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$586.71
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Lab - Automated Blood Cell Count Without White Cell Differential Count (1004586) | $92.00 |
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Lab - Automated Blood Cell Count With Automated White Cell Differential Count (1004485) | $132.00 |
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Lab - Aspergillus Antibody Analysis (1006141) | $62.00 |
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Lab - Aspergillus Antibody Analysis (1009003) | $38.00 |
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Lab - Antinuclear Antibodies Analysis (Ana Titer) (1006081) | $59.00 |
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Lab - Antinuclear Antibodies Analysis (Ana Screen) (1004652) | $134.00 |
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Lab - Antihuman Globulin Antibody Analysis (Direct Each Antiserum) (1004496) | $88.00 |
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Lab - Antigen Compatability Test Of Donor Blood (1004662) | $140.00 |
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Lab - Antibody-Antigen Reaction Identification (Qualitative Gel Immunodiffusion) (1006114) | $38.00 |
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Lab - Analysis Of Urine, Microscope Only (1005545) | $20.00 |
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Lab - Analysis Of Urine, Automated Without Microscope (1004550) | $37.00 |
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Lab - Analysis Of Urine, Automated With Microscope (1004551) | $56.00 |
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Lab - Amylase Enzyme Level (1004501) | $67.00 |
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Lab - Ammonia Level (1004635) | $302.00 |
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Lab - Allergy Antibody Levels (Immunoglobulin E), Each Crude Substance (1007953) | $43.00 |
N/A
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Lab - Alkaline Phosphatase Level (Serum) (1005807) | $103.00 |
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Lab - Alkaline Phosphatase Level (Serum) (1004499) | $53.00 |
N/A
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Lab - Alkaline Phosphatase Level (Isoenzyme) (1005808) | $123.00 |
N/A
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Lab - Albumin Protein Level In Urine (Semiquantitative) (1005552) | $67.00 |
N/A
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Lab - Albumin Protein Level In Urine (Quantitative) (1004552) | $67.00 |
N/A
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Lab - Albumin Protein Level In Blood (1004497) | $51.00 |
N/A
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Lab - Adrenal Hormone Level (Cortisol Total) (1004769) | $57.00 |
N/A
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Lab - Adrenal Hormone Level (Aldosterone) (1005555) | $352.00 |
N/A
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Lab - Adrenal Hormone Level (Aldosterone) (1017989) | $215.00 |
N/A
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Lab - Acute Hepatitis Panel (1017983) | $306.00 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Under The Skin Or Into Muscle (1004696) | $124.00 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Into Vein (1004697) | $173.00 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of Same Substance Into Vein (1008108) | $36.00 |
N/A
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Infusion Therapy - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of New Substance Into Vein (1007776) | $36.00 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Up To 1 Hour (1007716) | $505.00 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Concurrent With Another Infusion (1004784) | $120.00 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Additional Hour (1004694) | $166.00 |
N/A
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Infusion Therapy - Infusion Into A Vein For Therapy Prevention Or Diagnosis, Additional Sequential Infusion Up To 1 Hour (1004695) | $120.00 |
N/A
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Infusion Therapy - Hydration Infusion Into A Vein, Additional Hour (1004692) | $166.00 |
N/A
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Infusion Therapy - Hydration Infusion Into A Vein, 31 Minutes To 1 Hour (1004691) | $505.00 |
N/A
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Heart Monitoring - Routine Ekg Using At Least 12 Leads, Tracing Only (1003192) | $231.00 |
N/A
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Heart Monitoring - Continuous Heart Rhythm Recording Up To 48 Hours, Recording Only (1004302) | $650.00 |
N/A
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Heart Monitoring - Continuous Heart Rhythm Recording Up To 48 Hours, Analysis With Report (1004303) | $793.00 |
N/A
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Gi Services - Removal Of Foreign Body From Upper Gastrointestinal Tract Using Endoscope (1002413) | $1,499.00 |
N/A
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Gi Services - Dilation Of Esophagus Using Endoscope (1002416) | $1,632.00 |
N/A
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Gi Services - Diagnostic Exam Of Upper Gastrointestinal Tract Using Endoscope (1002418) | $1,282.00 |
N/A
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Gi Services - Diagnostic Exam Of Small Intestine Using Flexible Endoscope (1002077) | $920.00 |
N/A
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Gi Services - Diagnostic Exam Of Large Intestine (1000908) | $1,520.00 |
N/A
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Gi Services - Biopsy Of Upper Gastrointestinal Tract Using Endoscope (1002421) | $1,632.00 |
N/A
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Gi Services - Biopsy Of Large Intestine Growth (1000905) | $1,738.00 |
N/A
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Emergency Room - Repair Of Wounds (1010153) | $286.00 |
N/A
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Emergency Room - Manipulation Of Shoulder Dislocation Without Incision (1013601) | $286.00 |
N/A
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Emergency Room - Incision And Drainage Of Simple Abscess (1007081) | $286.00 |
N/A
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Emergency Room - Incision And Drainage Of Fluid Collection (1007088) | $286.00 |
N/A
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Emergency Room - Emergency Department Visit, Self Limited Or Minor Problem (1003894) | $272.00 |
N/A
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Emergency Room - Emergency Department Visit, Problem With Significant Threat To Life Or Function (1003898) | $942.00 |
N/A
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Emergency Room - Emergency Department Visit, Problem Of High Severity (1003887) | $739.00 |
N/A
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Emergency Room - Emergency Department Visit, Moderately Severe Problem (1003909) | $505.00 |
N/A
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Emergency Room - Emergency Department Visit, Low To Moderately Severe Problem (1003905) | $379.00 |
N/A
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Emergency Room - Dressing Change Or Removal Of Burn Tissue Small Area (1013559) | $312.00 |
N/A
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Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient, First 30-74 Minutes (1003841) | $2,249.00 |
N/A
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Emergency Room - Control Of Posterior Nosebleed (1007232) | $286.00 |
N/A
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Emergency Room - Closed Treatment Of Dislocated Hip Prosthesis Under Anesthesia (1013667) | $286.00 |
N/A
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Emergency Room - Care Of Broken Bone (1012962) | $286.00 |
N/A
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Education - Medical Nutrition Re-Assessment And Intervention, Each 15 Minutes (1004279) | $29.00 |
N/A
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Education - Medical Nutrition Assessment And Intervention, Each 15 Minutes (1004278) | $29.00 |
N/A
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Education - Diabetes Self-Management Training In Group (1005128) | $50.00 |
N/A
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Education - Diabetes Self-Management Training (1003593) | $77.00 |
N/A
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Dialysis - Inpatient Or Outpatient Dialysis Services (1003159) | $896.00 |
N/A
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Dialysis - Inpatient Or Outpatient Dialysis Services (1009816) | $896.00 |
N/A
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Diagnostic Tests - Nerve Transmission Studies, 9 To 10 Studies (1012944) | $1,043.00 |
N/A
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Diagnostic Tests - Nerve Transmission Studies, 5 To 6 Studies (1012942) | $655.00 |
N/A
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Diagnostic Tests - Nerve Transmission Studies, 3 To 4 Studies (1012941) | $547.00 |
N/A
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Diagnostic Tests - Nerve Transmission Studies, 11 To 12 Studies (1012945) | $1,221.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of One Arm Or Leg Or Limited (1003424) | $804.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of Both Arms Or Legs (1003396) | $1,137.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Head And Neck Blood Vessels On Both Sides (1003395) | $1,109.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of One Arm Or Limited (1003415) | $1,044.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of Both Legs (1003406) | $1,318.00 |
N/A
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Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1002092) | $4,062.00 |
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Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab (1002091) | $3,692.00 |
N/A
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Diagnostic Services - Setup And Training For Ambulatory Continuous Glucose Monitoring (1007985) | $411.00 |
N/A
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Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (1003398) | $424.00 |
N/A
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Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (1007719) | $315.00 |
N/A
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Diagnostic Services - Complete Ultrasound Scan Of Aorta, Vena Cava, Groin Vessel Or Bypass Graft Blood Flow (1004811) | $1,026.00 |
N/A
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Diagnostic Services - Complete Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1003399) | $1,419.00 |
N/A
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Diagnostic Services - Complete Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1010955) | $177.00 |
N/A
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Diagnostic Imaging - X-Rays For Bone Age Studies (1000700) | $242.00 |
N/A
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Diagnostic Imaging - X-Ray Of Wrist, 3 Or More Views (1002535) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Upper Spine, 4 Or 5 Views (1000850) | $383.00 |
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Diagnostic Imaging - X-Ray Of Upper Spine, 2 Or 3 Views (1000851) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Upper Leg, 2 Or More Views (1025889) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Upper Arm, 2 Or More Views (1001370) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Toe(S), 2 Or More Views (1002326) | $266.00 |
N/A
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Diagnostic Imaging - X-Ray Of Spine For Scoliosis Evaluation, 2 Or 3 Views (1025879) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Soft Tissue Of Neck (1001663) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Skull, 1 To 3 Views (1002090) | $359.00 |
N/A
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Diagnostic Imaging - X-Ray Of Shoulder, 2 Or More Views (1002062) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Shoulder, 1 View (1002056) | $252.00 |
N/A
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Diagnostic Imaging - X-Ray Of Shoulder Blade (1001987) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Sacrum And Tailbone, 2 Or More Views (1001975) | $314.00 |
N/A
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Diagnostic Imaging - X-Ray Of Sacroiliac Joints, 3 Or More Views (1001973) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Ribs On One Side Of Body, 2 Views (1003534) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Pelvis, 3 Or More Views (1003598) | $358.00 |
N/A
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Diagnostic Imaging - X-Ray Of Pelvis, 1 Or 2 Views (1001804) | $330.00 |
N/A
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Diagnostic Imaging - X-Ray Of One Hip With Pelvis, 2 To 3 Views (1025883) | $283.00 |
N/A
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Diagnostic Imaging - X-Ray Of One Hip With Pelvis, 1 View (1025882) | $258.00 |
N/A
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Diagnostic Imaging - X-Ray Of Nose Bones, 3 Or More Views (1001660) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Nasal Sinuses, 3 Or More Views (1001776) | $345.00 |
N/A
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Diagnostic Imaging - X-Ray Of Nasal Sinuses, 1 To 2 Views (1002081) | $238.00 |
N/A
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Diagnostic Imaging - X-Ray Of Middle Spine, 3 Views (1001040) | $379.00 |
N/A
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Diagnostic Imaging - X-Ray Of Middle Spine, 2 Views (1004308) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 4 Or More Views (1001575) | $394.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 2 Or 3 Views (1001574) | $359.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Leg, 2 Views (1002315) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Knee, 4 Or More Views (1001482) | $351.00 |
N/A
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Diagnostic Imaging - X-Ray Of Knee, 3 Views (1004687) | $316.00 |
N/A
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Diagnostic Imaging - X-Ray Of Knee, 1 Or 2 Views (1001481) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Heel, 2 Or More Views (1001337) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Hand, 3 Or More Views (1001318) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Hand, 2 Views (1001326) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Forearm, 2 Views (1001229) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Foot, 3 Or More Views (1001227) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Foot, 2 Views (1001228) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Finger(S), 2 Or More Views (1001217) | $275.00 |
N/A
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Diagnostic Imaging - X-Ray Of Face Bones, 3 Or More Views (1001187) | $404.00 |
N/A
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Diagnostic Imaging - X-Ray Of Eye For Foreign Body (1008143) | $310.00 |
N/A
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Diagnostic Imaging - X-Ray Of Elbow, 3 Or More Views (1001121) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Elbow, 2 Views (1001122) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Collarbone (1000882) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Chest, 3 Views (1027616) | $369.00 |
N/A
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Diagnostic Imaging - X-Ray Of Chest, 2 Views (1027615) | $344.00 |
N/A
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Diagnostic Imaging - X-Ray Of Chest, 1 View (1027614) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 3 To 4 Views (1025886) | $359.00 |
N/A
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Diagnostic Imaging - X-Ray Of Ankle, 3 Or More Views (1000552) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Ankle, 2 Views (1000553) | $286.00 |
N/A
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Diagnostic Imaging - X-Ray Of Abdomen, 3 Or More Views (1027620) | $371.00 |
N/A
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Diagnostic Imaging - X-Ray Of Abdomen, 2 Views (1027619) | $317.00 |
N/A
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Diagnostic Imaging - X-Ray Of Abdomen, 1 View (1027618) | $286.00 |
N/A
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Diagnostic Imaging - Vaginal Ultrasound Of Fetus (1003180) | $427.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Single Or First Fetus At Less Than 14 Weeks (1000389) | $725.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Single Or First Fetus At 14 Weeks Or Greater (1000391) | $804.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Scrotum (1000399) | $713.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Pelvis Through Vagina (1000396) | $627.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Head And Neck (1000379) | $705.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Limited Study (1007590) | $537.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Complete Study (1000397) | $715.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Arm Or Leg, Limited Study (1000401) | $537.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Abdomen, Limited Study (1000383) | $705.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Abdomen, Complete Study (1000382) | $917.00 |
N/A
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Diagnostic Imaging - Ultrasound Measurement Of Bladder Capacity After Voiding (1007980) | $50.00 |
N/A
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Limited Study (1000385) | $705.00 |
N/A
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Complete Study (1000384) | $888.00 |
N/A
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Diagnostic Imaging - Screening Ultrasound Of Abdominal Aorta To Detect Bulging (1026825) | $705.00 |
N/A
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Diagnostic Imaging - Screening Mammogram Of Both Breasts (1026824) | $305.00 |
N/A
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Diagnostic Imaging - Screening Mammogram Of Both Breasts (1026823) | $305.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, Without Contrast (1000223) | $2,960.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, With And Without Contrast (1000229) | $3,757.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Pelvis, Without Contrast (1000235) | $2,960.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Pelvis, With And Without Contrast (1000236) | $3,756.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, Without Contrast (1000225) | $2,960.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, With And Without Contrast (1000230) | $3,665.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, Without Contrast (1000227) | $2,960.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With And Without Contrast (1000231) | $3,730.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Leg, Without Contrast (1000252) | $2,960.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Leg Joint, Without Contrast (1000254) | $2,960.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Eye, Face, Or Neck, With And Without Contrast (1000198) | $3,757.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Brain, Without Contrast (1000206) | $2,960.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Brain, With And Without Contrast (1000209) | $3,522.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Arm, Without Contrast (1000241) | $3,019.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Arm Joint, Without Contrast (1000243) | $2,960.00 |
N/A
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Neck, With And Without Contrast (1000204) | $3,494.00 |
N/A
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Head, Without Contrast (1000199) | $2,960.00 |
N/A
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Diagnostic Imaging - Motion Recording Of Swallowing Function (1002498) | $608.00 |
N/A
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Diagnostic Imaging - Limited Ultrasound Of One Or More Fetuses (1000393) | $564.00 |
N/A
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Diagnostic Imaging - Follow-Up Ultrasound Of Fetus (1000394) | $599.00 |
N/A
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Diagnostic Imaging - Exam For Fetal Well-Being Without Non-Stress Testing (1000395) | $537.00 |
N/A
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Diagnostic Imaging - Dual-Energy X-Ray For Bone Density Study (1004466) | $558.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Upper Spine, Without Contrast (1003591) | $2,135.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Pelvis, Without Contrast (1000232) | $1,632.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Neck, Without Contrast (1000194) | $1,793.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Neck, With Contrast (1003594) | $2,081.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Middle Spine, Without Contrast (1000220) | $2,229.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Lower Spine, Without Contrast (1000221) | $2,135.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Leg, Without Contrast (1000248) | $1,798.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Head Or Brain, Without Contrast (1000179) | $1,786.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Face, Without Contrast (1000190) | $1,785.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Eye Or Ear, Without Contrast (1000182) | $1,939.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Chest, Without Contrast (1000210) | $1,893.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Chest, With Contrast (1000212) | $2,302.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Chest, With And Without Contrast (1000214) | $2,302.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Chest With Contrast (1000215) | $2,302.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Abdomen And Pelvis (1011851) | $3,649.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Arm, Without Contrast (1000239) | $1,697.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen, Without Contrast (1000257) | $1,858.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen, With Contrast (1000259) | $2,302.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen, With And Without Contrast (1000260) | $2,475.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, Without Contrast (1010581) | $3,182.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With Contrast (1010582) | $3,450.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With And Without Contrast (1010583) | $3,710.00 |
N/A
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Diagnostic Imaging - 3D Procedure Without Image Postprocessing On Independent Workstation (1005319) | $984.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1010775) | $84.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1001164) | $53.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (1010767) | $107.00 |
N/A
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Chemotherapy - Non-Hormonal Anti-Neoplastic Chemotherapy Administration, Under The Skin Or Into Muscle (1004712) | $599.00 |
N/A
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