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$550.60
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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 - Full Trauma Activation (1027810) | $1,560.00 |
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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 (1009461) | $2,570.00 |
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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 - Other (1008186) | $308.00 |
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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 - Multiple Measurements Of Oxygen Saturation In Blood Using Ear Or Finger Device (1003249) | $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 - Initiation And Management Of Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1006722) | $550.00 |
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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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Radiopharmaceuticals - Technetium Sestamibi (Radioactive Imaging Agent) (1003575) | $454.00 |
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Professional Services - Upper And Lower Gastrointestinal Procedure (1027675) | $36.00 |
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Professional Services - Skin Of Arms, Legs Or Trunk Procedure (1002978) | $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 - 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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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 - Pap Smear (Thin Layer Prep With Automated Screening And Manual Rescreening) (1006967) | $125.00 |
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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 - Flow Cytometry For Dna Or Cell Analysis (Technical Component, First Marker) (1006317) | $46.00 |
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Pathology - Flow Cytometry For Dna Or Cell Analysis (Technical Component, Each Additional Marker) (1006323) | $46.00 |
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Pathology - Cellular Exam Of Non-Gynecologic Specimen Using Cellular Enhancement Technique (1009034) | $172.00 |
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Operating Room - Skin Lesion (1002086) | $1,535.00 |
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Occupational Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (1002910) | $204.00 |
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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 - One-On-One Therapeutic Interventions Focused On Thought Processing And Strategies To Manage Activities (1027626) | $239.00 |
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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 Bones Or Joints, Whole Body (1003461) | $1,789.00 |
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Limited (1004688) | $1,210.00 |
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Lab - Zonisamide Level (1021062) | $31.00 |
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Lab - Zinc Level (1005871) | $166.00 |
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $184.00 |
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Lab - West Nile Antibody Analysis (Except Igm Only) (1006210) | $184.00 |
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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 - Varicella-Zoster Antibody Analysis (1006207) | $179.00 |
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Lab - Varicella-Zoster Antibody Analysis (1006206) | $175.00 |
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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 - Valproic Acid Level (Free) (1006693) | $231.00 |
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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 - Toxoplasma Antibody Analysis (Igm) (1006204) | $223.00 |
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Lab - Toxoplasma Antibody Analysis (Except Igm Only) (1006203) | $219.00 |
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Lab - Total Protein Level In Urine (1005822) | $113.00 |
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Lab - Total Protein Level In Blood (1004592) | $145.00 |
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Lab - Topiramate Level (1005514) | $222.00 |
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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 Total) (1005857) | $198.00 |
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Lab - Thyroid Hormone Level (T3 Reverse) (1005859) | $227.70 |
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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 - Thyroglobulin Antibody Measurement (1006211) | $131.37 |
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Lab - Theophylline Level (1004634) | $197.00 |
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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 (Total) (1010016) | $312.00 |
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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 - Testosterone Level (Free) (1019739) | $80.00 |
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Lab - Testosterone Level (Bioavailable) (1023956) | $326.00 |
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Lab - Syphilis Antibody Identification (1004658) | $101.00 |
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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 (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1006259) | $53.00 |
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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 - Strep Antibody Measurement (1006082) | $106.00 |
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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 Hiv-1 And Hiv-2 (Immunoassay Technique) (1023235) | $147.00 |
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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) (1004664) | $120.00 |
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Lab - Specimen Analysis For Cryptosporidium Parasite (Immunoassay Technique) (1009617) | $151.00 |
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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 - Sirolimus Level (1005535) | $128.00 |
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Lab - Serum Protein Level (Haptoglobin, Quantitative) (1005663) | $174.00 |
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Lab - Screening Psa Lab Test (1004758) | $171.00 |
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Lab - Screening For Hepatitis C (1025403) | $270.00 |
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Lab - Screening Culture For Pathogenic Organisms Without Colony Count (1006239) | $113.00 |
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Lab - Rubeola Antibody Analysis (1006201) | $188.00 |
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Lab - Rubella Antibody Analysis (1004796) | $201.00 |
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Lab - Rickettsia Antibody Analysis (1006198) | $158.00 |
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Lab - Rheumatoid Factor Measurement (1021318) | $96.00 |
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Lab - Rheumatoid Factor Identification (1004854) | $87.00 |
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Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (1006092) | $211.00 |
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Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (1004486) | $58.00 |
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Lab - Red Blood Cell Sedimentation Rate (Automated) (1004491) | $50.00 |
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Lab - Red Blood Cell Antibody Screen (1004494) | $135.00 |
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Lab - Puncture Of Skin For Collection Of Blood Sample (1004544) | $44.00 |
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Lab - Proteins In Urine Or Spinal Fluid Analysis (Immunofixation Electrophoresis Using Concentrated Fluid Other Than Blood) (1004808) | $359.00 |
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Lab - Proteins In Blood Analysis (Serum Immunofixation Electrophoresis) (1006116) | $321.00 |
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Lab - Protein Tumor Marker Level (Carcinoembryonic Antigen) (1004568) | $299.00 |
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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 |
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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 - Procalcitonin Hormone Level (1010131) | $472.00 |
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 Blood (1004517) | $91.00 |
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 - Phenytoin Level (Free) (1005510) | $173.00 |
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
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Lab - Oxcarbazepine Level (1021060) | $185.00 |
N/A
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Lab - Other Tumor Antigen Measurement (1006112) | $290.00 |
N/A
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Lab - Noninfectious Agent Antibody Analysis (1006777) | $200.00 |
N/A
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Lab - Natriuretic Peptide Protein Level (1004593) | $418.00 |
N/A
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Lab - Mumps Antibody Analysis (1004789) | $192.00 |
N/A
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Lab - Mononucleosis Antibody Identification (1004531) | $91.00 |
N/A
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Lab - Miscellaneous Therapeutic Drug Level (1005519) | $361.00 |
N/A
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Lab - Microsomal Antibodies Measurement (1006127) | $115.15 |
N/A
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Lab - Metanephrines Level (1005740) | $350.00 |
N/A
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Lab - Magnesium Level (1004523) | $103.00 |
N/A
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Lab - Lyme Disease Antibody Analysis (1006151) | $290.00 |
N/A
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Lab - Liver Function Panel (1004538) | $203.00 |
N/A
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Lab - Liver Enzyme Level (Ast, Sgot) (1004502) | $103.00 |
N/A
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Lab - Liver Enzyme Level (Alt, Sgpt) (1004500) | $103.00 |
N/A
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Lab - Lithium Level (1004783) | $98.00 |
N/A
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Lab - Lipid Panel (1004539) | $168.00 |
N/A
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Lab - Lipase Enzyme Level (1004578) | $252.00 |
N/A
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1009064) | $197.00 |
N/A
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1010022) | $197.00 |
N/A
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Lab - Levetiracetam Level (1021058) | $194.00 |
N/A
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Lab - Lead Level (1006677) | $154.00 |
N/A
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Lab - Ldl Cholesterol Level (1005730) | $135.00 |
N/A
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Lab - Lactic Acid Level (1005719) | $149.00 |
N/A
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Lab - Lactate Dehydrogenase Enzyme Measurement (Ldh Isoenzymes Separation And Quantitation) (1005720) | $262.00 |
N/A
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Lab - Lactate Dehydrogenase Enzyme Level (Ldh) (1004515) | $95.00 |
N/A
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Lab - Kidney Function Panel (1004540) | $129.00 |
N/A
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Lab - Ketone Bodies Analysis For Levels (1011903) | $113.00 |
N/A
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Lab - Islet Cell Antibody Measurement (1010030) | $121.00 |
N/A
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Lab - Islet Cell Antibody Measurement (1012224) | $97.00 |
N/A
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Lab - Iron Level (1004514) | $86.00 |
N/A
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Lab - Iron Binding Capacity (1004605) | $86.00 |
N/A
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Lab - Insertion Of Needle Into Vein For Collection Of Blood Sample (1004553) | $9.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026912) | $171.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026911) | $136.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026907) | $115.00 |
N/A
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Lab - Initial Drug Testing (Presumptive By Instrument Chemistry Analyzers) (1026905) | $102.00 |
N/A
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Lab - Initial Drug Testing (Presumptive And Capable Of Only Being Read By Direct Optical Observation) (1026858) | $253.00 |
N/A
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Lab - Immune System Protein Antibody Measurement (Complement Antigen Level, Each Component Tested) (1004856) | $166.00 |
N/A
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Lab - Immature Red Blood Count With Additional Calculations (1007926) | $139.00 |
N/A
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Lab - Hiv-1 And Hiv-2 Antibodies Analysis (1004659) | $188.00 |
N/A
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Lab - Hidden Blood Identification In Stool (Qualitative For Reason Other Than Colorectal Cancer Screening) (1005592) | $61.00 |
N/A
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Lab - Hidden Blood Identification In Stool (Qualitative By 1 To 3 Fecal Hgb Determinations) (1025475) | $46.00 |
N/A
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Lab - Herpes Simplex Antibody Analysis (Type 2) (1012657) | $156.00 |
N/A
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