UMB - ANATOMY BOARD

USAGE FOR SERVICE RENDERED

THIS IS NOT AN INVOICE


CADAVERS/SPECIMENS

AB# NUMBERS









DESCRIPTION: SERVICE FEE - PL22 FEE-RATE QUANTITY $TOTAL NOTES:
SPECIUSE OBJ CODE:0917 Member School $350.00
In-State Education/Government $940.00
In-State Commercial $2,810.00
Out of State Education/Government $3,017.00
Out of State Commercial $3,770.00
205-120 OBJ CODE: 0902 SPECIMEN PREP - Technical Services - per specimen $50.00
205-120 OBJ CODE: 0992 Program Pouchas $52.00

SPECIMEN REMOVAL RELEASE:

ALL SPECIMENS RELEASED ARE TO BE USED FOR MEDICAL RESEARCH/STUDIES
AND RETURNED TO THIS FACILITY UNLESS ALTERNATIVE DISPOSITION HAS BEEN APPROVED.

CLINICAL SURGERY STUDY LAB

FACILITY USAGE FEE - 205-102-0916 FEE-RATE QUANTITY $TOTAL NOTES:
IN STATE M-F 1 STATION X 4 AM $150.00
PM $150.00
OUT OF STATE M-F 1 STATION X 4 AM $175.00
PM $175.00
IN-STATE S-S 1 STATION X 4 AM $300.00
PM $300.00
OUT OF STATE S-S 1 STATION X 4 AM $350.00
PM $350.00
SURGICAL DISPOSAL USAGE 205-120-0992 $10.00
205-120 OBJ CODE: 0902 Injection Prep-Insert Pricing $
205-120 OBJ CODE: 0522 *After Hours Usage - Lab Assistant Name: $30.00

*Rate varies depending on assigned lab staff.

NOTES