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$427.43
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Treatment Room - Negative Pressure Wound Therapy Surface Area Less Than Or Equal To 50 Square Centimeters Per Session (1024491) | $469.00 |
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Treatment Room - Negative Pressure Wound Therapy Surface Area Greater Than 50 Square Centimeters (1024492) | $628.00 |
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Treatment Room - Insertion Of Indwelling Bladder Catheter (1021394) | $335.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1028030) | $169.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1009264) | $55.00 |
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Trauma Response - Hospital Critical Care Service (1027813) | $324.00 |
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Trauma Response - Full Trauma Activation (1027810) | $324.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $171.00 |
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $149.00 |
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Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $191.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $191.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $284.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $233.00 |
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Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $233.00 |
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Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $233.00 |
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Room & Board - Semi-Private (1009461) | $1,788.00 |
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Room & Board - Semi-Private (1009460) | $1,432.00 |
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Room & Board - Semi-Private (1008184) | $1,234.00 |
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Room & Board - Semi-Private (1004312) | $728.00 |
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Room & Board - Semi-Private (1009368) | $342.00 |
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Room & Board - Private Hospice (1004311) | $839.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011525) | $122.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011526) | $122.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009221) | $109.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009222) | $109.00 |
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Respiratory Services - Overnight Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1002093) | $353.00 |
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Respiratory Services - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003249) | $95.00 |
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Respiratory Services - Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003265) | $69.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1003239) | $301.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $270.00 |
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Respiratory Services - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1006722) | $491.00 |
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Recovery Room For Same Day Surgery (1004672) | $690.00 |
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Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $522.00 |
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Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $24.00 |
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Professional Services - Lens Surgery (1002955) | $24.00 |
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Professional Services - Diagnostic Exam Of Large Intestine (1027674) | $24.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $95.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007692) | $37.00 |
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Physical Therapy - Wheelchair Management, Each 15 Minutes (1005422) | $99.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $108.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $114.00 |
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Physical Therapy - Repositioning Maneuvers For Treatment Of Vertigo, Per Day (1009796) | $137.00 |
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Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $99.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $265.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $225.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $186.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $135.00 |
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $98.00 |
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $97.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group I For Microorganisms) (1006359) | $77.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $89.00 |
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Pathology - Pap Smear (Thin Layer Prep With Automated Screening And Manual Rescreening) (1006967) | $57.00 |
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Pathology - Pap Smear (Bethesda System With Manual Screening) (1006420) | $33.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $94.00 |
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Pathology - Level Iii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderatley Low Complexity) (1006354) | $71.00 |
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Pathology - Flow Cytometry For Dna Or Cell Analysis (Technical Component, First Marker) (1006317) | $70.00 |
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Pathology - Flow Cytometry For Dna Or Cell Analysis (Technical Component, Each Additional Marker) (1006323) | $70.00 |
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Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (1009034) | $66.00 |
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Operating Room - Removal Of Recurring Cataracts Using Laser (1004380) | $2,330.00 |
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Operating Room - Removal Of Cataracts From Eye (1004379) | $1,809.00 |
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Operating Room - Rectal Procedure (1001343) | $502.00 |
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Operating Room - Insertion Of Indwelling Bladder Catheter (1003992) | $335.00 |
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Occupational Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (1002910) | $115.00 |
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Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (1002901) | $91.00 |
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Occupational Therapy - Therapeutic Activities To Improve Function With One-On-One Contact Between Patient And Provider, Each 15 Minutes (1002912) | $89.00 |
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Occupational Therapy - Self-Care Or Home Management Training, Each 15 Minutes (1002915) | $89.00 |
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Occupational Therapy - Re-Evaluation Of Occupational Therapy Established Plan Of Care, Typically 30 Minutes (1026792) | $220.00 |
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Occupational Therapy - One-On-One Therapeutic Interventions Focused On Thought Processing And Strategies To Manage Activities (1027626) | $114.00 |
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Occupational Therapy - Manual Therapy Techniques To 1 Or More Regions, Each 15 Minutes (1002908) | $82.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $225.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $186.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy Established Plan Of Care, Typically 60 Minutes (1026791) | $265.00 |
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $94.00 |
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Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1002894) | $98.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1004317) | $39.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1000442) | $39.00 |
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Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Multiple Studies (1003505) | $2,725.00 |
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Nuclear Medicine - Diagnostic Scan Of Liver And Ducts (1011863) | $1,581.00 |
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Lab - Withdrawal Of Arterial Blood For Diagnosis (1004304) | $55.00 |
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Lab - White Blood Cell Examination With Manual White Cell Differential Count (1004488) | $36.00 |
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Lab - White Blood Cell Count (Automated) (1004492) | $29.00 |
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Lab - White Blood Cell Analysis Of Stool Specimen (1006394) | $34.00 |
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $57.00 |
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Lab - West Nile Antibody Analysis (Except Igm Only) (1006210) | $57.00 |
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Lab - Vitamin D-3 Level (1010913) | $194.00 |
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Lab - Vitamin D-3 Level (1004832) | $106.00 |
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Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $84.00 |
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Lab - Viral Antibody Analysis (1006208) | $61.00 |
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Lab - Varicella-Zoster Antibody Analysis (1006207) | $110.00 |
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Lab - Vancomycin Level (1008950) | $83.00 |
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Lab - Valproic Acid Level (Total) (1005480) | $71.00 |
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Lab - Urine Pregnancy Test (1004532) | $34.00 |
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Lab - Urine Concentration Measurement (1005796) | $49.00 |
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Lab - Uric Acid Level In Blood (1004521) | $50.00 |
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Lab - Urea Nitrogen Level In Urine (Bun Only) (1005861) | $46.00 |
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Lab - Urea Nitrogen Level In Blood (Quantitative) (1004506) | $32.00 |
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Lab - Tuberculosis Antigen Analysis (Gamma Interferon Secretion Test) (1009874) | $90.00 |
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Lab - Troponin Protein Level (1004528) | $114.00 |
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Lab - Triglycerides Level (1004520) | $33.00 |
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Lab - Treponema Pallidum Antibody Analysis (1026325) | $70.00 |
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Lab - Total Protein Level In Urine (1005822) | $46.00 |
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Lab - Total Protein Level In Blood (1004592) | $31.00 |
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Lab - Thyroxine Level (Total) (1004527) | $36.00 |
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Lab - Thyroxine Level (Free) (1004576) | $62.00 |
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Lab - Thyroid Stimulating Hormone Level (1004529) | $87.00 |
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Lab - Thyroid Hormone Level (T3 Total) (1005857) | $94.00 |
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Lab - Thyroid Hormone Level (T3 Reverse) (1005859) | $199.00 |
N/A
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Lab - Thyroid Hormone Level (T3 Free) (1005858) | $150.00 |
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Lab - Thyroglobulin Hormone Level (1005848) | $112.00 |
N/A
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Lab - Thyroglobulin Antibody Measurement (1006213) | $126.00 |
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Lab - Thyroglobulin Antibody Measurement (1006211) | $103.00 |
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Lab - Theophylline Level (1004634) | $71.00 |
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Lab - Testosterone Level (Total) (1005843) | $150.00 |
N/A
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Lab - Testosterone Level (Total) (1005845) | $150.00 |
N/A
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Lab - Testosterone Level (Total) (1010016) | $100.00 |
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Lab - Testosterone Level (Free) (1024367) | $161.00 |
N/A
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Lab - Testosterone Level (Free) (1005842) | $128.00 |
N/A
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Lab - Testosterone Level (Free) (1019739) | $100.00 |
N/A
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Lab - Testosterone Level (Bioavailable) (1023956) | $100.00 |
N/A
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Lab - Tacrolimus Level (1004580) | $214.00 |
N/A
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Lab - Syphilis Antibody Identification (1004658) | $33.00 |
N/A
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1004561) | $47.00 |
N/A
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Enzyme Detection, Per Enzyme) (1006258) | $37.00 |
N/A
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Disk Method, Per Plate With 12 Or Fewer Drugs) (1006257) | $48.00 |
N/A
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Agar Dilution Method, Per Drug) (1006256) | $47.00 |
N/A
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Lab - Stool Specimen Analysis For Helicobacter Pylori Bacteria (Immunoassay Technique) (1006282) | $184.00 |
N/A
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Lab - Steroid Hormone Level (Dehydroepiandrosterone-Sulfate) (1005626) | $139.00 |
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Lab - Specimen Analysis Using Light Refraction (1007969) | $134.00 |
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Lab - Specimen Analysis For Strep Group A Bacteria (Immunoassay With Direct Optical Observation) (1004535) | $51.00 |
N/A
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Lab - Specimen Analysis For Shiga-Like Bacterial Toxin (Immunoassay Technique) (1006288) | $98.00 |
N/A
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Lab - Specimen Analysis For Hiv-1 And Hiv-2 (Immunoassay Technique) (1023235) | $56.00 |
N/A
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Lab - Specimen Analysis For Hepatitis C Virus Genotype (1006295) | $436.00 |
N/A
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Lab - Specimen Analysis For Hepatitis B Surface Antigen (Immunoassay Technique) (1004851) | $55.00 |
N/A
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Lab - Specimen Analysis For Giardia Parasite (Immunoassay Technique) (1019195) | $97.00 |
N/A
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1006713) | $89.00 |
N/A
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1004664) | $86.00 |
N/A
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Lab - Specimen Analysis For Cryptosporidium Parasite (Immunoassay Technique) (1009617) | $129.00 |
N/A
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Lab - Somatomedin Growth Factor Level (1005838) | $144.00 |
N/A
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Lab - Sodium Level In Urine (1004645) | $40.00 |
N/A
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Lab - Sodium Level In Blood (1004519) | $38.00 |
N/A
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Lab - Smear With Wet Mount For Infectious Agents (1004554) | $19.00 |
N/A
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Lab - Smear With Special Stain For Microorganisms (Ova And Parasites) (1006264) | $83.00 |
N/A
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Lab - Smear With Special Stain For Microorganisms (Gram Or Giemsa Stain) (1004546) | $34.00 |
N/A
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Lab - Smear With Special Stain For Microorganisms (Fluorescent Or Acid Fast Stain) (1001986) | $40.00 |
N/A
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Lab - Smear For Parasites (1004559) | $63.00 |
N/A
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Lab - Sirolimus Level (1005535) | $139.00 |
N/A
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Lab - Screening Psa Lab Test (1004758) | $98.00 |
N/A
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Lab - Screening For Hepatitis C (1025403) | $110.00 |
N/A
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Lab - Screening Culture For Pathogenic Organisms Without Colony Count (1006239) | $45.00 |
N/A
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Lab - Rubella Antibody Analysis (1004796) | $38.00 |
N/A
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Lab - Rheumatoid Factor Measurement (1021318) | $38.00 |
N/A
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Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (1004486) | $15.00 |
N/A
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Lab - Red Blood Cell Sedimentation Rate (Non-Automated) (1006500) | $34.00 |
N/A
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Lab - Red Blood Cell Count (Automated) (1005886) | $40.00 |
N/A
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Lab - Red Blood Cell Antibody Screen (1004494) | $48.00 |
N/A
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Lab - Q Fever Antibody Analysis (1006157) | $35.00 |
N/A
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Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (1010694) | $395.00 |
N/A
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Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (1004808) | $144.00 |
N/A
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Lab - Proteins In Blood Analysis (Serum Immunofixation Electrophoresis) (1006116) | $121.00 |
N/A
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Lab - Protein Tumor Marker Level (Carcinoembryonic Antigen) (1004568) | $104.00 |
N/A
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Lab - Protein Level In Body Fluid (1005824) | $58.00 |
N/A
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Lab - Protein Level In Blood (1004792) | $58.00 |
N/A
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Lab - Prostate Specific Antigen Level (Psa, Total) (1004526) | $98.00 |
N/A
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Lab - Prolactin Hormone Level (1005820) | $117.00 |
N/A
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Lab - Progesterone Reproductive Hormone Level (1005819) | $94.00 |
N/A
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Lab - Procalcitonin Hormone Level (1010131) | $234.00 |
N/A
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Lab - Pregnancy Hormone Level (Hcg Quantitative) (1001981) | $92.00 |
N/A
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Lab - Pregnancy Hormone Identification (Hcg Qualitative) (1004533) | $48.00 |
N/A
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Lab - Potassium Level In Blood (1004517) | $38.00 |
N/A
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Lab - Porphyrins Metabolism Substance Level In Stool (1006692) | $82.00 |
N/A
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Lab - Platelet Count (Automated) (1004805) | $20.00 |
N/A
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Lab - Phosphate Level In Urine (1005809) | $43.00 |
N/A
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Lab - Phosphate Level In Blood (1004516) | $50.00 |
N/A
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Lab - Phenytoin Level (Total) (1004572) | $62.00 |
N/A
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Lab - Parathyroid Hormone Level (1005798) | $240.00 |
N/A
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Lab - Pancreatic Enzyme Analysis In Stool (Elastase, Qualitative Or Quantitative) (1006710) | $180.00 |
N/A
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Lab - Oxcarbazepine Level (1021060) | $91.00 |
N/A
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Lab - Organic Acid Level (1005793) | $242.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1006074) | $138.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1006777) | $88.00 |
N/A
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Lab - Non-Infectious Substance Measurement (By Other Method) (1005714) | $211.00 |
N/A
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Lab - Non-Infectious Substance Measurement (By Other Method) (1010163) | $119.00 |
N/A
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Lab - Non-Blood Body Fluid Cell Count With Cell Identification (1004665) | $44.00 |
N/A
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Lab - Natriuretic Peptide Protein Level (1004593) | $151.00 |
N/A
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Lab - Myoglobin Protein Level (1005747) | $107.00 |
N/A
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Lab - Mycoplasma Antibody Analysis (1004660) | $60.00 |
N/A
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Lab - Mononucleosis Antibody Identification (1004531) | $39.00 |
N/A
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Lab - Miscellaneous Therapeutic Drug Level (1005519) | $141.00 |
N/A
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Lab - Microsomal Antibodies Measurement (1006127) | $103.00 |
N/A
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Lab - Magnesium Level (1004523) | $62.00 |
N/A
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Lab - Macroscopic Exam Of Parasite (1006254) | $32.00 |
N/A
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Lab - Lyme Disease Antibody Analysis (1006151) | $131.00 |
N/A
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Lab - Liver Function Panel (1004538) | $88.00 |
N/A
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Lab - Liver Enzyme Level (Ast, Sgot) (1004502) | $32.00 |
N/A
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Lab - Liver Enzyme Level (Alt, Sgpt) (1004500) | $47.00 |
N/A
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Lab - Lithium Level (1004783) | $48.00 |
N/A
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Lab - Lipid Panel (1004539) | $72.00 |
N/A
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Lab - Lipase Enzyme Level (1004578) | $67.00 |
N/A
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1010022) | $51.00 |
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1009064) | $37.00 |
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