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$412.94
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Treatment Room - Injection Therapy For Diagnosis Or Prevention, Under The Skin Or Into Muscle (1011683) | $114.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1028030) | $133.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1011763) | $75.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1009264) | $62.00 |
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Treatment Room - Collection Of Blood Specimen From Implanted Venous Access Device (1010165) | $117.00 |
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Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $214.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $234.00 |
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Speech Therapy - Therapeutic Services For Use Of Speech-Generating Device With Programming And Modification (1008114) | $276.00 |
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Speech Therapy - Standardized Thought Processing Testing With Interpretation And Report, Per Hour Of Qualified Professional Time (1006830) | $282.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $301.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $457.00 |
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Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $305.00 |
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Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $225.00 |
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Room & Board - Semi-Private (1009460) | $1,471.00 |
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Room & Board - Semi-Private (1008184) | $1,188.00 |
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Room & Board - Semi-Private (1004312) | $265.00 |
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Room & Board - Other (1008186) | $249.00 |
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Respiratory Services - Test For Exercise-Induced Lung Stress (1027651) | $110.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009222) | $183.00 |
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Respiratory Services - Procedure To Improve Lung Function, 2+ Patients (1005465) | $138.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1003239) | $121.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1007706) | $282.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $235.00 |
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Respiratory Services - Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003254) | $116.00 |
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Respiratory Services - Demonstration Or Evaluation Of Patient Use Of Aerosol Generator, Nebulizer, Metered Dose Inhaler Or Intermittent Positive Pressure Breathing (Ippb) Device (1001534) | $118.00 |
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Respiratory Services - Demonstration Or Evaluation Of Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003278) | $142.00 |
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Respiratory Services - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1004481) | $57.00 |
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Recovery - Hospital Floor 1 Hour (1011684) | $157.00 |
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Pulmonary Rehabilitation - Pulmonary Rehabilitation Sesstion Including Exercise (1010220) | $152.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1007692) | $55.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011895) | $53.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $70.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $95.00 |
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Physical Therapy - Repositioning Maneuvers For Treatment Of Vertigo, Per Day (1009796) | $140.00 |
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Physical Therapy - Re-Evaluation Of Physical Therapy, Typically 20 Minutes (1026788) | $149.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $213.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $213.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $213.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $101.00 |
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $43.00 |
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $45.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group Ii For All Other Excluding Microorganisms) (1006361) | $200.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group I For Microorganisms) (1006359) | $255.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $200.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Each Additional Slide Or Stain) (1024653) | $203.00 |
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Pathology - Pap Smear (Thin Layer Prep With Manual Screening) (1006966) | $116.00 |
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Pathology - Pap Smear (Thin Layer Prep With Automated Screening And Manual Rescreening) (1006967) | $173.00 |
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Pathology - Microscopic Genetic Analysis Of Tumor Specimen (Manual Tumor Immunohistochemistry) (1010667) | $214.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $219.00 |
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Pathology - Level Iii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderatley Low Complexity) (1006354) | $164.00 |
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Pathology - Cellular Exam Of Specimen Using Concentration Technique (Smears) (1006417) | $154.00 |
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Operating Room - Repair Of Outward-Turning Defect Of Eyelid Margin (1011766) | $2,562.00 |
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Operating Room - Removal Of Cataract With Insertion Of Lens (1009130) | $3,730.00 |
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Operating Room - Removal Of Cataract With Insertion Of Lens (1020811) | $3,730.00 |
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Operating Room - Internal Insertion Of Eye Fluid Drainage Device (1022187) | $2,942.00 |
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Operating Room - Injections Into Lining Of Large Intestine Using Endoscope (1011767) | $1,543.00 |
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Operating Room - Diagnostic Exam Of Large Intestine Using Endoscope (1011772) | $1,543.00 |
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Operating Room - Biopsy Of Large Intestine Using Endoscope (1011771) | $1,543.00 |
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Occupational Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (1002910) | $112.00 |
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Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (1002901) | $101.00 |
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Occupational Therapy - Therapeutic Activities To Improve Function With One-On-One Contact Between Patient And Provider, Each 15 Minutes (1002912) | $91.00 |
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Occupational Therapy - Self-Care Or Home Management Training, Each 15 Minutes (1002915) | $96.00 |
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Occupational Therapy - One-On-One Therapeutic Interventions Focused On Thought Processing And Strategies To Manage Activities (1027626) | $65.00 |
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Occupational Therapy - Manual Therapy Techniques To 1 Or More Regions, Each 15 Minutes (1002908) | $90.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $220.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $227.00 |
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $63.00 |
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Occupational Therapy - Application Of Hot Wax Bath To 1 Or More Areas (1002890) | $34.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011737) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011728) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011716) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011718) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011731) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011723) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011724) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011733) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011730) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011735) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011729) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011719) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011725) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011717) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011738) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011727) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011721) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011734) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011736) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011726) | $1,414.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011753) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011745) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011759) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011744) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011749) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011755) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011748) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011761) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011754) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011762) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011758) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011752) | $1,141.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011746) | $1,141.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1011760) | $1,141.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1011756) | $1,141.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1011750) | $1,141.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1011757) | $1,141.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1011743) | $1,072.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1011742) | $1,028.00 |
N/A
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Observation - Hospital Observation Care - Each Hour Of Service (1011740) | $925.00 |
N/A
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Lab - Zinc Level (1005871) | $74.00 |
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Lab - Withdrawal Of Arterial Blood For Diagnosis (1004304) | $215.00 |
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Lab - White Blood Cell Examination With Manual White Cell Differential Count (1004488) | $23.00 |
N/A
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Lab - White Blood Cell Count (Automated) (1004492) | $18.00 |
N/A
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Lab - White Blood Cell Antibodies Identification (1006073) | $106.00 |
N/A
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Lab - White Blood Cell Antibodies Identification (1006075) | $80.00 |
N/A
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $91.00 |
N/A
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Lab - Vitamin D-3 Level (1010913) | $170.00 |
N/A
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Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $93.00 |
N/A
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Lab - Varicella-Zoster Antibody Analysis (1006206) | $67.00 |
N/A
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Lab - Vancomycin Level (1008950) | $87.00 |
N/A
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Lab - Valproic Acid Level (Total) (1005480) | $87.00 |
N/A
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Lab - Urine Pregnancy Test (1004532) | $34.00 |
N/A
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Lab - Urine Concentration Measurement (1005796) | $39.00 |
N/A
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Lab - Urine Concentration Measurement (1026155) | $38.00 |
N/A
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Lab - Uric Acid Level In Specimen Other Than Blood (1005862) | $31.00 |
N/A
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Lab - Uric Acid Level In Specimen Other Than Blood (1026162) | $30.00 |
N/A
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Lab - Uric Acid Level In Blood (1004521) | $30.00 |
N/A
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Lab - Urea Nitrogen Level In Urine (Bun Only) (1026164) | $31.00 |
N/A
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Lab - Urea Nitrogen Level In Blood (Quantitative) (1004506) | $27.00 |
N/A
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Lab - Tuberculosis Antigen Analysis (Gamma Interferon Secretion Test) (1009874) | $412.00 |
N/A
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Lab - Troponin Protein Level (1004528) | $93.00 |
N/A
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Lab - Triglycerides Level (1004520) | $40.00 |
N/A
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Lab - Total Protein Level In Urine (1005822) | $24.00 |
N/A
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Lab - Topiramate Level (1005514) | $152.00 |
N/A
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Lab - Thyroxine Level (Total) (1004527) | $44.00 |
N/A
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Lab - Thyroxine Level (Free) (1004576) | $51.00 |
N/A
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Lab - Thyroid Stimulating Hormone Level (1004529) | $106.00 |
N/A
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Lab - Thyroid Hormone Level (T3 Reverse) (1005859) | $91.00 |
N/A
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Lab - Thyroid Hormone Level (T3 Free) (1005858) | $90.00 |
N/A
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Lab - Thyroglobulin Hormone Level (1026005) | $107.00 |
N/A
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Lab - Thyroglobulin Antibody Measurement (1026004) | $106.00 |
N/A
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Lab - Thyroglobulin Antibody Measurement (1006211) | $92.00 |
N/A
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Lab - Testosterone Level (Total) (1005843) | $170.00 |
N/A
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Lab - Testosterone Level (Total) (1005845) | $170.00 |
N/A
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Lab - Testosterone Level (Total) (1010016) | $169.00 |
N/A
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Lab - Testosterone Level (Free) (1005842) | $168.00 |
N/A
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Lab - Testosterone Level (Free) (1019739) | $163.00 |
N/A
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Lab - Testosterone Level (Free) (1024367) | $146.00 |
N/A
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Lab - Tacrolimus Level (1004580) | $91.00 |
N/A
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Lab - Syphilis Antibody Identification (1004658) | $40.00 |
N/A
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1004561) | $53.00 |
N/A
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1006259) | $53.00 |
N/A
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Agar Dilution Method, Per Drug) (1018258) | $28.00 |
N/A
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Lab - Sulfate Level In Urine (1026161) | $31.00 |
N/A
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Lab - Strep Antibody Measurement (1006082) | $48.00 |
N/A
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Lab - Stool Specimen Analysis For Helicobacter Pylori Bacteria (Immunoassay Technique) (1006282) | $80.00 |
N/A
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Lab - Stool Specimen Analysis For Helicobacter Pylori Bacteria (Immunoassay Technique) (1019661) | $80.00 |
N/A
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Lab - Stone Analysis By Infrared Absorption (1004767) | $87.00 |
N/A
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Lab - Specimen Analysis Using Light Refraction (1007969) | $73.00 |
N/A
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Lab - Specimen Analysis For Strep Group A Bacteria (Immunoassay With Direct Optical Observation) (1004535) | $63.00 |
N/A
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Lab - Specimen Analysis For Shiga-Like Bacterial Toxin (Immunoassay Technique) (1006288) | $69.00 |
N/A
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Lab - Specimen Analysis For Hiv-1 And Hiv-2 (Immunoassay Technique) (1023235) | $142.00 |
N/A
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Lab - Specimen Analysis For Hepatitis C Virus Genotype (1006295) | $1,353.00 |
N/A
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Lab - Specimen Analysis For Hepatitis B Surface Antigen (Immunoassay Technique) (1004851) | $61.00 |
N/A
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Lab - Specimen Analysis For Giardia Parasite (Immunoassay Technique) (1019195) | $80.00 |
N/A
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Lab - Specimen Analysis For Cryptosporidium Parasite (Immunoassay Technique) (1009617) | $80.00 |
N/A
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Lab - Specimen Analysis For Clostridium Difficile Toxins (Immunoassay Technique) (1026328) | $88.00 |
N/A
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Lab - Specimen Analysis For Aspergillus Fungus (Immunoassay Technique) (1018022) | $83.00 |
N/A
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Lab - Specimen Analysis By Measurement Of Mass (1021114) | $114.00 |
N/A
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Lab - Sodium Level In Urine (1004645) | $29.00 |
N/A
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Lab - Sodium Level In Urine (1026160) | $28.00 |
N/A
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Lab - Sodium Level In Blood (1004519) | $29.00 |
N/A
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Lab - Smear With Wet Mount For Infectious Agents (1004554) | $27.00 |
N/A
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Lab - Smear With Special Stain For Microorganisms (Ova And Parasites) (1006264) | $118.00 |
N/A
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Lab - Smear With Special Stain For Microorganisms (Inclusion Bodies Or Parasites) (1006262) | $38.00 |
N/A
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Lab - Smear With Special Stain For Microorganisms (Gram Or Giemsa Stain) (1004546) | $23.00 |
N/A
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Lab - Smear For Parasites (1004559) | $60.00 |
N/A
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Lab - Skin Test For Tuberculosis Bacterial Infection (1006137) | $24.00 |
N/A
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Lab - Serum Protein Level (Haptoglobin, Quantitative) (1005663) | $84.00 |
N/A
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Lab - Screening Psa Lab Test (1004758) | $165.00 |
N/A
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Lab - Rubella Antibody Analysis (1004796) | $84.00 |
N/A
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Lab - Rheumatoid Factor Measurement (1021318) | $36.00 |
N/A
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Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (1006092) | $157.00 |
N/A
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Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (1004486) | $18.00 |
N/A
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Lab - Red Blood Cell Sedimentation Rate (Non-Automated) (1006500) | $23.00 |
N/A
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Lab - Red Blood Cell Antibody Screen (1004494) | $114.00 |
N/A
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Lab - Red Blood Cell Antibodies Identification (Serum Technique) (1004661) | $254.00 |
N/A
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Lab - Puncture Of Skin For Collection Of Blood Sample (1004544) | $23.00 |
N/A
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Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (1024822) | $195.00 |
N/A
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Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (1004808) | $189.00 |
N/A
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Lab - Proteins In Blood Analysis (Serum Immunofixation Electrophoresis) (1006116) | $142.00 |
N/A
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Lab - Protein Tumor Marker Level (Carcinoembryonic Antigen) (1004568) | $104.00 |
N/A
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Lab - Protein Level In Body Fluid (1005824) | $117.00 |
N/A
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|
||
Lab - Protein Level In Blood (1004792) | $66.00 |
N/A
|
|
||
Lab - Prostate Specific Antigen Level (Psa, Total) (1004526) | $165.00 |
N/A
|
|
||
Lab - Prostate Specific Antigen Level (Psa, Total) (1018653) | $123.00 |
N/A
|
|
||
Lab - Prostate Specific Antigen Level (Psa, Total) (1005821) | $111.00 |
N/A
|
|
||
Lab - Prostate Specific Antigen Level (Psa, Free) (1019167) | $97.00 |
N/A
|
|
||
Lab - Prolactin Hormone Level (1005820) | $102.00 |
N/A
|
|
||
Lab - Progesterone Reproductive Hormone Level (1005819) | $139.00 |
N/A
|
|
||
Lab - Pregnancy Hormone Level (Hcg Quantitative) (1001981) | $105.00 |
N/A
|
|
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