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$405.07
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Treatment Room - Simple Procedure (1026071) | $157.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1009264) | $160.00 |
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Treatment Room - Established Patient Office Or Other Outpatient Visit, Typically 5 Minutes (1028030) | $92.00 |
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Trauma Response - Hospital Critical Care Service (1027813) | $1,276.00 |
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Trauma Response - Full Trauma Activation (1027810) | $1,147.00 |
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Therapeutic Services - Irrigation Of Implanted Venous Access Drug Delivery Device (1004718) | $98.00 |
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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) | $240.00 |
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Speech Therapy - Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder, Individual (1002858) | $215.00 |
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Speech Therapy - Evaluation Of Swallowing Function (1002860) | $295.00 |
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Speech Therapy - Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression (1021038) | $275.00 |
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Speech Therapy - Evaluation Of Speech Sound Production (1021037) | $145.00 |
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Speech Therapy - Behavioral And Qualitative Analysis Of Voice And Resonance (1021039) | $165.00 |
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Room & Board - Semi-Private (1009460) | $1,457.00 |
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Room & Board - Private (1000439) | $1,248.00 |
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Room & Board - Private (1004313) | $482.00 |
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Room & Board - Other (1008186) | $343.00 |
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Respiratory Services - Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen (1006730) | $90.00 |
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Recovery Room (1004670) | $536.00 |
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Recovery - Second Hour (1011668) | $144.00 |
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Recovery - Each Additional Hour Up To 24 Hours (1011669) | $24.00 |
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Recovery - 25-48 Hours (1011670) | $49.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1004368) | $59.00 |
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Preventive Services - Administration Of Vaccine By Injection, 1 Vaccine (1011895) | $55.00 |
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Physical Therapy - Walking Training To 1 Or More Areas, Each 15 Minutes (1002904) | $87.00 |
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Physical Therapy - Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes (1002902) | $98.00 |
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Physical Therapy - Physical Medicine Or Rehabilitation Service Or Procedure (1008125) | $109.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 45 Minutes (1026787) | $199.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 30 Minutes (1026786) | $175.00 |
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Physical Therapy - Evaluation Of Physical Therapy, Typically 20 Minutes (1026785) | $155.00 |
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Physical Therapy - Application Of Medication Through Skin Using Electrical Current, Each 15 Minutes (1002897) | $96.00 |
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Physical Therapy - Application Of Mechanical Traction To 1 Or More Areas (1002885) | $95.00 |
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Physical Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Unattended By Physical Therapist (1002886) | $92.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue Including Interpretation And Report (Group Ii For All Other Excluding Microorganisms) (1006361) | $49.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Initial Single Slide Or Stain) (1006381) | $151.00 |
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Pathology - Special Stained Specimen Slides To Examine Tissue (Each Additional Slide Or Stain) (1024653) | $151.00 |
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Pathology - Pap Smear (Thin Layer Prep With Manual Screening) (1006966) | $70.00 |
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Pathology - Level Iv Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Intermediate Complexity) (1006355) | $179.00 |
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Pathology - Level Iii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Moderatley Low Complexity) (1006354) | $117.00 |
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Pathology - Level Ii Pathology Exam Of Tissue Using Visual Inspection And Microscopic Examination (Specimen Specific Or Low Complexity) (1006353) | $93.00 |
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Pathology - Level I Pathology Exam Of Tissue Using Visual Inspection (1006352) | $65.00 |
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Pathology - Gene Identification And Typing (Hla Class Ii, Each Locus, Low Resolution) (1022104) | $17.00 |
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Operating Room - Tying Of Vas Deferens (1004727) | $572.00 |
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Operating Room - Removal Of Gallbladder Using Endoscope (1001514) | $10,326.00 |
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Operating Room - Release Of Wrist Nerve (Carpal Tunnel Surgery) (1000764) | $692.00 |
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Operating Room - Level 3 Per Hour (1011662) | $1,994.00 |
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Operating Room - Level 1 Per Hour (1011660) | $1,524.00 |
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Operating Room - Intermediate Procedure (1011663) | $321.00 |
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Operating Room - Hernia Repair (1004381) | $4,185.00 |
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Operating Room - Diagnostic Exam Of Upper Gastrointestinal Tract Using Endoscope, Level 2 (1011659) | $1,753.00 |
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Operating Room - Diagnostic Exam Of Upper Gastrointestinal Tract Using Endoscope (1010166) | $1,467.00 |
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Operating Room - Diagnostic Exam Of Large Intestine Using Endoscope, Level 2 (1011674) | $1,858.00 |
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Occupational Therapy - Training In Use Of Orthotics For Arms, Legs, Or Trunk, Per 15 Minutes (1002910) | $115.00 |
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Occupational Therapy - Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes (1002901) | $95.00 |
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Occupational Therapy - Therapeutic Activities To Improve Function With One-On-One Contact Between Patient And Provider, Each 15 Minutes (1002912) | $90.00 |
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Occupational Therapy - Self-Care Or Home Management Training, Each 15 Minutes (1002915) | $75.00 |
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Occupational Therapy - Manual Therapy Techniques To 1 Or More Regions, Each 15 Minutes (1002908) | $95.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 45 Minutes (1026790) | $175.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy, Typically 30 Minutes (1026789) | $155.00 |
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Occupational Therapy - Evaluation Of Occupational Therapy Established Plan Of Care, Typically 60 Minutes (1026791) | $199.00 |
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Occupational Therapy - Application Of Ultrasound To 1 Or More Areas, Each 15 Minutes (1002899) | $83.00 |
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Occupational Therapy - Application Of Hot Wax Bath To 1 Or More Areas (1002890) | $80.00 |
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Occupational Therapy - Application Of Electrical Stimulation To 1 Or More Areas, Each 15 Minutes (1002894) | $78.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011653) | $470.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011650) | $368.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011655) | $77.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011652) | $56.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011654) | $53.00 |
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Observation - Hospital Observation Care - Each Hour Of Service (1011651) | $41.00 |
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Nuclear Medicine - Diagnostic Tomographic (Spect) Scan Of Heart, Multiple Studies (1003505) | $3,348.00 |
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Nuclear Medicine - Diagnostic Scan Of Bones Or Joints, Whole Body (1003461) | $1,462.00 |
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Lab - Zinc Level (1005871) | $58.00 |
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Lab - Withdrawal Of Arterial Blood For Diagnosis (1004304) | $52.00 |
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Lab - White Blood Cell Count (Automated) (1004492) | $42.00 |
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Lab - White Blood Cell Antibodies Identification (1006075) | $103.00 |
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Lab - White Blood Cell Antibodies Identification (1006073) | $103.00 |
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Lab - West Nile Antibody Analysis (Igm) (1007766) | $60.00 |
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Lab - Vitamin K Level (1005868) | $67.00 |
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Lab - Vitamin E Level (1005854) | $87.00 |
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Lab - Vitamin D-3 Level (1010913) | $161.00 |
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Lab - Vitamin B-6 Level (1004830) | $240.00 |
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Lab - Vitamin B-12 Level (Cyanocobalamin Level) (1004564) | $103.00 |
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Lab - Vitamin B-1 Level (1005846) | $73.00 |
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Lab - Vitamin A Level (1005867) | $89.00 |
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Lab - Varicella-Zoster Antibody Analysis (1006207) | $66.00 |
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Lab - Vancomycin Level (1008950) | $87.00 |
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Lab - Valproic Acid Level (Total) (1005480) | $118.00 |
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Lab - Urine Volume Measurement (1018839) | $14.00 |
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Lab - Urine Pregnancy Test (1004532) | $70.00 |
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Lab - Urine Concentration Measurement (1026155) | $49.00 |
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Lab - Uric Acid Level In Specimen Other Than Blood (1026162) | $13.00 |
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Lab - Uric Acid Level In Blood (1004521) | $53.00 |
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Lab - Urea Nitrogen Level In Urine (Bun Only) (1026164) | $9.00 |
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Lab - Urea Nitrogen Level In Blood (Quantitative) (1004506) | $53.00 |
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Lab - Tuberculosis Antigen Analysis (Gamma Interferon Secretion Test) (1009874) | $142.00 |
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Lab - Troponin Protein Level (1004528) | $137.00 |
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Lab - Total Protein Level In Urine (1005822) | $44.00 |
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Lab - Total Protein Level In Blood (1004592) | $52.00 |
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Lab - Total Cell Count For Natural Killer Cells (1006120) | $120.00 |
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Lab - Total Cell Count For B Cells (1006119) | $120.00 |
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Lab - Topiramate Level (1005514) | $85.00 |
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Lab - Thyroxine Level (Total) (1004527) | $41.00 |
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Lab - Thyroxine Level (Free) (1004576) | $94.00 |
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Lab - Thyroid Stimulating Hormone Level (1004529) | $120.00 |
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Lab - Thyroid Hormone Level (T3 Free) (1005858) | $142.00 |
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Lab - Thyroglobulin Hormone Level (1005848) | $73.00 |
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Lab - Thyroglobulin Antibody Measurement (1006213) | $73.00 |
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Lab - Thyroglobulin Antibody Measurement (1006211) | $63.00 |
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Lab - Testosterone Level (Total) (1010016) | $125.00 |
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Lab - Testosterone Level (Total) (1005845) | $125.00 |
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Lab - Testosterone Level (Total) (1005843) | $123.00 |
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Lab - Testosterone Level (Free) (1024367) | $90.00 |
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Lab - Testosterone Level (Free) (1005842) | $90.00 |
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Lab - Testosterone Level (Free) (1019739) | $90.00 |
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Lab - Testosterone Level (Bioavailable) (1023956) | $122.00 |
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Lab - Tacrolimus Level (1004580) | $212.00 |
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Lab - Syphilis Antibody Identification (1004658) | $63.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Mic Or Breakpoint, Per Plate, Each Multi-Antimicrobial Agent) (1004561) | $79.00 |
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Lab - Susceptibility Study Of Specific Antimicrobial Agent (Agar Dilution Method, Per Drug) (1018258) | $39.00 |
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Lab - Sulfate Level In Urine (1026161) | $7.00 |
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Lab - Stool Specimen Analysis For Helicobacter Pylori Bacteria (Immunoassay Technique) (1006282) | $168.00 |
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Lab - Stone Analysis By Infrared Absorption (1004767) | $98.00 |
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Lab - Steroid Hormone Level (Dehydroepiandrosterone-Sulfate) (1005626) | $77.00 |
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Lab - Specimen Analysis Using Light Refraction (1007969) | $124.00 |
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Lab - Specimen Analysis For Strep Group A Bacteria (Immunoassay With Direct Optical Observation) (1004535) | $66.00 |
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Lab - Specimen Analysis For Hiv-1 And Hiv-2 (Immunoassay Technique) (1023235) | $69.00 |
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Lab - Specimen Analysis For Hepatitis C Virus Genotype (1006295) | $318.00 |
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Lab - Specimen Analysis For Hepatitis B Surface Antigen (Immunoassay Technique) (1004851) | $46.00 |
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Lab - Specimen Analysis For Giardia Parasite (Immunoassay Technique) (1019195) | $48.00 |
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Lab - Specimen Analysis For Cryptosporidium Parasite (Immunoassay Technique) (1009617) | $51.00 |
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Lab - Somatomedin Growth Factor Level (1005838) | $114.00 |
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Lab - Sodium Level In Urine (1026160) | $18.00 |
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Lab - Sodium Level In Blood (1004519) | $53.00 |
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Lab - Smear With Wet Mount For Infectious Agents (1004554) | $55.00 |
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Lab - Smear With Special Stain For Microorganisms (Gram Or Giemsa Stain) (1004546) | $42.00 |
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Lab - Serum Protein Level (Haptoglobin, Quantitative) (1005663) | $55.00 |
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Lab - Semen Analysis For Presence And Motility Of Sperm (1004598) | $50.00 |
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Lab - Selenium Essential Mineral Level (1005831) | $90.00 |
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Lab - Screening Psa Lab Test (1004758) | $120.00 |
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Lab - Rubeola Antibody Analysis (1006201) | $122.00 |
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Lab - Rubella Antibody Analysis (1004796) | $64.00 |
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Lab - Rheumatoid Factor Measurement (1021318) | $49.00 |
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Lab - Rheumatoid Arthritis Antibody Measurement (Cyclic Citrullinated Peptide Antibody) (1006092) | $81.00 |
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Lab - Renin Enzyme Level (1005830) | $98.00 |
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Lab - Red Blood Cell Volume Count (Electronic Hematocrit) (1004486) | $18.00 |
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Lab - Red Blood Cell Sedimentation Rate (Non-Automated) (1006500) | $45.00 |
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Lab - Red Blood Cell Antibody Screen (1004494) | $96.00 |
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Lab - Puncture Of Skin For Collection Of Blood Sample (1004544) | $28.00 |
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Lab - Proteins In Blood Analysis (Serum Immunofixation Electrophoresis) (1006116) | $89.00 |
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Lab - Protein Tumor Marker Level (Carcinoembryonic Antigen) (1004568) | $129.00 |
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Lab - Protein Level In Blood (1004792) | $58.00 |
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Lab - Prostate Specific Antigen Level (Psa, Total) (1004526) | $120.00 |
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Lab - Prolactin Hormone Level (1005820) | $89.00 |
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Lab - Progesterone Reproductive Hormone Level (1005819) | $83.00 |
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Lab - Pregnancy Hormone Level (Hcg Quantitative) (1001981) | $114.00 |
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Lab - Potassium Level In Urine (1026159) | $13.00 |
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Lab - Potassium Level In Blood (1004517) | $53.00 |
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Lab - Platelet Count (Automated) (1004805) | $45.00 |
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Lab - Pituitarty Hormone Level (Adrenocorticotropic) (1004785) | $159.00 |
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Lab - Phosphate Level In Urine (1026158) | $11.00 |
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Lab - Phosphate Level In Blood (1004516) | $58.00 |
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Lab - Phenytoin Level (Total) (1004572) | $115.00 |
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Lab - Phenobarbital Level (1004606) | $109.00 |
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Lab - Ph Measurement Using Body Fluid (1026157) | $9.00 |
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Lab - Parathyroid Hormone Level (1005798) | $85.00 |
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Lab - Oxalate Level (1026156) | $28.00 |
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Lab - Other Tumor Antigen Measurement (1006112) | $81.00 |
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Lab - Organic Acid Level (1005793) | $153.00 |
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Lab - Noninfectious Agent Antibody Analysis (1006074) | $118.00 |
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Lab - Noninfectious Agent Antibody Analysis (1006777) | $27.00 |
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Lab - Non-Infectious Substance Measurement (By Radioimmunoassay) (1006612) | $689.00 |
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Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (1005694) | $81.00 |
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Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (1012314) | $80.00 |
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Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (1027108) | $74.00 |
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Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (1028107) | $40.00 |
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Lab - Non-Infectious Substance Analysis (Immunoassay Multiple Step Method) (1027987) | $40.00 |
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Lab - Natriuretic Peptide Protein Level (1004593) | $142.00 |
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Lab - Mycoplasma Antibody Analysis (1004660) | $63.00 |
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Lab - Mumps Antibody Analysis (1004789) | $77.00 |
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Lab - Mononucleosis Antibody Identification (1004531) | $64.00 |
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Lab - Miscellaneous Therapeutic Drug Level (1005519) | $92.00 |
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Lab - Microsomal Antibodies Measurement (1006127) | $73.00 |
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Lab - Metanephrines Level (1005740) | $217.00 |
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Lab - Magnesium Level (1004523) | $63.00 |
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Lab - Magnesium Level (1026154) | $31.00 |
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Lab - Lyme Disease Antibody Analysis (1006151) | $61.00 |
N/A
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Lab - Luteinizing Hormone Level (Gonadotropin Lh) (1004780) | $82.00 |
N/A
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Lab - Lupus Anticoagulants Identification (Hexagonal Phospholipid Neutralization) (1026528) | $86.00 |
N/A
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Lab - Liver Function Panel (1004538) | $131.00 |
N/A
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Lab - Liver Enzyme Level (Ast, Sgot) (1004502) | $59.00 |
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Lab - Liver Enzyme Level (Alt, Sgpt) (1004500) | $59.00 |
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Lab - Lithium Level (1004783) | $70.00 |
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Lab - Lipid Panel (1004539) | $118.00 |
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Lab - Lipase Enzyme Level (1004578) | $85.00 |
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1009064) | $84.00 |
N/A
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Lab - Light Emission Measurement From Chemical Reaction (Chemiluminescent Assay) (1010022) | $24.00 |
N/A
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Lab - Levetiracetam Level (1021058) | $54.00 |
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Lab - Lead Level (1006677) | $79.00 |
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Lab - Ldl Cholesterol Level (1005730) | $68.00 |
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Lab - Lamotrigine Level (1021057) | $69.00 |
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