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$2759.61
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Cardiology - Evaluation And Insertion Of Catheters For Creation Of Complete Heart Block (1012761) | $27,935.00 |
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Cardiology - Esophageal Ultrasound Of Heart For Guidance During Procedure Performend On Heart Or Great Blood Vessel Via Catheter (1024486) | $3,697.00 |
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Cardiology - Esophageal Ultrasound Exam Of Heart Including Probe Placement, Image Acquisition, Interpretation And Report (1003205) | $3,525.00 |
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Cardiology - Esophageal Ultrasound Exam Of Heart For Congenital Abnormalities Including Probe Placement, Image Acquisition, Interpretation And Report (1003209) | $3,526.00 |
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Cardiology - Drug Infusion During Cardiac Catheterization (1010633) | $1,427.00 |
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Cardiology - Doppler Ultrasound Color-Mapping Of Heart Blood Flow, Rate, And Valve Function (1003193) | $869.00 |
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Cardiology - Complete Doppler Ultrasound Study Of Heart Blood Flow, Valves, And Chambers With Graphic Display (1003194) | $745.00 |
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Cardiology - Code Blue (1012689) | $371.00 |
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Cardiology - Change Of Access Site For External Blood Circulation In Heart And Lungs (1025540) | $497.00 |
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Cardiology - Catheter Placement Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (1012780) | $16,405.00 |
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Cardiology - Catheter Placement Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Each Additional (1012878) | $13,479.00 |
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Cardiology - Catheter Insertion Of Stents In Major Coronary Artery Or Branch Accessed Through The Skin, Single (1012779) | $18,298.00 |
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Cardiology - Catheter Based Repair Of Left Lower Heart Valve Accessed Through The Skin (1005356) | $14,562.00 |
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Cardiology - Catheter Based Repair Of Heart Valve To Lungs Accessed Through The Skin (1005358) | $14,725.00 |
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Cardiology - Catheter Based Closure Of Congenital Heart Defect With Implant, Accessed Through The Skin (1005385) | $28,476.00 |
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Cardiology - Balloon Pump First Day (1007646) | $2,422.00 |
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Cardiology - Balloon Pump Each Additional Day (1003266) | $1,098.00 |
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Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Single (1012775) | $11,326.00 |
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Cardiology - Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch, Each Additional (1012776) | $8,827.00 |
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Cardiology - Balloon Catheter Enlargement Of Opening Between Two Upper Heart Chambers (1005359) | $7,609.00 |
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Cardiology - Attempt To Restart Heart And Lungs (1004611) | $1,010.00 |
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Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1007018) | $320.00 |
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Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session, Includes Continuous Ecg Monitoring (1006714) | $198.00 |
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Cardiac Rehabilitation - Outpatient Heart Rehabilitation Services Provided By Qualified Professional, Per Session (1004301) | $281.00 |
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Brain Monitoring - Monitoring And Localization Of Seizure Activity Using Electroencephalograph And Video Recording, Each 24 Hour Period (1003340) | $6,015.00 |
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Brain Monitoring - Monitoring And Localization Of Seizure Activity Using Electroencephalograph And Video Recording, Each 24 Hour Period (1003342) | $4,592.00 |
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Brain Monitoring - Monitoring And Localization Of Seizure Activity Using Computerized Portable Electroencephalograph, Each 24 Hours Period, Unattended (1003346) | $1,941.00 |
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Brain Monitoring - Monitoring And Localization Of Seizure Activity Using Computerized Portable Electroencephalograph, Each 24 Hours Period, Unattended (1012869) | $1,214.00 |
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Brain Monitoring - Measurement Of Brain Wave Activity In Coma Or Asleep (1013379) | $1,146.00 |
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Brain Monitoring - Measurement Of Brain Wave Activity Greater Than 1 Hour (1003339) | $1,678.00 |
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Brain Monitoring - Measurement Of Brain Wave Activity Awake And Asleep (1003344) | $1,164.00 |
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Brain Monitoring - Measurement Of Brain Wave Activity Awake And Asleep (1003345) | $806.00 |
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Brain Monitoring - Measurement Of Brain Wave Activity 41 To 60 Minutes (1003343) | $1,277.00 |
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Brain Monitoring - Insertion Of Needles And Skin Electrodes For Measurement And Recording Of Stimulated Sites In The Legs (1003348) | $966.00 |
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Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1004604) | $450.00 |
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Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1010261) | $220.95 |
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Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1010268) | $190.00 |
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Blood Processing & Storage - Red Blood Cells - White Cells Reduced (1010685) | $176.00 |
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Blood Processing & Storage - Red Blood Cells - Irradiated/white Cells Reduced (1009048) | $654.00 |
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Blood Processing & Storage - Platelets - White Cells Reduced (1009170) | $241.00 |
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Blood Processing & Storage - Platelets - Pheresis/white Cells Reduced (1009406) | $1,261.55 |
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Blood Processing & Storage - Platelets - Pheresis/irradiated/white Cells Reduced (1009047) | $2,035.00 |
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Blood Processing & Storage - Platelets - Irradiated/white Cells Reduced (1010255) | $346.00 |
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Blood Processing & Storage - Platelets (1010686) | $70.00 |
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Blood Processing & Storage - Platelets (1006400) | $65.50 |
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Blood Processing & Storage - Fresh Frozen Plasma - Within 8 To 24 Hours Of Collection (1018576) | $344.00 |
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Blood Processing & Storage - Fresh Frozen Plasma - Single Donor (1006399) | $344.00 |
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Blood Processing & Storage - Fresh Frozen Plasma - Single Donor (1006516) | $52.00 |
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Blood Processing & Storage - Cryoprecipitate (1006398) | $184.00 |
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Blood Processing & Storage - Cryoprecipitate (1006515) | $67.50 |
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Blood Processing & Storage - Cryoprecipitate (1010683) | $62.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1013750) | $1,473.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007003) | $928.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007002) | $770.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007001) | $572.00 |
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Blood Administration - Transfusion Of Blood Or Blood Products (1007000) | $450.00 |
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Behavioral Health - Shock Treatment And Monitoring (1005341) | $1,530.00 |
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Audiology - Placement Of Scalp Electrodes For Assessment And Recording Of Responses From Several Areas Of The Nerve-Brain Hearing System, Limited (1007594) | $310.00 |
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Audiology - Placement Of Scalp Electrodes For Assessment And Recording Of Responses From Several Areas Of The Nerve-Brain Hearing System, Comprehensive (1007815) | $439.00 |
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Audiology - Eardrum Testing Using Ear Probe (1007838) | $59.00 |
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Anesthesia Component (1012963) | $1,076.00 |
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Anesthesia - Moderate Sedation Services By Physician Also Performing A Procedure, Patient 5 Years Of Age Or Older, First 15 Minutes (1026870) | $210.00 |
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Anesthesia - Moderate Sedation Services By Physician Also Performing A Procedure, Additional 15 Minutes (1026871) | $210.00 |
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Anesthesia - Moderate Sedation For Gastrointestinal Endoscopy (1026875) | $193.00 |
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Anesthesia - Insertion Of Breathing Tube Using Fiberoptic Assistance (1001212) | $303.00 |
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Anesthesia - Inhalation Agent (1000539) | $5.00 |
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Ambulance - Specialty Care Transport (1002042) | $1,720.00 |
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Ambulance - Rotary Wing Air Transport, Per Mile (1001961) | $85.00 |
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Ambulance - Response Without Transport (1026283) | $11,870.00 |
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Ambulance - Response Without Transport (1026284) | $9,796.00 |
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Ambulance - Ground Transport, Per Mile (1002043) | $27.00 |
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Ambulance - Fixed Wing Air Transport, Per Mile (1001233) | $30.00 |
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Ambulance - Air Transport, Rotary Wing (1001962) | $12,450.00 |
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Ambulance - Air Transport, Fixed Wing (1001234) | $10,280.00 |
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Ambulance - Advanced Life Support, Emergency Transport, Level I (1008250) | $1,500.00 |
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Ambulance - Advanced Life Support Transport, Per Mile (1021034) | $25.00 |
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