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il, ;...,u.i:;{;d.7u*r, <br />Kittitas County Sheriff's Office <br />307 W. Umptanum Rd <br />Ellensburg, WA 98926 <br />Services Provided: Pre-Employment Physical <br />KtrTlT4s <br />couNT.y <br />s#{,,t/4F <br />Description Code Price <br />Physical Exam (including visual field test)99203 $ rrs.oo <br />Range of Motion (no charge)97750 s <br />XR Chest, l View 77045 $30.00 <br />XR Spine Thoracolumbar 2+ Views 72080 s 35.00 <br />Urinalysis w/Micro 81001 s 10.00 <br />Vision Screen (Snellen)99173 s 5.00 <br />lshihara Test (no charge)$ <br />Venipuncture (no charge)36415 s <br />Lab - CBC 005009 $5.00 <br />Lab - LP 303756 s s.00 <br />Lab - CMP 303756 s 5.00 <br />Lab - TSH w/Reflex 004259,349829 5 10.00 <br />Lab - QuantiFERON-TB Gold Plus L82879 s 70.00 <br />Breathing Capacity Test 94010 $2s.00 <br />EKG 93000 $25.00 <br />Pure Tone Audiometry (Hearing Test)92552 s 10.00 <br />Urine Drug Test w/DNA Authentication 0007u $ 100.00 <br />TOTAL S +so.oo