$458.26 ,$265.59 ,$121.61 ,$426.40 ,$252.94 ,$441.11 ,$252.94 ,$441.11 ,$441.11 ,$441.11 ,$475.42 ,$397.00 ,$441.11 ,$441.11 ,$441.11 ,$441.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180593,64420,PC INJ ANES NERVE INTERCOSTAL SINGLE,981,1 ,$980.44 ,$735.33 ,$121.61 ,"$1,382.85 ",$631.40 ,$614.60 ,$686.31 ,$121.61 ,$813.77 ,$125.26 ,$647.09 ,$931.42 , N/A ,$784.35 ,$892.20 ,$121.61 ,$921.61 ,$931.42 ,$882.40 ,$833.37 ,$121.61 ,$121.61 ,$121.61 ,$715.72 ,$614.60 ,$872.59 ,$882.40 ,$882.40 ,$784.35 ,$633.04 ,$539.24 ,$882.40 ,$614.60 ,$882.40 ,$614.60 ,$931.42 ,"$1,382.85 ",$902.00 ,$128.91 ,$892.20 ,$614.60 ,$603.36 ,$631.40 ,$603.36 ,$882.40 ,$882.40 ,$735.33 ,$686.31 ,$620.75 ,$127.69 ,$916.71 ,$645.33 ,$121.61 ,$852.98 ,$614.60 ,$882.40 ,$614.60 ,$882.40 ,$882.40 ,$882.40 ,$951.03 ,$794.16 ,$882.40 ,$882.40 ,$882.40 ,$882.40 ST. JOSEPH'S - CHIPPEWA FALLS,98180594,64421,PC INJ ANES NERVE INTERCOSTAL MULTIPLE,981,1 ,"$1,307.19 ",$980.39 ,$349.28 ,"$1,792.24 ",$841.83 ,$796.55 ,$915.03 ,$349.28 ,"$1,084.97 ",$359.76 ,$862.75 ,"$1,241.83 ", N/A ,"$1,045.75 ","$1,189.54 ",$349.28 ,"$1,228.76 ","$1,241.83 ","$1,176.47 ","$1,111.11 ",$349.28 ,$349.28 ,$349.28 ,$954.25 ,$796.55 ,"$1,163.40 ","$1,176.47 ","$1,176.47 ","$1,045.75 ",$820.45 ,$718.95 ,"$1,176.47 ",$796.55 ,"$1,176.47 ",$796.55 ,"$1,241.83 ","$1,792.24 ","$1,202.61 ",$370.24 ,"$1,189.54 ",$796.55 ,$804.44 ,$841.83 ,$804.44 ,"$1,176.47 ","$1,176.47 ",$980.39 ,$915.03 ,$804.52 ,$366.74 ,"$1,222.22 ",$836.38 ,$349.28 ,"$1,137.26 ",$796.55 ,"$1,176.47 ",$796.55 ,"$1,176.47 ","$1,176.47 ","$1,176.47 ","$1,267.97 ","$1,058.82 ","$1,176.47 ","$1,176.47 ","$1,176.47 ","$1,176.47 " ST. JOSEPH'S - CHIPPEWA FALLS,98180595,64430,PC INJ ANES NERVE PUDENDAL,981,1 ,$735.38 ,$551.54 ,$349.28 ,"$1,792.24 ",$473.58 ,$796.55 ,$514.77 ,$349.28 ,$610.37 ,$359.76 ,$485.35 ,$698.61 , N/A ,$588.30 ,$669.20 ,$349.28 ,$691.26 ,$698.61 ,$661.84 ,$625.07 ,$349.28 ,$349.28 ,$349.28 ,$536.83 ,$796.55 ,$654.49 ,$661.84 ,$661.84 ,$588.30 ,$820.45 ,$404.46 ,$661.84 ,$796.55 ,$661.84 ,$796.55 ,$698.61 ,"$1,792.24 ",$676.55 ,$370.24 ,$669.20 ,$796.55 ,$452.55 ,$473.58 ,$452.55 ,$661.84 ,$661.84 ,$551.54 ,$514.77 ,$804.52 ,$366.74 ,$687.58 ,$836.38 ,$349.28 ,$639.78 ,$796.55 ,$661.84 ,$796.55 ,$661.84 ,$661.84 ,$661.84 ,$713.32 ,$595.66 ,$661.84 ,$661.84 ,$661.84 ,$661.84 ST. JOSEPH'S - CHIPPEWA FALLS,98180596,64447,PC INJ ANES NERVE FEMORAL SGL,981,1 ,$571.91 ,$428.93 ,$121.61 ,"$1,382.85 ",$368.31 ,$614.60 ,$400.34 ,$121.61 ,$474.69 ,$125.26 ,$377.46 ,$543.31 , N/A ,$457.53 ,$520.44 ,$121.61 ,$537.60 ,$543.31 ,$514.72 ,$486.12 ,$121.61 ,$121.61 ,$121.61 ,$417.49 ,$614.60 ,$509.00 ,$514.72 ,$514.72 ,$457.53 ,$633.04 ,$314.55 ,$514.72 ,$614.60 ,$514.72 ,$614.60 ,$543.31 ,"$1,382.85 ",$526.16 ,$128.91 ,$520.44 ,$614.60 ,$351.95 ,$368.31 ,$351.95 ,$514.72 ,$514.72 ,$428.93 ,$400.34 ,$620.75 ,$127.69 ,$534.74 ,$645.33 ,$121.61 ,$497.56 ,$614.60 ,$514.72 ,$614.60 ,$514.72 ,$514.72 ,$514.72 ,$554.75 ,$463.25 ,$514.72 ,$514.72 ,$514.72 ,$514.72 ST. JOSEPH'S - CHIPPEWA FALLS,98180597,65435,PC REM CORNEAL EPITHELIUM,981,1 ,$395.38 ,$296.54 ,$217.46 ,"$1,764.09 ",$254.62 ,$784.04 ,$276.77 ,$395.38 ,$328.17 ,$450.93 ,$260.95 ,$375.61 , N/A ,$316.30 ,$359.80 ,$395.38 ,$371.66 ,$375.61 ,$355.84 ,$336.07 ,$437.80 ,$437.80 ,$437.80 ,$288.63 ,$784.04 ,$351.89 ,$355.84 ,$355.84 ,$316.30 ,$807.56 ,$217.46 ,$355.84 ,$784.04 ,$355.84 ,$784.04 ,$375.61 ,"$1,764.09 ",$363.75 ,$464.07 ,$359.80 ,$784.04 ,$243.32 ,$254.62 ,$243.32 ,$355.84 ,$355.84 ,$296.54 ,$276.77 ,$791.88 ,$459.69 ,$369.68 ,$823.24 ,$395.38 ,$343.98 ,$784.04 ,$355.84 ,$784.04 ,$355.84 ,$355.84 ,$355.84 ,$383.52 ,$320.26 ,$355.84 ,$355.84 ,$355.84 ,$355.84 ST. JOSEPH'S - CHIPPEWA FALLS,98180598,67700,PC I AND D BLEPHAROTOMY EYELID,981,1 ,$340.50 ,$255.38 ,$187.28 ,$569.36 ,$219.28 ,$253.05 ,$238.35 ,$193.33 ,$282.62 ,$199.13 ,$224.73 ,$323.48 , N/A ,$272.40 ,$309.86 ,$193.33 ,$320.07 ,$323.48 ,$306.45 ,$289.43 ,$193.33 ,$193.33 ,$193.33 ,$248.57 ,$253.05 ,$303.05 ,$306.45 ,$306.45 ,$272.40 ,$260.64 ,$187.28 ,$306.45 ,$253.05 ,$306.45 ,$253.05 ,$323.48 ,$569.36 ,$313.26 ,$204.93 ,$309.86 ,$253.05 ,$209.54 ,$219.28 ,$209.54 ,$306.45 ,$306.45 ,$255.38 ,$238.35 ,$255.58 ,$203.00 ,$318.37 ,$265.70 ,$193.33 ,$296.24 ,$253.05 ,$306.45 ,$253.05 ,$306.45 ,$306.45 ,$306.45 ,$330.29 ,$275.81 ,$306.45 ,$306.45 ,$306.45 ,$306.45 ST. JOSEPH'S - CHIPPEWA FALLS,98180599,67715,PC CANTHOTOMY INC EYELID FOLD,981,1 ,$470.08 ,$352.56 ,$193.33 ,"$4,363.37 ",$302.73 ,"$1,939.28 ",$329.06 ,$193.33 ,$390.17 ,$199.13 ,$310.25 ,$446.58 , N/A ,$376.06 ,$427.77 ,$193.33 ,$441.88 ,$446.58 ,$423.07 ,$399.57 ,$193.33 ,$193.33 ,$193.33 ,$343.16 ,"$1,939.28 ",$418.37 ,$423.07 ,$423.07 ,$376.06 ,"$1,997.45 ",$258.54 ,$423.07 ,"$1,939.28 ",$423.07 ,"$1,939.28 ",$446.58 ,"$4,363.37 ",$432.47 ,$204.93 ,$427.77 ,"$1,939.28 ",$289.29 ,$302.73 ,$289.29 ,$423.07 ,$423.07 ,$352.56 ,$329.06 ,"$1,958.67 ",$203.00 ,$439.52 ,"$2,036.24 ",$193.33 ,$408.97 ,"$1,939.28 ",$423.07 ,"$1,939.28 ",$423.07 ,$423.07 ,$423.07 ,$455.98 ,$380.76 ,$423.07 ,$423.07 ,$423.07 ,$423.07 ST. JOSEPH'S - CHIPPEWA FALLS,98180600,69000,PC DRAIN ABSC/HEMA EAR EXT SMP,981,1 ,$472.65 ,$354.49 ,$35.67 ,"$1,355.35 ",$304.39 ,$602.38 ,$330.86 ,$35.67 ,$392.30 ,$36.74 ,$311.95 ,$449.02 , N/A ,$378.12 ,$430.11 ,$35.67 ,$444.29 ,$449.02 ,$425.39 ,$401.75 ,$35.67 ,$35.67 ,$35.67 ,$345.03 ,$602.38 ,$420.66 ,$425.39 ,$425.39 ,$378.12 ,$620.45 ,$259.96 ,$425.39 ,$602.38 ,$425.39 ,$602.38 ,$449.02 ,"$1,355.35 ",$434.84 ,$37.81 ,$430.11 ,$602.38 ,$290.87 ,$304.39 ,$290.87 ,$425.39 ,$425.39 ,$354.49 ,$330.86 ,$608.40 ,$37.45 ,$441.93 ,$632.50 ,$35.67 ,$411.21 ,$602.38 ,$425.39 ,$602.38 ,$425.39 ,$425.39 ,$425.39 ,$458.47 ,$382.85 ,$425.39 ,$425.39 ,$425.39 ,$425.39 ST. JOSEPH'S - CHIPPEWA FALLS,98180601,69020,PC DRAIN EXT AUDITORY CANAL,981,1 ,$507.69 ,$380.77 ,$35.67 ,"$1,355.35 ",$326.95 ,$602.38 ,$355.38 ,$35.67 ,$421.38 ,$36.74 ,$335.08 ,$482.31 , N/A ,$406.15 ,$462.00 ,$35.67 ,$477.23 ,$482.31 ,$456.92 ,$431.54 ,$35.67 ,$35.67 ,$35.67 ,$370.61 ,$602.38 ,$451.84 ,$456.92 ,$456.92 ,$406.15 ,$620.45 ,$279.23 ,$456.92 ,$602.38 ,$456.92 ,$602.38 ,$482.31 ,"$1,355.35 ",$467.07 ,$37.81 ,$462.00 ,$602.38 ,$312.43 ,$326.95 ,$312.43 ,$456.92 ,$456.92 ,$380.77 ,$355.38 ,$608.40 ,$37.45 ,$474.69 ,$632.50 ,$35.67 ,$441.69 ,$602.38 ,$456.92 ,$602.38 ,$456.92 ,$456.92 ,$456.92 ,$492.46 ,$411.23 ,$456.92 ,$456.92 ,$456.92 ,$456.92 ST. JOSEPH'S - CHIPPEWA FALLS,98180602,69200,PC REM FOREIGN BODY CANAL AUD EXT,981,1 ,$385.11 ,$288.83 ,$35.67 ,$385.11 ,$248.01 ,$108.42 ,$269.58 ,$35.67 ,$319.64 ,$36.74 ,$254.17 ,$365.85 , N/A ,$308.09 ,$350.45 ,$35.67 ,$362.00 ,$365.85 ,$346.60 ,$327.34 ,$35.67 ,$35.67 ,$35.67 ,$281.13 ,$108.42 ,$342.75 ,$346.60 ,$346.60 ,$308.09 ,$111.68 ,$211.81 ,$346.60 ,$108.42 ,$346.60 ,$108.42 ,$365.85 ,$243.95 ,$354.30 ,$37.81 ,$350.45 ,$108.42 ,$237.00 ,$248.01 ,$237.00 ,$346.60 ,$346.60 ,$288.83 ,$269.58 ,$109.51 ,$37.45 ,$360.08 ,$113.84 ,$35.67 ,$335.05 ,$108.42 ,$346.60 ,$108.42 ,$346.60 ,$346.60 ,$346.60 ,$373.56 ,$311.94 ,$346.60 ,$346.60 ,$346.60 ,$346.60 ST. JOSEPH'S - CHIPPEWA FALLS,98180603,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT,981,1 ,$158.60 ,$118.95 ,$35.67 ,$158.60 ,$102.14 ,$53.91 ,$111.02 ,$35.67 ,$131.64 ,$36.74 ,$104.68 ,$150.67 , N/A ,$126.88 ,$144.33 ,$35.67 ,$149.08 ,$150.67 ,$142.74 ,$134.81 ,$35.67 ,$35.67 ,$35.67 ,$115.78 ,$53.91 ,$141.15 ,$142.74 ,$142.74 ,$126.88 ,$55.52 ,$87.23 ,$142.74 ,$53.91 ,$142.74 ,$53.91 ,$150.67 ,$121.29 ,$145.91 ,$37.81 ,$144.33 ,$53.91 ,$97.60 ,$102.14 ,$97.60 ,$142.74 ,$142.74 ,$118.95 ,$111.02 ,$54.45 ,$37.45 ,$148.29 ,$56.61 ,$35.67 ,$137.98 ,$53.91 ,$142.74 ,$53.91 ,$142.74 ,$142.74 ,$142.74 ,$153.84 ,$128.47 ,$142.74 ,$142.74 ,$142.74 ,$142.74 ST. JOSEPH'S - CHIPPEWA FALLS,98180604,90945,PC DIALYSIS PROC OTHER THAN HEMO,981,1 ,$537.18 ,$402.89 ,$209.59 ,$792.63 ,$345.94 ,$352.28 ,$376.03 ,$209.59 ,$445.86 ,$215.88 ,$354.54 ,$510.32 , N/A ,$429.74 ,$488.83 ,$209.59 ,$504.95 ,$510.32 ,$483.46 ,$456.60 ,$209.59 ,$209.59 ,$209.59 ,$392.14 ,$352.28 ,$478.09 ,$483.46 ,$483.46 ,$429.74 ,$362.85 ,$295.45 ,$483.46 ,$352.28 ,$483.46 ,$352.28 ,$510.32 ,$792.63 ,$494.21 ,$222.17 ,$488.83 ,$352.28 ,$330.58 ,$345.94 ,$330.58 ,$483.46 ,$483.46 ,$402.89 ,$376.03 ,$355.81 ,$220.07 ,$502.26 ,$369.89 ,$209.59 ,$467.35 ,$352.28 ,$483.46 ,$352.28 ,$483.46 ,$483.46 ,$483.46 ,$521.06 ,$435.12 ,$483.46 ,$483.46 ,$483.46 ,$483.46 ST. JOSEPH'S - CHIPPEWA FALLS,98180605,92100,PC SERIAL TONOMETRY EXAM,981,1 ,$114.77 ,$86.08 ,$18.36 ,$114.77 ,$73.91 , N/A ,$80.34 ,$18.36 ,$95.26 ,$18.91 ,$75.75 ,$109.03 , N/A ,$91.82 ,$104.44 ,$18.36 ,$107.88 ,$109.03 ,$103.29 ,$97.55 ,$18.36 ,$18.36 ,$18.36 ,$83.78 , N/A ,$102.15 ,$103.29 ,$103.29 ,$91.82 , N/A ,$63.12 ,$103.29 , N/A ,$103.29 , N/A ,$109.03 , N/A ,$105.59 ,$19.46 ,$104.44 , N/A ,$70.63 ,$73.91 ,$70.63 ,$103.29 ,$103.29 ,$86.08 ,$80.34 , N/A ,$19.28 ,$107.31 , N/A ,$18.36 ,$99.85 , N/A ,$103.29 , N/A ,$103.29 ,$103.29 ,$103.29 ,$111.33 ,$92.96 ,$103.29 ,$103.29 ,$103.29 ,$103.29 ST. JOSEPH'S - CHIPPEWA FALLS,98180606,92953,PC TEMPORARY EXTERNAL PACING,981,1 ,$299.82 ,$224.87 ,$164.90 ,"$1,224.47 ",$193.08 ,$544.21 ,$209.87 ,$185.89 ,$248.85 ,$191.47 ,$197.88 ,$284.83 , N/A ,$239.86 ,$272.84 ,$185.89 ,$281.83 ,$284.83 ,$269.84 ,$254.85 ,$185.89 ,$185.89 ,$185.89 ,$218.87 ,$544.21 ,$266.84 ,$269.84 ,$269.84 ,$239.86 ,$560.54 ,$164.90 ,$269.84 ,$544.21 ,$269.84 ,$544.21 ,$284.83 ,"$1,224.47 ",$275.83 ,$197.04 ,$272.84 ,$544.21 ,$184.51 ,$193.08 ,$184.51 ,$269.84 ,$269.84 ,$224.87 ,$209.87 ,$549.65 ,$195.18 ,$280.33 ,$571.42 ,$185.89 ,$260.84 ,$544.21 ,$269.84 ,$544.21 ,$269.84 ,$269.84 ,$269.84 ,$290.83 ,$242.85 ,$269.84 ,$269.84 ,$269.84 ,$269.84 ST. JOSEPH'S - CHIPPEWA FALLS,98180607,99151,PC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,981,1 ,$244.80 ,$183.60 ,$7.20 ,$244.80 ,$157.65 , N/A ,$171.36 ,$7.20 ,$203.18 ,$7.42 ,$161.57 ,$232.56 , N/A ,$195.84 ,$222.77 ,$7.20 ,$230.11 ,$232.56 ,$220.32 ,$208.08 ,$7.20 ,$7.20 ,$7.20 ,$178.70 , N/A ,$217.87 ,$220.32 ,$220.32 ,$195.84 , N/A ,$134.64 ,$220.32 , N/A ,$220.32 , N/A ,$232.56 , N/A ,$225.22 ,$7.63 ,$222.77 , N/A ,$150.65 ,$157.65 ,$150.65 ,$220.32 ,$220.32 ,$183.60 ,$171.36 , N/A ,$7.56 ,$228.89 , N/A ,$7.20 ,$212.98 , N/A ,$220.32 , N/A ,$220.32 ,$220.32 ,$220.32 ,$237.46 ,$198.29 ,$220.32 ,$220.32 ,$220.32 ,$220.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180608,99152,PC MODERATE SEDATION SAME PHY >5HY 1ST 15MIN,981,1 ,$203.90 ,$152.93 ,$7.20 ,$203.90 ,$131.31 , N/A ,$142.73 ,$7.20 ,$169.24 ,$7.42 ,$134.57 ,$193.71 , N/A ,$163.12 ,$185.55 ,$7.20 ,$191.67 ,$193.71 ,$183.51 ,$173.32 ,$7.20 ,$7.20 ,$7.20 ,$148.85 , N/A ,$181.47 ,$183.51 ,$183.51 ,$163.12 , N/A ,$112.15 ,$183.51 , N/A ,$183.51 , N/A ,$193.71 , N/A ,$187.59 ,$7.63 ,$185.55 , N/A ,$125.48 ,$131.31 ,$125.48 ,$183.51 ,$183.51 ,$152.93 ,$142.73 , N/A ,$7.56 ,$190.65 , N/A ,$7.20 ,$177.39 , N/A ,$183.51 , N/A ,$183.51 ,$183.51 ,$183.51 ,$197.78 ,$165.16 ,$183.51 ,$183.51 ,$183.51 ,$183.51 ST. JOSEPH'S - CHIPPEWA FALLS,98180609,99153,PC MODERATE SEDATION SAME PHY EA ADDL 15MIN,981,1 ,$79.22 ,$59.42 ,$7.20 ,$79.22 ,$51.02 , N/A ,$55.45 ,$7.20 ,$65.75 ,$7.42 ,$52.29 ,$75.26 , N/A ,$63.38 ,$72.09 ,$7.20 ,$74.47 ,$75.26 ,$71.30 ,$67.34 ,$7.20 ,$7.20 ,$7.20 ,$57.83 , N/A ,$70.51 ,$71.30 ,$71.30 ,$63.38 , N/A ,$43.57 ,$71.30 , N/A ,$71.30 , N/A ,$75.26 , N/A ,$72.88 ,$7.63 ,$72.09 , N/A ,$48.75 ,$51.02 ,$48.75 ,$71.30 ,$71.30 ,$59.42 ,$55.45 , N/A ,$7.56 ,$74.07 , N/A ,$7.20 ,$68.92 , N/A ,$71.30 , N/A ,$71.30 ,$71.30 ,$71.30 ,$76.84 ,$64.17 ,$71.30 ,$71.30 ,$71.30 ,$71.30 ST. JOSEPH'S - CHIPPEWA FALLS,98180610,99155,PC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN,981,1 ,$224.30 ,$168.23 ,$7.20 ,$224.30 ,$144.45 , N/A ,$157.01 ,$7.20 ,$186.17 ,$7.42 ,$148.04 ,$213.09 , N/A ,$179.44 ,$204.11 ,$7.20 ,$210.84 ,$213.09 ,$201.87 ,$190.66 ,$7.20 ,$7.20 ,$7.20 ,$163.74 , N/A ,$199.63 ,$201.87 ,$201.87 ,$179.44 , N/A ,$123.37 ,$201.87 , N/A ,$201.87 , N/A ,$213.09 , N/A ,$206.36 ,$7.63 ,$204.11 , N/A ,$138.03 ,$144.45 ,$138.03 ,$201.87 ,$201.87 ,$168.23 ,$157.01 , N/A ,$7.56 ,$209.72 , N/A ,$7.20 ,$195.14 , N/A ,$201.87 , N/A ,$201.87 ,$201.87 ,$201.87 ,$217.57 ,$181.68 ,$201.87 ,$201.87 ,$201.87 ,$201.87 ST. JOSEPH'S - CHIPPEWA FALLS,98180611,99156,PC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN,981,1 ,$183.60 ,$137.70 ,$7.20 ,$183.60 ,$118.24 , N/A ,$128.52 ,$7.20 ,$152.39 ,$7.42 ,$121.18 ,$174.42 , N/A ,$146.88 ,$167.08 ,$7.20 ,$172.58 ,$174.42 ,$165.24 ,$156.06 ,$7.20 ,$7.20 ,$7.20 ,$134.03 , N/A ,$163.40 ,$165.24 ,$165.24 ,$146.88 , N/A ,$100.98 ,$165.24 , N/A ,$165.24 , N/A ,$174.42 , N/A ,$168.91 ,$7.63 ,$167.08 , N/A ,$112.99 ,$118.24 ,$112.99 ,$165.24 ,$165.24 ,$137.70 ,$128.52 , N/A ,$7.56 ,$171.67 , N/A ,$7.20 ,$159.73 , N/A ,$165.24 , N/A ,$165.24 ,$165.24 ,$165.24 ,$178.09 ,$148.72 ,$165.24 ,$165.24 ,$165.24 ,$165.24 ST. JOSEPH'S - CHIPPEWA FALLS,98180612,99157,PC MODERATE SEDATION DIFF PHY EA ADDL 15MIN,981,1 ,$79.20 ,$59.40 ,$7.20 ,$79.20 ,$51.00 , N/A ,$55.44 ,$7.20 ,$65.74 ,$7.42 ,$52.27 ,$75.24 , N/A ,$63.36 ,$72.07 ,$7.20 ,$74.45 ,$75.24 ,$71.28 ,$67.32 ,$7.20 ,$7.20 ,$7.20 ,$57.82 , N/A ,$70.49 ,$71.28 ,$71.28 ,$63.36 , N/A ,$43.56 ,$71.28 , N/A ,$71.28 , N/A ,$75.24 , N/A ,$72.86 ,$7.63 ,$72.07 , N/A ,$48.74 ,$51.00 ,$48.74 ,$71.28 ,$71.28 ,$59.40 ,$55.44 , N/A ,$7.56 ,$74.05 , N/A ,$7.20 ,$68.90 , N/A ,$71.28 , N/A ,$71.28 ,$71.28 ,$71.28 ,$76.82 ,$64.15 ,$71.28 ,$71.28 ,$71.28 ,$71.28 ST. JOSEPH'S - CHIPPEWA FALLS,98180613,21480,PC TX DISL JAW CLS-BILAT,981,1 ,$621.70 ,$466.28 ,$53.51 ,$673.97 ,$400.37 ,$299.54 ,$435.19 ,$53.51 ,$516.01 ,$55.12 ,$410.32 ,$590.62 , N/A ,$497.36 ,$565.75 ,$53.51 ,$584.40 ,$590.62 ,$559.53 ,$528.45 ,$53.51 ,$53.51 ,$53.51 ,$453.84 ,$299.54 ,$553.31 ,$559.53 ,$559.53 ,$497.36 ,$308.53 ,$341.94 ,$559.53 ,$299.54 ,$559.53 ,$299.54 ,$590.62 ,$673.97 ,$571.96 ,$56.72 ,$565.75 ,$299.54 ,$382.59 ,$400.37 ,$382.59 ,$559.53 ,$559.53 ,$466.28 ,$435.19 ,$302.54 ,$56.19 ,$581.29 ,$314.52 ,$53.51 ,$540.88 ,$299.54 ,$559.53 ,$299.54 ,$559.53 ,$559.53 ,$559.53 ,$603.05 ,$503.58 ,$559.53 ,$559.53 ,$559.53 ,$559.53 ST. JOSEPH'S - CHIPPEWA FALLS,98180614,30901,PC CONTROL NOSEBLEED ANTER SIMPLE-BILAT,981,1 ,$383.80 ,$287.85 ,$53.51 ,$383.80 ,$247.17 ,$108.42 ,$268.66 ,$53.51 ,$318.55 ,$55.12 ,$253.31 ,$364.61 , N/A ,$307.04 ,$349.26 ,$53.51 ,$360.77 ,$364.61 ,$345.42 ,$326.23 ,$53.51 ,$53.51 ,$53.51 ,$280.17 ,$108.42 ,$341.58 ,$345.42 ,$345.42 ,$307.04 ,$111.68 ,$211.09 ,$345.42 ,$108.42 ,$345.42 ,$108.42 ,$364.61 ,$243.95 ,$353.10 ,$56.72 ,$349.26 ,$108.42 ,$236.19 ,$247.17 ,$236.19 ,$345.42 ,$345.42 ,$287.85 ,$268.66 ,$109.51 ,$56.19 ,$358.85 ,$113.84 ,$53.51 ,$333.91 ,$108.42 ,$345.42 ,$108.42 ,$345.42 ,$345.42 ,$345.42 ,$372.29 ,$310.88 ,$345.42 ,$345.42 ,$345.42 ,$345.42 ST. JOSEPH'S - CHIPPEWA FALLS,98180615,99281,PC ER LEVEL 1 -25,981,1 ,$158.00 ,$118.50 ,$47.46 ,$158.20 ,$101.75 ,$70.31 ,$110.60 ,$47.46 ,$131.14 ,$48.88 ,$104.28 ,$150.10 , N/A ,$126.40 ,$143.78 ,$47.46 ,$148.52 ,$150.10 ,$142.20 ,$134.30 ,$47.46 ,$47.46 ,$47.46 ,$115.34 ,$70.31 ,$140.62 ,$142.20 ,$142.20 ,$126.40 ,$72.42 ,$86.90 ,$142.20 ,$70.31 ,$142.20 ,$70.31 ,$150.10 ,$158.20 ,$145.36 ,$50.31 ,$143.78 ,$70.31 ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$142.20 ,$118.50 ,$110.60 ,$71.02 ,$49.83 ,$147.73 ,$73.83 ,$47.46 ,$137.46 ,$70.31 ,$142.20 ,$70.31 ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 ST. JOSEPH'S - CHIPPEWA FALLS,98180616,99282,PC ER LEVEL 2 -25,981,1 ,$212.70 ,$159.53 ,$47.46 ,$286.75 ,$136.98 ,$127.44 ,$148.89 ,$47.46 ,$176.54 ,$48.88 ,$140.38 ,$202.07 , N/A ,$170.16 ,$193.56 ,$47.46 ,$199.94 ,$202.07 ,$191.43 ,$180.80 ,$47.46 ,$47.46 ,$47.46 ,$155.27 ,$127.44 ,$189.30 ,$191.43 ,$191.43 ,$170.16 ,$131.27 ,$116.99 ,$191.43 ,$127.44 ,$191.43 ,$127.44 ,$202.07 ,$286.75 ,$195.68 ,$50.31 ,$193.56 ,$127.44 ,$130.90 ,$136.98 ,$130.90 ,$191.43 ,$191.43 ,$159.53 ,$148.89 ,$128.72 ,$49.83 ,$198.87 ,$133.81 ,$47.46 ,$185.05 ,$127.44 ,$191.43 ,$127.44 ,$191.43 ,$191.43 ,$191.43 ,$206.32 ,$172.29 ,$191.43 ,$191.43 ,$191.43 ,$191.43 ST. JOSEPH'S - CHIPPEWA FALLS,98180617,99283,PC ER LEVEL 3 -25,981,1 ,$327.00 ,$245.25 ,$47.46 ,$504.69 ,$210.59 ,$224.30 ,$228.90 ,$47.46 ,$271.41 ,$48.88 ,$215.82 ,$310.65 , N/A ,$261.60 ,$297.57 ,$47.46 ,$307.38 ,$310.65 ,$294.30 ,$277.95 ,$47.46 ,$47.46 ,$47.46 ,$238.71 ,$224.30 ,$291.03 ,$294.30 ,$294.30 ,$261.60 ,$231.03 ,$179.85 ,$294.30 ,$224.30 ,$294.30 ,$224.30 ,$310.65 ,$504.69 ,$300.84 ,$50.31 ,$297.57 ,$224.30 ,$201.24 ,$210.59 ,$201.24 ,$294.30 ,$294.30 ,$245.25 ,$228.90 ,$226.55 ,$49.83 ,$305.75 ,$235.52 ,$47.46 ,$284.49 ,$224.30 ,$294.30 ,$224.30 ,$294.30 ,$294.30 ,$294.30 ,$317.19 ,$264.87 ,$294.30 ,$294.30 ,$294.30 ,$294.30 ST. JOSEPH'S - CHIPPEWA FALLS,98180618,99284,PC ER LEVEL 4 -25,981,1 ,$488.50 ,$366.38 ,$47.46 ,$792.63 ,$314.59 ,$352.28 ,$341.95 ,$47.46 ,$405.46 ,$48.88 ,$322.41 ,$464.08 , N/A ,$390.80 ,$444.54 ,$47.46 ,$459.19 ,$464.08 ,$439.65 ,$415.23 ,$47.46 ,$47.46 ,$47.46 ,$356.61 ,$352.28 ,$434.77 ,$439.65 ,$439.65 ,$390.80 ,$362.85 ,$268.68 ,$439.65 ,$352.28 ,$439.65 ,$352.28 ,$464.08 ,$792.63 ,$449.42 ,$50.31 ,$444.54 ,$352.28 ,$300.62 ,$314.59 ,$300.62 ,$439.65 ,$439.65 ,$366.38 ,$341.95 ,$355.81 ,$49.83 ,$456.75 ,$369.89 ,$47.46 ,$425.00 ,$352.28 ,$439.65 ,$352.28 ,$439.65 ,$439.65 ,$439.65 ,$473.85 ,$395.69 ,$439.65 ,$439.65 ,$439.65 ,$439.65 ST. JOSEPH'S - CHIPPEWA FALLS,98180619,99285,PC ER LEVEL 5 -25,981,1 ,$739.10 ,$554.33 ,$47.46 ,"$1,137.76 ",$475.98 ,$505.67 ,$517.37 ,$47.46 ,$613.45 ,$48.88 ,$487.81 ,$702.15 , N/A ,$591.28 ,$672.58 ,$47.46 ,$694.75 ,$702.15 ,$665.19 ,$628.24 ,$47.46 ,$47.46 ,$47.46 ,$539.54 ,$505.67 ,$657.80 ,$665.19 ,$665.19 ,$591.28 ,$520.84 ,$406.51 ,$665.19 ,$505.67 ,$665.19 ,$505.67 ,$702.15 ,"$1,137.76 ",$679.97 ,$50.31 ,$672.58 ,$505.67 ,$454.84 ,$475.98 ,$454.84 ,$665.19 ,$665.19 ,$554.33 ,$517.37 ,$510.73 ,$49.83 ,$691.06 ,$530.95 ,$47.46 ,$643.02 ,$505.67 ,$665.19 ,$505.67 ,$665.19 ,$665.19 ,$665.19 ,$716.93 ,$598.67 ,$665.19 ,$665.19 ,$665.19 ,$665.19 ST. JOSEPH'S - CHIPPEWA FALLS,98180620,99291,PC CRITICAL CARE 30-74 MIN -25,981,1 ,$850.30 ,$637.73 ,$47.46 ,"$1,509.44 ",$547.59 ,$670.86 ,$595.21 ,$47.46 ,$705.75 ,$48.88 ,$561.20 ,$807.79 , N/A ,$680.24 ,$773.77 ,$47.46 ,$799.28 ,$807.79 ,$765.27 ,$722.76 ,$47.46 ,$47.46 ,$47.46 ,$620.72 ,$670.86 ,$756.77 ,$765.27 ,$765.27 ,$680.24 ,$690.99 ,$467.67 ,$765.27 ,$670.86 ,$765.27 ,$670.86 ,$807.79 ,"$1,509.44 ",$782.28 ,$50.31 ,$773.77 ,$670.86 ,$523.27 ,$547.59 ,$523.27 ,$765.27 ,$765.27 ,$637.73 ,$595.21 ,$677.57 ,$49.83 ,$795.03 ,$704.40 ,$47.46 ,$739.76 ,$670.86 ,$765.27 ,$670.86 ,$765.27 ,$765.27 ,$765.27 ,$824.79 ,$688.74 ,$765.27 ,$765.27 ,$765.27 ,$765.27 ST. JOSEPH'S - CHIPPEWA FALLS,98180621,20600,PC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,981,1 ,$257.70 ,$193.28 ,$101.56 ,$569.12 ,$165.96 ,$252.94 ,$180.39 ,$101.56 ,$213.89 ,$104.61 ,$170.08 ,$244.82 , N/A ,$206.16 ,$234.51 ,$101.56 ,$242.24 ,$244.82 ,$231.93 ,$219.05 ,$101.56 ,$101.56 ,$101.56 ,$188.12 ,$252.94 ,$229.35 ,$231.93 ,$231.93 ,$206.16 ,$260.53 ,$141.74 ,$231.93 ,$252.94 ,$231.93 ,$252.94 ,$244.82 ,$569.12 ,$237.08 ,$107.65 ,$234.51 ,$252.94 ,$158.59 ,$165.96 ,$158.59 ,$231.93 ,$231.93 ,$193.28 ,$180.39 ,$255.47 ,$106.64 ,$240.95 ,$265.59 ,$101.56 ,$224.20 ,$252.94 ,$231.93 ,$252.94 ,$231.93 ,$231.93 ,$231.93 ,$249.97 ,$208.74 ,$231.93 ,$231.93 ,$231.93 ,$231.93 ST. JOSEPH'S - CHIPPEWA FALLS,98180622,20600,PC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,981,1 ,$257.70 ,$193.28 ,$101.56 ,$569.12 ,$165.96 ,$252.94 ,$180.39 ,$101.56 ,$213.89 ,$104.61 ,$170.08 ,$244.82 , N/A ,$206.16 ,$234.51 ,$101.56 ,$242.24 ,$244.82 ,$231.93 ,$219.05 ,$101.56 ,$101.56 ,$101.56 ,$188.12 ,$252.94 ,$229.35 ,$231.93 ,$231.93 ,$206.16 ,$260.53 ,$141.74 ,$231.93 ,$252.94 ,$231.93 ,$252.94 ,$244.82 ,$569.12 ,$237.08 ,$107.65 ,$234.51 ,$252.94 ,$158.59 ,$165.96 ,$158.59 ,$231.93 ,$231.93 ,$193.28 ,$180.39 ,$255.47 ,$106.64 ,$240.95 ,$265.59 ,$101.56 ,$224.20 ,$252.94 ,$231.93 ,$252.94 ,$231.93 ,$231.93 ,$231.93 ,$249.97 ,$208.74 ,$231.93 ,$231.93 ,$231.93 ,$231.93 ST. JOSEPH'S - CHIPPEWA FALLS,98180623,20605,PC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,981,1 ,$274.70 ,$206.03 ,$101.56 ,$569.12 ,$176.91 ,$252.94 ,$192.29 ,$101.56 ,$228.00 ,$104.61 ,$181.30 ,$260.97 , N/A ,$219.76 ,$249.98 ,$101.56 ,$258.22 ,$260.97 ,$247.23 ,$233.50 ,$101.56 ,$101.56 ,$101.56 ,$200.53 ,$252.94 ,$244.48 ,$247.23 ,$247.23 ,$219.76 ,$260.53 ,$151.09 ,$247.23 ,$252.94 ,$247.23 ,$252.94 ,$260.97 ,$569.12 ,$252.72 ,$107.65 ,$249.98 ,$252.94 ,$169.05 ,$176.91 ,$169.05 ,$247.23 ,$247.23 ,$206.03 ,$192.29 ,$255.47 ,$106.64 ,$256.84 ,$265.59 ,$101.56 ,$238.99 ,$252.94 ,$247.23 ,$252.94 ,$247.23 ,$247.23 ,$247.23 ,$266.46 ,$222.51 ,$247.23 ,$247.23 ,$247.23 ,$247.23 ST. JOSEPH'S - CHIPPEWA FALLS,98180624,20605,PC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,981,1 ,$274.70 ,$206.03 ,$101.56 ,$569.12 ,$176.91 ,$252.94 ,$192.29 ,$101.56 ,$228.00 ,$104.61 ,$181.30 ,$260.97 , N/A ,$219.76 ,$249.98 ,$101.56 ,$258.22 ,$260.97 ,$247.23 ,$233.50 ,$101.56 ,$101.56 ,$101.56 ,$200.53 ,$252.94 ,$244.48 ,$247.23 ,$247.23 ,$219.76 ,$260.53 ,$151.09 ,$247.23 ,$252.94 ,$247.23 ,$252.94 ,$260.97 ,$569.12 ,$252.72 ,$107.65 ,$249.98 ,$252.94 ,$169.05 ,$176.91 ,$169.05 ,$247.23 ,$247.23 ,$206.03 ,$192.29 ,$255.47 ,$106.64 ,$256.84 ,$265.59 ,$101.56 ,$238.99 ,$252.94 ,$247.23 ,$252.94 ,$247.23 ,$247.23 ,$247.23 ,$266.46 ,$222.51 ,$247.23 ,$247.23 ,$247.23 ,$247.23 ST. JOSEPH'S - CHIPPEWA FALLS,98180625,20610,PC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,981,1 ,$324.70 ,$243.53 ,$101.56 ,$569.12 ,$209.11 ,$252.94 ,$227.29 ,$101.56 ,$269.50 ,$104.61 ,$214.30 ,$308.47 , N/A ,$259.76 ,$295.48 ,$101.56 ,$305.22 ,$308.47 ,$292.23 ,$276.00 ,$101.56 ,$101.56 ,$101.56 ,$237.03 ,$252.94 ,$288.98 ,$292.23 ,$292.23 ,$259.76 ,$260.53 ,$178.59 ,$292.23 ,$252.94 ,$292.23 ,$252.94 ,$308.47 ,$569.12 ,$298.72 ,$107.65 ,$295.48 ,$252.94 ,$199.82 ,$209.11 ,$199.82 ,$292.23 ,$292.23 ,$243.53 ,$227.29 ,$255.47 ,$106.64 ,$303.59 ,$265.59 ,$101.56 ,$282.49 ,$252.94 ,$292.23 ,$252.94 ,$292.23 ,$292.23 ,$292.23 ,$314.96 ,$263.01 ,$292.23 ,$292.23 ,$292.23 ,$292.23 ST. JOSEPH'S - CHIPPEWA FALLS,98180626,20610,PC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,981,1 ,$324.70 ,$243.53 ,$101.56 ,$569.12 ,$209.11 ,$252.94 ,$227.29 ,$101.56 ,$269.50 ,$104.61 ,$214.30 ,$308.47 , N/A ,$259.76 ,$295.48 ,$101.56 ,$305.22 ,$308.47 ,$292.23 ,$276.00 ,$101.56 ,$101.56 ,$101.56 ,$237.03 ,$252.94 ,$288.98 ,$292.23 ,$292.23 ,$259.76 ,$260.53 ,$178.59 ,$292.23 ,$252.94 ,$292.23 ,$252.94 ,$308.47 ,$569.12 ,$298.72 ,$107.65 ,$295.48 ,$252.94 ,$199.82 ,$209.11 ,$199.82 ,$292.23 ,$292.23 ,$243.53 ,$227.29 ,$255.47 ,$106.64 ,$303.59 ,$265.59 ,$101.56 ,$282.49 ,$252.94 ,$292.23 ,$252.94 ,$292.23 ,$292.23 ,$292.23 ,$314.96 ,$263.01 ,$292.23 ,$292.23 ,$292.23 ,$292.23 ST. JOSEPH'S - CHIPPEWA FALLS,98180627,21480,PC TX DISL JAW CLS-LT,981,1 ,$621.70 ,$466.28 ,$35.67 ,$621.70 ,$400.37 ,$199.70 ,$435.19 ,$35.67 ,$516.01 ,$36.74 ,$410.32 ,$590.62 , N/A ,$497.36 ,$565.75 ,$35.67 ,$584.40 ,$590.62 ,$559.53 ,$528.45 ,$35.67 ,$35.67 ,$35.67 ,$453.84 ,$199.70 ,$553.31 ,$559.53 ,$559.53 ,$497.36 ,$205.69 ,$341.94 ,$559.53 ,$199.70 ,$559.53 ,$199.70 ,$590.62 ,$449.31 ,$571.96 ,$37.81 ,$565.75 ,$199.70 ,$382.59 ,$400.37 ,$382.59 ,$559.53 ,$559.53 ,$466.28 ,$435.19 ,$201.69 ,$37.45 ,$581.29 ,$209.69 ,$35.67 ,$540.88 ,$199.70 ,$559.53 ,$199.70 ,$559.53 ,$559.53 ,$559.53 ,$603.05 ,$503.58 ,$559.53 ,$559.53 ,$559.53 ,$559.53 ST. JOSEPH'S - CHIPPEWA FALLS,98180628,21480,PC TX DISL JAW CLS-RT,981,1 ,$621.70 ,$466.28 ,$35.67 ,$621.70 ,$400.37 ,$199.70 ,$435.19 ,$35.67 ,$516.01 ,$36.74 ,$410.32 ,$590.62 , N/A ,$497.36 ,$565.75 ,$35.67 ,$584.40 ,$590.62 ,$559.53 ,$528.45 ,$35.67 ,$35.67 ,$35.67 ,$453.84 ,$199.70 ,$553.31 ,$559.53 ,$559.53 ,$497.36 ,$205.69 ,$341.94 ,$559.53 ,$199.70 ,$559.53 ,$199.70 ,$590.62 ,$449.31 ,$571.96 ,$37.81 ,$565.75 ,$199.70 ,$382.59 ,$400.37 ,$382.59 ,$559.53 ,$559.53 ,$466.28 ,$435.19 ,$201.69 ,$37.45 ,$581.29 ,$209.69 ,$35.67 ,$540.88 ,$199.70 ,$559.53 ,$199.70 ,$559.53 ,$559.53 ,$559.53 ,$603.05 ,$503.58 ,$559.53 ,$559.53 ,$559.53 ,$559.53 ST. JOSEPH'S - CHIPPEWA FALLS,98180629,23500,PC TX FX CLAVICLE W/O MANIP-LT,981,1 ,$754.90 ,$566.18 ,$193.84 ,$754.90 ,$486.16 ,$199.70 ,$528.43 ,$193.84 ,$626.57 ,$199.66 ,$498.23 ,$717.16 , N/A ,$603.92 ,$686.96 ,$193.84 ,$709.61 ,$717.16 ,$679.41 ,$641.67 ,$193.84 ,$193.84 ,$193.84 ,$551.08 ,$199.70 ,$671.86 ,$679.41 ,$679.41 ,$603.92 ,$205.69 ,$415.20 ,$679.41 ,$199.70 ,$679.41 ,$199.70 ,$717.16 ,$449.31 ,$694.51 ,$205.47 ,$686.96 ,$199.70 ,$464.57 ,$486.16 ,$464.57 ,$679.41 ,$679.41 ,$566.18 ,$528.43 ,$201.69 ,$203.53 ,$705.83 ,$209.69 ,$193.84 ,$656.76 ,$199.70 ,$679.41 ,$199.70 ,$679.41 ,$679.41 ,$679.41 ,$732.25 ,$611.47 ,$679.41 ,$679.41 ,$679.41 ,$679.41 ST. JOSEPH'S - CHIPPEWA FALLS,98180630,23500,PC TX FX CLAVICLE W/O MANIP-RT,981,1 ,$754.90 ,$566.18 ,$193.84 ,$754.90 ,$486.16 ,$199.70 ,$528.43 ,$193.84 ,$626.57 ,$199.66 ,$498.23 ,$717.16 , N/A ,$603.92 ,$686.96 ,$193.84 ,$709.61 ,$717.16 ,$679.41 ,$641.67 ,$193.84 ,$193.84 ,$193.84 ,$551.08 ,$199.70 ,$671.86 ,$679.41 ,$679.41 ,$603.92 ,$205.69 ,$415.20 ,$679.41 ,$199.70 ,$679.41 ,$199.70 ,$717.16 ,$449.31 ,$694.51 ,$205.47 ,$686.96 ,$199.70 ,$464.57 ,$486.16 ,$464.57 ,$679.41 ,$679.41 ,$566.18 ,$528.43 ,$201.69 ,$203.53 ,$705.83 ,$209.69 ,$193.84 ,$656.76 ,$199.70 ,$679.41 ,$199.70 ,$679.41 ,$679.41 ,$679.41 ,$732.25 ,$611.47 ,$679.41 ,$679.41 ,$679.41 ,$679.41 ST. JOSEPH'S - CHIPPEWA FALLS,98180631,23650,PC TX DISL SHOULDER W/MAN CLS-LT,981,1 ,"$1,036.60 ",$777.45 ,$193.84 ,"$1,036.60 ",$667.57 ,$199.70 ,$725.62 ,$193.84 ,$860.38 ,$199.66 ,$684.16 ,$984.77 , N/A ,$829.28 ,$943.31 ,$193.84 ,$974.40 ,$984.77 ,$932.94 ,$881.11 ,$193.84 ,$193.84 ,$193.84 ,$756.72 ,$199.70 ,$922.57 ,$932.94 ,$932.94 ,$829.28 ,$205.69 ,$570.13 ,$932.94 ,$199.70 ,$932.94 ,$199.70 ,$984.77 ,$449.31 ,$953.67 ,$205.47 ,$943.31 ,$199.70 ,$637.92 ,$667.57 ,$637.92 ,$932.94 ,$932.94 ,$777.45 ,$725.62 ,$201.69 ,$203.53 ,$969.22 ,$209.69 ,$193.84 ,$901.84 ,$199.70 ,$932.94 ,$199.70 ,$932.94 ,$932.94 ,$932.94 ,"$1,005.50 ",$839.65 ,$932.94 ,$932.94 ,$932.94 ,$932.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180632,23650,PC TX DISL SHOULDER W/MAN CLS-RT,981,1 ,"$1,036.60 ",$777.45 ,$193.84 ,"$1,036.60 ",$667.57 ,$199.70 ,$725.62 ,$193.84 ,$860.38 ,$199.66 ,$684.16 ,$984.77 , N/A ,$829.28 ,$943.31 ,$193.84 ,$974.40 ,$984.77 ,$932.94 ,$881.11 ,$193.84 ,$193.84 ,$193.84 ,$756.72 ,$199.70 ,$922.57 ,$932.94 ,$932.94 ,$829.28 ,$205.69 ,$570.13 ,$932.94 ,$199.70 ,$932.94 ,$199.70 ,$984.77 ,$449.31 ,$953.67 ,$205.47 ,$943.31 ,$199.70 ,$637.92 ,$667.57 ,$637.92 ,$932.94 ,$932.94 ,$777.45 ,$725.62 ,$201.69 ,$203.53 ,$969.22 ,$209.69 ,$193.84 ,$901.84 ,$199.70 ,$932.94 ,$199.70 ,$932.94 ,$932.94 ,$932.94 ,"$1,005.50 ",$839.65 ,$932.94 ,$932.94 ,$932.94 ,$932.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180633,23655,PC DIS SHOULDER W/ANES CLS-LT,981,1 ,"$1,264.50 ",$948.38 ,$330.53 ,"$3,034.10 ",$814.34 ,"$1,348.49 ",$885.15 ,$330.53 ,"$1,049.54 ",$340.45 ,$834.57 ,"$1,201.28 ", N/A ,"$1,011.60 ","$1,150.70 ",$330.53 ,"$1,188.63 ","$1,201.28 ","$1,138.05 ","$1,074.83 ",$330.53 ,$330.53 ,$330.53 ,$923.09 ,"$1,348.49 ","$1,125.41 ","$1,138.05 ","$1,138.05 ","$1,011.60 ","$1,388.95 ",$695.48 ,"$1,138.05 ","$1,348.49 ","$1,138.05 ","$1,348.49 ","$1,201.28 ","$3,034.10 ","$1,163.34 ",$350.36 ,"$1,150.70 ","$1,348.49 ",$778.17 ,$814.34 ,$778.17 ,"$1,138.05 ","$1,138.05 ",$948.38 ,$885.15 ,"$1,361.98 ",$347.06 ,"$1,182.31 ","$1,415.91 ",$330.53 ,"$1,100.12 ","$1,348.49 ","$1,138.05 ","$1,348.49 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,226.57 ","$1,024.25 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,138.05 " ST. JOSEPH'S - CHIPPEWA FALLS,98180634,23655,PC DIS SHOULDER W/ANES CLS-RT,981,1 ,"$1,264.50 ",$948.38 ,$330.53 ,"$3,034.10 ",$814.34 ,"$1,348.49 ",$885.15 ,$330.53 ,"$1,049.54 ",$340.45 ,$834.57 ,"$1,201.28 ", N/A ,"$1,011.60 ","$1,150.70 ",$330.53 ,"$1,188.63 ","$1,201.28 ","$1,138.05 ","$1,074.83 ",$330.53 ,$330.53 ,$330.53 ,$923.09 ,"$1,348.49 ","$1,125.41 ","$1,138.05 ","$1,138.05 ","$1,011.60 ","$1,388.95 ",$695.48 ,"$1,138.05 ","$1,348.49 ","$1,138.05 ","$1,348.49 ","$1,201.28 ","$3,034.10 ","$1,163.34 ",$350.36 ,"$1,150.70 ","$1,348.49 ",$778.17 ,$814.34 ,$778.17 ,"$1,138.05 ","$1,138.05 ",$948.38 ,$885.15 ,"$1,361.98 ",$347.06 ,"$1,182.31 ","$1,415.91 ",$330.53 ,"$1,100.12 ","$1,348.49 ","$1,138.05 ","$1,348.49 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,226.57 ","$1,024.25 ","$1,138.05 ","$1,138.05 ","$1,138.05 ","$1,138.05 " ST. JOSEPH'S - CHIPPEWA FALLS,98180635,24640,PC TX CHILD NURSEMAID W/MAN-LT,981,1 ,$463.60 ,$347.70 ,$193.84 ,$463.60 ,$298.56 ,$199.70 ,$324.52 ,$193.84 ,$384.79 ,$199.66 ,$305.98 ,$440.42 , N/A ,$370.88 ,$421.88 ,$193.84 ,$435.78 ,$440.42 ,$417.24 ,$394.06 ,$193.84 ,$193.84 ,$193.84 ,$338.43 ,$199.70 ,$412.60 ,$417.24 ,$417.24 ,$370.88 ,$205.69 ,$254.98 ,$417.24 ,$199.70 ,$417.24 ,$199.70 ,$440.42 ,$449.31 ,$426.51 ,$205.47 ,$421.88 ,$199.70 ,$285.30 ,$298.56 ,$285.30 ,$417.24 ,$417.24 ,$347.70 ,$324.52 ,$201.69 ,$203.53 ,$433.47 ,$209.69 ,$193.84 ,$403.33 ,$199.70 ,$417.24 ,$199.70 ,$417.24 ,$417.24 ,$417.24 ,$449.69 ,$375.52 ,$417.24 ,$417.24 ,$417.24 ,$417.24 ST. JOSEPH'S - CHIPPEWA FALLS,98180636,24640,PC TX CHILD NURSEMAID W/MAN-RT,981,1 ,$463.60 ,$347.70 ,$193.84 ,$463.60 ,$298.56 ,$199.70 ,$324.52 ,$193.84 ,$384.79 ,$199.66 ,$305.98 ,$440.42 , N/A ,$370.88 ,$421.88 ,$193.84 ,$435.78 ,$440.42 ,$417.24 ,$394.06 ,$193.84 ,$193.84 ,$193.84 ,$338.43 ,$199.70 ,$412.60 ,$417.24 ,$417.24 ,$370.88 ,$205.69 ,$254.98 ,$417.24 ,$199.70 ,$417.24 ,$199.70 ,$440.42 ,$449.31 ,$426.51 ,$205.47 ,$421.88 ,$199.70 ,$285.30 ,$298.56 ,$285.30 ,$417.24 ,$417.24 ,$347.70 ,$324.52 ,$201.69 ,$203.53 ,$433.47 ,$209.69 ,$193.84 ,$403.33 ,$199.70 ,$417.24 ,$199.70 ,$417.24 ,$417.24 ,$417.24 ,$449.69 ,$375.52 ,$417.24 ,$417.24 ,$417.24 ,$417.24 ST. JOSEPH'S - CHIPPEWA FALLS,98180637,27840,PC DIS ANKLE W/O ANES-LT,981,1 ,"$1,287.77 ",$965.83 ,$193.84 ,"$1,287.77 ",$829.32 ,$199.70 ,$901.44 ,$193.84 ,"$1,068.85 ",$199.66 ,$849.93 ,"$1,223.38 ", N/A ,"$1,030.22 ","$1,171.87 ",$193.84 ,"$1,210.50 ","$1,223.38 ","$1,158.99 ","$1,094.60 ",$193.84 ,$193.84 ,$193.84 ,$940.07 ,$199.70 ,"$1,146.12 ","$1,158.99 ","$1,158.99 ","$1,030.22 ",$205.69 ,$708.27 ,"$1,158.99 ",$199.70 ,"$1,158.99 ",$199.70 ,"$1,223.38 ",$449.31 ,"$1,184.75 ",$205.47 ,"$1,171.87 ",$199.70 ,$792.49 ,$829.32 ,$792.49 ,"$1,158.99 ","$1,158.99 ",$965.83 ,$901.44 ,$201.69 ,$203.53 ,"$1,204.07 ",$209.69 ,$193.84 ,"$1,120.36 ",$199.70 ,"$1,158.99 ",$199.70 ,"$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,249.14 ","$1,043.09 ","$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,158.99 " ST. JOSEPH'S - CHIPPEWA FALLS,98180638,27840,PC DIS ANKLE W/O ANES-RT,981,1 ,"$1,287.77 ",$965.83 ,$193.84 ,"$1,287.77 ",$829.32 ,$199.70 ,$901.44 ,$193.84 ,"$1,068.85 ",$199.66 ,$849.93 ,"$1,223.38 ", N/A ,"$1,030.22 ","$1,171.87 ",$193.84 ,"$1,210.50 ","$1,223.38 ","$1,158.99 ","$1,094.60 ",$193.84 ,$193.84 ,$193.84 ,$940.07 ,$199.70 ,"$1,146.12 ","$1,158.99 ","$1,158.99 ","$1,030.22 ",$205.69 ,$708.27 ,"$1,158.99 ",$199.70 ,"$1,158.99 ",$199.70 ,"$1,223.38 ",$449.31 ,"$1,184.75 ",$205.47 ,"$1,171.87 ",$199.70 ,$792.49 ,$829.32 ,$792.49 ,"$1,158.99 ","$1,158.99 ",$965.83 ,$901.44 ,$201.69 ,$203.53 ,"$1,204.07 ",$209.69 ,$193.84 ,"$1,120.36 ",$199.70 ,"$1,158.99 ",$199.70 ,"$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,249.14 ","$1,043.09 ","$1,158.99 ","$1,158.99 ","$1,158.99 ","$1,158.99 " ST. JOSEPH'S - CHIPPEWA FALLS,98180639,29065,PC APPL CAST ARM LONG-LT,981,1 ,$432.30 ,$324.23 ,$57.61 ,$525.54 ,$278.40 ,$233.57 ,$302.61 ,$57.61 ,$358.81 ,$59.34 ,$285.32 ,$410.69 , N/A ,$345.84 ,$393.39 ,$57.61 ,$406.36 ,$410.69 ,$389.07 ,$367.46 ,$57.61 ,$57.61 ,$57.61 ,$315.58 ,$233.57 ,$384.75 ,$389.07 ,$389.07 ,$345.84 ,$240.58 ,$237.77 ,$389.07 ,$233.57 ,$389.07 ,$233.57 ,$410.69 ,$525.54 ,$397.72 ,$61.07 ,$393.39 ,$233.57 ,$266.04 ,$278.40 ,$266.04 ,$389.07 ,$389.07 ,$324.23 ,$302.61 ,$235.91 ,$60.49 ,$404.20 ,$245.25 ,$57.61 ,$376.10 ,$233.57 ,$389.07 ,$233.57 ,$389.07 ,$389.07 ,$389.07 ,$419.33 ,$350.16 ,$389.07 ,$389.07 ,$389.07 ,$389.07 ST. JOSEPH'S - CHIPPEWA FALLS,98180640,29065,PC APPL CAST ARM LONG-RT,981,1 ,$432.30 ,$324.23 ,$57.61 ,$525.54 ,$278.40 ,$233.57 ,$302.61 ,$57.61 ,$358.81 ,$59.34 ,$285.32 ,$410.69 , N/A ,$345.84 ,$393.39 ,$57.61 ,$406.36 ,$410.69 ,$389.07 ,$367.46 ,$57.61 ,$57.61 ,$57.61 ,$315.58 ,$233.57 ,$384.75 ,$389.07 ,$389.07 ,$345.84 ,$240.58 ,$237.77 ,$389.07 ,$233.57 ,$389.07 ,$233.57 ,$410.69 ,$525.54 ,$397.72 ,$61.07 ,$393.39 ,$233.57 ,$266.04 ,$278.40 ,$266.04 ,$389.07 ,$389.07 ,$324.23 ,$302.61 ,$235.91 ,$60.49 ,$404.20 ,$245.25 ,$57.61 ,$376.10 ,$233.57 ,$389.07 ,$233.57 ,$389.07 ,$389.07 ,$389.07 ,$419.33 ,$350.16 ,$389.07 ,$389.07 ,$389.07 ,$389.07 ST. JOSEPH'S - CHIPPEWA FALLS,98180641,29075,PC APPL CAST ARM SHRT-LT,981,1 ,$324.28 ,$243.21 ,$57.61 ,$525.54 ,$208.84 ,$233.57 ,$227.00 ,$57.61 ,$269.15 ,$59.34 ,$214.02 ,$308.07 , N/A ,$259.42 ,$295.09 ,$57.61 ,$304.82 ,$308.07 ,$291.85 ,$275.64 ,$57.61 ,$57.61 ,$57.61 ,$236.72 ,$233.57 ,$288.61 ,$291.85 ,$291.85 ,$259.42 ,$240.58 ,$178.35 ,$291.85 ,$233.57 ,$291.85 ,$233.57 ,$308.07 ,$525.54 ,$298.34 ,$61.07 ,$295.09 ,$233.57 ,$199.56 ,$208.84 ,$199.56 ,$291.85 ,$291.85 ,$243.21 ,$227.00 ,$235.91 ,$60.49 ,$303.20 ,$245.25 ,$57.61 ,$282.12 ,$233.57 ,$291.85 ,$233.57 ,$291.85 ,$291.85 ,$291.85 ,$314.55 ,$262.67 ,$291.85 ,$291.85 ,$291.85 ,$291.85 ST. JOSEPH'S - CHIPPEWA FALLS,98180642,29075,PC APPL CAST ARM SHRT-RT,981,1 ,$324.28 ,$243.21 ,$57.61 ,$525.54 ,$208.84 ,$233.57 ,$227.00 ,$57.61 ,$269.15 ,$59.34 ,$214.02 ,$308.07 , N/A ,$259.42 ,$295.09 ,$57.61 ,$304.82 ,$308.07 ,$291.85 ,$275.64 ,$57.61 ,$57.61 ,$57.61 ,$236.72 ,$233.57 ,$288.61 ,$291.85 ,$291.85 ,$259.42 ,$240.58 ,$178.35 ,$291.85 ,$233.57 ,$291.85 ,$233.57 ,$308.07 ,$525.54 ,$298.34 ,$61.07 ,$295.09 ,$233.57 ,$199.56 ,$208.84 ,$199.56 ,$291.85 ,$291.85 ,$243.21 ,$227.00 ,$235.91 ,$60.49 ,$303.20 ,$245.25 ,$57.61 ,$282.12 ,$233.57 ,$291.85 ,$233.57 ,$291.85 ,$291.85 ,$291.85 ,$314.55 ,$262.67 ,$291.85 ,$291.85 ,$291.85 ,$291.85 ST. JOSEPH'S - CHIPPEWA FALLS,98180643,29105,PC APPL LONG ARM SPLNT-LT,981,1 ,$275.00 ,$206.25 ,$21.22 ,$307.65 ,$177.10 ,$136.73 ,$192.50 ,$21.22 ,$228.25 ,$21.86 ,$181.50 ,$261.25 , N/A ,$220.00 ,$250.25 ,$21.22 ,$258.50 ,$261.25 ,$247.50 ,$233.75 ,$21.22 ,$21.22 ,$21.22 ,$200.75 ,$136.73 ,$244.75 ,$247.50 ,$247.50 ,$220.00 ,$140.83 ,$151.25 ,$247.50 ,$136.73 ,$247.50 ,$136.73 ,$261.25 ,$307.65 ,$253.00 ,$22.49 ,$250.25 ,$136.73 ,$169.24 ,$177.10 ,$169.24 ,$247.50 ,$247.50 ,$206.25 ,$192.50 ,$138.10 ,$22.28 ,$257.13 ,$143.57 ,$21.22 ,$239.25 ,$136.73 ,$247.50 ,$136.73 ,$247.50 ,$247.50 ,$247.50 ,$266.75 ,$222.75 ,$247.50 ,$247.50 ,$247.50 ,$247.50 ST. JOSEPH'S - CHIPPEWA FALLS,98180644,29105,PC APPL LONG ARM SPLNT-RT,981,1 ,$275.00 ,$206.25 ,$21.22 ,$307.65 ,$177.10 ,$136.73 ,$192.50 ,$21.22 ,$228.25 ,$21.86 ,$181.50 ,$261.25 , N/A ,$220.00 ,$250.25 ,$21.22 ,$258.50 ,$261.25 ,$247.50 ,$233.75 ,$21.22 ,$21.22 ,$21.22 ,$200.75 ,$136.73 ,$244.75 ,$247.50 ,$247.50 ,$220.00 ,$140.83 ,$151.25 ,$247.50 ,$136.73 ,$247.50 ,$136.73 ,$261.25 ,$307.65 ,$253.00 ,$22.49 ,$250.25 ,$136.73 ,$169.24 ,$177.10 ,$169.24 ,$247.50 ,$247.50 ,$206.25 ,$192.50 ,$138.10 ,$22.28 ,$257.13 ,$143.57 ,$21.22 ,$239.25 ,$136.73 ,$247.50 ,$136.73 ,$247.50 ,$247.50 ,$247.50 ,$266.75 ,$222.75 ,$247.50 ,$247.50 ,$247.50 ,$247.50 ST. JOSEPH'S - CHIPPEWA FALLS,98180645,29125,PC SHRT APPL SPLNT ARM STAT-LT,981,1 ,$235.80 ,$176.85 ,$21.22 ,$243.95 ,$151.86 ,$108.42 ,$165.06 ,$21.22 ,$195.71 ,$21.86 ,$155.63 ,$224.01 , N/A ,$188.64 ,$214.58 ,$21.22 ,$221.65 ,$224.01 ,$212.22 ,$200.43 ,$21.22 ,$21.22 ,$21.22 ,$172.13 ,$108.42 ,$209.86 ,$212.22 ,$212.22 ,$188.64 ,$111.68 ,$129.69 ,$212.22 ,$108.42 ,$212.22 ,$108.42 ,$224.01 ,$243.95 ,$216.94 ,$22.49 ,$214.58 ,$108.42 ,$145.11 ,$151.86 ,$145.11 ,$212.22 ,$212.22 ,$176.85 ,$165.06 ,$109.51 ,$22.28 ,$220.47 ,$113.84 ,$21.22 ,$205.15 ,$108.42 ,$212.22 ,$108.42 ,$212.22 ,$212.22 ,$212.22 ,$228.73 ,$191.00 ,$212.22 ,$212.22 ,$212.22 ,$212.22 ST. JOSEPH'S - CHIPPEWA FALLS,98180646,29125,PC SHRT APPL SPLNT ARM STAT-RT,981,1 ,$235.80 ,$176.85 ,$21.22 ,$243.95 ,$151.86 ,$108.42 ,$165.06 ,$21.22 ,$195.71 ,$21.86 ,$155.63 ,$224.01 , N/A ,$188.64 ,$214.58 ,$21.22 ,$221.65 ,$224.01 ,$212.22 ,$200.43 ,$21.22 ,$21.22 ,$21.22 ,$172.13 ,$108.42 ,$209.86 ,$212.22 ,$212.22 ,$188.64 ,$111.68 ,$129.69 ,$212.22 ,$108.42 ,$212.22 ,$108.42 ,$224.01 ,$243.95 ,$216.94 ,$22.49 ,$214.58 ,$108.42 ,$145.11 ,$151.86 ,$145.11 ,$212.22 ,$212.22 ,$176.85 ,$165.06 ,$109.51 ,$22.28 ,$220.47 ,$113.84 ,$21.22 ,$205.15 ,$108.42 ,$212.22 ,$108.42 ,$212.22 ,$212.22 ,$212.22 ,$228.73 ,$191.00 ,$212.22 ,$212.22 ,$212.22 ,$212.22 ST. JOSEPH'S - CHIPPEWA FALLS,98180647,29130,PC APPL SPLINT FNGR STATC-LT,981,1 ,$152.58 ,$114.44 ,$21.22 ,$243.95 ,$98.26 ,$108.42 ,$106.81 ,$21.22 ,$126.64 ,$21.86 ,$100.70 ,$144.95 , N/A ,$122.06 ,$138.85 ,$21.22 ,$143.43 ,$144.95 ,$137.32 ,$129.69 ,$21.22 ,$21.22 ,$21.22 ,$111.38 ,$108.42 ,$135.80 ,$137.32 ,$137.32 ,$122.06 ,$111.68 ,$83.92 ,$137.32 ,$108.42 ,$137.32 ,$108.42 ,$144.95 ,$243.95 ,$140.37 ,$22.49 ,$138.85 ,$108.42 ,$93.90 ,$98.26 ,$93.90 ,$137.32 ,$137.32 ,$114.44 ,$106.81 ,$109.51 ,$22.28 ,$142.66 ,$113.84 ,$21.22 ,$132.74 ,$108.42 ,$137.32 ,$108.42 ,$137.32 ,$137.32 ,$137.32 ,$148.00 ,$123.59 ,$137.32 ,$137.32 ,$137.32 ,$137.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180648,29130,PC APPL SPLINT FNGR STATC-RT,981,1 ,$152.58 ,$114.44 ,$21.22 ,$243.95 ,$98.26 ,$108.42 ,$106.81 ,$21.22 ,$126.64 ,$21.86 ,$100.70 ,$144.95 , N/A ,$122.06 ,$138.85 ,$21.22 ,$143.43 ,$144.95 ,$137.32 ,$129.69 ,$21.22 ,$21.22 ,$21.22 ,$111.38 ,$108.42 ,$135.80 ,$137.32 ,$137.32 ,$122.06 ,$111.68 ,$83.92 ,$137.32 ,$108.42 ,$137.32 ,$108.42 ,$144.95 ,$243.95 ,$140.37 ,$22.49 ,$138.85 ,$108.42 ,$93.90 ,$98.26 ,$93.90 ,$137.32 ,$137.32 ,$114.44 ,$106.81 ,$109.51 ,$22.28 ,$142.66 ,$113.84 ,$21.22 ,$132.74 ,$108.42 ,$137.32 ,$108.42 ,$137.32 ,$137.32 ,$137.32 ,$148.00 ,$123.59 ,$137.32 ,$137.32 ,$137.32 ,$137.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180649,29260,PC STRAPPING ELBOW/WRIST-LT,981,1 ,$133.58 ,$100.19 ,$21.22 ,$133.58 ,$86.03 ,$53.91 ,$93.51 ,$21.22 ,$110.87 ,$21.86 ,$88.16 ,$126.90 , N/A ,$106.86 ,$121.56 ,$21.22 ,$125.57 ,$126.90 ,$120.22 ,$113.54 ,$21.22 ,$21.22 ,$21.22 ,$97.51 ,$53.91 ,$118.89 ,$120.22 ,$120.22 ,$106.86 ,$55.52 ,$73.47 ,$120.22 ,$53.91 ,$120.22 ,$53.91 ,$126.90 ,$121.29 ,$122.89 ,$22.49 ,$121.56 ,$53.91 ,$82.21 ,$86.03 ,$82.21 ,$120.22 ,$120.22 ,$100.19 ,$93.51 ,$54.45 ,$22.28 ,$124.90 ,$56.61 ,$21.22 ,$116.21 ,$53.91 ,$120.22 ,$53.91 ,$120.22 ,$120.22 ,$120.22 ,$129.57 ,$108.20 ,$120.22 ,$120.22 ,$120.22 ,$120.22 ST. JOSEPH'S - CHIPPEWA FALLS,98180650,29260,PC STRAPPING ELBOW/WRIST-RT,981,1 ,$133.58 ,$100.19 ,$21.22 ,$133.58 ,$86.03 ,$53.91 ,$93.51 ,$21.22 ,$110.87 ,$21.86 ,$88.16 ,$126.90 , N/A ,$106.86 ,$121.56 ,$21.22 ,$125.57 ,$126.90 ,$120.22 ,$113.54 ,$21.22 ,$21.22 ,$21.22 ,$97.51 ,$53.91 ,$118.89 ,$120.22 ,$120.22 ,$106.86 ,$55.52 ,$73.47 ,$120.22 ,$53.91 ,$120.22 ,$53.91 ,$126.90 ,$121.29 ,$122.89 ,$22.49 ,$121.56 ,$53.91 ,$82.21 ,$86.03 ,$82.21 ,$120.22 ,$120.22 ,$100.19 ,$93.51 ,$54.45 ,$22.28 ,$124.90 ,$56.61 ,$21.22 ,$116.21 ,$53.91 ,$120.22 ,$53.91 ,$120.22 ,$120.22 ,$120.22 ,$129.57 ,$108.20 ,$120.22 ,$120.22 ,$120.22 ,$120.22 ST. JOSEPH'S - CHIPPEWA FALLS,98180651,29280,PC STRAPPING HAND/FINGER-LT,981,1 ,$114.46 ,$85.85 ,$21.22 ,$121.29 ,$73.71 ,$53.91 ,$80.12 ,$21.22 ,$95.00 ,$21.86 ,$75.54 ,$108.74 , N/A ,$91.57 ,$104.16 ,$21.22 ,$107.59 ,$108.74 ,$103.01 ,$97.29 ,$21.22 ,$21.22 ,$21.22 ,$83.56 ,$53.91 ,$101.87 ,$103.01 ,$103.01 ,$91.57 ,$55.52 ,$62.95 ,$103.01 ,$53.91 ,$103.01 ,$53.91 ,$108.74 ,$121.29 ,$105.30 ,$22.49 ,$104.16 ,$53.91 ,$70.44 ,$73.71 ,$70.44 ,$103.01 ,$103.01 ,$85.85 ,$80.12 ,$54.45 ,$22.28 ,$107.02 ,$56.61 ,$21.22 ,$99.58 ,$53.91 ,$103.01 ,$53.91 ,$103.01 ,$103.01 ,$103.01 ,$111.03 ,$92.71 ,$103.01 ,$103.01 ,$103.01 ,$103.01 ST. JOSEPH'S - CHIPPEWA FALLS,98180652,29280,PC STRAPPING HAND/FINGER-RT,981,1 ,$114.46 ,$85.85 ,$21.22 ,$121.29 ,$73.71 ,$53.91 ,$80.12 ,$21.22 ,$95.00 ,$21.86 ,$75.54 ,$108.74 , N/A ,$91.57 ,$104.16 ,$21.22 ,$107.59 ,$108.74 ,$103.01 ,$97.29 ,$21.22 ,$21.22 ,$21.22 ,$83.56 ,$53.91 ,$101.87 ,$103.01 ,$103.01 ,$91.57 ,$55.52 ,$62.95 ,$103.01 ,$53.91 ,$103.01 ,$53.91 ,$108.74 ,$121.29 ,$105.30 ,$22.49 ,$104.16 ,$53.91 ,$70.44 ,$73.71 ,$70.44 ,$103.01 ,$103.01 ,$85.85 ,$80.12 ,$54.45 ,$22.28 ,$107.02 ,$56.61 ,$21.22 ,$99.58 ,$53.91 ,$103.01 ,$53.91 ,$103.01 ,$103.01 ,$103.01 ,$111.03 ,$92.71 ,$103.01 ,$103.01 ,$103.01 ,$103.01 ST. JOSEPH'S - CHIPPEWA FALLS,98180653,29405,PC APPL CAST LEG SHORT-LT,981,1 ,$436.58 ,$327.44 ,$57.61 ,$525.54 ,$281.16 ,$233.57 ,$305.61 ,$57.61 ,$362.36 ,$59.34 ,$288.14 ,$414.75 , N/A ,$349.26 ,$397.29 ,$57.61 ,$410.39 ,$414.75 ,$392.92 ,$371.09 ,$57.61 ,$57.61 ,$57.61 ,$318.70 ,$233.57 ,$388.56 ,$392.92 ,$392.92 ,$349.26 ,$240.58 ,$240.12 ,$392.92 ,$233.57 ,$392.92 ,$233.57 ,$414.75 ,$525.54 ,$401.65 ,$61.07 ,$397.29 ,$233.57 ,$268.67 ,$281.16 ,$268.67 ,$392.92 ,$392.92 ,$327.44 ,$305.61 ,$235.91 ,$60.49 ,$408.20 ,$245.25 ,$57.61 ,$379.82 ,$233.57 ,$392.92 ,$233.57 ,$392.92 ,$392.92 ,$392.92 ,$423.48 ,$353.63 ,$392.92 ,$392.92 ,$392.92 ,$392.92 ST. JOSEPH'S - CHIPPEWA FALLS,98180654,29405,PC APPL CAST LEG SHORT-RT,981,1 ,$436.58 ,$327.44 ,$57.61 ,$525.54 ,$281.16 ,$233.57 ,$305.61 ,$57.61 ,$362.36 ,$59.34 ,$288.14 ,$414.75 , N/A ,$349.26 ,$397.29 ,$57.61 ,$410.39 ,$414.75 ,$392.92 ,$371.09 ,$57.61 ,$57.61 ,$57.61 ,$318.70 ,$233.57 ,$388.56 ,$392.92 ,$392.92 ,$349.26 ,$240.58 ,$240.12 ,$392.92 ,$233.57 ,$392.92 ,$233.57 ,$414.75 ,$525.54 ,$401.65 ,$61.07 ,$397.29 ,$233.57 ,$268.67 ,$281.16 ,$268.67 ,$392.92 ,$392.92 ,$327.44 ,$305.61 ,$235.91 ,$60.49 ,$408.20 ,$245.25 ,$57.61 ,$379.82 ,$233.57 ,$392.92 ,$233.57 ,$392.92 ,$392.92 ,$392.92 ,$423.48 ,$353.63 ,$392.92 ,$392.92 ,$392.92 ,$392.92 ST. JOSEPH'S - CHIPPEWA FALLS,98180655,29505,PC APPL LONG LEG SPLINT-LT,981,1 ,$374.70 ,$281.03 ,$21.22 ,$374.70 ,$241.31 ,$136.73 ,$262.29 ,$21.22 ,$311.00 ,$21.86 ,$247.30 ,$355.97 , N/A ,$299.76 ,$340.98 ,$21.22 ,$352.22 ,$355.97 ,$337.23 ,$318.50 ,$21.22 ,$21.22 ,$21.22 ,$273.53 ,$136.73 ,$333.48 ,$337.23 ,$337.23 ,$299.76 ,$140.83 ,$206.09 ,$337.23 ,$136.73 ,$337.23 ,$136.73 ,$355.97 ,$307.65 ,$344.72 ,$22.49 ,$340.98 ,$136.73 ,$230.59 ,$241.31 ,$230.59 ,$337.23 ,$337.23 ,$281.03 ,$262.29 ,$138.10 ,$22.28 ,$350.34 ,$143.57 ,$21.22 ,$325.99 ,$136.73 ,$337.23 ,$136.73 ,$337.23 ,$337.23 ,$337.23 ,$363.46 ,$303.51 ,$337.23 ,$337.23 ,$337.23 ,$337.23 ST. JOSEPH'S - CHIPPEWA FALLS,98180656,29505,PC APPL LONG LEG SPLINT-RT,981,1 ,$374.70 ,$281.03 ,$21.22 ,$374.70 ,$241.31 ,$136.73 ,$262.29 ,$21.22 ,$311.00 ,$21.86 ,$247.30 ,$355.97 , N/A ,$299.76 ,$340.98 ,$21.22 ,$352.22 ,$355.97 ,$337.23 ,$318.50 ,$21.22 ,$21.22 ,$21.22 ,$273.53 ,$136.73 ,$333.48 ,$337.23 ,$337.23 ,$299.76 ,$140.83 ,$206.09 ,$337.23 ,$136.73 ,$337.23 ,$136.73 ,$355.97 ,$307.65 ,$344.72 ,$22.49 ,$340.98 ,$136.73 ,$230.59 ,$241.31 ,$230.59 ,$337.23 ,$337.23 ,$281.03 ,$262.29 ,$138.10 ,$22.28 ,$350.34 ,$143.57 ,$21.22 ,$325.99 ,$136.73 ,$337.23 ,$136.73 ,$337.23 ,$337.23 ,$337.23 ,$363.46 ,$303.51 ,$337.23 ,$337.23 ,$337.23 ,$337.23 ST. JOSEPH'S - CHIPPEWA FALLS,98180657,29515,PC APPL SHORT LEG SPLINT-LT,981,1 ,$243.50 ,$182.63 ,$21.22 ,$307.65 ,$156.81 ,$136.73 ,$170.45 ,$21.22 ,$202.11 ,$21.86 ,$160.71 ,$231.33 , N/A ,$194.80 ,$221.59 ,$21.22 ,$228.89 ,$231.33 ,$219.15 ,$206.98 ,$21.22 ,$21.22 ,$21.22 ,$177.76 ,$136.73 ,$216.72 ,$219.15 ,$219.15 ,$194.80 ,$140.83 ,$133.93 ,$219.15 ,$136.73 ,$219.15 ,$136.73 ,$231.33 ,$307.65 ,$224.02 ,$22.49 ,$221.59 ,$136.73 ,$149.85 ,$156.81 ,$149.85 ,$219.15 ,$219.15 ,$182.63 ,$170.45 ,$138.10 ,$22.28 ,$227.67 ,$143.57 ,$21.22 ,$211.85 ,$136.73 ,$219.15 ,$136.73 ,$219.15 ,$219.15 ,$219.15 ,$236.20 ,$197.24 ,$219.15 ,$219.15 ,$219.15 ,$219.15 ST. JOSEPH'S - CHIPPEWA FALLS,98180658,29515,PC APPL SHORT LEG SPLINT-RT,981,1 ,$243.50 ,$182.63 ,$21.22 ,$307.65 ,$156.81 ,$136.73 ,$170.45 ,$21.22 ,$202.11 ,$21.86 ,$160.71 ,$231.33 , N/A ,$194.80 ,$221.59 ,$21.22 ,$228.89 ,$231.33 ,$219.15 ,$206.98 ,$21.22 ,$21.22 ,$21.22 ,$177.76 ,$136.73 ,$216.72 ,$219.15 ,$219.15 ,$194.80 ,$140.83 ,$133.93 ,$219.15 ,$136.73 ,$219.15 ,$136.73 ,$231.33 ,$307.65 ,$224.02 ,$22.49 ,$221.59 ,$136.73 ,$149.85 ,$156.81 ,$149.85 ,$219.15 ,$219.15 ,$182.63 ,$170.45 ,$138.10 ,$22.28 ,$227.67 ,$143.57 ,$21.22 ,$211.85 ,$136.73 ,$219.15 ,$136.73 ,$219.15 ,$219.15 ,$219.15 ,$236.20 ,$197.24 ,$219.15 ,$219.15 ,$219.15 ,$219.15 ST. JOSEPH'S - CHIPPEWA FALLS,98180659,30901,PC CNTRL NOSEBLEED ANT SIMPLE-LT,981,1 ,$383.80 ,$287.85 ,$35.67 ,$383.80 ,$247.17 ,$108.42 ,$268.66 ,$35.67 ,$318.55 ,$36.74 ,$253.31 ,$364.61 , N/A ,$307.04 ,$349.26 ,$35.67 ,$360.77 ,$364.61 ,$345.42 ,$326.23 ,$35.67 ,$35.67 ,$35.67 ,$280.17 ,$108.42 ,$341.58 ,$345.42 ,$345.42 ,$307.04 ,$111.68 ,$211.09 ,$345.42 ,$108.42 ,$345.42 ,$108.42 ,$364.61 ,$243.95 ,$353.10 ,$37.81 ,$349.26 ,$108.42 ,$236.19 ,$247.17 ,$236.19 ,$345.42 ,$345.42 ,$287.85 ,$268.66 ,$109.51 ,$37.45 ,$358.85 ,$113.84 ,$35.67 ,$333.91 ,$108.42 ,$345.42 ,$108.42 ,$345.42 ,$345.42 ,$345.42 ,$372.29 ,$310.88 ,$345.42 ,$345.42 ,$345.42 ,$345.42 ST. JOSEPH'S - CHIPPEWA FALLS,98180660,30901,PC CNTRL NOSEBLEED ANT SIMPLE-RT,981,1 ,$383.80 ,$287.85 ,$35.67 ,$383.80 ,$247.17 ,$108.42 ,$268.66 ,$35.67 ,$318.55 ,$36.74 ,$253.31 ,$364.61 , N/A ,$307.04 ,$349.26 ,$35.67 ,$360.77 ,$364.61 ,$345.42 ,$326.23 ,$35.67 ,$35.67 ,$35.67 ,$280.17 ,$108.42 ,$341.58 ,$345.42 ,$345.42 ,$307.04 ,$111.68 ,$211.09 ,$345.42 ,$108.42 ,$345.42 ,$108.42 ,$364.61 ,$243.95 ,$353.10 ,$37.81 ,$349.26 ,$108.42 ,$236.19 ,$247.17 ,$236.19 ,$345.42 ,$345.42 ,$287.85 ,$268.66 ,$109.51 ,$37.45 ,$358.85 ,$113.84 ,$35.67 ,$333.91 ,$108.42 ,$345.42 ,$108.42 ,$345.42 ,$345.42 ,$345.42 ,$372.29 ,$310.88 ,$345.42 ,$345.42 ,$345.42 ,$345.42 ST. JOSEPH'S - CHIPPEWA FALLS,98180661,30903,PC CNTRL NOSEBLEED COMPLEX-LT,981,1 ,$568.00 ,$426.00 ,$35.67 ,$568.00 ,$365.79 ,$108.42 ,$397.60 ,$35.67 ,$471.44 ,$36.74 ,$374.88 ,$539.60 , N/A ,$454.40 ,$516.88 ,$35.67 ,$533.92 ,$539.60 ,$511.20 ,$482.80 ,$35.67 ,$35.67 ,$35.67 ,$414.64 ,$108.42 ,$505.52 ,$511.20 ,$511.20 ,$454.40 ,$111.68 ,$312.40 ,$511.20 ,$108.42 ,$511.20 ,$108.42 ,$539.60 ,$243.95 ,$522.56 ,$37.81 ,$516.88 ,$108.42 ,$349.55 ,$365.79 ,$349.55 ,$511.20 ,$511.20 ,$426.00 ,$397.60 ,$109.51 ,$37.45 ,$531.08 ,$113.84 ,$35.67 ,$494.16 ,$108.42 ,$511.20 ,$108.42 ,$511.20 ,$511.20 ,$511.20 ,$550.96 ,$460.08 ,$511.20 ,$511.20 ,$511.20 ,$511.20 ST. JOSEPH'S - CHIPPEWA FALLS,98180662,30903,PC CNTRL NOSEBLEED COMPLEX-RT,981,1 ,$568.00 ,$426.00 ,$35.67 ,$568.00 ,$365.79 ,$108.42 ,$397.60 ,$35.67 ,$471.44 ,$36.74 ,$374.88 ,$539.60 , N/A ,$454.40 ,$516.88 ,$35.67 ,$533.92 ,$539.60 ,$511.20 ,$482.80 ,$35.67 ,$35.67 ,$35.67 ,$414.64 ,$108.42 ,$505.52 ,$511.20 ,$511.20 ,$454.40 ,$111.68 ,$312.40 ,$511.20 ,$108.42 ,$511.20 ,$108.42 ,$539.60 ,$243.95 ,$522.56 ,$37.81 ,$516.88 ,$108.42 ,$349.55 ,$365.79 ,$349.55 ,$511.20 ,$511.20 ,$426.00 ,$397.60 ,$109.51 ,$37.45 ,$531.08 ,$113.84 ,$35.67 ,$494.16 ,$108.42 ,$511.20 ,$108.42 ,$511.20 ,$511.20 ,$511.20 ,$550.96 ,$460.08 ,$511.20 ,$511.20 ,$511.20 ,$511.20 ST. JOSEPH'S - CHIPPEWA FALLS,98180663,32551,PC TUBE THORACOSTOMY-LT,981,1 ,"$1,236.10 ",$927.08 ,$258.10 ,"$3,064.15 ",$796.05 ,"$1,361.85 ",$865.27 ,$258.10 ,"$1,025.96 ",$265.84 ,$815.83 ,"$1,174.30 ", N/A ,$988.88 ,"$1,124.85 ",$258.10 ,"$1,161.93 ","$1,174.30 ","$1,112.49 ","$1,050.69 ",$258.10 ,$258.10 ,$258.10 ,$902.35 ,"$1,361.85 ","$1,100.13 ","$1,112.49 ","$1,112.49 ",$988.88 ,"$1,402.70 ",$679.86 ,"$1,112.49 ","$1,361.85 ","$1,112.49 ","$1,361.85 ","$1,174.30 ","$3,064.15 ","$1,137.21 ",$273.59 ,"$1,124.85 ","$1,361.85 ",$760.70 ,$796.05 ,$760.70 ,"$1,112.49 ","$1,112.49 ",$927.08 ,$865.27 ,"$1,375.47 ",$271.01 ,"$1,155.75 ","$1,429.94 ",$258.10 ,"$1,075.41 ","$1,361.85 ","$1,112.49 ","$1,361.85 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,199.02 ","$1,001.24 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,112.49 " ST. JOSEPH'S - CHIPPEWA FALLS,98180664,32551,PC TUBE THORACOSTOMY-RT,981,1 ,"$1,236.10 ",$927.08 ,$258.10 ,"$3,064.15 ",$796.05 ,"$1,361.85 ",$865.27 ,$258.10 ,"$1,025.96 ",$265.84 ,$815.83 ,"$1,174.30 ", N/A ,$988.88 ,"$1,124.85 ",$258.10 ,"$1,161.93 ","$1,174.30 ","$1,112.49 ","$1,050.69 ",$258.10 ,$258.10 ,$258.10 ,$902.35 ,"$1,361.85 ","$1,100.13 ","$1,112.49 ","$1,112.49 ",$988.88 ,"$1,402.70 ",$679.86 ,"$1,112.49 ","$1,361.85 ","$1,112.49 ","$1,361.85 ","$1,174.30 ","$3,064.15 ","$1,137.21 ",$273.59 ,"$1,124.85 ","$1,361.85 ",$760.70 ,$796.05 ,$760.70 ,"$1,112.49 ","$1,112.49 ",$927.08 ,$865.27 ,"$1,375.47 ",$271.01 ,"$1,155.75 ","$1,429.94 ",$258.10 ,"$1,075.41 ","$1,361.85 ","$1,112.49 ","$1,361.85 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,199.02 ","$1,001.24 ","$1,112.49 ","$1,112.49 ","$1,112.49 ","$1,112.49 " ST. JOSEPH'S - CHIPPEWA FALLS,98180665,64450,PC INJ ANES OTHER THAN PERIPHERAL-LT,981,1 ,$504.80 ,$378.60 ,$121.61 ,"$1,382.85 ",$325.09 ,$614.60 ,$353.36 ,$121.61 ,$418.98 ,$125.26 ,$333.17 ,$479.56 , N/A ,$403.84 ,$459.37 ,$121.61 ,$474.51 ,$479.56 ,$454.32 ,$429.08 ,$121.61 ,$121.61 ,$121.61 ,$368.50 ,$614.60 ,$449.27 ,$454.32 ,$454.32 ,$403.84 ,$633.04 ,$277.64 ,$454.32 ,$614.60 ,$454.32 ,$614.60 ,$479.56 ,"$1,382.85 ",$464.42 ,$128.91 ,$459.37 ,$614.60 ,$310.65 ,$325.09 ,$310.65 ,$454.32 ,$454.32 ,$378.60 ,$353.36 ,$620.75 ,$127.69 ,$471.99 ,$645.33 ,$121.61 ,$439.18 ,$614.60 ,$454.32 ,$614.60 ,$454.32 ,$454.32 ,$454.32 ,$489.66 ,$408.89 ,$454.32 ,$454.32 ,$454.32 ,$454.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180666,64450,PC INJ ANES OTHER THAN PERIPHERAL-RT,981,1 ,$504.80 ,$378.60 ,$121.61 ,"$1,382.85 ",$325.09 ,$614.60 ,$353.36 ,$121.61 ,$418.98 ,$125.26 ,$333.17 ,$479.56 , N/A ,$403.84 ,$459.37 ,$121.61 ,$474.51 ,$479.56 ,$454.32 ,$429.08 ,$121.61 ,$121.61 ,$121.61 ,$368.50 ,$614.60 ,$449.27 ,$454.32 ,$454.32 ,$403.84 ,$633.04 ,$277.64 ,$454.32 ,$614.60 ,$454.32 ,$614.60 ,$479.56 ,"$1,382.85 ",$464.42 ,$128.91 ,$459.37 ,$614.60 ,$310.65 ,$325.09 ,$310.65 ,$454.32 ,$454.32 ,$378.60 ,$353.36 ,$620.75 ,$127.69 ,$471.99 ,$645.33 ,$121.61 ,$439.18 ,$614.60 ,$454.32 ,$614.60 ,$454.32 ,$454.32 ,$454.32 ,$489.66 ,$408.89 ,$454.32 ,$454.32 ,$454.32 ,$454.32 ST. JOSEPH'S - CHIPPEWA FALLS,98180667,65205,PC REMOVE EYE FB CONJUCT SUPER-LT,981,1 ,$292.40 ,$219.30 ,$18.36 ,$292.40 ,$188.31 ,$108.42 ,$204.68 ,$18.36 ,$242.69 ,$18.91 ,$192.98 ,$277.78 , N/A ,$233.92 ,$266.08 ,$18.36 ,$274.86 ,$277.78 ,$263.16 ,$248.54 ,$18.36 ,$18.36 ,$18.36 ,$213.45 ,$108.42 ,$260.24 ,$263.16 ,$263.16 ,$233.92 ,$111.68 ,$160.82 ,$263.16 ,$108.42 ,$263.16 ,$108.42 ,$277.78 ,$243.95 ,$269.01 ,$19.46 ,$266.08 ,$108.42 ,$179.94 ,$188.31 ,$179.94 ,$263.16 ,$263.16 ,$219.30 ,$204.68 ,$109.51 ,$19.28 ,$273.39 ,$113.84 ,$18.36 ,$254.39 ,$108.42 ,$263.16 ,$108.42 ,$263.16 ,$263.16 ,$263.16 ,$283.63 ,$236.84 ,$263.16 ,$263.16 ,$263.16 ,$263.16 ST. JOSEPH'S - CHIPPEWA FALLS,98180668,65205,PC REMOVE EYE FB CONJUCT SUPER-RT,981,1 ,$292.40 ,$219.30 ,$18.36 ,$292.40 ,$188.31 ,$108.42 ,$204.68 ,$18.36 ,$242.69 ,$18.91 ,$192.98 ,$277.78 , N/A ,$233.92 ,$266.08 ,$18.36 ,$274.86 ,$277.78 ,$263.16 ,$248.54 ,$18.36 ,$18.36 ,$18.36 ,$213.45 ,$108.42 ,$260.24 ,$263.16 ,$263.16 ,$233.92 ,$111.68 ,$160.82 ,$263.16 ,$108.42 ,$263.16 ,$108.42 ,$277.78 ,$243.95 ,$269.01 ,$19.46 ,$266.08 ,$108.42 ,$179.94 ,$188.31 ,$179.94 ,$263.16 ,$263.16 ,$219.30 ,$204.68 ,$109.51 ,$19.28 ,$273.39 ,$113.84 ,$18.36 ,$254.39 ,$108.42 ,$263.16 ,$108.42 ,$263.16 ,$263.16 ,$263.16 ,$283.63 ,$236.84 ,$263.16 ,$263.16 ,$263.16 ,$263.16 ST. JOSEPH'S - CHIPPEWA FALLS,98180669,65210,PC REMOVE EYE FB CONJUCT EMBED-LT,981,1 ,$307.74 ,$230.81 ,$18.36 ,$588.84 ,$198.18 ,$261.71 ,$215.42 ,$18.36 ,$255.42 ,$18.91 ,$203.11 ,$292.35 , N/A ,$246.19 ,$280.04 ,$18.36 ,$289.28 ,$292.35 ,$276.97 ,$261.58 ,$18.36 ,$18.36 ,$18.36 ,$224.65 ,$261.71 ,$273.89 ,$276.97 ,$276.97 ,$246.19 ,$269.56 ,$169.26 ,$276.97 ,$261.71 ,$276.97 ,$261.71 ,$292.35 ,$588.84 ,$283.12 ,$19.46 ,$280.04 ,$261.71 ,$189.38 ,$198.18 ,$189.38 ,$276.97 ,$276.97 ,$230.81 ,$215.42 ,$264.33 ,$19.28 ,$287.74 ,$274.80 ,$18.36 ,$267.73 ,$261.71 ,$276.97 ,$261.71 ,$276.97 ,$276.97 ,$276.97 ,$298.51 ,$249.27 ,$276.97 ,$276.97 ,$276.97 ,$276.97 ST. JOSEPH'S - CHIPPEWA FALLS,98180670,65210,PC REMOVE EYE FB CONJUCT EMBED-RT,981,1 ,$307.74 ,$230.81 ,$18.36 ,$588.84 ,$198.18 ,$261.71 ,$215.42 ,$18.36 ,$255.42 ,$18.91 ,$203.11 ,$292.35 , N/A ,$246.19 ,$280.04 ,$18.36 ,$289.28 ,$292.35 ,$276.97 ,$261.58 ,$18.36 ,$18.36 ,$18.36 ,$224.65 ,$261.71 ,$273.89 ,$276.97 ,$276.97 ,$246.19 ,$269.56 ,$169.26 ,$276.97 ,$261.71 ,$276.97 ,$261.71 ,$292.35 ,$588.84 ,$283.12 ,$19.46 ,$280.04 ,$261.71 ,$189.38 ,$198.18 ,$189.38 ,$276.97 ,$276.97 ,$230.81 ,$215.42 ,$264.33 ,$19.28 ,$287.74 ,$274.80 ,$18.36 ,$267.73 ,$261.71 ,$276.97 ,$261.71 ,$276.97 ,$276.97 ,$276.97 ,$298.51 ,$249.27 ,$276.97 ,$276.97 ,$276.97 ,$276.97 ST. JOSEPH'S - CHIPPEWA FALLS,98180671,65220,PC REMOVE FB CORNL W/O SLIT LAMP-LT,981,1 ,$341.80 ,$256.35 ,$18.36 ,$588.84 ,$220.12 ,$261.71 ,$239.26 ,$18.36 ,$283.69 ,$18.91 ,$225.59 ,$324.71 , N/A ,$273.44 ,$311.04 ,$18.36 ,$321.29 ,$324.71 ,$307.62 ,$290.53 ,$18.36 ,$18.36 ,$18.36 ,$249.51 ,$261.71 ,$304.20 ,$307.62 ,$307.62 ,$273.44 ,$269.56 ,$187.99 ,$307.62 ,$261.71 ,$307.62 ,$261.71 ,$324.71 ,$588.84 ,$314.46 ,$19.46 ,$311.04 ,$261.71 ,$210.34 ,$220.12 ,$210.34 ,$307.62 ,$307.62 ,$256.35 ,$239.26 ,$264.33 ,$19.28 ,$319.58 ,$274.80 ,$18.36 ,$297.37 ,$261.71 ,$307.62 ,$261.71 ,$307.62 ,$307.62 ,$307.62 ,$331.55 ,$276.86 ,$307.62 ,$307.62 ,$307.62 ,$307.62 ST. JOSEPH'S - CHIPPEWA FALLS,98180672,65220,PC REMOVE FB CORNL W/O SLIT LAMP-RT,981,1 ,$341.80 ,$256.35 ,$18.36 ,$588.84 ,$220.12 ,$261.71 ,$239.26 ,$18.36 ,$283.69 ,$18.91 ,$225.59 ,$324.71 , N/A ,$273.44 ,$311.04 ,$18.36 ,$321.29 ,$324.71 ,$307.62 ,$290.53 ,$18.36 ,$18.36 ,$18.36 ,$249.51 ,$261.71 ,$304.20 ,$307.62 ,$307.62 ,$273.44 ,$269.56 ,$187.99 ,$307.62 ,$261.71 ,$307.62 ,$261.71 ,$324.71 ,$588.84 ,$314.46 ,$19.46 ,$311.04 ,$261.71 ,$210.34 ,$220.12 ,$210.34 ,$307.62 ,$307.62 ,$256.35 ,$239.26 ,$264.33 ,$19.28 ,$319.58 ,$274.80 ,$18.36 ,$297.37 ,$261.71 ,$307.62 ,$261.71 ,$307.62 ,$307.62 ,$307.62 ,$331.55 ,$276.86 ,$307.62 ,$307.62 ,$307.62 ,$307.62 ST. JOSEPH'S - CHIPPEWA FALLS,98180673,65222,PC REMOVE FB CORNL W/ SLIT LAMP-LT,981,1 ,$376.90 ,$282.68 ,$18.36 ,$376.90 ,$242.72 ,$108.42 ,$263.83 ,$18.36 ,$312.83 ,$18.91 ,$248.75 ,$358.06 , N/A ,$301.52 ,$342.98 ,$18.36 ,$354.29 ,$358.06 ,$339.21 ,$320.37 ,$18.36 ,$18.36 ,$18.36 ,$275.14 ,$108.42 ,$335.44 ,$339.21 ,$339.21 ,$301.52 ,$111.68 ,$207.30 ,$339.21 ,$108.42 ,$339.21 ,$108.42 ,$358.06 ,$243.95 ,$346.75 ,$19.46 ,$342.98 ,$108.42 ,$231.94 ,$242.72 ,$231.94 ,$339.21 ,$339.21 ,$282.68 ,$263.83 ,$109.51 ,$19.28 ,$352.40 ,$113.84 ,$18.36 ,$327.90 ,$108.42 ,$339.21 ,$108.42 ,$339.21 ,$339.21 ,$339.21 ,$365.59 ,$305.29 ,$339.21 ,$339.21 ,$339.21 ,$339.21 ST. JOSEPH'S - CHIPPEWA FALLS,98180674,65222,PC REMOVE FB CORNL W/ SLIT LAMP-RT,981,1 ,$376.90 ,$282.68 ,$18.36 ,$376.90 ,$242.72 ,$108.42 ,$263.83 ,$18.36 ,$312.83 ,$18.91 ,$248.75 ,$358.06 , N/A ,$301.52 ,$342.98 ,$18.36 ,$354.29 ,$358.06 ,$339.21 ,$320.37 ,$18.36 ,$18.36 ,$18.36 ,$275.14 ,$108.42 ,$335.44 ,$339.21 ,$339.21 ,$301.52 ,$111.68 ,$207.30 ,$339.21 ,$108.42 ,$339.21 ,$108.42 ,$358.06 ,$243.95 ,$346.75 ,$19.46 ,$342.98 ,$108.42 ,$231.94 ,$242.72 ,$231.94 ,$339.21 ,$339.21 ,$282.68 ,$263.83 ,$109.51 ,$19.28 ,$352.40 ,$113.84 ,$18.36 ,$327.90 ,$108.42 ,$339.21 ,$108.42 ,$339.21 ,$339.21 ,$339.21 ,$365.59 ,$305.29 ,$339.21 ,$339.21 ,$339.21 ,$339.21 ST. JOSEPH'S - CHIPPEWA FALLS,98180675,11446,PC EXCISION LESION BENIGN FACE/EAR >4.0CM,981,1 ,"$1,616.46 ","$1,212.35 ",$519.54 ,"$5,164.55 ","$1,041.00 ","$2,295.35 ","$1,131.52 ",$519.54 ,"$1,341.66 ",$535.13 ,"$1,066.86 ","$1,535.64 ", N/A ,"$1,293.17 ","$1,470.98 ",$519.54 ,"$1,519.47 ","$1,535.64 ","$1,454.81 ","$1,373.99 ",$519.54 ,$519.54 ,$519.54 ,"$1,180.02 ","$2,295.35 ","$1,438.65 ","$1,454.81 ","$1,454.81 ","$1,293.17 ","$2,364.22 ",$889.05 ,"$1,454.81 ","$2,295.35 ","$1,454.81 ","$2,295.35 ","$1,535.64 ","$5,164.55 ","$1,487.14 ",$550.71 ,"$1,470.98 ","$2,295.35 ",$994.77 ,"$1,041.00 ",$994.77 ,"$1,454.81 ","$1,454.81 ","$1,212.35 ","$1,131.52 ","$2,318.31 ",$545.52 ,"$1,511.39 ","$2,410.12 ",$519.54 ,"$1,406.32 ","$2,295.35 ","$1,454.81 ","$2,295.35 ","$1,454.81 ","$1,454.81 ","$1,454.81 ","$1,567.97 ","$1,309.33 ","$1,454.81 ","$1,454.81 ","$1,454.81 ","$1,454.81 " ST. JOSEPH'S - CHIPPEWA FALLS,98180855,46608,PC ANOSCOPY W/FB REMOVAL,981,1 ,$387.57 ,$290.68 ,$213.16 ,"$1,729.46 ",$249.60 ,$768.65 ,$271.30 ,$293.78 ,$321.68 ,$302.59 ,$255.80 ,$368.19 , N/A ,$310.06 ,$352.69 ,$293.78 ,$364.32 ,$368.19 ,$348.81 ,$329.43 ,$293.78 ,$293.78 ,$293.78 ,$282.93 ,$768.65 ,$344.94 ,$348.81 ,$348.81 ,$310.06 ,$791.71 ,$213.16 ,$348.81 ,$768.65 ,$348.81 ,$768.65 ,$368.19 ,"$1,729.46 ",$356.56 ,$311.41 ,$352.69 ,$768.65 ,$238.51 ,$249.60 ,$238.51 ,$348.81 ,$348.81 ,$290.68 ,$271.30 ,$776.34 ,$308.47 ,$362.38 ,$807.08 ,$293.78 ,$337.19 ,$768.65 ,$348.81 ,$768.65 ,$348.81 ,$348.81 ,$348.81 ,$375.94 ,$313.93 ,$348.81 ,$348.81 ,$348.81 ,$348.81 ST. JOSEPH'S - CHIPPEWA FALLS,98180857,11200,PC REMOVAL SKIN TAGS <=15 LESIONS,981,1 ,$268.40 ,$201.30 ,$74.70 ,$391.26 ,$172.85 ,$173.89 ,$187.88 ,$74.70 ,$222.77 ,$76.94 ,$177.14 ,$254.98 , N/A ,$214.72 ,$244.24 ,$74.70 ,$252.30 ,$254.98 ,$241.56 ,$228.14 ,$74.70 ,$74.70 ,$74.70 ,$195.93 ,$173.89 ,$238.88 ,$241.56 ,$241.56 ,$214.72 ,$179.11 ,$147.62 ,$241.56 ,$173.89 ,$241.56 ,$173.89 ,$254.98 ,$391.26 ,$246.93 ,$79.18 ,$244.24 ,$173.89 ,$165.17 ,$172.85 ,$165.17 ,$241.56 ,$241.56 ,$201.30 ,$187.88 ,$175.63 ,$78.44 ,$250.95 ,$182.58 ,$74.70 ,$233.51 ,$173.89 ,$241.56 ,$173.89 ,$241.56 ,$241.56 ,$241.56 ,$260.35 ,$217.40 ,$241.56 ,$241.56 ,$241.56 ,$241.56 ST. JOSEPH'S - CHIPPEWA FALLS,98180858,11730,PC AVULSION NAIL PLATE SINGLE,981,1 ,$313.60 ,$235.20 ,$31.89 ,$391.26 ,$201.96 ,$173.89 ,$219.52 ,$31.89 ,$260.29 ,$32.85 ,$206.98 ,$297.92 , N/A ,$250.88 ,$285.38 ,$31.89 ,$294.78 ,$297.92 ,$282.24 ,$266.56 ,$31.89 ,$31.89 ,$31.89 ,$228.93 ,$173.89 ,$279.10 ,$282.24 ,$282.24 ,$250.88 ,$179.11 ,$172.48 ,$282.24 ,$173.89 ,$282.24 ,$173.89 ,$297.92 ,$391.26 ,$288.51 ,$33.80 ,$285.38 ,$173.89 ,$192.99 ,$201.96 ,$192.99 ,$282.24 ,$282.24 ,$235.20 ,$219.52 ,$175.63 ,$33.48 ,$293.22 ,$182.58 ,$31.89 ,$272.83 ,$173.89 ,$282.24 ,$173.89 ,$282.24 ,$282.24 ,$282.24 ,$304.19 ,$254.02 ,$282.24 ,$282.24 ,$282.24 ,$282.24 ST. JOSEPH'S - CHIPPEWA FALLS,98180859,17250,PC CHEM CAUTERY WITH AWC PRO,981,1 ,$216.20 ,$162.15 ,$74.70 ,$391.26 ,$139.23 ,$173.89 ,$151.34 ,$74.70 ,$179.45 ,$76.94 ,$142.69 ,$205.39 , N/A ,$172.96 ,$196.74 ,$74.70 ,$203.23 ,$205.39 ,$194.58 ,$183.77 ,$74.70 ,$74.70 ,$74.70 ,$157.83 ,$173.89 ,$192.42 ,$194.58 ,$194.58 ,$172.96 ,$179.11 ,$118.91 ,$194.58 ,$173.89 ,$194.58 ,$173.89 ,$205.39 ,$391.26 ,$198.90 ,$79.18 ,$196.74 ,$173.89 ,$133.05 ,$139.23 ,$133.05 ,$194.58 ,$194.58 ,$162.15 ,$151.34 ,$175.63 ,$78.44 ,$202.15 ,$182.58 ,$74.70 ,$188.09 ,$173.89 ,$194.58 ,$173.89 ,$194.58 ,$194.58 ,$194.58 ,$209.71 ,$175.12 ,$194.58 ,$194.58 ,$194.58 ,$194.58 ST. JOSEPH'S - CHIPPEWA FALLS,98180860,33210,PC INS/REPL TPM SGL ELEC/CATH,981,1 ,"$1,569.51 ","$1,177.13 ",$430.13 ,"$17,765.49 ","$1,010.76 ","$7,895.77 ","$1,098.66 ",$430.13 ,"$1,302.69 ",$443.03 ,"$1,035.88 ","$1,491.03 ", N/A ,"$1,255.61 ","$1,428.25 ",$430.13 ,"$1,475.34 ","$1,491.03 ","$1,412.56 ","$1,334.08 ",$430.13 ,$430.13 ,$430.13 ,"$1,145.74 ","$7,895.77 ","$1,396.86 ","$1,412.56 ","$1,412.56 ","$1,255.61 ","$8,132.65 ",$863.23 ,"$1,412.56 ","$7,895.77 ","$1,412.56 ","$7,895.77 ","$1,491.03 ","$17,765.49 ","$1,443.95 ",$455.94 ,"$1,428.25 ","$7,895.77 ",$965.88 ,"$1,010.76 ",$965.88 ,"$1,412.56 ","$1,412.56 ","$1,177.13 ","$1,098.66 ","$7,974.73 ",$451.64 ,"$1,467.49 ","$8,290.56 ",$430.13 ,"$1,365.47 ","$7,895.77 ","$1,412.56 ","$7,895.77 ","$1,412.56 ","$1,412.56 ","$1,412.56 ","$1,522.42 ","$1,271.30 ","$1,412.56 ","$1,412.56 ","$1,412.56 ","$1,412.56 " ST. JOSEPH'S - CHIPPEWA FALLS,98180861,36000,PC IV START > 3YR OLD,981,1 ,$299.21 ,$224.41 ,$17.61 ,$299.21 ,$192.69 , N/A ,$209.45 ,$17.61 ,$248.34 ,$18.14 ,$197.48 ,$284.25 , N/A ,$239.37 ,$272.28 ,$17.61 ,$281.26 ,$284.25 ,$269.29 ,$254.33 ,$17.61 ,$17.61 ,$17.61 ,$218.42 , N/A ,$266.30 ,$269.29 ,$269.29 ,$239.37 , N/A ,$164.57 ,$269.29 , N/A ,$269.29 , N/A ,$284.25 , N/A ,$275.27 ,$18.67 ,$272.28 , N/A ,$184.13 ,$192.69 ,$184.13 ,$269.29 ,$269.29 ,$224.41 ,$209.45 , N/A ,$18.49 ,$279.76 , N/A ,$17.61 ,$260.31 , N/A ,$269.29 , N/A ,$269.29 ,$269.29 ,$269.29 ,$290.23 ,$242.36 ,$269.29 ,$269.29 ,$269.29 ,$269.29 ST. JOSEPH'S - CHIPPEWA FALLS,98180863,42104,PC EXC LESION PALATE W/O CLOSURE,981,1 ,$792.92 ,$594.69 ,$436.11 ,"$5,962.94 ",$510.64 ,"$2,650.19 ",$555.04 ,$792.92 ,$658.12 ,$976.17 ,$523.33 ,$753.27 , N/A ,$634.34 ,$721.56 ,$792.92 ,$745.34 ,$753.27 ,$713.63 ,$673.98 ,$947.74 ,$947.74 ,$947.74 ,$578.83 ,"$2,650.19 ",$705.70 ,$713.63 ,$713.63 ,$634.34 ,"$2,729.70 ",$436.11 ,$713.63 ,"$2,650.19 ",$713.63 ,"$2,650.19 ",$753.27 ,"$5,962.94 ",$729.49 ,"$1,004.60 ",$721.56 ,"$2,650.19 ",$487.96 ,$510.64 ,$487.96 ,$713.63 ,$713.63 ,$594.69 ,$555.04 ,"$2,676.70 ",$995.13 ,$741.38 ,"$2,782.70 ",$792.92 ,$689.84 ,"$2,650.19 ",$713.63 ,"$2,650.19 ",$713.63 ,$713.63 ,$713.63 ,$769.13 ,$642.27 ,$713.63 ,$713.63 ,$713.63 ,$713.63 ST. JOSEPH'S - CHIPPEWA FALLS,98180864,51702,PC INSERT CATH BLADDER SIMPLE,981,1 ,$367.70 ,$275.78 ,$22.97 ,$367.70 ,$236.80 ,$108.42 ,$257.39 ,$22.97 ,$305.19 ,$23.66 ,$242.68 ,$349.32 , N/A ,$294.16 ,$334.61 ,$22.97 ,$345.64 ,$349.32 ,$330.93 ,$312.55 ,$22.97 ,$22.97 ,$22.97 ,$268.42 ,$108.42 ,$327.25 ,$330.93 ,$330.93 ,$294.16 ,$111.68 ,$202.24 ,$330.93 ,$108.42 ,$330.93 ,$108.42 ,$349.32 ,$243.95 ,$338.28 ,$24.35 ,$334.61 ,$108.42 ,$226.28 ,$236.80 ,$226.28 ,$330.93 ,$330.93 ,$275.78 ,$257.39 ,$109.51 ,$24.12 ,$343.80 ,$113.84 ,$22.97 ,$319.90 ,$108.42 ,$330.93 ,$108.42 ,$330.93 ,$330.93 ,$330.93 ,$356.67 ,$297.84 ,$330.93 ,$330.93 ,$330.93 ,$330.93 ST. JOSEPH'S - CHIPPEWA FALLS,98180865,62273,PC ANESTH INJ EPIDURAL BLOOD CLOT/PATCH,981,1 ,"$1,333.70 ","$1,000.28 ",$263.02 ,"$1,382.85 ",$858.90 ,$614.60 ,$933.59 ,$263.02 ,"$1,106.97 ",$270.91 ,$880.24 ,"$1,267.02 ", N/A ,"$1,066.96 ","$1,213.67 ",$263.02 ,"$1,253.68 ","$1,267.02 ","$1,200.33 ","$1,133.65 ",$263.02 ,$263.02 ,$263.02 ,$973.60 ,$614.60 ,"$1,186.99 ","$1,200.33 ","$1,200.33 ","$1,066.96 ",$633.04 ,$733.54 ,"$1,200.33 ",$614.60 ,"$1,200.33 ",$614.60 ,"$1,267.02 ","$1,382.85 ","$1,227.00 ",$278.80 ,"$1,213.67 ",$614.60 ,$820.76 ,$858.90 ,$820.76 ,"$1,200.33 ","$1,200.33 ","$1,000.28 ",$933.59 ,$620.75 ,$276.17 ,"$1,247.01 ",$645.33 ,$263.02 ,"$1,160.32 ",$614.60 ,"$1,200.33 ",$614.60 ,"$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,293.69 ","$1,080.30 ","$1,200.33 ","$1,200.33 ","$1,200.33 ","$1,200.33 " ST. JOSEPH'S - CHIPPEWA FALLS,98180866,92511,PC NASOPHARYNGOSCOPY,981,1 ,$449.02 ,$336.77 ,$35.67 ,$449.02 ,$289.17 ,$159.21 ,$314.31 ,$35.67 ,$372.69 ,$36.74 ,$296.35 ,$426.57 , N/A ,$359.22 ,$408.61 ,$35.67 ,$422.08 ,$426.57 ,$404.12 ,$381.67 ,$35.67 ,$35.67 ,$35.67 ,$327.78 ,$159.21 ,$399.63 ,$404.12 ,$404.12 ,$359.22 ,$163.99 ,$246.96 ,$404.12 ,$159.21 ,$404.12 ,$159.21 ,$426.57 ,$358.23 ,$413.10 ,$37.81 ,$408.61 ,$159.21 ,$276.33 ,$289.17 ,$276.33 ,$404.12 ,$404.12 ,$336.77 ,$314.31 ,$160.80 ,$37.45 ,$419.83 ,$167.17 ,$35.67 ,$390.65 ,$159.21 ,$404.12 ,$159.21 ,$404.12 ,$404.12 ,$404.12 ,$435.55 ,$363.71 ,$404.12 ,$404.12 ,$404.12 ,$404.12 ST. JOSEPH'S - CHIPPEWA FALLS,98180873,93042,PC RHYTHM ECG REPORT,981,1 ,$92.40 ,$69.30 ,$8.37 ,$92.40 ,$59.51 , N/A ,$64.68 ,$8.37 ,$76.69 ,$8.62 ,$60.98 ,$87.78 , N/A ,$73.92 ,$84.08 ,$8.37 ,$86.86 ,$87.78 ,$83.16 ,$78.54 ,$8.37 ,$8.37 ,$8.37 ,$67.45 , N/A ,$82.24 ,$83.16 ,$83.16 ,$73.92 , N/A ,$50.82 ,$83.16 , N/A ,$83.16 , N/A ,$87.78 , N/A ,$85.01 ,$8.87 ,$84.08 , N/A ,$56.86 ,$59.51 ,$56.86 ,$83.16 ,$83.16 ,$69.30 ,$64.68 , N/A ,$8.79 ,$86.39 , N/A ,$8.37 ,$80.39 , N/A ,$83.16 , N/A ,$83.16 ,$83.16 ,$83.16 ,$89.63 ,$74.84 ,$83.16 ,$83.16 ,$83.16 ,$83.16 ST. JOSEPH'S - CHIPPEWA FALLS,98180880,24600,PC TX DISL ELBOW W/O ANES CLS-LT,981,1 ,"$1,138.18 ",$853.64 ,$193.84 ,"$1,138.18 ",$732.99 ,$199.70 ,$796.73 ,$193.84 ,$944.69 ,$199.66 ,$751.20 ,"$1,081.27 ", N/A ,$910.54 ,"$1,035.74 ",$193.84 ,"$1,069.89 ","$1,081.27 ","$1,024.36 ",$967.45 ,$193.84 ,$193.84 ,$193.84 ,$830.87 ,$199.70 ,"$1,012.98 ","$1,024.36 ","$1,024.36 ",$910.54 ,$205.69 ,$626.00 ,"$1,024.36 ",$199.70 ,"$1,024.36 ",$199.70 ,"$1,081.27 ",$449.31 ,"$1,047.13 ",$205.47 ,"$1,035.74 ",$199.70 ,$700.44 ,$732.99 ,$700.44 ,"$1,024.36 ","$1,024.36 ",$853.64 ,$796.73 ,$201.69 ,$203.53 ,"$1,064.20 ",$209.69 ,$193.84 ,$990.22 ,$199.70 ,"$1,024.36 ",$199.70 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,104.03 ",$921.93 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,024.36 " ST. JOSEPH'S - CHIPPEWA FALLS,98180881,24600,PC TX DISL ELBOW W/O ANES CLS-RT,981,1 ,"$1,138.18 ",$853.64 ,$193.84 ,"$1,138.18 ",$732.99 ,$199.70 ,$796.73 ,$193.84 ,$944.69 ,$199.66 ,$751.20 ,"$1,081.27 ", N/A ,$910.54 ,"$1,035.74 ",$193.84 ,"$1,069.89 ","$1,081.27 ","$1,024.36 ",$967.45 ,$193.84 ,$193.84 ,$193.84 ,$830.87 ,$199.70 ,"$1,012.98 ","$1,024.36 ","$1,024.36 ",$910.54 ,$205.69 ,$626.00 ,"$1,024.36 ",$199.70 ,"$1,024.36 ",$199.70 ,"$1,081.27 ",$449.31 ,"$1,047.13 ",$205.47 ,"$1,035.74 ",$199.70 ,$700.44 ,$732.99 ,$700.44 ,"$1,024.36 ","$1,024.36 ",$853.64 ,$796.73 ,$201.69 ,$203.53 ,"$1,064.20 ",$209.69 ,$193.84 ,$990.22 ,$199.70 ,"$1,024.36 ",$199.70 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,104.03 ",$921.93 ,"$1,024.36 ","$1,024.36 ","$1,024.36 ","$1,024.36 " ST. JOSEPH'S - CHIPPEWA FALLS,98180908,27808,PC CLOSED TX FX BIMALLEOLAR W/O MANIP-LT,981,1 ,$306.79 ,$230.09 ,$168.73 ,$449.31 ,$197.57 ,$199.70 ,$214.75 ,$193.84 ,$254.64 ,$199.66 ,$202.48 ,$291.45 , N/A ,$245.43 ,$279.18 ,$193.84 ,$288.38 ,$291.45 ,$276.11 ,$260.77 ,$193.84 ,$193.84 ,$193.84 ,$223.96 ,$199.70 ,$273.04 ,$276.11 ,$276.11 ,$245.43 ,$205.69 ,$168.73 ,$276.11 ,$199.70 ,$276.11 ,$199.70 ,$291.45 ,$449.31 ,$282.25 ,$205.47 ,$279.18 ,$199.70 ,$188.80 ,$197.57 ,$188.80 ,$276.11 ,$276.11 ,$230.09 ,$214.75 ,$201.69 ,$203.53 ,$286.85 ,$209.69 ,$193.84 ,$266.91 ,$199.70 ,$276.11 ,$199.70 ,$276.11 ,$276.11 ,$276.11 ,$297.59 ,$248.50 ,$276.11 ,$276.11 ,$276.11 ,$276.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180909,27808,PC CLOSED TX FX BIMALLEOLAR W/O MANIP-RT,981,1 ,$306.79 ,$230.09 ,$168.73 ,$449.31 ,$197.57 ,$199.70 ,$214.75 ,$193.84 ,$254.64 ,$199.66 ,$202.48 ,$291.45 , N/A ,$245.43 ,$279.18 ,$193.84 ,$288.38 ,$291.45 ,$276.11 ,$260.77 ,$193.84 ,$193.84 ,$193.84 ,$223.96 ,$199.70 ,$273.04 ,$276.11 ,$276.11 ,$245.43 ,$205.69 ,$168.73 ,$276.11 ,$199.70 ,$276.11 ,$199.70 ,$291.45 ,$449.31 ,$282.25 ,$205.47 ,$279.18 ,$199.70 ,$188.80 ,$197.57 ,$188.80 ,$276.11 ,$276.11 ,$230.09 ,$214.75 ,$201.69 ,$203.53 ,$286.85 ,$209.69 ,$193.84 ,$266.91 ,$199.70 ,$276.11 ,$199.70 ,$276.11 ,$276.11 ,$276.11 ,$297.59 ,$248.50 ,$276.11 ,$276.11 ,$276.11 ,$276.11 ST. JOSEPH'S - CHIPPEWA FALLS,98180932,64400,PC NERVE BLOCK TRIGEMINAL-LT,981,1 ,$694.38 ,$520.79 ,$121.61 ,$694.38 ,$447.18 ,$252.94 ,$486.07 ,$121.61 ,$576.34 ,$125.26 ,$458.29 ,$659.66 , N/A ,$555.50 ,$631.89 ,$121.61 ,$652.72 ,$659.66 ,$624.94 ,$590.22 ,$121.61 ,$121.61 ,$121.61 ,$506.90 ,$252.94 ,$618.00 ,$624.94 ,$624.94 ,$555.50 ,$260.53 ,$381.91 ,$624.94 ,$252.94 ,$624.94 ,$252.94 ,$659.66 ,$569.12 ,$638.83 ,$128.91 ,$631.89 ,$252.94 ,$427.32 ,$447.18 ,$427.32 ,$624.94 ,$624.94 ,$520.79 ,$486.07 ,$255.47 ,$127.69 ,$649.25 ,$265.59 ,$121.61 ,$604.11 ,$252.94 ,$624.94 ,$252.94 ,$624.94 ,$624.94 ,$624.94 ,$673.55 ,$562.45 ,$624.94 ,$624.94 ,$624.94 ,$624.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180933,64400,PC NERVE BLOCK TRIGEMINAL-RT,981,1 ,$694.38 ,$520.79 ,$121.61 ,$694.38 ,$447.18 ,$252.94 ,$486.07 ,$121.61 ,$576.34 ,$125.26 ,$458.29 ,$659.66 , N/A ,$555.50 ,$631.89 ,$121.61 ,$652.72 ,$659.66 ,$624.94 ,$590.22 ,$121.61 ,$121.61 ,$121.61 ,$506.90 ,$252.94 ,$618.00 ,$624.94 ,$624.94 ,$555.50 ,$260.53 ,$381.91 ,$624.94 ,$252.94 ,$624.94 ,$252.94 ,$659.66 ,$569.12 ,$638.83 ,$128.91 ,$631.89 ,$252.94 ,$427.32 ,$447.18 ,$427.32 ,$624.94 ,$624.94 ,$520.79 ,$486.07 ,$255.47 ,$127.69 ,$649.25 ,$265.59 ,$121.61 ,$604.11 ,$252.94 ,$624.94 ,$252.94 ,$624.94 ,$624.94 ,$624.94 ,$673.55 ,$562.45 ,$624.94 ,$624.94 ,$624.94 ,$624.94 ST. JOSEPH'S - CHIPPEWA FALLS,98180957,43762,PC REPLACE GASTRO TUBE PERC,981,1 ,$332.00 ,$249.00 ,$60.28 ,$579.95 ,$213.81 ,$257.76 ,$232.40 ,$60.28 ,$275.56 ,$62.09 ,$219.12 ,$315.40 , N/A ,$265.60 ,$302.12 ,$60.28 ,$312.08 ,$315.40 ,$298.80 ,$282.20 ,$60.28 ,$60.28 ,$60.28 ,$242.36 ,$257.76 ,$295.48 ,$298.80 ,$298.80 ,$265.60 ,$265.49 ,$182.60 ,$298.80 ,$257.76 ,$298.80 ,$257.76 ,$315.40 ,$579.95 ,$305.44 ,$63.90 ,$302.12 ,$257.76 ,$204.31 ,$213.81 ,$204.31 ,$298.80 ,$298.80 ,$249.00 ,$232.40 ,$260.33 ,$63.29 ,$310.42 ,$270.65 ,$60.28 ,$288.84 ,$257.76 ,$298.80 ,$257.76 ,$298.80 ,$298.80 ,$298.80 ,$322.04 ,$268.92 ,$298.80 ,$298.80 ,$298.80 ,$298.80 ST. JOSEPH'S - CHIPPEWA FALLS,98180963,11104,PC BIOPSY SKIN PUNCH INIT LESN,981,1 ,$271.16 ,$203.37 ,$149.14 ,$753.63 ,$174.63 ,$334.95 ,$189.81 ,$161.28 ,$225.06 ,$166.12 ,$178.97 ,$257.60 , N/A ,$216.93 ,$246.76 ,$161.28 ,$254.89 ,$257.60 ,$244.04 ,$230.49 ,$161.28 ,$161.28 ,$161.28 ,$197.95 ,$334.95 ,$241.33 ,$244.04 ,$244.04 ,$216.93 ,$344.99 ,$149.14 ,$244.04 ,$334.95 ,$244.04 ,$334.95 ,$257.60 ,$753.63 ,$249.47 ,$170.96 ,$246.76 ,$334.95 ,$166.87 ,$174.63 ,$166.87 ,$244.04 ,$244.04 ,$203.37 ,$189.81 ,$338.30 ,$169.34 ,$253.53 ,$351.70 ,$161.28 ,$235.91 ,$334.95 ,$244.04 ,$334.95 ,$244.04 ,$244.04 ,$244.04 ,$263.03 ,$219.64 ,$244.04 ,$244.04 ,$244.04 ,$244.04 ST. JOSEPH'S - CHIPPEWA FALLS,98180973,33016,PC PERICARDIOCENTESIS W/ OR W/O IMAGING,981,1 ,"$1,157.48 ",$868.11 ,$258.10 ,"$3,064.15 ",$745.42 ,"$1,361.85 ",$810.24 ,$258.10 ,$960.71 ,$265.84 ,$763.94 ,"$1,099.61 ", N/A ,$925.98 ,"$1,053.31 ",$258.10 ,"$1,088.03 ","$1,099.61 ","$1,041.73 ",$983.86 ,$258.10 ,$258.10 ,$258.10 ,$844.96 ,"$1,361.85 ","$1,030.16 ","$1,041.73 ","$1,041.73 ",$925.98 ,"$1,402.70 ",$636.61 ,"$1,041.73 ","$1,361.85 ","$1,041.73 ","$1,361.85 ","$1,099.61 ","$3,064.15 ","$1,064.88 ",$273.59 ,"$1,053.31 ","$1,361.85 ",$712.31 ,$745.42 ,$712.31 ,"$1,041.73 ","$1,041.73 ",$868.11 ,$810.24 ,"$1,375.47 ",$271.01 ,"$1,082.24 ","$1,429.94 ",$258.10 ,"$1,007.01 ","$1,361.85 ","$1,041.73 ","$1,361.85 ","$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,122.76 ",$937.56 ,"$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,041.73 " ST. JOSEPH'S - CHIPPEWA FALLS,98180974,33017,PC PERICARDIAL DRAINAGE =>6 YRS W/O CONGENITAL CARDIAC ANOMALY,981,1 ,"$1,157.48 ",$868.11 ,$258.10 ,"$1,157.48 ",$745.42 , N/A ,$810.24 ,$258.10 ,$960.71 ,$265.84 ,$763.94 ,"$1,099.61 ", N/A ,$925.98 ,"$1,053.31 ",$258.10 ,"$1,088.03 ","$1,099.61 ","$1,041.73 ",$983.86 ,$258.10 ,$258.10 ,$258.10 ,$844.96 , N/A ,"$1,030.16 ","$1,041.73 ","$1,041.73 ",$925.98 , N/A ,$636.61 ,"$1,041.73 ", N/A ,"$1,041.73 ", N/A ,"$1,099.61 ", N/A ,"$1,064.88 ",$273.59 ,"$1,053.31 ", N/A ,$712.31 ,$745.42 ,$712.31 ,"$1,041.73 ","$1,041.73 ",$868.11 ,$810.24 , N/A ,$271.01 ,"$1,082.24 ", N/A ,$258.10 ,"$1,007.01 ", N/A ,"$1,041.73 ", N/A ,"$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,122.76 ",$937.56 ,"$1,041.73 ","$1,041.73 ","$1,041.73 ","$1,041.73 " ST. JOSEPH'S - CHIPPEWA FALLS,98200001,99201,PC CLINIC VISIT BRIEF NEW PRO,982,1 ,$146.52 ,$109.89 ,$80.59 ,$146.52 ,$94.36 , N/A ,$102.56 , N/A ,$121.61 , N/A ,$96.70 ,$139.19 , N/A ,$117.22 ,$133.33 , N/A ,$137.73 ,$139.19 ,$131.87 ,$124.54 , N/A , N/A , N/A ,$106.96 , N/A ,$130.40 ,$131.87 ,$131.87 ,$117.22 , N/A ,$80.59 ,$131.87 , N/A ,$131.87 , N/A ,$139.19 , N/A ,$134.80 , N/A ,$133.33 , N/A ,$90.17 ,$94.36 ,$90.17 ,$131.87 ,$131.87 ,$109.89 ,$102.56 , N/A , N/A ,$137.00 , N/A , N/A ,$127.47 , N/A ,$131.87 , N/A ,$131.87 ,$131.87 ,$131.87 ,$142.12 ,$118.68 ,$131.87 ,$131.87 ,$131.87 ,$131.87 ST. JOSEPH'S - CHIPPEWA FALLS,98200002,99202,PC CLINIC VISIT LIMITED NEW PRO,982,1 ,$180.33 ,$135.25 ,$47.46 ,$180.33 ,$116.13 , N/A ,$126.23 ,$47.46 ,$149.67 ,$48.88 ,$119.02 ,$171.31 , N/A ,$144.26 ,$164.10 ,$47.46 ,$169.51 ,$171.31 ,$162.30 ,$153.28 ,$47.46 ,$47.46 ,$47.46 ,$131.64 , N/A ,$160.49 ,$162.30 ,$162.30 ,$144.26 , N/A ,$99.18 ,$162.30 , N/A ,$162.30 , N/A ,$171.31 , N/A ,$165.90 ,$50.31 ,$164.10 , N/A ,$110.98 ,$116.13 ,$110.98 ,$162.30 ,$162.30 ,$135.25 ,$126.23 , N/A ,$49.83 ,$168.61 , N/A ,$47.46 ,$156.89 , N/A ,$162.30 , N/A ,$162.30 ,$162.30 ,$162.30 ,$174.92 ,$146.07 ,$162.30 ,$162.30 ,$162.30 ,$162.30 ST. JOSEPH'S - CHIPPEWA FALLS,98200003,99203,PC CLINIC VISIT INTERM NEW PRO,982,1 ,$234.89 ,$176.17 ,$47.46 ,$234.89 ,$151.27 , N/A ,$164.42 ,$47.46 ,$194.96 ,$48.88 ,$155.03 ,$223.15 , N/A ,$187.91 ,$213.75 ,$47.46 ,$220.80 ,$223.15 ,$211.40 ,$199.66 ,$47.46 ,$47.46 ,$47.46 ,$171.47 , N/A ,$209.05 ,$211.40 ,$211.40 ,$187.91 , N/A ,$129.19 ,$211.40 , N/A ,$211.40 , N/A ,$223.15 , N/A ,$216.10 ,$50.31 ,$213.75 , N/A ,$144.55 ,$151.27 ,$144.55 ,$211.40 ,$211.40 ,$176.17 ,$164.42 , N/A ,$49.83 ,$219.62 , N/A ,$47.46 ,$204.35 , N/A ,$211.40 , N/A ,$211.40 ,$211.40 ,$211.40 ,$227.84 ,$190.26 ,$211.40 ,$211.40 ,$211.40 ,$211.40 ST. JOSEPH'S - CHIPPEWA FALLS,98200004,99204,PC CLINIC VISIT COMPLEX NEW PRO,982,1 ,$335.48 ,$251.61 ,$47.46 ,$335.48 ,$216.05 , N/A ,$234.84 ,$47.46 ,$278.45 ,$48.88 ,$221.42 ,$318.71 , N/A ,$268.38 ,$305.29 ,$47.46 ,$315.35 ,$318.71 ,$301.93 ,$285.16 ,$47.46 ,$47.46 ,$47.46 ,$244.90 , N/A ,$298.58 ,$301.93 ,$301.93 ,$268.38 , N/A ,$184.51 ,$301.93 , N/A ,$301.93 , N/A ,$318.71 , N/A ,$308.64 ,$50.31 ,$305.29 , N/A ,$206.45 ,$216.05 ,$206.45 ,$301.93 ,$301.93 ,$251.61 ,$234.84 , N/A ,$49.83 ,$313.67 , N/A ,$47.46 ,$291.87 , N/A ,$301.93 , N/A ,$301.93 ,$301.93 ,$301.93 ,$325.42 ,$271.74 ,$301.93 ,$301.93 ,$301.93 ,$301.93 ST. JOSEPH'S - CHIPPEWA FALLS,98200005,99205,PC CLINIC VISIT COMPREH NEW PRO,982,1 ,$452.92 ,$339.69 ,$47.46 ,$452.92 ,$291.68 , N/A ,$317.04 ,$47.46 ,$375.92 ,$48.88 ,$298.93 ,$430.27 , N/A ,$362.34 ,$412.16 ,$47.46 ,$425.74 ,$430.27 ,$407.63 ,$384.98 ,$47.46 ,$47.46 ,$47.46 ,$330.63 , N/A ,$403.10 ,$407.63 ,$407.63 ,$362.34 , N/A ,$249.11 ,$407.63 , N/A ,$407.63 , N/A ,$430.27 , N/A ,$416.69 ,$50.31 ,$412.16 , N/A ,$278.73 ,$291.68 ,$278.73 ,$407.63 ,$407.63 ,$339.69 ,$317.04 , N/A ,$49.83 ,$423.48 , N/A ,$47.46 ,$394.04 , N/A ,$407.63 , N/A ,$407.63 ,$407.63 ,$407.63 ,$439.33 ,$366.87 ,$407.63 ,$407.63 ,$407.63 ,$407.63 ST. JOSEPH'S - CHIPPEWA FALLS,98200006,99211,PC CLINIC VISIT BRIEF EST PRO,982,1 ,$93.70 ,$70.28 ,$47.46 ,$93.70 ,$60.34 , N/A ,$65.59 ,$47.46 ,$77.77 ,$48.88 ,$61.84 ,$89.02 , N/A ,$74.96 ,$85.27 ,$47.46 ,$88.08 ,$89.02 ,$84.33 ,$79.65 ,$47.46 ,$47.46 ,$47.46 ,$68.40 , N/A ,$83.39 ,$84.33 ,$84.33 ,$74.96 , N/A ,$51.54 ,$84.33 , N/A ,$84.33 , N/A ,$89.02 , N/A ,$86.20 ,$50.31 ,$85.27 , N/A ,$57.66 ,$60.34 ,$57.66 ,$84.33 ,$84.33 ,$70.28 ,$65.59 , N/A ,$49.83 ,$87.61 , N/A ,$47.46 ,$81.52 , N/A ,$84.33 , N/A ,$84.33 ,$84.33 ,$84.33 ,$90.89 ,$75.90 ,$84.33 ,$84.33 ,$84.33 ,$84.33 ST. JOSEPH'S - CHIPPEWA FALLS,98200007,99212,PC CLINIC VISIT LIMIT EST PRO,982,1 ,$115.70 ,$86.78 ,$47.46 ,$115.70 ,$74.51 , N/A ,$80.99 ,$47.46 ,$96.03 ,$48.88 ,$76.36 ,$109.92 , N/A ,$92.56 ,$105.29 ,$47.46 ,$108.76 ,$109.92 ,$104.13 ,$98.35 ,$47.46 ,$47.46 ,$47.46 ,$84.46 , N/A ,$102.97 ,$104.13 ,$104.13 ,$92.56 , N/A ,$63.64 ,$104.13 , N/A ,$104.13 , N/A ,$109.92 , N/A ,$106.44 ,$50.31 ,$105.29 , N/A ,$71.20 ,$74.51 ,$71.20 ,$104.13 ,$104.13 ,$86.78 ,$80.99 , N/A ,$49.83 ,$108.18 , N/A ,$47.46 ,$100.66 , N/A ,$104.13 , N/A ,$104.13 ,$104.13 ,$104.13 ,$112.23 ,$93.72 ,$104.13 ,$104.13 ,$104.13 ,$104.13 ST. JOSEPH'S - CHIPPEWA FALLS,98200008,99213,PC CLINIC VISIT INTERM EST PRO,982,1 ,$149.30 ,$111.98 ,$47.46 ,$149.30 ,$96.15 , N/A ,$104.51 ,$47.46 ,$123.92 ,$48.88 ,$98.54 ,$141.84 , N/A ,$119.44 ,$135.86 ,$47.46 ,$140.34 ,$141.84 ,$134.37 ,$126.91 ,$47.46 ,$47.46 ,$47.46 ,$108.99 , N/A ,$132.88 ,$134.37 ,$134.37 ,$119.44 , N/A ,$82.12 ,$134.37 , N/A ,$134.37 , N/A ,$141.84 , N/A ,$137.36 ,$50.31 ,$135.86 , N/A ,$91.88 ,$96.15 ,$91.88 ,$134.37 ,$134.37 ,$111.98 ,$104.51 , N/A ,$49.83 ,$139.60 , N/A ,$47.46 ,$129.89 , N/A ,$134.37 , N/A ,$134.37 ,$134.37 ,$134.37 ,$144.82 ,$120.93 ,$134.37 ,$134.37 ,$134.37 ,$134.37 ST. JOSEPH'S - CHIPPEWA FALLS,98200009,99214,PC CLINIC VISIT COMPLX EST PRO,982,1 ,$213.80 ,$160.35 ,$47.46 ,$213.80 ,$137.69 , N/A ,$149.66 ,$47.46 ,$177.45 ,$48.88 ,$141.11 ,$203.11 , N/A ,$171.04 ,$194.56 ,$47.46 ,$200.97 ,$203.11 ,$192.42 ,$181.73 ,$47.46 ,$47.46 ,$47.46 ,$156.07 , N/A ,$190.28 ,$192.42 ,$192.42 ,$171.04 , N/A ,$117.59 ,$192.42 , N/A ,$192.42 , N/A ,$203.11 , N/A ,$196.70 ,$50.31 ,$194.56 , N/A ,$131.57 ,$137.69 ,$131.57 ,$192.42 ,$192.42 ,$160.35 ,$149.66 , N/A ,$49.83 ,$199.90 , N/A ,$47.46 ,$186.01 , N/A ,$192.42 , N/A ,$192.42 ,$192.42 ,$192.42 ,$207.39 ,$173.18 ,$192.42 ,$192.42 ,$192.42 ,$192.42 ST. JOSEPH'S - CHIPPEWA FALLS,98200010,99215,PC CLINIC VISIT COMPRH EST PRO,982,1 ,$346.30 ,$259.73 ,$47.46 ,$346.30 ,$223.02 , N/A ,$242.41 ,$47.46 ,$287.43 ,$48.88 ,$228.56 ,$328.99 , N/A ,$277.04 ,$315.13 ,$47.46 ,$325.52 ,$328.99 ,$311.67 ,$294.36 ,$47.46 ,$47.46 ,$47.46 ,$252.80 , N/A ,$308.21 ,$311.67 ,$311.67 ,$277.04 , N/A ,$190.47 ,$311.67 , N/A ,$311.67 , N/A ,$328.99 , N/A ,$318.60 ,$50.31 ,$315.13 , N/A ,$213.11 ,$223.02 ,$213.11 ,$311.67 ,$311.67 ,$259.73 ,$242.41 , N/A ,$49.83 ,$323.79 , N/A ,$47.46 ,$301.28 , N/A ,$311.67 , N/A ,$311.67 ,$311.67 ,$311.67 ,$335.91 ,$280.50 ,$311.67 ,$311.67 ,$311.67 ,$311.67 ST. JOSEPH'S - CHIPPEWA FALLS,98280000,99217,PC OBSERVATION CARE DISCHARGE,982,1 ,$240.95 ,$180.71 ,$47.46 ,$240.95 ,$155.17 , N/A ,$168.67 ,$47.46 ,$199.99 ,$48.88 ,$159.03 ,$228.90 , N/A ,$192.76 ,$219.26 ,$47.46 ,$226.49 ,$228.90 ,$216.86 ,$204.81 ,$47.46 ,$47.46 ,$47.46 ,$175.89 , N/A ,$214.45 ,$216.86 ,$216.86 ,$192.76 , N/A ,$132.52 ,$216.86 , N/A ,$216.86 , N/A ,$228.90 , N/A ,$221.67 ,$50.31 ,$219.26 , N/A ,$148.28 ,$155.17 ,$148.28 ,$216.86 ,$216.86 ,$180.71 ,$168.67 , N/A ,$49.83 ,$225.29 , N/A ,$47.46 ,$209.63 , N/A ,$216.86 , N/A ,$216.86 ,$216.86 ,$216.86 ,$233.72 ,$195.17 ,$216.86 ,$216.86 ,$216.86 ,$216.86 ST. JOSEPH'S - CHIPPEWA FALLS,98280001,99241,PC OFFICE CONSULT LEVEL 1,982,1 ,$220.19 ,$165.14 ,$47.46 ,$220.19 ,$141.80 , N/A ,$154.13 ,$47.46 ,$182.76 ,$48.88 ,$145.33 ,$209.18 , N/A ,$176.15 ,$200.37 ,$47.46 ,$206.98 ,$209.18 ,$198.17 ,$187.16 ,$47.46 ,$47.46 ,$47.46 ,$160.74 , N/A ,$195.97 ,$198.17 ,$198.17 ,$176.15 , N/A ,$121.10 ,$198.17 , N/A ,$198.17 , N/A ,$209.18 , N/A ,$202.57 ,$50.31 ,$200.37 , N/A ,$135.50 ,$141.80 ,$135.50 ,$198.17 ,$198.17 ,$165.14 ,$154.13 , N/A ,$49.83 ,$205.88 , N/A ,$47.46 ,$191.57 , N/A ,$198.17 , N/A ,$198.17 ,$198.17 ,$198.17 ,$213.58 ,$178.35 ,$198.17 ,$198.17 ,$198.17 ,$198.17 ST. JOSEPH'S - CHIPPEWA FALLS,98280002,99242,PC OFFICE CONSULT LEVEL 2,982,1 ,$280.82 ,$210.62 ,$47.46 ,$280.82 ,$180.85 , N/A ,$196.57 ,$47.46 ,$233.08 ,$48.88 ,$185.34 ,$266.78 , N/A ,$224.66 ,$255.55 ,$47.46 ,$263.97 ,$266.78 ,$252.74 ,$238.70 ,$47.46 ,$47.46 ,$47.46 ,$205.00 , N/A ,$249.93 ,$252.74 ,$252.74 ,$224.66 , N/A ,$154.45 ,$252.74 , N/A ,$252.74 , N/A ,$266.78 , N/A ,$258.35 ,$50.31 ,$255.55 , N/A ,$172.82 ,$180.85 ,$172.82 ,$252.74 ,$252.74 ,$210.62 ,$196.57 , N/A ,$49.83 ,$262.57 , N/A ,$47.46 ,$244.31 , N/A ,$252.74 , N/A ,$252.74 ,$252.74 ,$252.74 ,$272.40 ,$227.46 ,$252.74 ,$252.74 ,$252.74 ,$252.74 ST. JOSEPH'S - CHIPPEWA FALLS,98280003,99243,PC OFFICE CONSULT LEVEL 3,982,1 ,$357.88 ,$268.41 ,$47.46 ,$357.88 ,$230.47 , N/A ,$250.52 ,$47.46 ,$297.04 ,$48.88 ,$236.20 ,$339.99 , N/A ,$286.30 ,$325.67 ,$47.46 ,$336.41 ,$339.99 ,$322.09 ,$304.20 ,$47.46 ,$47.46 ,$47.46 ,$261.25 , N/A ,$318.51 ,$322.09 ,$322.09 ,$286.30 , N/A ,$196.83 ,$322.09 , N/A ,$322.09 , N/A ,$339.99 , N/A ,$329.25 ,$50.31 ,$325.67 , N/A ,$220.24 ,$230.47 ,$220.24 ,$322.09 ,$322.09 ,$268.41 ,$250.52 , N/A ,$49.83 ,$334.62 , N/A ,$47.46 ,$311.36 , N/A ,$322.09 , N/A ,$322.09 ,$322.09 ,$322.09 ,$347.14 ,$289.88 ,$322.09 ,$322.09 ,$322.09 ,$322.09 ST. JOSEPH'S - CHIPPEWA FALLS,98280004,99244,PC OFFICE CONSULT LEVEL 4,982,1 ,$468.03 ,$351.02 ,$47.46 ,$468.03 ,$301.41 , N/A ,$327.62 ,$47.46 ,$388.46 ,$48.88 ,$308.90 ,$444.63 , N/A ,$374.42 ,$425.91 ,$47.46 ,$439.95 ,$444.63 ,$421.23 ,$397.83 ,$47.46 ,$47.46 ,$47.46 ,$341.66 , N/A ,$416.55 ,$421.23 ,$421.23 ,$374.42 , N/A ,$257.42 ,$421.23 , N/A ,$421.23 , N/A ,$444.63 , N/A ,$430.59 ,$50.31 ,$425.91 , N/A ,$288.03 ,$301.41 ,$288.03 ,$421.23 ,$421.23 ,$351.02 ,$327.62 , N/A ,$49.83 ,$437.61 , N/A ,$47.46 ,$407.19 , N/A ,$421.23 , N/A ,$421.23 ,$421.23 ,$421.23 ,$453.99 ,$379.10 ,$421.23 ,$421.23 ,$421.23 ,$421.23 ST. JOSEPH'S - CHIPPEWA FALLS,98280005,99245,PC OFFICE CONSULT LEVEL 5.,982,1 ,$591.02 ,$443.27 ,$47.46 ,$591.02 ,$380.62 , N/A ,$413.71 ,$47.46 ,$490.55 ,$48.88 ,$390.07 ,$561.47 , N/A ,$472.82 ,$537.83 ,$47.46 ,$555.56 ,$561.47 ,$531.92 ,$502.37 ,$47.46 ,$47.46 ,$47.46 ,$431.44 , N/A ,$526.01 ,$531.92 ,$531.92 ,$472.82 , N/A ,$325.06 ,$531.92 , N/A ,$531.92 , N/A ,$561.47 , N/A ,$543.74 ,$50.31 ,$537.83 , N/A ,$363.71 ,$380.62 ,$363.71 ,$531.92 ,$531.92 ,$443.27 ,$413.71 , N/A ,$49.83 ,$552.60 , N/A ,$47.46 ,$514.19 , N/A ,$531.92 , N/A ,$531.92 ,$531.92 ,$531.92 ,$573.29 ,$478.73 ,$531.92 ,$531.92 ,$531.92 ,$531.92 ST. JOSEPH'S - CHIPPEWA FALLS,98300031,17250,PC CHEM CAUTERY PRO,983,1 ,$216.20 ,$162.15 ,$74.70 ,$391.26 ,$139.23 ,$173.89 ,$151.34 ,$74.70 ,$179.45 ,$76.94 ,$142.69 ,$205.39 , N/A ,$172.96 ,$196.74 ,$74.70 ,$203.23 ,$205.39 ,$194.58 ,$183.77 ,$74.70 ,$74.70 ,$74.70 ,$157.83 ,$173.89 ,$192.42 ,$194.58 ,$194.58 ,$172.96 ,$179.11 ,$118.91 ,$194.58 ,$173.89 ,$194.58 ,$173.89 ,$205.39 ,$391.26 ,$198.90 ,$79.18 ,$196.74 ,$173.89 ,$133.05 ,$139.23 ,$133.05 ,$194.58 ,$194.58 ,$162.15 ,$151.34 ,$175.63 ,$78.44 ,$202.15 ,$182.58 ,$74.70 ,$188.09 ,$173.89 ,$194.58 ,$173.89 ,$194.58 ,$194.58 ,$194.58 ,$209.71 ,$175.12 ,$194.58 ,$194.58 ,$194.58 ,$194.58 ST. JOSEPH'S - CHIPPEWA FALLS,98300036,29580,PC UNNA BOOT APPLICATION PRO,983,1 ,$181.87 ,$136.40 ,$57.61 ,$307.65 ,$117.12 ,$136.73 ,$127.31 ,$57.61 ,$150.95 ,$59.34 ,$120.03 ,$172.78 , N/A ,$145.50 ,$165.50 ,$57.61 ,$170.96 ,$172.78 ,$163.68 ,$154.59 ,$57.61 ,$57.61 ,$57.61 ,$132.77 ,$136.73 ,$161.86 ,$163.68 ,$163.68 ,$145.50 ,$140.83 ,$100.03 ,$163.68 ,$136.73 ,$163.68 ,$136.73 ,$172.78 ,$307.65 ,$167.32 ,$61.07 ,$165.50 ,$136.73 ,$111.92 ,$117.12 ,$111.92 ,$163.68 ,$163.68 ,$136.40 ,$127.31 ,$138.10 ,$60.49 ,$170.05 ,$143.57 ,$57.61 ,$158.23 ,$136.73 ,$163.68 ,$136.73 ,$163.68 ,$163.68 ,$163.68 ,$176.41 ,$147.31 ,$163.68 ,$163.68 ,$163.68 ,$163.68 ST. JOSEPH'S - CHIPPEWA FALLS,98300043,97597,PC DEBR SKIN INTL 20CM PRO,983,1 ,$163.68 ,$122.76 ,$90.02 ,$391.26 ,$105.41 ,$173.89 ,$114.58 ,$107.54 ,$135.85 ,$110.77 ,$108.03 ,$155.50 , N/A ,$130.94 ,$148.95 ,$107.54 ,$153.86 ,$155.50 ,$147.31 ,$139.13 ,$107.54 ,$107.54 ,$107.54 ,$119.49 ,$173.89 ,$145.68 ,$147.31 ,$147.31 ,$130.94 ,$179.11 ,$90.02 ,$147.31 ,$173.89 ,$147.31 ,$173.89 ,$155.50 ,$391.26 ,$150.59 ,$113.99 ,$148.95 ,$173.89 ,$100.73 ,$105.41 ,$100.73 ,$147.31 ,$147.31 ,$122.76 ,$114.58 ,$175.63 ,$112.92 ,$153.04 ,$182.58 ,$107.54 ,$142.40 ,$173.89 ,$147.31 ,$173.89 ,$147.31 ,$147.31 ,$147.31 ,$158.77 ,$132.58 ,$147.31 ,$147.31 ,$147.31 ,$147.31 ST. JOSEPH'S - CHIPPEWA FALLS,98300049,97598,PC DEBR SKIN PART THICKNESS EA ADDN>20CM PRO,983,1 ,$206.73 ,$155.05 ,$113.70 ,$306.16 ,$133.13 , N/A ,$144.71 ,$206.73 ,$171.59 ,$297.49 ,$136.44 ,$196.39 , N/A ,$165.38 ,$188.12 ,$206.73 ,$194.33 ,$196.39 ,$186.06 ,$175.72 ,$288.83 ,$288.83 ,$288.83 ,$150.91 , N/A ,$183.99 ,$186.06 ,$186.06 ,$165.38 , N/A ,$113.70 ,$186.06 , N/A ,$186.06 , N/A ,$196.39 , N/A ,$190.19 ,$306.16 ,$188.12 , N/A ,$127.22 ,$133.13 ,$127.22 ,$186.06 ,$186.06 ,$155.05 ,$144.71 , N/A ,$303.27 ,$193.29 , N/A ,$206.73 ,$179.86 , N/A ,$186.06 , N/A ,$186.06 ,$186.06 ,$186.06 ,$200.53 ,$167.45 ,$186.06 ,$186.06 ,$186.06 ,$186.06 ST. JOSEPH'S - CHIPPEWA FALLS,98300125,95857,PC TENSILON TEST,983,1 ,$290.68 ,$218.01 ,$110.54 ,$576.27 ,$187.20 ,$256.12 ,$203.48 ,$110.54 ,$241.26 ,$113.86 ,$191.85 ,$276.15 , N/A ,$232.54 ,$264.52 ,$110.54 ,$273.24 ,$276.15 ,$261.61 ,$247.08 ,$110.54 ,$110.54 ,$110.54 ,$212.20 ,$256.12 ,$258.71 ,$261.61 ,$261.61 ,$232.54 ,$263.80 ,$159.87 ,$261.61 ,$256.12 ,$261.61 ,$256.12 ,$276.15 ,$576.27 ,$267.43 ,$117.17 ,$264.52 ,$256.12 ,$178.88 ,$187.20 ,$178.88 ,$261.61 ,$261.61 ,$218.01 ,$203.48 ,$258.68 ,$116.07 ,$271.79 ,$268.93 ,$110.54 ,$252.89 ,$256.12 ,$261.61 ,$256.12 ,$261.61 ,$261.61 ,$261.61 ,$281.96 ,$235.45 ,$261.61 ,$261.61 ,$261.61 ,$261.61 ST. JOSEPH'S - CHIPPEWA FALLS,98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$95.10 ,$71.33 ,$8.37 ,$95.10 ,$61.24 , N/A ,$66.57 ,$8.37 ,$78.93 ,$8.62 ,$62.77 ,$90.35 , N/A ,$76.08 ,$86.54 ,$8.37 ,$89.39 ,$90.35 ,$85.59 ,$80.84 ,$8.37 ,$8.37 ,$8.37 ,$69.42 , N/A ,$84.64 ,$85.59 ,$85.59 ,$76.08 , N/A ,$52.31 ,$85.59 , N/A ,$85.59 , N/A ,$90.35 , N/A ,$87.49 ,$8.87 ,$86.54 , N/A ,$58.52 ,$61.24 ,$58.52 ,$85.59 ,$85.59 ,$71.33 ,$66.57 , N/A ,$8.79 ,$88.92 , N/A ,$8.37 ,$82.74 , N/A ,$85.59 , N/A ,$85.59 ,$85.59 ,$85.59 ,$92.25 ,$77.03 ,$85.59 ,$85.59 ,$85.59 ,$85.59 ST. JOSEPH'S - CHIPPEWA FALLS,98500002,93016,PC CARDIAC STRESS TEST SUPERVISION,985,1 ,$208.27 ,$156.20 ,$76.32 ,$208.27 ,$134.13 , N/A ,$145.79 ,$76.32 ,$172.86 ,$78.61 ,$137.46 ,$197.86 , N/A ,$166.62 ,$189.53 ,$76.32 ,$195.77 ,$197.86 ,$187.44 ,$177.03 ,$76.32 ,$76.32 ,$76.32 ,$152.04 , N/A ,$185.36 ,$187.44 ,$187.44 ,$166.62 , N/A ,$114.55 ,$187.44 , N/A ,$187.44 , N/A ,$197.86 , N/A ,$191.61 ,$80.90 ,$189.53 , N/A ,$128.17 ,$134.13 ,$128.17 ,$187.44 ,$187.44 ,$156.20 ,$145.79 , N/A ,$80.14 ,$194.73 , N/A ,$76.32 ,$181.19 , N/A ,$187.44 , N/A ,$187.44 ,$187.44 ,$187.44 ,$202.02 ,$168.70 ,$187.44 ,$187.44 ,$187.44 ,$187.44 ST. JOSEPH'S - CHIPPEWA FALLS,98500003,93018,PC CARDIOVASCULAR STRESS TEST,985,1 ,$228.62 ,$171.47 ,$76.32 ,$228.62 ,$147.23 , N/A ,$160.03 ,$76.32 ,$189.75 ,$78.61 ,$150.89 ,$217.19 , N/A ,$182.90 ,$208.04 ,$76.32 ,$214.90 ,$217.19 ,$205.76 ,$194.33 ,$76.32 ,$76.32 ,$76.32 ,$166.89 , N/A ,$203.47 ,$205.76 ,$205.76 ,$182.90 , N/A ,$125.74 ,$205.76 , N/A ,$205.76 , N/A ,$217.19 , N/A ,$210.33 ,$80.90 ,$208.04 , N/A ,$140.69 ,$147.23 ,$140.69 ,$205.76 ,$205.76 ,$171.47 ,$160.03 , N/A ,$80.14 ,$213.76 , N/A ,$76.32 ,$198.90 , N/A ,$205.76 , N/A ,$205.76 ,$205.76 ,$205.76 ,$221.76 ,$185.18 ,$205.76 ,$205.76 ,$205.76 ,$205.76 ST. JOSEPH'S - CHIPPEWA FALLS,98500004,93306,PC ECHO/CARDIAC DOP/COLOR FLOW-26,985,1 ,$995.82 ,$746.87 ,$133.42 ,"$1,052.28 ",$641.31 ,$467.68 ,$697.07 ,$133.42 ,$826.53 ,$137.42 ,$657.24 ,$946.03 , N/A ,$796.66 ,$906.20 ,$133.42 ,$936.07 ,$946.03 ,$896.24 ,$846.45 ,$133.42 ,$133.42 ,$133.42 ,$726.95 ,$467.68 ,$886.28 ,$896.24 ,$896.24 ,$796.66 ,$481.71 ,$547.70 ,$896.24 ,$467.68 ,$896.24 ,$467.68 ,$946.03 ,"$1,052.28 ",$916.15 ,$141.43 ,$906.20 ,$467.68 ,$612.83 ,$641.31 ,$612.83 ,$896.24 ,$896.24 ,$746.87 ,$697.07 ,$472.36 ,$140.09 ,$931.09 ,$491.06 ,$133.42 ,$866.36 ,$467.68 ,$896.24 ,$467.68 ,$896.24 ,$896.24 ,$896.24 ,$965.95 ,$806.61 ,$896.24 ,$896.24 ,$896.24 ,$896.24 ST. JOSEPH'S - CHIPPEWA FALLS,98500005,93308,PC ECHO 2D W/W/O M-MODE LTD-26,985,1 ,$433.96 ,$325.47 ,$133.42 ,$501.48 ,$279.47 ,$222.88 ,$303.77 ,$133.42 ,$360.19 ,$137.42 ,$286.41 ,$412.26 , N/A ,$347.17 ,$394.90 ,$133.42 ,$407.92 ,$412.26 ,$390.56 ,$368.87 ,$133.42 ,$133.42 ,$133.42 ,$316.79 ,$222.88 ,$386.22 ,$390.56 ,$390.56 ,$347.17 ,$229.57 ,$238.68 ,$390.56 ,$222.88 ,$390.56 ,$222.88 ,$412.26 ,$501.48 ,$399.24 ,$141.43 ,$394.90 ,$222.88 ,$267.06 ,$279.47 ,$267.06 ,$390.56 ,$390.56 ,$325.47 ,$303.77 ,$225.11 ,$140.09 ,$405.75 ,$234.02 ,$133.42 ,$377.55 ,$222.88 ,$390.56 ,$222.88 ,$390.56 ,$390.56 ,$390.56 ,$420.94 ,$351.51 ,$390.56 ,$390.56 ,$390.56 ,$390.56 ST. JOSEPH'S - CHIPPEWA FALLS,98780000,99218,PC OBSERVATION CARE 1,982,1 ,$301.26 ,$225.95 ,$47.46 ,$301.26 ,$194.01 , N/A ,$210.88 ,$47.46 ,$250.05 ,$48.88 ,$198.83 ,$286.20 , N/A ,$241.01 ,$274.15 ,$47.46 ,$283.18 ,$286.20 ,$271.13 ,$256.07 ,$47.46 ,$47.46 ,$47.46 ,$219.92 , N/A ,$268.12 ,$271.13 ,$271.13 ,$241.01 , N/A ,$165.69 ,$271.13 , N/A ,$271.13 , N/A ,$286.20 , N/A ,$277.16 ,$50.31 ,$274.15 , N/A ,$185.40 ,$194.01 ,$185.40 ,$271.13 ,$271.13 ,$225.95 ,$210.88 , N/A ,$49.83 ,$281.68 , N/A ,$47.46 ,$262.10 , N/A ,$271.13 , N/A ,$271.13 ,$271.13 ,$271.13 ,$292.22 ,$244.02 ,$271.13 ,$271.13 ,$271.13 ,$271.13 ST. JOSEPH'S - CHIPPEWA FALLS,98780001,99219,PC OBSERVATION CARE 2,982,1 ,$409.66 ,$307.25 ,$47.46 ,$409.66 ,$263.82 , N/A ,$286.76 ,$47.46 ,$340.02 ,$48.88 ,$270.38 ,$389.18 , N/A ,$327.73 ,$372.79 ,$47.46 ,$385.08 ,$389.18 ,$368.69 ,$348.21 ,$47.46 ,$47.46 ,$47.46 ,$299.05 , N/A ,$364.60 ,$368.69 ,$368.69 ,$327.73 , N/A ,$225.31 ,$368.69 , N/A ,$368.69 , N/A ,$389.18 , N/A ,$376.89 ,$50.31 ,$372.79 , N/A ,$252.10 ,$263.82 ,$252.10 ,$368.69 ,$368.69 ,$307.25 ,$286.76 , N/A ,$49.83 ,$383.03 , N/A ,$47.46 ,$356.40 , N/A ,$368.69 , N/A ,$368.69 ,$368.69 ,$368.69 ,$397.37 ,$331.82 ,$368.69 ,$368.69 ,$368.69 ,$368.69 ST. JOSEPH'S - CHIPPEWA FALLS,98780002,99220,PC OBSERVATION CARE 3,982,1 ,$514.06 ,$385.55 ,$47.46 ,$514.06 ,$331.05 , N/A ,$359.84 ,$47.46 ,$426.67 ,$48.88 ,$339.28 ,$488.36 , N/A ,$411.25 ,$467.79 ,$47.46 ,$483.22 ,$488.36 ,$462.65 ,$436.95 ,$47.46 ,$47.46 ,$47.46 ,$375.26 , N/A ,$457.51 ,$462.65 ,$462.65 ,$411.25 , N/A ,$282.73 ,$462.65 , N/A ,$462.65 , N/A ,$488.36 , N/A ,$472.94 ,$50.31 ,$467.79 , N/A ,$316.35 ,$331.05 ,$316.35 ,$462.65 ,$462.65 ,$385.55 ,$359.84 , N/A ,$49.83 ,$480.65 , N/A ,$47.46 ,$447.23 , N/A ,$462.65 , N/A ,$462.65 ,$462.65 ,$462.65 ,$498.64 ,$416.39 ,$462.65 ,$462.65 ,$462.65 ,$462.65 ST. JOSEPH'S - CHIPPEWA FALLS,98780003,99234,PC OBSERV HOSP SAME DATE 1,987,1 ,$396.82 ,$297.62 ,$47.46 ,$396.82 ,$255.55 , N/A ,$277.77 ,$47.46 ,$329.36 ,$48.88 ,$261.90 ,$376.98 , N/A ,$317.46 ,$361.11 ,$47.46 ,$373.01 ,$376.98 ,$357.14 ,$337.30 ,$47.46 ,$47.46 ,$47.46 ,$289.68 , N/A ,$353.17 ,$357.14 ,$357.14 ,$317.46 , N/A ,$218.25 ,$357.14 , N/A ,$357.14 , N/A ,$376.98 , N/A ,$365.07 ,$50.31 ,$361.11 , N/A ,$244.20 ,$255.55 ,$244.20 ,$357.14 ,$357.14 ,$297.62 ,$277.77 , N/A ,$49.83 ,$371.03 , N/A ,$47.46 ,$345.23 , N/A ,$357.14 , N/A ,$357.14 ,$357.14 ,$357.14 ,$384.92 ,$321.42 ,$357.14 ,$357.14 ,$357.14 ,$357.14 ST. JOSEPH'S - CHIPPEWA FALLS,98780004,99235,PC OBSERV HOSP SAME DATE 2,987,1 ,$547.14 ,$410.36 ,$47.46 ,$547.14 ,$352.36 , N/A ,$383.00 ,$47.46 ,$454.13 ,$48.88 ,$361.11 ,$519.78 , N/A ,$437.71 ,$497.90 ,$47.46 ,$514.31 ,$519.78 ,$492.43 ,$465.07 ,$47.46 ,$47.46 ,$47.46 ,$399.41 , N/A ,$486.95 ,$492.43 ,$492.43 ,$437.71 , N/A ,$300.93 ,$492.43 , N/A ,$492.43 , N/A ,$519.78 , N/A ,$503.37 ,$50.31 ,$497.90 , N/A ,$336.71 ,$352.36 ,$336.71 ,$492.43 ,$492.43 ,$410.36 ,$383.00 , N/A ,$49.83 ,$511.58 , N/A ,$47.46 ,$476.01 , N/A ,$492.43 , N/A ,$492.43 ,$492.43 ,$492.43 ,$530.73 ,$443.18 ,$492.43 ,$492.43 ,$492.43 ,$492.43 ST. JOSEPH'S - CHIPPEWA FALLS,98780005,99236,PC OBSERV HOSP SAME DATE 3,987,1 ,$688.84 ,$516.63 ,$47.46 ,$688.84 ,$443.61 , N/A ,$482.19 ,$47.46 ,$571.74 ,$48.88 ,$454.63 ,$654.40 , N/A ,$551.07 ,$626.84 ,$47.46 ,$647.51 ,$654.40 ,$619.96 ,$585.51 ,$47.46 ,$47.46 ,$47.46 ,$502.85 , N/A ,$613.07 ,$619.96 ,$619.96 ,$551.07 , N/A ,$378.86 ,$619.96 , N/A ,$619.96 , N/A ,$654.40 , N/A ,$633.73 ,$50.31 ,$626.84 , N/A ,$423.91 ,$443.61 ,$423.91 ,$619.96 ,$619.96 ,$516.63 ,$482.19 , N/A ,$49.83 ,$644.07 , N/A ,$47.46 ,$599.29 , N/A ,$619.96 , N/A ,$619.96 ,$619.96 ,$619.96 ,$668.17 ,$557.96 ,$619.96 ,$619.96 ,$619.96 ,$619.96 ST. JOSEPH'S - CHIPPEWA FALLS,98780008,99224,PC SUBSQ OBSERVATION CARE LEV 1,987,1 ,$99.00 ,$74.25 ,$47.46 ,$99.00 ,$63.76 , N/A ,$69.30 ,$47.46 ,$82.17 ,$48.88 ,$65.34 ,$94.05 , N/A ,$79.20 ,$90.09 ,$47.46 ,$93.06 ,$94.05 ,$89.10 ,$84.15 ,$47.46 ,$47.46 ,$47.46 ,$72.27 , N/A ,$88.11 ,$89.10 ,$89.10 ,$79.20 , N/A ,$54.45 ,$89.10 , N/A ,$89.10 , N/A ,$94.05 , N/A ,$91.08 ,$50.31 ,$90.09 , N/A ,$60.92 ,$63.76 ,$60.92 ,$89.10 ,$89.10 ,$74.25 ,$69.30 , N/A ,$49.83 ,$92.57 , N/A ,$47.46 ,$86.13 , N/A ,$89.10 , N/A ,$89.10 ,$89.10 ,$89.10 ,$96.03 ,$80.19 ,$89.10 ,$89.10 ,$89.10 ,$89.10 ST. JOSEPH'S - CHIPPEWA FALLS,98780009,99225,PC SUBSQ OBSERVATION CARE LEV 2,987,1 ,$184.00 ,$138.00 ,$47.46 ,$184.00 ,$118.50 , N/A ,$128.80 ,$47.46 ,$152.72 ,$48.88 ,$121.44 ,$174.80 , N/A ,$147.20 ,$167.44 ,$47.46 ,$172.96 ,$174.80 ,$165.60 ,$156.40 ,$47.46 ,$47.46 ,$47.46 ,$134.32 , N/A ,$163.76 ,$165.60 ,$165.60 ,$147.20 , N/A ,$101.20 ,$165.60 , N/A ,$165.60 , N/A ,$174.80 , N/A ,$169.28 ,$50.31 ,$167.44 , N/A ,$113.23 ,$118.50 ,$113.23 ,$165.60 ,$165.60 ,$138.00 ,$128.80 , N/A ,$49.83 ,$172.04 , N/A ,$47.46 ,$160.08 , N/A ,$165.60 , N/A ,$165.60 ,$165.60 ,$165.60 ,$178.48 ,$149.04 ,$165.60 ,$165.60 ,$165.60 ,$165.60 ST. JOSEPH'S - CHIPPEWA FALLS,98780010,99226,PC SUBSQ OBSERVATION CARE LEV 3,987,1 ,$295.00 ,$221.25 ,$47.46 ,$295.00 ,$189.98 , N/A ,$206.50 ,$47.46 ,$244.85 ,$48.88 ,$194.70 ,$280.25 , N/A ,$236.00 ,$268.45 ,$47.46 ,$277.30 ,$280.25 ,$265.50 ,$250.75 ,$47.46 ,$47.46 ,$47.46 ,$215.35 , N/A ,$262.55 ,$265.50 ,$265.50 ,$236.00 , N/A ,$162.25 ,$265.50 , N/A ,$265.50 , N/A ,$280.25 , N/A ,$271.40 ,$50.31 ,$268.45 , N/A ,$181.54 ,$189.98 ,$181.54 ,$265.50 ,$265.50 ,$221.25 ,$206.50 , N/A ,$49.83 ,$275.83 , N/A ,$47.46 ,$256.65 , N/A ,$265.50 , N/A ,$265.50 ,$265.50 ,$265.50 ,$286.15 ,$238.95 ,$265.50 ,$265.50 ,$265.50 ,$265.50 ST. JOSEPH'S - CHIPPEWA FALLS,98800013,99221,PC INITIAL HOSPITAL CARE LVL 1 LOW 30MIN,987,1 ,$307.80 ,$230.85 ,$47.46 ,$307.80 ,$198.22 , N/A ,$215.46 ,$47.46 ,$255.47 ,$48.88 ,$203.15 ,$292.41 , N/A ,$246.24 ,$280.10 ,$47.46 ,$289.33 ,$292.41 ,$277.02 ,$261.63 ,$47.46 ,$47.46 ,$47.46 ,$224.69 , N/A ,$273.94 ,$277.02 ,$277.02 ,$246.24 , N/A ,$169.29 ,$277.02 , N/A ,$277.02 , N/A ,$292.41 , N/A ,$283.18 ,$50.31 ,$280.10 , N/A ,$189.42 ,$198.22 ,$189.42 ,$277.02 ,$277.02 ,$230.85 ,$215.46 , N/A ,$49.83 ,$287.79 , N/A ,$47.46 ,$267.79 , N/A ,$277.02 , N/A ,$277.02 ,$277.02 ,$277.02 ,$298.57 ,$249.32 ,$277.02 ,$277.02 ,$277.02 ,$277.02 ST. JOSEPH'S - CHIPPEWA FALLS,98800015,99222,PC INITIAL HOSPITAL CARE LVL 2 MOD 50MIN,987,1 ,$455.80 ,$341.85 ,$47.46 ,$455.80 ,$293.54 , N/A ,$319.06 ,$47.46 ,$378.31 ,$48.88 ,$300.83 ,$433.01 , N/A ,$364.64 ,$414.78 ,$47.46 ,$428.45 ,$433.01 ,$410.22 ,$387.43 ,$47.46 ,$47.46 ,$47.46 ,$332.73 , N/A ,$405.66 ,$410.22 ,$410.22 ,$364.64 , N/A ,$250.69 ,$410.22 , N/A ,$410.22 , N/A ,$433.01 , N/A ,$419.34 ,$50.31 ,$414.78 , N/A ,$280.50 ,$293.54 ,$280.50 ,$410.22 ,$410.22 ,$341.85 ,$319.06 , N/A ,$49.83 ,$426.17 , N/A ,$47.46 ,$396.55 , N/A ,$410.22 , N/A ,$410.22 ,$410.22 ,$410.22 ,$442.13 ,$369.20 ,$410.22 ,$410.22 ,$410.22 ,$410.22 ST. JOSEPH'S - CHIPPEWA FALLS,98800016,99223,PC INITIAL HOSPITAL CARE LVL 3 HIGH 70MIN,987,1 ,$621.80 ,$466.35 ,$47.46 ,$621.80 ,$400.44 , N/A ,$435.26 ,$47.46 ,$516.09 ,$48.88 ,$410.39 ,$590.71 , N/A ,$497.44 ,$565.84 ,$47.46 ,$584.49 ,$590.71 ,$559.62 ,$528.53 ,$47.46 ,$47.46 ,$47.46 ,$453.91 , N/A ,$553.40 ,$559.62 ,$559.62 ,$497.44 , N/A ,$341.99 ,$559.62 , N/A ,$559.62 , N/A ,$590.71 , N/A ,$572.06 ,$50.31 ,$565.84 , N/A ,$382.66 ,$400.44 ,$382.66 ,$559.62 ,$559.62 ,$466.35 ,$435.26 , N/A ,$49.83 ,$581.38 , N/A ,$47.46 ,$540.97 , N/A ,$559.62 , N/A ,$559.62 ,$559.62 ,$559.62 ,$603.15 ,$503.66 ,$559.62 ,$559.62 ,$559.62 ,$559.62 ST. JOSEPH'S - CHIPPEWA FALLS,98800017,99231,PC SUBSQ HOSPITAL CARE LVL 1 LOW 15MIN,987,1 ,$158.00 ,$118.50 ,$47.46 ,$158.00 ,$101.75 , N/A ,$110.60 ,$47.46 ,$131.14 ,$48.88 ,$104.28 ,$150.10 , N/A ,$126.40 ,$143.78 ,$47.46 ,$148.52 ,$150.10 ,$142.20 ,$134.30 ,$47.46 ,$47.46 ,$47.46 ,$115.34 , N/A ,$140.62 ,$142.20 ,$142.20 ,$126.40 , N/A ,$86.90 ,$142.20 , N/A ,$142.20 , N/A ,$150.10 , N/A ,$145.36 ,$50.31 ,$143.78 , N/A ,$97.23 ,$101.75 ,$97.23 ,$142.20 ,$142.20 ,$118.50 ,$110.60 , N/A ,$49.83 ,$147.73 , N/A ,$47.46 ,$137.46 , N/A ,$142.20 , N/A ,$142.20 ,$142.20 ,$142.20 ,$153.26 ,$127.98 ,$142.20 ,$142.20 ,$142.20 ,$142.20 ST. JOSEPH'S - CHIPPEWA FALLS,98800018,99232,PC SUBSQ HOSPITAL CARE LVL 2 MOD 25MIN,987,1 ,$229.40 ,$172.05 ,$47.46 ,$229.40 ,$147.73 , N/A ,$160.58 ,$47.46 ,$190.40 ,$48.88 ,$151.40 ,$217.93 , N/A ,$183.52 ,$208.75 ,$47.46 ,$215.64 ,$217.93 ,$206.46 ,$194.99 ,$47.46 ,$47.46 ,$47.46 ,$167.46 , N/A ,$204.17 ,$206.46 ,$206.46 ,$183.52 , N/A ,$126.17 ,$206.46 , N/A ,$206.46 , N/A ,$217.93 , N/A ,$211.05 ,$50.31 ,$208.75 , N/A ,$141.17 ,$147.73 ,$141.17 ,$206.46 ,$206.46 ,$172.05 ,$160.58 , N/A ,$49.83 ,$214.49 , N/A ,$47.46 ,$199.58 , N/A ,$206.46 , N/A ,$206.46 ,$206.46 ,$206.46 ,$222.52 ,$185.81 ,$206.46 ,$206.46 ,$206.46 ,$206.46 ST. JOSEPH'S - CHIPPEWA FALLS,98800019,99233,PC SUBSQ HOSPITAL CARE LVL 3 HIGH 35MIN,987,1 ,$335.10 ,$251.33 ,$47.46 ,$335.10 ,$215.80 , N/A ,$234.57 ,$47.46 ,$278.13 ,$48.88 ,$221.17 ,$318.35 , N/A ,$268.08 ,$304.94 ,$47.46 ,$314.99 ,$318.35 ,$301.59 ,$284.84 ,$47.46 ,$47.46 ,$47.46 ,$244.62 , N/A ,$298.24 ,$301.59 ,$301.59 ,$268.08 , N/A ,$184.31 ,$301.59 , N/A ,$301.59 , N/A ,$318.35 , N/A ,$308.29 ,$50.31 ,$304.94 , N/A ,$206.22 ,$215.80 ,$206.22 ,$301.59 ,$301.59 ,$251.33 ,$234.57 , N/A ,$49.83 ,$313.32 , N/A ,$47.46 ,$291.54 , N/A ,$301.59 , N/A ,$301.59 ,$301.59 ,$301.59 ,$325.05 ,$271.43 ,$301.59 ,$301.59 ,$301.59 ,$301.59 ST. JOSEPH'S - CHIPPEWA FALLS,98880000,99251,PC INPATIENT CONSULTATION 1 LIMITED 20MIN,988,1 ,$213.82 ,$160.37 ,$47.46 ,$213.82 ,$137.70 , N/A ,$149.67 ,$47.46 ,$177.47 ,$48.88 ,$141.12 ,$203.13 , N/A ,$171.06 ,$194.58 ,$47.46 ,$200.99 ,$203.13 ,$192.44 ,$181.75 ,$47.46 ,$47.46 ,$47.46 ,$156.09 , N/A ,$190.30 ,$192.44 ,$192.44 ,$171.06 , N/A ,$117.60 ,$192.44 , N/A ,$192.44 , N/A ,$203.13 , N/A ,$196.71 ,$50.31 ,$194.58 , N/A ,$131.58 ,$137.70 ,$131.58 ,$192.44 ,$192.44 ,$160.37 ,$149.67 , N/A ,$49.83 ,$199.92 , N/A ,$47.46 ,$186.02 , N/A ,$192.44 , N/A ,$192.44 ,$192.44 ,$192.44 ,$207.41 ,$173.19 ,$192.44 ,$192.44 ,$192.44 ,$192.44 ST. JOSEPH'S - CHIPPEWA FALLS,98880001,99252,PC INPATIENT CONSULTATION 2 LOW 40MIN,988,1 ,$309.50 ,$232.13 ,$47.46 ,$309.50 ,$199.32 , N/A ,$216.65 ,$47.46 ,$256.89 ,$48.88 ,$204.27 ,$294.03 , N/A ,$247.60 ,$281.65 ,$47.46 ,$290.93 ,$294.03 ,$278.55 ,$263.08 ,$47.46 ,$47.46 ,$47.46 ,$225.94 , N/A ,$275.46 ,$278.55 ,$278.55 ,$247.60 , N/A ,$170.23 ,$278.55 , N/A ,$278.55 , N/A ,$294.03 , N/A ,$284.74 ,$50.31 ,$281.65 , N/A ,$190.47 ,$199.32 ,$190.47 ,$278.55 ,$278.55 ,$232.13 ,$216.65 , N/A ,$49.83 ,$289.38 , N/A ,$47.46 ,$269.27 , N/A ,$278.55 , N/A ,$278.55 ,$278.55 ,$278.55 ,$300.22 ,$250.70 ,$278.55 ,$278.55 ,$278.55 ,$278.55 ST. JOSEPH'S - CHIPPEWA FALLS,98880002,99253,PC INPATIENT CONSULTATION 3 MOD 55MIN,988,1 ,$342.50 ,$256.88 ,$47.46 ,$342.50 ,$220.57 , N/A ,$239.75 ,$47.46 ,$284.28 ,$48.88 ,$226.05 ,$325.38 , N/A ,$274.00 ,$311.68 ,$47.46 ,$321.95 ,$325.38 ,$308.25 ,$291.13 ,$47.46 ,$47.46 ,$47.46 ,$250.03 , N/A ,$304.83 ,$308.25 ,$308.25 ,$274.00 , N/A ,$188.38 ,$308.25 , N/A ,$308.25 , N/A ,$325.38 , N/A ,$315.10 ,$50.31 ,$311.68 , N/A ,$210.77 ,$220.57 ,$210.77 ,$308.25 ,$308.25 ,$256.88 ,$239.75 , N/A ,$49.83 ,$320.24 , N/A ,$47.46 ,$297.98 , N/A ,$308.25 , N/A ,$308.25 ,$308.25 ,$308.25 ,$332.23 ,$277.43 ,$308.25 ,$308.25 ,$308.25 ,$308.25 ST. JOSEPH'S - CHIPPEWA FALLS,98880003,99254,PC INPATIENT CONSULTATION 4 MOD-HIGH 80MIN,988,1 ,$734.60 ,$550.95 ,$47.46 ,$734.60 ,$473.08 , N/A ,$514.22 ,$47.46 ,$609.72 ,$48.88 ,$484.84 ,$697.87 , N/A ,$587.68 ,$668.49 ,$47.46 ,$690.52 ,$697.87 ,$661.14 ,$624.41 ,$47.46 ,$47.46 ,$47.46 ,$536.26 , N/A ,$653.79 ,$661.14 ,$661.14 ,$587.68 , N/A ,$404.03 ,$661.14 , N/A ,$661.14 , N/A ,$697.87 , N/A ,$675.83 ,$50.31 ,$668.49 , N/A ,$452.07 ,$473.08 ,$452.07 ,$661.14 ,$661.14 ,$550.95 ,$514.22 , N/A ,$49.83 ,$686.85 , N/A ,$47.46 ,$639.10 , N/A ,$661.14 , N/A ,$661.14 ,$661.14 ,$661.14 ,$712.56 ,$595.03 ,$661.14 ,$661.14 ,$661.14 ,$661.14 ST. JOSEPH'S - CHIPPEWA FALLS,98880004,99255,PC INPATIENT CONSULTATION 5 HIGH 110MIN,988,1 ,$677.30 ,$507.98 ,$47.46 ,$677.30 ,$436.18 , N/A ,$474.11 ,$47.46 ,$562.16 ,$48.88 ,$447.02 ,$643.44 , N/A ,$541.84 ,$616.34 ,$47.46 ,$636.66 ,$643.44 ,$609.57 ,$575.71 ,$47.46 ,$47.46 ,$47.46 ,$494.43 , N/A ,$602.80 ,$609.57 ,$609.57 ,$541.84 , N/A ,$372.52 ,$609.57 , N/A ,$609.57 , N/A ,$643.44 , N/A ,$623.12 ,$50.31 ,$616.34 , N/A ,$416.81 ,$436.18 ,$416.81 ,$609.57 ,$609.57 ,$507.98 ,$474.11 , N/A ,$49.83 ,$633.28 , N/A ,$47.46 ,$589.25 , N/A ,$609.57 , N/A ,$609.57 ,$609.57 ,$609.57 ,$656.98 ,$548.61 ,$609.57 ,$609.57 ,$609.57 ,$609.57 ST. JOSEPH'S - CHIPPEWA FALLS,99900151,N/A,HC BARIATRIC PACKAGE PRE-SURGICAL CARE,999,1 ,$360.00 ,$270.00 ,$198.00 ,$360.00 ,$231.84 , N/A ,$252.00 , N/A ,$298.80 , N/A ,$237.60 ,$342.00 , N/A ,$288.00 ,$327.60 , N/A ,$338.40 ,$342.00 ,$324.00 ,$306.00 , N/A , N/A , N/A ,$262.80 , N/A ,$320.40 ,$324.00 ,$324.00 ,$288.00 , N/A ,$198.00 ,$324.00 , N/A ,$324.00 , N/A ,$342.00 , N/A ,$331.20 , N/A ,$327.60 , N/A ,$221.54 ,$231.84 ,$221.54 ,$324.00 ,$324.00 ,$270.00 ,$252.00 , N/A , N/A ,$336.60 , N/A , N/A ,$313.20 , N/A ,$324.00 , N/A ,$324.00 ,$324.00 ,$324.00 ,$349.20 ,$291.60 ,$324.00 ,$324.00 ,$324.00 ,$324.00 ST. JOSEPH'S - CHIPPEWA FALLS,99900152,N/A,HC BARIATRIC PACKAGE POST-SURGICAL CARE,999,1 ,$172.50 ,$129.38 ,$94.88 ,$172.50 ,$111.09 , N/A ,$120.75 , N/A ,$143.18 , N/A ,$113.85 ,$163.88 , N/A ,$138.00 ,$156.98 , N/A ,$162.15 ,$163.88 ,$155.25 ,$146.63 , N/A , N/A , N/A ,$125.93 , N/A ,$153.53 ,$155.25 ,$155.25 ,$138.00 , N/A ,$94.88 ,$155.25 , N/A ,$155.25 , N/A ,$163.88 , N/A ,$158.70 , N/A ,$156.98 , N/A ,$106.16 ,$111.09 ,$106.16 ,$155.25 ,$155.25 ,$129.38 ,$120.75 , N/A , N/A ,$161.29 , N/A , N/A ,$150.08 , N/A ,$155.25 , N/A ,$155.25 ,$155.25 ,$155.25 ,$167.33 ,$139.73 ,$155.25 ,$155.25 ,$155.25 ,$155.25 ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 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