DEMONSTRATIVO_ANALISE_CONTA 17409227 2023-10-18 08:49:02.5501363-03:00 346659 14108605000105 4.01.00 346659 12550393 CASSI - Caixa de Assistência dos Funcionários do Banco do Brasil 33719485000127 2023-10-18 14108605000105 7134347 203965716 203965716 2023-09-01 1714 VALOR DO SERVIÇO SUPERIOR AO VALOR DE TABELA 3 246161150 255370163 237499979 0300044797800036 2023-10-03 3 1 2023-08-04 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246162493 255370164 237500920 0010058315280052 2023-10-03 3 1 2023-08-04 22 40101010 ECG convencional de até 12 derivações 12 26.48 1 26.48 26.48 26.48 26.48 26.48 245903849 255370165 237310429 1101101609060060 2023-10-03 3 1 2023-07-31 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 245957515 255370166 237350873 0300089453330099 2023-10-03 3 1 2023-08-01 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246162537 255370167 237500949 0010058315280052 2023-10-03 3 1 2023-08-04 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246468800 255370168 237736028 0300080903120016 2023-10-03 1714 VALOR DO SERVIÇO SUPERIOR AO VALOR DE TABELA 3 1 2023-08-11 22 40901475 Doppler colorido arterial de membro inferior - unilateral 12 572.04 2 572.03 572.03 0.01 1714 572.04 572.03 572.03 246351002 255370169 237646772 0010054399860051 2023-10-03 3 1 2023-08-09 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246348264 255370170 237644589 0300044797800036 2023-10-03 1714 VALOR DO SERVIÇO SUPERIOR AO VALOR DE TABELA 3 1 2023-08-09 22 40901475 Doppler colorido arterial de membro inferior - unilateral 12 572.04 2 572.03 572.03 0.01 1714 572.04 572.03 572.03 246410576 255370171 237691727 0300021371400018 2023-10-03 3 1 2023-08-10 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246469075 255370172 237736221 0300080903120016 2023-10-03 3 1 2023-08-11 22 40901360 Doppler colorido de vasos cervicais arteriais bilateral (car 12 245.75 1 245.75 245.75 245.75 245.75 245.75 246469028 255370173 237736195 0300080903120016 2023-10-03 3 1 2023-08-11 22 40901408 Doppler colorido de aorta e ilíacas 12 215.33 1 215.33 215.33 215.33 215.33 215.33 246409860 255370174 237691155 0300021489600041 2023-10-03 3 1 2023-08-10 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246599641 255370175 237834030 030014139400019 2023-10-03 3 1 2023-08-15 22 20102038 Monitorização ambulatorial da pressão arterial - MAPA (24 ho 12 151.9 1 151.9 151.9 151.9 151.9 151.9 246587642 255370176 237825391 0300044797800036 2023-10-03 3 1 2023-08-14 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246587946 255370177 237825601 0300044797800036 2023-10-03 1714 VALOR DO SERVIÇO SUPERIOR AO VALOR DE TABELA 3 1 2023-08-14 22 40901467 Doppler colorido venoso de membro superior - unilateral 12 631.4 2 631.39 631.39 0.01 1714 631.4 631.39 631.39 246991961 255370178 238129364 1101600056880000 2023-10-03 3 1 2023-08-23 22 40901696 US - Ecodopplercardiograma com estresse físico 00 377.49 1 377.49 377.49 377.49 377.49 377.49 246904005 255370179 238062575 0300018328100003 2023-10-03 3 1 2023-08-21 22 40901106 Ecodopplercardiograma transtorácico 12 276.53 1 276.53 276.53 276.53 276.53 276.53 246904063 255370180 238062619 0300018328100003 2023-10-03 3 1 2023-08-21 22 40901483 Doppler colorido venoso de membro inferior - unilateral 12 315.7 1 315.7 315.7 315.7 315.7 315.7 247136174 255370181 238236216 0300020685450018 2023-10-03 3 1 2023-08-25 22 40101037 Teste ergométrico computadorizado (inclui ECG basal convenci 12 138.75 1 138.75 138.75 138.75 138.75 138.75 5735.65 5735.62 5735.62 5735.65 5735.62 5735.62 0.03 b049a2c60b6d9f6ed006f12dc97284cb