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$460.93
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Treatment Room - Strapping, Unna Boot (1009258) | $112.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007045) | $349.00 |
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Treatment Room - Removal Of Tissue From Wounds, Per Session (1007044) | $106.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1009264) | $57.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (1009269) | $113.00 |
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Trauma Response - Full Trauma Activation (1027810) | $631.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $210.00 |
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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) | $306.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $281.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $308.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $446.00 |
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Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $306.00 |
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Room & Board - Semi-Private (1008184) | $1,252.00 |
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Room & Board - Semi-Private (1004312) | $784.00 |
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Room & Board - Semi-Private (1009368) | $627.00 |
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Room & Board - Other (1008186) | $173.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009221) | $170.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009222) | $170.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1006717) | $170.00 |
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Respiratory Services - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003249) | $156.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1003239) | $311.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $407.00 |
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Respiratory Services - Demonstration Or Evaluation Of Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003278) | $168.00 |
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Recovery Room Short (1009226) | $313.00 |
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Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $1,186.00 |
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Radiopharmaceuticals - Technetium Medronate (Radioactive Imaging Agent) (1009453) | $247.00 |
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Radiopharmaceuticals - Technetium Mebrofenin (Radioactive Imaging Agent) (1005436) | $284.00 |
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Pulmonary Rehabilitation - Pulmonary Rehabilitation Sesstion Including Exercise (1010220) | $185.00 |
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Professional Services - Lens Surgery (1002955) | $20.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007692) | $74.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007673) | $67.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007672) | $67.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $103.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $112.00 |
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Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $176.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $255.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $230.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $209.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $74.00 |
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $103.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $100.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $113.00 |
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Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (1009034) | $89.00 |
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Operating Room - Removal Of Cataracts From Eye (1004379) | $3,780.00 |
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Operating Room - Insertion Of Indwelling Bladder Catheter (1003992) | $44.00 |
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Operating Room - Insertion Of Catheter In Central Vein, Access Via Arm, Leg, Or Neck Vein, 5+ Years (1004760) | $1,017.00 |
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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) | $110.00 |
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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) | $118.00 |
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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 - Management And/or Training In Use Of Orthotics For Arms Legs And/or Trunk Per 15 Minutes (1027627) | $118.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $230.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $209.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy Established Plan Of Care, Typically 60 Minutes (1026791) | $255.00 |
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $103.00 |
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Occupational Therapy - Application Of Hot Wax Bath To 1 Or More Areas (1002890) | $103.00 |
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Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1002894) | $103.00 |
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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 Tomographic (Spect) Scan Of Bones Or Joints (1003518) | $1,771.00 |
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Nuclear Medicine - Diagnostic Stomach Emptying Study (1003470) | $1,672.00 |
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Nuclear Medicine - Diagnostic Scan Of Parathyroid With Spect Blood Flow Analysis And Ct Localization (1003500) | $1,327.00 |
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Nuclear Medicine - Diagnostic Scan Of Liver And Ducts With Drug Intervention (1003467) | $1,780.00 |
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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) | $1,998.00 |
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Lab - Zonisamide Level (1021062) | $89.00 |
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Lab - Zinc Level (1005871) | $148.00 |
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Lab - Withdrawal Of Blood For Alcohol Level (1004378) | $98.00 |
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Lab - Withdrawal Of Arterial Blood For Diagnosis (1004304) | $156.00 |
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $100.00 |
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Lab - West Nile Antibody Analysis (Except Igm Only) (1006210) | $100.00 |
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Lab - Vitamin D-3 Level (1010913) | $96.00 |
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Lab - Vitamin D-3 Level (1004832) | $96.00 |
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Lab - Vitamin B-6 Level (1004830) | $103.00 |
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Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $122.00 |
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Lab - Vitamin B-1 Level (1005846) | $243.00 |
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Lab - Vitamin A Level (1005867) | $206.00 |
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Lab - Vancomycin Level (1008950) | $115.00 |
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Lab - Valproic Acid Level (Total) (1005480) | $142.00 |
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Lab - Urine Pregnancy Test (1004532) | $76.00 |
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Lab - Uric Acid Level In Specimen Other Than Blood (1005862) | $69.00 |
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Lab - Uric Acid Level In Blood (1004521) | $68.00 |
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Lab - Urea Nitrogen Level In Blood (Quantitative) (1004506) | $68.00 |
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Lab - Tuberculosis Antigen Analysis (Gamma Interferon Secretion Test) (1009874) | $93.00 |
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Lab - Troponin Protein Level (1004528) | $204.00 |
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Lab - Triglycerides Level (1004520) | $68.00 |
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Lab - Total Protein Level In Urine (1005822) | $57.00 |
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Lab - Total Protein Level In Body Fluid (1005823) | $70.00 |
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Lab - Tissue Culture Inoculation For Virus Isolation And Identification (1004602) | $207.00 |
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Lab - Thyroxine Level (Total) (1004527) | $109.00 |
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Lab - Thyroxine Level (Free) (1004576) | $118.00 |
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Lab - Thyroid Stimulating Hormone Level (1004529) | $97.00 |
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Lab - Thyroid Hormone Level (T3 Total) (1005857) | $142.00 |
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Lab - Thyroid Hormone Level (T3 Reverse) (1005859) | $253.00 |
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Lab - Thyroid Hormone Level (T3 Free) (1005858) | $345.00 |
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Lab - Thyroglobulin Hormone Level (1005848) | $84.00 |
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Lab - Thyroglobulin Antibody Measurement (1006213) | $97.00 |
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Lab - Thyroglobulin Antibody Measurement (1006211) | $97.00 |
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Lab - Testosterone Level (Total) (1005843) | $219.00 |
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Lab - Testosterone Level (Total) (1010016) | $219.00 |
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Lab - Testosterone Level (Total) (1005845) | $219.00 |
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Lab - Testosterone Level (Free) (1019739) | $209.00 |
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Lab - Testosterone Level (Free) (1005842) | $160.00 |
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Lab - Testosterone Level (Free) (1024367) | $160.00 |
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Lab - Testosterone Level (Bioavailable) (1023956) | $163.00 |
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Lab - Tacrolimus Level (1004580) | $319.00 |
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Lab - Syphilis Antibody Identification (1004658) | $115.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1004561) | $83.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Enzyme Detection, Per Enzyme) (1006258) | $40.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Disk Method, Per Plate With 12 Or Fewer Drugs) (1006257) | $70.00 |
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Lab - Strep Antibody Measurement (1006082) | $95.00 |
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Lab - Stool Specimen Analysis For Helicobacter Pylori Bacteria (Immunoassay Technique) (1006282) | $232.00 |
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Lab - Steroid Hormone Level (Dehydroepiandrosterone-Sulfate) (1005626) | $170.00 |
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Lab - Specimen Analysis Using Light Refraction (1007969) | $238.00 |
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Lab - Specimen Analysis For Shiga-Like Bacterial Toxin (Immunoassay Technique) (1006288) | $124.00 |
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Lab - Specimen Analysis For Hiv-1 And Hiv-2 (Immunoassay Technique) (1023235) | $115.00 |
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Lab - Specimen Analysis For Hepatitis B Surface Antigen (Immunoassay Technique) (1004851) | $108.00 |
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Lab - Specimen Analysis For Giardia Parasite (Immunoassay Technique) (1019195) | $166.00 |
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1006713) | $121.00 |
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1004664) | $121.00 |
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Lab - Specimen Analysis For Cryptosporidium Parasite (Immunoassay Technique) (1009617) | $149.00 |
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Lab - Somatomedin Growth Factor Level (1005838) | $392.00 |
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Lab - Sodium Level In Urine (1004645) | $42.00 |
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Lab - Sodium Level In Blood (1004519) | $68.00 |
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Lab - Smear With Wet Mount For Infectious Agents (1004554) | $70.00 |
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Lab - Smear With Special Stain For Microorganisms (Gram Or Giemsa Stain) (1004546) | $44.00 |
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Lab - Smear With Special Stain For Microorganisms (Fluorescent Or Acid Fast Stain) (1001986) | $59.00 |
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Lab - Screening Psa Lab Test (1004758) | $133.00 |
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Lab - Screening Culture For Pathogenic Organisms Without Colony Count (1006239) | $58.00 |
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Lab - Rubella Antibody Analysis (1004796) | $66.00 |
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Lab - Rheumatoid Factor Identification (1004854) | $114.00 |
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Lab - Rheumatoid Factor Identification (1006134) | $114.00 |
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Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (1006092) | $207.00 |
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Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (1004486) | $56.00 |
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Lab - Red Blood Cell Sedimentation Rate (Automated) (1004491) | $69.00 |
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Lab - Red Blood Cell Antibody Screen (1004494) | $77.00 |
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Lab - Puncture Of Skin For Collection Of Blood Sample (1004544) | $15.00 |
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Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (1004808) | $206.00 |
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Lab - Proteins In Blood Analysis (Serum Immunofixation Electrophoresis) (1006116) | $200.00 |
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Lab - Protein Tumor Marker Level (Carcinoembryonic Antigen) (1004568) | $179.00 |
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Lab - Protein Level In Body Fluid (1005824) | $76.00 |
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Lab - Protein Level In Blood (1004792) | $95.00 |
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Lab - Prostate Specific Antigen Level (Psa, Total) (1004526) | $133.00 |
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Lab - Prolactin Hormone Level (1005820) | $207.00 |
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Lab - Progesterone Reproductive Hormone Level (1005819) | $146.00 |
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Lab - Procalcitonin Hormone Level (1010131) | $202.00 |
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Lab - Pregnancy Hormone Level (Hcg Quantitative) (1001981) | $133.00 |
N/A
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Lab - Pregnancy Hormone Identification (Hcg Qualitative) (1004533) | $76.00 |
N/A
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Lab - Potassium Level In Urine (1005815) | $44.00 |
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Lab - Potassium Level In Blood (1004517) | $68.00 |
N/A
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Lab - Platelet Count (Automated) (1004805) | $56.00 |
N/A
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Lab - Pituitarty Hormone Level (Adrenocorticotropic) (1004785) | $469.00 |
N/A
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Lab - Phosphate Level In Urine (1005809) | $44.00 |
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Lab - Phosphate Level In Blood (1004516) | $68.00 |
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Lab - Phenytoin Level (Total) (1004572) | $124.00 |
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Lab - Phenobarbital Level (1004606) | $91.00 |
N/A
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Lab - Parathyroid Hormone Level (1005798) | $127.00 |
N/A
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Lab - Oxalate Level (1008028) | $174.00 |
N/A
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Lab - Organic Acid Level (1005793) | $309.00 |
N/A
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Lab - Noninfectious Agent Antibody Measurement (1006072) | $107.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1006777) | $190.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1006074) | $107.00 |
N/A
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Lab - Non-Blood Body Fluid Cell Count With Cell Identification (1004665) | $64.00 |
N/A
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Lab - Natriuretic Peptide Protein Level (1004593) | $200.00 |
N/A
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Lab - Myoglobin Protein Level (1005748) | $261.00 |
N/A
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Lab - Mycoplasma Antibody Analysis (1004660) | $115.00 |
N/A
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Lab - Mononucleosis Antibody Identification (1004531) | $92.00 |
N/A
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Lab - Miscellaneous Chemistry Test (1006592) | $81.00 |
N/A
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Lab - Microsomal Antibodies Measurement (1006127) | $150.00 |
N/A
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Lab - Metanephrines Level (1005741) | $520.00 |
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Lab - Mercury Level (1005737) | $44.00 |
N/A
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Lab - Magnesium Level (1004523) | $92.00 |
N/A
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Lab - Lyme Disease Antibody Analysis (1006151) | $170.00 |
N/A
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Lab - Luteinizing Hormone Level (Gonadotropin Lh) (1004780) | $171.00 |
N/A
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Lab - Liver Function Panel (1004538) | $122.00 |
N/A
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Lab - Liver Enzyme Level (Ast, Sgot) (1004502) | $68.00 |
N/A
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Lab - Liver Enzyme Level (Alt, Sgpt) (1004500) | $81.00 |
N/A
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Lab - Lithium Level (1004783) | $68.00 |
N/A
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Lab - Lipid Panel (1004539) | $103.00 |
N/A
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Lab - Lipase Enzyme Level (1004578) | $100.00 |
N/A
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1010022) | $226.00 |
N/A
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1009064) | $226.00 |
N/A
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Lab - Levetiracetam Level (1021058) | $211.00 |
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Lab - Lead Level (1006677) | $140.00 |
N/A
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Lab - Lead Level (1005721) | $44.00 |
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Lab - Ldl Cholesterol Level (1005730) | $50.00 |
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Lab - Lamotrigine Level (1021057) | $121.00 |
N/A
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Lab - Lactic Acid Level (1005719) | $75.00 |
N/A
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Lab - Lactate Dehydrogenase Enzyme Level (Ldh) (1004515) | $68.00 |
N/A
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Lab - Kidney Function Panel (1004540) | $146.00 |
N/A
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Lab - Ketone Bodies Analysis For Levels (1011903) | $75.00 |
N/A
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Lab - Isolation Of Infectious Agents For Study (1001985) | $54.00 |
N/A
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Lab - Iron Level (1004514) | $77.00 |
N/A
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Lab - Iron Binding Capacity (1004605) | $52.00 |
N/A
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Lab - Insulin Measurement (Total) (1004781) | $144.00 |
N/A
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Lab - Insertion Of Needle Into Vein For Collection Of Blood Sample (1004553) | $30.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026892) | $190.00 |
N/A
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