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$460.93
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Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient (1007772) | $420.00 |
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Emergency Room - Application Of Short Leg Splint (1007222) | $70.00 |
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Emergency Room - Application Of Short Arm Splint (1007212) | $70.00 |
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Emergency Room - Application Of Long Arm Splint (1007208) | $70.00 |
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Education - Medical Nutrition Assessment And Intervention, Each 15 Minutes (1004278) | $44.00 |
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Diagnostic Services - Ultrasound Scan Of Veins Of One Arm Or Leg Or Limited (1003424) | $462.00 |
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Diagnostic Services - Ultrasound Scan Of Veins Of Both Arms Or Legs (1003396) | $680.00 |
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Diagnostic Services - Ultrasound Scan Of Head And Neck Blood Vessels On Both Sides (1003395) | $726.00 |
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of One Leg Or Limited (1003407) | $462.00 |
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of Both Legs (1003406) | $680.00 |
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of Both Arms (1003428) | $680.00 |
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Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1007767) | $3,527.00 |
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Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1002092) | $3,527.00 |
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Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab (1002091) | $3,153.00 |
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Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (1003398) | $591.00 |
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Diagnostic Services - Home Sleep Study Test - Type Iii Portable Monitor (1021868) | $624.00 |
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Diagnostic Services - Complete Ultrasound Scan Of Aorta, Vena Cava, Groin Vessel Or Bypass Graft Blood Flow (1004811) | $975.00 |
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Diagnostic Services - Complete Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1003399) | $808.00 |
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Diagnostic Services - Complete Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1010955) | $428.00 |
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Diagnostic Imaging - X-Ray Of Wrist, 3 Or More Views (1002535) | $250.00 |
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Diagnostic Imaging - X-Ray Of Wrist, 2 Views (1002533) | $199.00 |
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Diagnostic Imaging - X-Ray Of Upper Spine, 2 Or 3 Views (1000851) | $385.00 |
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Diagnostic Imaging - X-Ray Of Upper Leg, 2 Or More Views (1025889) | $309.00 |
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Diagnostic Imaging - X-Ray Of Upper Leg, 1 View (1025888) | $212.00 |
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Diagnostic Imaging - X-Ray Of Upper Arm, 2 Or More Views (1001370) | $232.00 |
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Diagnostic Imaging - X-Ray Of Toe(S), 2 Or More Views (1002326) | $232.00 |
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Diagnostic Imaging - X-Ray Of Spine, 1 View (1002129) | $331.00 |
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Diagnostic Imaging - X-Ray Of Soft Tissue Of Neck (1001663) | $201.00 |
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Diagnostic Imaging - X-Ray Of Skull, 1 To 3 Views (1002090) | $362.00 |
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Diagnostic Imaging - X-Ray Of Shoulder, 2 Or More Views (1002062) | $270.00 |
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Diagnostic Imaging - X-Ray Of Shoulder, 1 View (1002056) | $281.00 |
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Diagnostic Imaging - X-Ray Of Shoulder Blade (1001987) | $232.00 |
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Diagnostic Imaging - X-Ray Of Sacrum And Tailbone, 2 Or More Views (1001975) | $292.00 |
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Diagnostic Imaging - X-Ray Of Sacroiliac Joints, 3 Or More Views (1001973) | $373.00 |
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Diagnostic Imaging - X-Ray Of Ribs On One Side Of Body, 2 Views (1003534) | $304.00 |
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Diagnostic Imaging - X-Ray Of Ribs On One Side Of Body With X-Ray Of Chest, 3 Or More Views (1001947) | $332.00 |
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Diagnostic Imaging - X-Ray Of Ribs On Both Sides Of Body, 3 Views (1005301) | $319.00 |
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Diagnostic Imaging - X-Ray Of Pelvis, 1 Or 2 Views (1001804) | $270.00 |
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Diagnostic Imaging - X-Ray Of One Hip With Pelvis, 2 To 3 Views (1025883) | $398.00 |
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Diagnostic Imaging - X-Ray Of One Hip With Pelvis, 1 View (1025882) | $270.00 |
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Diagnostic Imaging - X-Ray Of Nose Bones, 3 Or More Views (1001660) | $309.00 |
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Diagnostic Imaging - X-Ray Of Middle Spine, 3 Views (1001040) | $422.00 |
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Diagnostic Imaging - X-Ray Of Middle Spine, 2 Views (1004308) | $339.00 |
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Diagnostic Imaging - X-Ray Of Mandible (Jaw Bone), 4 Or More Views (1001584) | $475.00 |
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Diagnostic Imaging - X-Ray Of Mandible (Jaw Bone), 1 To 3 Views (1008144) | $342.00 |
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 4 Or More Views (1001575) | $519.00 |
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 2 Or 3 Views (1001574) | $385.00 |
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Diagnostic Imaging - X-Ray Of Lower Leg, 2 Views (1002315) | $232.00 |
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Diagnostic Imaging - X-Ray Of Knee, 4 Or More Views (1001482) | $357.00 |
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Diagnostic Imaging - X-Ray Of Knee, 3 Views (1004687) | $304.00 |
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Diagnostic Imaging - X-Ray Of Knee, 1 Or 2 Views (1001481) | $232.00 |
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Diagnostic Imaging - X-Ray Of Infant Arm, 2 Or More Views (1002422) | $269.00 |
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Diagnostic Imaging - X-Ray Of Heel, 2 Or More Views (1001337) | $232.00 |
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Diagnostic Imaging - X-Ray Of Hand, 3 Or More Views (1001318) | $250.00 |
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Diagnostic Imaging - X-Ray Of Hand, 2 Views (1001326) | $199.00 |
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Diagnostic Imaging - X-Ray Of Forearm, 2 Views (1001229) | $232.00 |
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Diagnostic Imaging - X-Ray Of Foot, 3 Or More Views (1001227) | $277.00 |
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Diagnostic Imaging - X-Ray Of Foot, 2 Views (1001228) | $232.00 |
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Diagnostic Imaging - X-Ray Of Finger(S), 2 Or More Views (1001217) | $158.00 |
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Diagnostic Imaging - X-Ray Of Eye Socket Bones, 4 Or More Views (1001715) | $375.00 |
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Diagnostic Imaging - X-Ray Of Eye For Foreign Body (1008143) | $276.00 |
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Diagnostic Imaging - X-Ray Of Elbow, 3 Or More Views (1001121) | $304.00 |
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Diagnostic Imaging - X-Ray Of Elbow, 2 Views (1001122) | $232.00 |
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Diagnostic Imaging - X-Ray Of Collarbone (1000882) | $232.00 |
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Diagnostic Imaging - X-Ray Of Chest, 3 Views (1027616) | $316.00 |
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Diagnostic Imaging - X-Ray Of Chest, 2 Views (1027615) | $304.00 |
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Diagnostic Imaging - X-Ray Of Chest, 1 View (1027614) | $199.00 |
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Diagnostic Imaging - X-Ray Of Both Knees, Standing (1001484) | $220.00 |
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Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 5 Or More Views (1025887) | $718.00 |
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Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 3 To 4 Views (1025886) | $634.00 |
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Diagnostic Imaging - X-Ray Of Ankle, 3 Or More Views (1000552) | $304.00 |
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Diagnostic Imaging - X-Ray Of Ankle, 2 Views (1000553) | $232.00 |
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Diagnostic Imaging - X-Ray Of Abdomen, 2 Views (1027619) | $293.00 |
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Diagnostic Imaging - X-Ray Of Abdomen, 1 View (1027618) | $232.00 |
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Diagnostic Imaging - Vaginal Ultrasound Of Fetus (1003180) | $703.00 |
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Diagnostic Imaging - Ultrasound Of Scrotum (1000399) | $519.00 |
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Diagnostic Imaging - Ultrasound Of Pelvis Through Vagina (1000396) | $519.00 |
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Diagnostic Imaging - Ultrasound Of Head And Neck (1000379) | $554.00 |
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Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Limited Study (1007590) | $454.00 |
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Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Complete Study (1000397) | $519.00 |
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Diagnostic Imaging - Ultrasound Of Arm Or Leg, Limited Study (1000401) | $426.00 |
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Diagnostic Imaging - Ultrasound Of Abdomen, Limited Study (1000383) | $621.00 |
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Diagnostic Imaging - Ultrasound Of Abdomen, Complete Study (1000382) | $748.00 |
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Limited Study (1000385) | $524.00 |
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Complete Study (1000384) | $621.00 |
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Diagnostic Imaging - Screening Ultrasound Of Abdominal Aorta To Detect Bulging (1026825) | $446.00 |
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Diagnostic Imaging - Screening Mammogram Of Both Breasts (1026823) | $386.00 |
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Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, Without Contrast (1000223) | $2,789.00 |
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Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, With And Without Contrast (1000229) | $3,964.00 |
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Diagnostic Imaging - Mri Scan Of Pelvis, Without Contrast (1000235) | $2,650.00 |
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Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, Without Contrast (1000225) | $2,830.00 |
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Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, With And Without Contrast (1000230) | $3,665.00 |
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, Without Contrast (1000227) | $2,705.00 |
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With And Without Contrast (1000231) | $3,730.00 |
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Diagnostic Imaging - Mri Scan Of Leg, Without Contrast (1000252) | $2,515.00 |
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Diagnostic Imaging - Mri Scan Of Leg Joint, Without Contrast (1000254) | $2,389.00 |
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Diagnostic Imaging - Mri Scan Of Leg Joint, With And Without Contrast (1000256) | $3,275.00 |
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Diagnostic Imaging - Mri Scan Of Eye, Face, Or Neck, With And Without Contrast (1000198) | $4,026.00 |
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Diagnostic Imaging - Mri Scan Of Brain, Without Contrast (1000206) | $2,597.00 |
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Diagnostic Imaging - Mri Scan Of Brain, With And Without Contrast (1000209) | $3,522.00 |
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Diagnostic Imaging - Mri Scan Of Arm, Without Contrast (1000241) | $2,375.00 |
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Diagnostic Imaging - Mri Scan Of Arm Joint, Without Contrast (1000243) | $2,500.00 |
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Neck, With And Without Contrast (1000204) | $3,494.00 |
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Head, Without Contrast (1000199) | $2,461.00 |
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Diagnostic Imaging - Follow-Up Ultrasound Of Fetus (1000394) | $436.00 |
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Diagnostic Imaging - Exam For Fetal Well-Being Without Non-Stress Testing (1000395) | $489.00 |
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Diagnostic Imaging - Dual-Energy X-Ray For Bone Density Study (1004466) | $478.00 |
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Diagnostic Imaging - Ct Scan Of Upper Spine, Without Contrast (1003591) | $1,927.00 |
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Diagnostic Imaging - Ct Scan Of Pelvis, Without Contrast (1000232) | $1,632.00 |
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Diagnostic Imaging - Ct Scan Of Neck, Without Contrast (1000194) | $1,793.00 |
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Diagnostic Imaging - Ct Scan Of Neck, With Contrast (1003594) | $2,223.00 |
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Diagnostic Imaging - Ct Scan Of Neck, With And Without Contrast (1004454) | $2,647.00 |
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Diagnostic Imaging - Ct Scan Of Middle Spine, Without Contrast (1000220) | $2,061.00 |
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Diagnostic Imaging - Ct Scan Of Lower Spine, Without Contrast (1000221) | $2,061.00 |
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Diagnostic Imaging - Ct Scan Of Leg, Without Contrast (1000248) | $1,761.00 |
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Diagnostic Imaging - Ct Scan Of Head Or Brain, Without Contrast (1000179) | $1,679.00 |
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Diagnostic Imaging - Ct Scan Of Head Or Brain, With And Without Contrast (1000181) | $2,264.00 |
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Diagnostic Imaging - Ct Scan Of Face, Without Contrast (1000190) | $1,766.00 |
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Diagnostic Imaging - Ct Scan Of Eye Or Ear, With Contrast (1003462) | $2,279.00 |
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Diagnostic Imaging - Ct Scan Of Eye Or Ear, With And Without Contrast (1000187) | $2,599.00 |
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Diagnostic Imaging - Ct Scan Of Chest, Without Contrast (1000210) | $1,819.00 |
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Diagnostic Imaging - Ct Scan Of Chest, With Contrast (1000212) | $2,381.00 |
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Diagnostic Imaging - Ct Scan Of Chest, With And Without Contrast (1000214) | $2,799.00 |
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Neck, With Contrast (1000196) | $2,548.00 |
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Head, With Contrast (1000195) | $2,548.00 |
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Chest With Contrast (1000215) | $2,658.00 |
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Abdomen And Pelvis (1011851) | $3,378.00 |
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Diagnostic Imaging - Ct Scan Of Arm, Without Contrast (1000239) | $1,697.00 |
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Diagnostic Imaging - Ct Scan Of Abdomen, With Contrast (1000259) | $2,306.00 |
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Diagnostic Imaging - Ct Scan Of Abdomen, With And Without Contrast (1000260) | $2,635.00 |
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, Without Contrast (1010581) | $3,077.00 |
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With Contrast (1010582) | $3,870.00 |
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With And Without Contrast (1010583) | $4,610.00 |
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Cardiology - Ultrasound Exam Of The Heart Performed During Rest And Exercise With Interpretation And Report (1003198) | $1,740.00 |
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Cardiology - Ultrasound Exam Of Heart, Follow-Up Or Limited Study (1003204) | $836.00 |
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Cardiology - Ultrasound Exam Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function (1009794) | $1,053.00 |
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Cardiology - Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Monitoring, Tracing Only (1003197) | $653.00 |
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Cardiology - Attempt To Restart Heart And Lungs (1004611) | $299.00 |
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Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1004298) | $185.00 |
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Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1004604) | $478.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007004) | $1,231.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007003) | $1,023.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007002) | $815.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007001) | $607.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007000) | $399.00 |
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Anesthesia - Regional Component (1001923) | $603.00 |
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