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$1191.13
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Diagnostic Imaging - X-Ray Of Abdomen, 1 View (1027618) | $249.00 |
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Diagnostic Imaging - X-Ray From Nose To Rectum Of Child To Identify Foreign Object, Single View (1008166) | $206.00 |
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Diagnostic Imaging - Vaginal Ultrasound Of Fetus (1003180) | $660.00 |
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Diagnostic Imaging - Ultrasound Of Spinal Canal (1000388) | $583.00 |
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Diagnostic Imaging - Ultrasound Of Single Or First Fetus At Less Than 14 Weeks (1000389) | $710.00 |
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Diagnostic Imaging - Ultrasound Of Single Or First Fetus At 14 Weeks Or Greater (1000391) | $882.00 |
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Diagnostic Imaging - Ultrasound Of Single Breast, Limited Study (1024606) | $561.00 |
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Diagnostic Imaging - Ultrasound Of Single Breast, Complete Study (1024605) | $561.00 |
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Diagnostic Imaging - Ultrasound Of Scrotum (1000399) | $667.00 |
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Diagnostic Imaging - Ultrasound Of Pelvis Through Vagina (1000396) | $716.00 |
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Diagnostic Imaging - Ultrasound Of Infant Hips With Manipulation (1000403) | $573.00 |
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Diagnostic Imaging - Ultrasound Of Head And Neck (1000379) | $693.00 |
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Diagnostic Imaging - Ultrasound Of Fetal Umbilical Artery Flow Rate (1003182) | $459.00 |
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Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Limited Study (1007590) | $618.00 |
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Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Complete Study (1000397) | $784.00 |
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Diagnostic Imaging - Ultrasound Of Chest (1000380) | $492.00 |
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Diagnostic Imaging - Ultrasound Of Brain (1000378) | $661.00 |
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Diagnostic Imaging - Ultrasound Of Arm Or Leg, Limited Study (1000401) | $197.00 |
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Diagnostic Imaging - Ultrasound Of Additional Fetus At Less Than 14 Weeks (1000390) | $527.00 |
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Diagnostic Imaging - Ultrasound Of Additional Fetus At 14 Weeks Or Greater (1000392) | $561.00 |
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Diagnostic Imaging - Ultrasound Of Abdomen, Limited Study (1000383) | $667.00 |
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Diagnostic Imaging - Ultrasound Of Abdomen, Complete Study (1000382) | $931.00 |
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Diagnostic Imaging - Ultrasound Guidance For Needle Insertion (1000409) | $899.00 |
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Diagnostic Imaging - Ultrasound Guidance For Blood Vessel Repair (1003437) | $1,020.00 |
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Diagnostic Imaging - Ultrasound Guidance For Blood Vessel Access As Additional Procedure (1000404) | $423.00 |
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Limited Study (1000385) | $573.00 |
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Complete Study (1000384) | $824.00 |
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Diagnostic Imaging - Screening Ultrasound Of Abdominal Aorta To Detect Bulging (1026825) | $309.00 |
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Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, Without Contrast (1000223) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, With And Without Contrast (1000229) | $4,138.00 |
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Diagnostic Imaging - Mri Scan Of Pelvis, Without Contrast (1000235) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Pelvis, With And Without Contrast (1000236) | $4,201.00 |
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Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, Without Contrast (1000225) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, With And Without Contrast (1000230) | $4,138.00 |
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, Without Contrast (1000227) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With Contrast (1000228) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With And Without Contrast (1000231) | $4,138.00 |
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Diagnostic Imaging - Mri Scan Of Leg, Without Contrast (1000252) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Leg, With And Without Contrast (1000253) | $3,501.00 |
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Diagnostic Imaging - Mri Scan Of Leg Joint, Without Contrast (1000254) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Leg Joint, With Contrast (1000255) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Leg Joint, With And Without Contrast (1000256) | $3,819.00 |
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Diagnostic Imaging - Mri Scan Of Eye, Face, Or Neck, Without Contrast (1000197) | $3,057.00 |
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Diagnostic Imaging - Mri Scan Of Eye, Face, Or Neck, With And Without Contrast (1000198) | $4,107.00 |
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Diagnostic Imaging - Mri Scan Of Brain, Without Contrast (1000206) | $2,864.00 |
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Diagnostic Imaging - Mri Scan Of Brain, With Contrast (1000208) | $3,150.00 |
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Diagnostic Imaging - Mri Scan Of Brain, With And Without Contrast (1000209) | $3,819.00 |
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Diagnostic Imaging - Mri Scan Of Bone Marrow (1021797) | $2,805.00 |
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Diagnostic Imaging - Mri Scan Of Arm, Without Contrast (1000241) | $2,546.00 |
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Diagnostic Imaging - Mri Scan Of Arm, With And Without Contrast (1000242) | $3,500.00 |
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Diagnostic Imaging - Mri Scan Of Arm Joint, Without Contrast (1000243) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Arm Joint, With Contrast (1000244) | $3,182.00 |
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Diagnostic Imaging - Mri Scan Of Arm Joint, With And Without Contrast (1000245) | $3,851.00 |
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Diagnostic Imaging - Mri Scan Of Abdomen, Without Contrast (1000262) | $2,864.00 |
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Diagnostic Imaging - Mri Scan Of Abdomen, With And Without Contrast (1000263) | $3,851.00 |
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Neck, Without Contrast (1000202) | $2,484.00 |
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Neck, With And Without Contrast (1000204) | $3,465.00 |
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Head, Without Contrast (1000199) | $2,382.00 |
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Head, With And Without Contrast (1000201) | $3,451.00 |
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Diagnostic Imaging - Motion Recording Of Swallowing Function (1002498) | $641.00 |
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Diagnostic Imaging - Miscellaneous Ultrasound Procedure (1000417) | $459.00 |
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Diagnostic Imaging - Miscellaneous Diagnostic X-Ray (1000376) | $842.00 |
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Diagnostic Imaging - Low Dose Ct Scan For Lung Cancer Screening (1025098) | $1,974.00 |
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Diagnostic Imaging - Limited Ultrasound Of One Or More Fetuses (1000393) | $488.00 |
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Diagnostic Imaging - Guidance For Procedure, Up To 1 Hour (1001223) | $539.00 |
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Diagnostic Imaging - Guidance For Placement Of Drainage Device (1000340) | $1,584.00 |
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Diagnostic Imaging - Guidance For Placement Of Drainage Device (1000336) | $1,400.00 |
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Diagnostic Imaging - Guidance For Dilation Of Ureter Or Urethra (1000276) | $605.00 |
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Diagnostic Imaging - Guidance For Change Of Drainage Device (1000335) | $771.00 |
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Diagnostic Imaging - Follow-Up Ultrasound Of Fetus (1000394) | $530.00 |
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Diagnostic Imaging - Follow-Up Ultrasound Of Fetus (1003368) | $458.00 |
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Diagnostic Imaging - Fluoroscopic Guidance For Spinal Injection (1000359) | $411.00 |
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Diagnostic Imaging - Fluoroscopic Guidance For Needle Insertion (1004850) | $619.00 |
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Diagnostic Imaging - Fluoroscopic Guidance For Central Venous Access Device Procedure (1000342) | $783.00 |
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Diagnostic Imaging - Exam For Fetal Well-Being Without Non-Stress Testing (1000395) | $606.00 |
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Diagnostic Imaging - Exam For Fetal Well-Being Without Non-Stress Testing (1003375) | $549.00 |
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Diagnostic Imaging - Diagnostic Pet Scan With Ct Imaging, Whole Body (1003384) | $5,767.00 |
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Diagnostic Imaging - Diagnostic Pet Scan With Ct Imaging, Skull Base To Mid-Thigh (1003370) | $6,450.00 |
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Diagnostic Imaging - Ct Scan Of Upper Spine, Without Contrast (1003591) | $2,100.00 |
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Diagnostic Imaging - Ct Scan Of Pelvis, Without Contrast (1000232) | $1,909.00 |
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Diagnostic Imaging - Ct Scan Of Pelvis, With Contrast (1000233) | $2,192.00 |
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Diagnostic Imaging - Ct Scan Of Neck, Without Contrast (1000194) | $2,420.00 |
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Diagnostic Imaging - Ct Scan Of Neck, With Contrast (1003594) | $2,420.00 |
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Diagnostic Imaging - Ct Scan Of Neck, With And Without Contrast (1004454) | $2,673.00 |
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Diagnostic Imaging - Ct Scan Of Middle Spine, Without Contrast (1000220) | $2,100.00 |
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Diagnostic Imaging - Ct Scan Of Lower Spine, Without Contrast (1000221) | $2,100.00 |
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Diagnostic Imaging - Ct Scan Of Lower Spine, With Contrast (1000222) | $2,365.00 |
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Diagnostic Imaging - Ct Scan Of Leg, Without Contrast (1000248) | $2,546.00 |
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Diagnostic Imaging - Ct Scan Of Leg, With Contrast (1000250) | $2,546.00 |
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Diagnostic Imaging - Ct Scan Of Head Or Brain, Without Contrast (1000179) | $1,909.00 |
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Diagnostic Imaging - Ct Scan Of Head Or Brain, With And Without Contrast (1000181) | $2,420.00 |
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Diagnostic Imaging - Ct Scan Of Face, Without Contrast (1000190) | $1,441.00 |
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Diagnostic Imaging - Ct Scan Of Face, With Contrast (1000192) | $1,441.00 |
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Diagnostic Imaging - Ct Scan Of Face, With And Without Contrast (1000193) | $2,294.00 |
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Diagnostic Imaging - Ct Scan Of Eye Or Ear, Without Contrast (1000182) | $2,228.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Eye Or Ear, With Contrast (1003462) | $2,451.00 |
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Diagnostic Imaging - Ct Scan Of Eye Or Ear, With And Without Contrast (1000187) | $2,727.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Chest, Without Contrast (1000210) | $1,974.00 |
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Diagnostic Imaging - Ct Scan Of Chest, With Contrast (1000212) | $2,277.00 |
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Diagnostic Imaging - Ct Scan Of Chest, With And Without Contrast (1000214) | $2,940.00 |
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Pelvis With Contrast (1006805) | $2,875.00 |
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Neck, With Contrast (1000196) | $3,182.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Leg (1000251) | $2,546.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Head, With Contrast (1000195) | $2,864.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Chest With Contrast (1000215) | $2,673.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Abdomen And Pelvis (1011851) | $4,155.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Abdomen (1000261) | $3,182.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Arm, Without Contrast (1000239) | $1,909.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Arm, With Contrast (1000240) | $2,100.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdominal Aorta And Both Leg Arteries (1003364) | $3,182.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen, Without Contrast (1000257) | $2,546.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen, With Contrast (1000259) | $2,546.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen, With And Without Contrast (1000260) | $3,182.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, Without Contrast (1010581) | $3,500.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With Contrast (1010582) | $3,702.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With And Without Contrast (1010583) | $4,530.00 |
N/A
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Diagnostic Imaging - Ct Guidance For Needle Insertion (1000367) | $2,065.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Urinary Tract By Retrograde Technique (1001942) | $847.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Upper Digestive Tract Without X-Ray Of Urinary System (1002400) | $955.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Upper Digestive Tract With X-Ray Of Small Intestines (1002399) | $1,235.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Major Abdominal Vein (1000305) | $3,308.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Large Intestine Using Barium (1000620) | $1,082.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Large Intestine Using Air (1000619) | $1,194.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Kidney Veins On One Side (1000307) | $2,547.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Fallopian Tubes And Ovaries (1001978) | $458.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Bladder And Bladder Canal While Bladder Is Emptying (1002510) | $881.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Veins On One Side (1000303) | $1,427.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Artery On One Side (1000289) | $3,050.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Arm Or Leg Artery On Both Sides (1000290) | $4,260.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Abscess Or Abnormal Drainage Tract (1001218) | $382.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Abdominal Artery (1000293) | $3,098.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta By Serial Imaging (1000277) | $3,050.00 |
N/A
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Diagnostic Imaging - Contrast X-Ray Of Abdominal Aorta And Both Leg Arteries By Serial Imaging (1000279) | $3,048.00 |
N/A
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Diagnostic Imaging - 3D Procedure Without Image Postprocessing On Independent Workstation (1005319) | $576.00 |
N/A
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Diagnostic Imaging - 3D Procedure With Image Postprocessing On Independent Workstation (1005320) | $715.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1003142) | $70.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1001164) | $70.00 |
N/A
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Chemotherapy - Prolonged Chemotherapy Infusion Into A Vein By Portable Or Implanted Pump For More Than 8 Hours (1004364) | $605.00 |
N/A
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Chemotherapy - Non-Hormonal Anti-Neoplastic Chemotherapy Administration, Under The Skin Or Into Muscle (1004712) | $165.00 |
N/A
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Chemotherapy - Infusion Of Different Chemotherapy Drug Or Substance Into A Vein Up To 1 Hour (1004826) | $330.00 |
N/A
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Chemotherapy - Hormonal Anti-Neoplastic Chemotherapy Administration, Under The Skin Or Into Muscle (1004711) | $165.00 |
N/A
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Chemotherapy - Chemotherapy Into Vein Using Push Technique, Single Or Initial Drug (1004713) | $265.00 |
N/A
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Chemotherapy - Chemotherapy Into Vein Using Push Technique, Each Additional Drug (1004714) | $249.00 |
N/A
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Chemotherapy - Chemotherapy Infusion Into A Vein For Up To 1 Hour, Initial Drug (1004715) | $496.00 |
N/A
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Chemotherapy - Chemotherapy Infusion Into A Vein For Additional Hour(S) (1004716) | $165.00 |
N/A
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Chemotherapy - Chemotherapy Administration - Initiation Of Infusion In Clinical Setting (Office Or Clinic) With Continuation In Community Setting (1023927) | $787.00 |
N/A
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Cardiology - Ultrasound Exam Of The Heart Performed During Rest And Exercise With Interpretation And Report (1003198) | $1,400.00 |
N/A
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Cardiology - Ultrasound Exam Of Heart, Follow-Up Or Limited Study (1003204) | $633.00 |
N/A
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Cardiology - Ultrasound Exam Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function (1009794) | $2,100.00 |
N/A
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Cardiology - Ultrasound Exam Of Congenital Heart Defect, Complete Study (1003200) | $1,400.00 |
N/A
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Cardiology - Ultrasound Evaluation Of Heart Blood Vessel Or Graft (1005354) | $1,097.00 |
N/A
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Cardiology - Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment (1005384) | $1,051.00 |
N/A
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Cardiology - Ultrasound Evaluation Of Heart Blood Vessel During Diagnosis Or Treatment (1005383) | $980.00 |
N/A
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Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel During Heart Attack Accessed Through The Skin, Single Vessel (1012772) | $17,505.00 |
N/A
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Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Single Vessel (1012770) | $17,505.00 |
N/A
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Cardiology - Insertion Of Stent, Removal Of Plaque, Or Balloon Dilation Of Coronary Vessel Accessed Through The Skin, Each Additional Vessel (1012771) | $1,400.00 |
N/A
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Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Right And Left Heart Catheterization (1010630) | $12,166.00 |
N/A
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Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts With Left Heart Catheterization (1010628) | $11,442.00 |
N/A
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Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts (1010625) | $8,391.00 |
N/A
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Cardiology - Insertion Of Catheter For Imaging Of Heart Blood Vessels Or Grafts (1010624) | $6,865.00 |
N/A
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Cardiology - Insertion Of Assistive Heart Blood Flow Device Into Aorta, Accessed Through The Skin (1005247) | $1,769.00 |
N/A
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Cardiology - Follow-Up Or Limited Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003199) | $167.00 |
N/A
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Cardiology - External Shock To Heart To Regulate Heart Beat (1005350) | $1,465.00 |
N/A
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Cardiology - Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Monitoring, Tracing Only (1003197) | $980.00 |
N/A
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Cardiology - Evaluation Of Heart Function Using Tilt Table (1005401) | $1,946.00 |
N/A
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Cardiology - Esophageal Ultrasound Exam Of Heart Including Probe Placement, Image Acquisition, Interpretation And Report (1003205) | $1,961.00 |
N/A
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Cardiology - Doppler Ultrasound Color-Mapping Of Heart Blood Flow, Rate, And Valve Function (1003193) | $177.00 |
N/A
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Cardiology - Complete Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003194) | $701.00 |
N/A
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Cardiology - Catheter Placement Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (1012780) | $11,788.00 |
N/A
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Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (1012779) | $16,209.00 |
N/A
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Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (1012775) | $11,204.00 |
N/A
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Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Each Additional (1012776) | $5,339.00 |
N/A
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Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1006715) | $244.00 |
N/A
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Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1006714) | $175.00 |
N/A
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Brain Monitoring - Measurement Of Brain Wave Activity Awake And Asleep (1003344) | $1,273.00 |
N/A
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Brain Monitoring - Measurement Of Brain Wave Activity 41 To 60 Minutes (1003343) | $1,261.00 |
N/A
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Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1004604) | $375.00 |
N/A
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Blood Processing & Storage - Red Blood Cells - Irradiated/white Cells Reduced (1009048) | $624.00 |
N/A
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Blood Processing & Storage - Red Blood Cells - Irradiated (1006403) | $562.00 |
N/A
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Blood Processing & Storage - Platelets - White Cells Reduced (1009170) | $218.00 |
N/A
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Blood Processing & Storage - Platelets - Pheresis/irradiated/white Cells Reduced (1009047) | $2,123.00 |
N/A
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Blood Processing & Storage - Fresh Frozen Plasma - Single Donor (1006399) | $156.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007003) | $764.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007002) | $636.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007001) | $510.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007000) | $415.00 |
N/A
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Audiology - Placement Of Scalp Electrodes For Assessment And Recording Of Responses From Several Areas Of The Nerve-Brain Hearing System, Limited (1007594) | $141.00 |
N/A
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Anesthesia - Regional Component (1001923) | $582.00 |
N/A
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Anesthesia - Labor Epidural (1009757) | $654.00 |
N/A
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Anesthesia - Insertion Of Breathing Tube Using Fiberoptic Assistance (1001212) | $222.00 |
N/A
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Anesthesia - Inhalation Agent (1000539) | $4.00 |
N/A
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Anesthesia - General (1001268) | $895.00 |
N/A
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