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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007044) | $237.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007045) | $48.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1009264) | $837.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1028030) | $226.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $227.00 |
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Therapeutic Services - Refilling And Maintenance Of Portable Pump (1004360) | $413.00 |
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $148.00 |
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Telemedicine - Fee For Remote Healthcare Service (1009851) | $50.00 |
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Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $305.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $256.00 |
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Speech Therapy - Standardized Thought Processing Testing With Interpretation And Report, Per Hour Of Qualified Professional Time (1006830) | $361.00 |
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Speech Therapy - Fluoroscopic And Video Recorded Motion Evaluation Of Swallowing Function (1002872) | $415.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $356.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $398.00 |
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Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $398.00 |
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Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $398.00 |
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Speech Therapy - Assessment Of Expressive And Receptive Speech With Interpretation And Report, Per Hour (1008115) | $375.00 |
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Room & Board - Private (1000439) | $1,295.00 |
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Room & Board - Private (1004313) | $674.00 |
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Room & Board - Private (1009497) | $588.00 |
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Room & Board - Other (1004310) | $324.00 |
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Room & Board - Nursery (1000438) | $1,059.00 |
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Respiratory Services - Ventilation Management In Hospital - Initial Day (1003236) | $1,243.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009221) | $116.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011850) | $116.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009222) | $116.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1011849) | $116.00 |
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Respiratory Services - Procedure To Improve Lung Function, Each 15 Minutes (1007712) | $99.00 |
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Respiratory Services - Procedure To Improve Lung Function, 2+ Patients (1005465) | $171.00 |
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Respiratory Services - Overnight Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1002093) | $490.00 |
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Respiratory Services - Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003265) | $71.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1003239) | $285.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $391.00 |
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Respiratory Services - Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003254) | $126.00 |
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Respiratory Services - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1003262) | $295.00 |
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Respiratory Services - Demonstration Or Evaluation Of Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003278) | $172.00 |
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Recovery Room (1004670) | $815.00 |
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Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $270.00 |
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Radiopharmaceuticals - Technetium Medronate (Radioactive Imaging Agent) (1009453) | $261.00 |
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Radiopharmaceuticals - Technetium Mebrofenin (Radioactive Imaging Agent) (1005436) | $168.00 |
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Pulmonary Rehabilitation - Pulmonary Rehabilitation Sesstion Including Exercise (1010220) | $304.00 |
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Professional Services - Vein Of Upper Leg Procedure (1003072) | $35.00 |
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Professional Services - Vein Of Lower Leg Procedure (1003099) | $35.00 |
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Professional Services - Upper Arm Bone And Shoulder Joint Procedure (1003101) | $35.00 |
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Professional Services - Upper Arm And Elbow Procedure (1003109) | $35.00 |
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Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $35.00 |
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Professional Services - Upper Abdominal Procedure (1003017) | $35.00 |
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Professional Services - Upper Abdominal Hernia Repair (1003012) | $35.00 |
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Professional Services - Spinal Tap For Diagnosis (1010599) | $708.00 |
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Professional Services - Skin Of Arms, Legs Or Trunk Procedure (1002978) | $35.00 |
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Professional Services - Shoulder Joint Procedure (1003102) | $35.00 |
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Professional Services - Repair Of Incisional Hernia Or Wound Opening (1003013) | $35.00 |
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Professional Services - Open Lower Thigh Bone Procedure (1003077) | $35.00 |
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Professional Services - Nerve, Muscles Or Tendon Procedure Of Shoulder And Underarm (1003100) | $35.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Upper Leg (1003071) | $35.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Lower Leg, Foot Or Ankle (1003090) | $35.00 |
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Professional Services - Nerve, Muscle Or Tendon Procedure Of Forearm, Wrist, And Hand (1003115) | $35.00 |
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Professional Services - Male Genitalia Procedure (1003048) | $35.00 |
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Professional Services - Lower Abdominal Hernia Repair (1003025) | $35.00 |
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Professional Services - Lower Abdominal Cavity Procedure (1003029) | $35.00 |
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Professional Services - Lower Abdomen And/or Urinary Tract Procedure (1003033) | $35.00 |
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Professional Services - Large Intestine Procedure (1027673) | $35.00 |
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Professional Services - Labor During Planned Vaginal Delivery (1003134) | $35.00 |
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Professional Services - Knee Joint Procedure Using Scope (1003082) | $35.00 |
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Professional Services - Incomplete Or Missed Abortion (1004815) | $35.00 |
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Professional Services - Head And Neck Procedure (1002973) | $35.00 |
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Professional Services - Emergent Insertion Of Breathing Tube Into Windpipe (1002947) | $624.00 |
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Professional Services - Division Of Fallopian Tubes (1003032) | $35.00 |
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Professional Services - Diagnostic Exam Of Upper Gastrointestinal System (1027669) | $35.00 |
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Professional Services - Diagnostic Exam Of Large Intestine (1027674) | $35.00 |
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Professional Services - Destruction Of Abnormal Heart Rhythm (1005140) | $35.00 |
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Professional Services - Conversion Of Abnormal Heart Rhythm (1002982) | $35.00 |
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Professional Services - Closed Lower Leg, Ankle Or Foot Procedure (1003088) | $35.00 |
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Professional Services - Closed Hip Joint Procedure (1003064) | $35.00 |
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Professional Services - Cesarean Delivery (1003132) | $35.00 |
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Professional Services - Bone Procedure Of Lower Leg, Ankle And Foot (1003092) | $35.00 |
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Professional Services - Bone Procedure Of Forearm, Wrist, Or Hand (1003117) | $35.00 |
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Professional Services - Bone Procedure Of Forearm, Wrist, Or Hand (1003116) | $35.00 |
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Professional Services - Biopsy Of Female Genitalia (1003055) | $35.00 |
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Professional Services - Anal And Rectal Procedure (1003041) | $35.00 |
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Preventive Services - Administration Of Vaccine By Injection, Each Additional Vaccine (1007693) | $17.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007692) | $20.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $20.00 |
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Physical Therapy - Water Pool Therapy With Therapeutic Exercises To 1 Or More Areas, Each 15 Minutes (1002903) | $126.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $88.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $109.00 |
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Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $125.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $286.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $228.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $178.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $121.00 |
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $72.00 |
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $84.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group I For Microorganisms) (1006359) | $178.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $221.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Each Additional Slide Or Stain) (1024653) | $146.00 |
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Pathology - Screening Pap Smear By Technician (1012596) | $117.00 |
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Pathology - Screening Pap Smear (1012598) | $117.00 |
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Pathology - Preparation Of Tissue For Exam By Removing Any Calcium Present (1006358) | $49.00 |
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Pathology - Pap Smear (Thin Layer Prep With Automated Screening And Manual Rescreening) (1006967) | $117.00 |
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Pathology - Pap Smear (Bethesda System With Manual Screening) (1006420) | $112.00 |
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Pathology - Miscellaneous Molecular Pathology Procedure (1020875) | $28.00 |
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Pathology - Level Vi Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or High Complexity) (1006357) | $406.00 |
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Pathology - Level V Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderately High Complexity) (1006356) | $359.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $263.00 |
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Pathology - Level Iii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderatley Low Complexity) (1006354) | $168.00 |
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Pathology - Level Ii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Low Complexity) (1006353) | $133.00 |
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Pathology - Chromosome Analysis For Genetic Defects (Additional High Resolutio Study) (1006349) | $148.00 |
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Pathology - Cellular Exam Of Specimen Using Concentration Technique (Smears) (1006417) | $317.00 |
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Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (1009034) | $364.00 |
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Operating Room - Umbilical Hernia (1002407) | $5,039.00 |
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Operating Room - Tying Of Fallopian Tubes (1002380) | $2,844.00 |
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Operating Room - Transfer Or Repair Of Tendon (1002300) | $6,741.00 |
N/A
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Operating Room - Skin Lesion (1002086) | $618.00 |
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Operating Room - Repair Of Wounds (1001926) | $5,467.00 |
N/A
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Operating Room - Repair Of Wound (1002531) | $647.00 |
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Operating Room - Repair Of Knee Cartilage Using Endoscope (1024273) | $7,162.00 |
N/A
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Operating Room - Repair Of Hernia Using Endoscope (1001515) | $13,788.00 |
N/A
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Operating Room - Removal Or Insertion Of Feeding Tube (1001198) | $6,244.00 |
N/A
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Operating Room - Removal Of Toe Or Foot (1004382) | $2,448.00 |
N/A
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Operating Room - Removal Of Tissue (1001019) | $4,003.00 |
N/A
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Operating Room - Removal Of Scar Tissue Using Endoscope (1009889) | $7,748.00 |
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Operating Room - Removal Of Lymph Nodes (1001696) | $5,555.00 |
N/A
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Operating Room - Removal Of Gallbladder With Exploration Of Bile Duct Using Endoscope (1001500) | $15,707.00 |
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Operating Room - Removal Of Gallbladder Using Endoscope (1001514) | $12,684.00 |
N/A
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Operating Room - Removal Of Foreskin (1000880) | $4,393.00 |
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Operating Room - Removal Of Fluid From Abdominal Cavity With Imaging Guidance (1007763) | $1,507.00 |
N/A
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Operating Room - Removal Of Fluid From Abdominal Cavity (1000116) | $1,083.00 |
N/A
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Operating Room - Removal Of Fallopian Tubes Using Endoscope (1009890) | $6,291.00 |
N/A
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Operating Room - Removal Of Cyst (1000994) | $3,940.00 |
N/A
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Operating Room - Removal Of Bone Spur (1000706) | $4,397.00 |
N/A
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Operating Room - Removal Of Appendix Using Endoscope (1001513) | $7,778.00 |
N/A
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Operating Room - Removal Of Abnormal Growth (1001590) | $5,592.00 |
N/A
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Operating Room - Release Of Wrist Nerve (Carpal Tunnel Surgery) (1000764) | $4,061.00 |
N/A
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Operating Room - Release Of Finger Contracture (1004726) | $6,861.00 |
N/A
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Operating Room - Rectal Procedure (1001343) | $3,561.00 |
N/A
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Operating Room - Ovarian Cyst (1001749) | $6,597.00 |
N/A
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Operating Room - Multiple Incisions For Removal Of Varicose Veins Of Arm Or Leg (1013110) | $3,018.00 |
N/A
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Operating Room - Incision Into Muscle (1001192) | $6,526.00 |
N/A
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Operating Room - Incision Into Bone (1001744) | $4,397.00 |
N/A
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Operating Room - Incision And Drainage Of Abscess (1001375) | $5,394.00 |
N/A
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Operating Room - Groin Hernia (1001412) | $4,988.00 |
N/A
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Operating Room - Fluid Collection In Scrotum (1001371) | $4,839.00 |
N/A
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Operating Room - Female Genital Gland (1005009) | $4,605.00 |
N/A
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Operating Room - Dilation And Scraping Of Uterus (1001009) | $4,116.00 |
N/A
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Operating Room - Diagnostic Exam Of Shoulder Joint Using Endoscope (1025911) | $9,279.00 |
N/A
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Operating Room - Diagnostic Exam Of Abdominal Cavity Using Endoscope (1001517) | $7,220.00 |
N/A
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Operating Room - Cesarean Delivery With Tying Of Fallopian Tubes (1007070) | $7,280.00 |
N/A
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Operating Room - Cesarean Delivery (1004275) | $7,585.00 |
N/A
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Operating Room - Biopsy Of Liver (1001552) | $6,343.00 |
N/A
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Occupational Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (1002910) | $114.00 |
N/A
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Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (1002901) | $111.00 |
N/A
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Occupational Therapy - Therapeutic Activities To Improve Function With One-On-One Contact Between Patient And Provider, Each 15 Minutes (1002912) | $106.00 |
N/A
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Occupational Therapy - Self-Care Or Home Management Training, Each 15 Minutes (1002915) | $110.00 |
N/A
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Occupational Therapy - Manual Therapy Techniques To 1 Or More Regions, Each 15 Minutes (1002908) | $111.00 |
N/A
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $243.00 |
N/A
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $189.00 |
N/A
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Occupational Therapy - Evaluation Of Occupational Therapy Established Plan Of Care, Typically 60 Minutes (1026791) | $303.00 |
N/A
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $82.00 |
N/A
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Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1002894) | $94.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1000442) | $64.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1004317) | $64.00 |
N/A
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Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Multiple Studies (1003505) | $2,665.00 |
N/A
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Nuclear Medicine - Diagnostic Stomach Emptying Study (1003470) | $1,663.00 |
N/A
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Nuclear Medicine - Diagnostic Scan Of Thyroid With Uptake Measurement (1003512) | $1,814.00 |
N/A
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Nuclear Medicine - Diagnostic Scan Of Liver And Ducts (1011863) | $1,602.00 |
N/A
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Whole Body (1003461) | $1,588.00 |
N/A
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Labor & Delivery - Removal Of Foreskin In Nursery (1004377) | $560.00 |
N/A
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Labor & Delivery - Level 2 Delivery (1004274) | $3,548.00 |
N/A
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Labor & Delivery - Level 1 Delivery (1004273) | $2,777.00 |
N/A
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Labor & Delivery - Labor Level 3 (1004271) | $2,093.00 |
N/A
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Labor & Delivery - Labor Level 2 (1004270) | $1,293.00 |
N/A
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Labor & Delivery - Labor Level 1 (1004269) | $1,072.00 |
N/A
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Labor & Delivery - Fetal Non-Stress Test (1003176) | $401.00 |
N/A
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Labor & Delivery - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1004812) | $364.00 |
N/A
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Labor & Delivery - Assessment Each Additional Hour (1004813) | $54.00 |
N/A
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Lab - Zinc Level (1005871) | $88.00 |
N/A
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Lab - Withdrawal Of Blood For Alcohol Level (1004378) | $94.00 |
N/A
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Lab - Withdrawal Of Arterial Blood For Diagnosis (1004304) | $167.00 |
N/A
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Lab - White Blood Cell Examination With Manual White Cell Differential Count (1004488) | $80.00 |
N/A
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Lab - White Blood Cell Enzyme Level (Muramidase) (1010669) | $134.00 |
N/A
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Lab - White Blood Cell Antibodies Identification (1006075) | $176.00 |
N/A
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Lab - White Blood Cell Antibodies Identification (1006073) | $176.00 |
N/A
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Lab - White Blood Cell Analysis Of Stool Specimen (1006394) | $104.00 |
N/A
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $96.00 |
N/A
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Lab - West Nile Antibody Analysis (Except Igm Only) (1006210) | $96.00 |
N/A
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Lab - Vitamin E Level (1005854) | $174.00 |
N/A
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Lab - Vitamin D-3 Level (1004832) | $250.00 |
N/A
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Lab - Vitamin D-3 Level (1010913) | $250.00 |
N/A
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Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $115.00 |
N/A
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Lab - Vitamin B-1 Level (1005846) | $196.00 |
N/A
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Lab - Vitamin A Level (1005867) | $66.00 |
N/A
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Lab - Varicella-Zoster Antibody Analysis (1006207) | $116.00 |
N/A
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Lab - Vancomycin Level (1008950) | $206.00 |
N/A
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Lab - Valproic Acid Level (Total) (1005480) | $159.00 |
N/A
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Lab - Urine Pregnancy Test (1004532) | $75.00 |
N/A
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Lab - Urine Concentration Measurement (1005796) | $107.00 |
N/A
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Lab - Uric Acid Level In Blood (1004521) | $116.00 |
N/A
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Lab - Urea Nitrogen Level In Urine (Bun Only) (1005861) | $97.00 |
N/A
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Lab - Urea Nitrogen Level In Blood (Quantitative) (1004506) | $83.00 |
N/A
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