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$468.35
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1028030) | $285.00 |
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Trauma Response - Full Trauma Activation (1027810) | $1,970.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $83.00 |
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $64.00 |
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Telemedicine - Fee For Remote Healthcare Service (1009851) | $39.00 |
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Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $306.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $303.00 |
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Speech Therapy - Standardized Thought Processing Testing With Interpretation And Report, Per Hour Of Qualified Professional Time (1006830) | $262.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $367.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $324.00 |
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Room & Board - Private (1009815) | $1,985.00 |
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Room & Board - Private (1000439) | $1,651.00 |
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Room & Board - Private (1009817) | $936.00 |
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Room & Board - Private (1004313) | $647.00 |
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Room & Board - Other (1004310) | $259.00 |
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Respiratory Services - Measurement Of Lung Diffusing Capacity (1003337) | $70.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1003239) | $77.00 |
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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 - Determination Of Lung Volumes Using Gas Dilution Or Washout (1003334) | $47.00 |
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Recovery Room (1004670) | $22.00 |
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Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $715.00 |
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Radiopharmaceuticals - Technetium Medronate (Radioactive Imaging Agent) (1009453) | $153.00 |
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Radiopharmaceuticals - Technetium Mebrofenin (Radioactive Imaging Agent) (1005436) | $285.00 |
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Radiopharmaceuticals - Technetium Macroaggregated Albumin (Radioactive Imaging Agent) (1005439) | $192.00 |
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Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $26.00 |
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Professional Services - Skin Of Arms, Legs Or Trunk Procedure (1002978) | $26.00 |
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Professional Services - Large Intestine Procedure (1027673) | $26.00 |
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Professional Services - Insertion Of Needle Into Vein, Patient 3 Years Or Older (1008501) | $201.00 |
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Professional Services - Diagnostic Exam Of Upper Gastrointestinal System (1027669) | $26.00 |
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Professional Services - Diagnostic Exam Of Large Intestine (1027674) | $26.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011895) | $21.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007692) | $21.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $21.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $130.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $123.00 |
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Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $127.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $229.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $229.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $229.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $132.00 |
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $92.00 |
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $103.00 |
N/A
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $87.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006380) | $87.00 |
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Pathology - Preparation Of Tissue For Exam By Removing Any Calcium Present (1006358) | $9.00 |
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Pathology - Level V Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderately High Complexity) (1006356) | $207.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $93.00 |
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Pathology - Level Iii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderatley Low Complexity) (1006354) | $67.00 |
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Operating Room - Skin Lesion (1002086) | $327.00 |
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Operating Room - Removal Of Non-Cancerous Growth (1004733) | $327.00 |
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Occupational Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (1002910) | $126.00 |
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Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (1002901) | $113.00 |
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Occupational Therapy - Therapeutic Activities To Improve Function With One-On-One Contact Between Patient And Provider, Each 15 Minutes (1002912) | $111.00 |
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Occupational Therapy - Self-Care Or Home Management Training, Each 15 Minutes (1002915) | $108.00 |
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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) | $129.00 |
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Occupational Therapy - Manual Therapy Techniques To 1 Or More Regions, Each 15 Minutes (1002908) | $113.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $318.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $318.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy Established Plan Of Care, Typically 60 Minutes (1026791) | $318.00 |
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $99.00 |
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Occupational Therapy - Application Of Hot Wax Bath To 1 Or More Areas (1002890) | $21.00 |
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Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1002894) | $92.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1000442) | $51.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1004317) | $51.00 |
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Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Multiple Studies (1003505) | $3,518.00 |
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Nuclear Medicine - Diagnostic Scan Of Lung Ventilation And Blood Circulation (1003514) | $1,468.00 |
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Nuclear Medicine - Diagnostic Scan Of Liver And Ducts (1011863) | $1,666.00 |
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Whole Body (1003461) | $1,789.00 |
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, 3 Phase Study (1003459) | $2,058.00 |
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Lab - Zonisamide Level (1021062) | $197.00 |
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Lab - Withdrawal Of Blood For Alcohol Level (1004378) | $69.00 |
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Lab - White Blood Cell Examination With Manual White Cell Differential Count (1004488) | $58.00 |
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Lab - White Blood Cell Count (Automated) (1004492) | $33.00 |
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Lab - White Blood Cell Automated Differential Count (1005878) | $34.00 |
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Lab - White Blood Cell Antibodies Identification (1006073) | $107.00 |
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Lab - White Blood Cell Analysis Of Stool Specimen (1006394) | $55.00 |
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $106.00 |
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Lab - West Nile Antibody Analysis (Except Igm Only) (1006210) | $106.00 |
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Lab - Vitamin D-3 Level (1004832) | $416.00 |
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Lab - Vitamin D-3 Level (1010913) | $224.00 |
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Lab - Vitamin D Level (1,25-Dihydroxy) (1004828) | $363.00 |
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Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $129.00 |
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Lab - Vancomycin Level (1008950) | $138.00 |
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Lab - Valproic Acid Level (Total) (1005480) | $104.00 |
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Lab - Urine Pregnancy Test (1004532) | $58.00 |
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Lab - Urine Concentration Measurement (1005796) | $77.00 |
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Lab - Uric Acid Level In Blood (1004521) | $41.00 |
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Lab - Urea Nitrogen Level In Urine (Bun Only) (1005861) | $40.00 |
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Lab - Urea Nitrogen Level In Blood (Quantitative) (1004506) | $41.00 |
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Lab - Tuberculosis Antigen Analysis (Gamma Interferon Secretion Test) (1009874) | $201.00 |
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Lab - Troponin Protein Level (1004528) | $141.00 |
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Lab - Triglycerides Level (1004520) | $66.00 |
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Lab - Total Protein Level In Urine (1005822) | $70.00 |
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Lab - Tissue Culture Inoculation For Virus Isolation And Identification (1004602) | $168.00 |
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Lab - Thyroxine Level (Total) (1004527) | $65.00 |
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Lab - Thyroxine Level (Free) (1004576) | $67.00 |
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Lab - Thyroid Stimulating Hormone Level (1004529) | $70.00 |
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Lab - Thyroid Hormone Level (T3 Free) (1005858) | $141.00 |
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Lab - Theophylline Level (1024840) | $4.00 |
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Lab - Testosterone Level (Total) (1005845) | $202.00 |
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Lab - Tacrolimus Level (1004580) | $232.00 |
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Lab - Syphilis Antibody Identification (1004658) | $55.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1004561) | $77.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Enzyme Detection, Per Enzyme) (1006258) | $54.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Disk Method, Per Plate With 12 Or Fewer Drugs) (1006257) | $55.00 |
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Lab - Strep Antibody Measurement (1006082) | $96.00 |
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Lab - Stool Specimen Analysis For Helicobacter Pylori Bacteria (Immunoassay Technique) (1006282) | $226.00 |
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Lab - Specimen Analysis Using Light Refraction (1007969) | $180.00 |
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Lab - Specimen Analysis For Shiga-Like Bacterial Toxin (Immunoassay Technique) (1006288) | $102.00 |
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Lab - Specimen Analysis For Hiv-1 And Hiv-2 (Immunoassay Technique) (1023235) | $153.00 |
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Lab - Specimen Analysis For Hepatitis B Surface Antigen (Immunoassay Technique) (1004851) | $84.00 |
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Lab - Specimen Analysis For Giardia Parasite (Immunoassay Technique) (1019195) | $104.00 |
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1006713) | $107.00 |
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1004664) | $104.00 |
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Lab - Specimen Analysis For Cryptosporidium Parasite (Immunoassay Technique) (1009617) | $118.00 |
N/A
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Lab - Sodium Level In Urine (1004645) | $33.00 |
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Lab - Sodium Level In Blood (1004519) | $41.00 |
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Lab - Smear With Wet Mount For Infectious Agents (1004554) | $35.00 |
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Lab - Smear With Special Stain For Microorganisms (Ova And Parasites) (1006264) | $47.00 |
N/A
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Lab - Smear With Special Stain For Microorganisms (Gram Or Giemsa Stain) (1004546) | $54.00 |
N/A
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Lab - Smear For Parasites (1004559) | $47.00 |
N/A
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Lab - Serum Protein Level (Haptoglobin, Quantitative) (1005663) | $111.00 |
N/A
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Lab - Screening Psa Lab Test (1004758) | $163.00 |
N/A
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Lab - Rheumatoid Factor Identification (1004854) | $61.00 |
N/A
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Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (1006092) | $150.00 |
N/A
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Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (1004486) | $33.00 |
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Lab - Red Blood Cell Sedimentation Rate (Automated) (1004491) | $53.00 |
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Lab - Red Blood Cell Antibody Screen (1004494) | $46.00 |
N/A
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Lab - Q Fever Antibody Analysis (1006157) | $84.00 |
N/A
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Lab - Puncture Of Skin For Collection Of Blood Sample (1004544) | $24.00 |
N/A
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Lab - Protein Tumor Marker Level (Carcinoembryonic Antigen) (1004568) | $145.00 |
N/A
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Lab - Protein S Clotting Inhibitor Level (Free) (1004650) | $323.00 |
N/A
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Lab - Protein Level In Body Fluid (1005824) | $117.00 |
N/A
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Lab - Protein Level In Blood (1004792) | $90.00 |
N/A
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Lab - Protein C Clotting Inhibitor Activity (1004649) | $323.00 |
N/A
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Lab - Prostate Specific Antigen Level (Psa, Total) (1004526) | $64.00 |
N/A
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Lab - Prolactin Hormone Level (1005820) | $158.00 |
N/A
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Lab - Progesterone Reproductive Hormone Level (1005819) | $134.00 |
N/A
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Lab - Procalcitonin Hormone Level (1010131) | $272.00 |
N/A
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Lab - Pregnancy Hormone Level (Hcg Quantitative) (1001981) | $132.00 |
N/A
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Lab - Pregnancy Hormone Identification (Hcg Qualitative) (1004533) | $81.00 |
N/A
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Lab - Prealbumin Protein Level (1005816) | $119.00 |
N/A
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Lab - Potassium Level In Blood (1004517) | $41.00 |
N/A
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Lab - Platelet Count (Automated) (1004805) | $33.00 |
N/A
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Lab - Phosphate Level In Blood (1004516) | $57.00 |
N/A
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Lab - Parathyroid Hormone Level (1005798) | $246.00 |
N/A
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Lab - Other Tumor Antigen Measurement (1006112) | $247.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1018963) | $153.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1006074) | $104.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1006777) | $52.00 |
N/A
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Lab - Non-Infectious Substance Measurement (By Other Method) (1005711) | $114.00 |
N/A
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Lab - Natriuretic Peptide Protein Level (1004593) | $176.00 |
N/A
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Lab - Mycoplasma Antibody Analysis (1004660) | $131.00 |
N/A
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Lab - Mononucleosis Antibody Identification (1004531) | $81.00 |
N/A
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Lab - Miscellaneous Therapeutic Drug Level (1005515) | $108.00 |
N/A
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Lab - Miscellaneous Chemistry Test (1006592) | $88.00 |
N/A
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Lab - Microsomal Antibodies Measurement (1006127) | $146.00 |
N/A
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Lab - Magnesium Level (1004523) | $70.00 |
N/A
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Lab - Lyme Disease Antibody Analysis (1006151) | $134.00 |
N/A
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Lab - Luteinizing Hormone Level (Gonadotropin Lh) (1004780) | $140.00 |
N/A
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Lab - Lupus Anticoagulants Identification (Hexagonal Phospholipid Neutralization) (1026528) | $95.00 |
N/A
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Lab - Liver Function Panel (1004538) | $119.00 |
N/A
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Lab - Liver Enzyme Level (Ast, Sgot) (1004502) | $54.00 |
N/A
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Lab - Liver Enzyme Level (Alt, Sgpt) (1004500) | $42.00 |
N/A
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Lab - Lithium Level (1004783) | $73.00 |
N/A
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Lab - Lipid Panel (1004539) | $74.00 |
N/A
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Lab - Lipase Enzyme Level (1004578) | $96.00 |
N/A
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Lab - Levetiracetam Level (1021058) | $163.00 |
N/A
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Lab - Lead Level (1006677) | $113.00 |
N/A
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Lab - Lamotrigine Level (1021057) | $105.00 |
N/A
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Lab - Lactic Acid Level (1005719) | $53.00 |
N/A
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Lab - Lactate Dehydrogenase Enzyme Level (Ldh) (1004515) | $66.00 |
N/A
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Lab - Kidney Function Panel (1004540) | $140.00 |
N/A
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Lab - Iron Level (1004514) | $64.00 |
N/A
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Lab - Iron Binding Capacity (1004605) | $73.00 |
N/A
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Lab - Insulin Antibody Measurement (1006538) | $300.00 |
N/A
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Lab - Insertion Of Needle Into Vein For Collection Of Blood Sample (1004553) | $22.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026907) | $92.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026912) | $53.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026911) | $44.00 |
N/A
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Lab - Initial Drug Testing (Presumptive And Read By Instrument Assisted Direct Optical Observation) (1026859) | $75.00 |
N/A
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Lab - Immune System Protein Antibody Measurement (Complement Antigen Level, Each Component Tested) (1004856) | $75.00 |
N/A
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Lab - Immature Red Blood Count With Additional Calculations (1007926) | $34.00 |
N/A
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Lab - Homocysteine Amino Acid Level (1004746) | $245.00 |
N/A
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Lab - Hla Antigen Compatability Test (Single Antigen A B Or C) (1022095) | $146.00 |
N/A
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Lab - Histoplasma Antibody Analysis (1006183) | $29.00 |
N/A
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Lab - High Sensitivity C-Reactive Protein Measurement (1006083) | $104.00 |
N/A
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Lab - Hidden Blood Identification In Stool (Qualitative By 1 To 3 Fecal Hgb Determinations) (1025475) | $32.00 |
N/A
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Lab - Herpes Simplex Antibody Analysis (Type 2) (1012657) | $144.00 |
N/A
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Lab - Herpes Simplex Antibody Analysis (Type 2) (1006181) | $110.00 |
N/A
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Lab - Hepatitis C Antibody Measurement (1004884) | $138.00 |
N/A
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Lab - Hepatitis B Surface Antibody Measurement (Hbsab) (1004790) | $98.00 |
N/A
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Lab - Hepatitis B Core Antibody Measurement (Total) (1006185) | $174.00 |
N/A
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Lab - Hemoglobin Count (1004487) | $27.00 |
N/A
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Lab - Hemoglobin Analysis And Measurement (Electrophoresis) (1005669) | $138.00 |
N/A
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Lab - Hemoglobin A1C Level (1004594) | $63.00 |
N/A
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Lab - Handling Or Conveyance Of Specimen For Transfer To A Laboratory (1004549) | $55.00 |
N/A
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Lab - Hair, Skin, Or Nail Tissue Examination For Identification Of Fungi Or Parasites (1006266) | $33.00 |
N/A
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Lab - Glucose Level In Blood Except With Reagent Strip (1004513) | $53.00 |
N/A
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