7 OCULISTICA BELCOLLE E TARQUINIA Servizio Erogane CENTRO STAMPA AZIENDALE odie desrizione presazione qanià ariffa* imporo 0,57 8,0 4,5 75CSA RICETTARIO PRESCRIZIONE LENTI 20,0 0,57 3CSA RICETTARIO BIANCO COB 100ff 20,0 0,57 3CSA RICETTARIO BIANCO COB 100ff 20,0 0,57 108CSA CATARATTA 50,0 0,17 8,50 10CSA1 RADIOLOGIA IMM ACQUAPENDENTE 100,0 0,03 2, 134CSA DAY SURGERY AZIENDALE 100,0 0,50 50,00 70CSA3 CARTELLA REFERTO ECG SERT 100,0 0,9 8,50 130 Cara olore riilaa, gr al mq80, formao 42X29,7 150,0 0,02 2,9 841 sampa formao a3, olore BN 900 frone 200,0 0,02 3,00 111 Cara so mano, A3 oloraa da 80 gr 200,0 0,02 4,40 10CSA1 RADIOLOGIA IMM ACQUAPENDENTE 200,0 0,03 5,32 187CSA A.P.A. 200,0 0,07 13,20 2.841 sampa formao A3, BN 900 frone 300,0 0,02 4,80 2.831 sampa formao A3, BN 5051 frone 300,0 0,02 5,10 2.821 sampa formao A4, Colore 900 frone 1.050,0 0,09 95,55 110 Cara olore narale, gr al mq80, formao 42X29,7 1.150,0 0,02 18,0 110 Cara olore narale, gr al mq80, formao 42X29,7 1.850,0 0,02 29,05 2.801 sampa formao A4, BN frone 2.500,0 0,01 30,00 Pagina 1
! R 5 @ 58 @?8< = > : < ; :8 313 21 09 /! + -., + R $ * ) ( '& $ % #" -AZIENDALE (19 reord di deaglio) Somma 8.518,0 379,85 Servizio Erogane LAB. ANALISI BELCOLLE odie desrizione presazione qanià ariffa* 54 31321 09 imporo A1,7 1,0 1,7 90.5.1 90.5.1 -FIBRINOGENO FUNZIONALE 1,0 2,5 2,5 90.57.5 90.57.5 -ANTITROMBINA III FUNZIONALE 1,0 2,79 2,79 91.11.1 91.11.1 -TREPONEMA PALLIDUM ANTICORPI ANTI CARDIOL 1,0 3,3 3,3 91.10.4 91.10.4 -TREPONEMA PALLIDUM ANTICORPI (Riera qa 1,0 3,4 3,4 90.32.2 90.32.2 -LITIO [P] 1,0 4,13 4,13 90.93.3 90.93.3 -ESAME COLTURALE CAMPIONI BIOLOGICI DIVERS 1,0,47,47 91.10.3 91.10.3 -TREPONEMA PALLIDUM ANTICORPI (I.F.) [FTA- 1,0 8,1 8,1 91.22.4 91.22.4 -VIRUS IMMUNODEF. ACQUISITA [HIV 1-2] ANTI 1,0 8,78 8,78 90.28.4 90.28.4 -IMMUNOGLOBULINE: CATENE KAPPA E LAMBDA [S 1,0 9,30 9,30 90.48.2 90.48.2 -ANTICORPI ANTI CITOPLASMA DEI NEUTROFILI 1,0 11,41 11,41 90.47.3 90.47.3 -ANTICORPI ANTI ANTIGENI NUCLEARI ESTRAIBI 1,0 13,32 13,32 90.05.5 90.05.5 -ALFA 1 FETOPROTEINA [S/La/Alb] 1,0 90.41.5 90.41.5 -TIREOGLOBULINA (Tg) 1,0 90.38.1 90.38.1 -PROGESTERONE [S] 1,0 90.55.1 90.55.1 -ANTIGENE CARBOIDRATICO 125 (CA 125) 1,0 90.32.3 90.32.3 -LUTEOTROPINA (LH) [S/U] 1,0 90.23.3 90.23.3 -FOLLITROPINA (FSH) [S/U] 1,0 90.5.3 90.5.3 -ANTIGENE CARCINO EMBRIONARIO (CEA) 1,0 90.55.2 90.55.2 -ANTIGENE CARBOIDRATICO 15.3 (CA 15.3) 1,0 Pagina 2
VU S IT F HQ O P ON M FDB ED CB L I J K HG FDBED CB W 1,0 90.55.3 90.55.3 -ANTIGENE CARBOIDRATICO 19.9 (CA 19.9) 1,0 91.17.5 91.17.5 -VIRUS EPATITE B [HBV] ANTICORPI HBAg 1,0 91.18.4 91.18.4 -VIRUS EPATITE B [HBV] ANTIGENE HBeAg 1,0 91.18.2 91.18.2 -VIRUS EPATITE B [HBV] ANTICORPI HBeAg 1,0 91.17.1 91.17.1 -VIRUS EPATITE A [HAV] ANTICORPI 1,0 90.0.4 90.0.4 -ALFA AMILASI [S/U] 2,0 2,5 5,12 90.30.2 90.30.2 -LIPASI [S] 2,0 3,20,40 90.07.2 90.07.2 -AMINOACIDI DOSAGGIO SINGOLO [S/U/Sg/P] 2,0 3,4,92 91.2.4 91.2.4 -VIRUS ROSOLIA ANTICORPI 2,0 7,75 15,50 90.52.5 90.52.5 -ANTICORPI ANTI ORGANO 2,0 14,51 29,02 90.38.2 90.38.2 -PROLATTINA (PRL) [S] 2,0 38,22 91.18.3 91.18.3 -VIRUS EPATITE B [HBV] ANTICORPI HBsAg 2,0 38,22 90.14.2 90.14.2 -COLESTEROLO LDL 3,0 0,7 2,01 91.18.5 91.18.5 -VIRUS EPATITE B [HBV] ANTIGENE HBsAg 3,0 19,01 57,03 90.43.3 90.43.3 -TRIODOTIRONINA LIBERA (FT3) 3,0 90.54.4 90.54.4 -ANTICORPI ANTI TIREOGLOBULINA (AbTg) 3,0 91.19.5 91.19.5 -VIRUS EPATITE C [HCV] ANTICORPI 3,0 90.9.2 90.9.2 -IMMUNOFISSAZIONE 3,0 29,70 89,10 90.29.2 90.29.2 -LATTATO DEIDROGENASI (LDH) [S/F] 4,0 2,5 10,24 91.14.1 91.14.1 -VIRUS CITOMEGALOVIRUS ANTICORPI (E.I.A.) 4,0 7,75 31,00 91.14.3 91.14.3 -VIRUS CITOMEGALOVIRUS ANTICORPI IgM (E.I. 4,0 8,78 35,12 90.42.3 90.42.3 -TIROXINA LIBERA (FT4) 4,0 7,44 90.51.4 90.51.4 -ANTICORPI ANTI MICROSOMI (AbTMS) O ANTI T 4,0 7,44 90.32.5 90.32.5 -MAGNESIO TOTALE [S/U/dU/(Sg)Er] 5,0 1,70 8,50 90.94.2 90.94.2 -ESAME COLTURALE DELL' URINA [URINOCOLTURA 5,0,47 32,35 90.13.2 90.13.2 -CICLOSPORINA 5,0 1,27 81,35 Pagina 3
k _ h j i d_ b i e g h e ff d_ YZ\ [Z YX ^ b a _ ^] YZ\ [Z YX el.i.a.)7,75,0 4,50 91.22.1 91.22.1 -VIRUS HERPES SIMPLEX (TIPO 1 o 2) ANTICOR,0 7,75 4,50 90.28.1 90.28.1 -Hb - EMOGLOBINA GLICATA,0 10,59 3,54 90.52.4 90.52.4 -ANTICORPI ANTI NUCLEO (ANA) 7,0 9, 7,2 90.13.3 90.13.3 -CLORURO [S/U/dU] 8,0 2,78 22,24 90.0.2 90.0.2 -COMPLEMENTO: C1Q, C3, C3 ATT., C4 (Cias 8,0,1 52,88 90.22.3 90.22.3 -FERRITINA [P/(Sg)Er] 11,0 210,21 91.08.5 91.08.5 -STREPTOCOCCO ANTICORPI ANTI ANTISTREPTOLI 12,0 3,18 38,1 90.24.5 90.24.5 -FOSFORO 13,0 0,98 12,74 90.4.2 90.4.2 -FATTORE REUMATOIDE 13,0 2,14 27,82 90.23.5 90.23.5 -FOSFATASI ALCALINA 13,0 2,5 33,28 91.09.4 91.09.4 -TOXOPLASMA ANTICORPI (E.I.A.) 13,0 7,75 100,75 90.43.5 90.43.5 -URATO [S/U/dU] 15,0 1,70 25,50 90.72.3 90.72.3 -PROTEINA C REATTIVA (Qaniaiva) 15,0 4,75 71,25 90.9.4 90.9.4 -IMMUNOGLOBULINE IgA, IgG o IgM (Ciasna) 15,0 5,84 87,0 90.44.3 90.44.3 -URINE ESAME CHIMICO FISICO E MICROSCOPICO 18,0 1,14 20,52 90.38.4 90.38.4 -PROTEINE (ELETTROFORESI DELLE) [S] Inls 18,0 5,9 107,28 90.11.4 90.11.4 -CALCIO TOTALE [S/U/dU] 20,0 2,78 55,0 90.38.5 90.38.5 -PROTEINE [S/U/dU/La] 22,0 1,88 41,3 90.82.5 90.82.5 -VELOCITA' DI SEDIMENTAZIONE DELLE EMAZIE 24,0 1,28 30,72 90.5.5 90.5.5 -ANTIGENE PROSTATICO SPECIFICO (PSA) 25,0 477,75 90.42.1 90.42.1 -TIREOTROPINA (TSH) 27,0 515,97 90.22.5 90.22.5 -FERRO [S] 31,0 2,5 79,3 90.37.4 90.37.4 -POTASSIO [S/U/dU/(Sg)Er] 40,0 2,78 111,20 90.40.4 90.40.4 -SODIO [S/U/dU/(Sg)Er] 40,0 2,78 111,20 90.04.5 90.04.5 -ALANINA AMINOTRANSFERASI (ALT) (GPT) [S/U 41,0 2,88 118,08 90.09.2 90.09.2 -ASPARTATO AMINOTRANSFERASI (AST) (GOT) [S 41,0 2,88 118,08 Pagina 4
ƒ y } ~ } y { z vy w v s qoq po nm sr qoqpo nm ƒa GT)2,5 42,0 107,52 90.10.5 90.10.5 -BILIRUBINA TOTALE E FRAZIONATA 42,0 3,40 142,80 90.14.1 90.14.1 -COLESTEROLO HDL 55,0 1,8 102,30 90.15.4 90.15.4 -CREATINCHINASI (CPK o CK) 5,0 1,9 109,7 90.14.3 90.14.3 -COLESTEROLO TOTALE 0,0 2,28 13,80 90.43.2 90.43.2 -TRIGLICERIDI 1,0 5,17 315,37 90.14.4 90.14.4 -COLINESTERASI (PSEUDO-CHE) 8,0 1,55 105,40 90.7.1 90.7.1 -TEMPO DI TROMBOPLASTINA PARZIALE (PTT) 82,0 2,53 207,4 90.75.4 90.75.4 -TEMPO DI PROTROMBINA (PT) 83,0 2,87 238,21 90.1.3 90.1.3 -CREATININA [S/U/dU/La] 97,0 2,5 248,32 90.27.1 90.27.1 -GLUCOSIO [S/P/U/dU/La] 11,0 1,70 197,20 90.44.1 90.44.1 -UREA [S/P/U/dU] 119,0 1,70 202,30 90.2.2 90.2.2 -EMOCROMO: Hb, GR, GB, HCT, PLT, IND. DERI 119,0 3,31 393,89 Riepilogo per 'Servizio Erogane' = LAB. ANALISI BELCOLLE (87 reord di deaglio) Somma 1.01,0.355,05 Riepilogo per 'Reparo' = OCULISTICA BELCOLLE E TARQUINIA (10 reord di deaglio) TOTALE REPARTO 10.119,0.734,90 ˆ