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Gi Services - Diagnostic Exam Of Large Intestine (1000908) | $3,554.00 |
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Gi Services - Biopsy Of Upper Gastrointestinal Tract Using Endoscope (1002421) | $3,726.00 |
N/A
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Gi Services - Biopsy Of Large Intestine Growth (1000905) | $4,827.00 |
N/A
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Emergency Room - Treatment Of Broken Wrist Without Incision (1007167) | $396.00 |
N/A
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Emergency Room - Treatment Of Broken Lower Leg Without Incision (1007196) | $396.00 |
N/A
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Emergency Room - Simple Wound Repair Of Scalp, Neck, Underarm, Trunk, Arm Or Leg, Less Than 7.6-12.5 Cm (1007095) | $366.00 |
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Emergency Room - Simple Wound Repair Of Scalp, Neck, Underarm, Trunk, Arm Or Leg, Less Than 2.5 Cm (1007093) | $366.00 |
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Emergency Room - Simple Wound Repair Of Scalp, Neck, Underarm, Trunk, Arm Or Leg, 2.6-7.5 Cm (1007094) | $366.00 |
N/A
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Emergency Room - Simple Wound Repair Of Face, Less Than 2.5 Cm (1007099) | $366.00 |
N/A
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Emergency Room - Simple Wound Repair Of Face, 2.6-5 Cm (1007100) | $366.00 |
N/A
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Emergency Room - Removal Of Foreign Body From Nose (1007229) | $155.00 |
N/A
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Emergency Room - Major Joint Or Bursa (1004868) | $508.00 |
N/A
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Emergency Room - Intermediate Wound Repair Of Scalp, Underarms, Trunk, Arms Or Legs, Less Than 2.5 Cm (1007106) | $366.00 |
N/A
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Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet Or Genitals, 2.6-7.5 Cm (1007113) | $366.00 |
N/A
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Emergency Room - Intermediate Repair Of Face, Less Than 2.5 Cm (1007118) | $366.00 |
N/A
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Emergency Room - Injection Therapy For Diagnosis Or Prevention, Under The Skin Or Into Muscle (1007690) | $104.00 |
N/A
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Emergency Room - Injection Therapy For Diagnosis Or Prevention, Into Vein (1007691) | $221.00 |
N/A
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Emergency Room - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of Same Substance Into Vein (1008109) | $160.00 |
N/A
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Emergency Room - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of New Substance Into Vein (1004698) | $153.00 |
N/A
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Emergency Room - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Up To 1 Hour (1007687) | $488.00 |
N/A
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Emergency Room - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Concurrent With Another Infusion (1007775) | $129.00 |
N/A
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Emergency Room - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Additional Hour (1007685) | $189.00 |
N/A
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Emergency Room - Infusion Into A Vein For Therapy Prevention Or Diagnosis, Additional Sequential Infusion Up To 1 Hour (1007774) | $263.00 |
N/A
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Emergency Room - Incision And Drainage Of Simple Abscess (1007081) | $266.00 |
N/A
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Emergency Room - Incision And Drainage Of Fluid Collection (1007088) | $236.00 |
N/A
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Emergency Room - Hydration Infusion Into A Vein, Additional Hour (1007688) | $140.00 |
N/A
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Emergency Room - Hydration Infusion Into A Vein, 31 Minutes To 1 Hour (1007689) | $436.00 |
N/A
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Emergency Room - Emergency Insertion Of Breathing Tube (1007234) | $749.00 |
N/A
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Emergency Room - Emergency Department Visit, Self Limited Or Minor Problem (1003894) | $260.00 |
N/A
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Emergency Room - Emergency Department Visit, Problem With Significant Threat To Life Or Function (1003898) | $1,407.00 |
N/A
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Emergency Room - Emergency Department Visit, Problem Of High Severity (1003887) | $1,036.00 |
N/A
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Emergency Room - Emergency Department Visit, Moderately Severe Problem (1003909) | $565.00 |
N/A
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Emergency Room - Emergency Department Visit, Low To Moderately Severe Problem (1003905) | $372.00 |
N/A
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Emergency Room - Electric Shock Of Heart For Abnormal Rhythm (1006948) | $1,225.00 |
N/A
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Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient, First 30-74 Minutes (1003841) | $1,948.00 |
N/A
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Emergency Room - Attempt To Restart Heart And Lungs (1003271) | $1,087.00 |
N/A
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Emergency Room - Application Of Short Leg Splint (1007222) | $350.00 |
N/A
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Emergency Room - Application Of Long Leg Splint (1007219) | $350.00 |
N/A
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Education - Diabetes Self-Management Training (1003593) | $121.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of One Arm Or Leg Or Limited (1003424) | $865.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Veins Of Both Arms Or Legs (1003396) | $1,082.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Head And Neck Blood Vessels On Both Sides (1003395) | $1,056.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries Of Both Legs At Rest And Exercise (1003423) | $1,055.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of One Leg Or Limited (1003407) | $808.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of One Arm Or Limited (1003415) | $754.00 |
N/A
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Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of Both Legs (1003406) | $1,140.00 |
N/A
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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) | $3,871.00 |
N/A
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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 (1010273) | $3,519.00 |
N/A
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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) | $2,129.00 |
N/A
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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 (1010274) | $1,851.00 |
N/A
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Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab (1010272) | $3,383.00 |
N/A
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Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab (1002091) | $3,383.00 |
N/A
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Diagnostic Services - Pre-Procedure Vessel Mapping For Creation Of Dialysis Access (1005469) | $492.00 |
N/A
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Diagnostic Services - Nerve Transmission Studies, 9 To 10 Studies (1012944) | $1,648.00 |
N/A
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Diagnostic Services - Nerve Transmission Studies, 5 To 6 Studies (1012942) | $1,021.00 |
N/A
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Diagnostic Services - Nerve Transmission Studies, 3 To 4 Studies (1012941) | $659.00 |
N/A
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Diagnostic Services - Nerve Transmission Studies, 11 To 12 Studies (1012945) | $1,957.00 |
N/A
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Diagnostic Services - Nerve Transmission Studies, 1 To 2 Studies (1012940) | $408.00 |
N/A
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Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (1003398) | $808.00 |
N/A
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Diagnostic Services - Limited Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1003414) | $1,877.00 |
N/A
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Diagnostic Services - Complete Ultrasound Scan Of Aorta, Vena Cava, Groin Vessel Or Bypass Graft Blood Flow (1004811) | $818.00 |
N/A
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Diagnostic Services - Complete Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1010955) | $1,871.00 |
N/A
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Diagnostic Services - Complete Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1003399) | $1,780.00 |
N/A
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Diagnostic Imaging - X-Rays For Complete Infant Bone Survey (1000704) | $470.00 |
N/A
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Diagnostic Imaging - X-Ray Of Wrist, 3 Or More Views (1002535) | $356.00 |
N/A
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Diagnostic Imaging - X-Ray Of Wrist, 2 Views (1002533) | $272.00 |
N/A
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Diagnostic Imaging - X-Ray Of Upper Spine, 4 Or 5 Views (1000850) | $556.00 |
N/A
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Diagnostic Imaging - X-Ray Of Upper Spine, 2 Or 3 Views (1000851) | $416.00 |
N/A
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Diagnostic Imaging - X-Ray Of Upper Leg, 2 Or More Views (1025889) | $373.00 |
N/A
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Diagnostic Imaging - X-Ray Of Upper Arm, 2 Or More Views (1001370) | $322.00 |
N/A
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Diagnostic Imaging - X-Ray Of Toe(S), 2 Or More Views (1002326) | $266.00 |
N/A
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Diagnostic Imaging - X-Ray Of Spine For Scoliosis Evaluation, 2 Or 3 Views (1025879) | $437.00 |
N/A
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Diagnostic Imaging - X-Ray Of Soft Tissue Of Neck (1001663) | $353.00 |
N/A
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Diagnostic Imaging - X-Ray Of Shoulder, 2 Or More Views (1002062) | $361.00 |
N/A
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Diagnostic Imaging - X-Ray Of Sacrum And Tailbone, 2 Or More Views (1001975) | $353.00 |
N/A
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Diagnostic Imaging - X-Ray Of Sacroiliac Joints, 3 Or More Views (1001973) | $373.00 |
N/A
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Diagnostic Imaging - X-Ray Of Ribs On One Side Of Body, 2 Views (1003534) | $353.00 |
N/A
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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) | $468.00 |
N/A
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Diagnostic Imaging - X-Ray Of Pelvis, 3 Or More Views (1003598) | $374.00 |
N/A
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Diagnostic Imaging - X-Ray Of Pelvis, 1 Or 2 Views (1001804) | $317.00 |
N/A
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Diagnostic Imaging - X-Ray Of One Hip With Pelvis, 2 To 3 Views (1025883) | $409.00 |
N/A
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Diagnostic Imaging - X-Ray Of Middle Spine, 3 Views (1001040) | $487.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), With 2 Or 3 Bending Views Only (1008160) | $407.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 4 Or More Views (1001575) | $597.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 2 Or 3 Views (1001574) | $422.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral) With Bending Views, 6 Or More Views (1001578) | $667.00 |
N/A
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Diagnostic Imaging - X-Ray Of Lower Leg, 2 Views (1002315) | $346.00 |
N/A
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Diagnostic Imaging - X-Ray Of Knee, 4 Or More Views (1001482) | $453.00 |
N/A
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Diagnostic Imaging - X-Ray Of Knee, 3 Views (1004687) | $383.00 |
N/A
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Diagnostic Imaging - X-Ray Of Knee, 1 Or 2 Views (1001481) | $329.00 |
N/A
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Diagnostic Imaging - X-Ray Of Jaw Joint, Both Sides (1002324) | $530.00 |
N/A
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Diagnostic Imaging - X-Ray Of Infant Arm, 2 Or More Views (1002422) | $292.00 |
N/A
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Diagnostic Imaging - X-Ray Of Heel, 2 Or More Views (1001337) | $305.00 |
N/A
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Diagnostic Imaging - X-Ray Of Hand, 3 Or More Views (1001318) | $358.00 |
N/A
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Diagnostic Imaging - X-Ray Of Hand, 2 Views (1001326) | $314.00 |
N/A
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Diagnostic Imaging - X-Ray Of Forearm, 2 Views (1001229) | $314.00 |
N/A
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Diagnostic Imaging - X-Ray Of Foot, 3 Or More Views (1001227) | $371.00 |
N/A
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Diagnostic Imaging - X-Ray Of Foot, 2 Views (1001228) | $291.00 |
N/A
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Diagnostic Imaging - X-Ray Of Finger(S), 2 Or More Views (1001217) | $275.00 |
N/A
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Diagnostic Imaging - X-Ray Of Elbow, 3 Or More Views (1001121) | $375.00 |
N/A
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Diagnostic Imaging - X-Ray Of Elbow, 2 Views (1001122) | $317.00 |
N/A
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Diagnostic Imaging - X-Ray Of Collarbone (1000882) | $337.00 |
N/A
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Diagnostic Imaging - X-Ray Of Chest, 2 Views (1027615) | $370.00 |
N/A
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Diagnostic Imaging - X-Ray Of Chest, 1 View (1027614) | $268.00 |
N/A
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Diagnostic Imaging - X-Ray Of Both Shoulder To Collarbone Joints (1000499) | $413.00 |
N/A
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Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 5 Or More Views (1025887) | $810.00 |
N/A
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Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 3 To 4 Views (1025886) | $569.00 |
N/A
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Diagnostic Imaging - X-Ray Of Ankle, 3 Or More Views (1000552) | $352.00 |
N/A
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Diagnostic Imaging - X-Ray Of Ankle, 2 Views (1000553) | $295.00 |
N/A
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Diagnostic Imaging - X-Ray Of Abdomen, 2 Views (1027619) | $402.00 |
N/A
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Diagnostic Imaging - X-Ray Of Abdomen, 1 View (1027618) | $319.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Scrotum (1000399) | $653.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Pelvis Through Vagina (1000396) | $985.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Head And Neck (1000379) | $875.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Complete Study (1000397) | $985.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Arm Or Leg, Limited Study (1000401) | $556.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Arm Or Leg, Complete Joint Study (1010586) | $759.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Abdomen, Limited Study (1000383) | $609.00 |
N/A
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Diagnostic Imaging - Ultrasound Of Abdomen, Complete Study (1000382) | $1,075.00 |
N/A
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Diagnostic Imaging - Ultrasound Measurement Of Bladder Capacity After Voiding (1007980) | $145.00 |
N/A
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Diagnostic Imaging - Ultrasound Guidance For Needle Insertion (1000409) | $807.00 |
N/A
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Limited Study (1000385) | $559.00 |
N/A
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Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Complete Study (1000384) | $837.00 |
N/A
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Diagnostic Imaging - Screening Ultrasound Of Abdominal Aorta To Detect Bulging (1026825) | $488.00 |
N/A
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Diagnostic Imaging - Screening Mammogram Of Both Breasts (1026823) | $360.00 |
N/A
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Diagnostic Imaging - Screening Mammogram Of Both Breasts (1026824) | $360.00 |
N/A
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Diagnostic Imaging - Screening 3D Mammogram Of Both Breasts (1024609) | $72.25 |
N/A
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Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, Without Contrast (1000223) | $2,789.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Pelvis, Without Contrast (1000235) | $2,650.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, Without Contrast (1000225) | $2,830.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, Without Contrast (1000227) | $2,705.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With And Without Contrast (1000231) | $3,730.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Leg, Without Contrast (1000252) | $2,481.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Leg, With And Without Contrast (1000253) | $3,453.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Leg Joint, Without Contrast (1000254) | $2,389.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Eye, Face, Or Neck, With And Without Contrast (1000198) | $3,995.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Brain, Without Contrast (1000206) | $2,597.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Brain, With And Without Contrast (1000209) | $3,522.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Arm, With And Without Contrast (1000242) | $3,412.00 |
N/A
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Diagnostic Imaging - Mri Scan Of Arm Joint, Without Contrast (1000243) | $2,480.00 |
N/A
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Neck, Without Contrast (1000202) | $2,380.00 |
N/A
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Neck, With And Without Contrast (1000204) | $3,494.00 |
N/A
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Diagnostic Imaging - Mra Scan Of Blood Vessels In Head, Without Contrast (1000199) | $2,480.00 |
N/A
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Diagnostic Imaging - Miscellaneous Ultrasound Procedure (1000417) | $805.00 |
N/A
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Diagnostic Imaging - Dual-Energy X-Ray For Bone Density Study (1004466) | $975.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Upper Spine, Without Contrast (1003591) | $2,232.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Pelvis, Without Contrast (1000232) | $1,710.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Pelvis, With Contrast (1000233) | $2,158.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Neck, With Contrast (1003594) | $2,138.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Middle Spine, Without Contrast (1000220) | $2,194.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Lower Spine, Without Contrast (1000221) | $2,325.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Leg, Without Contrast (1000248) | $2,070.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Head Or Brain, Without Contrast (1000179) | $2,080.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Head Or Brain, With And Without Contrast (1000181) | $2,510.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Face, Without Contrast (1000190) | $1,776.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Eye Or Ear, Without Contrast (1000182) | $1,955.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Chest, Without Contrast (1000210) | $1,990.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Chest, With Contrast (1000212) | $2,479.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Chest With Contrast (1000215) | $2,653.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Blood Vessels In Abdomen And Pelvis (1011851) | $4,590.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen, With Contrast (1000259) | $2,462.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, Without Contrast (1010581) | $3,800.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With Contrast (1010582) | $4,370.00 |
N/A
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Diagnostic Imaging - Ct Scan Of Abdomen And Pelvis, With And Without Contrast (1010583) | $4,821.00 |
N/A
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Diagnostic Imaging - 3D Procedure With Image Postprocessing On Independent Workstation (1005320) | $794.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient, Visit Typically 40 Minutes (1001168) | $69.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1010775) | $73.00 |
N/A
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Clinic Visit - Established Patient Office Or Other Outpatient Visit, Typically 10 Minutes (1010767) | $93.00 |
N/A
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Chemotherapy - Non-Hormonal Anti-Neoplastic Chemotherapy Administration, Under The Skin Or Into Muscle (1004712) | $219.00 |
N/A
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Chemotherapy - Chemotherapy Infusion Into A Vein For Up To 1 Hour, Initial Drug (1004715) | $561.00 |
N/A
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Cardiology - Ultrasound Exam Of The Heart Performed During Rest And Exercise With Interpretation And Report (1003198) | $1,740.00 |
N/A
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Cardiology - Ultrasound Exam Of Heart, Follow-Up Or Limited Study (1003204) | $558.00 |
N/A
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Cardiology - Ultrasound Exam Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function (1009794) | $2,165.00 |
N/A
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Cardiology - Follow-Up Or Limited Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003199) | $394.00 |
N/A
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Cardiology - Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Monitoring, Tracing Only (1003197) | $851.00 |
N/A
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Cardiology - Doppler Ultrasound Color-Mapping Of Heart Blood Flow, Rate, And Valve Function (1003193) | $602.00 |
N/A
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Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1004299) | $260.00 |
N/A
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||
Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session (1004301) | $152.00 |
N/A
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Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1004604) | $558.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007004) | $1,100.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007003) | $1,000.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007002) | $800.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007001) | $720.00 |
N/A
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Blood Administration - Transfusion Of Blood Or Blood Products (1007000) | $600.00 |
N/A
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Anesthesia - Screening Exam Of Large Intestine (1027677) | $36.00 |
N/A
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