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$661.00
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1009264) | $144.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1028030) | $43.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes (1009270) | $229.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (1009269) | $170.00 |
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Trauma Response - Hospital Critical Care Service (1027813) | $1,560.00 |
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Therapeutic Services - Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance (1004588) | $238.00 |
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $260.00 |
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Telemedicine - Fee For Remote Healthcare Service (1009851) | $47.00 |
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Speech Therapy - Treatment Of Swallowing Or Oral Feeding Function (1002861) | $297.00 |
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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 - Evaluation Of Swallowing Function (1002860) | $411.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $379.00 |
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Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $334.00 |
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Room & Board - Semi-Private (1009460) | $1,924.00 |
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Room & Board - Semi-Private (1008184) | $1,456.00 |
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Room & Board - Semi-Private (1009789) | $1,028.00 |
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Room & Board - Semi-Private (1004312) | $728.00 |
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Room & Board - Heart Care (1009454) | $2,202.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1009222) | $112.00 |
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Respiratory Services - Overnight Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1002093) | $227.00 |
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Respiratory Services - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003249) | $224.00 |
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Respiratory Services - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (1007709) | $224.00 |
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Respiratory Services - Measurement Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003265) | $81.00 |
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Respiratory Services - Measurement Of Lung Diffusing Capacity (1003337) | $217.00 |
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Respiratory Services - Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity (1004701) | $179.00 |
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Respiratory Services - Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administration (1001533) | $433.00 |
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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 - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1006723) | $1,119.00 |
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Respiratory Services - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1006722) | $550.00 |
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Respiratory Services - Determination Of Lung Volumes Using Gas Dilution Or Washout (1003334) | $191.00 |
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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) | $132.00 |
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Respiratory Services - Demonstration Or Evaluation Of Manual Maneuvers To Chest Wall To Assist Movement Of Lung Secretions (1003278) | $175.00 |
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Pulmonary Rehabilitation - Pulmonary Rehabilitation Sesstion Including Exercise (1010220) | $196.00 |
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Professional Services - Urinary System Procedure (1003044) | $36.00 |
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Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $36.00 |
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Professional Services - Upper Abdominal Procedure (1003017) | $36.00 |
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Professional Services - Skin Of Arms, Legs Or Trunk Procedure (1002978) | $36.00 |
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Professional Services - Shock Wave Therapy For Urinary System Stones (1005154) | $36.00 |
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Professional Services - Shock Wave Therapy For Urinary System Stones (1022010) | $36.00 |
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Professional Services - Middle Or Incisional Abdominal Hernia Repair (1003026) | $36.00 |
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Professional Services - Male Genitalia Procedure (1003048) | $36.00 |
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Professional Services - Lower Abdominal Hernia Repair (1003025) | $36.00 |
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Professional Services - Large Intestine Procedure (1027673) | $36.00 |
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Professional Services - Insertion Of Catheter In Central Vein, Access Via Arm, Leg, Or Neck Vein, 5+ Years (1010924) | $1,128.00 |
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Professional Services - Head And Neck Procedure (1002973) | $36.00 |
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Professional Services - Diagnostic Exam Of Upper Gastrointestinal System (1027669) | $36.00 |
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Professional Services - Diagnostic Exam Of Large Intestine (1027674) | $36.00 |
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Professional Services - Anal And Rectal Procedure (1003041) | $36.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $53.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011895) | $22.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $100.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $107.00 |
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Physical Therapy - Repositioning Maneuvers For Treatment Of Vertigo, Per Day (1009796) | $143.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $260.00 |
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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) | $199.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $104.00 |
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $107.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $199.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Each Multiplex Slide Or Stain) (1024654) | $275.00 |
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Pathology - Pap Smear (Thin Layer Prep With Automated Screening And Manual Rescreening) (1006967) | $125.00 |
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Pathology - Level V Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderately High Complexity) (1006356) | $477.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1024744) | $162.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $162.00 |
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Pathology - Level Iii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderatley Low Complexity) (1006354) | $156.00 |
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Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (1009034) | $172.00 |
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Operating Room - Tying Of Vas Deferens (1004727) | $2,063.00 |
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Operating Room - Tailbone Cyst (1001825) | $3,675.00 |
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Operating Room - Shock Wave Therapy (1020750) | $11,110.00 |
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Operating Room - Removal Of Non-Cancerous Growth (1004733) | $3,344.00 |
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Operating Room - Removal Of Gallbladder Using Endoscope (1001514) | $11,064.00 |
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Operating Room - Removal Of Cancerous Growth (1010733) | $4,646.00 |
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Operating Room - Removal Of Abnormal Bladder Growth Via Urethra (1002386) | $3,958.00 |
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Operating Room - Release Of Wrist Nerve (Carpal Tunnel Surgery) (1000764) | $5,149.00 |
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Operating Room - Insertion Of Bladder Catheter Through Abdominal Wall (1009785) | $3,958.00 |
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Operating Room - Injection Into Major Joint (1001420) | $2,395.00 |
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Operating Room - Groin Hernia (1001412) | $4,978.00 |
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Operating Room - Excision Of Fatty Growth (1002793) | $3,585.00 |
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Operating Room - Diagnostic Exam Of Bladder Using Endoscope (1001003) | $2,484.00 |
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Operating Room - Biopsy Of Prostate (1001886) | $3,725.00 |
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Operating Room - Additional Urinary Procedure Using Endoscope (1000997) | $3,958.00 |
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Operating Room - Abdominal Wall Hernia (1002476) | $4,978.00 |
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Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (1002901) | $107.00 |
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Occupational Therapy - Therapeutic Activities To Improve Function With One-On-One Contact Between Patient And Provider, Each 15 Minutes (1002912) | $109.00 |
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Occupational Therapy - Self-Care Or Home Management Training, Each 15 Minutes (1002915) | $114.00 |
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Occupational Therapy - Manual Therapy Techniques To 1 Or More Regions, Each 15 Minutes (1002908) | $107.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $240.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $209.00 |
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $94.00 |
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Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1002894) | $93.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1000442) | $61.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1004317) | $61.00 |
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Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Multiple Studies (1003505) | $4,775.00 |
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Nuclear Medicine - Diagnostic Scan Of Liver And Ducts (1011863) | $1,557.00 |
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Nuclear Medicine - Diagnostic Scan Of Kidney Blood Flow And Function, Single Study With Drug Intervention (1003480) | $2,400.00 |
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Nuclear Medicine - Diagnostic Scan Of Heart Motion And Blood Ejection, Single Study (1003458) | $1,791.00 |
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Whole Body (1003461) | $1,789.00 |
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Lab - Zinc Level (1005871) | $166.00 |
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Lab - Withdrawal Of Blood For Alcohol Level (1004378) | $71.00 |
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Lab - Withdrawal Of Arterial Blood For Diagnosis (1004304) | $122.00 |
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Lab - White Blood Cell Count (Automated) (1004492) | $65.00 |
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Lab - White Blood Cell Antibodies Identification (1006073) | $204.00 |
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Lab - White Blood Cell Analysis Of Stool Specimen (1006394) | $94.00 |
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Lab - Vitamin D-3 Level (1010913) | $487.00 |
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Lab - Vitamin D-3 Level (1004832) | $403.00 |
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Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $161.00 |
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Lab - Vitamin B-1 Level (1005846) | $253.00 |
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Lab - Vitamin A Level (1005867) | $161.00 |
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Lab - Vancomycin Level (1008950) | $194.00 |
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Lab - Valproic Acid Level (Total) (1005480) | $113.00 |
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Lab - Urine Pregnancy Test (1004532) | $103.00 |
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Lab - Urine Concentration Measurement (1005796) | $155.00 |
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Lab - Uric Acid Level In Blood (1004521) | $86.00 |
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Lab - Urea Nitrogen Level In Urine (Bun Only) (1005861) | $56.00 |
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Lab - Urea Nitrogen Level In Blood (Quantitative) (1004506) | $103.00 |
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Lab - Tuberculosis Antigen Analysis (Gamma Interferon Secretion Test) (1009874) | $127.00 |
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Lab - Troponin Protein Level (1004528) | $258.00 |
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Lab - Triglycerides Level (1004520) | $103.00 |
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Lab - Total Protein Level In Urine (1005822) | $113.00 |
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Lab - Topiramate Level (1005514) | $222.00 |
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Lab - Thyroxine Level (Total) (1004527) | $124.00 |
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Lab - Thyroxine Level (Free) (1004576) | $195.00 |
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Lab - Thyroid Stimulating Hormone Level (1004529) | $164.00 |
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Lab - Thyroid Hormone Level (T3 Free) (1005858) | $169.87 |
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Lab - Thyroglobulin Hormone Level (1005848) | $277.00 |
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Lab - Thyroglobulin Antibody Measurement (1006213) | $220.00 |
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Lab - Theophylline Level (1024840) | $18.00 |
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Lab - Testosterone Level (Total) (1005845) | $318.00 |
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Lab - Testosterone Level (Total) (1005843) | $318.00 |
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Lab - Testosterone Level (Free) (1005842) | $396.00 |
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Lab - Testosterone Level (Free) (1024367) | $156.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1004561) | $160.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Enzyme Detection, Per Enzyme) (1006258) | $197.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Disk Method, Per Plate With 12 Or Fewer Drugs) (1006257) | $131.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Agar Dilution Method, Per Drug) (1006256) | $143.00 |
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Lab - Stool Specimen Analysis For Helicobacter Pylori Bacteria (Immunoassay Technique) (1006282) | $311.00 |
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Lab - Stone Analysis By Infrared Absorption (1004767) | $179.00 |
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Lab - Specimen Analysis Using Light Refraction (1007969) | $156.00 |
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Lab - Specimen Analysis For Strep Group A Bacteria (Immunoassay With Direct Optical Observation) (1004535) | $92.00 |
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Lab - Specimen Analysis For Shiga-Like Bacterial Toxin (Immunoassay Technique) (1006288) | $166.00 |
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Lab - Specimen Analysis For Hiv-1 And Hiv-2 (Immunoassay Technique) (1023235) | $147.00 |
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Lab - Specimen Analysis For Hepatitis Be Surface Antigen (Immunoassay Technique) (1006284) | $289.00 |
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Lab - Specimen Analysis For Hepatitis B Surface Antigen (Immunoassay Technique) (1004851) | $181.00 |
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Lab - Specimen Analysis For Giardia Parasite (Immunoassay Technique) (1019195) | $151.00 |
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1006713) | $228.00 |
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Lab - Specimen Analysis For Detection Of Other Organism (Immunoassay Technique Single Step Method) (1004664) | $120.00 |
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Lab - Specimen Analysis For Cryptosporidium Parasite (Immunoassay Technique) (1009617) | $151.00 |
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Lab - Specimen Analysis For Clostridium Difficile Toxins (Immunoassay Technique) (1026328) | $134.00 |
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Lab - Somatomedin Growth Factor Level (1005838) | $785.00 |
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Lab - Sodium Level In Urine (1004645) | $98.00 |
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Lab - Sodium Level In Blood (1004519) | $120.00 |
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Lab - Smear With Wet Mount For Infectious Agents (1004554) | $122.00 |
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Lab - Smear With Special Stain For Microorganisms (Ova And Parasites) (1006264) | $121.00 |
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Lab - Smear With Special Stain For Microorganisms (Gram Or Giemsa Stain) (1004546) | $75.00 |
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Lab - Smear For Parasites (1004559) | $137.00 |
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Lab - Sex Hormone Binding Globulin Level (1005833) | $303.00 |
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Lab - Screening Psa Lab Test (1004758) | $171.00 |
N/A
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Lab - Screening For Hepatitis C (1025403) | $270.00 |
N/A
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Lab - Screening Culture For Pathogenic Organisms Without Colony Count (1006239) | $113.00 |
N/A
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Lab - Rheumatoid Factor Measurement (1021318) | $96.00 |
N/A
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Lab - Rheumatoid Factor Identification (1004854) | $87.00 |
N/A
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Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (1006092) | $211.00 |
N/A
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Lab - Renin Enzyme Level (1005830) | $306.00 |
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Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (1004486) | $58.00 |
N/A
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Lab - Red Blood Cell Sedimentation Rate (Automated) (1004491) | $50.00 |
N/A
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Lab - Red Blood Cell Antibody Screen (1004494) | $135.00 |
N/A
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Lab - Red Blood Cell Antibodies Identification (Serum Technique) (1004661) | $184.00 |
N/A
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Lab - Puncture Of Skin For Collection Of Blood Sample (1004544) | $44.00 |
N/A
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Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (1004808) | $359.00 |
N/A
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Lab - Proteins In Blood Analysis (Serum Immunofixation Electrophoresis) (1006116) | $321.00 |
N/A
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Lab - Protein Tumor Marker Level (Carcinoembryonic Antigen) (1004568) | $299.00 |
N/A
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Lab - Protein S Clotting Inhibitor Level (Free) (1004650) | $609.00 |
N/A
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Lab - Protein Level In Body Fluid (1005824) | $168.00 |
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Lab - Protein Level In Blood (1004792) | $102.00 |
N/A
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Lab - Protein C Clotting Inhibitor Activity (1004649) | $684.00 |
N/A
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Lab - Prostate Specific Antigen Level (Psa, Total) (1005821) | $150.00 |
N/A
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Lab - Prostate Specific Antigen Level (Psa, Total) (1004526) | $150.00 |
N/A
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Lab - Prolactin Hormone Level (1005820) | $319.00 |
N/A
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Lab - Progesterone Reproductive Hormone Level (1005819) | $270.00 |
N/A
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Lab - Primidone Level (1005512) | $197.00 |
N/A
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Lab - Pregnancy Hormone Level (Hcg Quantitative) (1001981) | $221.00 |
N/A
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Lab - Pregnancy Hormone Identification (Hcg Qualitative) (1004533) | $95.00 |
N/A
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Lab - Prealbumin Protein Level (1005816) | $109.00 |
N/A
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Lab - Potassium Level In Urine (1005815) | $87.00 |
N/A
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Lab - Potassium Level In Blood (1004517) | $91.00 |
N/A
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Lab - Porphyrins Metabolism Substance Level In Urine (1008982) | $108.00 |
N/A
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Lab - Platelet Count (Automated) (1004805) | $65.00 |
N/A
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Lab - Pituitarty Hormone Level (Adrenocorticotropic) (1004785) | $474.00 |
N/A
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Lab - Phosphate Level In Blood (1004516) | $86.00 |
N/A
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Lab - Phenytoin Level (Total) (1004572) | $216.00 |
N/A
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Lab - Phenobarbital Level (1020820) | $264.00 |
N/A
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Lab - Phenobarbital Level (1004606) | $95.00 |
N/A
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Lab - Ph Measurement Using Body Fluid (1005799) | $44.00 |
N/A
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Lab - Pcp Drug Level (1024873) | $18.00 |
N/A
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Lab - Parathyroid Hormone Level (1005798) | $219.00 |
N/A
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Lab - Pancreatic Enzyme Analysis In Stool (Elastase, Qualitative Or Quantitative) (1006710) | $515.00 |
N/A
|
|
||
Lab - Oxcarbazepine Level (1021060) | $185.00 |
N/A
|
|
||
Lab - Oxalate Level (1008028) | $120.00 |
N/A
|
|
||
Lab - Other Tumor Antigen Measurement (1006112) | $290.00 |
N/A
|
|
||
Lab - Noninfectious Agent Antibody Analysis (1006777) | $200.00 |
-
-
|
|
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